• Title/Summary/Keyword: 재현성 및 선량평가

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The Effect of Breathing Biofeedback on Breathing Reproducibility and Patient's Dose in Respiration-gated Radiotherapy (호흡연동 방사선 치료에서 호흡생체자기제어 방식이 호흡 재현성 및 선량에 미치는 영향 평가)

  • An, Sohyun;Yeo, Inhwan;Jung, Jaewon;Suh, Hyunsuk;Lee, Kyung Ja;Choi, Jinho;Lee, Kyu Chan;Lee, Rena
    • Progress in Medical Physics
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    • v.24 no.3
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    • pp.135-139
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    • 2013
  • We evaluated the effect of two kinds of breathing biofeedback technique such as audio-instruction and audio-visual biofeedback on breathing reproducibility and the CTV coverage during repeated treatment regimes in respiration-gated radiotherapy. In this study, the breathing data of nineteen lung cancer patients acquired from Medical College of Virginia (MCV) during five weeks were used. The dose evaluation algorithm was programmed in MATLAB. In the result, the CTV coverage was decreased as 30.0% due to the breathing irreproducibility for free-breathing. For audio-visual biofeedback, the CTV coverage was improved as 20.0% because patients can learn how control their breathing stably. And the audio-instruction was effective to preserve the breathing reproducibility.

Fabrication and Evaluation of Mercury(II) Iodide Unit Cell Dosimeter to Confirm the Feasibility of Digital Quality Assurance in Intracavitary Radiotherapy (방사선 근접치료의 디지털 정도관리 가능성 확인을 위한 HgI2 Unit Cell 선량계의 제작 및 평가)

  • Jung, Jae-Hoon;Park, Sung-Kwang
    • Journal of the Korean Society of Radiology
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    • v.16 no.3
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    • pp.257-263
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    • 2022
  • In intracavitary radiotherapy, it is essential to verify the correct location of radiation source among quality control items because an incorrect location will irradiate an unnecessary dose to normal tissues. As a basic study of digital line dosimeters, this study fabricated a unit cell dosimeter based on polycrystalline mercury (II) iodide (HgI2) and compared its performance with a diode. The study result showed that for reproducibility, the relative standard deviation (RSD) was 1.21%, satisfying the RSD evaluation criterion of within 1.5%. Considering linearity, the coefficient of determination R2 showed an excellent result of 0.9997. Regarding the evaluation of distance dependence, it showed a similar trend in general with a difference of 0.035 cm for intensity 50% when compared with the inverse square value. This study suggests the applicability of a digital dosimeter for brachytherapy quality control by evaluating the performance of the HgI2 dosimeter. This study on dosimeter for candidate photoconductor materials can be used as basic data in all areas using radiation.

Evaluation of Dosimetric Characteristics of Reproducibility, Linearity and Dose Dependence of Optically Stimulated Luminescence Dosimeters in Co-60 Gamma-rays (Co-60 감마선을 이용한 광자극발광선량계의 재현성, 선형성, 선량의존성에 대한 특성평가)

  • Han, Su Chul;Choi, Sang Hyoun;Park, Seungwoo;Kim, Chul Hang;Jung, Haijo;Kim, Mi-Sook;Yoo, Hyung Jun;Kim, Chan Hyeong;Ji, Young Hoon;Yi, Chul Young;Kim, Kum Bae
    • Progress in Medical Physics
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    • v.25 no.1
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    • pp.31-36
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    • 2014
  • We aimed to evaluate the dosimetric characteristics of reproducibility, linearity and dose dependence of optical stimulated luminance dosimeter (OSLD) in the Co-60 Gamma-rays and to analyze with a precedent study in field of the diagnostic radiography and radiotherapy. The reproducibility was 0.76% of the coefficient of variation, the homogeneity was within 1.5% of the coefficient of variation and OSLD had supra-linear response more than 3 Gy. So the correlation between dose and count was fitted by quadratic function. The count depletion by repeated reading was 0.04% per reading regardless of the irradiated dose. And the half time of decay curve according to the irradiated dose was 0.68 min. with 1 Gy, 1.04 min. with 5 Gy, and 1.10 min. with 10 Gy, respectively. In case of annealing for 30 min, the removal rate was 88% with 1 Gy, 90% with 5 Gy, and 92% with 10 Gy, respectively and 99% in case of annealing time for 4 hour. It is feasible to use OSLDs for dose evaluation in Co-60 Gamma-rays when considering the uncertainty on the procedure according to the irradiated dose.

