• Title/Summary/Keyword: radiographer

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Error Analysis of General X-ray Examination by Using Simulation Training (시뮬레이션 교육을 통한 일반 X선 검사의 오류 분석)

  • Seoung, Youl-Hun
    • 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.

A Study on Contamination and Disinfection of Film Cassette (Film Cassette의 세균 오염도와 소독에 관한 연구)

  • Kweon, Dae-Cheol;Chung, Kyung-Mo;Choi, Ji-Won
    • Journal of radiological science and technology
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    • v.23 no.2
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    • pp.55-61
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    • 2000
  • In July 2000, a bacteria infection on film cassette contact surface was examined at the diagnostic radiology department of the S. hospital. The objective of this study was to assess the contamination level on film cassette contact surface as a predictor of patient to prevent from nosocomial infection. The study showed that the laboratory result was identified non-pathologic bacterial in the four different cassette size of the contact surface. The study concludes that presence of a bacterial infection wilt prevent a using antiseptic technique on film cassette contact surface. Also the education of nosocomial infection for radiographer will be required.

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Infection Control and Management Strategy for COVID-19 in the Radiology Department: Focusing on Experiences from China

  • Qian Chen;Zi Yue Zu;Meng Di Jiang;Lingquan Lu;Guang Ming Lu;Long Jiang Zhang
    • Korean Journal of Radiology
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    • v.21 no.7
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    • pp.851-858
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    • 2020
  • Coronavirus disease 2019 (COVID-19) is a new infectious disease rapidly spreading around the world, raising global public health concerns. Radiological examinations play a crucial role in the early diagnosis and follow-up of COVID-19. Cross infection among patients and radiographers can occur in radiology departments due to the close and frequent contact of radiographers with confirmed or potentially infected patients in a relatively confined room during radiological workflow. This article outlines our experience in the emergency management procedure and infection control of the radiology department during the COVID-19 outbreak.

A Study on the Environmental Condition and Safety in Dental Radiography Room (치과방사선 촬영실의 환경 및 안전성에 관한 연구)

  • Park, Il-Soon;Lee, Kyung-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.4 no.1
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    • pp.49-64
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    • 2004
  • This study is designed to conduct a questionnaire research into the safety control and the actual condition of radiography by working with dentistry belonging to university hospitals, dental hospitals and dental clinics for three months ranging from August, 2003 to October, 2003. The researcher came to the following conclusions. 1. The research on the current condition of possessed radiational equipment shows that 61.2 percent of the subjects had one intraoral radiation medicine and that 70.1 percent of the subjects had more than one extraoral radiation medicine and that 37.3 percent of the subjects had more than one digital radiation medicine. 2. Most of intraoral radiography (82.1%) was conducted by dental hygienists, and 7.5 percent of intraoral radiography was conducted by nurse aids. On the other hand, most of extraoral radiography (76.6%) was conducted by dental hygienists and digital radiography was conducted by dental hygienists(60.6%), dentists(32.0%) and radiographer(80.0%). 3. The less-than 1-meter-long distance between cone and the radiographer accounted for 44.8 percent. And the more-than 1.6-meter-long distance accounted for no more than 13.4 percent. The exposure time per standard film which was adjusted to each part accounted for 71.6 percent. Fixing the film on the part of healthy patients accounted for 76.1 percent. Fixing the film of elderly patients and children patients by the radiographer accounted for 43.3 percent. 4. The average daily photographing frequency of standard films stood at six to ten pieces(31.3%), and the average weekly photographing frequency of bitewing films stood at less than one piece(47.8%), and the dentistries where bitewing films were not employed accounted for 25.4%. The subjects whose average weekly photographing freqeuncy of occlusal films stood at less than a piece accounted for 59.7 percent. The dentistries whose average weekly photographing frequency of pediatric films stood at one to five pieces accounted for 41.8 percent. In case of panorama & cephalo, one to five pieces on a weekly average accounted for 36.2 percent. The dentistries whose average daily photographing frequency of digital radiation medicine stood at less than 1 piece accounted for 40.0 percent. 5. The research on the use of protective clothes shows that pregnant ·women only accounted for 31.3 percent. In regard to the use of protective clothes in case of the radiographers fixing films, the cases where no protective clothes were employed accounted for 88.1 percent. The reason was said to he attributable to the trouble related to wearing the clothes(54.2%). 6. The survey on the measurement of exposure dose shows that the cases where no measurement was made accounted for 76.1 percent. As far as the measurement methods of exposure dose was concerned, the employment of film badge accounted for 68.8 percent. The subjects turned out to conduct measurement of exposure dose every third month, which accounted for 43.8 percent. The barriers to the measurement of measurement of exposure dose were attributable to the recognition that a little amount of exposure dose need not be measured(29.9%). 7. The survey on the distinction of radiation rooms and clinic rooms reveals that the cases where radiation rooms exclusively existed accounted for 67.2 percent. 43.3 percent of the subjects turned out to have only one protective garment, and 49.3 percent of the subjects proved to conduct a periodical checkup of radiational equipment. The survey on the examination certificates of radiational generators and protective facilities indicates that 80.6 percent of the subjects had the certificates. The research also shows that the subjects with the marks indicating the radiational areas accounted for 70.1 percent. And trustees turned out to handle developing solutions and fixing solutions.

