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Reproducibiity of setup error for prostate cancer by ultrasound image-guided radiation therapy (전립선암에 대한 초음파 영상유도 방사선치료의 Setup 오차 분석을 통한 재현성 평가)

  • Park, Sung Yong;Lim, Seung Kyu;Si, Myoung Geun;Lee, Ji Hae;Kim, Jong Yeol;Cho, Eun Joo
    • The Journal of Korean Society for Radiation Therapy
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    • v.29 no.2
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    • pp.75-81
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    • 2017
  • Purpose: To evaluate the reproducibility of image-guided radiotherapy using ultrasonography which is non-invasive, without radiation exposure for prostate cancer patients. Materials and Methods: We analyzed the setup variation of 1,105 images for 26 prostate cancer patients and the mean, standard deviation and 3D-error in AP, RL and SI directions. Setup variations were classified 0-1 mm, 1-3 mm, 3-5 mm, 5 mm and more. Results: The mean and standard deviation of setup variation in AP, RL and SI directions was $1.87{\pm}1.36mm$, $1.73{\pm}1.22mm$ and $2.01{\pm}1.40mm$. The 3D-error in AP, RL and SI directions was $3.63{\pm}1.63mm$. The frequency of setup variation in AP direction was 29 % in the range from 0 mm to 1 mm, 50.2 % in the range from 1 mm to 3 mm, 19.6 % in the range from 3 mm to 5 mm and 1.3 % in the range of 5 mm or more. In RL direction, the frequency was 31.3 % in the range from 0 mm to 1 mm, 52.5 % in the range from 1 mm to 3 mm, 15.8 % in the range from 3 mm to 5 mm and 0.5 % in the range of 5 mm or more. SI direction, the frequency of errors in the range from 0 mm to 1 mm was 26.3 %, 50.2 % in the range from 1 mm to 3 mm, 22.4 % in the range from 3 mm to 5 mm, and 1.1 % in the range of 5 mm or more. Conclusion: The setup error was highest in the SI direction of $2.01{\pm}1.40mm$. The frequency in each direction was the highest in more than 50 % in the range from 1 mm to 3 mm. $Clarity^{TM}$ Auto scan is possible to monitoring the motion of the prostate during the treatment and to repositioning the patient. In conclusion real-time image-guided radiotherapy using ultrasonography will be increase the reproducibility of radiation therapy.

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Study on Detection Characteristics of Gamma Radiation Detector using different Geometry of YSO Scintillator (YSO 섬광체의 기하학적 구조에 따른 감마선 검출기의 검출 특성 연구)

  • Kim, Jeong-Ho;Joo, Koan-Sik
    • Journal of IKEEE
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    • v.20 no.2
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    • pp.123-127
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    • 2016
  • In this study, gamma radiation detectors are created by integrating the following combinations of different YSO scintillators and PMT(photomultiplier-tubes) respectively: $3mm{\times}3mm{\times}2mm$, $3mm(Dia){\times}15mm$, $3mm(Dia){\times}20mm$, $10mm(Dia){\times}20mm$. In addition, the scintillator with a 10mm diameter was integrated with a light guide with a 2mm thickness, 10mm entry and 3mm exit, using LightTools. The constructed detector used the standard gamma ray sources $^{137}Cs$(662keV) to analyze the spectral characteristics of gamma rays. The results indicate that at 662keV, the energy resolutions were 14.46%, 21.10%, and 10.71% for the first three combinations respectively. The best results were recorded for the $10mm(Dia){\times}20mm$ detector with light guide, which had an energy resolution of 7.48%.