The Response Correction Function of TL Dosimeter for Shallow Dose Assessment in Tl-204 Beta Fields (Tl-204 베타선장에서의 피부선량평가를 위한 열형광선량계의 베타보정함수)

  • Lee, Sang-Yoon;Kim, Jang-Lyul;Seo, Kyung-Won
    • Nuclear Engineering and Technology
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    • v.26 no.3
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    • pp.381-388
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    • 1994
  • Recently, the American National Standards Institute (ANSI) had made some changes in the radiation sources specified from those in the original performance test criteria ANSI N13. 11-1983. In case or beta category, in addition to the high-energy $^{90}$ Sr/$^{90}$ Y beta source, the $^{204}$ Tl source was added because many workplaces have significant levels of lower energy betas. In this study, the performance or the Teledyne PB-3 personnel dosimetry system in the fields of $^{204}$ Tl and $^{90}$ Sr/ $^{90}$ Y beta was investigated using the PTB beta secondary standard sources. The new beta correction function of PB-3 personnel dosimetry system for $^{204}$ Tl beta was also developed in this response experiment. The results show that the Teledyne PB-3 personnel dosimetry system is very effective for $^{90}$ Sr/ $^{90}$ Y beta dose assessment. In case of $^{204}$ Tl beta radiation, however, the results of simple performance test indicated that the use of beta correction factor(=2.088) which was recommanded by manufacturer may result in unexpectable overestimation of delivered dose by about 60%, while the use of developed beta correction function could measure the delivered doses in errors of 15%.

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Experimental Study with Respect to Dose Characteristic of Glass Dosimeter for Low-Energy by Using Internal Detector of Piranha 657 (Piranha 657의 Internal Detector를 이용한 저에너지에서 유리선량계의 선량 특성에 관한 연구)

  • Son, Jin-Hyun;Min, Jung-Whan;Kim, Hyun-Soo;Lyu, Kwang-Yeul;Lim, Hyun-Soo;Kim, Jung-Min;Jeong, Hoi-Woun
    • Journal of radiological science and technology
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    • v.35 no.2
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    • pp.119-124
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    • 2012
  • Recently, Glass Dosimeter (GD) with thermoluminescent Dosimeter (TLD) are comprehensively used to measure absorbed dose from diagnostic field to therapy field that means from low energy field to high energy field. However, such studies about dose characteristics of GD, such as reproducibility and energy dependency, are mostly results in high energy field. Because characteristic study for measurement devices of radiation dose and radiation detector is performed using 137Cs and 60Co which emit high energy radiations. Thus, this study was evaluated the linearity according to Piranha dose which measured by changing tube voltage (50kV, 80kV and 100kV which are low energy radiations), reproducibility and reproducibility according to delay time using GD. Measurement of radiation dose is performed using internal detector of Piranha 657 which is multi-function QA device (RTI Electronic, Sweden). Condition of measurement was 25mA, 0.02sec, 2.5mAs, SSD of 100 cm and exposure area with $10{\times}10cm^2$. As above method, GD was exposed to radiation. Sixty GDs were divided into three groups (50kV, 80kV, 100kV), then measured. In this study, GD was indicated the linearity in low energy field as high energy existing reported results. The reproducibility and reproducibility according to delay time were acceptable. In this study, we could know that GD can be used to not only measure the high energy field but also low energy field.

