저용량 I-131 투여시 Apron 착용여부에 따른 차폐효과에 대한 고찰

김일수,김호신,류형기,강영직,박수영,김승찬,이귀원,Kim, Ilsu,Kim, Hosin,Ryu, Hyeonggi,Kang, Yeongjik,Park, Suyoung,Kim, Seungchan,Lee, Guiwon 대한핵의학기술학회 2016 핵의학 기술 Vol.20 No.1

Purpose In nuclear medicine examination, $^{131}I$ is widely used in nuclear medicine examination such as diagnosis, treatment, and others of thyroid cancer and other diseases. $^{131}I$ conducts examination and treatment through emission of ${\gamma}$ ray and ${\beta}^-$ ray. Since $^{131}I$ (364 keV) contains more energy compared to $^{99m}Tc$ (140 keV) although it displays high integrated rate and enables quick discharge through kidney, the objective of this study lies in comparing the difference in exposure dose of $^{131}I$ before and after wearing apron when handling $^{131}I$ with focus on 3 elements of external exposure protection that are distance, time, and shield in order to reduce the exposure to technicians in comparison with $^{99m}Tc$ during the handling and administration process. When wearing apron (in general, Pb 0.5 mm), $^{99m}Tc$ presents shield of over 90% but shielding effect of $^{131}I$ is relatively low as it is of high energy and there may be even more exposure due to influence of scattered ray (secondary) and bremsstrahlung in case of high dose. However, there is no special report or guideline for low dose (74 MBq) high energy thus quantitative analysis on exposure dose of technicians will be conducted based on apron wearing during the handling of $^{131}I$. Materials and Methods With patients who visited Department of Nuclear Medicine of our hospital for low dose $^{131}I$ administration for thyroid cancer and diagnosis for 7 months from Jun 2014 to Dec 2014 as its subject, total 6 pieces of TLD was attached to interior and exterior of apron placed on thyroid, chest, and testicle from preparation to administration. Then, radiation exposure dose from $^{131}I$ examination to administration was measured. Total procedure time was set as within 5 min per person including 3 min of explanation, 1 min of distribution, and 1 min of administration. In regards to TLD location selection, chest at which exposure dose is generally measured and thyroid and testicle with high sensitivity were selected. For preparation, 74 MBq of $^{131}I$ shall be distributed with the use of $2m{\ell}$ syringe and then it shall be distributed after making it into dose of $2m{\ell}$ though dilution with normal saline. When distributing $^{131}I$ and administering it to the patient, $100m{\ell}$ of water shall be put into a cup, distributed $^{131}I$ shall be diluted, and then oral administration to patients shall be conducted with the distance of 1m from the patient. The process of withdrawing $2m{\ell}$ syringe and cup used for oral administration was conducted while wearing apron and TLD. Apron and TLD were stored at storage room without influence of radiation exposure and the exposure dose was measured with request to Seoul Radiology Services. Results With the result of monthly accumulated exposure dose of TLD worn inside and outside of apron placed on thyroid, chest, and testicle during low dose $^{131}I$ examination during the research period divided by number of people, statistics processing was conducted with Wilcoxon Signed Rank Test using SPSS Version. 