건강검진센터의 의료방사선 피폭 품질관리 시스템 구축 운영 경험 보고
Set Up and Operation for Medical Radiation Exposure Quality Control System of Health Promotion Center
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초록
모든 의료방사선 검사는 정당성과 최적화가 확보되어야 한다. 특히 질병의 예방과 조기 진단을 목적으로 하는건강검진에서 방사선 피폭의 최적화를 위한 모니터링은 절대적으로 필요하다. 본 연구에서는 DICOM 규격을 이용하여 건강검진센터의 의료방사선 피폭 품질관리 사례에 대해 보고하고자 한다. 적용된 시스템을 이용하여 건강검진센터의 진단참고 값을 제정하고 이를 통한 품질관리를 시행하였다. CT에서는 전체 703명에 대한 진단참고 값으로 복부검사에서 357.9 mGy·cm, 두부검사에서 572.38 mGy·cm, 심장혈관 칼슘검사에서 55.92 mGy·cm, 저선량 폐 검사에서 53.98 mGy·cm, 경추 검사에서 284.99 mGy·cm, 요추 검사에서 341.85 mGy·cm를 도출 하였으며, 흉부 X선 검사 1955건에 대해 274.0 mGy·cm2과 유방 촬영에서는 6.09 mGy의 진단참고 값를 도출하였다. 본 연구에서 개발된 시스템은 건강검진센터에서 수검자에 조사되는 방사선의 피폭선량을 실시간으로 모니터링하고 이를 이용한 피폭선량의 최적화와 정당화를 위한 품질관리 도구로 활용될 것이다.
Abstract
In this study, standard model of medical radiation dosage quality control system will be suggested and the useful of this system in clinical field will be reviewed. Radiation dosage information of modalities are gathered from digital imaging and communications in medicine(DICOM) standard data(such as DICOM dose SR and DICOM header) and stored in database. One CT scan, two digital radiography modalities and two mammography modalities in one health promotion center in Seoul are used to derive clinical data for one month. After 1 months research with 703 CT scans, the study shows CT 357.9 mGy·cm in abdomen and pelvic CT, 572.4 mGy·cm in brain without CT, 55.9 mGy·cm in calcium score/heart CT, screening CT at 54 mGy·cm in chest screening CT(low dose screening CT scan), 284.99 mGy·cm in C-spine CT and 341.85 mGy·cm in L-spine CT as health promotion center reference level of each exam. And with 1955 digital radiography cases, it shows 274.0 mGy·cm2 and for mammography 6.09 mGy is shown based on 536 cases. The use of medical radiation shall comply with the principles of justification and optimization. This quality management of medical radiation exposure must be performed in order to follow the principle. And the procedure to reduce the radiation exposure of patients and staff can be achieved through this. The results of this study can be applied as a useful tool to perform the quality control of medical radiation exposure
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