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A Study on Microbial Contamination and Disinfection of Ultrasonic Probe in Metropolitan Area (수도권 지역의 초음파 프로브의 미생물 오염도와 소독에 관한 연구)

  • Lee, Hyun Kyung;Kim, Sam Soo;Heo, Yeong Cheol;Han, Dong Kyoon
    • Journal of radiological science and technology
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    • v.41 no.5
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    • pp.427-435
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    • 2018
  • There was a shortage of research reports on sterilization criterion and contamination of ultrasonic probes. Therefore, in this study, we were going to provide a basic study to measure the level of microbial contamination in ultrasonic probes and to investigate the radiographer's awareness of infection. After the scan, samples were collected from the rubber part of the probe by opening a sterile swab (Transport Medium AM608-1S) for medical bacteria collection with the remaining gel removed with a paper towel. Also, the collected samples of bacteria were grown for seven days and then the laboratory was analyzed. Among the total 29 types of microorganisms, Micrococcus luteus 21(26%), Moraxella species 16(20%), Coagulase negative staphylococcus 8(10%), Bacillus species 5(7%), Bicillus circulans 3(5%), Acinetobacter lwoffii 2(2%), and 1 other Candida parapsilosis (1%) a number of bacteria and fungus, was detected. In a disinfectant experiment using LuciPac Pen on the Lumitester PD-30s, we cultured the rubber part of the probe two to three times to measure the bacteria. Bacteria decreased to 97% with Aquanax (alkaline reduced water 100%), 99% with Klarion wash (0.01% sodium hydroxide), 94% with Klarion disinfection (0.01% nitrous acid water), Sterilization was best with Klarion wash (0.01% sodium hydroxide). Therefore, guidelines for cleaning and disinfection of ultrasonic probes was required, and further development of probe-only disinfectants is required.

A Comparison of Dose in Changed Technique Factor Using X-ray Imaging System (X-선 장치의 기술적 인자의 변화에 따른 선량 비교 평가)

  • Han, Dong-Kyoon;Ko, Shin-Gwan;Seon, Jong-Ryul;Yoon, Seok-Hwan;Jung, Jae-Eun
    • Korean Journal of Digital Imaging in Medicine
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    • v.11 no.2
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    • pp.101-107
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    • 2009
  • With the recent development of diagnosis using radiation and increasing demand of the medical treatment, we need to minimize radiation exposure dose. So, This is the method which reduce patient dose by measuring surface dose of radiographic change factor and by comparing theoretical and actual dose, when we take an X-ray which is generally used. By changing the factor of kV, mAs, FSD, whose range is 60 to 120 kV, 20 to 100 mAs, 80 to 180 cm, we compared theoretical surface dose with actual surface dose calculated by the simple calculation program, Bit system, and NDD-M method As a result, when kV and mAs were higher, theoretical surface dose and actual surface dose were more increased. but the higher FSD was, the more decreased surface dose was. According to this, the error were measured about 0.1 to 0.2 mGy in low dose part and about 0.7 to 1.5 mGy in high dose part. Therefore, this shows that theoretical surface dose calculation method is more correct in low dose part than in high dose part. In conclusion, we will have to make constant efforts which can reduce patient and radiographer's exposure dose, studying methods which can predict patient's radiation exposure dose more exactly.

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Application of Mobile Hospital Computed Tomography in a State-Designated Medical Institution under the Coronavirus Disease 2019 (COVID-19) Situation by Example (코로나바이러스감염증-19 상황에서 일개 국가지정 의료기관의 이동형 병원 CT 활용 사례)

  • Shin, Hyeongho;Lee, Jungho;Kim, Kwanghun;Kim, Byeongjin;Jin, Sungchan;Park, Hyunmee
    • Journal of radiological science and technology
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    • v.43 no.2
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    • pp.71-77
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    • 2020
  • This study aims to explain the process of providing important medical images for the diagnosis of pneumonia caused by coronavirus disease 2019 (COVID-19) through the only mobile hospital computed tomography (CT) in Korea. Since January 28, 2020, medical imaging examinations have been provided to confirmed and suspected COVID-19 patients, and the quality of images was evaluated based on the objective and subjective indicators. In order to prevent the transmission in the hospital that may occur due to exposure to medical staff and general patients, personal protective equipment was worn and the separate route was used blocking human infection factors. For 11 weeks, a total of 185 tests were performed for 98 confirmed patients and 72 suspected patients. The average time to complete the test was 33 minutes. In the course of the test, no cross-infection cases were examined. During the outbreak of the COVID-19, the only mobile hospital CT room of Korea provided medical imaging examinations without infection among medical staff and patients and also provided adequate medical images without significant difference (p >0.05) in determining the degree of pneumonia progression compared to a stationary in-hospital CT.

