• Journal of the Korean Society of Radiology
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• v.12 no.7
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• pp.919-927
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• 2018

The purpose of this study was to present simulation training model for general X-ray examinations and to analyze the errors that occur during the simulation training. From 2012 to 2018, a total of 183 students (77 men and 106 women) participated. The simulated X-ray system used computed radiography (CR) system. The contents of simulation training were patient's care, X-ray examinations accuracy, images stability, etc. As a result, it were found that the patient's position setting error, the accuracy error of the X-ray beam central ray, the image receptor's size and setting error, the error of the grid use, the marking error, and the error of X-ray exposure technical factors. It is expected that improved practical general X-ray examinations training of radiographer will be needed, focusing on these errors, so that we could contribute to the health care of the people by providing precise examinations and high quality medical service.

• Journal of radiological science and technology
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• v.21 no.1
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• pp.5-18
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• 1998

위 X선 검사에 많이 사용되고 있는 방법은 충만법, 2중조영법, 압박법, 점막법, 유동법이 있으며, 검사목적에 따라 각 방법을 조합하여 실시하고 있다. 따라서 각 검사법의 장 단점과 촬영체위에 따르는 위의 묘출영역을 알아둘 필요가 있다. 이것을 이해하기 위해서는 위의 해부학적 위치관계를 알고 있어야 한다. 또한 입위(선자세)와 와위(누운자세), 체위변환을 할 때에 위의 형태가 변화되는 것을 알아야 하며, 더욱 위의 형태는 개인에 따라 심한 차이가 있어 임기응변으로 대응을 할 수 있는 능력이 있어야한다. 따라서 위 X선검사를 잘 하기 위해서는 일반촬영과 달라서 병리해부학적인 성상을 잘 알고 검사에 대응해야 하며, 위 X선검사는 지속적인 연수와 훈련이 필요한 촬영법이다.

• Journal of the Korean Society of Radiology
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• v.7 no.3
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• pp.165-173
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• 2013

The purpose of this study is to examine how much the movement at X-ray examinations like breathing or the positioning affects the image during chest or abdomen X-ray examination so as to create an image containing information as much as possible. The study method adopted is doing the X-ray in each of the states including breathing (inspiration & expiration) and movement in the standing chest PA X-ray and simple abdomen X-ray among the kinds of examination selected the most in hospitals and then evaluating them by applying the standards of image evaluation for each region. According to the study result, about the standing chest PA X-ray, the images taken at inspiration contain more information than those taken at expiration or having subtle movement during the examination. About the simple abdomen X-ray, the images taken at expiration contain more information than those taken at inspiration or movement. The above study results imply that regarding general X-ray examination, information we can find from the images may differ significantly according to the region examined, examination purpose, or movement during the examination like breathing.

• Journal of the Korean Society of Radiology
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• v.12 no.5
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• pp.659-667
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• 2018

The purpose of this study was to determine the effect of body mass index (BMI) on entrance surface air kerma (ESAK) in abdominal X-ray radiography using automatic exposure control (AEC). This study included 321 patients who underwent abdominal X-ray using AEC, and we correlated ESAK with height, weight, BMI and compared mean ESAK according to BMI grades (Underweight, Normal, Overweight, Obese 1, Obese 2). As a result, Weight ($R^2=0.777$, p<.001) and BMI ($R^2=0.835$, p<.001) were positively associated with ESAK, but no significant association was found between height ($R^2=0.075$, p<.001) and ESAK. The mean ESAK with respect to BMI grades showed statistically significant difference and in the post-hoc analysis, the existence of 5 subgroups at the significance level of 0.05 indicated that there were differences in the ESAK in all BMI grades. Also, as the increment of ESAK between two neighboring BMI grades increases from Underweight to Obese 2, the exposure dose dramatically increased as the BMI increased. Thus, an excessive exposure dose due to increasing BMI when using AEC should be acknowledged and Efforts to reduce dose should be taken, such as: by fixing the exposure conditions.

