본문 바로가기
KERD
논문KCI 등재

파노라마 촬영의 피폭선량에 관한 문헌분석 연구

A Literature Review and Analysis of Dosimetry in Panoramic Radiography

김수경|이경희|정재은|송운흥|동경래|권대철|김욱태|이청재|마상철
대한방사선과학회 (Korean Society of Radiological Science)|2010.03|Journal of Radiological Science and Technology|제33권 제1호|pp. 1-10

2

조회

0

다운로드

11

인용

0

참고문헌

키워드

선량Dose파노라마 촬영Panoramic radiography
주제분류방사선과학

초록

치과파노라마 촬영은 구강에 대한 선량의 증가와 안전관리가 필요하여 이에 대한 안전관리 및 장치관리에 대한 실태의 조사와 연구가 필요하다. 치과파노라마 촬영에 대한 기본 데이터 확보와 파노라마 촬영에 대한 국내 및 국외의 문헌에 대한 보고와 조사가 전무하여 이에 대한 조사 및 선량의 측정이 필요하다. 파노라마 촬영에 따른 유효선량, DAP, DWP를 분석하였고, ICRP에서 규정한 흡수선량과 가중계수 및 논문에서 국외의 진단참고준위를 참고하였다. 파노라마 촬영은 방사선의 피폭에 따른 환자에게 위험도를 수반하므로 진단참고준위를 참조하여 환자의 방사선 방어를 최적화해야 한다. 또한 파노라마 방사선 촬영은 부위에 따라 흡수선량의 차이가 있어 선량에 가능한 노출되지 않도록 해야 한다.

Abstract

Dental panoramic radiography is an imaging technique which shows the information of teeth, jaws and superficial structures on a single image. In this study, we propose the clinical dose reference for dental panoramic radiography. Dental panoramic radiography is an application which can increase the radiation does of oral cavity. It is very important to study the real condition of management for these panoramic X-ray equipments. Since there was no researches on dental panoramic equipments in domestic and foreign study groups, we measured and analyzed the dose such as effective dose, DAP and DWP of panoramic radiography.

참고문헌 (57)

