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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
박경주 (아주의대 진단방사선과학교실)
저널정보
대한영상의학회 대한방사선의학회지 대한방사선의학회지 제33권 제6호
발행연도
1995.1
수록면
883 - 888 (6page)

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초록· 키워드

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Purposes : To compare image quality of storage phosphor digital radiography(DR) with film-screen radiographyin portable chest imaging, and to assess the minimum X-ray dose that can be applied to DR in adults without imagedegradation, and also to compare image qualities of low dose and standard dose DR. Materials and Methods : Ageometrical phantom similar to the human thorax was imaged by a portable radiographic unit with fixed kVp andvariable mAs in both film-screen and DR systems. Three radiologists scored the images by four grades in fourcategories of 1)contrast between mediastinum and lung, 2)definition of the nodule in the lung, 3)definition ofanother nodule through the mediastinal shadow, and 4)grainess(noise: assessed only in DR). Additionally, portablechest images were obtained in 10 patients in a intensive care unit by film-screen, standard dose and half dose DRin consequtive days. The same readers scored the images by four grades in six categories of 1)the lungs and hila, 2)the mediastinum, 3)subphrenic area. 4)musculoskeletal shadow, 5)tubes and lines, and 6)grainess(only in DR). Theimages with superior quality were assessed by paired t-test. Results : In phantom study, the minimum dose ofdigital images scored 3 or more by all readers was 39% of the standard dose. In patient study, DR was superior tofilm-screen radiography in all categories except tube and line. Low dose DR was not inferior to standard dose DRin five categories other than grainess to two readers or more. Conclusion : In portable chest imaging, storagephosphor DR image was superior to conventional film-screen radiography and half dose DR was comparable to standarddose DR despite of more noise. alysed CT scans and follow-up chest radiographs of 22 patients with necrotizing pneumonia, confirmed by biopsy(n=7) and culture(n=15). Inclusion criteria for necrotizing pneumonia was necrotic lowattenuation, with or without cavitation on postcontrast enhanced CT scan. The study group included 15 men andseven women, aged 11-66 years (average:47years). Results : The pathogens of necrotizing pneumonia were Klebsiellaspp(n=7), Enterobacter spp(n=5), Actinomyces spp(n=4), Pseudomonas spp(n=4), Nocardia spp(n=4), and others(n=5).Average duration of pneumonia was 4.1 months. On CT scan, pneumonic consolidations were well-marginated in 14patients and there were cavities on initial CT scan in 16 cases. Margins of the necrotic portion on CT scan werewell-demarcated in majority of the patients(16/22). Low attenuation areas on initial CT scan resulted incavitation, fibrosis and volume loss as shown on follow-up chest radiographs. The larger the necrotic areas on CT, the more the volume loss was. Conclusion : CT findings of necrotizing pneumonia were well-marginated air-spaceconsolidation with low attenuation area, with or without cavity. The extent of necrotic area was closely relatedwith the degree of fibrotic change later on. CT is important tool for diagnosis and prediction of parenchymaldamage in necrotizing pneumonia.
#Radiography #bedside #Radiography #digital #Thorax #radiography

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