In order to demonstrate the value of long-distance radiography, we have studied how distance affects images in chest frontal radiography and compared short-distance and long-distance images in chest lateral radiography. Cardiothoracic ratio(CTR %) of 50 patients with no disease in the chest(10 each at the age of 20~60) were evaluated in Supine AP(100 cm), Sitting AP(100 cm), Sitting AP(180 cm), and Erect PA(180 cm). In lateral radiography, we evaluated and compared left lateral radiography(100 cm and 180 cm) of the patients based on the horizontal maximum of the heart. The average value of CTR(%) were 0.48 in Erect PA(180 cm), 0.52 in Supine AP(100 cm), 0.50 in Sitting AP(100 cm), 0.49 in Sitting AP(180 cm), which were Supine AP(100 cm) > Sitting AP(100 cm) > Sitting AP(180 cm) > Erect PA(180 cm). The average value of Maximum transverse diameter of left of the cardiac(MLD), which showed how much axis of spine was slanted to the left, was 90.67 mm in Erect PA(180 cm), 103.92 mm in Supine AP(100 cm), 93.54 mm in Sitting(100 cm), 89.84 mm in Sitting AP(180 cm), 58.11 mm in the minimum value and 118.79 mm in the maximum value. The average value of Maximum transverse diameter of right side of the cardiac(MRD), which suggested how much axis of spine was slanted to the right, was 47.18 mm in Erect PA(180 cm), 48.12 mm in Supine AP(100 cm), 44.98 mm in Sitting AP(180 cm), and the minimum value 26.84 mm and the maximum value 65.30 mm. There was no standard method to calculate; therefore, the horizontal maximum of the heart was used for lateral radiography. The average value was 121.07 mm in 100 cm and 109.76 mm in 180 cm. Sitting AP(180 cm) among the types was closest to C-PA(180 cm). As a result, during C-AP radiography, long-distance radiography lessened shadow of the heart more than that of short distance, Sitting position more than Supine position.
목차
Abstract Ⅰ. 서론 Ⅱ. 연구대상 및 방법 1. 연구대상 2. 실험기기 및 조건 3. 연구방법 4. 평가기준 Ⅲ. 결과 1. 각 유형별로 측정한 CTR(%) 산출 2. 척추의 중심선을 중심으로 왼쪽으로 치우친심장연(Left cardiac margin)의 최대 횡직경을 나타내는 MLD 3. 척추의 중심선을 중심으로 오른쪽으로 치우친 정도를 나타내는 MRD 4. 촬영 시 Position과 거리에 따른 CTR(%) 5. 연령에 따른 CTR(%)산출방법의 가장 이상적인 기준인 C-PA(180 cm) 6. 측면 촬영시 100 cm, 180 cm 결과(Left lat.기준) Ⅳ. 고찰 Ⅴ. 결론 참고문헌