495 "J. Korean Soc. Radiol., Vol. 13, No. 4, August 2019" pISSN : 1976-0620, eISSN : 2384-0633 Analysis of the Entrance Surface Dose (ESD) and Contrast Usage of Trance Femoral Cerebral Angiography (TFCA) and Cerebral Computed Tomographic Angiography (CCTA) for Cerebrovascular Disease Examining Young-Hyun Seo, 1,3 Cheon-Gi Hong, 2 Jong-Nam Song 3,* 1 Department of Arrhythmia Cardiovascular Center, YeosooJeil Hospital 2 Department of Cardiovascular Center, PMC Park Hospital 3 Department of Radiology, Dongshin University Received: July 01, 2019. Revised: August 28, 2019. Accepted: August 31, 2019 ABSTRACT A typical cerebrovascular disease among cerebrovascular diseases is vascular diseases such as cerebral infarction, cerebral hemorrhage, cerebral aneurysm, cerebrovascular stenosis. If the disease occurs and causes cerebral damage, it may be difficult to recover completely. So that, Must continue to perform health care through examination early. In particular, Because most cerebrovascular disease examining use radiation equipment and Thus this study was to find out how to select about the optimal examining method and X-ray dose decrease method among different examining method though comparison and analysis for the entrance surface dose (ESD) on cerebrovascular examining with Trance Femoral Cerebral angiography (TFCA) and Cerebral Computed Tomographic Angiography (CCTA). Also, want to find out how to select about the optimal examining method for worried patient that contrast medium side effect though measuring and evaluating for contrast usage. Data were collected from 70 patients (43 males and 27 females) who underwent CCTA at Yeosoo region hospital from June 2018 to December 2018 and 61 patients (34 males and 27 females) who underwent TFCA at Pyeongtaek region hospital from June 2018 to November 2018. ESD analysis method collected retrospective data though M-view and PACS PLUS program, Used contrast usage measuring method did reality measuring method. In the analysis using SPSS, the ESD of TFCA was 245.74 ± 71.91, which was 32.05 ± 7.74 lower than the dose of 277.79 ± 79.65 of CCTA ESD, and statistically significant at t = 3.249, p = 0.017 (p <0.05). As a result of the comparison of the total amount of contrast agent, the mean contrast agent used in TFCA was 55.05 ± 17.68 ml, which was about 14.95 smaller than the amount of contrast agent used in CCTA, and statistically significant t = -4.548, p <0.001. In conclusion, the ESD of TFCA was statistically significantly lower than that of CCTA, and also the used contrast usage was significantly tiny than that of CCTA. Therefore, Select the method to increase the utilization of TFCA for cerebral disease examining, we can consider X-ray dose decrease method at the same time as to decrease side effect of contrast medium. Keywords: Trance Femoral Cerebral Angiography, Cerebral Computed Tomography, Entrance Surface Dose Ⅰ. INTRODUCTION 심뇌혈관계 질환은 직업, 환경, 스트레스 등 다양 한 위험 인자로 인해 발생할 수 있다. [1] 그 중 스트 레스는 뇌졸중 등을 일으킬 수 있는 위험 요소를 가 지고 있으며 한국에서 2 위의 사망 원인으로 꼽힐 * Corresponding Author: Jongnam Song E-mail: [email protected]Tel: +82-61-330-3576 Address: Dept. of Radiology, Dongshin University, 67 dongshindae-gil, Naju-si, Jeonlanamdo, Korea. https://doi.org/10.7742/jksr.2019.13.4.495
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495
"J. Korean Soc. Radiol., Vol. 13, No. 4, August 2019"
pISSN : 1976-0620, eISSN : 2384-0633
Analysis of the Entrance Surface Dose (ESD) and Contrast Usage of
Trance Femoral Cerebral Angiography (TFCA) and Cerebral Computed
Tomographic Angiography (CCTA) for Cerebrovascular Disease