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The Comparison of Image Quality Using Body Contour and Circular Method with L-mode in Myocardial Perfusion SPECT (Tl-201을 이용한 심근관류 SPECT에서 Body contour와 Circular mode의 영상 획득 차이에 따른 영상의 질 비교)

  • Kim, Sung-Hwan;Nam, Ki-Pyo;Ryu, Jae-Kwang;Yoon, Soon-Sang
    • The Korean Journal of Nuclear Medicine Technology
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    • v.16 no.1
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    • pp.3-7
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    • 2012
  • Purpose : In myocardial perfusion SPECT, the type of orbit (circular vs. body contouring) that affect the image quality is still on the debate. Presently in the nuclear medicine field, the body contouring orbit acquisition is widely used to improve the image quality on the myocardial perfusion SPECT. But in case of body contouring acquisition using the vertical method with dual detect machine, there is a tendency of increasing the radius. In this research, we compared body contouring orbit acquisition with circular orbit acquisition, so we suggest ideal method that reduces the radius for improving image quality. Materials and Methods : Phantom and clinical studies were performed. The anthropomorphic torso phantom was made on equally with counts from patient's body. The study was performed under six different conditions. To compare image quality according to the radius, we increased radius sequentially per step during circular orbit acquisition. On the other hand, sensors that protect a collision and reduce the radius automatically were used to acquire image during body contouring orbit acquisition. So we compared FWHM value of apex. In clinical studies, we analyzed the 40 patients who were examined by Tl-201 gated myocardial perfusion SPECT in department of nuclear medicine at Asan Medical Center in August 2011. To acknowledge the differences according to the radius, we acquired the results two times using circular orbit acquisition and body contouring orbit acquisition. Results : In phantom study, we analyzed that increase of radius resulted in changes of FWHM value. It was 5.41, 6.24, 6.33, 6.42, 6.93 mm. On the other hand, using the body contouring orbit acquisition, FWHM value was 6.23 mm. In clinical study, difference of average radius between two methods was 2.5 cm (circular orbit acquisition was more close to patients). Conclusion : Through the experiments using Anthropomorphic torso phantom and patients data, we found that FWHM value of circular orbit acquisition was lower than body contouring orbit acquisition. As a result, if the difference of average radius exists approximately 3 cm, circular orbit type acquisition is better than body contouring type acquisition. But clinical investigation is only aimed to average radius, so it needs more investigation in comparison of patient's image.

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An Activation Analysis of Target("used H218O") for 18FDG Synthesis (18FDG 생산용 타겟("사용 후 H218O")의 방사화 분석)

  • Kang, Bo Sun
    • Journal of the Korean Society of Radiology
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    • v.7 no.3
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    • pp.213-219
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    • 2013
  • Currently, about 35 cyclotrons have been operating in South Korea. Most of them are mainly used for the synthesis of radiopharmaceuticals such as $^{18}FDG$, which is a cancer tracer for nuclear medicine. Highly enriched $H_2{^{18}}O$ containing up to 98% of $^{18}O/O$ isotope ratio is used as the target for $^{18}F$ production. The price of the highly enriched $H_2{^{18}}O$ ranges 60~70 USD/g, and all of them have been imported from foreign country in spite of the very expensive price. The target (enriched $H_2{^{18}}O$) is non-radioactive before the proton beam irradiation. But, the post-irradiation target (used $H_2{^{18}}O$) must be managed following the National Radiation Safety Regulations, because it turns into radioactive by the radioactivation of the impurities within the target. Recently, nevertheless of the fast increasing amount of used $H_2{^{18}}O$ in accordance with the increasing number of nuclear medicine cases, any activation analysis on the used $H_2{^{18}}O$ have been conducted yet in Korea. In this research, activation analysis have been conducted to confirm the specific radioactivity(Bq/g) of each radioisotopes within the used $H_2{^{18}}O$. The analysis have been done on the 3 of 20g samples collected from the used $H_2{^{18}}O$ storages at different cyclotron centers. Based on the results, it was confirmed that the "used $H_2{^{18}}O$" contains gamma emitters such as $^{56}Co$, $^{57}Co$, $^{58}Co$, and $^{54}Mn$ as well as the considerable amount of beta emitter $^3H$. It was also confirmed that the only one sample contained over exemption level of gamma emitters while the specific activity of tritium was lower than the exemption level in all samples. The specific activity of radioisotopes were measured different levels in the samples depending on the elapsed time after irradiation. Further study on the activation of the "used $H_2{^{18}}O$" is definitely necessary, nevertheless the as-is results of this research must be useful in establishing a rational "used $H_2{^{18}}O$" management protocol.

