• Title/Summary/Keyword: 암센터

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Dosimetry for Total Skin Electron Beam Therapy in Skin Cancer (피부암치료를 위한 전자선 전신피부 치료방법과 선량분포 측정)

  • Chu, Sung-Sil;Loh, John-Jk;Kim, Gwi-Eon
    • Radiation Oncology Journal
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    • v.10 no.1
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    • pp.107-113
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    • 1992
  • Increasing frequency of skin cancer, mycosis fungoides, Kaposi's sarcoma etc, it need to treatment dose planning for total skin electron beam (TSEB) therapy. Appropriate treatment planning for TSEB therapy is needed to give homogeneous dose distribution throughout the entire skin surface. The energy of 6 MeV electron from the 18 MeV medical linear accelerator was adapted for superficial total skin electron beam therapy. The energy of the electron beam was reduced to 4.2 MeV by a $0.5\;cm\times90\;cm{\times}180\;cm$ acryl screen placed in a feet front of the patient. Six dual field beam was adapted for total skin irradiation to encompass the entire body surface from head to toe simultaneously. The patients were treated behind the acryl screen plate acted as a beam scatterer and contained a parallel-plate shallow ion chamber for dosimetry and beam monitoring. During treatment, the patient was placed in six different positions due to be homogeneous dose distribution for whole skin around the body. One treatment session delivered 400 cGy to the entire skin surface and patients were treated twice a week for eight consecutive weeks, which is equivalent to TDF value 57. instrumentation and techniques developed in determining the depth dose, dose distribution and bremsstrahlung dose are discussed.

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Development and Thermal Distribution of An RF Capacitive Heating Device (유전가열장치의 개발과 온열분포)

  • Chu, Sung-Sil;Suh, Chang-Ok;Kim, Gwi-Eon;Loh, John-Kyu;Kim, Byung-Soo
    • Radiation Oncology Journal
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    • v.5 no.1
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    • pp.49-58
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    • 1987
  • Hypertermia for the treatment of cancer has been introduced for a long time and the biological effect for the use of hyperthermia to treat malignant tumors has been well established and encouraging clinical results have been obserbed. Unfortunately, however, the engineering or technical aspects of hyperthermia for the deep seated tumors has not been satisfactory. We developed the radiofrequency capactive hyperthermia device (Greenytherm-GY8) in cooperation with Yonsei Cancer Center and Green Cross Medical Corporation. It was composed with $8{\sim}10MHz$ RF generator, capacitive electrode, matching system, cooling system, temperature measuring system and control PC computer. The thermal profile was investigated in agar phantom, animals and in human tumors, heated with capactivie RF device. Deep and homogeneous heating could be achieved in a large phantom of 25cm diameter and 19cm thick when heated with a pair of 23cm diameter electrodes, coupled to both bases of the phantom, when the size of the two electrodes was not the same, the region near the smaller electrode was preferentially heated. It was, therefore, possible to control the depth of heating by choosing proper size of electrodes. Therapeutic temperature $(42^{\circ}C{\sim}43^{\circ}C)$ could be obtained in the living animal experiments. Indications are that deep heating of humn tumors might be achieved with the capacitive method, provided that subcutaenous fat layer is cooled by temperature controlled bolus and large size of electrodes.

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Induced Activity and Space Dose Distribution from Medical Linear Accelerator (의료용(醫療用) 선형가속기(線型加速器)에 의한 산난공간(散亂空間) 선량분포(線量分布)와 유도방사능(誘導放射能))

