• Title/Summary/Keyword: reduce patient dose

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Changes in External Radiation Dose Rate for PET-CT Test Patients (PET-CT 검사 환자의 외부 방사선량률 변화)

  • Kim, Su-Jin;Han, Eun-Ok
    • Journal of Radiation Protection and Research
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    • v.37 no.2
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    • pp.103-107
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    • 2012
  • This paper analyzes changes in the external radiation dose rate of PET-CT test patients as a part of providing basic materials for reduction of radiation exposure to PET-CT test patients. In theory the measurement of external radiation dose rate of PET-CT test patients shows that the further the distance from the patient injected with radioactive pharmaceutical and a longer time elapsement from the injection leads to a smaller amount of radiation. Particularly, the amount of radiation marked the highest in the chest was at 4.17 minutes immediately after the intravenous injection and in the head after 77.47 minutes after urination in advance to the PET-CT test. As in the generalized information, it is desired to keep distance between the patient and caretakers or professionals to reduce the amount of radiation exposure from PET-CT test patients and to resume contact the patient after the time when the radiation has reduced. If contact is unavoidable, it is desired to keep at least 200cm from the patient. In addition, the amount of radiation reached the highest in the chest at first and then in the head from 77 minutes after injection. Accordingly, it would be helpful in achieving the optimization if contact is made based on the patient's physical characteristics. This study is significant as it measures changes in radiation the dose rate by; distance from the PET-CT test patient, time elapsed, and specific parts of body. Further studies based on the findings in this paper are required to analyze changes in radiation dose rate in accordance with individual characteristics unique to PET-CT patients and to utilize the results to reduce the amount of radiation patient, caretakers and professions are exposed.

A Study on the Indirect Radiation Exposure of the Medical Personnel Who is Responsible for Patient Safety in CT Examination (전산화단층촬영검사 시 검사실 내에 위치할 수 있는 의료인의 간접 피폭선량에 대한 연구)

  • Choi, Min-Hyeok;Jang, Ji-Sung;Lee, Ki-Baek
    • Journal of radiological science and technology
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    • v.42 no.2
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    • pp.105-111
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    • 2019
  • A medical personnel could be placed beside a patient together in CT room to do Ambu-bag for a seriously ill patients or emergency patient. At this time, the medical personnel can be exposed indirect radiation unnecessarily. In this case, it is necessary to recognize indirect radiation dose levels and methods to reduce them using actual clinical CT protocols such as Chest, Abdomen, and Brain CT. We researched surface radiation dose with or without radiation protectors such as apron and goggles according to different distances far from gantry using two different CT scanners (Fixed MDCT and mobile CT). As a result, for Chest, Abdomen, and Brain CT with Fixed MDCT, indirect radiation dose on thorax portion were 0.047, 0.089, 0.034 mSv without apron. Also, those with apron were 0.007, 0.012, 0.006 mSv. In case of mobile CT, it was 0.014 mSv without apron and 0.005 mSv with apron. By using protectors and increasing the distance, we could reduce it to 97%. Systematic management is necessary based on the measured data in order to minimize radiation damage due to indirect exposure dose.

The thickness of Cu Filter to reduce 1/2 of the patient dose (X선 진단시 피폭선량을 반으로 줄이기 위한 Cu Filter의 두께)

  • Kim, Jung-Min;Kim, Sung-Chul
    • Journal of radiological science and technology
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    • v.24 no.1
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    • pp.17-22
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    • 2001
  • Medical X-ray examination are increased double for the last $6{\sim}8$ years. Therefore a patient exposure dose should be decrease half every 7 years. We made an experiment on copper filter thickness to decrease a patient exposure dose up to half and compared to the Image quality by MTF. The results as follow 1. A thin region like extremities needs a thicker Cu filter as compared a thick region. 2. 1/2 reduction filter must be thicker when kVp Increase. 3. Exposure factor should be increas when using 1/2 reduction filter ; extremity is 4.0 times, chest 2.9 times, skull 1.62 times, and abdomen 1.58 times 4. The MTF of using 1/2 reduction filter is lower than without filter. But no difference of visual image. 5. 1/2 reduction filter compared with double speed screen showed almost same image quality.