Evaluating the Impact of Attenuation Correction Difference According to the Lipiodol in PET/CT after TACE (간동맥 화학 색전술에 사용하는 Lipiodol에 의한 감쇠 오차가 PET/CT검사에서 영상에 미치는 영향 평가)

  • Cha, Eun Sun;Hong, Gun chul;Park, Hoon;Choi, Choon Ki;Seok, Jae Dong
    • The Korean Journal of Nuclear Medicine Technology
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    • v.17 no.1
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    • pp.67-70
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    • 2013
  • Purpose: Surge in patients with hepatocellular carcinoma, hepatic artery chemical embolization is one of the effective interventional procedures. The PET/CT examination plays an important role in determining the presence of residual cancer cells and metastasis, and prognosis after embolization. The other hand, the hepatic artery chemical embolization of embolic material used lipiodol produced artifacts in the PET/CT examination, and these artifacts results in quantitative evaluation influence. This study, the radioactivity density and the percentage error was evaluated by the extent of the impact of lipiodol in the image of PET/CT. Materials and Methods: 1994 NEMA Phantom was acquired for 2 minutes and 30 seconds per bed after the Teflon, water and lipiodol filled, and these three inserts into the enough to mix the rest behind radioactive injection with $20{\pm}10MBq$. Phantom reconfigure with the iterative reconstruction method the number of iterations for two times by law, a subset of 20 errors. We set up region of interest at each area of the Teflon, water, lipiodol, insert artifact occurs between regions, and background and it was calculated and compared by the radioactivity density(kBq/ml) and the% Difference. Results: Radioactivity density of the each region of interest area with the teflon, water, lipiodol, insert artifact occurs between regions, background activity was $0.09{\pm}0.04$, $0.40{\pm}0.17$, $1.55{\pm}0.75$, $2.5{\pm}1.09$, $2.65{\pm}1.16 kBq/ml$ (P <0.05) and it was statistically significant results. Percentage error of lipiodol in each area was 118%, compared to the water compared with the background activity 52%, compared with a teflon was 180% of the difference. Conclusion: We found that the error due to under the influence of the attenuation correction when PET/CT scans after lipiodol injection performed, and the radioactivity density is higher than compared to other implants, lower than background. Applying the nonattenuation correction images, and after hepatic artery chemical embolization who underwent PET/CT imaging so that the test should be take the consideration to the extent of the impact of lipiodol be.

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A Study on Patients' Concerns about Management of Cancer Pain and Related Factors (종양통증관리를 방해하는 환자의 염려와 관련요인 연구)