  • Chu, Sung-Sil;Park, Chang-Yun
    • Journal of Radiation Protection and Research
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    • v.11 no.1
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    • pp.51-56
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    • 1986
  • It is important to measure and protect from the radiation space dose and induced activity at the high energy medical linear accelerator facilities. These are to consider the additional risk to patients undergoing treatment, machine operators and staff members. Measurements of the space dose distribution and induced radioactivity at the 18 MeV medical linear accelerator facility in the Yonsei Cancer Center. 1. Exposure space dose for 300 rads monitor doses of 18 MeV electron are measured as 50 mR at 1 meter from patients. 2. Exposure space dose for 300 rads monitor doses of 10 MV X-ray are detected as 350 mR at 1 meter from phantom. 3. Induced radioactivity by photonuclear reaction was measured as 0.65 mR/hr from collimater after 30 Gy(3,000 rads) irradiated. 4. Analyzing the decay curves and energy spectrum of induced radioactivity, detected a few materials to be activated by photoneutron reaction, $^{65}Cu({\gamma}{\cdot}n)\;^{64}Cu,\;^{186}W({\gamma}{\cdot}n)\;^{185}W,\;^{181}Ta({\gamma}{\cdot}n)\;^{180}Ta,\;^{199}Au({\gamma}{\cdot}n)\;^{198}Au$.

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A Priority and Impact Factor Analysis of Construction Management Tasks for Decreasing Change Orders and Defect Repairs in Cancer Treatment Center Projects (암센터 의료시설의 설계변경과 하자보수의 감소를 위한 중점 관리공사 분석)

  • Lee, Chijoo;Lee, Ghang;Sim, Jaekyang
    • Korean Journal of Construction Engineering and Management
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    • v.14 no.5
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    • pp.55-64
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    • 2013
  • The complexity of constructing medical institutions is higher than that of general buildings, and many change orders in the design and defect repairs in the construction phase are required due to strict government regulations. The priority control of constructions and impact factors of medical institutions were analyzed in this study, and difficulties in the control in the design and construction phase were identified. First, the priority management factors that were identified were as follows: architecture, facilities, and electricity. Second, 1) priority management in constructions and factors resulting in change orders and 2) priority management in constructions involving defect repair were analyzed. Third, the importance recognized by the construction managers were analyzed. The priority management in constructions and factors that were recognized by the construction manager were deducted as having low importance, although there were many change orders and defects. The work of finishing, wall building, joining, office automation and communication function, and lighting were analyzed in the design phase, and waste, the office automation and communication function, ceilings, contamination control, and plumbing were analyzed in the construction phase. The results showed that there will be a decrease in change orders and defects if the concentration of the manager was elevated and priorities were managed.

Origin of Fluorine Contained in Rocks within the Eulwangsan, Yongyudo (용유도 을왕산에 분포하는 암석 내 불소 기원)

  • Lee, Jong-Hwan;Jeong, Jong-Ok;Kim, Kun-Ki;Lee, Sang-Woo;Kim, Soon-Oh
    • Economic and Environmental Geology
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    • v.51 no.6
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    • pp.521-529
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    • 2018
  • This study was conducted to investigate the natural origin of fluorine contained in the rocks within the Eulwangsan area via petrological and mineralogical analyses. The main geology of the Yongyudo Eulwangsan area is Triassic biotite granite. Biotite granite and mylonite are the major rock types containing fluorine at high levels (up to 1,700 and 2,400 mg/kg for biotite granite and mylonite, respectively). In the case of the biotite granite, a high concentration of fluorine can be contributed to fluorite, and the results of microscopic analyses show that the fluorite was observed as small veinlets filling cleavages and micro-fractures within alkali-feldspars and plagioclases, or observed together with quartz in ore veins, indicating the secondary formation of fluorite by hydrothermal fluids. In mylonite, on the other hand, a high fluorine concentration is attributable to sericite. Microscopic analyses revealed that the boundary between sericite and surrounding quartz was not clear, the sericite occurred filling the micro-fractures of quartz and encapsulating small quartz cataclasts. These results indicate that the sericite was also formed as a result of hydrothermal alteration. Consequently, it is speculated that the high fluorine level in the rocks of the Eulwangsan area of Yongyudo is of natural origin due to hydrothermal processes.

