• 제목/요약/키워드: Safety of Diagnostic Radiation

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환자 안전을 위한 특수의료장비의 검사자 실명제 자동 표식 등록 개발 연구 (Automatic real-name registration mark examiner research and development of special medical equipment for patient safety)

  • 유세종;박종배;김정호;김기진;임재동
    • 대한안전경영과학회지
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    • 제17권2호
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    • pp.147-152
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    • 2015
  • Through the inspector's real name to improve the quality of inspection is to show the design Radiological examination pursuant to the Ordinance of the Ministry of Health and Welfare for patient safety in the Image. However, the use of existing and in EMR, equipment within the handwriting input, the individual initial use has a problem. In this study, increasing the stability of the patient and the precise inspection, In order to increase the efficiency and convenience than the real-name system for quality control inspectors of medical equipment, Using the EMR and PACS developed and applied to evaluate the usefulness of automatic enrollment. Enter your information in the EMR, which was developed markers that inspectors use to compare the before and after images PACS satisfaction. Convenience than using traditional, consistency, the entry of the missing were higher as a statistically significant difference. A test strip automatic enrollment programs are developed in this study. You can increase the stability of the patient by checking the image to show the real tester, we expect the quality of care would be improved.

교육용 의료방사선 시뮬레이터 시스템 개발 및 연구 모델 제안 (Development of a Medical Radiation Simulator System for Education and Proposal of a Research Model)

  • 한창화;전영황;한재복;공창기;송종남
    • 한국방사선학회논문지
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    • 제17권3호
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    • pp.459-464
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    • 2023
  • 첨단 기술의 발전으로 디지털 방사선영상 장비들이 많이 개발되어 정확한 진단과 치료에 많은 도움을 받고 있으며, 이를 안전하고 효과적으로 사용하기 위하여 전문적인 지식을 습득한 인력양성이 매우 중요하다. 진단용 X선 장비를 활용한 촬영 실습 교육에 있어서 학생들은 방사선 피폭의 위험성에 노출되어 있고, 일부 교육기관에서는 원자력안전법에 따른 관리의 어려움으로 X선 장비를 사용하지 않는 경우도 발생하고 있다. 이에 대한 해결책으로, 본 연구에서는 비전 센서와 자체 개발한 소프트웨어를 활용하여 방사선이 발생하지 않는 교육용 의료방사선 시뮬레이터를 개발하였고, 이를 통해 교육기관은 법에 따른 행정 이행 사항의 부담을 줄일 수 있고, 학생들은 방사선 피폭이 없는 건강한 실습환경에서 높은 수준의 교육 효과를 얻을 수 있게 하였다.

치과진단용 X선발생장치의 이용 실태 및 방어에 관한 연구 (The Study on the Protection and Actual Condition of Using the Dental X-ray Unit)

  • 강은주;유병규
    • 대한방사선기술학회지:방사선기술과학
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    • 제23권2호
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    • pp.43-54
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    • 2000
  • This paper will present the result of research which was done with 201 places on the actual condition of using dental diagnostic radiography unit and the protection of radiography. The purpose of this paper is to comprehend the actual condition of using dental x-ray unit and to protect when they do radiation work. Moreover this paper was completed to prepare basic materials that could be helpful to reduce the exposure from radiation. This paper obtains the following result. 1. On radiation photographing work in the dentist office, 50.3% of dental hygienists treat this job, and 19.2% of assistants, 10.8% of dentists, 5.6% of radiolotechnologists and 4.2% others performed this job. 2. The case that radiation worker is educated about diagnostic radiography safety supervision has been shown 14.4% and uneducated case has been shown 78.1%. 3. The result about the actual condition of using the oral diagnostic radiation per day was that a number of film which take photograph again (less than 1 exposure) was 40.3%. Normal photographing($1{\sim}10$ exposure) was 85.1% which is the highest percentage. Using the bitewing film and occlusal film was 7.0%, and 12.4% respectively. The percent that they use cephalo film and panoramic film was 16.4% 29.8% respectively. 4. Dental intra diagnostic radiography unit made in $1996{\sim}2000$ was 24.9% and the one made in $1991{\sim}1995$ was 19.9%, in $1986{\sim}1990$ was 19.9%, in 1985 was 9.5% according to the answer. On kVp, they use 60 kVp mostly(61.7%) and On mA, they use 10 mA with the highest percent(66.7%). On the dental extra diagnostic radiography units which are used for doing the extra oral radiography, the one made in $1996{\sim}2000$ was 13.4%, in $1991{\sim}1995$ was 9.5%, in $1985{\sim}1990$ was 2.0% according to the answer. They use $71{\sim}80\;kVp$ with 10.9% and $60{\sim}75\;kVP$ with 9.5%. They use less than 10 mA with 19.4% and $11{\sim}15\;mA$ with 2.5%. $16{\sim}20\;mA$ with 1.5%. But the case they exactly do not know how much mA they use or they do not have any mA was 76.6%. 5. General characteristics and the part of protection through the protective equipment by operator are completed with 89.1%. They have shown the similar difference in the relationship with age(p<0.001), experience(p<0.05) and in-patient(p<0.05). 6. When they take photographs of radiation with general quality, how far they keep the proper distance from the cone is as follows, Keeping safe distance is 12.9% according to the answer with the low percent. This result is similar with the difference related in experience(p<0.05) and work(p<0.05), the area of working(p<0.05) and in-patient(p<0.05). 7. The answer about the question-if they hold the tube head when they take photographs with general characteristics is as follows. The answer that they never hold the tube head and cone occupies 62.7% with the highest percent. It is shown the similar difference with age(p<0.05). 8. According to the study that they put on dosimeter with general characteristics is as follows. 64.7% has never put on the dosimester with the highest percent. 33.8% showed similar differences with experience(p<0.05), work(p<0.001), the area of work(p<0.005)and in-patient(p<0.001).

