• Title/Summary/Keyword: X-ray Examination

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A Study on the Optimal Angle as Modified Tangential Projection of Knee Bones (무릎뼈의 변형된 접선방향 검사 시 최적의 입사각에 관한 연구)

  • Oh, Wang-Kyun;Kim, Sang-Hyun
    • Journal of the Korean Society of Radiology
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    • v.15 no.6
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    • pp.919-926
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    • 2021
  • In this study, we wanted to find out the optimal angle as a modified tangential projection of the patella. In the experiment, we used Kyoto Kagaku's PBU-50 phantom. In the supine position, the F-T angle was set to 95°, 105°, 115°, 125°, 135°, 145°, and Patella tangential projection images were obtained by varying the X-ray tube angle by 5° so that the angle between the X-ray centerline and tibia at each angle was 5~20°. Image J was used for image analysis and the congruence angle, lateral patellofemoral angle, patellofemoral index and contrast to noise ratio(CNR) were also measured. SPSS 22 was used for statistical analysis, and the mean values of congruence angle, patellofemoral angle, patellofemoral index, and CNR were compared with Merchant method through one-way batch analysis and corresponding sample t-test. As a result of the study, in the case of congruence angle, the angle of incidence of the knee-angle X-ray centerline was 105°-72.5° (20° tangential irradiation), 115°-72.5°, 77.5° (15, 20° tangential irradiation), 125°-82.5° (20° tangential irradiation), lateral patellofemoral angle is 115°-72.5°, 77.5° (15, 20° tangential irradiation), 125°-72.5° (10° tangential irradiation), patellofemoral index is 115°-72.5° (15° tangential irradiation) and 125°-72.5° (10° tangential irradiation) were not significantly different from Merchant method (p> .05). In case of CNR, it is not different from Merchant method at 105°-67.5°, 72.5° (15, 20° tangential irradiation), 115°-67.5°, 72.5°, 77.5° (10, 15, 20° tangential irradiation). (P> .05). Based on the results of this study, high diagnostic value images can be obtained by setting the knee angle and the angle of incidence of the X-ray tube to 115°-72.5° (15° tangential irradiation) during the modified tangential examination of the knee bone. It was confirmed.

State of Optimal Rearing Technique on the Abalone (Haliotis discus hannai) Juvenile (참전복 치패의 최적사육 기술현황)

  • Son, Maeng-Hyun;Lee, Jung-Uie;Park, Min-Woo;Lim, Han-Kyu;Kim, Dae-Jung;Hwang, Hyung-Gue
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.42 no.6
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    • pp.621-627
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    • 2009
  • In order to standardize the juvenile abalone rearing technique, we selected sample farms by region in East, West and South coasts of Korea and Jeju island. We also have reviewed previous literature and visited farms to survey on the management of abalone juvenile production, spawning, hatching and so forth. Results of investigation are as follows: The light colors of tanks for larvae breeding are good for a frequent examination of larvae behaviour changes during the breeding period. The tank for the abalone juvenile production is a rectangular form in general and its size should amount to 3.5 m in length and 1.2 m width. It also should be built with proper drainage. The best age and size of adult for juvenile production are 3-6 years old individuals, with 9-12 cm separate burial and 125-150 g average weight. To induce spawning, the use of the exposure on air and ultraviolet ray together was the most effective. The density of larvae by plate should be 150-300 individuals and the proper stocking density was est imated and amount to 10-30 individuals. It has been shown that a correlation between water surface size($X_1$) and number of plates ($Y_1$), when producing abalone juveniles, is quite high and it is described by equation $Y_1=138.88X_1-5,736.8\;(R^2=0.9028)$. In addition, it has also been shown that a correlation between production of abalone juveniles ($Y_2$) and number of plates ($X_2$) is high and it is described by equation $Y_2=4.554X_2+12,493\;(R^2=0.8818)$. In Jindo region where a mass production of juveniles abalone has been done, it was shown, that a correlation between rearing water surface size ($X_3$) and production of juveniles abalone ($Y_3$) is very high and this relationship was described by the equation $Y_3=747.03X_2+94,359(R^2=0.9809)$. It has also been shown that a correlation between water surface size ($X_4$) and production of abalone juveniles ($Y_4$) in nationwide is high and the relationship between this variables was described by equation $Y_4=635.85X_4+99,923\;(R^2=0.9020)$.