  1. 김병삼, "파노라마 촬영시 두경부 주요기관에 대한 흡수선량 분포", 치과방사선, 20(2), pp.253~264 (1990)
  2. 김애지, "각이등분법 및 평행법에 의한 전악 구내 표준촬영시 두경부 피부흡수선량 비교", 치과방사선, 20(2), pp.315~333 (1990)
  3. 조봉혜, "파노라마 촬영시의 두경부 주요기관의 등가선량, 유효선량 및 위험도", 치과방사선, 25(2), pp.437~445 (1995)
  4. Avendanio B, "Effective dose and risk assessment from detailed narrow beam radiography", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 82(6), pp.713~719 (1996)
  5. Cederberg RA, "Effect of the geometry of the intraoral position-indicating device on effective dose", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 84(1), pp.101~109 (1997)
  6. Dula K, "The radiographic assessment of implant patients : decision-making criteria", Int J Oral Maxillofacial Implants, 16(1), pp.80~89 (2001)
  7. Gijbels F, "A comparison of the effective dose from scanography with periapical radiography", Dentomaxillofacial Radiol, 31(3), pp.159~163 (2002)
  8. Velders XL, "Risk assessment from bitewing radiography", Dentomaxillofacial Radiol, 20(4), pp.209~213 (1991)
  9. White SC, "Assessment of radiation risk from dental radiography", Dentomaxillofacial Radiol, 21(3), pp.118~126 (1992)
  10. Danforth RA, "Effective dose from radiation absorbed during a panoramic examination with a new generation machine", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 89(2), pp.236~243 (2000)
  11. Frederiksen NL, "Effective dose and risk assessment from film tomography used for dental implant diagnostics", Dentomaxillofacial Radiol, 23(3), pp.123~127 (1994)
  12. Gori C, "Dose evaluation and quality criteria in dental radiology", Radiat Prot Dosimetry, 90, pp.225~227 (2000)
  13. Lecomber AR, "Optimisation of patient doses in programmable dental panoramic radiography", Dentomaxillofacial Radiol, 29(2), pp.107~112 (2000)
  14. Lecomber AR, "Conference Proceeding : Dose and risk in Dental Radiography", Radiat Prot Dosimetry, 80, pp.249~252 (1998)
  15. Gijbels F, "Diagnostic yield of conventional and digital cephalometric images : a human cadaver study", Dentomaxillofacial Radiol, 30(2), pp.101~105 (2001)
  16. Maillie HD, "Radiation-induced cancer risk in radiographic cephalometry", Oral Surg Oral Med Oral Pathol, 75(5), pp.631~637 (1993)
  17. Visser H, "Dose reduction by direct-digital cephalometric radiography", Angle Orthodontist, 71(3), pp.159~163 (2001)
  18. Dula K, "Hypothetical mortality risk associated with spiral tomography of the maxilla and mandible prior to endosseous implant treatment", Eur J Oral Sciences, 105(2), pp.123~129 (1997)
  19. Scaf G, "Dosimetry and cost of imaging osseointegrated implants with filmbased and computed tomography", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 83(1), pp.41~48 (1997)
  20. Frederiksen NL, "Effective dose and risk assessment from computed tomography of the maxillofacial complex", Dentomaxillofacial Radiol, 24(1), pp.55~58 (1995)
  21. Choi SC, "Difference in radiation absorbed dose according to the panoramic radiographic machines", Korean J Oral Maxillofacial Radiol, 30(1), pp.11~15 (2000)
  22. Choi SC, "Absorbed dose in the full-mouth periapical radiography, panoramic radiography, and zonography", Korean J Oral Maxillofacial Radiol, 29(1), pp.255~260 (1999)
  23. Kaeppler G, "Influence of the rotation centre in panoramic radiography", Radiat Prot Dosimetry, 128(2), pp.239~244 (2008)
  24. Kuba RK, "Radiation dosimetry in Panorex roentgenography. Part 3. Radiation measurements", Oral Surg Oral Med Oral Pathol, 25(2), pp.393~404 (1968)
  25. Weissman DD, "Comparative absorbed doses in periapical radiography. II. Panorex", Oral Surg Oral Med Oral Pathol, 33(4), pp.661~668 (1972)
  26. Stenstroem B, "Comparison between panoramic radiographic techniques. Part IV : absorbed doses and energy imparted from the Orthopantomograph, model OP 10", Dentomaxillofacial Radiol, 16(1), pp.11~15 (1987)
  27. Wall BF, "Doses to patients from pantomographic and conventional dental radiography", Br J Radiol, 52, pp.727~734 (1979)
  28. Underhill TE, "Radiobiologic risk estimation from dental radiology. Part I. Absorbed doses to critical organs", Oral Surg Oral Med Oral Pathol, 66(1), pp.111~120 (1988)
  29. Manson-Hing LR, "Radiation exposure and distribution measurements for three panoramic x-ray machines", Oral Surg Oral Med Oral Pathol, 44(2), pp.313~321 (1977)
  30. Bankvall G, "Absorbed doses in the craniofacial region during various radiographic and radiotherapeutic procedures", Dentomaxillofacial Radiol, 14(1), pp.19~24 (1985)
  31. Bristow RG, "Thyroid dose distribution in dental radiography", Oral Surg Oral Med Oral Pathol, 68(4), pp.482~487 (1989)
  32. Gibbs SJ, "Patient risk from rotational panoramic radiography", Dentomaxillofacial Radiol, 17(1), pp.25~32 (1988)
  33. Takahashi J, "Patient exposures from full mouth roentgenography, orthopantomography and panagraphy", Proceedings of the 3rd International Congress of Maxillofacial Radiology, pp.199~202 (1974)
  34. Altonen M, "A comparative study of radiation doses received during examinations with the Pantomograph, Orthopantomograph, Panorex, Status-X and conven tional roentgen apparatus", Proc. Finn Dent. Soc, 70(1), pp.67~74 (1974)
  35. Bushong SC, "Panoramic dental radiography for mass screening?", Health Phys, 25(5), pp.489~494 (1973)
  36. Nilsson L, "Exposure distribution, absorbed doses, and energy imparted for panoramic radiography using Orthopantomograph model OP 5", Oral Surg Oral Med Oral Pathol, 59(2), pp.212~219 (1985)
  37. International Commission on Radiological Protection, "2007 Recommendations of the International Commission on Radiological Protection", ICRP Publication 103. Ann. ICRP 37, 2~4 (2007)
  38. IAEA, "International basic safety standards for protection against ionizing radiation and the safety of radiation source", IAEA safety series No.115, 279~280 (1996)
  39. Poppe B, "Radiation exposure and dose evaluation in intraoral dental radiology", Radiat Prot Dosimetry, 123(2), pp.262~267 (2007)
  40. Doyle P, "Techniques for measurement of dose width product in panoramic dental radiography", Br J Radiol, 79, pp.142~147 (2006)
  41. Napier D, "Reference doses for dental radiography", Br. Dental J, 186(8), pp.392~396 (1999)
  42. Isoardi P, "Measurement of dose-width product in panoramic dental radiology", Br J Radiol, 76, pp.129~131 (2003)
  43. Perisinakis K, "Determination of dose-area product from panoramic radiography using a pencil ionization chamber : normalized data for the estimation of patient effective and organ doses", Med Phys, 31(4), pp.708~714 (2004)
  44. Williams JR, "Measurements of dose in panoramic dental radiology", Br J Radiol, 73, pp.1002~1006 (2000)
  45. Oduko J, "Optimisation of patient dose and image quality in dental radiology- Over 65 time to retire your OPG?", IPEM Meeting, ~ (2001)
  46. Looe HK, "Dose-area product measurements and determination of conversion coefficients for the estimation of effective dose in dental lateral cephalometric radiology", Radiat Prot Dosimetry, 124(2), pp.181~186 (2007)
  47. Tierris CE, "Dose area product reference levels in dental panoramic radiology", Radiat Protection Dosimetry, 111(3), pp.283~287 (2004)
  48. Stenstroem B, "Effective dose equivalent from intraoral radiography", Swed Den J, 11(1), pp.71~77 (1987)
  49. Helmrot E, "Systematic analysis of a radiological diagnostic system : a method for application in the effective use of X-rays in intraoral radiology", Linkoeping University Medical Dissertations No. 498, ~ (1996)
  50. Visser, H, "Investigation into the Optimization of Periodontal Radiography (Untersuchungen zur Optimierung der parodontologischen Rontgendiagnostik)" (2000), Quintessenz Publishing
  51. Williams JR, "Measurement of dose in panoramic dental radiology", Br J Radiol, 73, pp.1002~1006 (2000)
  52. Perisinakis K, "Determination of dose-area product from panoramic radiography using a pencil ionization chamber : normalized data for the estimation of patient effective and organ doses", Med Phys, 31(4), pp.708~714 (2004)
  53. Looe HK, "Conversion coefficients for the estimation of effective doses in intraoral and panoramic dental radiology from dose-area product values", Radiat Prot Dosimetry, 131(3), pp.365~173 (2008)
  54. 건강보험심사평가원, "2008년 진료비통계지표", 건강보험심사평가원, ~ (2009)
  55. 김은경, "이동용 치과 X선 발생장치의 누설 및 산란 선량에 관한 연구", 대한구강악안면방사선학회지, 37(2), pp.65~68 (2007), 대한구강악안면방사선학회
  56. American Dental Association, "The selection of patients for dental radiographic examinations", American Dental Association, ~ (2004)
  57. Goren AD, "Updated quality assurance self-assessment exercise in intraoral and panoramic radiography. American Academy of Oral and Maxillofacial Radiology, Radiology Practice Committee", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 89(3), pp.369~374 (2000)

