• Title/Summary/Keyword: 4D dose

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A Study on the status of Routine-Immunization in a Rural Area (한 농촌 면단위지역 영아의 예방접종실태에 관한 조사)

  • Wie, Cha-Hyung;Lee, Bo-Eun
    • Journal of agricultural medicine and community health
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    • v.23 no.2
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    • pp.205-213
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    • 1998
  • In order to find out the status of routine-immunization in a rural area, this study was performed, through analyzing the data which was obtained from the immunization register of infants who was born at Su-Dong myun in 1996 and 1997, managed by Su-dong Myun health subcenter. The results are as follows. 1. B.C.G immunization rate was the highest such as 52.2% within 1 month and next order such 34.8% at 2 month in 1996. In 1997, the highest such as 73.8%, almost all, within 1 month. 2. D.P.T immunization rate in 1996 showed, almost all, the highest at 3 month(79.4%) for 1st dose and at 5 month(78.4%) for 2nd dose. However, the rate for 3rd dose showed the highest at 7 month(51.4%), and next order at 8 month(35.1%) and at 6 month(13.5%). D.P.T immunization rate in 1997, similarly showed the highest at 3 month(81.8%) for 1st dose, at 5 month(71.2%) for 2nd dose and at 7 month(71.4%) for 3rd dose. 3. Hepatitis B immunization rate showed the highest at birth at once or within one week(87.0%) for 1st dose in 1996 and (94.7%) in 1997. The rate for 2nd dose showed the highest at 2 month(51.7%) in 1996 and (50.0%) in 1997, and next order at 1 month(44.8%) in 1996 and (34.4%) in 1997. The rate for 3rd dose showed the highest at 3 month(54.8%) in 1996 and 5 month(54.8%) in 1997, and next order at 5 month(25.8%) in 1996 and at 3 month(26.0%) in 1997. 4. Measles immunization rate was 76.1% in 1996. The rate(76.1%) by the kind of vaccine was the highest with measles-MMR(34.8%), and with MMR(32.6%) and next order with measles(8.7%). The rate by measles immunization time(month) was the highest such as 35.0% at 9 month and 10 month respectively and the rate by MMR was the highest at 16 month(35.5%), and 15 month(22.5%), 13 month (12.9%) and 14 month(12.9%) in next order.

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A Study on the Simulation and the Measurement of 6 MeV electron Beam (6 MeV 전자선의 측정과 모의계산에 대한 연구)

  • Lee Sung Ah;Lee Jeong Ok;Moon Sun Rock;Won Jong Jin;Kang Jeong Ku;Kim Seung Kon
    • Radiation Oncology Journal
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    • v.13 no.3
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    • pp.285-289
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    • 1995
  • Purpose : We compared the calcualted percent depth dose curves of 6 MeV electron beam to that of measured to evaluate the usefulness of Monte-carlo simulation method in radiation physics. Materials and Methods : The radiation dose values of 6 MeV electron beam using EGS4 code with one million histories in water were compared values that were measured from the depth dose curve of electron beam irradiated by medical accelerator ML6M. The central axis dose values were calculated according to the changing field size. such as $5{\times}5,\;10{\times}10,\;15{\times}15,\;20{\times}20cm^2$. Results : The value calculated showed a very similar shape to depth dose curve. The calculated and measured value of $D_max$ at $10{\times}10cm^2$ cone is 15mm and 14mm respectively. The calculated value of the surface radiation dose rate is $65.52\%$ and measured one is $76.94\%$. The surface radiation dose rate has varied from $64.43\%$ to $66.99\%$. The calculated values of $D_max$ are in the range between 15mm and 18mm. The calculated value was fitted well with measured value around the $D_max$ area, excluding build up range and below the $90\%$ depth dose area. Conclusion : This result suggested that the calculation of dose value can be replace the direct measurement of the dose for radiation therapy. Also, EGS4 may be a very convenient program to assess the effect of radiation dose using by personal computers.

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IMPROVEMENT OF DOSE CALCULATION ACCURACY ON kV CBCT IMAGES WITH CORRECTED ELECTRON DENSITY TO CT NUMBER CURVE

