• 대한치과의사협회지
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• 제53권8호
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• pp.558-568
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• 2015

Objective: The objectives of this study were to measure pediatric organ and effective doses of cone-beam computed tomography (CBCT) for orthodontic analysis and to compare them to those of panoramic and lateral cephalometric radiography, the conventional radiography for orthodontic analysis. Materials and Methods: Alphard VEGA for CBCT, Planmeca Proline XC for panoramic radiography and Orthophos CD for cephalometric radiography were used for this study. Thermoluminescent dosimeter (TLD) chips were located at 24 anatomic sites of 10-year-old anthropomorphic phantom and exposed during CBCT (C-mode; $200{\times}179mm$ FOV), panoramic and lateral cephalometric radiographic procedures at the clinical exposure settings for 10-year-old patient. Pediatric organ and effective doses were measured and calculated using ICRP 2007 tissue weighting factors. Results: Effective doses of CBCT, panoramic radiography and lateral cephlometric radiography in pediatric clinical exposure settings were $292.5{\mu}Sv$, $19.3{\mu}Sv$, and $4.4{\mu}Sv$ respectively. The thyroid gland contributed most significantly to the effective dose in all the radiographic procedures. Conclusion: Effective dose of CBCT was about 12 times to conventional radiographic procedures for orthodontic analysis in pediatric patient. The use of CBCT for orthodontic analysis should be fully justified over conventional radiography and dose optimization to decrease thyroid dose is needed in pediatric patients.

• Nuclear Engineering and Technology
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• 제46권2호
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• pp.255-262
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• 2014

During image-guided radiation therapy, the patient is exposed to unwanted radiation from imaging devices built into the medical LINAC. In the present study, the effective dose delivered to a patient from a cone beam computed tomography (CBCT) machine was measured. Absorbed doses in specific organs listed in ICRP Publication 103 were measured with glass dosimeters calibrated with kilovolt (kV) X-rays using a whole body physical phantom for typical radiotherapy sites, including the head and neck, chest, and pelvis. The effective dose per scan for the head and neck, chest, and pelvis were $3.37{\pm}0.29$, $7.36{\pm}0.33$, and $4.09{\pm}0.29$ mSv, respectively. The results highlight the importance of the compensation of treatment dose by managing imaging dose.

• Journal of Radiation Protection and Research
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• 제46권3호
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• pp.98-105
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• 2021

Background: In recent events of the coronavirus disease 2019 (COVID-19) pandemic, computed tomography (CT) scans are being globally used as a complement to the reverse-transcription polymerase chain reaction (RT-PCR) tests. It will be important to be aware of major organ dose levels, which are more relevant quantity to derive potential long-term adverse effect, for Korean pediatric and adult patients undergoing CT for COVID-19. Materials and Methods: We calculated organ dose conversion coefficients for Korean pediatric and adult CT patients directly from Korean pediatric and adult computational phantoms combined with Monte Carlo radiation transport techniques. We then estimated major organ doses delivered to the Korean child and adult patients undergoing CT for COVID-19 combining the dose conversion coefficients and the international survey data. We also compared our Korean dose conversion coefficients with those from Caucasian reference pediatric and adult phantoms. Results and Discussion: Based on the dose conversion coefficients we established in this study and the international survey data of COVID-19-related CT scans, we found that Korean 7-year-old child and adult males may receive about 4-32 mGy and 3-21 mGy of lung dose, respectively. We learned that the lung dose conversion coefficient for the Korean child phantom was up to 1.5-fold greater than that for the Korean adult phantom. We also found no substantial difference in dose conversion coefficients between Korean and Caucasian phantoms. Conclusion: We estimated radiation dose delivered to the Korean child and adult phantoms undergoing COVID-19-related CT examinations. The dose conversion coefficients derived for different CT scan types can be also used universally for other dosimetry studies concerning Korean CT scans. We also confirmed that the Caucasian-based CT organ dose calculation tools may be used for the Korean population with reasonable accuracy.