Anti-proliferative Properties of p-Coumaric Acid in SNU-16 Gastric Cancer Cells (SNU-16 위암 세포주에서 p-coumaric acid의 세포성장 억제 효과)

  • Jang, Mi Gyeong;Ko, Hee Chul;Kim, Se-Jae
    • Journal of Life Science
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    • v.29 no.7
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    • pp.809-816
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    • 2019
  • The ubiquitous plant metabolite p-coumaric acid (p-CA) has antioxidant and anti-inflammatory properties, but its anti-cancer activity has not been established in gastric cancer cell lines. In this study, we investigated the effects of p-CA on the proliferation and transcriptome profile of SNU16 gastric cancer cells. Treatment with p-CA induced apoptosis of the SNU-16 cells by regulating the expression of pro-apoptotic and anti-apoptotic proteins, such as Bcl-2, poly (ADP-ribose) polymerase (PARP), Bax, procaspase-3, and cleaved-caspase-3. The genes differentially expressed in response to p-CA treatment of the SNU-16 cells were identified by RNA sequencing analysis. Genes regulated by p-CA were involved mainly in the inflammatory response, apoptotic processes, cell cycle, and immune response. Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis indicated that the phosphatidylinositol-3-kinase-Akt and cancer signaling pathways were altered by p-CA. Protein-protein interaction (PPI) network analysis also revealed that p-CA treatment was correlated with differential expression of genes associated with the inflammatory response and cancer. Collectively, these results suggest that p-CA has potential utility in gastric cancer prevention.

Algal Contribution to the Occurrence of Refractory Organic Matter in Lake Paldang, South Korea: Inferred from Dual Stable Isotope (13C and 15N) Tracer Experiment (팔당호 난분해성 유기물에 대한 조류기원 유기물의 기여)

  • Lee, Yeonjung;Ha, Sun-Yong;Hur, Jin;Shin, Kyung-Hoon
    • Korean Journal of Ecology and Environment
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    • v.52 no.3
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    • pp.192-201
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    • 2019
  • While a fairly large amount of organic matter is produced daily via phytoplankton photosynthesis in Lake Paldang, South Korea, knowledge of the role of algal-derived organic matter (OM) as a refractory OM source is not adequate. To understand the contribution of algal-derived OM to the refractory pool, biodegradation experiment and $KMnO_4$ oxidation experiment were conducted for 60 days using $^{13}C$ and $^{15}N$ labeled natural phytoplankton assemblage. The assemblage was collected from Lake Paldang on May 20, 2010. The photosynthetically produced total organic carbon ($TO^{13}C$), particulate organic carbon ($PO^{13}C$), and particulate nitrogen ($P^{15}N$) remained at 26%, 20%, and 17% of the initial concentrations, respectively, in the form of non-biodegradable organic matter. In addition, 12% and 38% of $PO^{13}C$ remained after $KMnO_4$ treatment on Day 0 and 60, respectively. These results indicate that photosynthetic products could be an important source of refractory organic matter after microbial degradation. Moreover, the microbially transformed algal-derived OM could contribute to the oxidation rate of the chemical oxygen demand.

A Study on the Probability of Secondary Carcinogenesis during Gamma Knife Radiosurgery (감마나이프 방사선 수술시 2차 발암 확률에 관한 연구)