Static Two-Point Discrimination of Fingertips in Young Adults (일부 젊은 성인들의 수지 정적 이점식별)

  • Yi Seung-Ju;Cho Myung-Sook
    • The Journal of Korean Physical Therapy
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    • v.16 no.4
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    • pp.218-225
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    • 2004
  • OBJECTIVES: This study was performed to find out static two-point discrimination (TPD) in fingertips. METHODS: This was a cross-section, measure study of static two-point discrimination involving healthy young adults. Measure was completed by 48 college students in Andong Science College from June 1 to 12, 2004. The minimal distance at which two-points could be discriminated was measured from thumb to little finger. RESULTS: For dermatomal regions of the fingertip, mean values ranged from 3.3mm to 4.9mm (thumb 3.6mm, index finger 3.3mm, middle finger 3.8mm, ring finger 4.2mm, and little finger 4.7mm in the left hand; thumb 3.7mm, index 3.5mm, middle 4.0mm, ring 4.3mm, and little 4.9mm in the right hand). A significant difference in discrimination ability was found between men and women, 3.5mm for women showed a greater sensitivity than 4.1mm for men in the left middle fingertip(p=0.0109), also 3.9mm for women showed a greater accuracy than 4.5mm for men in the left ring fingertip(p=0.0388). In the right index fingertip, women (3.1mm) have a narrow distance than men (3.6mm)(p=0.0329). The minimal distance of TPD was found a significant difference between 20 and 30 years in age. 4mm for 30 years showed a greater distance than 3.5mm for 20 years in the left thumb fingertip(p=0.0354), also, 3.8mm for 30 years showed a greater distance than 3.2mm for 20 years in the left index fingertip(p=0.0174), and 4.3mm for 30 years showed a greater distance than 3.7mm for 20 years in the left middle fingertip(p=0.0444). In the right index fingertip, 20 years (3.2mm) had also a narrow distance than 30 years (4.1mm)(p=0.0020), 20 years (3.9mm) showed a narrow distance than 30 years (4.6mm) in the right middle fingertip(p=0.0124), and 20 years (4.1mm) showed a greater sensitivity than 30 years (5.0mm) in the right ring fingertip(p=0.0070). CONCLUSIONS: Our results suggest that distance of TPD in the both index fingertips for 20 years women was significantly narrowed.

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Durability Design of the Thickness of Bicycle Frames (자전거 프레임 두께에 따른 내구 설계)

  • Han, Sang Geun;Chun, Se Young;Kang, Seong Ki
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.14 no.6
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    • pp.84-89
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    • 2015
  • The thickness of a stable and economical frame has been designed in order to reduce costs. Therefore, this study applied structural analysis and vibration analysis based on a comparison of the thicknesses of frames. Four types of frames (1mm, 2mm, 3mm, and 5mm) were modeled on a bicycle frame that has a length of 842mm, a width of 100mm, and a height of 400.5mm, and all of these frames generated the stress and maximum deformation amount in the state and around the saddle. The maximum stress shown was 25.732 MPa in 1mm, 11.79 MPa in 2mm, and 8.2015 MPa in 3mm, and the maximum deformation amount shown was 0.063611mm in 1mm, 0.031978mm in 2mm, and 0.022319mm in 3mm. The natural frequency of the frame thicknesses 1mm, 2mm, and 3mm was estimated as within 270 Hz. The critical frequency of conditions of 3mm was the biggest at 118.1Hz compared with the 3-mm model; thus, 3mm was shown to have the most satisfactory resistance.

The Effect of Knee Flexion and Posterior Septal Release on the Location of Popliteal Artery (무릎 굴곡 및 후방 관절낭 절제술이 슬와 동맥의 위치에 주는 영향)