The Evaluation about the Information Fidelity in the External Image Information Input - Using DICOM Validation Tool - (외부영상정보 입력 시 DICOM정보 충실성에 대한 평가 - DICOM Validation Tool 이용 -)

  • Lee, Song-Woo;Lee, Ho-Yeon;Do, Ji-Hoon;Jang, Hye-Won
    • Korean Journal of Digital Imaging in Medicine
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    • v.13 no.1
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    • pp.33-38
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    • 2011
  • Now a days, there's many change over for PACS among the most of hospital and it standard for DICOM 3.0. These kind of using of DICOM 3.0 improves increasing of medical imaging exchange and service for patient. However, there's some problems of compatibility caused during carry out CD and DVD from hospital. For this reason, this thesis analyzed patients image targeting those storages requested to hospitals in Seoul by using Validation Toolkit which is recommended from KFDA. The analyze type is like this. Make 100 data, total 500, each of MRI CT Plain x-ray Ultrasound PET-CT images and analyzed type of error occurred and loyalty of information. If express percentage of error occurred statistically, we can get a result as follows MRI 5%, Plain x-ray 11%, CT 18%, US 25%, PET-CT 30%. The reson why percentage of error occurred in PET-CT is because of imperfective support and we could notice that we weren't devoted to information. Even though, PET-CT showed highest percentage of error occurred, currently DICOM data improved a lot compare to past. Moreover, it should be devoted to rule of IHE TOOL or DICOM. In conclusion, we can help radiographer to analyze information of image by providing clues for solving primary problem and further more, each of PACS company or equipment company can enhance fidelity for following standard of image information through realizing the actual problem during transfer of image information.

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A Study of Radiographic Methods to X-ray Study of Patients with Spinal Scoliosis and Vertebrae Bone Fracture of Lumbar Spine (척주측만증과 허리뼈 골절 수술 환자의 엑스선 촬영법 연구)

  • Ahn, Byung-Ju;Lee, Jun-Haeng
    • Journal of the Korean Society of Radiology
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    • v.13 no.3
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    • pp.425-431
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    • 2019
  • The Study In order to obtain images of overlap of the two iron cores in the spinal cord simple x-ray scan after surgery of patients with ulcer lateral sclerosis and a fractured backbone, the researcher conducted a subjective evaluation on five radiographers of the university hospital's imaging department for more than 10 years. The results of the experiment showed that the lateral shot of lateral scoliosis of the spinal cord was taken with the middle face of the IR plane, and then the X-ray tube angle was taken vertically with the vertical spinal column fan-tom position, resulting in two overlapping images and high scores in the subjective evaluation. In addition, lateral shots of the lumbar dislocation fractured lumbar vertebrae were taken with the forehead aligned with the center of the IR plane and then with the X-ray angle perpendicular to the fourth waistline and the angle of the spinal cord perpendicular to the fourth waistline, the image of the two iron cores could be obtained from the radiographer.

A Study on the Setting of Examination Limits for Radiographers in Medical Institutions (의료기관 내 방사선사의 검사 한도 설정에 관한 연구)

  • Jeong-Ho Kim;Gap-Jung Kim
    • Journal of the Korean Society of Radiology
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    • v.17 no.3
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    • pp.401-410
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    • 2023
  • A radiographer is a job in charge of diagnostic imaging equipment, and must contribute to the promotion of public health by suggesting an appropriate level of work. To this end, we intend to present an appropriate level of work through evaluation of human harm according to work, statistical evaluation through questionnaires, and domestic and international trends. In the case of human harm evaluation, considering radiation exposure, 42.6%, shield work, 69.7%, and in the case of magnetic resonance imaging, the maximum length of stay in the examination room should be adjusted to 15 minutes and not exceed 30 times. According to the survey statistics, it was confirmed that the physical and mental burden increased due to the high workload and difficulty compared to working hours. Based on domestic and international trends, it is necessary to adjust the examination standards for domestic radiographers to 36.8% to promote national health through qualitative improvement of radiological examinations. something to do.