• Title/Summary/Keyword: reducing radiation of exposure

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Optimizing cone-beam computed tomography exposure for an effective radiation dose and image quality balance

  • Ananda Amaral Santos;Brunno Santos de Freitas Silva;Fernanda Ferreira Nunes Correia;Eleazar Mezaiko;Camila Ferro de Souza Roriz;Maria Alves Garcia Silva;Deborah Queiroz Freitas;Fernanda Paula Yamamoto-Silva
    • Imaging Science in Dentistry
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    • v.54 no.2
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    • pp.159-169
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    • 2024
  • Purpose: The aim of this study was to evaluate the influence of different cone-beam computed tomography (CBCT) acquisition protocols on reducing the effective radiation dose while maintaining image quality. Materials and Methods: The effective dose emitted by a CBCT device was calculated using thermoluminescent dosimeters placed in a Rando Alderson phantom. Image quality was assessed by 3 experienced evaluators. The relationship between image quality and confidence was evaluated using the Fisher exact test, and the agreement among raters was assessed using the kappa test. Multiple linear regression analysis was performed to investigate whether the technical parameters could predict the effective dose. P-values<0.05 were considered to indicate statistical significance. Results: The optimized protocol (3 mA, 99 kVp, and 450 projection images) demonstrated good image quality and a lower effective dose for radiation-sensitive organs. Image quality and confidence had consistent values for all structures (P<0.05). Multiple linear regression analysis resulted in a statistically significant model. The milliamperage (b=0.504; t=3.406; P=0.027), kilovoltage peak (b=0.589; t=3.979; P=0.016) and number of projection images (b=0.557; t=3.762; P=0.020) were predictors of the effective dose. Conclusion: Optimized CBCT acquisition protocols can significantly reduce the effective radiation dose while maintaining acceptable image quality by adjusting the milliamperage and projection images.

Effects of Dose Reduction Fiber Shielding Cloth on Scattering Rays in Off-target Site during Angiography (선량저감섬유(Dose Reduction Fiber) 차폐포의 혈관조영술(Angiography) 시술 시 비 시술 부위의 산란선 차폐 효과)

  • Kim, Yong-Jin;Han, Sang-Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.1
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    • pp.393-400
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    • 2020
  • Unlike conventional radiographic examinations, angiointerventional procedures have a high risk of radiation exposure to patients or operators due to prolonged radiation exposure time. This study was undertaken to examine effects of reducing the radiation risk by applying dose reduction fiber (DRF) shielding cloth during angiography. To investigate the properties of DRF shielding cloth, we measured the scattered radiation below and above a human phantom using a glass dosimeter, at site distances 10 cm away from the irradiated field. The results obtained reveal a 15 ~ 31% reduction of scattered radiation in the irradiation field, and 53 ~ 70% reduced radiation measured after phantom transmission. Taken together, our data indicate that application of DRF shielding cloth for radiation reduction at non-procedural sites during interventional procedure results in reduction of scattered doses to patients and operators, without affecting the medical examinations. We propose the use of DRF shielding during angiointerventional procedures, in order to reduce the risk of radiation exposure of patients and operators.

Study on Exposure Dose and Image Quality of Operator Using Shielding Material in Neuro Interventional Radiology (뇌혈관 중재적 시술에서 차폐체를 이용한 시술자의 피폭선량과 화질에 관한 연구)

  • Kim, Dae-ho;Kim, Sang-hyun;Lee, Young-jin;Lim, Jong-chun;Han, Dong-kyoon
    • Journal of the Korean Society of Radiology
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    • v.11 no.7
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    • pp.579-587
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    • 2017
  • Although interventional procedures use very low tube currents, there is a high risk of exposure to radiation as well as the operator due to long-term radiation exposure. The purpose of this study is to investigate the effects of radiation dose on the quality of the operator by measuring the dose received by the operator in the interventional procedure of the cerebral vascular system and finding the shielding material and shielding method which can effectively shield the exposure from the medical radiation. And to find a way to minimize it to the extent that it does not. As a result, when the newly designed shielding system with Nano Tungsten material was used, it was confirmed that the mean dose was reduced by 7.95% on average by the operator. Also, the PSNR results were measured to be 38.44 dB when using the designed shielding material, and it was confirmed that Nano Tungsten does not affect the image quality. In conclusion, the Nano Tungsten shielding material proved to be capable of significantly reducing the operator radiation dose, without affecting the image quality. The use of the above materials is expected to solve the problems related to the harmfulness and economical efficiency of the human body and the environment, which have recently become an issue of shielding materials.