Implementation of Man-made Tongue Immobilization Devices in Treating Head and Neck Cancer Patients (두 경부 암 환자의 방사선치료 시 자체 제작한 고정 기구 유용성의 고찰)

  • Baek, Jong-Geal;Kim, Joo-Ho;Lee, Sang-Kyu;Lee, Won-Joo;Yoon, Jong-Won;Cho, Jeong-Hee
    • The Journal of Korean Society for Radiation Therapy
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    • v.20 no.1
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    • pp.1-9
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    • 2008
  • Purpose: For head and neck cancer patients treated with radiation therapy, proper immobilization of intra-oral structures is crucial in reproducing treatment positions and optimizing dose distribution. We produced a man-made tongue immobilization device for each patient subjected to this study. Reproducibility of treatment positions and dose distributions at air-and-tissue interface were compared using man-made tongue immobilization devices and conventional tongue-bites. Materials and Methods: Dental alginate and putty were used in producing man-made tongue immobilization devices. In order to evaluate reproducibility of treatment positions, all patients were CT-simulated, and linac-gram was repeated 5 times with each patient in the treatment position. An acrylic phantom was devised in order to evaluate safety of man-made tongue immobilization devices. Air, water, alginate and putty were placed in the phantom and dose distributions at air-and-tissue interface were calculated using Pinnacle (version 7.6c, Phillips, USA) and measured with EBT film. Two different field sizes (3$\times$3 cm and 5$\times$5 cm) were used for comparison. Results: Evaluation of linac grams showed reproducibility of a treatment position was 4 times more accurate with man-made tongue immobilization devices compared with conventional tongue bites. Patients felt more comfortable using customized tongue immobilization devices during radiation treatment. Air-and-tissue interface dose distributions calculated using Pinnacle were 7.78% and 0.56% for 3$\times$3 cm field and 5$\times$5 cm field respectively. Dose distributions measured with EBT (international specialty products, USA) film were 36.5% and 11.8% for 3$\times$3 cm field and 5$\times$5 cm field respectively. Values from EBT film were higher. Conclusion: Using man-made tongue immobilization devices made of dental alginate and putty in treatment of head and neck cancer patients showed higher reproducibility of treatment position compared with using conventional mouth pieces. Man-made immobilization devices can help optimizing air-and-tissue interface dose distributions and compensating limited accuracy of radiotherapy planning systems in calculating air-tissue interface dose distributions.

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A Study of Performance Characteristics for Electronic Personal Dosimeters in Photon and Electron Radiation Field (광자 및 베타 방사선에 대한 전자개인선량계의 성능특성연구)

  • Kim, Hyun-Ki;Kim, Bong-Hwan;Lee, Jai-Ki
    • Journal of Radiation Protection and Research
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    • v.22 no.2
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    • pp.85-95
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    • 1997
  • TLD and film badges have been traditionally used as formal dosimeters in personal monitoring and are still most widely used. Recently, electronic personal dosimeters based upon Si diode or miniature G-M tube were developed and are getting attractions due to their merits of active nature ; indication of dose rates and the commutative dose, and facilitation of record keeping and radiological control. Response characteristics of the electronic dosimeters including reproducibility, accuracy, linearity, energy and angular dependencies, detection threshold, and response time were examined for three commercial types ; EPD2, STEPHEN6000, and PD-3i. The results were compared with the relevant requirements of IEC standards and Ontario Hydro standards to conclude that their general performances were good. Some specific deficiencies, e.g. incapability of shallow dose measurement of STEPHEN6000, and PD-3i, however, should be corrected to be used as a formal dosimeter.

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In Vivo Dosimetry with MOSFET Detector during Radiotherapy (방사선 치료 중 MOSFET 검출기를 이용한 체표면 선량측정법)

