• Title/Summary/Keyword: Breathing cycle

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Respiratory signal analysis of liver cancer patients with respiratory-gated radiation therapy (간암 호흡동조 방사선치료 환자의 호흡신호분석)

  • Kang, dong im;Jung, sang hoon;Kim, chul jong;Park, hee chul;Choi, byung ki
    • The Journal of Korean Society for Radiation Therapy
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    • v.27 no.1
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    • pp.23-30
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    • 2015
  • Purpose : External markers respiratory movement measuring device (RPM; Real-time Position Management, Varian Medical System, USA) Liver Cancer Radiation Therapy Respiratory gated with respiratory signal with irradiation time and the actual research by analyzing the respiratory phase with the breathing motion measurement device respiratory tuning evaluate the accuracy of radiation therapy Materials and Methods : May-September 2014 Novalis Tx. (Varian Medical System, USA) and liver cancer radiotherapy using respiratory gated RPM (Duty Cycle 20%, Gating window 40% ~ 60%) of 16 patients who underwent total when recording the analyzed respiratory movement. After the breathing motion of the external markers recorded on the RPM was reconstructed by breathing through the acts phase analysis, for Beam-on Time and Duty Cycle recorded by using the reconstructed phase breathing breathing with RPM gated the prediction accuracy of the radiation treatment analysis and analyzed the correlation between prediction accuracy and Duty Cycle in accordance with the reproducibility of the respiratory movement. Results : Treatment of 16 patients with respiratory cycle during the actual treatment plan was analyzed with an average difference -0.03 seconds (range -0.50 seconds to 0.09 seconds) could not be confirmed statistically significant difference between the two breathing (p = 0.472). The average respiratory period when treatment is 4.02 sec (${\pm}0.71sec$), the average value of the respiratory cycle of the treatment was characterized by a standard deviation 7.43% (range 2.57 to 19.20%). Duty Cycle is that the actual average 16.05% (range 13.78 to 17.41%), average 56.05 got through the acts of the show and then analyzed% (range 39.23 to 75.10%) is planned in respiratory research phase (40% to 60%) in was confirmed. The investigation on the correlation between the ratio Duty Cycle and planned respiratory phase and the standard deviation of the respiratory cycle was analyzed in each -0.156 (p = 0.282) and -0.385 (p = 0.070). Conclusion : This study is to analyze the acts after the breathing motion of the external markers recorded during the actual treatment was confirmed in a reproducible ratios of actual treatment of breathing motion during treatment, and Duty Cycle, planned respiratory gated window. Minimizing an error of the treatment plan using 4DCT and enhance the respiratory training and respiratory signal monitoring for effective treatment it is determined to be necessary.

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Development and usability evaluation of portable respiration training device which is applied to personal respiration cycle (개인고유의 호흡주기를 적용한 휴대형 호흡 연습장치 개발 및 유용성 평가)

  • Park, Mun-kyu;Lee, Dong-han;Cho, Yu-ra;Hwang, Seon-bung;Park, Seung-woo;Lee, Dong-hoon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2014.05a
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    • pp.833-835
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    • 2014
  • On this study, we have developed respiratory training system to improve stability of respiration, one of the most important factors of Respiratory Gated Radiation Therapy, RGRT. Respiratory training system that we developed was applied to personal respiratory cycle so that it could provide comfortable respiratory triggering to patients. To give sufficient time for practice, we used modular portable device to practice easily and to be undetered by time and place. We have intended to improve efficiency and accuracy by providing it to patients. We are now planning to conduct experiment of 10 peoples to find out stability, degree of durability betterment and regularity of respiration when patients are using respiratory training system. There are three kinds of breathing style. First is free breathing that Individual patients can breathe freely. Second is guide breathing that patients apply to personal respiration cycle through the guiding sight and hearing program. Third is prediction breathing that patients breathe after respiratory training without guiding sight and hearing program. By using these 3 data of respiration method, we have evaluated usability of respiratory training system by quantitatively analyzing respiration period, amplitude and area's variation.

