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대한간학회지 제8차 춘계학술대회 초록집 : 포스터 전시 ; 종격동 및 복강내 림프절 종대로 림프종과 감별이 곤란하였던 자가면역성 간염 1예
정민규 ( Jeong Min Gyu ),이종협 ( Lee Jong Hyeob ),박수영 ( Park Su Yeong ),김은수 ( Kim Eun Su ),조창민 ( Jo Chang Min ),탁원영 ( Tag Won Yeong ),권영오 ( Kwon Yeong O ),김성국 ( Kim Seong Gug ),최용환 ( Choe Yong Hwan ),배한익 ( 대한간학회 2002 Clinical and Molecular Hepatology(대한간학회지) Vol.8 No.2(S)
부비동 디지털 엑스선검사에서 자동노출제어 조절인자의 최적화를 통한 조사선량 감소 효과
정민규(Min-Gyu Jeong),성열훈(Youl-Hun Seoung) 대한방사선과학회(구 대한방사선기술학회) 2021 방사선기술과학 Vol.44 No.3
The purpose of this study was to reduce dose while maintaining image quality during digital radiographic examination of paranasal sinus by using the automatic exposure control (AEC) system. The tube voltage was set as six stages that increased by about 10 kVp to 70 kVp, 81 kVp, 90 kVp, 102 kVp, 109 kVp and 117 kVp. And then the AEC system conditions were consisted of 9 setting environments, that change mode of the sensitivity (S200, S400, S800) and the density (+2.5, 0, -2.5). We measured automatically exposed tube current (mAs) under 54 conditions with combined these, and assessed SNR and PSNR through the acquired images. In addition, four radiologists performed a qualitative assessment of the acquired images for each combination on a five-point scale of the Likert. As a result, the lowest dose and the highest values of SNR and PSNR in images with a qualitative assessment more than 4 point were the AEC control factors of 90 kVp, S800, D2.5. We applied this condition to the clinical trial, it showed an effect of 83.1% reduction in exposure radiation dose (mR). Therefore, AEC system could be used as dose reduction technology if it understood and used related regulatory factors and physical characteristics.
글라이포세이트 중독 환자에서 포함된 염의 종류에 따른 예후의 차이
정민규 ( Jeong Min Gyu ),금경탁 ( Kyoung Tak Keum ),안성준 ( Seongjun Ahn ),김용환 ( Yong Hwan Kim ),이준호 ( Jun Ho Lee ),조광원 ( Kwang Won Cho ),황성연 ( Seong Youn Hwang ),이동우 ( Dong Woo Lee ) 대한임상독성학회 2021 대한임상독성학회지 Vol.19 No.2
Purpose: Glyphosate herbicide (GH) is a widely used herbicide and has been associated with significant mortality as poisoned cases increases. One of the reasons for high toxicity is thought to be toxic effect of its ingredient with glyphosate. This study was designed to determine differences in the clinical course with the salt-type contained in GH. Methods: This was a retrospective study conducted at a single hospital between January 2013 and December 2017. We enrolled GH-poisoned patients visited the emergency department. According to salt-type, patients were divided into 4 groups: isopropylamine (IPA), ammonium (Am), potassium (Po), and mixed salts (Mi) groups. The demographics, laboratory variables, complications, and their mortality were analyzed to determine clinical differences associated with each salt-type. Addtionally, we subdivided patients into survivor and non-survivor groups for investigating predictive factors for the mortality. Results: Total of 348 GH-poisoned patients were divided as follows: IPA 248, Am 41, Po 10, and Mi 49 patients. There was no difference in demographic or underlying disease history, but systolic blood pressure (SBP) was low in Po group. The ratio of intentional ingestion was higher in Po and Mi groups. Metabolic acidosis and relatively high lactate level were presented in Po group. As the primary outcome, the mortality rates were as follows: IPA, 26 (10.5%); Am, 2 (4.9%); Po, 1 (10%); and Mi, 1 (2%). There was no statistically significant difference in the mortality and the incidence of complications. Additionally, age, low SBP, low pH, corrected QT (QTc) prolongation, and respiratory failure requiring mechanical ventilation were analyzed as independent predictors for mortality in a regression analysis. Conclusion: There was no statistical difference in their complications and the mortality across the GH-salt groups in this study.
