• Title/Summary/Keyword: 근접 치료

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Bruxism의 치료 -장치를 이용한 치료법을 중심으로-

  • Lee, Gi-Su
    • The Journal of the Korean dental association
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    • v.21 no.4 s.167
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    • pp.293-297
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    • 1983
  • Bruxism이란, 일반적으로 기능이외의 목적으로 상하악 치아를 악물거나 갈음질 하는 것이라고 정의된다. 동일한 상태를 서술하는 용어로 neuralgia traumatica, Karolyi effect, occlusal habit neurosis, parafunction 등이 있으며, 수면중의 이갈음질을 bruxism, 주간의 습관성 이갈음질을 bruxomania로 구분하기로 한다. 또한 centric bruxism과 eccentric bruxism으로 분류하기도 한다. eccentric bruxism은 통상적 의미의 수면중의 bruxism이며, 하악의 측방운동중의 이갈음질이고 뽀드득하는 갈음질 소리를 냄, 저작근육의 긴장도가 증가되어 있으면서 등장성수축을 나타내고, 비중심위의(eccentric) 교합간섭이 주요 유발인자인 반면에 centric bruxism은 중심교합위에서 상하악 치아를 간헐적으로 악무는 것(clenching)은 의미하고 - 지속적으로 악무고 있는 것은 clamping이라고 함.- 주로 주간에 행하며 갈음질소리를 들을 수 없고, 역시 저자근육의 긴장도가 증가되어 있으며 등률성수축을 나타내고, 중심교합위에 근접하여 존재하는 교두간섭이 유발인자이다. bruxism이나 clenching과 부정교합의 관계는 bruxism과 clenching은 부정교합을 야기할 수 있고, 부정교합도 역시 bruxism과 clenching을 유발시키는 작용을 할 수 있는 악순환적 관계이다. 현저한 부정교합을 가지고 있는 bruxism환자의 교정치료는 그 목적이 bruxism의 치료라기보다는 오히려 부정교합의 치료이며 부차적으로 bruxism의 치료를 기대하게 된다. 그러나 bruxism이 장기간 지속되어 치아 및 그 주위조직, 악관절과 신경근계에 심한 손상을 주었을때의 교정치료는 일반적으로 제한을 받을 뿐만아니라 bruxism의 처치에는 거의 무의미한 치료가 될 수 있다. 따라서 거자는 bruxism 환자의 교정치료라는 제목의 원고 청탁을 받았으나 편집위원의 양해아래 장치를 이용한 bruxism의 치료에 관하여 서술하려 한다.

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Evaluation of Absorbed Dose According to Nanoparticle Density During the Breast Cancer Brachytherapy (유방암 근접치료 시 나노입자의 밀도에 따른 흡수선량 평가)

  • Lee, Deuk-Hee;Nam, Ji-Hee;Kim, Jung-Hoon
    • Journal of radiological science and technology
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    • v.42 no.2
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    • pp.131-135
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    • 2019
  • The purpose of this study was to evaluate the efficacy of brachytherapy of breast cancer by dose assessment which a steady increased in Korea women. The dose assessment was performed using the MCNPX program, a MonteCarlo simulation technique. The sources used for brachytherapy was 192Ir. And nanoparticle which used for dose enhancement was gold. The density of nanoparticle was 7, 18 and 30 mg. Evaluation of absorbed dose according to distance is measured at a distance of 30, 50, 100 and 200 cm from the patient. As a result, The breast absorbed dose results increased in proportion to the density of nanoparticle. And the surrounding organs were not significantly different according to the density. But, in some organs, the absorbed dose decreased as the density of nanoparticles increased. Absorbed dose according to the distance was in inverse proportion to distance.

