• Title/Summary/Keyword: Reduction of exposure to radiation

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The Importance of Positioning in General X-ray Examination: Based on Chest PA X-ray (일반엑스선 검사 시 위치 잡이의 중요성: 흉부엑스선 검사 중심으로)

  • Cho, Pyong-Kon
    • Journal of radiological science and technology
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    • v.45 no.3
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    • pp.249-254
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    • 2022
  • The purpose of this study was to examine the importance of proper positioning in chest PA X-ray examination. As a study method, this author searched for and analyzed materials related to chest PA X-ray examination from theses and books that had been published previously to understand the importance of proper positioning in chest PA X-ray examination. Generally, one of the examinations frequently done in most of the hospitals is chest PA X-ray examination. Also, in any kinds of X-ray examination, proper positioning is the most fundamental and definite way to provide accurate information about the patient. Poor positioning in chest PA X-ray examination may jeopardize the diagnosis and treatment, increase social cost due to examination needed to be done additionally, and generate additional radiation exposure unnecessarily above all. In conclusion, it is expected that proper positioning in chest PA X-ray examination will exert positive effects such as the provision of accurate information about the patient, prevention of misdiagnosis, reduction in social cost, and lastly decrease in radiation exposure.

A Study on Added Filters for Reduction of Radiation Exposure Dose in Skull A-P Projection (머리부 전후방향촬영 시 방사선피폭선량 저감을 위한 부가여과판에 대한 연구)

  • Lee, Cho-Hee;Lim, Chang-Seon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.7
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    • pp.3117-3122
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    • 2011
  • Skull A-P projections are the bi-product where the ESD (Entrance Surface Dose) for digital radiography is much higher than that conventional screen-film radiography. Therefore, the aim of this study was to reduce radiation doses to patients by using an added filter. This research focuses on the identification of the reduction of exposure to radiation based on the thickness of an added filter when applying the 'Skull A-P Projection' by using the 'Skull Phantom'. Also, an experiment was conducted to evaluate the qualitative decline of images through filtration. The measurement of one's exposed dose to radiation was executed by locating the 'Skull Phantom' on the position of the 'Skull AP,' while changing 16 kinds of added filters from 0.1 mmAl to 0.5 mmCu + 2.0 mmAl in terms of incident and penetrating doses. For the qualitative evaluation of images, a total number of 17 images have been acquired in the 'Skull Phantom' under the same conditions as those for the measurement of one's exposed dose. The acquired images have been evaluated by a radiological specialist. As a result, the images with a diagnostic value have been obtained by using such added filters as the compound filter of 0.2 mmCu +1.0 mmAl. The exposed dose absorbed on the 'Skull Phantom' is about 0.6 mGy. The value is only 12% of 5 mGy, the ESD value acquired on the 'Skull P-A Projection', which is recommended by the International Atomic Energy Agency (IAEA). As a result, depending on the parts of inspection, it is possible to reduce the patient's exposed dosage of radiation considerably by using an appropriate added filter.

The Study on Scattered Ray by C-arm in Operation Room (수술실 내 C-arm 장치의 산란선 분포에 대한 연구)

  • Park, Seung-Hyun;Park, Joo-Mi;Kim, Hyun-Soo
    • Korean Journal of Digital Imaging in Medicine
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    • v.13 no.1
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    • pp.21-26
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    • 2011
  • A radiation imaging system used in a surgery room is mainly using C-arm which is purposed to fluoroscope. C-arm is often use to watch an operation's accuracy and progress, but not only being bombed to this first beam but also affected to this scattered beam, so now we are look for the way to reduce bombed amount of doctor, nurses and radiological technologists. We measured the exposure dose in $0^{\circ}$ spot according to the distance to find out frequency distribution of scattered ray in an operation room and found the spot which has the same exposure dose from $30^{\circ}$ distance of all directions and wrote isodose curve. We analyzed the data and found out the sudden reduction of scattered ray according to the long direction also found out that scattered ray was not related to the directions. Operators must recognize the reduction of exposure dose. Because reducing scattered ray from all directions in an operation room is really difficult. So every operators must use shelters to reduce the exposure dose and notice the safety.