12.0K. As a result, it was revealed that there was no significant difference since all of thyroid (p = 0.345), chest (p = 0.686), and testicle (p = 0.715) were presented to be p > 0.05. Also, when converting the change in total exposure dose during research period into percentage, it was revealed to be -23.5%, -8.3%, and 19.0% for thyroid, chest, and testicle respectively. Conclusion As a result of conducting Wilcoxon Signed Rank Test, it was revealed that there is no statistically significant difference (p > 0.05). Also, in case of calculating shielding rate with accumulate exposure dose during 7 months, it was revealed that there is i 핵의학검사에서 $^{131}I$은 갑상선암 및 질환의 진단, 치료등 핵의학 검사에서 많이 사용되고 있다. $^{131}I$은 ${\gamma}$선과 ${\beta}^-$선을 방출하여 검사와 치료를 할 수 있고, 높은 집적율과 신장을 통한 빠른 배설이 용이 하지만, $^{131}I$(364 keV)은 $^{99m}Tc$(140 keV)보다 고에너지이기 때문에 작업을 수행 시 조작 및 투여 과정에서 $^{99m}Tc$보다 술자의 피폭을 줄이기 위해 외부피폭 방어의 3요소인 거리, 시간, 차폐 중에 차폐에 주안점을 두어 $^{131}I$ 조작 시 차 폐체 착용 전과 후의 피폭선량의 차이를 비교하고자 한다. Apron(보통 Pb 0.5 mm) 착용 시 $^{99m}Tc$은 90%이상이 차폐가 되지만, $^{131}I$은 고에너지이기 때문에 차폐효과가 비교적 낮고, 고용량의 경우 산란선(2차) 및 제동방사선의 영향으로 오히려 더 피폭을 받을 수 있다. 하지만 저용량(74 MBq) 고에너지의 경우 이에 대한 특별한 보고나 Guide Line이 마련되어 있지 않아, $^{131}I$ 조작 시 Apron 착용 유무에 따른 술자의 피폭선량을 정량적으로 분석하고자 한다. 본원 핵의학과에서 2014년 6월부터 2014년 12월까지 7개월 동안 갑상선암 치료 및 진단을 위한 저용량$^{131}I$을 투여하기 위해 방문한 갑상선암 환자를 대상으로 준비과정부터 투여 시까지 연구기간 동안 갑상선, 가슴, 고환 3곳에 Apron 안쪽과 바깥쪽 각각 1개씩 총 6개의 TLD를 부착한 뒤 $^{131}I$검사 과정부터 투여 시 까지의 방사선 피폭선량을 측정하였다. 총 작업시간은 설명시간 3분, 분배시간 1분, 투여시간 1분으로 각각 1인당 5분이내로 설정하였다. TLD 위치설정은 일반적으로 피폭선량을 측정하는 가슴과 방사선 감수성이 높은 갑상선 및 고환으로 설정하였다. 준비과정은 $^{131}I$을 $2m{\ell}$ 주사기를 이용해 74MBq을 분배한 뒤 생리식염수와 희석해 $2m{\ell}$의 용량을 만들어 분배한다. $^{131}I$을 분배 후 환자에게 투여 시 컵에 물을 $100m{\ell}$ 담고 분배한 $^{131}I$을 희석하여 환자 1 m 정도 거리를 두고, 경구투여 한다. 그리고 경구투여 한 $2m{\ell}$ 주사기와 컵을 폐기하는 과정을 Apron과 TLD를 착용한 상태에서 시행하였다. Apron과 TLD는 방사선 피폭이 미치지 않는 보관실에 따로 보관하였고, 서울방사선 서비스에 의뢰하여 피폭선량을 측정하였다. 연구기간 동안 저용량 $^{131}I$ 검사 시 갑상선, 가슴, 고환 부위에 Apron 안과 밖d[착용한 TLD의 매월 누적선량을 인원수로 나눈 결과를 가지고, SPSS Version. 12.0K를 이용해 Wilcoxon Signed Rank Test를 사용하여 통계를 시행하였다. 그 결과 갑상선(p = 0.345), 가슴(p = 0.686), 고환(p = 0.715)은 모두 p > 0.05으로 유의한 차이가 없음을 알 수 있었다. 그리고 연구기간 동안의 총 누적선량의 변화를 백분율로 환산하였을 때, 갑상선 -23.5%, 가슴 -8.3%, 고환 19.0%로 나타났다. Wilcoxon Signed Rank Test를 사용한 결과 통계적으로 유의한 차이가 없는 것으로 나타났다(p > 0.05). 또한 7개월간의 누적선량으로 차폐율을 계산 했을 때 에는 Apron 안쪽과 바깥쪽의 피폭선량의 변화가 불규칙적으로 나타나는 결과를 보였다. 이 결과는 백분율로 표현 시 변화폭이 커보이지만, 누적 피폭선량이 소수점 이하이므로 큰 변화라고 보기 어렵다. 그러므로 고에너지 저용량 $^{131}I$ 투여 시 Apron을 착용유무와 상관없이 일정한 거리를 두고 최

