• Title/Summary/Keyword: Skull Radiography

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Comparative Evaluation of Kerma Area Product and New Fundamental of Kerma Area Product on Radiography (방사선촬영에서 면적선량 및 새로운 실질면적선량 개념의 비교 평가)

  • Choi, Woo Cheol;Kim, Yongmin;Kim, Jung Su
    • Journal of radiological science and technology
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    • v.44 no.1
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    • pp.53-58
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    • 2021
  • Kerma Area Product (KAP) is best indicator of radiation monitoring on radiographic examinations. KAP can be measured differently depending on the X-ray irradiation area, air kerma, souce-skin distance, type of equipment, etc. The major factors are exposure area and the air krema. The KAP currently used only considers the exposure area with X-rays and has a problem that KAP is always excessively overestimated from the dose received by an actual subject. Therefore, in this study, in order to measure the accurate KAP, a new area dose calculation that can be calculated by dividing the area where the actual X-ray is irradiated is presented, and the KAP is the real area. We compared and analyzed how much it was overestimated compared to the dose. The Skull AP projection and seven other projection were compared and analyzed, and the KAP was overestimated in each test by 52% to 60%. In this way, the effective KAP (EKAP) calculation developed through this study should be utilized to prevent extra calculation of the existing KAP, and only the accurate patient subject area should be calculated to derive the accurate area dose value. EKAP is helpful for control the patient's exposure dose more finely, and it is useful for the quality control of medical radiation exposure.

The Comparison of Image Quality between Computed Radiography(CR) and Direct Digital Radiography(DDR) which Follows the Proper Exposure Conditions in General Photographing under the Digital Radiography(DR) (Digital Radiography 환경하에서 일반촬영시 적정 노출조건에 따른 CR과 DDR의 Image Quality 비교)

  • Kim, Jin-Bae;Kang, Chung-Hwan;Kang, Sung-Jin;Park, Soo-In;Park, Jong-Won;Kim, Yeong-Su;Kim, Seung-Sik
    • Korean Journal of Digital Imaging in Medicine
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    • v.5 no.1
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    • pp.64-77
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    • 2002
  • DR has had an important fact not only in the department of radiology but also in productivity or work efficiency of a whole hospital. The environment of DR has more various parameter than CR, so it is able to supply high quality of medical services. The current environment of radiology department in each hospital has been changed from Film-Screen system to DR through Full-PACS. This hospital which uses Full-PACS became to study the proper condition of CR and DDR and how the image quality of them is expressed among general photographing systems in the DR environment. From this experiment, the image quality of DDR is better than CR under the same exposure condition. And in the DDR system, the score of image which uses AEC is a little higher than the score which doesn't use it. Especially it can be known that the function of AEC of DDR is useful to improve the image quality in the part of skull and chest. (The function of AEC : It is the tool that detects the ionized current of x-ray which goes through objects with using the ion chamber which is in the detector. Also it controls the examination of X-ray when the proper density is reached.) Because the proper degree of density can be represented by this system, the photographing can be taken much easily without consideration of the exposure condition with the thickness of various objects. From the result of this experiment, it can be known that the selection of proper exposure condition plays an important rule to gain good Image Quality. More researches will be necessary about DDR system which has potential ability in the future.

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Case series of cleidocranial dysplasia: Radiographic follow-up study of delayed eruption of impacted permanent teeth

  • Yeom, Han-Gyeol;Park, Won-Jong;Choi, Eun Joo;Kang, Kyung-Hwa;Lee, Byung-Do
    • Imaging Science in Dentistry
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    • v.49 no.4
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    • pp.307-315
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    • 2019
  • This report describes 3 cases of cleidocranial dysplasia (CCD) and presents relevant findings on long-term follow-up radiographic images of impacted permanent teeth with delayed eruption. Radiographic images of 3 CCD patients were reviewed retrospectively. These images were mainly composed of panoramic and skull radiographs, and the follow-up periods were 3, 13, and 13 years, respectively. The distinct features revealed by the images were described, and the eruption state of impacted permanent teeth was evaluated. The features common to the 3 cases were multiple supernumerary teeth, the presence of Wormian bone, underdevelopment of the maxilla and the maxillary sinus, and clavicular hypoplasia. The eruption of impacted permanent teeth was not observed without proper dental treatment in adult CCD cases, even after long time periods had elapsed. When proper orthodontic force was applied, tooth movement was observed in a manner not significantly different from the general population.

