Earticle

초록

한국어

급성기 허혈성 뇌졸중 증상이 있는 뇌 관류 CT 검사를 시행한 환자를 대상으로 장비사가 제시한 고정 시간 기법(Fixed time technique)과 조영제 추적 기법(Bolus tracking technique)을 비교하여 환자의 피폭선량을 분석하고자 하였으며, 조영제 추적 기법의 유용성과 최적의 조영증강 구간을 구현하는 Time graph를 알아보기 위한 것이다. 환자에서는 PCT의 CTDIVOL은 고정시간기법에서 431.72mGy, Bolus tracking에서 323.61mGy로 측정되었고, DLP값은 고정시간기법에서 1243.47mGy․cm, Bolus tracking에서 932mGy․cm로 측정되었다. Time graph는 고정시간기법에서 다양하게 나타났으나, Bolus tracking 기법에서는 최적의 Time graph를 얻을 수 있었으며, 뇌 관류 CT검사 시 Bolus tracking기법을 적용하여 피폭선량을 25% 정도 감소시킬 수 있었다.

영어

This study was conducted to analyze the patient’s exposed dose targeting the patients who had acute ischemic stroke symptoms and CT brain perfusion scan, by comparing fixed time technique and bolus tracking technique which was provided by the manufacturer and to identify the Time graph to implement the usability of contrast medium’s tracking technique the best contrast enhancement intervals. CTDIVOL of PCT in patient appeared to be 431.72mGy in fixed scan delay protocol, whereas 323.61mGy in Bolus tracking technique. The value of DLP appeared to be 1243.47mGy․cm in fixed scan delay protocol, whereas 932mGy․cm in Bolus tracking technique. Time graph appeared to be various in fixed scan delay protocol, whereas the optimal time graph could be obtained in Bolus tracking. The exposure dose could be reduced by 25% applying Bolus tracking technique when taking brain perfusion CT scan.

목차

Abstract
 요약
 1. Introduction
 2. Materials and Methods
  2.1 Materials
  2.2 Equipment
  2.3 Method of measuring the exposure dose
  2.4 The evaluation of effective dose and time graph
  2.5 Statistical methods
 3. Results
  3.1 Measurement of exposure dose of patients
  3.2 The evaluation of effective dose for patients
  3.3 Time graph evaluation
 4. Conclusions and discussion
 References

저자

• Ki-Jeong Kim [ 김기정 | Dept. of Health Care, Hanseo University, Dept. of Diagnostic Radiology, Konkuk University Hospital ]
• Hong-Ryang Jung [ 정홍량 | Dept. of Diagnostic Radiology, Konkuk University Hospital ] Corresponding Author
• Cheong-Hwan Lim [ 임청환 | Dept. of Diagnostic Radiology, Konkuk University Hospital ]
• Dong-Hee Hong [ 홍동희 | Dept. of Diagnostic Radiology, Konkuk University Hospital, Dept. of Radiological Science, Far east University ]
• Jae-Goo Shim [ 심재구 | Dept. of Diagnostic Radiology, Konkuk University Hospital, Dept. Oncology, Samsung Medical Center ]
• In-Gyu You [ 유인규 | Dept. of Diagnostic Radiology, Konkuk University Hospital, Dept. of Dignostic Radiology, Hallym University Hospital ]

참고문헌