흉부 방사선검사에서 자동노출제어 사용에 관한 연구

Abstract

For general radiological examinations, even in the same area and the same test, the test conditions must be set differently according to the patient. However, since it is impossible to consider the body shape and conditions of patients every time in medical institutions where various patients visit, the tests are conducted by setting the AEC which automatically sets the test conditions. AEC is most commonly used in chest radiography. Therefore, the purpose of this study is to propose the improvement plans for using AEC by measuring the exposure dose and evaluating the image quality according to whether the AEC is used or not, and to provide basic data for AEC research. In the present study, images were acquired while varying tube voltage and test distance according to the use of AEC in chest radiography. The radiation dose was measured by placing the dosimeter in front of the chest phantom, and the CNR and SNR of acquired images were analyzed using Image J. The t-test was conducted for the statistical analysis and the significance was determined at the level of 95%(p<.05). As a result of this study, in the inspection distance (100cm, 140cm, 180cm) according to the use of AEC, high doses were observed when the AEC was used and there was statistically significant difference( p<.05). In the t-test to determine the difference between CNR and SNR depending on whether AEC was used or not, there was no significant difference according to the use of AEC(p>.05). Therefore, when performing chest radiography, if the radiologist establishes the appropriate examination conditions and conducts the examination by not just relying solely on AEC, it may be possible to reduce unnecessary radiation exposure to the patient.