  • Seo, Seung-Suk;Seo, Jin-Hyuk;Kim, Chang-Wan;Kwon, Yong-Wook
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.11 no.2
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    • pp.69-74
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    • 2012
  • Purpose: By confirm the change of popliteal arterial position when extension or flexion of the knee and estimate the change of popliteal arterial position after posterior capsular release, we tried to know the position can minimize injury of popliteal artery during arthroscopic surgery and usefulness of posterior capsular release. Materials and Methods: Total of two middle-aged man and woman, fresh frozen cadavers as systemic, all four cases of the knee were included in this study. After the knee was flexed to 0 degrees, 30 degrees, 60 degrees, 90 degrees angle, we estimated distance from posterior tibial cortex to popliteal artery at articular surface, the distal 1 cm and 2 cm from articular surface. We performed posterior capsular release by arthroscopy, and estimated distance between posterior tibial cortex and popliteal artery in the same way. Results: Mean distance between popliteal artery and posterior tibial cortex was 6.3 mm (4.5~7), 4.6 mm (3.6~6), 4.9 mm (3.9~5.8) when knee flexion to 0 degrees at articular surface, distal 1 cm and 2 cm from articular surface each. When knee flexion to 30 degrees, it was 7.4 mm (5.2~9), 4.9 mm (3.6~7.2), 5.3 mm (3.8~6.6). When knee flexion to 60 degrees, it was 8.7 mm (5.4~11), 5.2 mm (4.9~7.3), 6.2 mm (5.4~9.6). When knee flexion to 90 degrees, it was 9.8 mm (5.8~12.1), 5.5 mm (5.1~7.4), 6.5 mm (5.4~10.7). After posterior capsule release, the distance was 6.5 mm (5.5~7.5), 5.8 mm (3.9~7.2), 5.2 mm (3.8~7.0) when knee flexion to 0 degrees, 7.7 mm (5.5~9,1), 7.1 mm (4.6~7.6), 5.5 mm (4.1~6.9) when knee flexion to 30 degrees, 8.9 mm (5.7~11.2), 8.5 mm (5.5~9.2), 6.4 mm (5.3~10.1) when knee flexion to 60 degrees and 10.2 mm (6.3~13.6), 9.5 mm (6.5~11), 6.6 mm (5.9~9.8) when knee flexion to 90 degrees. Conclusion: As knee joint is flexed, the distance from posterial tibial cortex to popliteal artery are increased beween knee joint articular surface and distal 2 cm from knee joint. So popliteal artery injury will be reduced at knee joint surgery. Posterior capsular release could also reduce popliteal artery injury by increasing distance between posterior tibial cortex and popliteal artery.

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Evaluation of Supplying Instream Flow by Operation Rule Curve for Heightening Irrigation Reservoir (이수관리곡선에 의한 증고저수지의 하천유지유량 공급 가능성 평가)

  • Lee, Jae-Nam;Noh, Jae-Kyoung
    • Korean Journal of Agricultural Science
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    • v.37 no.3
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    • pp.481-490
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    • 2010
  • Baekgog reservoir is located in Jincheon county, Chungbuk province, of which full water levels will be heightened from EL. 100.1 m to EL. 102.1 m, and total storages from 21.75 $Mm^3$ to 26.67 $Mm^3$. The simulation for reservoir inflow was conducted by DAWAST model. The annual average irrigation water was estimated to 33.19 $Mm^3$ supplied to 2,975 ha and the instream flows could be allocated with 0.14 mm/d from October to April with annual average of 2.52 $Mm^3$. The operation rule curve was drawn using inflow, irrigation, and instream flow requirements data. The reservoir water storage was simulated on a daily basis in case of both normal and withdrawal limit operation. In case of normal operation, the annual average irrigation water supply increased from 31.95 $Mm^3$ to 33.32 $Mm^3$, the instream water supply from 2.40 $Mm^3$ to 2.44 $Mm^3$, the water storages from 15.74 $Mm^3$ to 19.88 $Mm^3$, and the water supply reliability from 77.3 % to 81.6 %. In case of operation with withdrawal limit, the amount of instream water supply was 2.52 $Mm^3$ from reservoir regardless of the condition while the water storage increased from 16.77 $Mm^3$ to 20.65 $Mm^3$. The irrigation water supply capacity was appropriate for the case of normal operation with 2 m heightened condition. The present instream water supply capacity was 35,000 $m^3$/d (6.86 $Mm^3$/y) while 42,000 $m^3$/d (8.36 $Mm^3$/y) in 2 m heightened condition in case of withdrawal limit operation.