  • Ahn, Beom Seok;Wu, Hong-Gyun;Yoo, Sook Hyun;Park, Jong Min
    • Journal of Radiation Protection and Research
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    • v.40 no.1
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    • pp.17-24
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    • 2015
  • To improve accuracy of dose calculation on kilovoltage cone beam computed tomography (kV CBCT) images, a custom-made phantom was fabricated to acquire an accurate CT number to electron density curve by full scatter of cone beam x-ray. To evaluate the dosimetric accuracy, 9 volumetric modulated arc therapy (VMAT) plans for head and neck (HN) cancer and 9 VMAT plans for lung cancer were generated with an anthropomorphic phantom. Both CT and CBCT images of the anthropomorphic phantom were acquired and dose-volumetric parameters on the CT images with CT density curve (CTCT), CBCT images with CT density curve ($CBCT_{CT}$) and CBCT images with CBCT density curve ($CBCT_{CBCT}$) were calculated for each VMAT plan. The differences between $CT_{CT}$ vs. $CBCT_{CT}$ were similar to those between $CT_{CT}$ vs. $CBCT_{CBCT}$ for HN VMAT plans. However, the differences between $CT_{CT}$ vs. $CBCT_{CT}$ were larger than those between $CT_{CT}$ vs. $CBCT_{CBCT}$ for lung VMAT plans. Especially, the differences in $D_{98%}$ and $D_{95%}$ of lung target volume were statistically significant (4.7% vs. 0.8% with p = 0.033 for $D_{98%}$ and 4.8% vs. 0.5% with p = 0.030 for $D_{95%}$). In order to calculate dose distributions accurately on the CBCT images, CBCT density curve generated with full scatter condition should be used especially for dose calculations in the region of large inhomogeneity.

Digital Tomosynthesis Imaging of the Chest : Comparison of Patient Exposure Dose and Image Quality between Default Setting and Use Additional Filter (흉부 디지털토모영상의 기본모드 및 부가여과사용 시 환자선량과 화질비교)

  • Kim, Kye-Sun;Ahn, Sung-Min;Kim, Sung-Chul
    • The Journal of the Korea Contents Association
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    • v.13 no.9
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    • pp.288-294
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    • 2013
  • Chest digital tomosynthesis was the most advanced digital radiography technology, but it was higher patient dose than conventional chest radiography. Thus we tried to reduce a patient dose of chest digital tomosynthesis and evaluated its image quality. Result shows that radiation dose such as ESD, DAP and ED were 1.95 mGy, 17.66 $dGycm^2$ and 0.133 mSv respectively in default setting and 0.312 mGy, 2.27 $dGy.cm^2$ and 0.052 mSv in use additional filter, respectively. Doses were decrease 66.2%, 73.6% and 57.4% in ESD, DAP and ED, respectively. At the image quality assessment, overall sensitivities of use additional filter for nodule detection were not inferior to default mode for peripheral, central and peripheral micro nodules. However, sensitivity of low dose mode was significantly inferior to the default for central micro-nodules(p < .001).

Biological indicator on radiation exposure using apoptosis in adult and newborn mice (성숙 및 신생마우스에서 아포프토시스를 이용한 방사선 피폭의 생물학적 지표)

  • Oh, Heon;Lee, Song-eun;Yang, Jung-ah;Jeong, Kyu-shik;Hyun, Byung-hwa;Kim, Sung-ho
    • Korean Journal of Veterinary Research
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    • v.38 no.4
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    • pp.679-685
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    • 1998
  • We have studied, by a nonisotopic in situ DNA end-labeling (ISEL) technique, frequency of apoptosis in the external granular layer (EGL) of the cerebellum after whole-body irradiation of newborn mice and intestinal crypt cell of adult mice by gamma-rays from $^{60}Co$. The extent of changes following 2 Gy(10.9 Gy/min) was studied at 2, 4, 6, 8, 12, or 24h after exposure. The maximal frequency was found 4-8h after exposure. The mice that received 0.18, 0.36, 0.54, 1.08, 1.98, or 3.96 Gy were examined 6h after irradiation. Measurements performed after irradiation showed a dose-related increase in apoptotic cells in each of the mice studied. The dose-response curves were analyzed by a linear-quadratic model; frequency(%) of apoptotic cell in the newborn mice cerebellum was ($13.49{\pm}1.175$)D+$(-1.52{\pm}0.334)D^2$+0.048($r^2=0.981$, D = dose in Gy) and frequency(number per crypt) of apoptotic cell in the intestinal crypt of adult mice was ($3.857{\pm}0.420$)D+$(-0.535{\pm}0.120)D^2$+0.155($r^2=0.952$, D = dose in Gy). It provides the basis required for a better understanding of results which will be obtained in any further studies for biological responses of radiation using newborn and adult mice.