• Journal of Radiation Protection and Research
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• 제49권2호
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• pp.68-77
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• 2024

Background: Cone beam computed tomography (CBCT) is essential for correcting and verifying patient position before radiation therapy. However, it poses additional radiation exposure during CBCT scans. Therefore, this study aimed to evaluate radiological safety for the human body through dose assessment for CBCT. Materials and Methods: For CBCT dose assessment, the depth dose was evaluated using a cheese phantom, and the dose in the orbital area was evaluated using a human body phantom self-fabricated with a three-dimensional printer. Results and Discussion: The evaluation of radiation doses revealed maximum doses of 14.14 mGy and minimum doses of 6.12 mGy for pelvic imaging conditions. For chest imaging conditions, the maximum doses were 4.82 mGy, and the minimum doses were 2.35 mGy. Head imaging conditions showed maximum doses of 1.46 mGy and minimum doses of 0.39 mGy. The eyeball doses using a human body phantom model averaged at 2.11 mGy on the left and 2.19 mGy on the right. The depth dose ranged between 0.39 mGy and 14.14 mGy, depending on the change in depth for each imaging mode, and the average dose in the orbit area using a human body phantom was 2.15 mGy. Conclusion: Based on the experimental results, CBCT did not significantly affect the radiation dose. However, it is important to maintain a minimal radiation dose to optimize radiation protection following the as low as reasonable achievable principle.

• Journal of Radiation Protection and Research
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• 제30권3호
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• pp.113-119
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• 2005

전산화단층촬영(Computed Tomography, CT)은 높은 품질의 인체 단층 영상을 제공하지만 기존의 진단 X선 촬영에 비해 상당히 높은 선량을 환자에게 부여한다. 더욱이 CT 촬영의 수요는 계속적인 증가추세를 보이고 있어 CT 촬영 환자의 선량에 대한 관심이 높아지고 있다. 이에 본 연구에서는 물리적 실측 팬텀과 열형광 선량계를 이용하여 CT 촬영으로 인한 환자의 피폭 선량을 측정을 통해 평가해 보았다. 촬영방식을 기존의 축방향 스캔과 현재 주류를 이루고 있는 나선형 스캔으로 구분하여 선량 측정을 수행하였으며 그 결과 환자의 유효선량이 각각 17.78mSv, 10.01mSv으로 평가되었다. 또한 나선형 스캔 시 환자 선량의 감축 정도는 pitch에 의존한다는 기존의 연구결과를 재확인할 수 있었다. 본 연구에서 사용한 실측 기법은 CT 기술 발전에 기인한 촬영 프로토콜의 변화가 있는 경우 환자 선량 재평가에 응용할 수 있다.

• 한국의학물리학회지:의학물리
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• 제32권1호
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• pp.1-17
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• 2021

The evolution of X-ray computed tomography (CT) has been based on the discovery of X-rays, the inception of the Radon transform, and the development of X-ray digital data acquisition systems and computer technology. Unlike conventional X-ray imaging (general radiography), CT reconstructs cross-sectional anatomical images of the internal structures according to X-ray attenuation coefficients (approximate tissue density) for almost every region in the body. This article reviews the essential physical principles and technical aspects of the CT scanner, including several notable evolutions in CT technology that resulted in the emergence of helical, multidetector, cone beam, portable, dual-energy, and phase-contrast CT, in integrated imaging modalities, such as positron-emission-tomography-CT and single-photon-emission-computed-tomography-CT, and in clinical applications, including image acquisition parameters, CT angiography, image adjustment, versatile image visualizations, volumetric/surface rendering on a computer workstation, radiation treatment planning, and target localization in radiotherapy. The understanding of CT characteristics will provide more effective and accurate patient care in the fields of diagnostics and radiotherapy, and can lead to the improvement of image quality and the optimization of exposure doses.