• 대한방사선방어학회:학술대회논문집
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• 2011.11a
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• pp.188-189
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• 2011

• The Journal of the Korea Contents Association
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• v.15 no.11
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• pp.298-306
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• 2015

This study is the material of the additional filter(Cu, Ni, CaWO4, Gd+Ba) being used when the diagnosis X-ray was varied to evaluate the spatial dose distribution accordingly. And it suggest to find a suitable material. Experiments using MCNPX program based on the Monte Carlo simulation method was carried out by selecting the chest and abdomen taken. As a result, each material per dose, the average scatter dose is approximately 62%, 100 cm radius of the point of the simulated body surface exposure dose and 50 cm radius centered on the point average about 47%. It is determined that an Al material is currently available in accordance with the result to be replaced by Cu, Ni material is sufficient. With just the thickness due to the difference in the atomic number and density adjusted to be about one-tenth of the Al it will be suitable.

• Journal of the Korean Society of Radiology
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• v.11 no.7
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• pp.605-610
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• 2017

Unlike adults, cognitive ability and communication are not accurate in pediatric patients. Therefore movement due to psychological anxiety in X-ray photography is one of the factors that increase repeated irradiation. In order to minimize the rejection of X-ray and to improve the satisfaction of medical service, it is necessary to improve the environment of the radiological room to help psychological stability and to find a positive measure for reduction of radiation dose, including unnecessary. The subjects of this study were 186 pediatric patients from May to July, 2017, who were from 6 months to 36 months, The study group was set up a radiological room without auditory and visual environment changes is A group, except for changes in visual environment, the room where only auditory environmental changes were applied was group B, the auditory environment changes were excluded, and the room where only the visual environment change was applied was divided into group C, the auditory and visual environment changes were applied to the D. In group A, 10 retrospectives were obtained, 7 in group B, 5 in group C, and 2 in group D. Especially in group A and group D, statistically significant at p <0.053 In conclusion, hearing and visual environment changes affected the psychological stability of pediatric patient, and the repeated irradiation was reduced, thus improving the quality of medical services.

• Journal of the Korean Society of Radiology
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• v.9 no.2
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• pp.109-115
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• 2015

In case of a CT examinations, there is a difference in the distribution of radiation dose from that of general X-ray equipments, and it has been known to cause a great radiation exposure during the examinations. However, owing to its high reliability on the accuracy of a examinations result, its use has increased continuously. In consideration of such a circumstance, the CT equipment, radiation dose during CT examinations, diagnostic reference level, and solutions to reduce radiation dose were mentioned on the basis of previously reported data.

• Journal of radiological science and technology
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• v.38 no.1
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• pp.1-6
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• 2015

Whole spine scanography (WSS) is a radiological examination that exposes the whole body of the individual being examined to x-ray radiation. WSS is often repeated during the treatment period, which results in a much greater radiation exposure than that in routine x-ray examinations. The aims of the current study were to evaluate the patient dose of WSS using computer simulation, image magnification and angulation of phantom image using different patient position. We evaluated the effective dose(ED) of 23 consecutive patients (M : F = 13:10) who underwent WSS, based on the automatic image pasting method for multiple exposure digital radiography. The Anterior-Posterior position(AP) and Posterior-Anterior position( PA) projection EDs were evaluated based on the PC based Monte Carlo simulation. We measured spine transverse process distance and angulation using DICOM measurement. For all patient, the average ED was 0.069 mSv for AP position and 0.0361 mSv for PA position. AP position calculated double exposure then PA position. For male patient, the average ED was 0.089 mSv(AP) and 0.050 mSv(PA). For female patient, the average ED was 0.0431 mSv(AP) and 0.026 mSv(PA). The transverse process of PA spine image measured 5% higher than AP but angulation of transverse process was no significant differences. In clinical practice, just by change the patient position was conformed to reduce the ED of patient. Therefor we need to redefine of protocol for digital radiography such as WSS. whole spine scanography, effective dose, patient exposure dose, exposure direction. protocol optimization.

• Journal of Digital Convergence
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• v.12 no.12
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• pp.371-379
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• 2014

In this study, we conducted a survey on the limited examinations of the DR system to the 30 radiologic technologists engaging in the clinical sites and university hospitals in Daejeon metropolitan city from Oct. 15, 2012 to Nov. 15, 2012. Based on the survey results, we propose the conceptual design of a supplementary table for the conventional DR system to extend the examination capability and overcome the limitation of DR system. And, we evaluated the convenience and usefulness of the proposed table by applying it to five subjects. Ten experts were involved to evaluate the clinical usefulness of the obtained images. In this study, the experimental results show the feasibility to overcome the limited examination of the conventional DR system, and the proposed supplementary table may be beneficial to patients and hospitals.