공공하수처리시설 운영방식에 따른 성과 차이 분석에 관한 연구

고현수,하동균,Ko, Hyunsoo,Ha, Donggyun 한국수자원학회 2022 한국수자원학회논문집 Vol.55 No.5

This study aims to analyze the differences in performance according to various operation methods (direct management, public consignment, and private agency) of public sewage treatment facilities and derive the most efficient and high level of sewage treatment services to the public based on the research results. To this end, economic performance indicators (sewage treatment cost, sewerage rate) and social performance indicators (water quality, number of civil complaints) were selected, and cross-sectional analysis and longitudinal analysis were used to verify the difference between the averages of three or more groups through one-way ANOVA. As a result of the analysis, cross-sectional analysis, there was no difference in economic performance dimension according to the operating method, but in terms of social performance dimension, it was found that there was a difference according to the operating method. In the case of water quality indicators, the results were superior to those directly managed by public consignment and private agencies in the number of civil complaints. In the longitudinal analysis examining the improvement of performance indicators, there was no significant difference by operation method in most performance indicators. In order to improve the efficiency of public services and improve the service level, various approaches suitable for the characteristics of each service are required in addition to the logic of public consignment or introduction of private agency. In the future, when local governments promote public consignment or private agency, it is necessary to understand and promote the nature of the service, the specificity of each local government, and the needs of service users.

L-spine Bone SPECT/CT에서 획득된 저선량 CT 영상을 이용한 용적 골밀도 결과의 유용성

고현수,박순기,김은혜,최종숙,정우영,이동윤,Hyunsoo Ko,Soonki Park,Eunhye Kim,Jongsook Choi,Wooyoung Jung,Dongyun Lee 대한핵의학기술학회 2023 핵의학 기술 Vol.27 No.2

Purpose: CT scan makes up for the weak point of the nuclear medicine image having a low resolution and also were used for attenuation correction on image reconstruction. Recently, many studies try to make use of CT images additionally, one of them is to measure the bone mineral density(BMD) using Quantitative CT(QCT) software. BMD exams are performed to scan lumbar and femur with DXA(Dual-Energy X-Ray Absorptiometry) in order to diagnose bone disease such as osteopenia, osteoporosis. The purpose of this study is to identify the usefulness of QCT_BMD analyzed with low dose CT images on L-spine Bone SPECT/CT comparing with DXA_BMD. Materials and Methods: Fifty five women over 50 years old (mean 66.4 ± 9.1) who took the both examinations(L-spine Bone SPECT/CT with SIEMENS Intevo 16 and DXA scan with GE Lunar prodigy advance) within 90 days from April 2017 to July 2022, BMD, T-score and disease classification were analyzed. Three-dimensional BMD was analyzed with low dose CT images acquired on L-spine Bone SPECT/CT scan on Mindways QCT PRO^TM software and two-dimensional BMD was analyzed on DXA scan. Basically, Lumbar 1-4 were analyzed and the patients who has lesion or spine implants on L-spine were excluded for this study. Pearson's correlation analysis was performed in BMD and T-score, chi-square test was performed in disease classification between QCT and DXA. Results: On 55 patients, the minimum of QCT_BMD was 18.10, maximum was 166.50, average was 82.71 ± 31.5 mg/cm³. And the minimum of DXA-BMD was 0.540, maximum was 1.302, average was 0.902 ± 0.201 g/cm², respectively. The result shows a strong statistical correlation between QCT_BMD and DXA_BMD(p<0.001, r=0.76). The minimum of QCT_T-score was -5.7, maximum was -0.1, average was -3.2 ± 1.3 and the minimum of DXA_T-score was -5.0, maximum was 1.7, average was -2.0 ± 1.3, respectively. The result shows a statistical correlation between QCT T-score and DXA T-score (p<0.001, r=0.66). On the disease classification, normal was 5, osteopenia was 25, osteoporosis was 25 in QCT and normal was 10, osteopenia was 25, osteoporosis was 20 in DXA. There was under-estimation of bone decrease relatively on DXA than QCT, but there was no significant differences statistically by chi-square test between QCT and DXA. Conclusion: Through this study, we could identify that the QCT measurement with low dose CT images QCT from L-Spine Bone SPECT/CT was reliable because of a strong statistical correlation between QCT_BMD and DXA_BMD. Bone SPECT/CT scan can provide three-dimensional information also BMD measurement with CT images. In the future, rather than various exams such as CT, BMD, Bone scan are performed, it will be possible to provide multipurpose information via only SPECT/CT scan. In addition, it will be very helpful clinically in the sense that we can provide a diagnosis of potential osteoporosis, especially in middle-aged patients.

