• Title/Summary/Keyword: X선 촬영

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Initial Plain Radiographs versus MR Imaging: Comparison of Prognostic Efficacy in Legg-Calve-Perthes Disease (초기의 단순 X선 촬영술 대 자기공명영상: 소아성 대퇴골두 무혈성 괴사증에서 예후 예측성 비교)

  • Lee, Sun-Jin;Jee, Won-Hee;Cho, Song-Mee;Jeong, Chang-Hoon;Ok, In-Young
    • Investigative Magnetic Resonance Imaging
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    • v.12 no.2
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    • pp.153-160
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    • 2008
  • Purpose : To evaluate if at the time of diagnosis of Legg-Calve-Perthes disease, MR imaging is superior to radiographs for identifying patients with a favorable long term prognosis as determined by maintenance of a spherical configuration of the femoral head epiphysis on follow-up radiographs. Materials and Methods : We retrospectively analyzed plain radiographs and MR images of 48 femoral heads in 41 patients with Legg-Calve-Perthes disease at time of diagnosis. Femoral head involvement was estimated on initial plain radiographs and MR images using the Catterall classification. Prognosis as determined by maximum femoral head deformity was determined on follow-up radiographs evaluated according to Stulberg classification. Results: Catterall classification of greater than 1 at MR imaging had 100% sensitivity (14/14) for detecting patients with a poor prognosis as indicated by deformity of the femoral head on follow-up radiographs (Stulberg class > 2). Initial radiographs had a lower sensitivity of 57% (8/14) for detecting patients with poor prognosis. Specificity for MR imaging was 21% (7/34) which was not significantly different from 32% (11/34) specificity for initial radiographs. Conclusion: Catterall group 1 at initial MR imaging indicates favorable prognosis for Legg-Calve-Perthes disease. Patients with more extensive involvement of the femoral head can have a good outcome, however they are at risk for loss of spherical configuration of the femoral head and subsequent osteoarthritis in adulthood. MR imaging may be superior to radiographs for identifying a subgroup of patients with favorable prognosis.

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Investigation of organ dose difference of age phantoms for medical X-ray examinations (X선 촬영 시 연령별 장기선량 차이 연구)

  • Park, Sang-Hyun;Lee, Choon-Sik;Kim, Woo-Ran;Lee, Jai-Ki
    • Journal of Radiation Protection and Research
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    • v.28 no.1
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    • pp.35-42
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    • 2003
  • Methodology for calculating the organ equivalent doses and the effective doses of pediatric and adult patients undergoing medical X-ray examinations were established. The MIRD-type mathematical phantoms of 4 age groups were constructed with addition of the esophagus to the same phantoms. Two typical examination procedures, chest PA and abdomen AP, were simulated for the pediatric patients as well as the adult as illustrative examples. The results confirmed that patients pick up approximate 0.03 mSv of effective dose from a single chest PA examination, and 0.4 to 1.7 mSv from an abdomen AP examination depending on the ages. For dose calculations where irradiation is made with a limited field, the details of the position, size and shape of the organs and the organ depth from the entrance surface considerably affect the resulting doses. Therefore, it is important to optimize radiation protection by control of X-ray properties and beam examination field. The calculation result, provided in this study, can be used to implement optimization for medical radiation protection.

Making Human Phantom for X-ray Practice with 3D Printing (3D 프린팅을 활용한 일반 X선 촬영 실습용 인체 팬텀 제작)

  • Choi, Woo Jeon;Kim, Dong Hyun
    • Journal of the Korean Society of Radiology
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    • v.11 no.5
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    • pp.371-377
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    • 2017
  • General phantom for practical X-ray photography Practical phantom is an indispensable textbook for radiology, but it is difficult for existing commercially available phantom to be equipped with various kinds of phantom because it is an expensive import. Using 3D printing technology, I would like to make the general phantom for practical X-ray photography less expensive and easier. We would like to use a skeleton model that was produced based on CT image data using a 3D printer of FDM (Fused Deposition Modeling) method as a phantom for general X-ray imaging. 3D slicer 4.7.0 program is used to convert CT DICOM image data into STL file, convert it to G-code conversion process, output it to 3D printer, and create skeleton model. The phantom of the completed phantom was photographed by X - ray and CT, and compared with actual medical images and phantoms on the market, there was a detailed difference between actual medical images and bone density, but it could be utilized as a practical phantom. 3D phonemes that can be used for general X-ray practice can be manufactured at low cost by utilizing 3D printers which are low cost and distributed and free 3D slicer program for research. According to the future diversification and research of 3D printing technology, it will be possible to apply to various fields such as health education and medical service.

