• Title/Summary/Keyword: CT선량

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A Study on the Effective Half-life after the High Dose Radioactive Iodine (131I) Therapy for Thyroid Cancer Patients (갑상선암 환자에서 고용량 방사성요오드 치료 후 유효반감기에 대한 연구)

  • Kim, Seongcheol;Gwon, DaYeong;Kim, Yongmin
    • Journal of the Korean Society of Radiology
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    • v.11 no.7
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    • pp.597-603
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    • 2017
  • High-dose $^{131}I$ therapy has been generally carried out to remove remaining thyroid tissue or to cure metastasize lesion of patients who received full thyroidectomy due to differentiated thyroid cancers. In case high-dose $^{131}I$ therapy is carried out for a patient, the patient should be hospitalized being isolated for a certain period in order to restrict the amount of exposure to radiation of people at large from the patient within the limit of a level of radiation. Effective half-life is an important value to calculate how family members are exposed to radiation from a patient or to decide the period of isolation of the patient from the family members. Therefore, in this study we calculated the effective decay constant, effective half-life and period of isolation of high-dose $^{131}I$ therapy patient using NM670 SPECT/CT. As a result of carrying out this study, the effective half-life of high-dose $^{131}I$ therapy patients was derived and the time to reach the discharge level of 1.2 GBq was confirmed. When they were compared with each other in each of curative doses, the effective half-life did not have significant difference, but the time when the level of radiation remaining in the interior of the body to reach the criteria of isolation and discharge showed significant difference and it could be confirmed that the higher the curative dose the longer the period of isolation becomes. When the effective half-lives in each type of preparation were compared with each other, they did not show significant difference. However, When the times to reach the level of radiation that is the criteria of isolation and discharge in each type of preparations, they showed significant difference. The cause of the shortening of the isolation period for rhTSH patients group is decided to be low curative dose. Accordingly, if the current national health insurance (the insurance is applied to using of rhTSH in 3.7 GBq or lower) is maintained, while discerning them in each of types of preparation, we would be able to discharge patients at the time earlier than the current period of isolation (2 nights and 3 days).

Establishment of a Murine Model for Radiation-induced Bone Loss in Growing C3H/HeN Mice (성장기 마우스에서 방사선 유도 골소실 동물모델 확립)

  • Jang, Jong-Sik;Moon, Changjong;Kim, Jong-Choon;Bae, Chun-Sik;Kang, Seong-Soo;Jung, Uhee;Jo, Sung-Kee;Kim, Sung-Ho
    • Journal of Radiation Protection and Research
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    • v.40 no.1
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    • pp.10-16
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    • 2015
  • Bone changes are common sequela of irradiation in growing animal. The purpose of this study was to establish an experimental model of radiation-induced bone loss in growing mice using micro-computed tomography (${\mu}CT$). The extent of changes following 2 Gy gamma irradiation ($2Gy{\cdot}min^{-1}$) was studied at 4, 8 or 12 weeks after exposure. Mice that received 0.5, 1.0, 2.0 or 4.0 Gy of gamma-rays were examined 8 weeks after irradiation. Tibiae were analyzed using ${\mu}CT$. Serum alkaline phosphatase (ALP) and biomechanical properties were measured and the osteoclast surface was examined. A significant loss of trabecular bone in tibiae was evident 8 weeks after exposure. Measurements performed after irradiation showed a dose-related decrease in trabecular bone volume fraction (BV/TV) and bone mineral density (BMD), respectively. The best-fitting dose-response curves were linear-quadratic. Taking the controls into accounts, the lines of best fit were as follows: BV/TV (%) = $0.9584D^2-6.0168D+20.377$ ($r^2$ = 0.946, D = dose in Gy) and BMD ($mg{\cdot}cm^{-3}$) = $8.8115D^2-56.197D+194.41$ ($r^2$ = 0.999, D = dose in Gy). Body weight did not differ among the groups. No dose-dependent differences were apparent among the groups with regard to mechanical and anatomical properties of tibia, serum ALP and osteoclast activity. The findings provide the basis required for better understanding of the results that will be obtained in any further studies of radiation-induced bone responses.