The Measurement of Helper's Exposure Dose of nearby Radiographic Table in X-ray Examination (X선 촬영시 테이블 주변 촬영도움자의 피폭선량 측정)

  • Eun, Sung-Jong;Kim, Sung-Gil;Min, Byung-Woon
    • Journal of the Korean Society of Radiology
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    • v.5 no.6
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    • pp.415-420
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    • 2011
  • The purpose of this study is to know the exposure dose nearby table on the general radiography(skull AP, chest PA, abdomen AP, lumbar lateral, hip joint, knee joint) and to find the reducing it. We measured beside the 45cm and 75cm table center, and 70cm, 80cm, 130cm, 150cm height from the bottom. That were measured highly from the radiography of lumbar lateral, abdomen AP and hip joint as followed $66.21{\mu}Sv$, $34.22{\mu}Sv$, and $32.35{\mu}Sv$ at the 80cm height beside 45cm from the center of table. Measured doses were reduced in order of chest PA, abdomen, hipjoint, skull, knee joint projection. It appears exposure dose of nearby radiographic table was extremely low amount compared with limit of dose(1mSv). If it protected by Pb apron, exposure dose of assisting person will not be exceed a limit of dose. Conclusively, Wearing apron is very important to avoid radiation from the general radiography.

A Case of Idiopathic Bronchiolitis Obliterans Organizing Pneumonia (원발성 Bronchiolitis Obliterans Organizing Pneumonia 1예)

  • Lee, Cheol-Whan;Koh, Youn-Suck;Kim, Woo-Sung;Gong, Kyeong-Yub;Song, Kun-Sik;Kim, Won-Dong
    • Tuberculosis and Respiratory Diseases
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    • v.39 no.6
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    • pp.536-541
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    • 1992
  • Bronchiolitis obliterans organizing pneumonia (BOOP) is a type of diffuse interstitial lung disease that primarily affects the small conducting airways and characterized by the presence of granulation tissue plugs within the lumen of small airways often extending into alveolar ducts. It is associated with a number of different causes, including a variety of infections, fume exposures, drugs, collagen diseases and idiopathic. Recently we have experienced one patient with idiopathic BOOP. The patient was a 58 year old man presented with 2 months' history of dry cough and exertional dyspnea. The phyical examination showed inspiratory crackles at both lower lung field. Chest X-ray showed bilateral multiple patchy alveolar density. Pulmonary function studies showed a moderate degree of restrictive lung disease. Open lung biopsy carried out and revealed findings characteristic of BOOP. There was a dramatic response clinically and radiologically to high dose predinisolone therapy. Chest X-ray and pulmonary function test under-taken one year later showed marked improvement. New lesion on chest PA was developed during the period of tapering of prednisolone dose, but it was soon disappeared after increasing of prednisolone dose. One year later, he is well without steroid therapy.

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Attitude of the Korean dentists towards radiation safety and selection criteria

  • Lee, Byung-Do;Ludlow, John B.
    • Imaging Science in Dentistry
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    • v.43 no.3
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    • pp.179-184
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    • 2013
  • Purpose: X-ray exposure should be clinically justified and each exposure should be expected to give patients benefits. Since dental radiographic examination is one of the most frequent radiological procedures, radiation hazard becomes an important public health concern. The purpose of this study was to investigate the attitude of Korean dentists about radiation safety and use of criteria for selecting the frequency and type of radiographic examinations. Materials and Methods: The study included 267 Korean dentists. Five questions related to radiation safety were asked of each of them. These questions were about factors associated with radiation protection of patients and operators including the use of radiographic selection criteria for intraoral radiographic procedures. Results: The frequency of prescription of routine radiographic examination (an example is a panoramic radiograph for screening process for occult disease) was 34.1%, while that of selective radiography was 64.0%. Dentists' discussion of radiation risk and benefit with patients was infrequent. More than half of the operators held the image receptor by themselves during intraoral radiographic examinations. Lead apron/thyroid collars for patient protection were used by fewer than 22% of dental offices. Rectangular collimation was utilized by fewer than 15% of dental offices. Conclusion: The majority of Korean dentists in the study did not practice radiation protection procedures which would be required to minimize exposure to unnecessary radiation for patients and dental professionals. Mandatory continuing professional education in radiation safety and development of Korean radiographic selection criteria is recommended.