  • Joo-Ah, Lee;Gi-Hong, Kim
    • Journal of the Korean Society of Radiology
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    • v.16 no.7
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    • pp.843-849
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    • 2022
  • In this study, the probability of secondary carcinogenesis was analyzed by measuring the exposure dose of surrounding normal organs during radiosurgery using a gamma knife. A pediatric phantom (Model 706-G, CIRS, USA) composed of human tissue-equivalent material was set to four tumor volumes of 0.25 cm3, 0.51 cm3, 1.01 cm3, and 2.03 cm3, and the average dose was 18.4 ± 3.4 Gy. After installing the Rando phantom on the table of the gamma knife surgical equipment, the OSLD nanoDot dosimeters were placed in the right eye, left eye, thyroid, thymus gland, right lung, and left lung to measure each exposure dose. The probability of cancer occurrence due to radiation exposure of surrounding normal organs during gamma knife radiosurgery for acoustic schwannoma disease was 4.08 cancers per 100,000 at a tumor volume of 2.03 cm3. This study is expected to be used as useful data in relation to stochastic effects in the future by studying the risk of secondary radiation exposure that can occur during stereotactic radiosurgery.

A Study on the Secondary Carcinogenesis Rate of Vestibular Schwannoma Disease using Glass Dosimeter (유리선량계를 이용한 청신경초종 질환의 2차 발암률에 관한 연구)

  • Joo-Ah Lee;Gi-Hong Kim
    • Journal of the Korean Society of Radiology
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    • v.17 no.2
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    • pp.243-248
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    • 2023
  • This study aims to analyze the secondary carcinogenesis rate caused by exposure of organs at risk of damage using a glass dosimeter during radiosurgery in vestibular schwannoma disease. Using a pediatric phantom of human tissue equivalent material, the volume of the tumor was set to a total of three volumes: 0.506 cm3, 1.008 cm3, and 2.032 cm3, and a radiosurgery plan was established with an average dose of 18.4 ± 3.4 Gy. After mounting the human body phantom on the table of surgical equipment, glass dosimeters were placed on the right eye, left eye, thyroid gland, thymus, right lung, and left lung to measure the exposure dose, respectively. In this study, the incidence of secondary cancer due to exposure to damaged organs during gamma knife radiosurgery in vestibular schwannoma disease with the largest tumor volume of 2.032 cm3 was measured with a glass dosimeter. This study studies the risk of secondary radiation exposure dose that can occur during stereotactic radiosurgery, and it is considered that it will be used as basic data in the field of radiation damage related to the stochastic effect of radiation in the future.

Recent Studies of Breast Cancer in Traditional Chinese Medicine Journals (중의학 논문에 나타난 유방암의 연구 동향에 대한 고찰 - 중의학 논문을 중심으로 -)

  • Jerng, Ui-Min;Jeong, Jong-Soo;Park, Jae-Woo;Jung, Hyun-Sik;Yoon, Seong-Woo
    • The Journal of Korean Obstetrics and Gynecology
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    • v.22 no.1
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    • pp.263-278
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    • 2009
  • Purpose: The purpose of this study is to research trends in the study of breast cancer in Traditional Chinese Medicine (TCM) and to establish the further direction for its study. Methods: We reviewed TCM papers published in the last 29 years (1979-2008). Results: 1. We researched 49 papers and the patterns of study were as follows: in vitro studies were 27 papers (55.1%), in vivo studies were 9 papers (18.4%) and clinical studies were 19 papers (38.8%). 2. In vitro studies on breast cancer research in TCM were focused on cytotoxicity (17 papers) and apoptosis (8 papers). Most of in vivo studies (6 papers) were done for the purpose of inducing growth suppression of tumor cell after administration of the test drug. Each drug acted on this effect through various types of mechanism. 3. Unlike in vitro and in vivo studies, clinical studies on growth suppression of tumor cell were rare (4 papers). Most of the studies were focused on reduction of side effect of chemotherapy or synergistic effect with chemotherapy (7 papers), immune regulation (7 papers), and improvement of quality of life (6 papers). 4. Among the treatment method we reviewed, 'Runing Ⅱ(Ⅱ號方)' was the only medication that further studied as clinical trial after experimental study. 5. Since almost all studies have defects like poorly designed model or insufficient data description, it was difficult to make any definite conclusion about these studies. Conclusion: More subsequent clinical studies based on experimental study will be needed afterwards. Strict and high-level study design with detailed description will be needed in further study.