국내·외 치과촬영에 의한 피폭방사선량 실태조사 현황 분석
Analysis of National Medical Radiation Exposure by Dental Radiography
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초록
Dental radiography is an important tool used for diagnosis of cavities, implants, andorthodontics. The usage of dental radiography has increased continuously, which can lead toincrease in the radiation dose for the patient. Therefore, it is necessary to manage the patientdose for medical radiation at the national level continuously and systematically. The objectiveof this study is to analyze the national medical radiation exposures by dental radiography. InKorea, the KCDC conducted a study of radiation exposure by dental radiography in 2019. In thisstudy, the KCDC conducted a study through radiation dose measurement by visiting a medicalinstitution. The age group was classified into 6, 12, and adults, and the types of examination wereselected as intraoral radiography, panorama, and CBCT. The dose area product correspondingto the third quartile for adults was 2,060 mGy·cm2 (CBCT), 227 mGy·cm2 (panorama), and 46mGy·cm2 (intraoral radiography). In other developed countries, it was found that the surveymethod, age, and type of examination for dental radiography were similar to Korea. Radiationdose in Korea was about 39% lower than the other countries in intraoral radiography, and about2.0 times higher in panorama and 2.5 times higher in CBCT. It is because the dental radiographyacquisition methods and devices are different from each country. Periodic nation-wide survey onmedical radiation exposure is necessary to manage the medical radiation exposure. Ultimately, theresults of this study can be used to optimize patient dose and reduce radiation dose.
Abstract
Dental radiography is an important tool used for diagnosis of cavities, implants, andorthodontics. The usage of dental radiography has increased continuously, which can lead toincrease in the radiation dose for the patient. Therefore, it is necessary to manage the patientdose for medical radiation at the national level continuously and systematically. The objectiveof this study is to analyze the national medical radiation exposures by dental radiography. InKorea, the KCDC conducted a study of radiation exposure by dental radiography in 2019. In thisstudy, the KCDC conducted a study through radiation dose measurement by visiting a medicalinstitution. The age group was classified into 6, 12, and adults, and the types of examination wereselected as intraoral radiography, panorama, and CBCT. The dose area product correspondingto the third quartile for adults was 2,060 mGy·cm2 (CBCT), 227 mGy·cm2 (panorama), and 46mGy·cm2 (intraoral radiography). In other developed countries, it was found that the surveymethod, age, and type of examination for dental radiography were similar to Korea. Radiationdose in Korea was about 39% lower than the other countries in intraoral radiography, and about2.0 times higher in panorama and 2.5 times higher in CBCT. It is because the dental radiographyacquisition methods and devices are different from each country. Periodic nation-wide survey onmedical radiation exposure is necessary to manage the medical radiation exposure. Ultimately, theresults of this study can be used to optimize patient dose and reduce radiation dose.
참고문헌 (38)
- 교육과학기술부, "치과X선 검사 시 환자선량 가이드라인 개발", ~ (2011)
- 김우진, "국내·외 일반방사선촬영 검사에 의한 의료방사선 피폭 실태조사 분석", 방사선산업학회지, 13(1), pp.61~69 (2019), (사)한국방사선산업학회[DOI]
- 치과X선 검사에서의 환자선량 권고량 마련을 위한 연구, "식품의약품안전처", ~ (2009)
- 치과 파노라마 촬영에서의 연령별 환자선량 평가 및 가이드라인 마련 연구, "식품의약품안전처", ~ (2014)
- 의료방사선 이용에 따른 국민 방사선량 평가 연구, "질병관리청", ~ (2017)
- 질병관리청, "환자 촬영종류별 진단참고수준 마련 : 치과촬영장치(구내, 파노라마, CBCT)", ~ (2019)
- 의료방사선 이용에 따른 국민 방사선량 평가 연구, "질병관리청", ~ (2020)
- ACR, "ACR-AAPM Practice Guideline for Diagnostic Reference Levels and Achievable Doses in Medial X-ray Imaging. ACR Practice Guideline. American College of Radiology", ACR-AAPM Resolution 47, ~ (2013)