자동노출제어장치의 채광창 차폐정도와 농도, 감도의 변화가 관전류량과 영상품질에 미치는 영향
정민규(Min-Gyu Jeong),성열훈(Youl-Hun Seoung) 한국방사선학회 2020 한국방사선학회 논문지 Vol.14 No.5
본 연구에서는 자동노출제어장치(automatic exposure control, AEC)의 채광창 차폐정도와 농도, 감도가 관전류량과 영상품질에 미치는 영향을 분석하였다. 실험에 사용된 장비는 X선관과 간접방식의 디지털검출기가 일체형인 디지털방사선발생장치(Digital Diagnost, Philips, Netherlands)를 사용하였다. 채광창 차폐정도는 3 mm 두께의 납을 이용하여 0%부터 100%까지 12.5%씩 순차적으로 누적 차폐하여 9단계로 구분하였다. 농도는 제조사에서 제시한 3단계(+2.5, 0, -2.5)와 감도 3단계(S200, S400, S800)를 대상으로 하였다. 관전류량 평가는 관전압을 40 kVp로 고정하고 AEC 조절인자들이 교차한 81가지의 조합조건에서 자동 노출된 관전류량을 측정하였다. 영상품질평가는 자체 제작한 원뿔형 피라미드 팬텀의 방사선영상을 육안 평가하여 유효한 영상을 선발하였고 이들의 신호 대 잡음비(signal to noise ratio, SNR)을 측정하였다. 그 결과 관전류량은 채광창 차폐정도가 100%, 감도 S200, 농도 2.5일 때 60.0 mAs로 가장 많이 조사되었으며, 채광창 차폐정도가 0%, 감도 S800, 농도 -2.5일 때 0.9 mAs로 가장 적게 조사되었다. SNR은 채광창 차폐정도가 0%, 감도 S200, 농도 2.5일 때 25.2로 가장 우수하였고, 채광창 차폐정도가 25%, 감도 S800, 농도 -2.5일 때 SNR이 4.7로 가장 낮았다. The purpose of this study was to analysis the effects of shielding area of field configuration with changing of sensitivity and density on tube current (milliampere-seconds, mAs) and image quality in automatic exposure control (AEC) system. The equipment used a digital radiography device (Digital Diagnost, Philips, Netherlands), which has a integral type with an X-ray tube and an indirect digital detector. The AEC system conditions were consisted of 9 setting environments, that mode changing of the sensitivity (S200, S400, S800) and the density (+2.5, 0, -2.5). The tube current evaluated automatically exposed mAs under 81 combination conditions crossed by AEC conditions in fixed at 40 kVp. The image quality evaluated the radiographic images that selected valid images by visual assessment the radiographic images of the self-produced conical pyramid phantom and then measured their signal to noise ratio (SNR). As a result, the maximum tube current was 60.0 mAs that automatically exposed conditions were the 100% of shielding area and the sensitivity of S200 and the density of +2.5. The minimum tube current was 0.9 mAs with non-shielding area and the sensitivity of S800 and the density of -2.5. When the shielded area 0% with the sensitivity of S200 and the density of +2.5, the maximum SNR was the highest as 25.2. But when the shielded area 25% with the sensitivity of S800 and the density of -2.5, the minimum SNR was the lowest as 4.7.
김정수,김성환,전민철,주원하,정민규,김미정,이승열,이태희,성열훈,Kim, Jung-Su,Kim, Sung-Hwan,Jeon, Min-Cheol,Ju, Won-Ha,Jeong, Min-Gyu,Kim, Mi-Jeong,Lee, Seung-Youl,Lee, Tae-Hee,Seoung, Youl-Hun 대한방사선과학회 2018 방사선기술과학 Vol.41 No.6
The purpose of this study was to develop the indirect dosimetry by calculation (IDC) method for diagnostic X-ray equipment. The experiments were performed with inverter type X-ray tubes: Toshiba (E7252X, Japan) and Varian (RAD-14, USA). For the development method, we first applied the standard quality of X-ray beam shown in the TRS457 document, and second, to produce the constants of trendline for the IDC, the total filtration on X-ray beam was subdivided. Third, in order to increase the precision, the energy region was divided into the high energy region and the low energy region and developed by the IDC. In order to verify the IDC, mean dose (mR) values were measured for three Toshiba X-ray tubes and three Varian X-ray tubes at clinical medical institutions and then compared with the IDC on the 2013. As a result, compared with the previous study, the accuracy of the IDC of this study were improved by 2.71% and 9.91% in Toshiba and Varian X-ray tubes, respectively.