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국민인식을 기초로 한의사의 현대 진단의료기기 사용 법제화 필요성에 대한 제언 : 설문조사를 중심으로 (Should Korean Medicine doctors use modern diagnostic medical devices? Survey result of public perspectives)

  • 김주철;황병천;황만기;이승민;이은희;임정태
    • 대한한의학회지
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    • 제43권3호
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    • pp.94-105
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    • 2022
  • Objectives: This study investigated public opinion on the use of modern diagnostic medical devices by Korean Medicine doctors. Methods: A questionnaire looking into perceptions on the use of modern medical devices was developed. It was distributed by a third party and data was collected. Results were analyzed through frequency analysis, chi-square analysis (χ2-test), frequency and cross analysis using R program. The measurement variable in the study was the respondent's perspectives and expectations on the use of modern diagnostic medical devices by Korean Medicine doctors. The maximum significance level was 0.05. Results: There were a total of 3,000 responses and 80.8% of the respondents replied that there is a need for government-level discussion on endowing rights to Korean Medicine doctors as supervisors for safety management of radiation generating devices. Also, 83.3% of the respondents agreed the use of ultrasound imaging equipment in Korean Medicine clinics should be legalized. Conclusions: According to this study, respondents strongly support the use of modern diagnostic medical devices by Korean Medicine doctors. This is the first study to investigate public opinion in this area and it provides a significant insight into the public needs and desires for a wider scope of practice for Korean Medicine in the healthcare system.

Assessing the Potential of Thermal Imaging in Recognition of Breast Cancer

  • Zadeh, Hossein Ghayoumi;Haddadnia, Javad;Ahmadinejad, Nasrin;Baghdadi, Mohammad Reza
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권18호
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    • pp.8619-8623
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    • 2016
  • Background: Breast cancer is a common disorder in women, constituting one of the main causes of death all over the world. The purpose of this study was to determine the diagnostic value of the breast tissue diseases by the help of thermography. Materials and Methods: In this paper, we applied non-contact infrared camera, INFREC R500 for evaluating the capabilities of thermography. The study was conducted on 60 patients suspected of breast disease, who were referred to Imam Khomeini Imaging Center. Information obtained from the questionnaires and clinical examinations along with the obtained diagnostic results from ultrasound images, biopsies and thermography, were analyzed. The results indicated that the use of thermography as well as the asymmetry technique is useful in identifying hypoechoic as well as cystic masses. It should be noted that the patient should not suffer from breast discharge. Results: The accuracy of asymmetry technique identification is respectively 91/89% and 92/30%. Also the accuracy of the exact location of identification is on the 61/53% and 75%. The approach also proved effective in identifying heterogeneous lesions, fibroadenomas, and intraductal masses, but not ISO-echoes and calcified masses. Conclusions: According to the results of the investigation, thermography may be useful in the initial screening and supplementation of diagnostic procedures due to its safety (its non-radiation properties), low cost and the good recognition of breast tissue disease.

유방촬영용 방사선발생장치의 관전압과 관전류 시험 분석 (Testing and Analysis of Tube Voltage and Tube Current in The Radiation Generator for Mammography)

  • 정홍량;홍동희;한범희
    • 대한방사선기술학회지:방사선기술과학
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    • 제37권1호
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    • pp.1-6
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    • 2014
  • 유방촬영용 방사선발생장치의 성능 관리 및 품질관리에 적용되는 관전압과 관전류량을 IEC(International Electrotechnical Commission; 국제 전기 기술위원회) 60601-2-45에서 제시한 표준을 근거로 시험하고 분석한 결과 다음과 같은 결론을 얻었다. 관전압에 따른 제조년도별 표준편차 값은 2001~2010 사이에서 3.15로 가장 크게 나타났고, 관전류량에 따른 제조년도별 표준편차 값은 2000년 이전에서 6.38로 가장 크게 나타났으며, 2011년 이후에 제조된 장치에서는 PAE(Percent Average Error; 백분률표준오차)의 표준편차가 비교적 적게 나타났다. 이는 최근에 제조된 유방촬영용 방사선발생장치의 관전압과 관전류량이 정확한 성능을 유지하고 있음을 알 수 있다. 본 연구결과를 기초자료로 활용하여 유방촬영용 방사선발생장치의 성능 및 품질 관리를 유지하므로 현재 식품의약품안전청의 "진단용 방사선발생장치의 안전관리에 관한 규칙"에서 규정하고 있는 3년 검사주기 동안에 자가 점검으로 방사선발생장치의 방사선에 대한 안전성 확보와 사용하는 X선 장치의 성능을 일관성(constancy) 있게 유지하도록 함으로서 궁극적으로 방사선에 대한 국민피폭선량을 줄일 수 있는 기대효과가 있을 것으로 기대된다.

