• Radiation Oncology Journal
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• v.24 no.2
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• pp.110-115
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• 2006

Purpose: This study was performed to determine the prognostic factors influencing relapse pattern, overall and disease-free survival in patients treated with postoperative radiotherapy for endometrial carcinoma. Materials and Methods: The records of 54 patients with endometrial adenocarcinoma treated postoperative radiotherapy at Pusan National University Hospital between April 1992 and May 2003 were reviewed retrospectively. Median age of the patients was 55 (range $35{\sim}76$). The distribution by surgical FIGO stages were 63.0% for 0Stage I, 14.8% for Stage II, 22.2% for Stage III. All patients received postoperative external radiotherapy up to $41.4{\sim}54Gy$ (median: 50.4 Gy). Additional Intravaginal brachytherapy was app led to 20 patients (37.0% of all). Median follow-up time was 35 months ($5{\sim}115$ months). Significant factors of this study: histologic grade, Iymphovascular space invasion and myometrial invasion depth were scored (GLM score) and analyzed. Survival analysis was peformed using Kaplan-Meier method. The log-rank test was used for univariate analysis and the Cox regression model for multivariate analysis. Results: 5-year overall and disease-free survival rates were 87.7% and 871%, respectively. Prognostic factors related with overall and disease-free survival were histologic grade, Iymphovascular space invasion and myometrial invasion according to the univariate analysis. According to the multivariate analysis, Iymphovascular space invasion was associated with decreased disease-free survival. GLM score was a meaningful factor affecting overall and disease-free survival (p=0.0090, p=0.0073, respectively) and distant recurrence (p=0.0132), which was the sum of points of histologic grade, Iymphovascular space Invasion and myometrial invasion. Total failure rate was 11% with 6 patients. Relapse sites were 2 para-aortic Iymph nodes, 2 lungs, a supraclavicular Iymph node and a vagina. Conclusion: The prognosos in patients with endometrial carcinoma treated by postoperative radiotherapy was closely related with surgical histopathology. If further explorations confirm the system of prognostic factors in endometrial carcinoma, it will help us to predict the progression pattern and to manage.

• 대한핵의학회:학술대회논문집
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• 2001.05a
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• pp.24-34
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• 2001

Restenosis remains a major limitation of percutaneous coronary interventions. Numerous studios including pharmacological approaches and new devices failed to reduce the restenosis rate except coronary stenting. Since the results of $BENESTENT^{1)}\;and\;STRESS^{2)}$ studies came out, coronary stenting has been the most popular interventional strategy in the various kinds of coronary stenotic lesions, although the efficacy of stenting was shown only in the discrete lesion of the large coronary artery. The widespread use of coronary stenting has improved the early and late outcomes after coronary intervention, but it has also led to a new and serious problem, e.g., in-stent restenosis. Intravascular radiation for prevention of restenosis is a new technology in the field of percutaneous coronary intervention. Recent animal experiments and human trials have demonstrated that local irradiation, in conjunction with coronary interventions, substantially diminished the rate of restenosis. This paper reviews basic radiation biology of intracoronary radiation and its role in the inhibition of restenosis. The current status of intracoronary radiation therapy using Re-188 liquid balloon is also discussed.

• Journal of Acupuncture Research
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• v.24 no.6
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• pp.69-73
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• 2007

목적 : X-ray를 통해 안면마비에 다용되는 예풍과 안면통에 다용되는 하관에서의 안전한 자침 깊이에 대하여 고찰하여 보고자 하였다. 방법 : 건강한 지원자들에게 원치 않을 경우 언제든지 시험을 중지할 권리가 있다는 것을 공지한 후, 시험에 동의한 남녀 각각 2명의 피험자들을 대상으로 대학병원 침구과 전문의가 예풍과 하관을 직자(直刺)($40mm{\times}0.35mm$ 일회용 침)하였다. 피험자의 이상 반응 유무를 살피며 안면신경 혹은 삼차신경이 지나가는 경로로 알려진 깊이까지 진침(進鎬)하였다. 유침(留鍼) 상태에서 Skull X-ray의 AP view와 Lateral view를 촬영하였다. 결과 : 피험자들은 침병이 피부에 도달 하는 동안(40mm 직자) 자침 혈위에서 중창감(重脹感)을 자각하였으며, 추후 어떠한 이상 반응도 보이지 않았다. 결론 : 안면마비와 안면통의 효율적인 치료를 위하여 안면신경과 삼차신경에 근접할 수 있는 혈위인 예풍과 하관에서의 40mm 직자는 신경염이나 뇌 손상과 같은 이상 반응을 유발하지 않았다.