¹⁸F-FDG Whole Body PET/CT 수검자의 거리별 선량 변화에 따른 방사선 작업종사자의 유효선량 고찰: 환자 고유특성 및 응대시간 측면

김성환,류재광,고현수,Kim, Sunghwan,Ryu, Jaekwang,Ko, Hyunsoo 대한핵의학기술학회 2018 핵의학 기술 Vol.22 No.1

방사선 안전에 대한 관심과 염려가 전 세계적으로 점차 증가되고 있는 가운데, 의료 실무 현장에 종사하는 방사선 작업종사자의 외부피폭 관리 또한 중요한 이슈로 부각되고 있다. 특히, $^{18}F-FDG$WholeBodyPET/CT검사의 경우 높은 에너지의 방사성동위원소를 사용하므로 검사자의 피폭선량 저감화에 더욱 관심을 기울여야 한다. 따라서, 본 연구는 $^{18}F-FDG$ Whole Body PET/CT 수검자의 거리 별 외부선량률을 측정 및 분석하고, 방사선 작업종사자의 업무 행위 별 누적선량을 확인하여 피폭선량 저감화에 도움이 되는 주요한 요소를 알아보고자 한다. $^{18}F-FDG$WholeBody PET/CT검사를 받은 106명의 환자를 대상으로 검사 종료($75.4{\pm}3.3min$) 후 가슴을 기준 0, 10, 30, 50, 100 cm 거리에서 외부선량률을 측정하였다. 환자측면에서 외부선량률에 영향을 줄 수 있는 개별적 요인을 분석하기 위해 성별, 연령, BMI, 금식시간, 당뇨병 유무, 약물 투여정보, 크레아틴 수치 정보를 수집하였다. 수집된 정보의 통계분석은 ANOVA 분석 및 T-test를 시행하였다. 방사선 작업종사자 측면에서 피폭선량에 영향을 줄 수 있는 요인을 분석하기 위해 주사 업무를 하는 3명의 직원($T_1$, $T_2$, $T_3$)과 스캔 업무를 하는 3명의 직원($T_4$, $T_5$, $T_6$)에 각각 Personal pocket dosimeter를 착용시켜 업무시간 동안 누적된 선량을 기록하였다. 또한 방사선 작업종사자 별 응대시간을 측정하여 분석하였다. 각 거리 별 외부선량은 $246.9{\pm}37.6$, $129.9{\pm}16.7$, $61.2{\pm}9.1$, $34.4{\pm}5.9$, $13.1{\pm}2.4{\mu}Sv/hr$로 산출되었다. 환자측면에서, 근거리에서 성별, BMI, 선량, 크레아틴 수치에 의해 유의미한 차이가 있었지만, 거리가 증가할수록 그 차이는 감소하였다. 그 중 크레아틴 수치의 경우 100 cm에서 집단 간 통계적으로 유의한 차이를 보이지 않는 특징이 있었다. 환자 1명으로부터 받은 선량은 주사 업무를 하는 직원($T_1$, $T_2$, $T_3$)의 경우 0.70, 1.09, $0.55{\mu}Sv/person$이었고, 스캔($T_4$, $T_5$, $T_6$)의 경우 1.25, 0.82, $1.23{\mu}Sv/person$이었다. 응대시간이 상대적으로 적은 $T_4$직원의 경우 $T_3$, $T_5$보다 34% 낮은 누적선량을 확인할 수 있었다. 이를 토대로 환자와의 적정거리 유지와 응대시간 감소가 누적선량에 크게 작용함을 알 수 있었다. 위와 같은 점을 고려했을 때, 환자의 충분한 수분 섭취 및 배뇨, 방사선 작업종사자와 환자 간 적정거리유지(최소 100 cm이상) 및 응대시간 감소를 위해 노력해야 할 것이고, 환자의 video tracking system과 장비의 원격조정 등을 통해 피폭선량 저감화를 위해 노력해야 한다. Purpose The purpose of this study is to investigate and analyze the external dose rates of $^{18}F-FDG$ Whole Body PET/CT patients by distance, and to identify the main factors that contribute to the reduction of radiation dose by checking the cumulative doses of nuclear medicine technologist(NMT). Materials and Methods After completion of the $^{18}F-FDG$ Whole Body PET/CT scan($75.4{\pm}3.3min$), the external dose rates of 106 patients were measured at a distance of 0, 10, 30, 50, and 100 cm from the chest. Gender, age, BMI(Body Mass Index), fasting time, diabetes mellitus, radiopharmaceutical injection information, creatine value were collected to analyze individual factors that could affect external dose rates from a patient's perspective. From the perspective of NMT, personal pocket dosimeters were worn on the chest to record accumulated dose of NMT who performed the injection task($T_1$, $T_2$ and $T_3$) and scan task($T_4$, $T_5$ and $T_6$). In addition, patient contact time with NMT was measured and analyzed. Results External dose rates from the patient for each distance were calculated as $246.9{\pm}37.6$, $129.9{\pm}16.7$, $61.2{\pm}9.1$, $34.4{\pm}5.9$, and $13.1{\pm}2.4{\mu}Sv/hr$ respectively. On the patient's aspect, there was a significant difference in the proximity of gender, BMI, Injection dose and creatine value, but the difference decreased as the distance increased. In case of dialysis patient, external dose rates for each distance were exceptionally higher than other patients. On the NMT aspect, the doses received from patients were 0.70, 1.09, $0.55{\mu}Sv/person$ for performing the injection task($T_1$, $T_2$, and $T_3$), and were 1.25, 0.82, $1.23{\mu}Sv/person$ for performing the scan task($T_4$, $T_5$, $T_6$). Conclusion we found that maintaining proper distance with patient and reducing contact time with patient had a significant effect on accumulated doses. Considering those points, efforts such as sufficient water intake and encourage of urination, maintaining the proper distance between the NMT and the patient(at least 100 cm), and reducing the contact time should be done for reducing dose rates not only patient but also NMT.

