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수도권 지역 병원에서 이중에너지 X-선 흡수측정법 (DXA)을 이용한 골밀도측정기 및 검사자의 정도관리에 관한 연구

Research on the Bone Mineral Densitometer Quality Control and the Precision Test of Radio-Technologists by Dual Energy X-ray Absorptiometry (DXA) at Metropolitan Area Hospital

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참고문헌

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초록

The study attempted to investigate and improve the quality and precision of using dual energy X-ray absortiometry for osteoporosis. The study conducted an online questionnaire fares well in terms of a daily quality control, however, there are cases where the observation shows an infeasibility for the management of weekly or monthly control methods. There are also no means of controlling the abnormalities. In addition, the precise measurement of the examiner’s accuracy is often recognized, but few cases were not performed and implemented. The reason was being unaware of the application, difficult to measure, lack of time, and lack of quality control education. Thus, it is judged that the accuracy of the dual energy x-ray absorber and the quality control guideline system will be a reliable examination, as well as the precision test.

Abstract

The study attempted to investigate and improve the quality and precision of using dual energy X-ray absortiometry for osteoporosis. The study conducted an online questionnaire fares well in terms of a daily quality control, however, there are cases where the observation shows an infeasibility for the management of weekly or monthly control methods. There are also no means of controlling the abnormalities. In addition, the precise measurement of the examiner’s accuracy is often recognized, but few cases were not performed and implemented. The reason was being unaware of the application, difficult to measure, lack of time, and lack of quality control education. Thus, it is judged that the accuracy of the dual energy x-ray absorber and the quality control guideline system will be a reliable examination, as well as the precision test.

참고문헌 (14)

  1. 강영한, "이중 에너지 X선 흡수계측을 이용한BMD 검사 시 발생할 수 있는 기술적 오류 분석", 방사선기술과학, 29(4), pp.229~236 (2006)
  2. 김덕윤, "골밀도 측정의 올바른 임상 적용", Nuclear Medicine and Molecular Imaging, 38(4), pp.275~281 (2004), 대한핵의학회
  3. Bonnick SL, "Bone Densitometry in Clinical Practice:Application and Interpretation" (2010), Humana
  4. Bonnick SL, "Bone Densitometry for Technologists" (2013), Springer
  5. Faulkner KG, "Discordance in patient classification using T-scores", J. Clin. Densitom, 2, pp.343~350 (1999)
  6. Hamdy RC, "Which central dual X-ray absorptiometry skeletal sites and regions of interest should be used to determine the diagnosis of osteoporosis?", J. Clin. Densitom, 5, pp.8~11 (2002)
  7. Khan AA, "Standards and guidelines for technologists performing central dual-energy X-ray absorptiometry", J. Clin. Densitom, 10, pp.189~195 (2007)
  8. Messina C, "Prevalence and type of errors in dual-energy X-ray absorptiometry", Eur. Radiol, 25, pp.1504~1511 (2015)
  9. Moayyeri A, "Discordance in diagnosis of osteoporosis using spine and hip bone densitometry", BMC Endocr. Disord, 5, pp.3~ (2005)
  10. O’Gradaigh D, "A prospective study of discordance in diagnosis of osteoporosis using spine and proximal femur bone densitometry", Osteoporos. Int, 14, pp.8~13 (2003)
  11. Pearson D, "Long-term quality control of DXA: a comparison of Shewhart rules and Cusum charts", Osteoporos. Int, 7, pp.338~343 (1997)
  12. Shepherd JA, "Cross-calibration and minimum precision standards for dual-energy X-ray absorptiometry: the 2005 ISCD official positions", J. Clin. Densitom, 9, pp.31~36 (2006)
  13. Watts NB, "Fundamentals and pitfalls of bone densitometry using dual-energy X-ray absorptiometry (DXA)", Osteoporos. Int, 15, pp.847~854 (2004)
  14. Woodson G, "Dual X-ray absorptiometry T-score concordance and discordance between the hip and spine measurement sites", J. Clin. Densitom, 3, pp.319~324 (2000)

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