We performed the quantitative analysis using MATLAB for slice thickness, spatial resolution, and low contrast resolution with the 50 received images which have suitable judgement by scanning AAPM phantom using GE, PHILIPS, SIEMENS, and TOSHIBA. Slice thickness and spatial resolution were measured by using full width at half maximum(below FWHM). Spatial resolution was confirmed that FWHM interval more than 1.0 mm size. Low contrast resolution was measured that how close by using Roundness Index(below RI) until 6.4 mm size. The spatial resolution 9 images and low contrast resolution 10 images which have disapproved judgement were also had the quantitative analysis. The statistic analysis was judged to have statistically significant differences when p-value is less than 0.05 through SPSS statistics 19.0 and T-test (paired t-test). For slice thickness 5 mm, the average qualitative evaluation group shows 4.98 mm and quantitative evaluation group shows 5.02. For slice thickness 10 mm, the average qualitative evaluation group shows 9.98 mm and quantitative evaluation group shows 9.86. No significant differences (p=0.07, p=0.06) with 5 mm and 10 mm. It confirmed the interval for all FWHM until 1.75, 1.50, 1.25, 1.00 mm as approved images on spatial resolution ,and the average distance was 0.102 mm and the minimum distance 0.054 mm. For disapproved images, all interval was not showed under 1.00 mm. For low contrast resolution, spproved image’s RI value shows average 0.81 and minimum 0.77. The disapproved image’s RI average shows 0.70. Statiscally significant differences were presented (all p<0.05) following hole size.

본 연구는 PACS에서 JPEG200을 이용하여 AAPM CT Performance Phantom 영상을 다양한 비율로 압축 한 후 영상의 질 변화를 알아보았다. 원 영상을 기준으로 압축된 영상을 비교했을 때 물의 CT 계수 측정에서는 압축률 15:1에서 1.93%의 변화, 절편 두께 측정에서는 15:1에서 0.81% 의 변화를 보였다. 균일도는 규칙적인 변화나 통계적으로 유의한 차이가 나타나지는 않았다. 노이즈 측정의 경우 10:1에서 1.47%의 변화를 보이나 15:1에서 10.99%로 증가한 후변화율 증가 폭이 확대되어 40:1에서 81.68%의 변화율을 보였다. CT 계수, 균일도, 절편 두께, 공간 분해능, 대조도분해능의 경우 압축률 증가에 따라 영상의 화질 변화율도 증가하나 영향은 크지 않은 것으로 나타났다. 상대적으로 노이즈는 압축에 따른 영향을 많이 받는 것으로 나타났다. JPEG2000 압축 기법으로 AAPM CT Performance Phantom영상을 평가한 결과 CT영상의 압축을 시행하는 경우 10:1정도의 압축률이 적정한 것으로 판단된다.