• The Journal of Korean Society for Radiation Therapy
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• v.26 no.2
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• pp.345-354
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• 2014

Purpose : We evaluated the usefulness of $Fraxion^{(R)}$ system and s-thermoplastic mask by analyzing setup error when stereotactic radiousurgery (SRS) was treated for brain metastasis. Materials and Methods : 6 patients who received definite diagnosis as brain metastasis between May 2014 and October 2014 were selected. 3 patients were immobilized s-thermoplastic mask and mouthpiece (group1), while $Fraxion^{(R)}$ system was used for the other 3 patients (group2). Cone Beam Computerized Tomography (CBCT) scan was acquired to register planning CT scan. The registration offset was compared for each group. We compared and reported the errors using maximum, minimum, mean, and standard deviation of registration offsets. Furthermore, We used the same method as patient specific quality assurance to verify absorbed dose of PTV. Results : The setup error which is registration offset was reduced 83% in x, 40% in y, and 92% in z-direction when $Fraxion^{(R)}$ system was used compared to the case of using s-thermoplastic mask and mouthpiece. In addition, using $Fraxion^{(R)}$ system showed improved results in rotational components, pitch (rotation along x-axis), roll (y), and yaw (z) which were reduced 64, 88, and 87% respectively compared to the case of using s-thermoplastic mask and mouthpiece. In dosimetry results, when s-thermoplastic mask and mouthpiece used, absorbed dose was reduce 83% compared to before and after registration. However, using $Fraxion^{(R)}$ system showed only 1.9%. All percentage were calculated with respect to average value. Conclusion : Using $Fraxion^{(R)}$ system including mouthpiece, Fraxion frame, frontpiece, and thermoplastic mask, showed better repeatability and precision compared to using s-thermoplastic mask and mouthpiece, which is consequently considered as more improved immobilization system.

• Radiation Oncology Journal
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• v.21 no.1
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• pp.82-93
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• 2003

Purpose : To reduce the Irradiation dose to the lungs and heart in the case of chest wail irradiation using an oppositional electron beam, we used an Individualized custom bolus, which was precisely designed to compensate for the differences In chest wall thickness. The benefits were evaluated by comparing the normal tissue complication probablilties (NTCPS) and dose statistics both with and without boluses. Materials and Methods : Boluses were made, and their effects evaluated in ten patients treated using the reverse hockey-stick technique. The electron beam energy was determined so as to administer 80% of the irradiation prescription dose to the deepest lung-chest wall border, which was usually located at the internal mammary lymph node chain. An individualized custom bolus was prepared to compensate for a chest wall thinner than the prescription depth by meticulously measuring the chest wall thickness at 1 emf intervals on the planning CT Images. A second planning CT was obtained overlying the individuailzed custom bolus for each patient's chest wall. 3-D treatment planning was peformed using ADAC-Pinnacle$^{3}$ for all patients with and without bolus. NTCPS based on 'the Lyman-Kutcher' model were analyzed and the mean, maximum, minimum doses, V$_{50}$ and V$_{95}$ for 4he heari and lungs were computed. Results .The average NTCPS in the ipsliateral lung showed a statistically significant reduction (p<0.01), from 80.2${\pm}$3.43% to 47.7${\pm}$4.61%, with the use of the individualized custom boluses. The mean lung irradiation dose to the ipsilateral iung was also significantly reduced by about 430 cGy, Trom 2757 cGy to 2,327 cGy (p<0.01). The V$_{50}$ and V$_{95}$ in the ipsilateral lung markedly decreased from the averages of 54.5 and 17.4% to 45.3 and 11.0%, respectively. The V$_{50}$ and V$_{95}$ In the heart also decreased from the averages of 16.8 and 6.1% to 9.8% and 2.2%, respectively. The NTCP In the contralateral lung and the heart were 0%, even for the cases with no bolus because of the small effective mean radiation volume values of 4.4 and 7.1%, respectively Conclusion : The use of an Individualized custom bolus in the radiotherapy of postrnastectorny chest wall reduced the NTCP of the ipsilateral lung by about 24.5 to 40.5%, which can improve the complication free cure probability of breast cancer patients.

• Journal of Korean Neurosurgical Society
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• v.63 no.2
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• pp.237-247
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• 2020