  • Kim Won-Taek;Ki Yong-Gan;Kwon Soo-Il;Lim Sang-Wook;Huh Hyun-Do;Lee Suk;Kwon Byung-Hyun;Kim Dong-Won;Cho Sam-Ju
    • Progress in Medical Physics
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    • v.17 no.1
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    • pp.17-23
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    • 2006
  • In Vivo dosimetry is a method to evaluate the radiotherapy; it is used to find the dosimetric and mechanical errors of radiotherapy unit. In this study, on-line In Vivo dosimetry was enabled by measuring the skin dose with MOSFET detectors attached to patient's skin during treatment. MOSFET dosimeters were found to be reproducible and independent on beam directions. MOSFET detectors were positioned on patient's skin underneath of the dose build-up material which was used to minimize dosimetric error. Delivered dose calculated by the plan verification function embedded in the radiotherapy treatment planning system (RTPs), was compared with measured data point by point. The dependency of MOSFET detector used in this study for energy and dose rate agrees with the specification provided by manufacturer within 2% error. Comparing the measured and the calculated point doses of each patient, discrepancy was within 5%. It was enabled to verify the IMRT by using MOSFET detector. However, skin dosimetry using conventional ion chamber and diode detector is limited to the simple radiotherapy.

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Usability assessment of thermoplastic Bolus for skin VMAT radiotherapy (피부 병변에 대한 VMAT 치료 시 열가소성 bolus의 유용성 평가: case review)

  • Kim, Min Soo;Kim, Joo Ho;Shin, Hyun Kyung;Cho, Min Seok;Park, Ga Yeon
    • The Journal of Korean Society for Radiation Therapy
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    • v.32
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    • pp.85-92
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    • 2020
  • Purpose: To find out the advantages of thermoplastic bolus compared to conventional bolus, which is mainly used in clinical practice, We evaluated Two cases in terms of dose and location reproducibility to assess Usability of thermoplastic Bolus for skin VMAT radiotherapy. Materials and Methods: Two patient's treated with left breast skin lesion were simulated using thermoplastic Bolus and planned with 2arc VMAT. the prescription dose was irradiated to 95% or more of the target volume. We evaluated The reproducibility of the bolus position by measuring the length of the air gap in the CBCT (Cone Beam CT) image. to evaluate dose reproducibility, we compared The dose distribution in the plan and CBCT and measured in vivo for patient 2. Results: The difference between the air gap in patient 1's simulation CT and the mean air gap (M1) during 10 treatments in the CBCT image was -0.42±1.24mm. In patient 2, the difference between the average air gap between the skin and the bolus (M2) during 14 treatments was -1.08±1.3mm, and the air gap between the bolus (M3) was 0.49±1.16. The difference in the dose distribution between Plan CT and CBCT was -1.38% for PTV1 D95 and 0.39% for SKIN (max) in patient 1. In patient 2, PTV1 D95 showed a difference of 0.63% and SKIN (max) -0.53%. The in vivo measurement showed a difference of -1.47% from the planned dose. Conclusion: thermoplastic Bolus is simpler and takes less time to manufacture compared to those produced by 3D printer. Also compared to conventional bolus, it has high reproducibility in the set-up side and stable results in terms of dose delivery.

A Comparative Study on the Head and Neck Radiation Therapy for Dynamic Conformal Arc Therapy and Volumetric Modulated Arc Therapy (두경부 방사선 치료 시 입체조형동적회전조사치료와 용적변조회전조사치료에 관한 연구)

  • Kim, Deok-Ki;Choi, CheonWoong;Choi, Jae-hyock;Won, Hui-su;Park, Cheol-soo
    • Journal of the Korean Magnetics Society
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    • v.25 no.6
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    • pp.208-218
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    • 2015
  • Recently, radiation therapy is used in the CT existing conventional two-dimensional radiation image, and set the size and location of the tumor in a manner that the image is going to change the treatment plan. After using the simulation using CT, radiation therapy it is four-dimensional or three-dimensional treatment made possible. and radiation therapy became the more effective ever before. High technology radiation therapy such as the treatment of SRS,IMRT, IGRT, SBRT, is a need to try contemplating the possibility to apply appropriate analysis and situation, so it has its own characteristics. and then it is believed that it is necessary to analyze and try it worries the proper applicability of the situation. The configuration of the various treatment that is applicable in many hospitals is necessary to try to determine how to practically apply the patients. Critical organs surrounding tumor give a small dose to avoid side effects and then the tumor has the therapeutic effect by providing a larger dose than before the radiation treatment.