Evaluation of Average CT to Reduce the Artifact in PET/CT (PET/CT 검사에서 호흡에 따른 인공산물을 줄이기 위한 Average CT의 유용성)

  • Kim, Jung-Sun;Nam, Ki-Pyo;Park, Seung-Yong;Ryu, Jae-Kwang;Cha, Min-Kyeong
    • The Korean Journal of Nuclear Medicine Technology
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    • v.14 no.1
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    • pp.3-7
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    • 2010
  • Purpose: The usefulness of Positron Emission Tomography (PET) images in diagnosis, staging, recurrent and treatment response evaluation has already been known. However, tumors which are small size, located in lower lobe of lung or upper lobe of liver are shown misalignment, distortion and different Standard Uptake Value (SUV) by respiration in PET images. Therefore, if radiotherapy based on normal respiration, it may cause low treatment response or more side effects because targets which had to treat, out of treat range or over dose to normal tissue. The purpose of this study is to evaluate attenuation-correction with Average CT (ACT) for more accuracy SUV measurement and minimize artifact by respiration. Materials and Methods: 13 patients, who had tumors which are around the diaphragm, underwent ACT scan after Helical CT (HCT) scan with PET/CT (Discovery DSTE 8; GE Healthcare). We quantified the differences between attenuation corrected image with HCT and attenuation corrected image with ACT in artifact size and maximum SUV ($SUV_{max}$). Artifacts were evaluated by measurement of the curved photogenic area in the lower thorax of the PET images for all patients. $SUV_{max}$ was measured separately at the primary tumors. Analysis program was Advantage Workstation v4.3 (GE Healthcare). Patients were injected with 7.4 MBq (0.2 $mC_i$) per kg of $^{18}F$-FDG and scanned 1 hour after injection. The PET acquisition was 3 minute per bed. Results: Significantly lower artifact were observed in PET/ACT images than in PET/HCT images (below-thoracic artifacts caused by under corrected $1.5{\pm}3.5$ cm vs. $13.4{\pm}4.2$ cm). Significantly higher $SUV_{max}$ were noted in PET/ACT images than in PET/HCT images in the primary tumor. Compared with PET/HCT images, $SUV_{max}$ in PET/ACT images were higher by $5.3{\pm}3.9%$ (mean value) tumor. The highest difference was observed in Lower lobe of lung (7.7 to 8.7; 13%). Conclusion: Due to its significantly reduced artifacts in lower thoracic, attenuation corrected image with ACT images provided more reliable $SUV_{max}$ and may be helpful in monitoring treatment response. Moreover, ACT can separate upper lobe of liver and lower lobe of lung, it may be helpful in interpretation. ACT will be clinically useful, considering increased dose caused by ACT scan and adapt.

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The evaluation of custo-made EWHA Breast Device(EBD) (EWHA Breast Device(EBD)의 제작 및 유용성 평가)

  • Byun Young-Sik;Oh Tae-Sung;Park Chong-Yil;Shin Hyun-Kyoh
    • The Journal of Korean Society for Radiation Therapy
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    • v.17 no.1
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    • pp.33-40
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    • 2005
  • Purpose : We recently perform the latest radiotheraphy (3D conformal, IMRT,etc.) with the development of 3D CT planning technology. However, in case patients with breast cancer, it is difficult to acquire the CT image with the limitation of CT hole size and tilting of breast immobilization device. The Ewha Breast Device(EBD) was constructed to improve the problem in the treatment of patients with breast cancer and we are intend to introduce the procedure of the EBD construction in this study and compare the EBD with conventional breast device in the view point of usefulness. Materials and Methods : We have constructed the EBD with acryl, analyze the skull size with CT data, consider the skin folder in SCL field and evaluated the EBD usefulness from the view point of set-up reproducibility, dose distribution, skin reaction in comparison with conventional breast device. Results : In the case of patients set-up error analysis, the EBD is superior to conventional device in portal film repetition($\%$) check (80pt.), equal to that in simulation & CT image coincidence check(5pt.). There is no difference between the two systems in dose distribution and skin reaction in SCL field is better the EBD than conventional device. Conclusions : The construction of the EBD enable us to perform the latest radiotheraphy in breast treatments, relieve the pains in simulation, and reduce, the skin reaction. In the future, we expect that modification of the EBD is useful in treating for patients with breast cancer.

