• Journal of radiological science and technology
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• v.44 no.5
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• pp.451-457
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• 2021

Recently, the number of interventional procedures has increased dramatically as an alternative of invasive surgical procedure and patient radiation exposure is also increasing accordingly. In this study, we evaluated the patient dose of major interventional procedures nationwide and we established our Korean database. With these results, we tried to suggest the reference dose level for major interventional procedures. We evaluated patent dose data in the field of interventional radiology from foreign countries. Measurement of radiation dose exposure for 11 major interventional procedures was conducted using embedded DAP meters in 10,006 patients from 47 hospitals, and reference level of each interventional procedure was suggested. The DRLs of each intervenional procedure are as follows: TACE 206(Gy·cm²), AVF 12(Gy·cm²), LE intervention 43(Gy·cm²), TFCA 122(Gy·cm²), Cerebral aneurysm coil embolization 214(Gy·cm²), PTBD 22(Gy·cm²), Biliary stent 60(Gy·cm²), PCN 7(Gy·cm²), Hickman catheter 2.1(Gy·cm²), Chemoport 1.4(Gy·cm²), BAE 104(Gy·cm²). Compared with the previously established DRL in 2012, the radiation dose decreased in all 10 interventional procedures. In the future, continuous publicity and education on the radiation dose reduction will be needed.

• Journal of the Korean Society of Radiology
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• v.15 no.2
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• pp.131-137
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• 2021

The purpose of this study was to present the reference value of the intracranial translucency(IT) of the fetus using the mid sagittal plane of the post brain in the early pregnancy ultrasound screening test and to find the clinical significance. From August 2018 to February 2020, the IT of 1529 singleton fetus whose crown lump length were 40.6 mm to 78.3 mm in length among the mothers undergoing regular checkups at Hospital I were measured and analyzed retrospectively. As the crown lump length increased, the IT showed a 54.3% explanatory power and tended to increase(p<0.001). In addition, through frequency analysis, the standard value for the percentile of the IT by gestational weeks was calculated. As a result, it was possible to establish a standard value for Koreans with an IT, and it will be usefully applied as an auxiliary screening test for spina bifida in the evaluation of fetal post brain in early pregnancy.

• Journal of the Korean Society of Radiology
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• v.15 no.6
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• pp.869-875
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• 2021

The purpose of this study is to derive a formula for calculating the effective energy of an X-ray beam generated by a CT simulator. Under 90, 120, and 140 kVp X-ray beams, the CT number calibration insert part of the AAPM CT performance phantom was scanned 5 times with a CT simulator. The CT numbers of polyethylene, polystyrene, water, nylon, polycarbonate, and acrylic were measured for each CT slice image. The average value of CT number measured under a single tube voltage and the linear attenuation coefficients corresponding to each photon energy calculated from the data of the National Institute of Standards and Technology were linearly fitted. Among the obtained correlation coefficients, the photon energy having the maximum value was determined as the effective energy. In this way, the effective energy of the X-ray beam generated at each tube voltage was determined. By linearly fitting the determined effective energies(y) and tube voltages(x), y=0.33026x+30.80263 as an effective energy calculation formula was induced.

• Journal of the Korean Society of Radiology
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• v.12 no.7
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• pp.929-934
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• 2018

Studies for counting and detecting X-rays for the improvement of image quality and material analysis are active. In this work, the detector for X-ray photon counting was designed using Multi-pixel photon counter (MPPC) array and the detector characteristics were evaluated through simulation. Geant4 Application for Tomographic Emission (GATE) was used to obtain the position where the X-ray and the scintillation interacted, and this position was used as the light generation position of DETECT2000. 0.5 mm and 1 mm thick Gadolinium Aluminium Gallium Garnet (GAGG) scintillators were used and the light generated through a $4{\times}4$ array of MPPCs was acquired. The spatial resolution of the designed detector was evaluated by reconstructed image using the light signal acquired for each channel. We obtained images of more than 2 lp/mm in both 0.5 mm and 1 mm thick GAGG scintillation. When this detector is used in a X-ray system, a low-cost system capable of photon counting can be made.

• Journal of the Korean Society of Radiology
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• v.13 no.3
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• pp.439-444
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• 2019

In this study, the radiation protection effects of selenium, known as a powerful antioxidant, were studied. After 14 days of oral injection of selenium into the rat, a full body irradiation of 10 Gy was carried out. And after 1 day, 3.5 day, 7 day and 21 day, we observed blood cell components and superoxide dismutase(SOD) and small intestine changes. Compared to irradiation groups, there was a significant protection effect of reducing the hematopoietic immune system damage in the irradiated group after selenium administration(p<0.05). Then, selenium is a valid ingredient that increases the activity of the superoxide Dismutase(SOD), and it is confirmed that it has an effect of inhibiting apoptosis expression of small intestinal cells by irradiation. Based on these results, selenium is considered to be an essential ingredient for protecting living things from radiation.