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Current Technological Trends in Hypersonic Flight with Air-Breathing Propulsion System (차세대 극초음속 공기흡입식 추진기관의 개발 동향)

  • Lee, Yang-Ji;Kang, Sang-Hun;Yang, Soo-Seok
    • Current Industrial and Technological Trends in Aerospace
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    • v.7 no.1
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    • pp.43-55
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    • 2009
  • Advanced countries in aerospace have been struggle to realize the hypersonic air-breathing system since originating the concept of the hypersonic air-breathing propulsion system during the first half of the twentieth century. At last, NASA's X-43A Hyper-X did successful Mach 10 flight in November 2004. Each countries are running the program to applicate this hypersonic air-breathing propulsion system to SSTO(Single Stage to Orbit) or TSTO(Two Stage to Orbit) vehicle or hypersonic missile system at present. In this paper, we wrote the history and current issues of the hypersonic air-breathing propulsion system and hypersonic flight with the hypersonic air-breathing propulsion system.

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Efficacy of a Respiratory Training System on the Regularity of Breathing (호흡연습장치를 적용한 호흡교정법의 영향 평가)

  • Shin, Eun-Hyuk;Park, Hee-Chul;Han, Young-YIh;Ju, Sang-Gyu;Shin, Jung-Suk;Ahn, Yong-Chan
    • Radiation Oncology Journal
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    • v.26 no.3
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    • pp.181-188
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    • 2008
  • Purpose: In order to enhance the efficiency of respiratory gated 4-dimensional radiation therapy for more regular and stable respiratory period and amplitude, a respiration training system was designed, and its efficacy was evaluated. Materials and Methods: The experiment was designed to measure the difference in respiration regularity following the use of a training system. A total of 11 subjects (9 volunteers and 2 patients) were included in the experiments. Three different breathing signals, including free breathing (free-breathing), guided breathing that followed training software (guided-breathing), and free breathing after the guided-breathing (post guided-breathing), were consecutively recorded in each subject. The peak-to-peak (PTP) period of the breathing signal, standard deviation (SD), peak-amplitude and its SD, area of the one cycle of the breathing wave form, and its root mean square (RMS) were measured and computed. Results: The temporal regularity was significantly improved in guided-breathing since the SD of breathing period reduced (free-breathing 0.568 vs guided-breathing 0.344, p=0.0013). The SD of the breathing period representing the post guided-breathing was also reduced, but the difference was not statistically significant (free-breathing 0.568 vs. guided-breathing 0.512, p=ns). Also the SD of measured amplitude was reduced in guided-breathing (free-breathing 1.317 vs. guided-breathing 1.068, p=0.187), although not significant. This indicated that the tidal volume for each breath was kept more even in guided-breathing compared to free-breathing. There was no change in breathing pattern between free-breathing and guided-breathing. The average area of breathing wave form and its RMS in postguided-breathing, however, was reduced by 7% and 5.9%, respectively. Conclusion: The guided-breathing was more stable and regular than the other forms of breathing data. Therefore, the developed respiratory training system was effective in improving the temporal regularity and maintaining a more even tidal volume.

Usefulness of Gated RapidArc Radiation Therapy Patient evaluation and applied with the Amplitude mode (호흡 동조 체적 세기조절 회전 방사선치료의 유용성 평가와 진폭모드를 이용한 환자적용)