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Clinical Impact of Patient's Head Position in Supraclavicular Irradiation of the Whole Breast Radiotherapy

  • Surega Anbumani;Lohith G. Reddy;Priyadarshini V;Sasikala P;Ramesh S. Bilimagga
    • Progress in Medical Physics
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    • v.34 no.1
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    • pp.10-13
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    • 2023
  • Patients with breast cancer can be positioned with their head turned to the contra lateral side or with their head straight during the radiation therapy treatment set-up. In our hospital, patients with locally advanced breast cancer who were receiving radiation therapy have experienced swallowing difficulty after 2 weeks of irradiation. In this pilot study, the impact of head position on reducing dysphagia occurrence was dosimetrically evaluated. Patients were divided into two groups viz., HT (head turned to the contra lateral side of the breast) and HS (head straight) with 10 members in each. Treatment planning was performed, and the dosimetric parameters such as Dmin, Dmax, Dmean, V5, V10, V20, V30, V40, and V50 of both groups were extracted from the dose volume histogram (DVH) of esophagus. The target coverage in the supraclavicular fossa (SCF) region was analyzed using D95 and D98; moreover, the dose heterogeneity was assessed with D2 from the DVHs. The average values of the dose volume parameters were 27.6%, 58.6%, 35.4%, 19%, 13.8%, 14.1%, 11.8%, 8.4%, and 8.1% higher in the HT group compared with those in the HS group. Furthermore, for the SCF, the mean values of D98, D95, and D2 were 42.4, 47.5, and 54 Gy, respectively, in the HS group and 38.9, 45.35, and 55.5 Gy, respectively, in the HT group. This pilot study attempts to give a solution for the poor quality of life of patients after breast radiotherapy due to dysphagia. The findings confirm that the head position could play a significant role in alleviating esophageal toxicity without compromising tumor control.

3-Dimensional Conformal Radiation Therapy in Carcinoma of The Nasopharynx (비인강암의 3차원 입체조형치료에서 등가선량분포에 관한 연구)

  • Keum Ki Chang;Kim Gwi Eon;Lee Sang Hoon;Chang Sei Kyung;Lim Jihoon;Park Won;Suh Chang Ok
    • Radiation Oncology Journal
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    • v.16 no.4
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    • pp.399-408
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    • 1998
  • Purpose : This study was designed to demonstrate the potential therapeutic advantage of 3-dimensional (3-D) treatment planning over the conventional 2-dimensional (2-D) approach in patients with carcinoma of the nasopharynx. Materials and Methods : The two techniques were compared both qualitatively and quantitatively for the boost portion of the treatment (19.8 Gy of a total 70.2 Gy treatment schedule) in patient with T4. The comparisons between 2-D and 3-D plans were made using dose statistics, dose-volume histogram, tumor control probabilities, and normal tissue complication probabilities. Results : The 3-D treatment planning improved the dose homogeneity in the planning target volume. In addition, it caused the mean dose of the planning target volume to increase by 15.2$\%$ over 2-D planning. The mean dose to normal structures such as the temporal lobe, brain stem, parotid gland, and temporomandibular joint was reduced with the 3-D plan. The probability of tumor control was increased by 6$\%$ with 3-D treatment planning compared to the 2-D planning, while the probability of normal tissue complication was reduced. Conclusion : This study demonstrated the potential advantage of increasing the tumor control by using 3-D planning. but prospective studies are required to define the true clinical benefit.

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Influence of a Single Dose of Fe Dextran Administration with Organic Trace Mineral Supplementation on the Performance of Piglets

  • Acda, S.P.;Joo, J.W.;Kim, W.T.;Shim, Y.H.;Lee, S.H.;Chae, B.J.
    • Asian-Australasian Journal of Animal Sciences
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    • v.15 no.10
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    • pp.1469-1474
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    • 2002
  • This study was designed to evaluate the influence of a single or double dose of Fe dextran with organic trace mineral supplementation on the performance of piglets from dams fed diets with either inorganic (ITM) or organic trace minerals (OTM). It also determined the effect of the source of the trace minerals on the reproductive performance of sows. The trace mineral premixes were prepared using metal proteinates and the corresponding inorganic salts for the OTM and the ITM, respectively. Each mineral premix provided 100 ppm Fe/175 ppm Fe, 35 ppm Cu/170 ppm Cu, 90 ppm Zn/120 ppm Zn, and 40 ppm Mn/35 ppm Mn when added at 0.20% in sows /weaned pigs' diets, respectively. The first dose of Fe dextran was administered to piglets at 3 d and the second dose at 10 d after birth. One dose of Fe dextran supplied 100 mg of Fe. A total of 16 gestating sows (Landrace${\times}$Yorkshire) in parities 2 to 4 were randomly allocated to four treatments: 1) diet with ITM/one dose of Fe dextran to piglets, 2) diet with ITM/two doses of Fe dextran to piglets, 3) diet with OTM/one dose of Fe dextran to piglets, and 4) diet with OTM/two doses of Fe dextran to piglets. The total born alive, weaned, body weight at birth and at weaning were not affected by the sow's dietary treatment. Although organic trace mineral supplementation tended to increase the milk Fe content (p<0.10) at 7 d postpartum, piglets in all treatments performed equally from birth to weaning. The double doses of Fe dextran neither improved the average daily gain (ADG) nor influenced the survival of piglets from birth to weaning (21 d). Results suggest that a single dose of Fe dextran given to suckling pigs is adequate to sustain their needs for growth throughout the lactation period (21 d). Furthermore, there was a 21% improvement in both the ADG and the average daily feed intake (ADFI) (p<0.05) in weaned pigs fed diets with OTM. Cu and Fe in the liver (p<0.01), and Zn in both the bone (p<0.01) and the serum (p<0.01) were higher in piglets fed OTM than in those fed ITM. It would be concluded that single dose of Fe dextran administration with organic trace mineral supplementation show similar growth performance compared to 2 dose Fe dextran administration with inorganic mineral supplementation in young pigs.