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Dose and Image Evaluations of Imaging for Radiotherapy (방사선치료를 위한 영상장비의 선량 및 영상 평가)

  • Lee, Hyounggun;Yoon, Changyeon;Kim, Tae Jun;Kim, Dongwook;Chung, Weon Kyu;Park, Sung Ho;Lee, Wonho
    • Progress in Medical Physics
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    • v.23 no.4
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    • pp.292-302
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    • 2012
  • The patient dose in advanced radiotherapy techniques is an important issue. These methods should be evaluated to reduce the dose in diagnostic imaging for radiotherapy. Especially, the Computed Tomography in radiotherapy has been used widely; hence the CT was evaluated for dose and image in this study. The evaluations for dose and image were done in equal condition due to compare the dose and image simultaneously. Furthermore, the possibility of dose and image evaluations by using the Monte Carlo simulation MCNPX was confirmed. We made the iterative reconstruction for low dose CT image to elevate image quality with Maximum Likelihood Expectation Maximization; MLEM. The system we developed is expected to be used not only to reduce the patient dose in radiotherapy, also to evaluate the overall factors of image modalities in industrial research.

An Estimate of Image Quality and Radiation Doses of Coronary Artery in MDCT Using Prospective and Retrospective ECG Gating Scan Mode (MDCT 관상동맥 조영 검사에서 전향적 동조화 및 후향적 동조화 기법의 화질과 선량 관계)

  • Oh, Jong-Kap
    • Journal of radiological science and technology
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    • v.34 no.4
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    • pp.315-321
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    • 2011
  • The goal of this study is to reduce patient exposure dose by providing image quality and radiation dose according to inspection methods. Volume Computed Tomography Dose Index(CTDIvol) and Dose Length Product(DLP) of prospective and retrospective ECG gating snapshot segment of Coronary CT angiography(CTA) were measured each snapshot segment methods. CT number, noise, uniformity, and resolution were also measured using phantom under the same condition of coronary CTA. The results showed that CT number, noise, uniformity and resolution are similar to each other. In terms of CTDIvol and DLP, however, measurement dose of prospective ECG gating snapshot segment was lower than the retrospective case by 37.5% and 40.3%. Therefore, it is highly recommended that in the coronary CTA, prospective ECG gating scan mode should be chosen to reduce patient dose.

Evaluation of Adult Lung CT Image for Ultra-Low-Dose CT Using Deep Learning Based Reconstruction

  • JO, Jun-Ho;MIN, Hyo-June;JEON, Kwang-Ho;KIM, Yu-Jin;LEE, Sang-Hyeok;KIM, Mi-Sung;JEON, Pil-Hyun;KIM, Daehong;BAEK, Cheol-Ha;LEE, Hakjae
    • Korean Journal of Artificial Intelligence
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    • v.9 no.2
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    • pp.1-5
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    • 2021
  • Although CT has an advantage in describing the three-dimensional anatomical structure of the human body, it also has a disadvantage in that high doses are exposed to the patient. Recently, a deep learning-based image reconstruction method has been used to reduce patient dose. The purpose of this study is to analyze the dose reduction and image quality improvement of deep learning-based reconstruction (DLR) on the adult's chest CT examination. Adult lung phantom was used for image acquisition and analysis. Lung phantom was scanned at ultra-low-dose (ULD), low-dose (LD), and standard dose (SD) modes, and images were reconstructed using FBP (Filtered back projection), IR (Iterative reconstruction), DLR (Deep learning reconstruction) algorithms. Image quality variations with respect to varying imaging doses were evaluated using noise and SNR. At ULD mode, the noise of the DLR image was reduced by 62.42% compared to the FBP image, and at SD mode, the SNR of the DLR image was increased by 159.60% compared to the SNR of the FBP image. Based on this study, it is anticipated that the DLR will not only substantially reduce the chest CT dose but also drastic improvement of the image quality.

Evaluation of Radiation Entrance Surface Dose Rates for Interventional Radiology Equipment (인터벤션 방사선발생장치에서 입사표면선량률 평가)

  • Kang, Byung-Sam;Chang, Kwang-Hyun
    • Journal of radiological science and technology
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    • v.43 no.5
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    • pp.353-357
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    • 2020
  • IVR procedures are on the rise, and patient doses are on the rise. It is necessary to evaluate fluoroscopy dose in IVR procedure. Evaluate ESD on IVR equipment as a reference to DRL settings, I would like to present the direction of improvement in the ESD rate test criteria for fluoroscopy dose. The experimental method is measured with 6cc ionization chamber under the 20cm PMMA Phantom. Radiation is subject to abdominal procedure. The average dose rate of the incident surface was 21.6 ± 11.4 mGy/min. The highest dose equipment was 58.5 mGy/min, and there was no equipment exceeding the domestic standard of 100 mGy/min. However, there were five units above 50 mGy/min. To reduce fluoroscopy dose, it is recommended to reduce pulse rate, The dose increases as the image receptor ages. It is recommended to modify the domestic inspection criteria to 50 mGy/min.