• Journal of Dental Rehabilitation and Applied Science
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• v.28 no.1
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• pp.27-36
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• 2012

As the popularity of implant treatment using a variety of problems have been reported. The proper torque values recommended by the manufacturer and the actual tightening force applied to the observed differences. Period for each product used in this study using different torque controllers accuracy for each of the comparisons, were analyzed. Error rate varies by the manufacturer, but all the products used in the reference period for increasing the error rate increased. Repeat the initial tightening, but the reference, showed a value close to the reference value for the width of change was larger. However, increasing the number of repeated tightening of the reference value for the error rate increased, but has reduced the width of the observed changes.

• Journal of the korean academy of Pediatric Dentistry
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• v.30 no.4
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• pp.605-610
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• 2003

Physiologic root resorption occur from the apex of the primary teeth close to the permanent teeth towards the apex. Pathologic root resorption occur on surfaces of root due to causes such as trauma, replantation, orthodontic treatment, delayed or irregular eruption of teeth, or growing cysts or tumors. In children, the most frequently affected teeth from trauma are the maxillary primary central incisors. After such an event, root resorption initiate from the traumatized pulp or periodontium. In this case report, periapical radiographs were used to evaluate the features of pathologic root resorption by studying patients with history of trauma. The following results were noted. 1. Pathologic root resorption was observed in various patterns in all of the 10 traumatized maxillary primary central incisors. 2. Though teeth with pathologic root resorption were treated with pulpectomy, the resorption process continued to progress.

• Journal of the korean academy of Pediatric Dentistry
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• v.39 no.2
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• pp.166-173
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• 2012

Dilaceration is a developmental disturbance in shape of teeth. It refers to an angulation, or a sharp bend or curve, in the root or crown of a formed tooth. Dilacerations are estimated to occur in 3% of all permanent dentitions. However, the etiology of dilaceration is not yet fully understood. Traumatic injury to the deciduous predecessors and ectopic development of the tooth germ are the two commonly cited causes of this anomaly. The involved tooth is usually the maxillary central incisor and it also shows high prevalence of impaction. At first, We tried to do surgical exposure with orthodontic traction but to no avail. After then surgical repositioning of the dilacerated tooth was performed. Finally, Satisfactory results were obtained at the end of treatment, with improvement in dental esthetics and functional aspects.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.28 no.5
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• pp.470-476
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• 2006

Low-dose rate brachytherapy(LDR) has been effective modality for treatment of oral cancer. But the disadvantage of LDR is radioexposure of medical staff. To overcome this problem, high dose rate(HDR) brachytherapy has been developed. Our study evaluates the outcomes of patients with tongue cancer as treated by HDR brachytherapy. Between 2002 and 2005, eight patients with carcinoma of the tongue were treated with HDR brachytherapy. Five patients had AJCC stage I or II disease and the remaining three patients had AJCC stage III or IV. The male-to-female ratio was 2:6 and the mean age was 60.1 years (range: 21-80 years).The median follow-up time was 23.8 months (range: 7-55 months). There was no local failure until now. Three patients showed some complications. Two patients showed soft tissue necrosis. There was no bone sequela in all cases. Our experience in treating tongue cancer with HDR brachytherapy is encouraging, because it gave a satisfactory local control. Prospective studies are necessary to delineate the optimum indication for this treatment modality and long-term outcome.

