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ACOMS+ 및 학술지 리포지터리 설명회

  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

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성인과 소아에서 치과 파노라마방사선검사의 환자선량

Patient dose in adult and pediatric dental panoramic radiography in Korea

Abstract

Objective: To suggest diagnostic reference levels (DRLs) for dental panoramic radiography in adults and children through the nationwide survey in Korea. Materials and Methods: Two hundred twelve dental institutions on a national basis were visited. The radiographic examination protocols were surveyed and their patient doses at the clinical exposure setting for adult and children (5- and 10-year old) were measured at 244 panoramic radiographic equipment. The measured DAP were analyzed and compared according to age group, the size of hospital, the type of radiographic system, the installation duration of equipment. Results: The mean exposure parameters were 70.1 kV, 9.2 mA, 14.4 second for adult and 66.6 kV, 7.9 mA, 13.8 second for 10- year old child and 65.5 kV, 7.3 mA, 13.7 second for 5-year old child. The mean and third quartile patient DAPs were 138.3 mGy cm2 and 151.0 mGy cm2 for adult , 99.5 mGy cm2 and 104.8 mGy cm2 for 10-year old child and 89.5 mGy cm2 and 95.5 mGy cm2 for 5-year old child. The mean patient dose at the university dental hospital was lower than that at the dental clinic (p<0.05). The mean patient dose of direct digital radiography type was higher than that of film-based type. However, the difference did not show statistically significance. Conclusion: DRLs for dental panoramic radiography in adult, 10- and 5-year old child were suggested to be 151 mGy cm2, 105 mGy cm2, and 96 mGy cm2 in Korea based on this nationwide survey.

keywords
diganostic reference level, adult, child

참고문헌

1.

1. White SC, Pharoah MJ. Oral radiology: Principles and interpretation. 7th ed. St. Louis: Elsevier Inc. 2014. p. 29-40.

2.

2. European Commission. Radiation protection No. 172. Evidence based guidelines on cone beam CT for dental and maxillofacial radiology. [Internet]. Luxemburg: 2012 [cited 2017 February 28]. Available from: https://ec.europa.eu/energy/sites/ener/files/documents/172.pdf

3.

3. ICRP. Diagnostic reference levels in medical imaging: review and additional advice. A web module produced by Committee 3 of the International Commission on Radiological Protection. ICRP; 2001 [cited 2017 February 28], available from http://www.icrp.org/docs/DRL_for_web.pdf

4.

4. ICRP. The 2007 recommendations of the International Commission on Radiological Protection. ICRP Publication 103. Ann ICRP 2007; 37(2-4).

5.

5. European Commission. Radiation protection No. 109. Guidance on Diagnostic Reference Levels (DRLs) for Medical Exposures. [Internet]. Luxemburg: 1999[cited 2017 February 28]. Available from:https://ec.europa.eu/energy/sites/ener/files/docume nts/109_en.pdf

6.

6. Hart D, Hillier MC, Wall BF. HPA-RPD-029. Doses to patients from radiographic and fluoroscopi x-ray imaging procedures in the UK - 2005 review. [Internet]. Chilton: HPARPD; 2007 [cited 2017February 28]. Available from https://www.gov. uk/government/uploads/system/uploads/attachment _data/file/431134/HPA-RPD-029.pdf

7.

7. Hart D, Hillier MC, Shrimpton PC. HPA-CRCE-034. Dose to patients from radiographic and fluoroscopic x-ray imaging procedures in the UK - 2010 review. [Internet]. Chilton: HPARPD 2012. [cited 2017February 28]. Available from https://www.gov.uk/government/uploads/system/uploads/attachment_da ta/file/342780/HPA-CRCE-034_Doses_to_patients_from_radiographic_and_fluoroscopic_x _ray_imaging_procedures_2010.pdf

8.

8. Poppe B, Looe HK, Pfaffenberger A, Chofor N, Eenboom F, Sering M, Ruhmann A, Poplawski A, Willborn K. Dose-area product measurements in panoramic dental radiology. Radiat Prot Dosimetry 2007; 123: 131-134.

9.

9. Tierris CE, Yakoumakis EN, Bramis GN, Georgiou E. Dose area product reference levels in dental panoramic radiology. Radiat Prot Dosimetry 2004; 111: 283-287.

10.

10. Kim EK. Development of diagnostic reference level in dental x-ray examination in Korea. Final report. Chungcheongbuk-do: Korean Ministry of Food and Drug Safety. 2009 Nov. Report no. 09142Radiology510.

11.

11. Holroyd JR. HPA-CRCE-043. Trends in dental radiography equipment and patient dose in the UK and Republic of Ireland. [Internet]. Chilton: HPA CRCE; 2013 [cited 2017 February 28]. Available from https://www.gov.uk/government/uploads /system/uploads/attachment_data/file/340127/HPA -CRCE-043_for_website.pdf

12.

12. FANC. Federaal Agentschap voor Nucleaire Controle. Acceptance criteria dentistry Degree of December 12, 2008 on the acceptance criteria for x-ray machines for diagnostic use in dentistry. Article 43. Equipment, measurement conditions and criteria for the measurement of the dose. [Internet]. Brussels: 2008 [cited 2017 February 28]. Available from http://www.jurion.fanc.fgov . b e / j u r d b - c o n s u l t / c o n s u l t a t i e L i n k ? wettekstId=7705&appLang=nl&wettekstLang=nl

13.

13. NCRP Report No. 172. Reference levels and achievable doses in medical and dental imaging:Recommendations for the United States. [Internet]. Bethesda: 2012. [cited 2017 February 28]. Available from http://www.ncrppublications.org /Reports/172

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