  • Kim, Sung Ki;Lim, Hhyun Sil;Kim, Wan Sun
    • The Journal of Korean Society for Radiation Therapy
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    • v.26 no.1
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    • pp.29-35
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    • 2014
  • Purpose : This study has already started commercial Gated RapidArc automation equipment which was not previously in the Gated radiation therapy can be performed simultaneously with the VMAT Gated RapidArc radiation therapy to the accuracy of the analysis to evaluate the usability, Amplitude mode applied to the patient. Materials and Methods : The analysis of the distribution of radiation dose equivalent quality solid water phantom and GafChromic film was used Film QA film analysis program using the Gamma factor (3%, 3 mm). Three-dimensional dose distribution in order to check the accuracy of Matrixx dosimetry equipment and Compass was used for dose analysis program. Periodic breathing synchronized with solid phantom signals Phantom 4D Phantom and Varian RPM was created by breathing synchronized system, free breathing and breath holding at each of the dose distribution was analyzed. In order to apply to four patients from February 2013 to August 2013 with liver cancer targets enough to get a picture of 4DCT respiratory cycle and then patients are pratice to meet patient's breathing cycle phase mode using the patient eye goggles to see the pattern of the respiratory cycle to be able to follow exactly in a while 4DCT images were acquired. Gated RapidArc treatment Amplitude mode in order to create the breathing cycle breathing performed three times, and then at intervals of 40% to 60% 5-6 seconds and breathing exercises that can not stand (Fig. 5), 40% While they are treated 60% in the interval Beam On hold your breath when you press the button in a way that was treated with semi-automatic. Results : Non-respiratory and respiratory rotational intensity modulated radiation therapy technique absolute calculation dose of using computerized treatment plan were shown a difference of less than 1%, the difference between treatment technique was also less than 1%. Gamma (3%, 3 mm) and showed 99% agreement, each organ-specific dose difference were generally greater than 95% agreement. The rotational intensity modulated radiation therapy, respiratory synchronized to the respiratory cycle created Amplitude mode and the actual patient's breathing cycle could be seen that a good agreement. Conclusion : When you are treated Non-respiratory and respiratory method between volumetric intensity modulated radiation therapy rotation of the absolute dose and dose distribution showed a very good agreement. This breathing technique tuning volumetric intensity modulated radiation therapy using a rotary moving along the thoracic or abdominal breathing can be applied to the treatment of tumors is considered. The actual treatment of patients through the goggles of the respiratory cycle to create Amplitude mode Gated RapidArc treatment equipment that does not automatically apply to the results about 5-6 seconds stopped breathing in breathing synchronized rotary volumetric intensity modulated radiation therapy facilitate could see complement.

Effect of Head Posture and Breathing Pattern on Muscle Activities of Sternocleidomastoid and Scalene during Inspiratory Respiration (흡기 호흡 시 머리자세와 호흡패턴이 목빗근과 목갈비근의 근활성도에 미치는 영향)

  • Koh, Eun-Kyung;Jung, Do-Young
    • Korean Journal of Applied Biomechanics
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    • v.23 no.3
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    • pp.279-284
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    • 2013
  • The purpose of this study was to determine the effect of head posture and respiratory pattern on muscle activities of sternocleidomastoid (SCM) and scalene during maximal respiration. The seventeen subjects with upper-costal breathing pattern were participated in this study. Surface electromyography was used to measure the muscles activities of SCM and scalene. The volume and velocity of inspiration were monitored by using the spirometer in each subject. Each subject was performed the 3-cycle of respiration in each condition. The mean values of three peak muscle activity in each muscle were used in the data analysis. A2 (head posture: forward head posture: FHP vs. neutral posture) X 2 (breathing pattern: costal vs. diaphragmatic) repeated-measures analysis of variance (ANOVA) was used to compare the normalized muscle activities of the SCM and scalene. The results showed that the muscle activities of SCM and scalene in diaphragmatic breathing were significantly lower than those in costal breathing for each head posture (p<.0125). The muscle activities of SCM in neutral position were lower than those in forward head position during costal breathing (p<.0125). The diaphragmatic breathing in neutral position of head is recommended to decrease the tension of the accessory inspiratory muscles during respiration in neck-pain patients with FHP.