• Imaging Science in Dentistry
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• 제37권2호
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• pp.93-102
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• 2007

Purpose: Cone beam computed tomography (CBCT) provides a lower dose and cost alternative to conventional CT, promising to revolutionize the practice of oral and maxillofacial radiology. The purpose of this study was to evaluate the absorbed and effective doses of Implagraphy and VCT (Vatech Co., Hwasung, Korea) and compare them with those of panoramic radiography. Materials and Methods: Thermoluminescent dosimeter (TLD) chips were placed at 27 sites throughout the layers of Female ART Head and Neck Phantom for dosimetry. Implagraphy, VCT units, and Planmeca Proline XC panoramic unit were used for radiation exposures. Radiation weighted doses and effective doses were measured and calculated using 1990 and 2005 ICRP tissue weighting factors. Results: Effective doses in Sv (ICRP 2005, ICRP 1990) were 90.19, 61.62 for Implagraphy at maxillay molar area, 123.20, 90.02 for Implagraphy at mandibular molar area, 183.55, 139.26 for VCT and 40.92, 27.16 for panoramic radiography. Conclusion: Effective doses for VCT and Implagraphy were only about 2.2 to 4.5 times greater than those for panoramic radiography. VCT and Implagraphy, CBCT machines recently developed in Korea, showed moderately low effective doses.

• Environmental Analysis Health and Toxicology
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• 제31권
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• pp.7.1-7.6
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• 2016

Objectives The aim of this study is to evaluate radiation exposure resulting from the comprehensive health examinations of selected university hospital programs and to present basic data for research and management strategies on the health effects of medical radiation exposure. Methods Radiation-based diagnostic studies of the comprehensive health examination programs of ten university hospitals in Seoul, Korea, as introduced in their websites, were analyzed. The medical radiation studies of the programs were reviewed by radiologists. Only the effective doses of the basic studies were included in the analysis. The optional studies of the programs were excluded. Results Among the 190 comprehensive health examination programs, 132 programs (69.5%) included computed tomography studies, with an average of 1.4 scans. The average effective dose of radiation by program was 3.62 mSv for an intensive program for specific diseases; 11.12 mSv for an intensive program for cancer; 18.14 mSv for a premium program; and 24.08 mSv for an overnight program. A higher cost of a programs was linked to a higher effective dose (r=0.812). The effective doses of the examination programs for the same purposes differed by as much as 2.1 times by hospital. Inclusion of positron emission tomography-computed tomography was the most critical factor in determining the level of effective dose. Conclusions It was found that radiation exposure dose from comprehensive health exam programs targeted for an asymptomatic, healthy public reached between 3.6 and 24 times the annual dose limit for the general public. Relevant management policies at the national level should be provided to minimize medical radiation exposure.

• 한국산학기술학회논문지
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• 제13권4호
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• pp.1714-1720
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• 2012

다중 검출기 컴퓨터단층촬영(multi-detector computed tomography; MDCT) 장비에서 이용되는 다양한 자동노출제어(automatic exposure control; AEC) 시스템에 대한 선량 감소 정도와 영상의 품질을 비교 평가하였다. 연구에 이용한 AEC 시스템은 General Electric(GE)사의 Auto-mA 3D, Philips사의 DoseRight, 그리고 Siemens사의 Care Dose 4D를 이용하였다. 모든 실험에서 X-선 노출 조건을 가능한 한 동일하게 하였다. 다양한 AEC 시스템에서 선량 감소 평가는 인체 모형을 이용하여 고정관류기법과 비교하여 평가하였다. 또한 영상 품질은 CT 계수(number)의 표준 편차를 이용하여 영상의 잡음을 측정하였다. 그 결과 AEC 시스템을 적용할 때 Auto-mA 3D는 35.3%, DoseRight는 58.2%, Care Dose 4D는 48.6%의 최대 선량감소가 있었으며, 영상품질에서는 Care Dose 4D의 강함/약함 (Strong/Weak)의 조합에서 유의한 차이가 없었다(P=0.269). 이런 다양한 AEC 시스템의 적용은 고품질의 영상을 유지하면서 선량을 감소하는데 매우 유용 할 것이라고 사료된다.

• 대한의용생체공학회:의공학회지
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• 제29권1호
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• pp.46-51
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• 2008

We describe a backprojection filtering method for limited angle tomography. In order to reduce blur artifacts originated from the out-of-planes and control high-frequency noise, we employed two band-limited window functions, and which were realized by Hann filters in this study. Based on the experimentally measured data, the performance of the developed method is demonstrated by comparing with the conventional shift-and-add and filtered backprojection methods. Application of the developed method to the dental imaging has a potential to be used for the preoperative evaluation of the jaw for dental implants with much reduced patient dose instead of the conventional dental computed tomography.