Objective : Fixation of the C1-2 segment is challenging because of the complex anatomy in the region and the need for a high degree of accuracy to avoid complications. Preoperative 3D-computed tomography (CT) scans can help reduce the risk of complications in the vertebral artery, spinal cord, and nerve roots. However, the patient may be susceptible to injury if the patient's anatomy does not match the preoperative CT scans. The intraoperative 3D image-based navigation systems have reduced complications in instrument-assisted techniques due to greater accuracy. This study aimed to compare the radiologic outcomes of C1-2 fusion surgery between intraoperative CT image-guided operation and fluoroscopy-guided operation. Methods : We retrospectively reviewed the radiologic images of 34 patients who underwent C1-2 fusion spine surgery from January 2009 to November 2018 at our hospital. We assessed 17 cases each of degenerative cervical disease and trauma in a study population of 18 males and 16 females. The mean age was 54.8 years. A total of 139 screws were used and the surgical procedures included 68 screws in the C1 lateral mass, 58 screws in C2 pedicle, nine screws in C2 lamina and C2 pars screws, four lateral mass screws in sub-axial level. Of the 34 patients, 19 patients underwent screw insertion using intraoperative mobile CT. Other patients underwent atlantoaxial fusion with a standard fluoroscopy-guided device. Results : A total of 139 screws were correctly positioned. We analyzed the positions of 135 screws except for the four screws that performed the lateral mass screws in C3 vertebra. Minor screw penetration was observed in seven cases (5.2%), and major pedicle screw penetration was observed in three cases (2.2%). In one case, the malposition of a C2 pedicle screw was confirmed, which was subsequently corrected. There were no complications regarding vertebral artery injury or onset of new neurologic deficits. The screw malposition rate was lower (5.3%) in patients who underwent intraoperative CT-based navigation than that for fluoroscopy-guided cases (10.2%). And we confirmed that the operation time can be significantly reduced by surgery using intraoperative O-arm device. Conclusion : Spinal navigation using intraoperative cone-beam CT scans is reliable for posterior fixation in unstable C1-2 pathologies and can be reduced the operative time.

• KSBB Journal
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• v.11 no.3
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• pp.295-302
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• 1996

The measurements of rubisco parameters are important in photosynthetic studies. In this experiment, we used photometric assay method to detect these major parameters, such as activity, carbamylation and amount of rubisco. The main advantages of this method are very simple and as sensitive as conventional methods which usually produce radioactive waste. In this study, with kidney bean (Phaseolus vulgatis L.) leaves grown at normal $CO_2$ (350ppm) and high $CO_2$ (650 ppm), we investigated the effect of $CO_2$ concentration on activation and carbamylation of rubisco by measuring the rubisco activity, carbamylation rate and amount of rubisco using a dual beam (334nm and 405nm) spectrophotometer, and analyzed the polypeptide profiles of rubisco by SDS-PAGE. When $CO_2$ concentration was raised from 350ppm to 650ppm, all parameters of rubisco were decreased : $41.2{\mu}M/m^2/s and 52.2{\mu}M/m^2/s$ to $27.4{\mu}M/m^2/s and 46.1{\mu}M/m^2/s$ for initial and total rubisco activity, respectively ; from 79% to 58.9% for carbamylation rate ; from $1.94 {\mu}M/m^2$ to 1.58{\mu}M/m^2$ for amount of rubisco. These results suggests that the decrease in rubisco activity at high $CO_2$ was caused by carbamylation. The analysis of the preparation by SDS-PAGE showed two major polypeptides at 50 and 14.5 kD which were identified as the large and the small subunits of rubisco. There were no differences in the intensity compared high $CO_2$ to normal $CO_2$ in both 50 kD and 14.5 kD bands. We also found that these inhibitory effects of $CO_2$ were reversible. When high $CO_2$ was switched to normal $CO_2$, the parameters of rubisco changed were almost the same as normal rubisco parameters. These data provide an evidence that activity of rubisco was recovered by $CO_2$ concentration of 350 ppm.

• Korean Journal of Digital Imaging in Medicine
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• v.3 no.1
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• pp.126-132
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• 1997

Purpose : To apply to Program of Auto processor quality control after comparison of Film density variations with amendments to Auto density by using Check density program and Adjust density program of calibration mode into the Laser imager. Methods : Observe Check and Adjust density variations on the Control chart with standard step and value during seven months from December, 1995 to June, 1956 extending twice a week. (1) Measure density value on the steps after printing out 17-step sensitometric pattern of the Check density program. (2) In the same way, measure density values after amending density by using Adjust density program If they are exceeding allowable error limit. Results : In case of Check density program, the exceeding limit rates of Density difference(DD) and Middle density(MD) are: FL-IM3543 DD=75%. MD=72.5%, FL-IMD DD=0%. MD=30.8%(14.5%) After amending density by using Adjust density program, the exceeding limit rates of all both Laser imager were zero percent. The standard deviations are show lower FL-IM D than FL-IM3543 on the Check density control chart, but higher on the Adjust density control chart. Conclusion : (1) Check density variations by printingout sensitometric pattern extending once a week at least for quality control of the Laser imager. (2) In case of a dusty place, check the Laser beam transmission after cleaning Laser optical unit extending once a month. (3) Be sure to measure and check density values by using adjust density program if they are exceeding allowable error limit. (4) Maintain much better film density by performing the adjust density program even if check density values are existed within normal limit.