  • Kim, Hong-Soo;Suh, Moon-Ja
    • The Korean Journal of Rehabilitation Nursing
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    • v.3 no.1
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    • pp.43-58
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    • 2000
  • Pain management is a major issue in caring of cancer patients. Patients' concerns for reporting pain and taking analgesics are patient-related barriers to the management of cancer pain. Since such study has not been done at all in Korea, it is clearly needed to study on these problems. The purpose of this study is to attain basic data in order to improve cancer pain management in Korea. This is done by: 1) examining the extent of patients' concerns that might be barriers to the optimal pain management, and the extent of related factors (pain management hesitancy, adequacy of using analgesics, pain severity and pain interference); 2) identifying the relationship between patients' concerns and the related factors. The data has been collected from 180 cancer patients who were hospitalized in medical wards of one university hospital in Seoul, Korea during the period from November 1, 1997 to February 28, 1998. The data has been collected through interviews with (1) Barriers Questionnaire - Korean Version (BQ-K); (2) Hesitancy Experience Questionnaires (HQ); (3) Pain Management Index (PMI); (4) Brief Pain Inventory (BPI); and (5) Demographic Data. The data were analyzed by descriptive statistics and by t-test, One-way ANOVA, Pearson correlation using SPSSWIN program. The Results are as following: 1) The mean scores of Pain Management Concerns (PMC) by BQ-K were toward the moderate with a little high points(2.59). Most of the patients (99.4%) had some extent of concerns (over lout of maximum 5 points). Among the eight subscales of BQ-K, the Pain Management Concerns (PMC) about 'Fear of tolerance' was the highest (3.80) and 'Worry about side effects' was the least (1.40). 2) The extent of Pain Management Hesitancy (PMH) by HQ of wnom had pain on the day of the interview was a little higher than moderate score(5.53 out of maximum 10 points). 6.7% of the patients with experiencing pain used less adequate analgesics for the severity of pain than they were expected. 27.8% of them never used any analgesics at all. The mean score of pain severity by BPI was 16.59 (maximum: 40), and that of the interference with daily life by BPI was 32.03 (maximum: 70). 3) The patients who were older, less educated, and in low socio-economic status were likely to have more concerns. Pain Management Concerns (PMC) was positively correlated with Pain Management Hesitancy (PMH) (r=.75), pain severity (r=.44) and pain interference (r=.50). Those who were not using adequate analgesics had higher Pain Management Concerns (PMC) than did those who were using adequate analgesics (t=-5.42). The patients who had more Pain Management Concerns (PMC) tended to hesitate more to report pain and to use analgesics. They used more inadequate analgesics for the severity of pain and also had experienced more pain severity and interference with daily life. In conclusion, the patients' concerns for reporting pain and for using analgesics are major patient-related barriers to cancer pain management in Korea. The patients' concerns were correlated significantly with the level of the hesitancy experience, inadequate use of analgesics, the pain severity and the interference with daily life. Considering this, an educational program for cancer patients under the treatment with analgesics should be developed in order to solve these problems.

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Occurrences of Uranium and Radon-222 from Groundwaters in Various Geological Environment in the Hoengseong Area (횡성지역 다양한 지질환경에서 지하수 중 우라늄 및 라돈-222 산출특성)

  • Jeong, Chan Ho;Yang, Jae Ha;Lee, Yu Jin;Lee, Yong Cheon;Choi, Hyeon Young;Kim, Moon Su;Kim, Hyun Koo;Kim, Tae Seong;Jo, Byung Uk
    • The Journal of Engineering Geology
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    • v.25 no.4
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    • pp.557-576
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    • 2015
  • Groundwaters in granite, gneiss, and two-mica granite formations, including faults, in the Hoengseong area are examined to determine the relationship between their uranium and radon-222 contents and rock types. The chemical compositions of 38 groundwater samples and four surface water samples collected in the study area were analyzed. Sixteen of the samples showing high uranium and radon-222 contents were repeatedly analyzed. Surface radioactivities were measured at 30 points. The uranium and radon-222 concentrations in the groundwater samples were in the ranges of 0.02-49.3 μg/L and 20-906 Bq/L, respectively. Four samples for uranium and 35 samples for radon had concentrations exceeding the alternative maximum contaminant level of the US EPA. The chemical compositions of groundwaters indicated Ca(Na)-HCO3 and Ca(Na)-NO3(HCO3+Cl) types. The pH values ranged from 5.71 to 8.66. High uranium and radon-222 contents in the groundwaters occurred mainly at the boundary between granite and gneiss, and in the granite area. The occurrence of uranium did not show any distinct relationship to that of radon-222. The radon-222, an inert gas, appeared to be dissolved in the groundwater of the aquifer after wide diffusion along rock fractures, having been derived from the decay of uranium in underground rocks. The results in this study indicate that groundwater of neutral or weakly alkaline pH, under oxidizing conditions and with a high bicarbonate content is favorable for the dissolution of uranium and uranium complexes such as uranyl or uranyl-carbonate.