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RABBIT HEATING BY MICROWAVE EXPOSURE AT VARIOUS AMBIENT TEMPERATURES

  • Kolganova, Olga I.;Zhavoronkov, Leonid P.;Petin, Vladislav G.;Kim, Jin-Kyu
    • Journal of Radiation Protection and Research
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    • v.35 no.3
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    • pp.99-104
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    • 2010
  • The potential ability of environmental temperature to enhance the effect of microwave radiation (7 GHz) was experimentally studied for rabbit heating after simultaneous application of both agents. The tested ambient temperatures (30 and $38^{\circ}C$) didn't exert a considerable influence upon rabbit heat homeostasis after the used duration of exposure (3 hours and 15 minutes, correspondingly). The synergistic interaction of microwave irradiation and ambient temperature was demonstrated for rabbit heating. Power flux density of microwave irradiation was shown to be a determinant of the synergistic interaction effectiveness. For the fixed ambient temperature ($30^{\circ}C$), the synergism was shown to be observed only within a definite power flux density ($0-100\;mW{\cdot}cm^{-2}$), inside of which there was an optimal intensity ($20\;mW{\cdot}cm^{-2}$), which maximized the synergistic effect. Any deviation of the power flux density from the optimal value resulted in a reduction of the synergy. It is concluded that any assessment of the health or environmental risks should take into account the synergistic interaction between ambient temperature and microwave radiation.

Evaluating the Reduction of Spatial Scattering based on Lead-free Radiation Shielding Sheet using MCNPX Simulation (MCNPX 시뮬레이션을 이용한 무납 방사선 차폐 시트 기반의 공간산란 저감화 평가)

  • Yang, Seung u;Park, Geum-byeol;Heo, Ye Ji;Park, Ji-Koon
    • Journal of the Korean Society of Radiology
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    • v.14 no.4
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    • pp.367-373
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    • 2020
  • Most of the spatial scattered dose caused by the scattered rays generated by the collision between the object and X-rays is relatively easily absorbed by the human body as electromagnetic waves in the low energy region, thereby increasing the degree of radiation exposure. Such spatial scattering dose is also used as an indicator of the degree of radiation exposure of radiation workers and patients, and there is a need for a method to reduce exposure by reducing the spatial scattered dose that occurs indirectly. Therefore, in this study, a lead-free radiation shielding sheet was proposed as a way to reduce the spatial scattering dose, and a Monte Carlo (MC) simulation was performed based on a chest X-ray examination. The absorbed dose was calculated and the measured value and the shielding rate were compared and evaluated.

PREVENTION OF CIGARETTE SMOKE INDUCED LUNG CANCER BY LOW LET IONIZING RADIATION

  • Sanders, Charles L.
    • Nuclear Engineering and Technology
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    • v.40 no.7
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    • pp.539-550
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    • 2008
  • Lung cancer is the most prevalent global cancer, ${\sim}90%$ of which is caused by cigarette smoking. The LNT hypothesis has been inappropriately applied to estimate lung cancer risk due to ionizing radiation. A threshold of ${\sim}1\;Gy$ for lung cancer has been observed in never smokers. Lung cancer risk among nuclear workers, radiologists and diagnostically exposed patients was typically reduced by ${\sim}40%$ following exposure to <100 mSv low LET radiation. The consistency and magnitude of reduced lung cancer in nuclear workers and occurrence of reduced lung cancer in exposed non-worker populations could not be explained by the HWE. Ecologic studies of indoor radon showed highly significant reductions in lung cancer risk. A similar reduction in lung cancer was seen in a recent well designed case-control study of indoor radon, indicating that exposure to radon at the EPA action level is associated with a decrease of ${\sim}60%$ in lung cancer. A cumulative whole-body dose of ${\sim}1\;Gy$ gamma rays is associated with a marked decrease in smoking-induced lung cancer in plutonium workers. Low dose, low LET radiation appears to increase apoptosis mediated removal of $\alpha$-particle and cigarette smoke transformed pulmonary cells before they can develop into lung cancer.

Reduction of the Useless Radiation Exposure to Patients and Improvement of the Skill to Manage the Test according to Minimizing Changes of Posture in Bone Mineral Density (골밀도 검사에서 환자 자세 변경 최소화에 따른 수검자의 불필요한 피폭선량 감소 및 생산성 향상)

  • Kim, Ho-Sung;Dong, Kyung-Rae;Kim, Chang-Bok
    • The Journal of the Korea Contents Association
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    • v.9 no.4
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    • pp.228-235
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    • 2009
  • As we recognize the health care, test of BMD is increased. There are various methods in BMD, Dual Energy X-ray absorptiometry (DEXA) which has high precision and accuracy, and low medical exposure dose has been widely used. To measure the changes of BMD, the test must be done as same posture at first and follow up study performed a year. we analyze the difference in the hour taken before and after the examination by radiologic technologist, frequency of scout scan, and the amount of the radiation exposure. The hour of the examination and frequency of the scout scan were shorten and the dose of the radiation exposure is reduced. As the numerical value of total subjects is converted into that of one person, the duration for the test was 52 seconds, the frequency for the scout scan 0.79 time, and the dose for the radiation exposure $13{\mu}Sv$. When the health care provider perform the precise and easy methods to minimize changes of posture and the skillful ability to manage the test, useless radiation is decreased.