• Journal of the Korean Society of Radiology
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• v.13 no.2
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• pp.313-318
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• 2019

To improve the sensitivity, a detector using a block scintillator was developed. In the pixelated scintillator, a reflector is located between pixels to move the light generated from the scintillator to the photosensor as much as possible, and sensitivity loss occurs in the reflector portion. In order to improve the sensitivity and to have the characteristics of the pixelated scintillator, the block scintillator was processed into a scintillator in pixel form through three-dimensional laser engraving. The energy spectra and energy resolution of each pixel were measured, and sensitivity analysis of block and pixel scintillator was performed through GATE simulation. The measured global energy resolution was 20.7%, and the sensitivity was 18.5% higher than that of the pixel scintillator. When this detector is applied to imaging devices such as gamma camera and positron emission tomography, it will be possible to shorten the imaging time and reduce the dose of patient by using less radiation source.

• Journal of the Korean Society of Radiology
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• v.12 no.7
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• pp.807-812
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• 2018

In this study, we investigated the conditions used in setting the recommendation level of general radiography diagnostic reference and tried to evaluate the effective dose and biological evaluation using PCXMC v2.0 program. As a result based on the effective dose of male in ICRP 60, the highest Pelvis AP was 0.794 mSv. The lowest Chest PA was 0.050 mSv. In the case of ICRP 103, the highest T-Spine AP was 0.906 mSv The lowest Chest PA was 0.052 mSv. For 40 years old male and female adults, effective doses of general radiography were evaluated and even if the medical exposures are not subject to the limit of dose, efforts should be made to reduce the medical exposures of the people by keeping the dose below the recommended amount in order to minimize the probable effect of radiation hazard.

• Journal of the Korean Society of Radiology
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• v.13 no.3
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• pp.399-406
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• 2019

This study aims to find geometric parameters that the radiologist can change from time to time to reduce dose in angiography examinations. Depending on the geometric characteristics, the values calculated by effective dose were compared, while filming in fluoroscopy mode and Digital subtraction angiography, respectively. The study found that the lower the dose was in FPS mode, the lower the dose was reduced to 30-40%. Doses according to the X-ray angle were measured highest in AP View and lower as the angle went in the head direction. The greater the FOV, the higher the dose was 1.2-1.6 times, and the closer the distance between the X-ray tube and the table, the greater the dose was about 10%. Source-image intensifier distance (SID) get longer to 100 mm, dose of each fluoroscopy and Digital subtraction angiography increase up to 25-30%. In conclusion, various geometric characteristics in angiography examinations are parameters that can be applied by radiographers as frequently as possible, and appropriate geometric properties can be considered and applied in various situations, resulting in appropriate dose reduction.

• Journal of the Korean Society of Radiology
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• v.13 no.4
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• pp.589-596
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• 2019

X-rays used for diagnosis have a continuous energy distribution. However, photons with low energy not only reduce image contrast, but also contribute to the patient's radiation exposure. Therefore, clinics currently use filters made of aluminum. Such filters are advantageous because they can reduce the exposure of the patient to radiation. However, they may have negative effects on imaging quality, as they lead to increases in the scattered dose. In this study, we investigated the effects of the scattered dose generated by an aluminum filter on medical image quality. We used the relative standard deviation and the scatter degradation factor as evaluation indices, as they can be used to quantitatively express the decrease in the degree of contrast in imaging. We verified that the scattered dose generated by the increase in the thickness of the aluminum filter causes degradation of the quality of medical images.

• Journal of radiological science and technology
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• v.42 no.4
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• pp.271-277
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• 2019

CareDose 4D which is the Siemens's Automatic Exposure Control (AEC) can adjust the level of radiation dose distribution which is based on organ characteristic unlike other manufacturer's AEC. Currently, a wide scan range containing different organs is sometimes examined at once (defined as one scan). The purpose of this study was to figure out which organ characteristic option is suitable when one scan method is utilized. Two types of anthropomorphic phantoms were scanned in the same range which were from frontal bone to carina level according to three different organ characteristics such as Thorax, Abdomen, and Neck. All scans and image reconstruction parameters were equally applied and radiation dose were compared. Radiation dose with Thorax organ characteristic was lower than that with Neck. Also, that with Abdomen oran characteristic was lower than Thorax. There were significant differences in radiation dose according to different organ characteristics at the same parameters (P<0.05). Usage of Neck organ characteristic had a result of the highest radiation dose to all phantom. On the other hand, utilization of Abdomen organ characteristic showed the lowest radiation dose. As a result, it is desirable to set appropriate organ characteristic according to examined body part when you checkup patients. Also, when you implement one scan method, selection of Abdomen-based organ characteristic has reduced more radiation dose compared with two different organ characteristic.