An Implementation of Art-Therapy Service Based on Multi-Agent Technology (멀티 에이전트 기술을 이용한 Art-Therapy 서비스의 구현)

  • Ha, J.L.;Bae, J.S.;Yoon, S.I.;Kim, S.H.
    • Electronics and Telecommunications Trends
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    • v.19 no.3 s.87
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    • pp.107-116
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    • 2004
  • 지금까지의 정보통신 서비스는 사용자에게 필요한 정보를 제공하거나 사용자와 사용자를 연결해주는 통로로서의 서비스를 제공하여 왔으나, 유비쿼터스 컴퓨팅과 유비쿼터스 네트워크 기술을 기반으로 한 유비쿼터스 서비스는 사용자가 처한 상황에 기반하여 정보 제공은 물론 필요한 행위까지도 제공하여 사용자의 욕구에 가장 근접한 서비스 제공에 초점을 두는 컨시어지형 서비스가 될 것이다. 이러한 서비스는 사용자의 기호 및 상태, 또는 상황 등의 다양한 정보에 근거하여 서비스를 제공할 수 있어야 하며, 이를 위한 효과적인 접근 방법으로는 사용자의 다양한 정보를 각각의 대리자에게 처리를 하게 하는 멀티 에이전트 기술일 것이다. 본 연구에서는 음악이나 그림을 활용하여 신체적, 정신적 질환을 치료하는 음악 치료나 그림 치료인 Art-Therapy를 유비쿼터스 서비스의 구현 사례로 기술한다. 사용자의 신체적 또는 정신적 상태 및 환경 정보를 센서를 활용하여 측정하고 그 측정된 데이터에 근거하여 사용자의 상태를 판단하고 이에 따라 음악 및 미술 작품을 시청각으로 제공함으로써 치료 효과를 얻는다. 본 연구에서의 Art-Therapy 서비스는 FIPA에서 제안한 멀티 에이전트 기반 구조인 에이전트 플랫폼을 기반으로 구현하였다.

Comparison of Treatment Planning on Dosimetric Differences Between 192Ir Sources for High-Dose Rate Brachytherapy (고선량률 근접치료에서 이리듐-192 선원의 선량특성 차이에 관한 치료계획 비교)

  • Yang, Oh-Nam;Shin, Seong Soo;Ahn, Woo Sang;Kim, Dae-Yong;Kwon, Kyung-Tae;Lim, Cheong-Hwan;Lee, Sang Ho;Choi, Wonsik
    • Journal of radiological science and technology
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    • v.39 no.2
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    • pp.163-170
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    • 2016
  • To evaluate whether the difference in geometrical characteristics between high-dose-rate (HDR) $^{192}Ir$ sources would influence the dose distributions of intracavitary brachytherapy. Two types of microSelectron HDR $^{192}Ir$ sources (classic and new models) were selected in this study. Two-dimensional (2D) treatment plans for classic and new sources were generated by using PLATO treatment planning system. We compared the point A, point B, and bladder and rectum reference points based on ICRU 38 recommendation. The radial dose function of the new source agrees with that of the classic source except difference of up to 2.6% at the nearest radial distance. The differences of anisotropy functions agree within 2% for r=1, 3, and 5 cm and $20^{\circ}$ < ${\theta}$ < $165^{\circ}$. The largest discrepancies of anisotropy functions reached up to 27% for ${\theta}$ < $20^{\circ}$ at r=0.25 cm and were up to 13%, 10%, and 7% at r=1, 3, and 5 cm for ${\theta}$ > $170^{\circ}$, respectively. There were no significant differences in doses of point A, point B, and bladder point for the treatment plans between the new and classic sources. For the ICRU rectum point, the percent dose difference was on average 0.65% and up to 1.0%. The dose discrepancies between two treatment plans are mainly affected due to the geometrical difference of the source and the sealed capsule.

Availability and Reproducibility Evaluation of High-dose-rate Intraluminal Brachytherapy for Unresectable Recurrent Cholangiocarcinoma (재발한 간담도암 환자에서 시행 한 high-dose-rate intraluminal brachytherapy의 유용성 및 재현성 평가)

