방사선의 산업적 이용에 따른 방사선 안전관리 지식 조사

류영환(Younghwan Ryu),동경래(Kyungrae Dong),정운관(Woonkwan Chung),조재환(Jaehwan Cho),박용순(Yongsoon Park),정홍량(Hongryang Jung) 한국방사선학회 2012 한국방사선학회 논문지 Vol.6 No.3

본 연구의 목적은 방사선의 사업적 이용에 따른 방사선발생장치 또는 방사성동위원소 등(이하 방사성동위원소 등)을 운용하는 방사선작업종사자를 대상으로 방사선안전관리와 관련된 지식의 설문 조사하고 이를 체계적으로 추이분석 함으로서 방사선 이용시설 등의 방사선안전 문화를 정착시키기 위함에 있다. 연구 방법은 2011년 08월 01일 부터 09월 05일 까지 861 명의 방사선 종사자를 대상으로 설문 조사를 하였다. 분석 방법으로 설문 응답자의 일반적인 특성과 기관정보는 빈도 분석을 하였으며 방사선안전관리에 대한 지식 수준은 평균과 표준편차를 구하여 각각 비교하였다. 분석 결과 작업 종사자의 방사선 안전 관리에 대한 지식 조사에서는 종사자 모두 높은 수준으로 평가 되었다. 결론적으로 방사선 작업종사자들의 방사선 안전관리와 관련하여 보다 다양한 요인들에 대한 연구들이 수행되어야 하며 작업종사자들의 의식을 높이기 위해서 시기적절한 교육이 필요할 것으로 사료되며, 지속적으로 방사선 작업종사자들을 관리함으로써 효율적인 방사선이용이 될 수 있는 기반이 확립될 것으로 사료된다. The purpose of this study was examine via a survey the knowledge related to radiation safety management (RSM) among radiation workers who operated or used a radiation generator or radioactive isotopes (radioactive isotopes, etc. hereinafter) for industrial use and to systematically analyze the changes in the survey results in order to promote a radiation safety culture for facilities where radiation is used. We administered a questionnaire to 861 radiation workers in the period from August 1 to September 5, 2011. As for the analysis method, a frequency analysis was made for the general characteristics and organization information of survey respondents, while the average and standard deviation were calculated and compared for the knowledge level of the RSM. According to the analysis results, the knowledge level of the RSM was evaluated to be high in all of the radiation workers. In conclusion, it is required to conduct a study on various factors in regards to the RSM among radiation workers. This can contribute to establishing educational programs in a timely manner to increase the awareness of safe and efficient use of radioactive materials and equipments by radiation workers.

핵의학과 방사선작업종사자의 말단 및 수정체 선량에 대한 인식도 조사

류영환 ( Younghwan Ryu ),서민영 ( Minyoung Seo ),동경래 ( Kyungrae Dong ) 조선대학교 공학기술연구원 2015 공학기술논문지 Vol.8 No.3

Radiation workers working in nuclear medicine department are exposed to radiation, especially in extremities and the eye lens, due to their work consisting of distributing radioactive isotopes and injecting patients with the radiological materials. The assessment of radiological exposure to the extremities and the eye lens using whole body effective dose assessment method cannot be deemed valid; Because the extremities and the eye lens cannot be constantly protected, there needs to be another dose assessment method. Despite the apparent error in the current assessment method, radiation workers in nuclear medicine department overlook exposure to radiation in the extremities and the eye lens, leading to the current lack of exposure dose control. As such, we set out to understand the radiation workers’ level of knowledge and awareness in this issue by surveying 33 radiation workers working in Korean nuclear medicine department. As for the level of knowledge about the dosimeter for extremities and the eye lens, most radiation workers were aware that radiation exposure in the extremities and the eye lens took place during their work, as well as yearly exposure dose limit, but they were not as knowledgeable about the dosimeter. In the assessment of the radiation workers’ awareness of dosimeter, these professionals acknowledged the necessity of wearing a dosimeter to manage the exposure dose in the extremities and the eye lens, although their level of understanding and trust for these products were rather low. In the current usage of dosimeters in nuclear medicine department, it was revealed that most radiation workers do not wear dosimeters during their work, which led to the lack of exposure dose assessment during distribution and injection tasks. As such, the current study concludes that policies on exposure dose measurement and assessment are required to optimize the amount of exposure to the extremities and the eye lens in radiation workers, in addition to continued education and training to change awareness about controlling the exposure dose.