Clinical evaluation of Acupuncture on Herniated of Cervical Intervertebral Disc by DITI (컴퓨터 적외선(赤外線) 전신체열촬영(全身體熱撮影)으로 본 경추추간판(頸椎椎間板) 탈출증(脫出症)의 침구치료효과(鍼灸治療效果))

  • Lee, Geon-Mok
    • The Journal of Korean Medicine
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    • v.16 no.1 s.29
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    • pp.132-140
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    • 1995
  • Object : This study is designed to evaluate the correlation between the data of DITI(Digital Infrared Thermographic Imaging)examination and the changes of clinical symptom after the therapy of acupuncture in the patients with herniated cervical intervertebral disc. Content : The conservative therapy with acupuncture was performed during $4{\sim}5$ weeks, The acupuncture points of SI3, B62, TE3, G34, LI4, S36, GV26, G21, SII5 were used. In the pre- and post therapy, DITI examinations were performed in patients who had HIVD and were treated by acupuncture simultaneously, and then tried to correlate the results of clinical symptoms with the difference of thermographic findings at pre-acupuncture and post-acupuncture. Setting : The standard routine thermoghaphic examinations were performed with thermography(DITI) in the 15 patients with lumbar disc herniations at pre- and post acupuncture. Patient : Thermographic imaging of 15 cases were analyzed. They has disc herniations in X-ray, CT scan and MRI and they were treated by acupuncture theraphy in our hospital from March, 1994 to January, 1995. Result : 1) The causes were trauma(60%), retention of phlegm and fluid(8.7%) and cold & moisture(33.3%) 2) Levels of herniated cervical disc are C2/3(1 case). C3/4(2 cases), C5/6 & C6/7 (2 cases), C6/7(4 cases), Normal(6 cases). 3) Classifications of thermographic pattern are radiculopathy(80%), spot(13.3%), and nonspecific(6.7%) in order. 4) In evaluation Results of clinical symptom are Excellent(80%), Good(6.7%), and Poor(6.7%). Data of DITI are Excellent(80%), Good(6.7%), Fair(6.7%), and Poor(6.7%). Conclusion ; Acupuncture showed good results over 86.7% in clinical evaluation and 86.7% in DITI. Thermographic examination was valuable in the evaluation of therapeutic effect of acupuncture treatment.

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Post-Laminectomy Kyphosis in Patients with Cervical Ossification of the Posterior Longitudinal Ligament : Does It Cause Neurological Deterioration?

  • Cho, Won-Sang;Chung, Chun-Kee;Jahng, Tae-Ahn;Kim, Hyun-Jib
    • Journal of Korean Neurosurgical Society
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    • v.43 no.6
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    • pp.259-264
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    • 2008
  • Objective : Total laminectomy (TL) is an effective surgical technique for the treatment of cervical ossification of the posterior longitudinal ligament (OPLL) along multiple levels. However, kyphosis and probable neurological deterioration have been frequently reported after laminectomy. We analyzed the changes in the cervical curvature after TL and subsequent changes in neurological status. Methods : We retrospectively reviewed the records of 14 patients who underwent TL for the treatment of cervical OPLL between Jan. 1998 and Dec. 2003. TL was selected according to the previously determined criteria. The curvature of the cervical spine was visualized on a lateral cervical spine X-ray and measured using Ishihara's Curvature Index (CI) before the operation and at the last follow-up examination. Perioperative neurological status was estimated using the modified Japanese Orthopedic Association score and the Improvement Rate (IR) at the same time as the images were evaluated. Results : The mean age of the patients was 57 years, the male/female ratio was 10:4, and the mean follow-up period was 41 months. The mean number of OPLL was 4.9, and the mean number of operated levels was also 4.9. The CI decreased after TL (p=0002), which was indicative of a kyphotic change. However, this kyphotic change showed no correlation with the length of the follow-up period, number of operated levels and preoperative CI. Neurological examination at the last follow-up showed an improved neurological status in all patients (p=0.001). There was no neurological deterioration in any case during the follow-up period. Moreover, there was no correlation between IR and the degree of kyphotic change. Postoperative complications, such as C5 radiculopathy and epidural bleeding, resolved spontaneously without neurological sequelae. Conclusion : Kyphotic change was observed in all but one patient who underwent TL for the treatment of cervical OPLL. However, we did not find any contributing factors to kyphosis or evidence of postoperative neurological deterioration.