  • Park, Ju-Kyeong;Lee, Seung-Hun;Cha, Seok-Yong;Kim, Yang-Su;Lee, Sun-Young
    • Journal of the Korean Society of Radiology
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    • v.6 no.2
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    • pp.151-157
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    • 2012
  • General treatment for cholangiocarcinoma is complete surgical resection. However recurrence is common in those patients. In most of cases the purpose of the treatment for patients with recurrent is palliative. Therefore we adopt intraluminal catheter to treat a recurrent patient with high-dose-rate intraluminal brachytherapy. This study aims to evaluate the treatment procedure and set-up reproducibility of intraluminal brachytherapy in the recurrent patient. Study patient was diagnosed at rcT1N0M0 and undergone intraluminal brachytherapy after Arrow Sheath insertion. 3 Gy was delivered in every fraction with a total dose of 30 Gy. We planned dose normalization at distal, proximal and central axis point of narrowed bile duct far from 1 cm. To evaluate set-up reproducibility, we measured distance between distal, proximal treatment target volume point and anterior surface of the thoracic vertebral body respectively for five times before every treatment with dummy seed insertion. Mean distance between distal, proximal treatment target volume point and anterior surface of 10th and 11th thoracic vertebral bodies is 0.5 cm, 6.1 cm and standard deviation is 0.06, 0.08 respectively. In addition, set-up reproducibility was maintained significantly. The patient has been alive with no evidence of disease recurrence for more than a year and has not yet reported severe complications. In conclusion, high-dose-rate intraluminal brachytherapy for unresectable recurrence of cholangiocarcinoma maintains high set-up reproducibility without severe side effects.

Analysis of Accuracy of Apparent Activity According to Calibration Method for High Dose Rate Brachytherapy Source (측정용 전리함에 따른 고 선량율 근접치료용 방사성 선원의 겉보기 활성도의 정확도 비교 분석)

  • Huh, Hyun-Do;Choi, Jin-Ho;Choi, Sang-Hyoun;Kim, Seong-Hoon;Kim, Woo-Chul;Kim, Hun-Jeong;Lee, Re-Na;Kim, Kum-Bae;Hong, Seong-Eon;Shin, Dong-Oh
    • Progress in Medical Physics
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    • v.19 no.4
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    • pp.305-312
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    • 2008
  • The aim of this study is to introduce the accuracy of Ir-192 source's apparent activity using the well-type chamber and the Farmer-type ionization chamber in the high dose rate brachytherapy. We measured the apparent activity of Ir-192 that each medical center in the country has and the apparent activity of calibration certificate provided by manufacturer is compared with that by our experimental measurement. The number of sources used for the activity comparison was 5. The accuracy of the measured activity was in the range of -2.8% to -1.0% and -2.1% to 0.2% for the Farmer-type chamber system (Jig) and for the well-type, respectively. The maximum difference was within 1.0% for comparison with two calibration's tool. Our results demonstrate that well-type chamber as wall as Farmer-type chamber is a appropriate system as the routine source calibration procedures in HDR brachytherapy. Whenever a new source is installed to use in clinics, by periods, a source calibration should be carried out.

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Comparison of Calibration Methods of $^{192}\textrm{Ir}$ Sources for High Dose Rate Brachytherapy (고선량률 근접조사치료용 이리듐-192 방사성동위원소의 교정방법 비교연구)

  • Huh Hyun Do;Park Sung Yong;Lee Rena J;Shin Dong Oh;Kwon Soo Il;Loh John J K;Choi Jinho
    • Progress in Medical Physics
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    • v.15 no.4
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    • pp.192-196
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    • 2004
  • The activity of Ir-192 sources for high dose rate (HDR) Brachytherapy in Korea were measured by using the well-type chamber and using the calibration Jig with the Farmer-type ionization chamber to compare the manufacturer certificated source strength which is supplied with each new Ir-192 source. The activity of two different source models used in six hospitals were measured. The range of measured activities to the manufacturer's suggested ones was -2.40% to +3.31% for the calibration Jig and -3.12% to 0.00% for the well-type chamber system. The source strength values given by the manufacturer for the 6 sources were within ${\pm}5%$ for the two different measuring equipment. Our results demonstrate that well-type chamber as wall as Farmer-type chamber system are appropriate system for the routine source calibration procedures in HDR brachytherapy. Whenever a new source is installed to use in clinics, a source calibration should be carried out.

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