Newborn English Bulldogs with Multiple Malformation Syndrome and Lethal Characters

  • Jang, Si-Jung;Kim, Minkyung;Lee, Hyeon-Jeong;You, Young-Sung;Lee, Jaehoon;Lee, Sung-Lim
    • Journal of Animal Reproduction and Biotechnology
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    • v.34 no.3
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    • pp.253-258
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    • 2019
  • A female English bulldog was gave birth two neonates by cesarean section on the sixty one days after mating, but both neonates were died soon after birth. The bodies of neonates were diagnosed using radiography, ultrasonography, computed tomography and necropsy immediately after death. Both neonates had caudal regression syndrome, butterfly vertebra, hydrocephalus, umbilical hernia, cleft palate and bow-legged hind-limb. At necropsy, neonates had mild fetal anasarca, cleft lip and the skull was remained non-union. At thoracic cavity, only three ribs and thoracic spines were existed and patent ductus arteriosus was found. At abnormal cavity, the renal ectopia was found with abnormal morphology. In the present case, those English bulldog neonates with multiple congenital malformation syndromes seriously suffered vertebral column anomalies and that may induced by neural tube defects in during embryonic period. To prevent congenital malformation occurring in English bulldog, further in depth studies are needed for the breed specific genetic diversity and for the reason of behind genetic abnormality in these breed.

COMPARATIVE STUDY OF TEMPOROMANDIBULAR JOINT RADIOGRAMS USING SOME RADIOGRAPHIC PROJECTIONS (촬영술식에 따른 악관절 방사선 사진상의 비교연구)

  • Kim kwang-In;Kim Han-Pyong
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.21 no.1
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    • pp.65-72
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    • 1991
  • For the enhancement of a comprehension in temporomandibular joint radiographs, the author has compared and analysed the roentgenographic images of the temporomandibular joint of human dry skull which was taken by submentovertex projection, panoramic radiography, oblique lateral transcranial projection, corrected anterio-posterior tomogram and corrected lateral tomogram. The obtained results were as follows. 1. The submentovertex projection represented in detail the both poles and the posterior surface of the condylar head of the mandible. 2. The oblique lateral transcranial projection represented the articular space, the outer contour of the condylar head and the position of the condylar head within the mandibular fossa, but the relationship of the temporomandibular joint was not revealed accurate, because of the oblique direction of a central ray in taking radiographs. 3. The corrected antero-posterior tomogram was superior method in representation of roent- genographic images of the superior surface and the both poles of the condylar head and the corrected lateral tomogram was considered as the most accurate method among some radiographic techniques for the interpretation of articular space and condyle-fossa relationship. 4. It was possible to observe three-dimensionally the head of condyle with the combinated use of submentovertex projection, corrected antero-posterior tomogram and corrected lateral tomogram.

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A Case of Nasal Diffuse Large B-Cell Lymphoma in a Cat

  • Kim, Seong-Jun;Kim, Jun-Young;Oh, Dong-Keun;Cho, Jun-Ho;Park, Hee-Myung;Kang, Min-Hee
    • Journal of Veterinary Clinics
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    • v.35 no.4
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    • pp.141-143
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    • 2018
  • A 6-year-old spayed female Turkish Angora cat presented with sneezing, nasal discharge, and decreased appetite lasting for 21 days. Skull radiography revealed slightly increased density of soft tissue in the left nasal cavity. Computed tomography (CT) scan revealed an extensive mass with nasal septum destruction and moderate contrast enhancement in the left nasal cavity. After surgical biopsy, histopathological examination confirmed that the mass was an infiltrative round cell neoplasm, composed of sheets of large neoplastic cells. Immunohistochemical analysis revealed that most of the neoplastic cells were strongly positive for CD79a and weakly positive for PAX5. Additionally, numerous mature lymphocytes were found to be positive for CD3. This is the first reported case of nasal diffuse large B-cell lymphoma (DLBCL) in a Turkish Angora cat in Korea.

Radiographic Diagnosis of 'Rubber Jaw Syndrome' Secondary to Chronic Renal Failure Due to Ethylene Glycol Intoxication in a Dog (개에서 Ethylene glycol 중독에 의한 만성신부전증의 속발성 'Rubber jaw syndrome'의 방사선학적 진단례)

  • Choi, Ho-Jung;Lee, Young-Won;Wang, Ji-Hwan;Jung, In-Jo;Yeon, Seong-Chan;Lee, Hyo-Jong;Lee, Hee-Chun
    • Journal of Veterinary Clinics
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    • v.24 no.2
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    • pp.260-263
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    • 2007
  • A 9-month-old, intact female mixed dog was referred to Veterinary Medical Teaching Hospital of Gyeongsang National University with symmetrically enlarged and protruded upper jaw. The patient was diagnosed as acute renal failure due to ethylene glycol poisoning and was treated for 1 month in a local animal hospital. In spite of treatment, the patient proceeded to chronic renal failure. Also, the patient's upper jaw begun to enlarge continuously. To evaluate this upper jaw, radiographic examination was performed. Skull radiographs revealed thickening of maxilla, decreased bone opacity, cortical thinning, loss of lamina dura and periodontal space in the maxilla. Diagnosis of rubber jaw syndrome is based on clinicial signs, radiographic findings and laboratory evidence of chronic renal failure due to ethylene glycol poisoning.