하천 둔치의 침수양상 분석 연구

안동희(Donghee An),전우열(Wooyeol Jeon),고현수(Hyunsoo Ko) 한국방재학회 2022 한국방재학회논문집 Vol.22 No.5

도시지역의 둔치는 활발한 친수활동 및 커뮤니티의 공간으로 활용되고 있다. 본 연구에서는 둔치가 물에 잠기는 현상을친환경 사회기반시설의 유지관리 위험요인으로 특정하였다. 현재 국내외의 연구에서는 둔치의 침수 양상에 대한 분석 및둔치 복원력 회복의 구체적 방안은 제시되지 않고 있다. 따라서 본 연구에서는 태화강국가정원 일원의 수치모델링을 통해둔치침수의 양상을 분석하고자 한다. InfoWorks ICM 모형을 이용한 분석결과 동일한 수위라 하더라도 수위곡선의 상승부기울기가 가파를수록 침수범위가 증가하는 현상 및 침수의 시작지점의 특정과 확산의 양상을 확인하였다. 이러한 결과를통해 둔치 내 각종 기반시설물의 계획 및 유지관리와 예⋅경보 매뉴얼 구축 등 도시 재난 복원력 강화에 기여할 수 있을것으로 판단된다. River terraces are utilized as a space for water-friendly leisure activities in urban areas and communities. In this study, river terrace flooding was defined and selected as a maintenance risk factor for ecofriendly infrastructure. Previous studies did not propose specific measures for analyzing the pattern of river terrace flooding and restoring river terrace resilience. Therefore, this study attempted to analyze the pattern of river terrace flooding through numerical modeling of the entire Taehwagang National Garden. Based on the analysis results obtained using the InfoWorks ICM model, the higher the slope of the rising part of the water level curve, the higher the inundation range, even if the same water level conditions. Moreover, the specifications of the starting point of the inundation and the diffusion pattern were confirmed. This study contributes to strengthening urban disaster resilience, such as the planning and maintenance of various infrastructural facilities and the provision of forecast and warning manuals.