• Progress in Medical Physics
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• v.23 no.4
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• pp.209-218
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• 2012

Recently, an adequate number of qualified medical physicist is needed for achieving effective treatment and securing safety to the patient, staff and the public on the course of radiation therapy, since the equipment and the technique of radiation therapy are being developed fast and becoming complex. The studies on medical physics staffing level in United State and European countries were investigated. These results were applied to the domestic situation in order to anticipate indirectly the adequate number of medical physicist in Korea. The current number of medical physicists of 6 (middle to large sized) hospitals in Korea was less than 50% of number recommended in the study. Further detailed research specified on the domestic situation is needed in order to expect adequate number of medical physicist more accurately, and particle beam therapy has to be also considered in the research since the facility site is increasing gradually.

• The Journal of the Korea Contents Association
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• v.13 no.12
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• pp.869-879
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• 2013

Modern medicine has not yet conquered behavior therapy for cancer radiation treatment, which is one of the professional groups involved in the justification of the act and reasonable human resources was analyzed. Radiation Oncology(Therapeutic Radiology) installed the role of the medical physicist in the current law, the act must have been within the limits given licenses, but the legitimacy of the act which can be given the current laws and regulations are not clear. Thus, certification and testing outside the medical physicist's research institutions, including the measures to be reflected in national legislation sought. Medical physicists, with the inherent illegality act because one of the areas to precluding the illegality of the content-based "medical law" and "Nuclear Safety Law", "medical technology in the field of radiation safety standards on management" was based on the interpretation. In conclusion, "medical law" and "in the field of medical technology on the management of radiation safety standards" that are consistent with the recognition of qualifications, increased activity in the radiation therapy and radiation safety management must deal with this will be feasible.

• Progress in Medical Physics
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• v.15 no.3
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• pp.167-172
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• 2004

A Siemens HD-270 MLC$^{TM}$, a virtual-micro MLC, allows to the application of a smooth field edge method due to the finite leaf-width of MLC. This technique was implemented into a Pinnacle planning system in order to evaluate the dose distributions during the planning stage. The necessary dosimetric aspects, such as undulation and effective penumbra, were investigated with variations in the resolutions of a virtual-micro MLC and field edge angle. The positional accuracy of the couch movement was also assessed for clinical implementation. The overhead time for planning and treatment was confirmed as negligible.e.

• Progress in Medical Physics
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• v.14 no.3
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• pp.184-188
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• 2003

It is strongly recommended that periodic quality assurance should be carried out in the Gamma Knife that is used in radiosurgery since high radiation is delivered in one session. Since the protocols for Gamma Knife recommended by associations or agencies on quality assurance are absent in Korea, hospitals possessing the Gamma Knife have developed their own protocols. In order to develop a quality assurance protocol suitable for Korea, we reviewed the protocols of the Gamma Knife manufacturer, USA and Japan. we categorized the periodic items into three parts,: radiation dose, mechanical and safety part. The USA recommended and regulated more strict than the manufacturer. Japan recommended the items and frequency based on the USA. In conclusion, we tried to suggest a basic Gamma Knife quality assurance protocol suitable for Korea.

• Proceedings of the Korean Society of Medical Physics Conference
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• 2004.11a
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• pp.29-32
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• 2004

In this study, we had modelled Siemens type MLC using BEAM Monte Carlo code and tested the feasibility of the modelling. To model the Primus linac MLC, we had measured the actual dimensions of MLC and each leaves, then approximated the leaf shape. VARMLC component module was used for the modelling and leakage, tongue-and-groove effect were also considered. Simulation result showed the good agreement with the film measurement.

