소아 구내촬영 시 방사선량 평가 및 최적화 방안에 대한 연구
A Study of Radiation Dose Evaluation and Optimization Methods for Intra Oral Dental X-ray in Pediatric Patient
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초록
Although intra oral dental x-ray is a lower dose than other radiological examinations, pediatric patients are known to have a higher risk of radiation damage than adults. For this reason, pediatric dental x-ray requires management of dose evaluation and imaging conditions during the examination. In this study, the dose calculation program ALARA-Dental(child/adult) was used to evaluate the organ dose and effective dose exposed to each examination site during intra oral imaging of children during dental radiographic examination, and dose analysis according to the imaging conditions was performed. As a result, the highest organ dose distribution was shown at 0.044 ∼ 0.097 mGy in all are as of the mucous membrane of oral cavity except for the maxillary incisors and canines. Also, in the case of the thyroid gland, the maxillary canine and maxillary premolar examination showed 0.027 and 0.020 mGy, respectively, and the dose distribution was 15.4% to 70.0% higher than that of the mandibular examination. As for the effective dose calculated during intra oral imaging, the maxillary anterior and canine examinations showed the highest effective doses of 0.005 and 0.004 mSv, respectively, and the maxillary area examination showed a higher dose distribution on average than the mandible.
Abstract
Although intra oral dental x-ray is a lower dose than other radiological examinations, pediatric patients are known to have a higher risk of radiation damage than adults. For this reason, pediatric dental x-ray requires management of dose evaluation and imaging conditions during the examination. In this study, the dose calculation program ALARA-Dental(child/adult) was used to evaluate the organ dose and effective dose exposed to each examination site during intra oral imaging of children during dental radiographic examination, and dose analysis according to the imaging conditions was performed. As a result, the highest organ dose distribution was shown at 0.044 ∼ 0.097 mGy in all are as of the mucous membrane of oral cavity except for the maxillary incisors and canines. Also, in the case of the thyroid gland, the maxillary canine and maxillary premolar examination showed 0.027 and 0.020 mGy, respectively, and the dose distribution was 15.4% to 70.0% higher than that of the mandibular examination. As for the effective dose calculated during intra oral imaging, the maxillary anterior and canine examinations showed the highest effective doses of 0.005 and 0.004 mSv, respectively, and the maxillary area examination showed a higher dose distribution on average than the mandible.
참고문헌 (16)
- Tsapaki V, "Radiation protection in dental radiology–Recent advances and future directions", Physica Medica, 44, pp.222~226 (2017)
- Korea Disease Control and Prevention Agency, "Agency. ALARA-Dental(Child", Adult) Program user manual, 2019
- 한수철, "치과 방사선 검사에서 유효선량 평가", 방사선기술과학, 34(1), pp.27~33 (2011), 대한방사선과학회
- 신귀순, "소아 흉부촬영 시 나이와 체격에 따른 입사피부선량", 방사선기술과학, 33(4), pp.327~334 (2010), 대한방사선과학회
- Memon A, "Dental x-rays and the risk of thyroid cancer : A case-control study", Acta Oncologica, 49(4), pp.447~453 (2010)
- Ministry of Food and Drug Safety, "Guidelines for the safe use of portable dental x-ray imaging devices. Radiation Safety Management Series 37", ~ (2014)
- 이정근, "소아 CT 촬영시 방사선 피폭과 저감화 방법", 한국콘텐츠학회 논문지, 14(1), pp.356~363 (2014), 한국콘텐츠학회[DOI]
- Korea Disease Control and Prevention Agency, "Diagnostic reference level guidelines(Dental X-ray)", ~ (2019)
- Kelaranta A, "Radiation exposure to foetus and breasts from dental X-ray examinations : Effect of lead shields", Dentomaxillofacial Radiology, 45(1), pp.20150095~ (2016)
- 정아영, "소아촬영의 방사선 피폭과 저감화 방법", 대한의사협회지, 54(12), pp.1277~1283 (2011), 대한의사협회
- 이영희, "소아 환자에서 방사선 차폐체로 인한 피폭선량과 화질의 변화", 한국방사선학회논문지, 14(7), pp.931~936 (2020), 한국방사선학회[DOI]
- 임청환, "치과 방사선 검사 시 노출 위험성에 따른 피폭선량 방어연구", 한국방사선학회논문지, 5(5), pp.237~244 (2011), 한국방사선학회
- 고종경, "치과 파노라마 촬영에서 공간선량률 분석", 방사선기술과학, 39(4), pp.509~516 (2016), 대한방사선과학회[DOI]
- 유환, "Facial Exposure Dose Assessment During Intraoral Radiography by Radiological Technologists", 방사선기술과학, 37(3), pp.195~201 (2014), 대한방사선과학회
- 강은주, "치과 구내촬영 장비 현황과 방사선 안전 관리 실태 연구", 한국치위생학회지, 16(2), pp.205~214 (2016), 한국치위생학회[DOI]
- 박일, "몬테카를로 방법론을 이용한 구내촬영 검사 시 환자 방사선량 평가", 방사선산업학회지, 10(3), pp.139~144 (2016), (사)한국방사선산업학회[DOI]