Comparison of Shield of Breast, Thyroid, Eyes for Exposure Dose Reduction in Mammography (유방엑스선검사 시 유방, 갑상샘, 안구 피폭선량 감소를 위한 차폐체 비교)

  • An, Se-Jeong;Ahn, Sung-Min
    • Journal of radiological science and technology
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    • v.44 no.3
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    • pp.189-194
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    • 2021
  • This study was conducted to reduce the exposure dose to the breast and adjacent organs as the number of Mammography increased. Therefore, it has been designed a shield in lead, bismuth + tungsten, and bismuth that does not require to be equipped by the patient, in which each type of shield was compared and analyzed of radiation exposure dose to breast, thyroid, and eye. Using a mammography machine, optically stimulated luminescent dosimeter(OSLD) was inserted to bilateral breast, thyroid, and eye of a dosimetry phantom to measure dose radiated onto the phantom. Shielding device was made in different thickness of 2mm, 3mm, and 5mm and dose evaluation was performed by measuring the dose while using lead, bismuth, and bismuth + tungsten prosthesis. When each shields combined with shielding device, were compared of dose, all showed similar does reduction in the dose to breast, thyroid, and eye in both cranialcaudal and mediolateraloblique view. Based on the current study, bismuth and bismuth + tungsten can replace conventional lead shield and it is anticipated to safely and conveniently reduce radiation exposure to breast, thyroid, and eye with the shield that does not require to be equipped.

Patient Radiation Exposure Dose Evaluation of Whole Spine Scanography Due to Exposure Direction (Whole Spine Scanography의 검사방향에 따른 환자 선량 평가)

  • Kim, Jung-Su;Seo, Deok-Nam;Kwon, Soon-Mu;Kim, Jung-Min
    • Journal of radiological science and technology
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    • v.38 no.1
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    • pp.1-6
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    • 2015
  • Whole spine scanography (WSS) is a radiological examination that exposes the whole body of the individual being examined to x-ray radiation. WSS is often repeated during the treatment period, which results in a much greater radiation exposure than that in routine x-ray examinations. The aims of the current study were to evaluate the patient dose of WSS using computer simulation, image magnification and angulation of phantom image using different patient position. We evaluated the effective dose(ED) of 23 consecutive patients (M : F = 13:10) who underwent WSS, based on the automatic image pasting method for multiple exposure digital radiography. The Anterior-Posterior position(AP) and Posterior-Anterior position( PA) projection EDs were evaluated based on the PC based Monte Carlo simulation. We measured spine transverse process distance and angulation using DICOM measurement. For all patient, the average ED was 0.069 mSv for AP position and 0.0361 mSv for PA position. AP position calculated double exposure then PA position. For male patient, the average ED was 0.089 mSv(AP) and 0.050 mSv(PA). For female patient, the average ED was 0.0431 mSv(AP) and 0.026 mSv(PA). The transverse process of PA spine image measured 5% higher than AP but angulation of transverse process was no significant differences. In clinical practice, just by change the patient position was conformed to reduce the ED of patient. Therefor we need to redefine of protocol for digital radiography such as WSS. whole spine scanography, effective dose, patient exposure dose, exposure direction. protocol optimization.

TA Study on Patient Exposure Dose Used the Phantom for Interventional Procedure (중재적 시술 시 팬텀을 이용한 환자의 피폭선량 분석)

  • Kang, Byung-Sam;Dong, Kyung-Rae
    • Korean Journal of Digital Imaging in Medicine
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    • v.13 no.2
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    • pp.71-76
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    • 2011
  • Because interventional procedure operates looking at premier as real time when perate intervention enemy, by patient is revealed during suitableness time in radiation, side effect such as radiation injury of skin is apt to happen. It established by purpose of study that measure exposure dose that patient receives about these problem, and find solution for radiation injury and repletion method. In this study, we used Rando phantom of identical structure with the human body which becomes accomplished with 4 branch ingredient of the attempt and system equivalent material them and absorbed dose were measured by TLD. According to the laboratory, it shows that operations such as TFCA procedure or uterine myoma embolization are more dangerous than TACE procedure. If both operations are inspected during a short time, it is not affected in being bombed. However, it can lead to palliative agenesis or depilate, definitive agenesis only if operations are repeated more than three times. Dose distibution based on experiment, to reduce radiation exposure to patients result from reduction of scatter ray as we control field size of radiation and protection of side organs except for tumor. also we knew that we can protect patients form radiation exposure, if we increas SOD and decrease SID.

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