The Study of Opportunistic Infection in the Medical Radiation Environment

  • Kim, Hyun-Soo;Dong, Kyung-Rae;Park, Ho-Sung
    • 대한디지털의료영상학회논문지
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    • 제13권3호
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    • pp.105-109
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    • 2011
  • With the development of medical technologies and the growth of household incomes, most of the people have become to be interested in health as it leads to significant early detection and cure of diseases. However the pattern of disease becomes diverse and it makes the imaging diagnosis department crowded with many patients. Therefore the opportunistic infection could be serious there. The hospital becomes the place which provides high risks of infection danger but it is true that the opportunistic infection of the hospital employees is not still recognized well. The imaging diagnosis department has developed a lot but it becomes the medium of secondary infection of patients and employees. So this study analyzesthe status of bacteria infection of the examination table, the handle of diagnostic equipment and the hands of radiation staffs in imaging diagnosis department of the general hospitals and individual ones. And the result shows that some bacteria were found even though it's little. We are trying to make the hospitals to be free of secondary infection securing safety measure to prevent the secondaryinfection from occurring to patients and hospital employees.

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전파정류방식의 고전압발생장치를 이용한 X선 기기의 특성 평가 (Characteristic Analysis of X-ray Device using the High Voltage Generator on Full-wave Rectification Method)

  • 김영표;김태곤;이호식;박용필;천민우
    • 한국전기전자재료학회논문지
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    • 제22권6호
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    • pp.516-521
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    • 2009
  • X-ray system which is usefully used in diagnosis of the patient, being bombed of radioactivity is a big weak point when irradiates a X-ray to the human body so that ICRP restricted the radiation exposure tolerance of the human body. In order to reduce being bombed, the many research and development is now advanced. A lots of diagnostic X-ray machines have currently used due to the increase of occurrence efficiency of X-ray and precisely the output control by using the inverter which is a high speed switching semiconductors. For getting the confidence of the X-ray machine, the same radiation occurrence, same evaluation, and same irradiation condition are necessary when evaluates X-ray irradiation. It is the most important part for the accuracy of the test result and the patient safety. This research has produced the high voltage occurrence system of full-wave rectification method by using the LC resonance inverter, and evaluated the irradiation reproducibility in order to use it in diagnosis of the patient.

발포제를 이용한 PET/CT의 유용성 (The Utility of Used a Blowing Agent in PET/CT)

  • 김기진;임재동;유세종;김정호
    • 대한안전경영과학회지
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    • 제17권1호
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    • pp.111-117
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    • 2015
  • When scanning PET/CT, dose not unwrinkle gastric folds can be difficult to diagnose gastric cancer. In this study, we use an blowing agent to evaluate the extension the stomach and usefulness of it. The study enrolled 30 patients who patient with uptake in stomach between January and February 2013. Stomach extension was described as the vertical length of the Water drink group was $61.7{\pm}9.7mm$, horizontal length was $102.5{\pm}17.6mm$ and the vertical length of the Blowing agent group was $74.1{\pm}10.7mm$, horizontal length was $101.5{\pm}14.8mm$ in transverse section. Stomach extension was described as the vertical length of the Water drink group was $109.3{\pm}18.8mm$, horizontal length was $62.7{\pm}18.4mm$ and the vertical length of the Blowing agent group was $123.1{\pm}23.1mm$, horizontal length was $87.6{\pm}14.9mm$ in coronal section. Water drink group SUV decreased 35% and Blowing agent group SUV decreased 56%. Blowing agent group extension was similar or superior than water drink group. Therefore, when using a blowing agent will be able to help clinical.

Unwanted effects due to interactions between dental materials and magnetic resonance imaging: a review of the literature

  • Chockattu, Sherin Jose;Suryakant, Deepak Byathnal;Thakur, Sophia
    • Restorative Dentistry and Endodontics
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    • 제43권4호
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    • pp.39.1-39.20
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    • 2018
  • Magnetic resonance imaging (MRI) is an advanced diagnostic tool used in both medicine and dentistry. Since it functions based on a strong uniform static magnetic field and radiofrequency pulses, it is advantageous over imaging techniques that rely on ionizing radiation. Unfortunately, the magnetic field and radiofrequency pulses generated within the magnetic resonance imager interact unfavorably with dental materials that have magnetic properties. This leads to unwanted effects such as artifact formation, heat generation, and mechanical displacement. These are a potential source of damage to the oral tissue surrounding the affected dental materials. This review aims to compile, based on the current available evidence, recommendations for dentists and radiologists regarding the safety and appropriate management of dental materials during MRI in patients with orthodontic appliances, maxillofacial prostheses, dental implants, direct and indirect restorative materials, and endodontic materials.