핵의학과 방사선작업종사자의 전면, 후면 피폭선량 측정

성경정 ( Kyeongjeong Seong ),서민영 ( Minyoung Seo ),동경래 ( Kyungrae Dong ) 조선대학교 공학기술연구원 2015 공학기술논문지 Vol.8 No.3

The current study had the radiation workers working in nuclear medicine department wear individual exposure dosimeters in the front and in the back, considering the underestimated individual exposure to radiation from patients undergoing radiological medicine treatment. The utility of the device was assessed in the study. From January 2015 to February 2015, 85 radiation workers working in 11 Korean nuclear medicine department were analyzed by their workplace and their specialty; PET-CT and gamma cameras were used to analyze the radiation exposure in the front and the back of the radiation workers. This revealed that the exposure measurement and assessment using the dosimeter worn on the front were not underestimated. However, because this measurement did not take into account the adequate radiation weighting factor for the back side dosimeter, a radiation exposure assessment algorithm for the back side radiation exposure must be developed, which can be used as a basic data for introducing double dosimeter for radiation workers working in nuclear medicine department.

중년여성 골다공증과 체질량지수와의 관계 분석

임종덕(Jongduek Lim),정재은(Jaeeun Jung),박철우(Cheolwoo Park),동경래(Kyungrae Dong),김호성(Hosung Kim),김순근(Sungeun Kim) 한국방사선학회 2011 한국방사선학회 논문지 Vol.5 No.6

일반적으로 중년여성의 골다공증은 저체중에서 발생률이 높은 것으로 보고되었으나 비만인 경우에도 발생할 수 있다. 따라서 본 연구의 목적은 골밀도 검사에서 골다공증으로 진단받은 중년여성 120명을 대상으로 골다공증과 체질량 지수의 상관관계를 비교하고자 하였다. 체질량지수가 18.5 미만을 저체중, 18.5 ~ 22.9를 정상, 23.0 ~ 24.9를 과체중, 25.0 ~ 29.9를 비만, 30.0 이상인 경우를 고도비만으로 하였다. 연구 결과 대상자의 체질량지수 분포는 저체중이 2명(1.7%), 정상이 18명(15.0%), 과체중이 19명(15.8%), 비만이 75명(62.5%), 고도비만이 6명(5.0%) 이었다. 또한 체질량지수와 골다공증의 상관관계는 체질량지수가 정상인 경우 18명 중 13명(72.2%)이 골다공증 이었으며 과체중의 경우 19명 중 14명(73.7%), 비만의 경우 75명 중 63명(84%), 고도비만의 경우 6명 중 5명(83.3%)로 나타나 체질량지수가 비만인 경우에서 골다공증 발생률이 높았다. 결론적으로 중년여성의 골다공증은 체질량지수가 비만일수록 골다공증 환자가 많다는 것을 알 수 있었으며 대부분 골감소증보다는 골다공증이 높게 나타남을 알 수 있었다. Generally, the osteoporosis of a middle-aged women have been reported that was a high risk in underweight, but the obese women have feasible osteoporosis. Therefor, the subjects were 120 middle-aged women that were diagnosed with osteoporosis in the bone mineral densitometer (BMD), this study was done for the purpose of analyzing the relationship between osteoporosis and body mass index (BMI) of the middle-aged women. We were determined BMI which was less than 18.5 underweight, 18.5 to 22.9 normal, 23.0 to 24.9 overweight, 25.0 to 29.9 obesity and extremely obesity were more than 30. When we examined the BMI distribution of the subjects, it was 2 women (1.7%) for underweight, 18 women (15.0%) for normal, 19 women (15.8%) for overweight, 75 women (62.5%) for obesity and 6 women (5.0%) for extremely obesity. Also, the relationship between osteoporosis and BMI of the subjects, it was the osteoporosis in 13 cases out of 18 (72.2%) with normal, in 14 case out of 19 (73.7%) with overweight, in 63 case out of 75 (84%) with obesity, in 5 case out of 6 (83.3%) with extremely obesity, besides, the osteoporosis usually marks the highest in a BMI with obesity. In conclusion, the result of analyzing the relationship between osteoporosis and BMI, we found out that the osteoporosis of the middle-aged women was high risk with obesity, and that was mostly higher the osteopenia rather than osteoporosis.