Age and Growth of Three Species of Genus Gymnogobius from Korea (한국산 날망둑속(屬) 3종(種) (망둑어과(科))의 연령과 성장)

  • Kim, Young-Ja;Kim, Jong-Man
    • Korean Journal of Ichthyology
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    • v.13 no.4
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    • pp.237-247
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    • 2001
  • Three species, Gymnogobius urotaenia, G. sp. 1 and G. sp. 2, which were collected at Hosanriver, Hosan-ri, Samcheock-si, Gangwon-do, Korea, were examined for study of the age and growth. There was no differences between sexes in growth (p>0.05) except in age 0 of G. urotaenia, However, there were differences among the three species (p<0.0001). namely, G. sp. 1 was longer by about 5~10 mm (SL) than the other two species in each age group, while G. sp. 2 was shortest in each age group: G. rotaenia, at age 0 was less than 45 mm, at age 1 to be 45~60 mm, at age 2 to be 60~80 mm, at age 3 to be over 80 mm, and its maximum size was 105.0 mm. G. sp. 1, at age 0 was less than 55 mm, at age 1 55~65 mm, at age 2 65~85 mm, at age 3 over 85 mm and its maximum size was 105.3 mm. G. sp. 2, 0 age was less than 40 mm, at age 1 40~55 mm, at age 2 55~75 mm, at age 3 over 75 mm and its maximum size was 85 mm. Changes of body parts with increasing of body length were examined and analyzed. Covariance analysis showed interspecies differences in the following characters: body depth, head length, caudal peduncle depth, upper jaw length and pelvic fin ray length. G. urotaenia had the highest K-value (the relative growth coefficient) in head length and pelvic fin ray length, and G. sp. 1 had the highest in body depth, caudal peduncle depth and upper jaw length. However, G. sp. 2 had the lowest K-value in these 5 characters.

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Usefulness of Ultrasonographic Examination in Diagnosis and Follow-up of the Frozen Shoulder (동결견의 진단과 치료 경과 판정에 대한 초음파 검사의 유용성)

  • Choi, Chang-Hyuk;Kim, Seok-Jun;Lee, Sang-Hwa;Kim, Hee-Soo;Shim, Jung-Hyun
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.7 no.1
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    • pp.1-6
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    • 2014
  • Purpose: In order to know the effectiveness of ultrasonographic examination in diagnosis and follow-up evaluation for the frozen shoulder, we compared those with contralateral side in initial and after steroid injection. Materials and Methods: For the 20 unilateral frozen shoulder from July 2012 to July 2013, ultrasonographic examination was tried using reference line 1 (CBT: distance from coracoid process to LHB tendon) and line 2 (CBG: distance from coracoid process to bicipital groove). We tried 1 time steroid injection and compared the improvement in gross motion and reference line with 2 month, 4 month, and 6 month's serial ultrasonographic examination. Results: The differences on CBT line between lesion side and normal side were -5.6 mm, -5.0 mm, and -4.3 mm in neutral (Neut), external rotation (ER) and internal rotation (IR), respectively. The differences on CBG line were -6.1 mm, -4.7 mm, and -5.0 mm respectively (p<0.05). The changes in the reference line after steroid injection were evaluated at 2 month (CBT: -4.8 mm, -3.5 mm, -2.6 mm / CBG: -4.7 mm, -4.0 mm, -3.6 mm), 4 month (CBT: -4.7 mm, -3.2 mm, -1.7 mm / CBG: -4.3 mm, -3.7 mm, -1.2 mm), and 6 month (CBT: -1.1 mm, -2.9 mm, -0.5 mm / CBG: -1.2 mm, -0.7 mm, -0.9 mm). The gross motion was improved at 4 month after injection, from elevation $108^{\circ}$, ER $32^{\circ}$, IR L5 in initial to $133^{\circ}$, $42^{\circ}$, L3 respectively (p<0.05). Pain improved from 7.5 in initial to 3.0 at 2 month on visual analog scale (VAS). Conclusion: The serial examination after steroid injection revealed that the delayed improvement on reference line (6 month) compared with pain (2 month) or gross motion (4 month). Dynamic ultrasonogram was useful in diagnosis and follow-up evaluation of frozen shoulder.