• Progress in Medical Physics
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• v.18 no.4
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• pp.194-201
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• 2007

Although Gamma Knife irradiates much more radiation in a single session than conventional radiotherapy, there were only a few studies to measure absolute dose of a Gamma Knife. Especially, there is no report of application of International Atomic Energy Agency (IAEA) TRS-398 which requires to use a water phantom in radiation measurement to Gamma Knife. In this article, the authors reported results of the experiments to measure the absorbed dose to water of a Gamma Knife Model C using the IAEA TRS-398 protocol. The absorbed dose to water of a Gamma Knife model C was measured using a water phantom under conditions as close as possible to the IAEA TRS-398 protocol. The obtained results were compared with values measured using the plastic phantom provided by the Gamma Knife manufacturer. Two Capintec PR-05P mini-chambers and a PTW UNIDOS electrometer were used in measurements. The absorbed dose to water of a Gamma Knife model C inside the water phantom was 1.38% larger than that of the plastic phantom. The current protocol provided by the manufacturer has an intrinsic error stems from the fact that a plastic phantom is used instead of a water phantom. In conclusion, it is not possible to fully apply IAEA TRS-398 to measurement of absorbed dose of a Gamma Knife. Instead, it can be a practical choice to build a new protocol for Gamma Knife or to provide a conversion factor from a water phantom to the plastic phantom. The conversion factor can be obtained in one or two standard laboratories.

• Journal of the Korean Society of Physical Medicine
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• v.2 no.2
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• pp.229-236
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• 2007

Clinical therapist use neurological examination to acquire the necessary information from the patients who is neurological damaged. It is necessary to have enough neurological knowledge and clinical experience to collect useful data. Neurological disease of symptom is well correspond with anatomical location and function, therefore neurological examination is one of the powerful tool to diagnosis. These tools will be a great help to clinical therapist to evaluate the patients and helps to select most pertinent treatment approach to patients. Neurological examination can classified and evaluate with Mental Status Examination, Cranial Nerves Examination, Motor and Sensory System Examination, Reflexes, Gait and Station Evaluation, Special Maneuver. Generally, various neurological examination tools are used by therapist in clinical field. Understanding of method of Neurological examination tools and understanding of result of examination from patients's response is very important. Therefore, this research will help to understand clinical meaning by neurological examination.

• Progress in Medical Physics
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• v.9 no.3
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• pp.185-192
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• 1998

It is necessarily to evaluate the energy of X-ray emitted from linear accelerator in order to determine the accurate absorbed dose. The method of direct measurement for x-ray energy is very difficult and impractical. Therefore the method of using beam quality index is generally used. Several dosimetry protocols recommend the use of quality indices such as depth of dose maximum at radiation central axis, dose gradient, and dose level. The linear accelerator manufactures follow the recommendation as dosimetry protocols. The study was performed for us to select the most suitable parameter among the Quality indices as described above. For photon beams of 4, 6, 10, 15, and 21 MV nominal energies produced by four kinds of accelerators(Mitsubishi, Scanditronix, Siemens, Varian) in eleven institutions, We evaluated the x-ray energies obtained by the Quality indices as recommended by several dosimetry protocols and manufactures. Results showed that there were energy spreads according to the same accelerators and Quality indices even though nominal energies were same. It appeared that the percent depth dose at 10 cm (D$_{10}$(%)) gave the smallest deviation and spread of energies. As energies increased, the energy deviation increased for all the quality indices. It is desirable for the use of unified quality index to compare the evaluation of beam quality at different institutions.

• 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.

• Progress in Medical Physics
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• v.8 no.1
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• pp.37-45
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• 1997

The present work is determine to the dose distribution reduced by the insertion of a shielded into a vaginal cylinder around a $\^$60/CO source in brachytherapy, and to the source calibration. It was investigated by measuring the relative dose around a 2.5cm diameter shielded vaginal cylinder in a polystyrene phantom by use of a ionization chamber. Measurements were made with the cylinder unshielded and 0.55cm thick 90$^{\circ}C$ lead shields inserted. Also, the dose distribution compared measurement value with calculation value according to the device manufacturer and the multiple-divided dose tables. A reduction in dose was observed on the unshielded side of the cylinder which increased with distance from the source and it does 4.4％ within 1cm from the surface of the cylinder. On the shielded side of the cylinder, the dose at the surface is reduced to about 20.4％ of its value without the shield. The effective attenuation factor entered for the 90$^{\circ}C$ lead shielded cylinder was average 0.2 in a $\^$60/CO moving source. In comparision with the dose calculation mathods, the multiple-divided dose tables are difference less than ${\pm}$4.1％ with measured data in a $\^$60/Co source.