Multidetector computed tomography in preoperative planning for temporomandibular joint ankylosis: A pictorial review and proposed structured reporting format

  • Singh, Rashmi;Bhalla, Ashu Seith;Manchanda, Smita;Roychoudhury, Ajoy
    • Imaging Science in Dentistry
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    • v.51 no.3
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    • pp.313-321
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    • 2021
  • Ankylosis of the temporomandibular joint (TMJ) is a disabling disease resulting from fibrous or bony fusion of the mandibular condyle and the glenoid fossa. Early diagnosis and surgical treatment are essential to prevent facial deformity and other complications. Conventional radiography has limitations in demonstrating the true extent of ankylosis. It is important for surgeons to be aware of the size and degree of bony ankylosis in order to perform complete resection of the ankylotic mass. In addition, a detailed evaluation of the relationship with adjacent vital structures such as the internal maxillary artery, inferior alveolar nerve canal, external auditory canal, and skull base are crucial to avoid iatrogenic injury. Multidetector computed tomography (MDCT) is the current imaging modality of choice for preoperative assessments. Herein, the authors propose a structured CT reporting template for TMJ ankylosis to strengthen the value of the preoperative imaging report and to reduce the rates of intraoperative complications and recurrence.

Performance Evaluation of the Developed Diagnostic Multi-Leaf Collimator and Implementation of Fusion Image of X-ray Image and Infrared Thermography Image (개발한 진단용 다엽조리개 성능평가 및 X선영상과 적외선체열영상의 융합영상 구현)

  • Kwon, Soon-Mu;Shim, Jae-Goo;Chon, Kwon-Su
    • Journal of radiological science and technology
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    • v.42 no.5
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    • pp.365-371
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    • 2019
  • We have developed and applied a diagnostic Multi-Leaf Collimator (MLC) to optimized the X-ray field in medical imaging and the usefulness evaluated through the fusion of infrared image and X-ray image acquired by infrared camera. The hand and skull radiography with multi-leaf collimator(MLC) showed significant area dose reductions of 22.9% and 31.3% compared to ARC and leakage dose was compliant with KS A 4732. Also scattering doses of 50 cm and 100 cm showed a significant decrease to confirm the usefulness of MLC. It was confirmed that the fusion of infrared images with an adjustable degree of transparency was possible in the X-ray images. Therefore, fusion of anatomical information with physiological convergence is expected to contribute and improvement of diagnostic ability. In addition, the feasibility of convergence X-ray imaging and DITI devices and the possibility of driving MLC with infrared images were confirmed.

Study on the Change of Absorbed Dose and Image Quality according to X-ray Condition of Detector in Digital Radiography(DR) (Digital Radiography(DR)에서 검출기의 X선 조건에 따른 흡수선량 및 영상화질 변화에 관한 연구)

  • Hwang, Jun-Ho;Jeong, Jae-Ho;Kim, Hyun-Soo;Lee, Kyung-Bae
    • The Journal of the Korea Contents Association
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    • v.17 no.9
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    • pp.99-106
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    • 2017
  • This study focused on the issue that when a diagnostic detector is found to have a defect, a patient would be exposed to radiation and image quality would be degraded. Though dose analysis, an experiment was conducted to evaluate detector performance as Signal to Noise Ratio (SNR) and Contrast to Noise Ratio (CNR). Absorbed dose, SNR and CNR were measured using a dosimeter and a tissue equivalent phantom. The experiment was conducted to compare whether the dose value shown after being attached to the back side of the phantom matches the dose value attached behind the detector, where in the conditions of skull, chest and abdomen were set at 75 kVp, 25 mAs, 110 kVp, 8 mAs, and 80 kVp, 20 mAs, respectively. As a result, there was a difference in that the dose values attached to the back side of the detector were 0.004 mGy, 0.006 mGy, 0.003 mGy, whereas those of the back side of the phantom were 0.006 mGy, 0.016 mGy, 0.017 mGy. In order to match both values, the condition was increased and SNR and CNR also increased from 88.32, 88.10, 4.09, 1.63, 87.94, 79.97 to 93.87, 93.75, 4.91, 4.03, 92.02, 84.92. Though this study, we found that when a detector is found to have a aging, it shortens the life of equipment and increases the dose of a patient, also the improvement effect of image quality is inadequate.