Effects of Exposure Dose Reduction by Optimization of Automatic Exposure Control Factors in Digital Radiographic Examination of Paranasal Sinus (부비동 디지털 엑스선검사에서 자동노출제어 조절인자의 최적화를 통한 조사선량 감소 효과)

  • Jeong, Min-Gyu;Seoung, Youl-Hun
    • Journal of radiological science and technology
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    • v.44 no.3
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    • pp.173-181
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    • 2021
  • The purpose of this study was to reduce dose while maintaining image quality during digital radiographic examination of paranasal sinus by using the automatic exposure control (AEC) system. The tube voltage was set as six stages that increased by about 10 kVp to 70 kVp, 81 kVp, 90 kVp, 102 kVp, 109 kVp and 117 kVp. And then the AEC system conditions were consisted of 9 setting environments, that change mode of the sensitivity (S200, S400, S800) and the density (+2.5, 0, -2.5). We measured automatically exposed tube current (mAs) under 54 conditions with combined these, and assessed SNR and PSNR through the acquired images. In addition, four radiologists performed a qualitative assessment of the acquired images for each combination on a five-point scale of the Likert. As a result, the lowest dose and the highest values of SNR and PSNR in images with a qualitative assessment more than 4 point were the AEC control factors of 90 kVp, S800, D2.5. We applied this condition to the clinical trial, it showed an effect of 83.1% reduction in exposure radiation dose (mR). Therefore, AEC system could be used as dose reduction technology if it understood and used related regulatory factors and physical characteristics.

Review of National Diagnostic Reference Levels for Interventional Procedures

  • Lee, Min Young;Kwon, Jae;Ryu, Gang Woo;Kim, Ki Hoon;Nam, Hyung Woo;Kim, Kwang Pyo
    • Progress in Medical Physics
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    • v.30 no.4
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    • pp.75-88
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    • 2019
  • Diagnostic reference level (DRL) is employed to optimize the radiation doses of patients. The objective of this study is to review the DRLs for interventional procedures in Korea and abroad. Literature review was performed to investigate radiation dose index and measurement methodology commonly used in DRL determination. Dose area product (DAP) and fluoroscopy time within each major procedure category were systematically abstracted and analyzed. A wide variation was found in the radiation dose. The DAP values and fluoroscopy times ranged 0.01-3,081 Gy·㎠ and 2-16,878 seconds for all the interventional procedures, 8.5-1,679 Gy·㎠ and 32-5,775 seconds for the transcatheter arterial chemoembolization (TACE), and 0.1-686 Gy·㎠ and 16-6,636 seconds for the transfemoral cerebral angiography (TFCA), respectively. The DRL values of the DAP and fluoroscopy time were 238 Gy·㎠ and 1,224 seconds for the TACE and 189 Gy·㎠ and 686 seconds for the TFCA, respectively. Generally, the DRLs of Korea were lower than those of other developed countries, except for the percutaneous transluminal angioplasty with stent in arteries of the lower extremity (LE PTA and stent), aneurysm coil embolization, and Hickman insertion procedures. The wide variation in the radiation doses of the different procedures suggests that more attention must be paid to reduce unnecessary radiation exposure from medical imaging. Furthermore, periodic nationwide survey of medical radiation exposures is necessary to optimize the patient dose for radiation protection, which will ultimately contribute to patient dose reduction and radiological safety.

Evaluation of the Usefulness of 3D Printed Shielding Materials Using Monte Carlo Simulation during Mammography (유방 X선 검사 시 몬테카를로 시뮬레이션을 이용한 3D 프린팅 차폐재료의 효용성 평가)

  • Cho, Yong In
    • Journal of the Korean Society of Radiology
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    • v.14 no.3
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    • pp.295-301
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    • 2020
  • Radiation exposure exposed during mammography, which is performed for early examination of breast cancer, has also been suggested as a cause of carcinogenesis in the past, and scattered rays generated during examination may cause unnecessary radiation exposure to surrounding organs. In this study, the Monte Carlo simulation was used to evaluate the human organ doses exposed during conventional mammography, and to estimate the dose reduction effect for each organ when using 3D printing materials for radiation protection by scattered rays. As a result of organ dose evaluation, the breast on the opposite side of the examination was about 22.0% of the breast on the test side and about 58.6% on the eye, which was highly influenced by the scattering-ray. When using the 3D printing shield to protect it, the breast on the opposite side of the test showed an effective dose reduction effect at a thickness of 1 mm.