- BfS, "Bundesamt für Strahlenschutz Bekanntmachung der diagnostischen Referenzwerte für radiologische und nuklearmedizinische Untersuchunge", BfS, ~ (2003)
- BfS, "Diagnostische Referenzwerte für diagnostische und interventionelle Röntgenanwendungen", ~ (2010)
- BfS, "Bekanntmachung der aktualisierten diagnostischen Referenzwerte für diagnostische und interventionelle Röontgenanwendungen", ~ (2016)
- CRCPD, "Nationwide Evaluation of X-ray Trends (NEXT): Evaluation of Past Impact, Current Status, and Future Plans", Conference of Radiation Control Program Directors (1990)
- NEXT Report Tabulation and Graphical Summary of the 2014-2015 Dental Survey, "CRCPD", ~, pp.CRCPD Publication E-16-2 (2019)
- Implementation of the Medical Exposure Directive. Luxembourg: European Commission, "EC", ~, pp.EC Radiation Protection Report 102 (1998)
- European Guidance on Estimating Population Doses from Medical X-Ray Procedures, "EC", European Commission, ~, pp.EC Radiation Protection Report 154 (2008)
- Diagnostic Reference Levels in Thirty-six European Countries, "EC", European Commission, ~, pp.EC Radiation Protection Report 180 part 2 (2014)
- HPA, "Doses to Patients Arising from Dental X-ray Examination in the UK 2002-2004. Chilton, Didcot, Oxfordshire OX11 0RQ: Health Protection Agency; HPA-RPD-022", ~ (2007)
- HPA, "Doses to Patients from Radiographic and Fluoroscopic X-ray Imaging Procedures in the UK-2010 Review", ~ (2012)
- "Chilton, Didcot, Oxfordshire OX11 0RQ: Health Protection Agency; HPA-CRCE-034", ~
- IAEA, "International Basic Safety Standards for Protection against Ionizing Radiation and for the Safety of Radiation Sources", IAEA Safety Series No. 115, ~ (1996)
- Dosimetry in Diagnostic Radiology: An International Code of Practice, "IAEA", 457~, pp.IAEA Technical Report Series No.457 (2007)
- 1990 Recommendations of the international Commission on Radiological Protection, "ICRP", ICRP, ~, pp.ICRP Publication 60 (1990)
- Radiological Protection and Safety in Medi, "ICRP", ICRP, ~, pp.ICRP Publication 73 (1996)
- Managing Patient Dose in Digital Radiology, "ICRP", ICRP, ~, pp.ICRP Publication 93 (2004)
- Diagnostic Reference Levels in Medical Imaging, "ICRP", ICRP, ~, pp.ICRP Publication 135 (2017)
- ICRU, "The International Commision on Radiation Units and Measurements", International Commission on Radiation Units and Measurements, ~ (2005)
- J-RIME, "Diagnostic Reference Levels Based on Latest Surveys in Japan", ~ (2015)
- J-RIME, "National Diagnostic Reference Levels in Japan", ~ (2020)
- 이민영, "Review of National Diagnostic Reference Levels for Interventional Procedures", 의학물리, 30(4), pp.75~88 (2019), 한국의학물리학회[DOI]
- A National Survey of Doses to Patients Undergoing a Selection of Routine X-ray Exposures in English Hospitals Chilton, "NRPB", National Radiological Protection Board, ~, pp.NRPB-R200 (1986)
- Dose to Patients from Medical X-ray Examinations in the UK - 1995 Review, "NRPB", National Radiological Protection Board, ~, pp.NRPB-R289 (1995)
- Dose to Patients from Medical X-ray Examinations in the UK - 2000 Review, "NRPB", National Radiological Protection Board, ~, pp.NRPB-W14 (2000)
- Reference Levels and Achievable Doses in Medical and Dental Imaging: Recommendations for the United States, "NCRP", NCRP, ~, pp.NCRP Report No. 172 (2013)
- PHE, "Dose to Patients from Dental Radiographic X-ray Imaging Procedures in the UK", PHE-CRCE-59, ~ (2019)
- Poppe B, "Dose-Area Product Measurements in Panoramic Dental Radiology", Radiat. Prot. Dosimetry, 123, pp.131~134 (2006)
- Poppe B, "Radiation Exposure and Dose Evaluation in Intraoral Dental Radiology", Radiat. Prot. Dosimetry, 123, pp.262~237 (2007)
- Tampere University of Technology, "Cone-Beam Computed Tomography Examinations of the Head and Neck Region in Finland", ~ (2016)
- Sources and effects of ionizing radiation, "UNSCEAR", UNSCEAR, ~ (2010)