유전적 알고리듬을 이용한 용접변형 해석에 관한 연구

김일수,김학형,장한기,김희진,곽성규,유회수,심지연,Kim, Ill-Soo,Kim, Hak-Hyoung,Jang, Han-Kee,Kim, Hee-Jin,Kwak, Sung-Kyu,Ryoo, Hoi-Soo,Shim, Ji-Yeon 대한용접접합학회 2009 대한용접·접합학회지 Vol.27 No.4

In the process to manufacture for metallic structures, control of welding deformation is one of an important problems connected with reliability of the manufactured structures so that welding deformation should be measured and controlled with quickly and actively. Also, welding parameters which have as lot of effects on welding deformation such as arc voltage, welding current and welding speed can also be controlled. The objectives for this study were to develop a simple 2-D FEM to calculate not only the transient thermal histories but also the sizes of fusion and heat-affected zone (HAZ) in multi pass arc welds including the butt and fillet weld type with dissimilar thickness, and to concentrate on a developed model for the finding the parameters of Godak's moving heat source model based on a GA. The developed model includes a GA program using MATLB and GA toolbox, and a batch mode thermal model using ANSYS software. Not only the thermal model was verified by comparison with Goldak's work but also the developed model was validated with molten zone section experimental data.

펌프 분야 연구동향

김일수,Kim, Il-Su 한국유체기계학회 2007 한국유체기계학회 논문집 Vol.10 No.1

대학사회의 이념적 갈등, 어떻게 극복할 것인가

김일수,Kim, Il-Su 한국대학교육협의회 1989 大學敎育 Vol.42 No.-

용접자동화를 위한 센싱 시스템 개발에 관한 연구

김일수,강봉용,Kim Ill-Soo,Kang Bong-Yong 대한용접접합학회 2006 대한용접·접합학회지 Vol.24 No.3

호스피스는 생명사랑입니다

김일수,Kim, Il-Su 한국호스피스협회 2003 호스피스 학술지 Vol.3 No.2

총.학장 선출, 전체 구성원의 공동참여로

김일수,Kim, Il-Su 한국대학교육협의회 1989 大學敎育 Vol.40 No.-

Al₂TiO₅가 첨가된 쾌삭(快削) SiC 세라믹스

김일수,박정현,이원재,이강호,Kim, Il Soo,Park, Jeong Hyun,Lee, Won Jae,Lee, Kang Ho 한국세라믹학회 2013 한국세라믹학회지 Vol.50 No.6

Machinable SiC ceramics are prepared with the addition of $Al_2TiO_5$. Ready-to-press SiC and $Al_2TiO_5$ powders are mixed and pressureless sintered at $1750^{\circ}C$ and $1850^{\circ}C$ for 1 h. The weight ratios of the SiC and $Al_2TiO_5$ powders are 100 : 0, 100 : 10, and 100 : 20. After sintering, only SiC peaks are detected in the X-ray diffraction analyses. The density, strength, and grain size of the SiC increase with increases in the $Al_2TiO_5$ content and sintering temperature. The $Al_2TiO_5$-doped specimens are easy to micro-hole machine. Based on the density and strength data, the ceramics sintered at $1850^{\circ}C$ can be used as machinable ceramics.

등온선 반경을 이용한 공정변수 모니터링에 관한 연구

김일수,전광석,손준식,서주환,김학형,심지연,Kim, Ill-Soo,Chon, Kwang-Suk,Son, Joon-Sik,Seo, Joo-Hwan,Kim, Hak-Hyoung,Shim, Ji-Yeon 대한용접접합학회 2006 대한용접·접합학회지 Vol.24 No.5

The robotic arc welding is widely employed in the fabrication industry fer increasing productivity and enhancing product quality by its high processing speed, accuracy and repeatability. Basically, the bead geometry plays an important role in determining the mechanical properties of the weld. So that it is very important to select the process variables for obtaining optimal bead geometry. In this paper, the possibilities of the Infrared camera in sensing and control of the bead geometry in the automated welding process are presented. Both bead width and thermal images from infrared thermography are effected by process parameters. Bead width and isotherm radii can be expressed in terms of process parameters(welding current and welding speed) using mathematical equations obtained by empirical analysis using infrared camera. A linear relationship exists between the isothermal radii producted during the welding process and bead width.

대학발전의 특성화를 위한 소고

김일수,Kim, Il-Su 한국대학교육협의회 1992 大學敎育 Vol.56 No.-