In foreign countries, the impotance of quality assurance (QA) is increasing, whereas QA evaluation standards are not established properly in Korea. Thus this study was conducted to suggest improved QA evaluation standards and methods by studying/comparing/analyzing the literature in both Korea and foreign countries and prove its suitability through simulated evaluation. result of research in south korea, much check list using the evaluation method subjective, the evaluation of accuracy and reproducibility is meausred in the number of missing. Therefore, attempts to present a clear reference evaluation and objective way to solve the problem, examined the accuracy and reproducibility and 10times of measurement. The results of the simulated evaluation satisfied both proposed evaluation standards and methods. However the QA evaluation standards and methods for the items that are implemented only in Korea and high-contrast spatial resolution could have been established. In this regard, there is a need of further studies on the establishment of QA evaluation standards and methods that suits Korean situation.
In 1895, the discovered X-ray is used for not only in this field of medicine wide but also field. The detection of radiation after, people realized the risk of the radiation exposured recommended the principle about the protection of radiation by the part of the effort for lowering the radiation exposure. In this recommendation, all unnecessary radiation exposure have to be prevented by All doses include the protection of radiation, general idea of applicable two kinds of that it has to low maintain. Presently, in the General X-ray room of the clinical, the lead (Pb) was used for the shielding, However, because it had the problem of the lead poisoning which is fatal in the human body, the alternatives was showed. and Among them, the material that it is the tungsten was presented. in this research, the absorbed spectrum according to the thickness in the continuous X-ray energy of the tungsten which is not harmful to the human body through the Monte Carlo simulation, tried to compare with the absorbed spectrum of the lead (Pb).The tungsten confirmed that simulation presumption than result lead in the whole domain that absorbed probability was higher and it is considered that tungsten shows the absorbed efficiency higher than the lead in particularly, 70 keV ~ 90 keV and the tungsten is more useful to the X-ray energy cover of the high energy diagnostic area.
This study aimed at identifying changes in the acromiohumeral distance (AHD) and abduction angle of the arm when the caudal gliding gradeⅡ and Ⅲ of Kaltenborn-Evjenth Concept Ⓡ are applied to the right glenohumeral joint. The humeral head moved down about 5㎜ from the initial position when the gliding gradeⅡ was applied, and about 8㎜ from the initial position when the gliding gradeⅢ was applied. Although men showed a higher acromiohumeral distance per grade than women in comparisons by gender for the acromiohumeral distance, there was no significant difference in statistics. The Abduction angle improved about 10° from the initial angle when the gliding gradeⅡ was applied, and about 12° from the initial angle when the gliding gradeⅢ was applied. Although women showed the abduction angle greater than men for every grade in comparisons by gender for the abduction angle, there was no significant difference in statistics.Based on the aforesaid findings, the extent of kinematic changes in the humeral head could be identified when the gliding grades were applied. Accordingly, it is considered that more scientific evidence based treatments could be expected if influences on the surrounding structures by these changes could be learned through more studies in the future.
Intensity Modulated Radiotherapy (IMRT) is increasing its use recently due to its benefits of minimizing the dose on surrounding normal organs and being able to target a high dose specifically to the tumor. The study aims to measure and evaluate the dose distribution according to its dynamic changes in Mapcheck. In order to verify the dose distribution by EDW angle(10˚,15˚,20˚,25˚,30˚,45˚,60˚), field size (asymmetric field) and depth changes (1.5 cm, 5.0 cm)using IMRT in Clinac ix, a solid phantom was placed on the Mapcheck and 100MU was exposed by 6 MV, 10MV X-ray. Using a 6MV, 10MV energy, the percentage depth dose according to a dynamic changes at a maximum dose depth (1.5 cm) and at 5.0 cm depth showed the value difference of maximum 0.6%, less than 1%, which was calculated by a treatment program device considering the maximum dose depth at the center as 100%, the percentage depth dose was in the range between 2.4% and 7.2%. Also, the maximum value difference of a percentage depth dose was 4.1% in Y2-OUT direction, and 1.7% in Y1-IN direction. When treating a patient using a wedge, it is considered that using an enhanced dynamic wedge is effective to reduce the scattered dose which induces unnecessary dose to the surroundings. In particular, when treating a patient at clinic, a treatment must be performed considering that the wedge dose in a toe direction is higher than the dose in a heel direction.
The fact is that in addition to an increase in social needs that must be managed systematically unnecessary exposure in the field of medical Recent important that the shield has emerged. However, products that are now in practical use, are not subdivided as compared to various medical radiology. Therefore, in the present study, we tried to present with the help of Monte Carlo simulation the structure of the shielding material that has been optimized. Simulated estimation result, the energy of the mammography for (30 kVp) spectrum, check the shielding rate of 90% or more 30μmPb, at 2 mmAl case of shielding material of a single, at design time of 1 mmAl and 0.03 mmPb a double shield structure it is determined that more efficient. Also, check the blocking rate of 90% or more 340μmPb, at 30 mmAl energy captured general in (80 kVp) spectra, it is considered that a double shield structure, design 1 mmAl and 0.3 mmPb is useful . These results, be used as basic material for the development of commercialization customized products for dose reduction is expected.
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