Usefulness of Non-Invasive Measurement Tool on Performance Evaluation of Inverter Type X-ray Unit (인버터식 X선장치의 성능평가 시 비접속형 측정기의 유용성)

  • Kang, Se-Sik;Kim, Chang-Soo;Ko, Sung-Jin
    • Journal of radiological science and technology
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    • v.31 no.2
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    • pp.123-127
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    • 2008
  • Purpose: As the demand of a simple and precise method increases to evaluate the performance of the inverter type x-ray unit, we evaluated the usefulness of the recently-introduced X-ray Multi-Function Test Device (moldel : Xi (unfors)-prestige). Method: We compared the performance of X-ray Multi-Function Test Device (XMFTD) which is non-inveasive type device with the performance of Dynalyzer III that has been most widely used inveasive type measure device. Result: X-ray output dose was increased a little in the XMFTD, but both devices were below the performance evaluation standard, 0.002 in the output reproducibility. Linearity of XMFTD were below 0.1 which means that Dynalyzer III showed more excellency in linearity. As the the accuracy of exposure factor, 1.8 and 2 tube voltage, 2.01 and 2.3 tube current were measured. The exposure time was also measured by 0.01 sec ${\pm}10%$. Both devices were within the acceptance of performance evaluatioin standard. Conclusion: We proved the usefulness of X-ray Multi-Function Test Device (model: Xi (unfors)-prestige) to evaluated the performance on reproductibility and linearity of X-ray output and accuracy of exposure factor of inverter type unit.

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The Tendency of Medical Electrical Equipment - IEC 60601-2-54: Particular Requirements for the Basic Safety and Essential Performance of X-ray Equipment for Radiography and Radioscopy (촬영 및 투시용 X선 장치의 기본안전과 필수 성능에 관한 개별 기준규격의 동향)

  • Roh, Young Hoon;Kim, Jung Min
    • Journal of radiological science and technology
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    • v.38 no.4
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    • pp.331-336
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    • 2015
  • Medical electrical equipment - Part 1: General requirement for basic safety and essential performance of MFDS was revised as 3th edition and Medical electrical equipment Part 2-54: Particular requirements for the basic safety and essential performance of X-ray equipment will be expected to be announced as notification. Therefore this technical report was written to introduce provision of the particular requirements, replacement, addition, amendment. The purpose of this particular requirements is to secure requirements for basic safety and essential performance of X-ray equipment for radiography and radioscopy. X-ray high voltage generator, mechanical protective device, protection against radiation is included in this particular requirements. Medical electrical equipment - Part 1, Part 1-2, Part 1-3 is applied to this particular requirements. If the requirements is announced as notification, It is expected to widen understanding for basic safety and essential performance of X-ray equipment for radiography and radioscopy and play a part to internationalize of medical equipments.

Current Status of X-ray CT Based Non Destructive Characterization of Bentonite as an Engineered Barrier Material (공학적방벽재로서 벤토나이트 거동의 X선 단층촬영 기반 비파괴 특성화 현황)