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Evaluation of Bolus Applicability through Dose Evaluation According to 3D Print Materials (3D 프린트 소재에 따른 선량평가를 통한 볼루스 적용성 평가)

  • Kim, Jung-Hoon;Lee, Deuk-Hee
    • Journal of the Korean Society of Radiology
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    • v.13 no.2
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    • pp.241-246
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    • 2019
  • Among the 4th Industrial Revolution technologies, evaluated bolus applicability through dose assesment according to the materials of 3D printing technology. Dose assesment was using MCNPX which was applied Monte Carlo method and 3D print materials were ABS, PC and PLA. Thus, the thickness with the same effect as the bolus 10 mm was found to be ABS 10 mm, PC 9 mm and PLA 9 mm for the 6 MeV electron. For 6 MV X-ray, ABS 11 mm, PC 10 mm and PLA 9 mm were shown. This study showed that tissue equivalent materials made from 3D printer materials can replace bolus.

Performance evaluation of computed tomographic equipment in Korea (국내 CT장치의 성능평가에 관한 연구)

  • Yang, Han-Jun;Go, Sin-Gwan;Park, Jun-Cheol
    • Journal of radiological science and technology
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    • v.25 no.2
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    • pp.83-83
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    • 2002
  • 국내 35개 병원의 44대의 CT장치를 대상으로 CT장치의 성능을 크게 7가지의 항목별로 구분하여 평가한 결과는 다음과 같았다. 물의 평균 CT number는 -18.9HU와 +68.6HU의 범위에 속했으며, 전체 장치의 평균은 $2.4{\pm}13.0\;HU$였다. 물의 평균 CT number의 권장수준을 -6과 +6로 하였을 경우 이에 적합한 장치는 35대(79.5%)였다. Contrast scale은 장치의 종류에 따라 많은 차이를 나타내었으나 평균은 $2.02{\pm}10^{-4}{\sim}1.665{\pm}10^{-5}$이었다. 직선성을 나타내는 상관계수는 0.984에서 0.992의 분포를 나타내었으며 평균은 $0.990{\pm}0.002$였다. 공간분해능은 0.60 m에서 1.25 mm의 분포를 나타내었으며 전체 장치의 65.9%에 해당되는 29대에서 0.75 mm의 공간 해상능을 나타내었다. 대조도 분해능은 3.2 mm(1/8인치)에서 19.1 mm(3/4인치)의 분포를 나타내었으며, 대조도 분해능의 권장수준을 6.4 mm 이하로 하였을 경우 측정 대상장치 44대 중 이에 적합한 장치는 37대(84.1%)였다. 슬라이스 두께의 설정치가 1 mm인 경우 측정치의 평균은 $2.0{\pm}0.6\;mm$이였으며, 설정치가 2 mm와 3 mm인 경우 측정치는 각각 $3.0{\pm}0.7\;mm$$3.5{\pm}0.6\;mm$이였다. 설정치가 5 mm와 7 mm인 경우 측정치는 각각 $5.1{\pm}0.6\;mm$, $7.0{\pm}0.5mm$이였다. 그리고 10 mm의 설정치에서는 $9.8{\pm}0.7\;mm$의 측정치를 나타내었다. 위치잡이용 중심선의 좌우방향의 편차는 -4.7 mm에서 +41.7 mm의 범위였으며, 상하방향의 편차는 -3.7 mm에서 +4.6 mm의 범위였다. 위치잡이용 중심선의 좌우 및 상하방향의 권장수준을 ${\pm}3.0\;mm$${\pm}3.0\;mm$ 이하로 하였을 경우 41대의 측정 대상장치에서 이에 적합한 장치는 33대(80.5 %)였다.

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