촬영 빈도수 및 소독 주기에 따른 영상의학과 감염 관리

이재승(Jaeseung Lee),정규환(Kyuhwan Jeong),김경희(Gyounghee Kim),임인철(Inchul Im),권대철(Daecheol Kweon),구은회(Eunhoe Goo),동경래(Kyungrae Dong),정운관(Woonkwan Chung) 한국방사선학회 2011 한국방사선학회 논문지 Vol.5 No.2

Questionnaires were distributed to Radiology departments at hospitals with 300 sickbeds throughout the Pohang region of North Gyeongsang Province concerning awareness and performance levels of infection control. The investigation included measurements of the pollution levels of imaging equipment and assistive apparatuses in order to prepare a plan for the activation of prevention and management of hospital infections. The survey was designed to question respondents in regards to personal data, infection management prevention education, and infection management guidelines. The ATP Public Heath Monitering System was used to measure seven items for pollution levels of imaging equipment and assistive apparatuses in the Radiology Department. Data was analysed using SPSS version 12.0 for paired t-test and Pearson coefficient with a statistically significant level of 0.05. The results of the survey showed a total awareness level of infection management prevention education averaged at 3.73 ± 0.64 and performance levels resulted at 3.39 ± 0.83 which were statistically significant (p = 0.01). Also the measurements of pollution levels for equipment with high patient contact showed a Pearson Coefficient of over 0.5 implying a focus on pathogenic bacterium. There was no statistical significance with the frequency of imaging (p <0.05). Therefore for general hospitals with high patient contact, there is a need to supply analyzing equipment for real time monitoring and the implementation of disinfection management that uses a Ministry of Health and Welfare approved antiseptic solution twice every minute. 경상북도 포항지역의 300병상 규모의 병원에서 영상의학과의 감염관리에 대한 인지도 및 수행도를 설문 조사하고 촬영 장비 및 보조기구 등의 오염도를 측정하여 병원감염의 예방과 관리를 활성화하기 위한 방안을 마련하고자 하였다. 설문 조사는 응답자의 인적사항, 감염관리 예방교육, 감염관리지침에 따른 영역별 질의로 구성되어 있으며 오염도 측정은 ATP 공중위생 모니터링 시스템을 이용하여 영상의학과 촬영 장비 및 보조기구들에 대하여 7개 항목을 측정하였다. 자료의 분석은 SPSS version 12.0에서 paired T-test, Pearson의 상관분석을 이용하였으며 유의확률은 0.05이하(p<0.05)로 검정하였다. 설문조사 결과 감염관리위원회의 설치 및 담당부서, 감염관리 지침서를 구비하고 있었으나 감염관리 예방교육에 대한 전체 인지도는 평균 3.73 ± 0.64, 수행도는 3.39 ± 0.83으로 비교적 낮게 조사되었으며 유의한 차이를 보였다(p = 0.01). 또한 오염도 측정 결과 환자의 접촉이 많은 기구에서 Pearson 상관계수가 0.5보다 크게 나타나 병원균이 집중되어 있음을 알 수 있었으며 촬영 빈도수는 유의한 차이를 보이지 않았으나(p> 0.05) 소독주기는 유의한 차이를 보였다(p <0.05). 따라서 환자의 접촉이 많은 종합병원의 경우 실시간 모니터링이 가능한 분석기를 비치하고 보건복지부가 고시한 소독액을 이용한 1분 이상 2회의 주기적인 소독 관리가 필요할 것으로 사료된다.

자기공명 담도췌장조영술에서의 SPIO 조영제의 유용성 평가

홍인식(Insik Hong),이해각(Haekak L ee),조재환(Jaehwan Cho),김현주(Hyeonju Kim),장현철(Hyuncheol Jang),박철수(Cheolsoo Park),이선엽(Sunyeob Lee),구은회(Eunhoe Goo),동경래(KyungRae Dong),조무성(MooSeong Cho) 한국방사선학회 2011 한국방사선학회 논문지 Vol.5 No.3