  • Diaz, Melvin B.;Kim, Joo Yeon;Kim, Kwang Yeom;Lee, Changsoo;Kim, Jin-Seop
    • Tunnel and Underground Space
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    • v.31 no.6
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    • pp.400-414
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    • 2021
  • Under high-level radioactive waste repository conditions, bentonite as an engineered barrier material undergoes thermal, hydrological, mechanical, and chemical processes. We report the applications of X-ray Computed Tomography (CT) imaging technique on the characterization and analysis of bentonite over the past decade to provide a reference of the utilization of this technique and the recent research trends. This overview of the X-ray CT technique applications includes the characterization of the bentonite either in pellets or powder form. X-ray imaging has provided a means to extract grain information at the microscale and identify crack networks responsible for the pellets' heterogeneity. Regarding samples of pellets-powder mixtures under hydration, X-ray CT allowed the identification and monitoring of heterogeneous zones throughout the test. Some results showed how zones with pellets only swell faster compared to others composed of pellets and powder. Moreover, the behavior of fissures between grains and bentonite matrix was observed to change under drying and hydrating conditions, tending to close during the former and open during the latter. The development of specializing software has allowed obtaining strain fields from a sequence of images. In more recent works, X-ray CT technique has served to estimate the dry density, water content, and particle displacement at different testing times. Also, when temperature was added to the hydration process of a sample, CT technology offered a way to observe localized and global density changes over time.

A Study on Radiation Beam Quality Set-up of Mammography Equipment and Average Glandular Dose (유방 촬영 장치의 국제 규격 Beam Quality 기준에 따른 평균 선량 평가에 관한 연구)

  • Park, Yoon-Hee;Park, Ji-Koon
    • Journal of the Korean Society of Radiology
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    • v.16 no.3
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    • pp.303-308
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    • 2022
  • Mammography using X-rays is currently the most used for early diagnosis of breast cancer. As the frequency of use of X-ray devices increases, interest in radiation hazards caused by mammography is increasing. Therefore, in this study, in order to measure the exposure dose of the mammary gland in X-ray mammography that requires high contrast and high resolution, the international Atomic Energy Agency (IAEA) stipulates the international standards presented by IEC 62220-1-2: 2015. Based on the beam quality criteria of the recommendation, we tried to present a guideline for evaluating the average mammary gland dose. As a result, the average streamline dose value of the 4.5 cm PMMA phantom was 2.3 mGy at the maximum within the 30 kV range, and was evaluated to be 1.19 mGy based on 28 kV.

Is a Camera-Type Portable X-Ray Device Clinically Feasible in Chest Imaging?: Image Quality Comparison with Chest Radiographs Taken with Traditional Mobile Digital X-Ray Devices (카메라형 휴대형 X선 장치는 흉부 촬영에서 임상적 사용이 가능한가?: 기존의 이동형 디지털 X선 장치로 촬영한 흉부 X선 사진과 영상품질 비교)

  • Sang-Ji Kim;Hwan Seok Yong;Eun-Young Kang;Zepa Yang;Jung-Youn Kim;Young-Hoon Yoon
    • Journal of the Korean Society of Radiology
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    • v.85 no.1
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    • pp.138-146
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    • 2024
  • Purpose To evaluate whether the image quality of chest radiographs obtained using a camera-type portable X-ray device is appropriate for clinical practice by comparing them with traditional mobile digital X-ray devices. Materials and Methods Eighty-six patients who visited our emergency department and underwent endotracheal intubation, central venous catheterization, or nasogastric tube insertion were included in the study. Two radiologists scored images captured with traditional mobile devices before insertion and those captured with camera-type devices after insertion. Identification of the inserted instruments was evaluated on a 5-point scale, and the overall image quality was evaluated on a total of 20 points scale. Results The identification score of the instruments was 4.67 ± 0.71. The overall image quality score was 19.70 ± 0.72 and 15.02 ± 3.31 (p < 0.001) for the mobile and camera-type devices, respectively. The scores of the camera-type device were significantly lower than those of the mobile device in terms of the detailed items of respiratory motion artifacts, trachea and bronchus, pulmonary vessels, posterior cardiac blood vessels, thoracic intervertebral disc space, subdiaphragmatic vessels, and diaphragm (p = 0.013 for the item of diaphragm, p < 0.001 for the other detailed items). Conclusion Although caution is required for general diagnostic purposes as image quality degrades, a camera-type device can be used to evaluate the inserted instruments in chest radiographs.