The Assessment and Reduction Plan of Radiation Exposure During Decommissioning of the Steam Generator in Kori Unit 1 (고리1호기 증기발생기 제염해체 시 작업자 피폭선량 평가 및 저감화 방안)

  • Son, Young Jik;Park, Sang June;Byon, Jihyang;Ahn, Seokyoung
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.16 no.3
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    • pp.377-387
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    • 2018
  • Korea's first commercial nuclear power plant, Kori Unit 1, was permanently shut down on June 18, 2017, after 40 years of successful operation. Kori Unit 1 plans to construct a waste treatment facility in the turbine building prior to commencement of dismantling in earnest. Various radioactive wastes are decontaminated, disassembled, cut and melted in the waste treatment facility and sent to the radioactive waste repository. The proportion of metal radioactive waste in dismantled waste is about 70%, of which large metal radioactive waste is mainly generated in the primary circuit and has high radioactivity, so radiation exposure must be managed during disassembly. In this study, the steam generators are selected as large metal radioactive waste, the exposure doses of the dismantling workers are calculated using RESRAD-RECYCLE code and the methods for reducing the exposure doses are suggested.

A comparison of density of Insight and Ektaspeed plus dental x-ray films using automatic and manual processing (자동 및 수동현상에 따른 Insight 필름과 Ektaspeed Plus 필름의 흑화도 비교)

  • Yoon Suk-Ja
    • Imaging Science in Dentistry
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    • v.31 no.1
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    • pp.17-22
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    • 2001
  • Purpose: To compare the film density of Insight dental X-ray film (Eastman Kodak Co., Rochester, NY, USA) with that of Ektaspeed Plus film (Eastman Kodak) under manual and automatic processing conditions. Materials and Methods : Insight and Ektaspeed Plus films were exposed at three different exposure conditions with an aluminum step wedge on the films under the three different exposure times. The exposed films were processed by both manual and automatic ways. The Base plus fog density and the optical density made by exposing step wedge were calculated using a digital densitometer (model 07-443, Victoreen Inc, Cleveland, Ohio, USA). The optical densities of the Insight and Ektaspeed film versus thickness of alumimun wedge at the same exposure time were plotted on the graphs. Statistical analyses were applied for comparing the optical densities of the two films. Results: The film density of both Insight films and Ektaspeed Plus films under automatic processing condition was significantly higher over the manual processing. The film density of Insight films was significantly higher than that of Ektaspeed Plus films on both automatic and manual processing conditions. Conclusion: The radiation exposure time can be reduced when using Insight over Ektaspeed Plus film. To take the full advantage of reducing exposure time, Insight film should be processed automatically.

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The Study on Scattered Ray by C-arm in Operation Room (수술실 내 C-arm 장치의 산란선 분포에 대한 연구)

  • Park, Seung-Hyun;Park, Joo-Mi;Kim, Hyun-Soo
    • Korean Journal of Digital Imaging in Medicine
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    • v.13 no.1
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    • pp.21-26
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    • 2011
  • A radiation imaging system used in a surgery room is mainly using C-arm which is purposed to fluoroscope. C-arm is often use to watch an operation's accuracy and progress, but not only being bombed to this first beam but also affected to this scattered beam, so now we are look for the way to reduce bombed amount of doctor, nurses and radiological technologists. We measured the exposure dose in $0^{\circ}$ spot according to the distance to find out frequency distribution of scattered ray in an operation room and found the spot which has the same exposure dose from $30^{\circ}$ distance of all directions and wrote isodose curve. We analyzed the data and found out the sudden reduction of scattered ray according to the long direction also found out that scattered ray was not related to the directions. Operators must recognize the reduction of exposure dose. Because reducing scattered ray from all directions in an operation room is really difficult. So every operators must use shelters to reduce the exposure dose and notice the safety.

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The Effects of Reducing a Dose on the Genital Gland at a CT Scan on the Whole Abdomen According to the Shielding Material (Whole Abdomen CT촬영 시 차폐 재료에 따른 생식선 선량 감쇠 효과)

  • Gang, Eun Bo;Park, Cheol Woo
    • Journal of the Korean Society of Radiology
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    • v.10 no.6
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    • pp.419-425
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    • 2016
  • The purpose of this study is to produce a shielding material to reduce a dose on the genital gland, one of the superficial organs, at a CT scan on the whole abdomen and hardly affect picture quality and examine its utility. This research made 22 mm silicone and 7.3 mm aluminum having the similar material quality and effect of previous bismuth. By using the non-shield, bismuth, 22 mm silicone, and 7.3 mm aluminum shielding materials, this author conducted a comparative experiment measuring the decay rate of the genital gland's exposure to radiation, change of the CT number and noise in the image, and the CT number, noise, and uniformity in the AAPM phantom. According to the results, exposure to radiation is reduced in bismuth as 29.96%, silicone 22 mm as 13.10%, and 7.3 mm aluminum as 18.27%. In bismuth, however, the image's CT number varies a lot, and uniformity is measured to be inappropriate in the AAPM phantom scan; therefore, it indicates great change in terms of picture quality in superficial organs like the genital gland. Concerning superficial organs like the genital gland, if 22 mm silicone and 7.3 mm aluminum are used as shielding materials, it will be helpful in reducing variation in picture quality and also decreasing radiation exposure to radiation.

