Longbone 검출기를 이용한 Scanogram의 유효성 평가
Effectiveness Evaluation of Scanogram Using Longbone Detector
1
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Scanogram is that combine several practical images into one image to observation. So it is an important consideration in many clinical situation such as iliac measurement, leg alignment measurement and Scoliosis. Currently, scanogram examinations are mainly conducted for children and elderly patients. In this study, in order to apply the longbone detector to children or elderly patients who are difficult to cooperate with, we compared the longbone detector from D equipment with the G equipment discovery 656 Puls equipment in reproducibility of images, distribution of irradiation dose, scattering dose, irradiation time and image acquisition time. D equipment took more than twice as much time as G equipment. The scattered dose generated about 50% more G equipment than D equipment. In the whole spine scanogram and the measurement length of the lower leg, D equipment was also measured longer than G equipment. However, both methods did not show much difference from the CT scanogram, so there was no problem in measurement. The height of the thyroid radiation dose of G equipment was produced more radiation than D equipment. However, the longbone detector deviated from the x-ray center line relative to the tube rotation method, and was measured lower by the directionality of the measuring instrument, so that the error could not be corrected. In the conclusion of study, using the longbone detector is excellent for applying to children or elderly patients to reduce scattering dose. However, using CR may be useful to normal patients. Because, the image quality may deteriorate due to an imbalance of dose difference in thickness depending on the body part. So, it is useful to using a compensation filter or tube rotation method when we take a whole spine scanogram.
Abstract
Scanogram is that combine several practical images into one image to observation. So it is an important consideration in many clinical situation such as iliac measurement, leg alignment measurement and Scoliosis. Currently, scanogram examinations are mainly conducted for children and elderly patients. In this study, in order to apply the longbone detector to children or elderly patients who are difficult to cooperate with, we compared the longbone detector from D equipment with the G equipment discovery 656 Puls equipment in reproducibility of images, distribution of irradiation dose, scattering dose, irradiation time and image acquisition time. D equipment took more than twice as much time as G equipment. The scattered dose generated about 50% more G equipment than D equipment. In the whole spine scanogram and the measurement length of the lower leg, D equipment was also measured longer than G equipment. However, both methods did not show much difference from the CT scanogram, so there was no problem in measurement. The height of the thyroid radiation dose of G equipment was produced more radiation than D equipment. However, the longbone detector deviated from the x-ray center line relative to the tube rotation method, and was measured lower by the directionality of the measuring instrument, so that the error could not be corrected. In the conclusion of study, using the longbone detector is excellent for applying to children or elderly patients to reduce scattering dose. However, using CR may be useful to normal patients. Because, the image quality may deteriorate due to an imbalance of dose difference in thickness depending on the body part. So, it is useful to using a compensation filter or tube rotation method when we take a whole spine scanogram.
참고문헌 (17)
- Simon W, "Measurements and classifications in musculoskeletal radiology", pp.125~ (2014), Thieme Munich
- Giordano A, "Evaluation of pulmonary ventilation and diaphragmatic movement in idiopathic scoliosis using radioaerosol ventilation scintigraphy", Nucl Med Commun, 18(2), pp.105~111 (1997)
- 정창훈, "하지 각 변형에 대한 임상적 및 방사선적 평가", 대한골절학회지, 30(3), pp.156~166 (2017), 대한골절학회
- Schwab F, "Adult scoliosis : Prevalence, SF-36, and nutritional parameters in an elderly volunteer population", Spine, 30(9), pp.1082~1085 (2005)
- Lafage V, "Pelvic tilt and truncal inclination two key radiographic parameters in the setting of adults with spinal deformity", Spine, 34(17), pp.E599~E606 (2009)
- "Growth youth, spine health advisory" (2016)[URL]
- Noshchenko A, "Predictors of spine deformity progression in adolescent idiopathic scoliosis : A systematic review with meta-analysis", World J Orthop, 6, pp.537~558 (2015)
- Development of the diagnostic reference level of pediatric radiography(10 years old), "Kim HS", Ministry of Food and Drug Safety, ~ (2014)
- Khong PL, "Radiological protection in paediatric diagnostic and interventional radiology. ICRP Publication 121" (2016)
- 조평곤, "흉부 X선 촬영 시 산란선 분포 연구", 한국콘텐츠학회 논문지, 12(7), pp.255~260 (2012), 한국콘텐츠학회[DOI]
- 김순희, "대학병원 간호사의 노인낙상예방 활동과 환자안전문화 인식", 한국생활환경학회지, 20(1), pp.81~87 (2013), 한국생활환경학회
- Suh CH, "A study of long bone measurement by CT scanogram : Comparison with spot scanogram", Journal of Korean Radiological Society, 23(1), pp.105~112 (1987)
- Lee CS, "Idiopathic scoliosis", Journal of Korean Spine Surg, 6(2), pp.288~296 (1999)
- Lee HS, "Review of orthoroentgenography", Journal of Korean Radiological Technologists Association, 24(2), pp.91~94 (1998)
- Jung-Pyo Hong, "A Study on Lower Extremity Scanogram Comparison according to the Examination Method", Journal of The Korean Society of Radiologycal Imaging Technology, 13(1), pp.13~19 (2016)
- Se-Hoon Park, "Evaluation of the distortion rate for different ways of taking radiographs of the long bone", Journal of The Korean Society of Radiologycal Imaging Technology, 13(1), pp.91~97 (2016)
- Choi TJ, "Dose characteristics of total-skin electron-beam irradiation with six-dual electron fields", Radiation Oncology Journal, 16(3), pp.337~345 (1998)