Breathing control with a visual signal for aperture maneuver with controlled breath (AMC)

  • Suh, Ye-lin;Yi, Byong-Yong;Ahn, Seung-Do;Klm, Jong-Hoon;Lee, Sang-Wook;Shin, Seong-Soo;Choi, Eun-Kyung
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2004.11a
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    • pp.140-143
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    • 2004
  • To appropriately control or compensate breathing motion of targets in thorax or abdomen during radiotherapy is still demanding. Our idea is that a visual signal may help regulate patient's breathing pattern, by controlling its amplitude and cycle. The system involving breathing control with a visual signal for aperture maneuver with controlled breath (AMC) has been developed. A thermocouple is used to detect the temperature change due to patient's breathing. The system also consists of a mask, in which the thermocouple is installed, an operational amplifier, a converter, etc. Patients were instructed to control their respiration by breathing following the visuals signal, as watching a display that shows both patients' current breathing pattern and the signal. The patterns of patients' controlled breathing and the signals coincided well. Therefore, when AMC technique is applied, a target moves in the range that is 60 % less than the range of free breathing motion with the help of the system and so target margins can be reduced significantly. This study reveals that a visual signal is not only useful to control patient's breathing but also clinically effective.

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An Investigation on Operating Characteristics of the Closed Cycle System Using High Pressure Diesel Engine (고압 디젤엔진을 이용한 폐회로 시스템의 운전특성에 관한 고찰)

  • 김인교;박신배
    • Transactions of the Korean Society of Automotive Engineers
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    • v.10 no.5
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    • pp.65-72
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    • 2002
  • The closed cycle diesel system is operated in closed circuit system where there is non air breathing with working fluid consists of combination of oxygen, argon and recycled exhaust gas far obtaining underwater or underground power sources. Experimental apparatus using the MTU8V183SE92 high pressurized engine adapted for closed cycle running, capable of operating at the system pressure of maximum 5 bar is constructed with ACAP as data acquisition system in order to operate equally in the open cycle in surface or the closed cycle in submerged conditions. The general features and the characteristics of combustion of HP(high pressure) diesel engine, specially designed and manufactured only for CCDE, are investigated. The test results of performance of HP diesel engine in closed cycle system are presented with respect to power and boost pressure and compared with those of low pressure diesel engine. The oxygen concentration and specific heat ratio are investigated with its deviation

Correlation Results of Pulse/Respiration Ratio and Body Composition Analysis (맥솔(脈率)과 체성분(體成分) 분석(分析)의 상관성(相關性) 연구(硏究))

  • Park, Jae-Sung;Park, Young-Bae;Kim, Min-Yong;Park, Young-Jae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.10 no.2
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    • pp.132-150
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    • 2006
  • Objectives : The objective is that we measure and analyze Pulse-Respiration Ratio and Body Composition Analysis to study the correlation between both. Methods : First, after subjects take a rest over 10 minutes, we measure their electrocardiogram and respiration pattern through which we take average peak interval to calculate an average pulse cycle and a respiration cycle. An average respiration cycle divided by an average Pulse Rate gives Pulse-Respiration Ratio. Next, we draw out 22 Body Composition Analysis indicators by using In-Body 720 model. Last, we analyze and take statistics on them by using SPSS 13.0 program. Results : Negative is the correlation between P/R Ratio and Body Composition Analysis indicator like fatness degree, body fat volume, body fat rate, abdominal fatness, BMI. Conclusions : 1. The higher P/R Ratio the more likely to be thin, the lower P/R Ratio the more likely to be fat. 2. We separately analyze P/R Ratio depending on each breathing frequency and pulse frequency to find out that breathing frequency has great influence and that breathing frequency decides the fatness degree. 3. In study on the correlation between P/R Ratio and Body Composition Analysis, fatness degree, in-body fat volume, in-body fat rate, BMI are the related indicators, which shows the connection with the fatness indicators. 4. In study on the correlation between Han-Yeol [寒熱] grade and Body Composition Analysis indicators, the result is that Han[寒] has no connection and that only Yeol[熱] grade has something to do with it, which means the higher heat symptom subjects have, the more basic metabolism volume and muscular build they have.

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