Separation and Recovery for the Analysis of Radioiodine in RI Wastes (RI 폐기물 내 방사성요오드 분석을 위한 분리 및 회수)

  • Kang, Sang-Hoon;Han, Sun-Ho;Lee, Heung-N.;Jee, Kwang-Yong;Lee, In-Koo
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.5 no.4
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    • pp.267-272
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    • 2007
  • Various kinds of RI wastes are discharged from licensed organizations of radioisotopes les such as hospitals and clinic organizations, educational organizations, research institutions, and public organizations. Radioiodines such as $^{125}I\;and\;^{131}I$ are radioisotopes mainly used in nuclear medicine and industry. A method for the determination of radioiodines in RI wastes has been applied to measure low level activity using acid decomposition method and HPGe gamma ray spectrometer. Prior to analysis of real samples, $^{131}I$ reference solution and 10 g of yellow tissue paper was added to flask in mantle and was heated in 100 mL of 0.4 N $K_2Cr_2O_7$ and 100 mL of 9 M $H_2SO_4$, and then distilled after adding 10 mL of 30% $H_2PO_3$ and 1 mL of 30% $H_2O_2$. The condensed iodine by circulator was extracted into $CCl_4$, then back-extracted into the aqueous phase with 10 mL of 5% $K_2SO_2$ solution. Finally, $^{131}I$ was measured at 364.48 keV using HPGe gamma ray spectrometer after precipitation and filtration. Chemical yield of three steps such as acid decomposition process, chemical separation process, and precipitation and filtration process was more han 94% respectively, MDA(Minimum Detectable Activity) of $^{131}I$ at this analytical condition was 0.6 Bq/g.

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An Analysis of the Technical Level and Industrial Structure of the Gazelle Industry in Chungnam Province (충남 가젤산업의 기술수준분석과 산업구조분석)

  • Kim, Dae-Jung;Kim, Hak-Min
    • Journal of the Economic Geographical Society of Korea
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    • v.17 no.2
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    • pp.335-348
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    • 2014
  • This study investigates the technical level and industrial structure for the case of the Gazelle industry in Chungnam Province. As a results of the empirical study, the Gazelle industry of Chungnam Province shows a competitive position in terms of scale and growth capacity, which. in turn, provides income and tax collection effects due to the high level of industrial efficiency. Among the Gazelle industry of Chungnam Province, low-level technology industry, compared to high and middle-level technology industries, accelerates higher level of agglomeration and industrial growth, which provides a rapid change of industrial structure of the province. Theses research results imply that research and development investment in the Gazelle industry is essential and industrial development strategy should be conducted via step-by-step with business scale quotient (BQ) and industrial growth rate (IG). Meanwhile, there should be a serious policy review whether low-level technology industry is better off for the province compared to high and middle-level technology industries. This study expects that regional industrial policy applying the concept of Gazelle industry can accelerate regional development since the Gazelle industry contributes to the high level of income growth and employment creation.

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The Analysis of radioactivity Concentration in drainage when using a radioactive Iodine (방사성옥소 사용 시 배수 중 방사능농도 분석)