관련 논문AI추천

성인과 소아에서 치과 파노라마방사선검사의 환자선량이완, 김경아, 김규태, 김은경, 안서영, 안창현, 윤숙자, 정연화, 한원정, 한진우, 허민석, 황의환대한치과의사협회 · 대한치과의사협회지2017 · 제55권 제8호국내·외 치과촬영에 의한 피폭방사선량 실태조사 현황 분석김광표, 남형우, 이민영, 이병민(사)한국방사선산업학회 · 방사선산업학회지2021 · 제15권 제2호치과 파노라마 촬영에서 공간선량률 분석고종경, 김용민, 박명환대한방사선과학회 · Journal of Radiological Science and Technology2016 · 제39권 제4호이동형 구내방사선촬영기로 촬영한 치근단 방사선촬영과 파노라마방사선촬영의 흡수선량과 유효선량 평가한원정대한치과의사협회 · 대한치과의사협회지2012 · 제50권 제7호우리나라의 구내 치근단 및 파노라마방사선촬영의 진단참고수준이완, 김경아, 김규태, 김은경, 김진수, 안서영, 윤숙자, 이삼선, 전국진, 정연화, 최진우, 한원정, 한진우, 허민석대한치과의사협회 · 대한치과의사협회지2021 · 제59권 제10호Thermoluminescent dosimetry of panoramic radiography서요섭, 유선경치의학연구원 · Oral Biology Research2021 · 제45권 제1호

이 간행물의 다른 논문 (8건)

방사선사의 조직 효과성과 직무 스트레스의 관계고성진, 김정훈, 강세식, 김창수pp. 11-17원위 요골 골밀도의 측정 자세 및 요추 골밀도의 상관관계에 관한 연구전민철, 김용균, 김종진, 서선열, 한만석pp. 19-24경피적 골생검용 아크릴 바늘의 제작과 유용성신명진, 남증희, 우철웅, 오제선, 류지연, 임진오, 신지훈, 김태형pp. 25-29SPECT용 고민감도 콜리메이터를 위한 반복적 영상재구성방법의 시스템 모델 개발이학재, 정진훈, 배승빈, 이기성, 김용권, 김유현pp. 31-36약물용출 스텐트를 이용한 관상동맥중재술 후 재협착의 독립적 예측인자에 관한 연구 : MDCT calcium-scoring 시행 환자 대상으로장성주, 장영일, 한재복, 김인수pp. 37-44
원문 보기