입원환자 일반촬영 이용량 및 피폭선량: 2018년 입원환자데이터
General Radiography Imaging Usage and Effective Dose of Inpatients: Based on Data from Inpatients in 2018
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In this study, we analyzed the use of general radiography imaging and effective dose in inpatients. Our aim is to help reduce national medical radiation exposure doses and develop rational health-care financial policies. The effective dose for each general radiography was calculated using the ALARA-GR program for 53 types (total: 260 codes) general radiography codes selected from ‘National Health Insurance Care Benefit Cost’. The usage of general radiography was analyzed in the 2018 inpatient patient data of the Health Insurance Review and Assessment Service, and the effective dose for each general radiography was analyzed. 89.00% of inpatients undergo general radiography imaging at least once, with an average of 12.63 scans per person and an effective dose of 1.00 mSv. Those who received support from Medical Aid showed a higher value compared to those who were insured by National Health Insurance, with 17.39 cases and 1.43 mSv (p<.001). Chest had the highest usage rate at 23.12% for general radiography imaging, while L-spine had the highest effective dose at 24.53%. It is estimated that 420 inpatients patients undergo 121 to 820 general radiography imaging procedures per year, and 233 inpatients are estimated to have an annual effective dose of >20.00∼58.25 mSv. Rational use of health-care finances and the practice of medical radiation safety management are essential for the well-being of individuals, the enhancement of quality of life, and the improvement of health-care quality.
Abstract
In this study, we analyzed the use of general radiography imaging and effective dose in inpatients. Our aim is to help reduce national medical radiation exposure doses and develop rational health-care financial policies. The effective dose for each general radiography was calculated using the ALARA-GR program for 53 types (total: 260 codes) general radiography codes selected from ‘National Health Insurance Care Benefit Cost’. The usage of general radiography was analyzed in the 2018 inpatient patient data of the Health Insurance Review and Assessment Service, and the effective dose for each general radiography was analyzed. 89.00% of inpatients undergo general radiography imaging at least once, with an average of 12.63 scans per person and an effective dose of 1.00 mSv. Those who received support from Medical Aid showed a higher value compared to those who were insured by National Health Insurance, with 17.39 cases and 1.43 mSv (p<.001). Chest had the highest usage rate at 23.12% for general radiography imaging, while L-spine had the highest effective dose at 24.53%. It is estimated that 420 inpatients patients undergo 121 to 820 general radiography imaging procedures per year, and 233 inpatients are estimated to have an annual effective dose of >20.00∼58.25 mSv. Rational use of health-care finances and the practice of medical radiation safety management are essential for the well-being of individuals, the enhancement of quality of life, and the improvement of health-care quality.
참고문헌 (22)
- "Assessment of radiation exposure of korean population by medical radiation" (2020)[URL]
- Medical radiation exposure of patients in the united states report No 184, "NCRP", National Council on Radiation Protection and Measurements, ~ (2019)
- Balonov M, "Patient doses from medical examinations in Russia : 2009–2015", Journal of Radiological Protection, 38(1), pp.121~ (2017)[DOI]
- Le Coultre R, "Exposure of the Swiss population by radiodiagnostics : 2013 review", Radiation Protection Dosimetry, 169(1-4), pp.221~224 (2016)[DOI]
- Dreuil S, "Exposure of the French population to ionizing radiations from medical diagnostic procedures in 2012", Radioprotection, 52(1), pp.45~49 (2017)[DOI]
- Girjoaba O, "Romanian medical exposure to ionising radiation in 2012", Radiation Protection Dosimetry, 165(1-4), pp.137~140 (2015)[DOI]
- Zontar D, "Estimated collective effective dose to the population from radiological examinations in Slovenia", Radiology and Oncology, 49(1), pp.99~ (2015)[DOI]
- Hayton A, "Australian per caput dose from diagnostic imaging and nuclear medicine", Radiation Protection Dosimetry, 156(4), pp.445~450 (2013)[DOI]
- "Medical radiation exposure of the European population. Radiat. Protect. 181" (2014)[URL]
- "press release. Survey on national health care resources" (2022)[URL]
- "Cost of health care insurance 2018" (2018)[URL]
- "Development of general radiography dosimetry program for patients of various age including child" (2019)[URL]
- "Standard protocol of general radiography in Korea" (2014)[URL]
- "Accredited organizations" (2019)[URL]
- Gil JW, "General radiography usage and exposure dose of Korean elderly : Based on data from aged patients in 2016", Journal of Radiological Science and Technology, 44(5), pp.495~502 (2021)[DOI]
- "2007 Recommendations of the International Commission on Radiological Protection ICRP Publication 103" (2007)[URL]
- Hamzian N, "Monte Carlo evaluation of effective dose and risk of exposure induced cancer death(REID)for common examinations in stereo radiography(EOS)imaging : Considering age and gender", Journal of Medical Imaging and Radiation Sciences, 53(2), pp.283~290 (2022)[DOI]
- Hui SC, "Radiation dose of digital radiography(DR)versus micro-dose X-ray(EOS)on patients with adolescent idiopathic scoliosis : 2016 SOSORTIRSSD"John Sevastic Award"winner in imaging research", Scoliosis and Spinal Disorders, 11, pp.1~8 (2016)[DOI]
- Łukawska A, "Cumulative effective dose from medical imaging in inflammatory bowel disease", Diagnostics, 11(12), pp.2387~ (2021)[DOI]
- Choi JS, "Cumulative radiation exposure dose of diagnostic imaging studies in breast cancer patients", International Journal of Radiation Research, 17(2), pp.275~281 (2019)[DOI]
- Gilbert CR, "Cumulative radiation dose incurred during the management of complex pleural space infection", BMC Pulmonary Medicine, 21(1), pp.1~8 (2021)[DOI]
- Kim JH, "Cumulative radiation exposures during diagnosis and treatments with diagnostic radiology tools : In patient with hepatocellular carcinoma", Journal of the Korean Society of Radiology, 69(3), pp.243~250 (2013)[DOI]