Production and Application of the Dose Calculation Program which used MS EXCEL and Bit System (MS EXCEL 및 Bit system을 이용한 피부선량 계산 프로그램의 제작 및 응용)

  • Kim, Sung-Chul;Kim, Chong-Yeal
    • Journal of radiological science and technology
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    • v.32 no.1
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    • pp.39-43
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    • 2009
  • The medical diagnostic examination using ionizing radiation has improved the patients' life and brought revolution in medical examination along with the mechanical development. However, the development of medical imaging systems has also been the reason to increase the patients' exposure for ionizing radiation. ICRP recommends that each country adopts diagnostic reference levels depending on regional and national situations. The Korea Food & Drug Administration suggested the dosimetry measurement guideline for patients in 2007. Nonetheless, in reality, it is hard to know the skin dose of the patients when applying a x-ray since there is no radiation dosimeter in most of clinical situation. Therefore, this study sets a program based on the bit system to figure out easily the skin dose of a patients using MS Excel program in the PC setting. The results showed 10% better outcome.

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Prevalence of and Factors Associated with Osteoporosis among Korean Cancer Survivors: A Cross-Sectional Analysis of the Fourth and Fifth Korea National Health and Nutrition Examination Surveys

  • Choi, Kyung-Hyun;Park, Sang Min;Park, Joo-Sung;Park, Jae-Hyun;Kim, Kyae Hyung;Kim, Myung-Ju
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.8
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    • pp.4743-4750
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    • 2013
  • Background: Identifying and managing osteoporosis among cancer survivors is an important issue, yet little is known about the bone health of cancer survivors in Korea. This study was designed to measure the prevalence of osteoporosis and to assess related factors among Korean cancer survivors. Materials and Methods: This study was designed as a cross-sectional analysis. Data were obtained from dual energy X-ray absorptiometry measurement of the lumbar vertebrae and femoral neck, and from standardized questionnaires among 556 cancer survivors and 17,623 non-cancer controls who participated in the Fourth and Fifth Korea National Health and Nutrition Examination Surveys (2008-2011). We calculated adjusted proportions of osteoporosis in non-cancer controls vs. cancer survivors, and we performed multivariate logistic regression analysis. Results: The prevalence of osteoporosis among cancer survivors was significant higher than that of the non-cancer controls after adjusting for related factors. Furthermore, osteoporosis among cancer survivors was higher in elderly subjects (60-69 years : adjusted odds ratio (aOR) 3.04, 95% CI : 1.16-8.00, ${\geq}70$ years : aOR 6.60, 95% CI 2.20-19.79), in female cancer survivors (aOR: 7.03, 95% CI: 1.88-26.28), and in a group with lower monthly income (aOR: 3.38, 95% CI: 1.31-8.71). In male cancer survivors, underweight and lower calcium intake were risk factors. Conclusions: These data suggest that the osteoporosis among cancer survivors varies according to non-oncologic and oncologic factors. Effective screening should be applied, and a sufficient and comprehensive management should be matched to individual cancer survivors early after cancer treatment.

Factors Associated with Bone Mineral Density in Korean Postmenopausal Women Aged 50 Years and Above: Using 2008-2010 Korean National Health and Nutrition Examination Survey (50세 이상 폐경 후 여성의 골밀도와 연관성을 보이는 요인: 2008-2010년 국민건강영양조사 자료를 이용하여)

  • Mun, Son-Ok;Kim, Jihye;Yang, Yoon Jung
    • Korean Journal of Community Nutrition
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    • v.18 no.2
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    • pp.177-186
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    • 2013
  • The purpose of this study was to investigate factors associated with Bone Mineral Density (BMD) in Korean postmenopausal women. The data from 2008-2010 Korean National Health and Nutrition Examination Survey (KNHANES) were used for data analysis. Subjects were 2,701 postmenopausal women aged ${\geq}50$ years. BMDs at whole body, total femur, femoral neck, and lumbar spine were measured by Dual-energy X-ray absorptiometry (DXA). Dietary data from 24-hour dietary recall and a food frequency questionnaire containing 63 food items were used. The proportions of osteopenia at total femur, femoral neck, and lumbar spine were 37.4%, 54.5%, and 45.4%, respectively. The proportions of osteoporosis at total femur, femoral neck, and lumbar spine were 6.2%, 25.6%, and 34.3%, respectively. Age, anthropometric index including height, weight, and Body Mass Index (BMI), parathyroid hormone, and physical activity were related to BMD, but the relationships were site specific. Total femur BMD was explained by age, weight, parathyroid hormone and intakes of carbohydrate and fruits. Femoral neck BMD was related to age, weight, parathyroid hormone and intakes of riboflavin and fruits. Lumbar spine BMD was associated with age, weight, milk and dairy products, calcium intake, and exercise. These results indicated that adequate intakes of milk and dairy products, fruits, carbohydrate, calcium, riboflavin and exercise as well as weight maintenance might play an important role in maintaining optimum bone health in Korean postmenopausal women.