• Progress in Medical Physics
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• v.2 no.2
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• pp.155-160
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• 1991

We have studied the effective point of measurement for cylindrical ion chamber in water phantom for medical electron beams. Markus parallel plate chamber water phantom are used for the measurement of depth dose to determine the depth of the effective point of measurement for various energies(for electron 6MeV, 9MeV, 12MeV, 16MeV, and 20MeV; Co-60; for photon 6MV, 15MV). Cylindrical ion chambes(PTW233643 with r=2.75mm, PR-05P with r=2mm, and PM30 wiht r=15mm are used for the measurement of depth dose by same mtethod and the values of d$\_$50/ and R$\_$p/ obtained by three cylindrical chambers were compared with those of a flat chamber. From this we could evaluate the effective measuring points of cylindrical ion chamber. The effective point of measurement was estimated as 0.4～0.6r shifted toward surface from the center of the chamber for electron beam, 0.3～0.7r for $\^$60/Co X-ray.

• Journal of Korean Society of Steel Construction
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• v.16 no.4 s.71
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• pp.493-500
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• 2004

In this study, the effects of ring stiffeners for buckling of cylindrical shells with composite materials were analyzed. The finite element method was used: 3-D beam elements were used for stiffeners and flat shell elements were used for cylindrical shells and were improved by introducing a substitute shear strain. The ring stiffeners were of the transverse rib type. The buckling behaviors of the cylindrical shells were analyzed based on various parameters, such as locations and sizes of stiffeners, diameter/length ratios and boundary conditions of shells, and fiber-reinforced angles. Effective reinforcement was examined by understanding the exact behaviors for buckling. The results of the analysis may serve as references for designs and future investigations.

• Structural Engineering and Mechanics
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• v.39 no.3
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• pp.427-447
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• 2011

The progressive collapse phenomenon is generally regarded as dynamic. Due to the impracticality of nonlinear dynamic computations for practitioners, an interest arises for the development of equivalent static pushover procedures. The present paper proposes a methodology to identify such a procedure for sudden column removals, using energetic evaluations to determine the pushover loads to apply. In a dynamic context, equality between the cumulated external and internal works indicates a vanishing kinetic energy. If such a state is reached, the structure is sometimes assumed able to withstand the column removal. Approximations of these works can be estimated using a static computation, leading to an estimate of the displacements at the zero kinetic energy configuration. In comparison with other available procedures based on such criteria, the present contribution identifies loading patterns to associate with the zero-kinetic energy criterion to avoid a single-degree-of-freedom idealisation. A parametric study over a family of regular steel structures of varying sizes uses non-linear dynamic computations to assess the proposed pushover loading pattern for the cases of central and lateral ground floor column failure. The identified quasi-static loading schemes are shown to allow detecting nearly all dynamically detected plastic hinges, so that the various beams are provided with sufficient resistance during the design process. A proper accuracy is obtained for the plastic rotations of the most plastified hinges almost independently of the design parameters (loads, geometry, robustness), indicating that the methodology could be extended to provide estimates of the required ductility for the beams, columns, and beam-column connections.

• Steel and Composite Structures
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• v.17 no.3
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• pp.215-236
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• 2014

The flexural behaviour of steel beams significantly affects the structural performance of the steel frame structures. In particular, the flexural overstrength (namely the ratio between the maximum bending moment and the plastic bending strength) that steel beams may experience is the key parameter affecting the seismic design of non-dissipative members in moment resisting frames. The aim of this study is to present a new formulation of flexural overstrength factor for steel beams by means of artificial neural network (NN). To achieve this purpose, a total of 141 experimental data samples from available literature have been collected in order to cover different cross-sectional typologies, namely I-H sections, rectangular and square hollow sections (RHS-SHS). Thus, two different data sets for I-H and RHS-SHS steel beams were formed. Nine critical prediction parameters were selected for the former while eight parameters were considered for the latter. These input variables used for the development of the prediction models are representative of the geometric properties of the sections, the mechanical properties of the material and the shear length of the steel beams. The prediction performance of the proposed NN model was also compared with the results obtained using an existing formulation derived from the gene expression modeling. The analysis of the results indicated that the proposed formulation provided a more reliable and accurate prediction capability of beam overstrength.

• Progress in Medical Physics
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• v.27 no.4
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• pp.189-195
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• 2016

This paper aims to verify the clinical feasibility of a custom-made film created by a laser cutting tool for End-to-End (E2E) quality assurance in robotic intensity modulated radiation therapy system. The custom-made film was fabricated from the Gafchromic EBT3 film with the size of $8^{{\prime}{\prime}}{\times}10^{{\prime}{\prime}}$ using a drawing that is identical to the shape and scale of the original E2E film. The drawing was created by using a computer aided design program with the image file, which is obtained by scanning original E2E film. Beam delivery and evaluations were respectively performed with the original film and the custom-made film using fixed-cone collimator on three tracking modes: 6D skull (6DS), Xsight spine (XS), and Xsight lung (XL). The differences between total targeting errors of the original and custom-made films were recorded as 0.17 mm, 0.3 mm, and 0.17 mm at 6DS, XS, and XL tracking modes, respectively. This indicates that the custom-made film could yield nearly equivalent results to those of the original E2E film, given the uncertainties caused by distortions during film scanning and vibrations associated with film cutting. By confirming the clinical feasibility of a custom-made film for E2E testing, it can be expected that economic efficiency of the testing will increase accordingly.