Entrance Skin Dose and Image Quality Evaluation According to Use Grid Radiography for the Extremity in FPD System (FPD System에서 상.하지 촬영 시 격자에 따른 환자 선량 및 화질 평가)

  • Lee, In-Ja;Yeo, Young-Bok;Lee, Tae-Sung
    • Journal of radiological science and technology
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    • v.33 no.4
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    • pp.341-348
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    • 2010
  • By accessing the current status of FPD system use in the hospitals located in Seoul and Gyeonggi Province as well as the entrance skin dose and the image quality evaluation realized by C-D Phantom, and the image assessment by the medical professionals regarding the radiography for the extremity, the following results were derived. 1. According to the evaluation made in the actual use of FPD system (12 machines), the grid ratio varied from 8:1 to 13:1, and 6 machines used the grid ratio with 12:1, realizing the largest number. Among the machines, there were 8 machines that allowed a removable grid while 3 machines did use a removable grid (25.0%). 2. When it came to the equipments used for the experiment, it showed that the amount of the entrance skin dose increased from 4.13 times up to 4.79 times with the grid use. 3. The difference in the entrance skin dose depending on the changes in the exposure condition(0.5times or 2.0times) was not significantly different regardless of the patients' thickness. 4. In terms of the image quality depending on C-D Phantom, the grid use was distinguished well. However, the images were well distinguishable as the exposure condition got increased. 5. In the clinical assessment, the grid use was less effective for the Hand PA, which was considered to shoot a thin body part. It was evaluated that the grid use was preferred for the Knee AP, which was shooting for a relatively thick body part. Nonetheless, 3 out of 5 people said that they would not use the grid if the entrance skin dose to reduced.

Mouse model system based on apoptosis induction to crypt cells after exposure to ionizing radiation (방사선에 전신 조사된 마우스 음와 세포의 아포토시스 유도를 이용한 생물학적 선량 측정 모델 개발 연구)

  • Kim, Tae-Hwan
    • Korean Journal of Veterinary Research
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    • v.41 no.4
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    • pp.571-578
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    • 2001
  • To evaluate if the apoptotic fragment assay could be used to estimate the dose prediction after radiation exposure, we examined apoptotic mouse crypt cells per 1,000 cells after whole body $^{60}Co$ $\gamma$-rays and 50MeV ($p{\rightarrow}Be^+$) cyclotron fast neutron irradiation in the range of 0.25 to 1 Gy, respectively. The incidence of apoptotic cell death rose steeply at very low doses up to 1 Gy, and radiation at all doses tigger rapid changes in crypt cells in stem cell region. These data suggest that apoptosis may play an important role in homeostasis of damaged radiosensitive target organ by removing damaged cells. The curve of dose-effect relationship for the data of apoptotic fragments was obtained by the linear-quadratic model $y=0.18+(9.728{\pm}0.887)D+(-4.727{\pm}1.033)D^2$ ($r^2=0.984$) after $\gamma$-rays irradiation, while $y=0.18+(5.125{\pm}0.601)D+(-2.652{\pm}0.7000)D^2$ ($r^2=0.970$) after neutrons in mice. The dose-response curves were linear-quadratic, and a significant dose-response relationship was found between the frequency of apoptotic cell and dose. These data show a trend towards increase of the numbers of apoptotic crypt cells with increasing dose. Both the time course and the radiation dose-response curve for high and low linear energy transfer (LET) radiation modalities were similar. The relative biological effectiveness (RBE) value for crypt cells was 2.072. In addition, there were significant peaks on apoptosis induction at 4 and 6h after irradiation, and the morpholoigcal findings of the irradiated groups were typical apoptotic fragments in crypt cells that were hardly observed in the control group. Thus, apoptosis in crypt cells could be a useful in vivo model for studying radio-protective drug sensitivity or screening test, microdosimetric indicator and radiation-induced target organ injury. Since the apoptotic fragment assay is simple, rapid and reproducible in the range of 0.25 to 1 Gy, it will also be a good tool for evaluating the dose response of radiation-induced organ damage in vivo and provide a potentially valuable biodosimetry for the early dose prediction after accidental exposure.

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