• Imaging Science in Dentistry
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• v.40 no.4
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• pp.155-158
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• 2010

Digital radiographic systems allow the implementation of a fully digital picture archiving and communication system (PACS), and provide the greater dynamic range of digital detectors with possible reduction of X-ray exposure to the patient. This article reviewed the basic physical principles of digital radiographic imaging system in dental clinics generally. Digital radiography can be divided into computed radiography (CR) and direct radiography (DR). CR systems acquire digital images using phosphor storage plates (PSP) with a separate image readout process. On the other hand, DR systems convert X-rays into electrical charges by means of a direct readout process. DR systems can be further divided into direct and indirect conversion systems depending on the type of X-ray conversion. While a direct conversion requires a photoconductor that converts X-ray photons into electrical charges directly, in an indirect conversion, lightsensitive sensors such as CCD or a flat-panel detector convert visible light, proportional to the incident X-ray energy by a scintillator, into electrical charges. Indirect conversion sensors using CCD or CMOS without lens-coupling are used in intraoral radiography. CR system using PSP is mainly used in extraoral radiographic system and a linear array CCD or CR sensors, in panoramic system. Currently, the digital radiographic system is an important subject in the dental field. Most studies reported that no significant difference in diagnostic performance was found between the digital and conventional systems. To accept advances in technology and utilize benefits provided by the systems, the continuous feedback between doctors and manufacturers is essential.

• Journal of Korean Neurosurgical Society
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• v.52 no.6
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• pp.528-533
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• 2012

Objective : In the pediatric population the skull has not yet undergone ossification and it is assumed that the diagnostic rate of skull fractures by simple X-rays are lower than that of adults. It has been recently proposed that the diagnostic rates of skull fractures by 3-dimensional computer tomography (3D-CT) are higher than simple X-rays. The authors therefore attempted to compare the diagnostic rates of pediatric skull fractures by simple X-rays and 3D-CTs with respect to the type of fracture. Methods : One-hundred patients aged less than 12 years who visited the Emergency Center for cranial injury were subject to simple X-rays and 3D-CTs. The type and location of the fractures were compared and Kappa statistical analysis and the t-test were conducted. Results : Among the 100 pediatric patients, 65 were male and 35 were female. The mean age was $50{\pm}45$ months. 63 patients had simple skull fractures and 22 had complex fractures, and the types of fractures were linear fractures in 74, diastatic fractures 15, depressed fractures in 10, penetrating fracture in 1, and greenstick fractures in 3 patients. Statistical difference was observed for the predictive value of simple skull fractures' diagnostic rate depending on the method for diagnosis. A significant difference of the Kappa value was noted in the diagnosis of depressed skull fractures and diastatic skull fractures. Conclusion : In the majority of pediatric skull fractures, 3D-CT showed superior diagnosis rates compared to simple skull X-rays and therefore 3D-CT is recommended whenever skull fractures are suspected. This is especially true for depressed skull fractures and diastatic skull fractures.

• Journal of radiological science and technology
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• v.41 no.5
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• pp.493-504
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• 2018

The diagnostic radiation equipment is managed in accordance with the "Rules for Safety Management of Diagnostic Radiation Equipment" enacted in 1995. The equipments should be inspected before use and every three years after use in accordance with the [Appendix 1] of the same rule. The inspection standard has been maintained without particular revision since enacted. But, over the past two decades new types of equipments have been manufactured and used. So, it is necessary to revise [Appendix 1] by making inspection items and inspection standards. In this study, we revised the classification system of equipments and reviewed international standards of IEC 60601 series, IEC 61223 series and AAPM TG 18 On-line Report No.03. And identified the problem of current inspection standards. Through this, we revised, deleted and added the inspection items and inspection standard of each equipment to meet the domestic circumstances. As a result of the study, we reorganized the classification system of equipment which are current classified as 5 classes into 22 classes as X-ray system etc. (7 classes), CT system etc. (5 classes) and Dental X-ray system etc. (10 classes). And then, we developed 70 inspection items for 6 types of equipments according to the reorganized classification system of equipments. The inspection items and inspection standards derived from this study have been proposed to the KCDC and will be applied to the revision of the Rule's [Appendix 1]. Therefore, we expect to be used as reference materials for domestic medical center, inspection institutions, and equipment manufacturing import companies.

