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KMID : 1001220130150020031
Journal of the Korean Society of Digital Medical Imaging Technology
2013 Volume.15 No. 2 p.31 ~ p.37
Study of Optimal Angle When Taking Foot AP Weight-Bearing Radiography
Uhm Min-Ji

Choi Weon-Keun
Son Soon-Yong
Lee Kwan-Sup
Abstract
Incident X-ray angles of weight bearing foot AP radiography which differ in each medical institution were compared. Optimal angles were derived from the study and suggested as basic data for clinical application. 19 patients with no abnormality on right foot took part in the study from June 2013 to July 2013. Weight bearing foot AP radiography in the correct position was examined with the incident X-ray angles of 10¡Æ, 15¡Æ, 20¡Æ, 25¡Æ, 30¡Æ, and 35¡Æ. All the images were evaluated subjectively by 5 radiological technologists of over 15 year work experience using Likert scale as 1 for ¡®very poor¡¯, 2 for ¡®poor¡¯, 3 for ¡®fair¡¯, 4 for ¡®good¡¯, 5 for ¡®very good¡¯, 6 for ¡®excellent¡¯, and analyzed with ANOVA and Scheffe. Image quality was the most optimal at 20¡Æas 4.53, and relatively good at 25¡Æas 4.38 and at 30¡Æas 4.18. 35¡Æand 10¡Æwere relatively poor. The average points of 6 groups indicated statistically significant difference (p<.01). In the post-mortem, 3 subgroups showed no statistically significant difference, and the average point of the groups of 20¡Æ, 25¡Æ, 30¡Æwas evaluated relatively
higher than the other 2 groups. An optimal incident X-ray angle within the range from 20¡Æto 30¡Æfor weight bearing foot AP radiography could make it possible to obtain the image of high diagnostic value and would be useful for clinical application in the future.
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