The purpose of this study was to examine the usefulness of SPIO contrast agent in Magnetic Resonance Cholangiopancreatography (MRCP) by performing a quantitative comparative analysis in patients undergoing MRCP for gallbladder stones with and without oral injection of SPIO (Superparamagnetic iron oxide) contrast agent. The subjects were 36 patients undergoing MRCP for suspected gallbladder stones between January 2009 and February 2010 and they were divided into halves to compare the two groups of with and without SPIO agent. For each subject in both the injected and non-injected group, T2-weighted images on a 1.5T MR scanner were obtained, using both the breath-holding and respiratory-triggered methods, respectively. The following regions were measured; for breath-hold T2-weighted images, the measurement regions were located at the central part of the gallbladder, and the areas 15 ㎜ away from its center, toward the front and back, respectively, which were chosen to include surrounding tissues, while for respiratory-triggered T2-weighted images, at the central part of the gallbladder, and segment 5 and 6 of liver. In a quantitative analysis, average signal to noise ratio (SNR) in each of regions of interest (ROI) for each group were calculated and then average contrast to noise ratio (CNR) in each of ROI were obtained by using the SNR in the gallbladder as the basis to compare and analyze the values between the two groups. The CNR were higher for the injected group in those regions. 담낭 결석 환자 중 MRCP를 시행한 환자를 대상으로 SPIO 제제의 조영제를 경구 주입 전, 후를 정량적으로 비교 분석하여 그 유용성을 알아보고자 하였다. 2009년 01월부터 2010년 02월까지 담석증을 보이는 환자 36명을 대상으로 SPIO를 경구 투입한 그룹과 투입하지 않은 그룹으로 나누어 1.5T MR scanner를 사용하여 호흡 정지 기법과 호흡 유발 기법을 이용한 T2강조 영상을 획득 하였다. 측정 부위는 호흡 정지 기법을 이용한 T2강조 영상에서는 담낭의 중앙부위와 주위 조직의 측정을 위해 담낭 중앙을 기준으로 전, 후로 각각 15㎜ 떨어진 부위에 위치시켰으며 호흡 유발기법을 이용한 T2강조 영상에서는 담낭의 중앙 부위와 간의 5,6 구역에 위치시켰다. 실험에 대한 정량적 분석방법으로 두 그룹에서 관심영역의 신호대 잡음비를 구하고 평균화 하였으며 담낭의 신호대 잡음비를 기준으로 각각 관심영역의 대조도대 잡음비를 구하고 평균화 하여 두 그룹 간에 수치를 비교 분석하였다. 두 그룹에서의 대조도대 잡음비는 투입한 그룹에서 높은 대조도대 잡음비를 보였다.

전ㆍ의경의 방사선 검사를 통한 근골격계 질환 현황 조사

조재환(Jaehwan Cho),강맹진(Maengjin Kang),석종민(Jongmin Seok),전성준(Sungjoon Jeun),임윤식(Younshik Lim),정재교(Jaekyo Jeong),김현주(Hyeonju Kim),주명식(Myeongshik Ju),동경래(KyungRae Dong),박철수(Cheolsoo Park),이진(Jin Lee),이해각(H 한국방사선학회 2011 한국방사선학회 논문지 Vol.5 No.6

본 연구는 전ㆍ의경에 대한 체계적이고 효율적인 인적자원 관리를 위한 기초 자료로써의 성격을 갖는다. 우선 전ㆍ의경과 경찰관을 대상으로 방사선 검사 중 단순 X-선검사, CT 검사, MRI 검사를 시행한 환자를 대상으로 분석을 실시하였다. 질환별 분류에 있어서는 신체부위별로 일반 질환과 근 골격계 질환으로 분류하였다. 근 골격계 질환은 다시 검사 부위별로 세분화하여 분석하였다. 경찰관과 전 의경의 정량적 비교에 있어서는 단순 X-선검사, 전산화 단층 촬영술, 자기공명영상검사의 부위별 평균 인원을 비교하였다. 연구 결과 전 의경은 단순 X선 검사, CT 검사, MRI 검사 등세 검사 모두 Lower extremity 검사가 다른 부위에 비해 가장 많이 차지하고 있으며 Lower extremity 검사 중에서 특히 Knee 검사 비율이 가장 많이 차지하고 있다. The purpose of this study was to use as basic data for the is systematic and efficient facility inventory of policeman and the riot police, conscripted policeman. First, the analysis was performed for the patient implementing the simple x-ray, CT, and MRI examination to the policeman and the riot police, conscripted policeman within the radiologic examination. As to the classification by disease, it classified into the partial body as the common disease and musculoskeletal system disease. As to the fixed quantity comparison of the policeman and the riot police, conscripted policeman the basic X-ray, CT, MRI examination by part average personnel was compared. As to the research result the riot police, conscripted policeman, the Lower extremity examination occupies the simple X-ray, CT, and MRI examination in comparison with the other part altogether much and particularly, the Knee examination ratio occupies much among the Lower extremity examination.