Reducing of Craniofacial Radiation Dose Using Automatic Exposure Control Technique in the 64 Multi-Detector Computed Tomography (64 다중 검출기 전산화단층촬영에서 관전류 자동노출조절 기법을 이용한 두개부 방사선량 감소 정도 평가)

  • Seoung, Youl-Hun;Kim, Yong-Ok;Choe, Bo-Young
    • Progress in Medical Physics
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    • v.21 no.2
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    • pp.137-144
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    • 2010
  • The purpose of this study was to evaluate the usefulness of reducing of craniofacial radiation dose using automatic exposure control (AEC) technique in the 64 multi-detector computed tomography (MDCT). We used SOMATOM Definition 64 multi-detector CT, and head of whole body phantom (KUPBU-50, Kyoto Kagaku CO. Ltd). The protocol were helical scan method with 120 kVp, 1 sec of rotation time, 5 mm of slice thickness and increment, 250 mm of FOV, $512{\times}512$ of matrix size, $64{\times}0.625\;mm$ of collimation, and 1 of pitch. The evaluation of dose reducing effect was compared the fixed tube current of 350 with AEC technique. The image quality was measured the noise using standard deviation of CT number. The range of craniofacial bone was to mentum end from calvaria apex, which devided three regions: calvaria~superciliary ridge (1 segment), superciliary ridge~acanthion (2 segment), and acanthion~mentum (3 segment). In the fixed tube current technique, CTDIvol was 57.7 mGy, DLP was $640.2\;mGy{\cdot}cm$ in the all regions. The AEC technique was showed that 1 segment were 30.7 mGy of CTDIvol, 340.7 $mGy{\cdot}cm$ of DLP, 2 segment were 46.5 mGy of CTDIvol, $515.0\;mGy{\cdot}cm$ of DLP, and 3 segment were 30.3 mGy of CTDIvol, $337.0\;mGy{\cdot}cm$ of DLP. The standard deviation of CT number was 2.622 with the fixed tube current technique and 3.023 with the AEC technique in the 1 segment, was 3.118 with the fixed tube current technique and 3.379 with the AEC technique in the 2 segment, was 2.670 with the fixed tube current technique and 3.186 with the AEC technique in the 3 segment. The craniofacial radiation dose using AEC Technique in the 64 MDCT was evaluated the usefulness of reducing for the eye, the parotid and thyroid with high radiation sensitivity particularly.

Evaluation of Radiation Dose to Patients according to the Examination Conditions in Coronary Angiography (심장동맥 조영 검사 시 검사 조건에 따른 환자 선량 평가)

  • Yong-In Cho
    • Journal of radiological science and technology
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    • v.46 no.6
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    • pp.509-517
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    • 2023
  • This study analyzed imaging conditions and exposure index through clinical information collection and dose calculation programs in coronary angiography examinations. Through this, we aim to analyze the effective dose according to examination conditions and provide basic data for dose optimization. In this study, ALARA(As Low As Reasonably Achievable)-F(Fluoroscopy), a program for evaluating the radiation dose of patients and the collected clinical data, was used. First, analysis of imaging conditions and exposure index was performed based on the data of the dose report generated after coronary angiography. Second, after evaluating organ dose according to 9 imaging directions during coronary angiography, with the LAO fixed at 30°, dose evaluation was performed according to tube voltage, tube current, number of frames, focus-skin distance, and field size. Third, the effective dose for each organ was calculated according to the tissue weighting factors presented in ICRP(International Commission on Radiological Protection) recommendations. As a result, the average sum of air kerma during coronary angiography was evaluated as 234.0±112.1 mGy, the dose-area product was 25.9±13.0 Gy·cm2, and the total fluoroscopy time was 2.5±2.0 min. Also, the organ dose tended to increase as the tube voltage, milliampere-second, number of frames, and irradiation range increased, whereas the organ dose decreased as the FSD increased. Therefore, medical radiation exposure to patients can be reduced by selecting the optimal tube voltage and field size during coronary angiography, maximizing the focal-skin distance, using the lowest tube current possible, and reducing the number of frames.

Robotic Guidance of Distal Screwing for Intramedullary Nailing Using Optical Tracking System (광학식측정장치를 이용한 금속정 내고정 수술의 원위부 나사체결을 위한 로보틱 유도 시스템)

  • An, Liming;Kim, Woo Young;Ko, Seong Young
    • The Journal of Korea Robotics Society
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    • v.12 no.4
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    • pp.411-418
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    • 2017
  • During the intramedullary nailing procedure, surgeons feel difficulty in manipulation of the X-ray device to align it to axes of nailing holes and suffer from the large radiation exposure from the X-ray device. These problems are caused by the fact the surgeon cannot see the hole's location directly and should use the X-ray device to find the hole's location and direction. In this paper, we proposed the robotic guidance of the distal screwing using an optical tracking system. To track the location of the hole for the distal screwing, the reference marker is attached to the proximal end of an intramedullary nail. To guide the drill's direction robustly, the 6-degree-of-freedom robotic arm is used. The robotic arm is controlled so as to align the drill guiding tool attached the robotic arm with the obtained the hole's location. For the safety, the robot's linear and angular velocities are restricted to the predefined values. The experimental results using the artificial bones showed that the position error and the orientation error were 0.91 mm and $1.64^{\circ}$, respectively. The proposed method is simple and easy to implement, thus it is expected to be adopted easily while reducing the radiation exposure significantly.