• Journal of Trauma and Injury
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• v.22 no.2
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• pp.142-147
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• 2009

Purpose: Early diagnosis and management of therapeutic interventions are very important in chest trauma. Conventional chest X-rays (CXR) and computed tomography (CT) are the diagnostic tools that can be quickly implemented for chest trauma patients in the emergency department. In this study, the usefulness of the CT as a diagnostic measurement was examined by analyzing the ability to detect thoracic injuries in trauma patients who had visited the emergency department and undergone CXR and CT. Methods: This study involved 84 patients who had visited the emergency department due to chest trauma and who had undergone both CXR and CT during their diagnostic process. The patients' characteristics and early vital signs were examined through a retrospective analysis of their medical records, and the CXR and the CT saved in the Picture Archiving Communication System (PACS) were examined by a radiologist and an emergency physician to verify whether or not a lesion was present. Results: Pneumothoraxes, hemothoraxes, pneumomediastina, pulmonary lacerations, rib fractures, vertebral fractures, chest wall contusions, and subcutaneous emphysema were prevalently found in a statistically meaningful way (p<0.05) on the CT. Even though their statistical significance couldn' be verified, other disorders, including aortic injury, were more prevalently found by CT than by CXR. Conclusion: CT implemented for chest trauma patients visiting the emergency department allowed disorders that couldn' be found on CXR to be verified, which helped us to could accurately evaluate patients.

• Journal of Korean Academy of Oral and Maxillofacial Radiology
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• v.10 no.1
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• pp.57-61
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• 1980

In dental roentgenograph it is of mutual benefit to the patient and the dentist to use the minimum amount of radiation capable of producing roentgenograms with maximum interprtive informations. Recent increases in the number of diagnostic x-ray examinations made in this country have caused attention to be paid to the quantity of radiation delivered to the population and operator. The purposes of this study was to assess the quality of dental x-ray units, the amount of films, the average processing procedures and the radiation protection methods in korea. The results were as following: 1. Most of radiation generating system were used in low voltage such as 60Kvp, 10㎃. 2. High sensitivity films such as 'D' group of Kodak or Rinn were mainly used and average 14.7 films used per weeks. 3. Some dentists practiced visual processing technic in simple dark room, and others used instant films. 4. 68.26% of patient held the film themselves, but 27.30% were assisted by dentists film holding. 5. In radiation protection method, 7.85% of dentists had protection equipments such as protective barrier, 2.73% wore protective apron, 27.9% made it a rules to avoid beam, and 7.51% used to maintain a distance from the radiation source.

• Journal of the Korean Institute of Telematics and Electronics B
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• v.33B no.4
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• pp.217-225
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• 1996

This paper describes a high power resonant inverter for diagnostic X-ray generators using zero-voltage soft-switching technology. The system consists of a step-down chopper, a resonant phase-shift PWM inverter, a hihg-voltage diode, and high voltage cables a smoothing DC capacitor. The inverter makes use the leakage inductance of the hihg-voltage transformer and external capacitor as resonant components. The rectified input voltage is controlled by a step-down chopper with input voltage compensator. The output regualtion is obtained by a resonant phase-shift PWM inverter with the digital feedback controller using DSP (digital signal processor), resulting in fast rising time and wide output voltage variation. The theoretical results are correlated with results from an experimental prototype of a 7-kVp, 300mA (21kW).

• Proceedings of the KIEE Conference
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• 1994.07a
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• pp.379-381
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• 1994

This paper is concerned with a zero-voltage soft-switching PWM DC-DC high-pelter converter using IGBTs, which Bakes the most of the parastic LC parameters of high-voltage transformer link, for diagnostic X-Ray power generator. The converter circuit basically utilizes phase-shift pulse width modulated series resonant full-bridge PWM DC-DC high-Power converter operating at a constant frequency:20kHz. This technique brings about dramatic decreases in the switching losses of power devices and their electrical stresses as compared with the commonly-used hard-switching PWM DC-DC power converter. The high-frequency switching operation of the converters has some effective advantages, which consist in the physical reduction in size and weight and lowered acoustic noise.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2012.10a
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• pp.965-966
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• 2012

• Proceedings of the Korean Society of Medical Physics Conference
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• 1999.11a
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• pp.275-277
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• 1999

• Journal of Chest Surgery
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• v.22 no.2
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• pp.321-324
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• 1989

The Swyer-James syndrome is rare abnormality that may be encountered on routine chest X * ray examination and frequently presents a diagnostic problem. Recently, we experienced a case of Swyer-James syndrome which was accompanied with ipsilateral uncontrolled pneumothorax. We performed exploratory thoracotomy because of failure of re-expansion of the lung. Right pneumonectomy was performed and postoperative course was uneventful.