  • Lee, Kyung-Jae;Sul, Jin-Hyung;Park, Young-Jae;Lee, In-Won
    • The Korean Journal of Nuclear Medicine Technology
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    • v.22 no.1
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    • pp.28-34
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    • 2018
  • Purpose With regard to the use of radioiodine in domestic medical institution, the case of exceeding the allowance of nuclear safety Act about radioactive concentration in drainage was found. Through understanding the cause of exceeding case and analyzing radioactive concentration in drainage, evaluating the relationship of the public waters in surroundings and usefulness. Materials and Methods From November 1, 2014 to April 30th, 2015, the research is aiming at domestic twenty hospitals for six months. By using a HPGe gamma-ray spectrometer(Canberra DSA-1000) and GENIE-2000 Analysis software for comparative analysis, measuring a radioactive concentration of radioiodine in drainage. Consequently, we confirm the excess of radioactive concentration of radioiodine in seven medical institutions. Results Conducting a survey of twenty hospitals and average radioactive concentration of radioiodine in drainage appears $42,100Bq/m^3$. The features of domestic hospitals where show a high radioactive concentration are a number of medical treatment patient when using radioactive iodine and the absence of private rest room. During I-131 whole body scan, the pretreatment procedure of urinating is considered emission of residual Iodine. In public waters, the cause of exceeding detect on radioactive concentration in drainage suppose a diagnostic radioactive iodine. Conclusion We confirm the importance of enhanced education, providing a safety control instructions and installing a private rest rooms for patients who injected a low capacity radioiodine. Also, constructing institutional and legal management system is considered about the Emission management standard in drainage.

Determination of 129I in simulated radioactive wastes using distillation technique (증류법을 이용한 모의 방사성폐기물 중 129I 의 정량)

  • Choi, Ke-Chon;Song, Byung-Cheol;Han, Sun-Ho;Park, Yong-Joon;Song, Kyu-Seok
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.9 no.3
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    • pp.141-148
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    • 2011
  • It is clarified in the radioactive waste transfer regulation that the concentration of radioactive waste for the major radio nuclide has to be examined when radioactive waste is guided to the radioactive waste stores. In case of the low level radioactive waste sample, the analytical results of radioactive waste concentration frequently show a value lower than minimum detectable activity (MDA). Since the MDA value basically depends on the amount of a sample, background value, measurement time, counting efficiency, and etc, it would be necessary to increase a sample amount with a intention of minimizing MDA. In order to measure a concentration of $^{129}I$ in low and medium level radioactive waste, $^{129}I$ was collected by using a distillation technique after leaching the simulated radioactive waste sample with a non-volatile acid. The recovery of $^{129}I$ measured was compared with that measured with column elution technique which is a conventional method using an anion-exchange resin. The recovery of inactive iodide by using the distillation method and column elution were found as $86.5{\pm}0.9%$ and $87.3{\pm}2.7%$, respectively. The recovery and MDA value calculated for distillation technique when 100 g of extracted solution of $^{129}I$ was taken, were found to be $84.6{\pm}1.6%$ and $1.2{\times}10^{-4}Bq/g$, respectively. Consequently, the proposed technique with simplified process lowered the MDA value more than 10 times compared to the column elution technique that has a disadvantage of limited sampling amount.

Radioactivity Analysis of $^{55}Fe\;and\;^{63}Ni$ in Dismantled Concrete (해체 콘크리트 폐기물에 포함된 $^{55}Fe$$^{63}Ni$ 방사능 분석)

  • Kang, Mun-Ja;Chung, Kun-Ho;Hong, Sang-Bum;Choi, Geun-Sik;Lee, Chang-Woo
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.5 no.1
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    • pp.19-27
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    • 2007
  • Combined method of extraction chromatography and liquid scintillation analysis was established for determinating $^{55}Fe\;and\;^{63}Ni$ radioactivity in solid samples. Activated concrete wastes generated from dismantling KRR-2 were analysed. The sequential separation including precipitation and extraction chromatography resulted in the above 90% chemical recoveries of Fe. Above 62% recoveries of Ni were obtained by this procedure exception to 43.6 and 46.5% recoveries. The seperation and counting procedure was also confirmed with spiked samples of known quantity. The measured and spiked quantity were agreed with the 3.7% and 0.7% variations in the $^{55}Fe\;and\;^{63}Ni$ experiments, respectively. The radioactivities of $^{55}Fe$ in the dismantled concretes are shown from below MDA to maximum 362 Bq/g. The radioactivities of $^{63}Ni$ in all concrete samples are below MDA. The $^{63}Ni$ doesn't exist in dismantled concretes from KRR-2. The radioactivity of $^{55}Fe$ is decreased rapidly as the sampling depth is increased from the concrete surface.

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