• Proceedings of the Korean Vacuum Society Conference
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• 2013.08a
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• pp.263.1-263.1
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• 2013

탄소나노튜브(CNT)를 이용한 초소형 X선 튜브는 근접 암치료, 비파괴 X선 영상 장치, 휴대용 X선 분광계 등에서 X선 발생소스로 많이 연구되고 있다. 2극형 CNT 에미터의 경우 구조가 단순하여 초소형 X선 튜브에 쉽게 장착할 수 있지만 아노드의 전압과 전류가 연동되기 때문에 튜브의 조작성이 제한적이다. 3극형은 상대적으로 복잡한 구조이고, CNT에서 방출된 전자가 게이트 전극으로 흐르는 누설 전류 그리고 절연체와 충돌하여 차징을 발생시킬 수 있기 때문에 직경이 좁은 초소형 X선 튜브에 구현하기가 쉽지 않다. 하지만 초소형 X선 튜브를 다양한 X선 장치에 응용하기 위해서는 아노드 전압과 전류의 독립된 조작이 가능한 3극형 CNT 에미터가 반드시 구현되어야 한다. 본 발표에서는 전자빔의 아노드 집속을 강화하고 절연체에서의 차징을 줄이는 포커싱 기능의 게이트(FFG) 구조를 제안하였고. 이를 적용하여 초소형 X선 튜브들을 제작하고, 분석하였다. FFG 구조가 성공적으로 적용된 초소형 X선 튜브는 게이트 누설 전류 없이 뛰어난 전류 및 X선 방출 특성을 보였다. 이와는 달리, 몇몇 초소형 X선 튜브들에서는 게이트 누설 전류가 나타났고, 아노드 전압에 의한 게이트 전압 상승이 발생하여 불안정한 구동 특성을 보였다. 초소형 X선 튜브를 밀봉하지 않고 진공 챔버에서 실험한 결과, 유도된 게이트 전압은 상당한 시간이 흐르거나 진공챔버에 공기를 주입하고 다시 진공상태로 만들면 유도전압이 제거되는 것을 볼 수 있었다. 결론적으로 CNT에서 방출된 전자빔이 정상궤도를 벗어나 게이트 누설전류와 차징에 의한 게이트 유도전압을 발생시키면 초소형 X선 튜브가 불안정한 구동을 하고, 결국 튜브의 심각한 결함으로 나타나게 된다. 즉, 게이트 누설 전류와 유도된 게이트 전압은 3극형 CNT 에미터가 장착된 초소형 X선 튜브의 디자인과 제작에 있어서 성공 기준이 될 수 있다.

• Journal of Korean Neurosurgical Society
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• v.30 no.sup1
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• pp.128-132
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• 2001

Aneurysm of the basilar artery trunk are rare and the surgical approach is very difficult because of the complexity of surgical anatomy around the basilar trunk and the vulnerable adjacent neurovascular structures. The development of brain CT and MRI makes the accurate diagnosis and produces the improvement of surgical approaches at the lesion of the skull base. One of the surgical approaches of basilar trunk aneurysms, the retrolabyrinthine presigmoid transtentorial transpetrosal approach to the aneurysm of the basilar trunk has some advantages of minimal retraction of cerebellum and temporal lobe, intact auditory and facial nerve function by the preservation of the vestibulocochlear and facial nerves, a preservation of sigmoid sinus and vein of Labbe and a relatively good operation field. We had a good result with this approach for the patient of basilar trunk aneurysm and reported the case with the review of literatures.

• Journal of Yeungnam Medical Science
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• v.7 no.1
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• pp.113-119
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• 1990

The stereotactic radiosurgery using ionizing radiation of high energy is a technique for exadicating intracranial small tumors, which are inaccessible or unsuitable for open surgical technique. For such a small field radiosurgery. TLD or film dosimetry is essential. The three dimensional dose planning of radiosurgery was performed with dose planning computer system (Therac 2300). The target dose distribution and its error according to patient position were discussed. And were measured of circular cone which specially designed in our Hospital. The position error of Rando Phantom compared with CT were O.4mm in the AP-LAT section and in the AP-VERT section, 1.0mm in the AP-VERT $45^{\circ}$section. The ratio of accuracy of the gantry and couch rotation were 1.5mm diamteter for centeral axis of I8MeV linear accelerator. Our study suggested that radiosurgery of small field in our department will be appropriate for clinical application.