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Body Stereotatic Radiosurgery Procedure of Base on Image Guided (Image Guided에 기초한 Body Stereotatic Radiosurgery의 과정)

  • Choi Yun-Kyeung;Lee Doo-Hyun;Cho Jung-Keun;Kim Jong-Won;Youm Doo-Seok;Kim Tae-Yoon;Choi Gye-Sook
    • The Journal of Korean Society for Radiation Therapy
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    • v.17 no.2
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    • pp.95-103
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    • 2005
  • Purpose : In the radiosurgery, to obtain CT image to find more accurate tumor position during respiration, and using them, to increase the accuracy of radiation treatment by applying image guided. Materials and Methods : Using the self-made vacuum cushion for the body SRS, CT images were obtained three for each patient during respiration (shallow, inhalation, exhalation). They were transformed to the RTP computer and then were fused. Global GTVs were delineated on the fused images and more appropriated treatment planning was established. Results : We can find the tumor position is moving toward cranio-caudal with max 10 mm margin and volume is transformed. As a result from the comparision of DVH (pre & post radio surgery), we observed about 100% dose to tumor. Conclusion : BSRS was skeptical due to the tumor movement during respiration. More accurate by the combination of the development of immobilization devices and BSRS based on Image Guide, it will be applied to more cases for BSRS.

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Image Quality Evaluation in Computed Tomography Using Super-resolution Convolutional Neural Network (Super-resolution Convolutional Neural Network를 이용한 전산화단층상의 화질 평가)

  • Nam, Kibok;Cho, Jeonghyo;Lee, Seungwan;Kim, Burnyoung;Yim, Dobin;Lee, Dahye
    • Journal of the Korean Society of Radiology
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    • v.14 no.3
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    • pp.211-220
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    • 2020
  • High-quality computed tomography (CT) images enable precise lesion detection and accurate diagnosis. A lot of studies have been performed to improve CT image quality while reducing radiation dose. Recently, deep learning-based techniques for improving CT image quality have been developed and show superior performance compared to conventional techniques. In this study, a super-resolution convolutional neural network (SRCNN) model was used to improve the spatial resolution of CT images, and image quality according to the hyperparameters, which determine the performance of the SRCNN model, was evaluated in order to verify the effect of hyperparameters on the SRCNN model. Profile, structural similarity (SSIM), peak signal-to-noise ratio (PSNR), and full-width at half-maximum (FWHM) were measured to evaluate the performance of the SRCNN model. The results showed that the performance of the SRCNN model was improved with an increase of the numbers of epochs and training sets, and the learning rate needed to be optimized for obtaining acceptable image quality. Therefore, the SRCNN model with optimal hyperparameters is able to improve CT image quality.

Effect of Photoperiod on Radiation-Induced Pink Mutations in Tradescantia Stamen Hairs (자주달개비 수술털에서 방사선에 의해 유발되는 분홍돌연변이에 대한 광주기의 영향)

  • 김원록;김진규
    • Korean Journal of Environmental Biology
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    • v.17 no.3
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    • pp.331-335
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    • 1999
  • The present study was carried out to investigate the combined effect of radiation and photoperiod (PP) regimes on Tradescantia 4430 somatic cell mutations. Potted plants were irradiated with 0.3, 0.5 and 1.0 Gy of gamma radiation from 60Co source. The plants irradiated only with gamma radiation were used as control group (CT). The somatic cell mutation rate in 0.5 Gy irradiated CT and PP20 group started to increase on the 6th day and reached a maximum value on the l0th day and 9th day after irradiation while the rate in the experimental group under 4 hours of photoperiod a day (PP4) started to increase on the l0th day and reached a maximal value on the 16th day post-irradiation. The slope of dose-response curve in CT was 5.99 ($r^2$=0.99), while it was 6.93 ($r^2$=0.98) in PP20 and 11.74 ($r^2$=0.99) in PP4, respectively. The biological efficacy of radiation in the induction of pink mutation increased by 15.7% in PP20 and 95.9 % in PP4, respectively. It is suggested that photoperiod regimes unfavorable to the plant have an additive effect on radiation-induced mutations and a delaying or inhibiting effect on cell damage repair, as well.

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System Software Design of Computed Tomography Radiation Dose Management (컴퓨터 단층촬영(CT) 방사선 노출 관리 시스템 소프트웨어 설계)

  • Yang, Yu-mi;Lee, Kil-hung;Cho, Sang-wook
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2014.05a
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    • pp.489-492
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    • 2014
  • This thesis provides the design of system software for the management of radiation dose that is generated using computer tomography(CT). Because radiation exposure is different depending on the difference in sensitivity to each part for each of the patient's body, if we will be able to manage an appropriate amount of radiation, it is possible to estimate the radiation exposure of the patient as a result. Recently, radiation leakage incident of Japanese nuclear power plant was in the news internationally and there is a growing interest not only a nuclear power plant, to medical radiation exposure. In spite of the fact that currently safety management of radiation is under control only the workers of the radiation involved, exposure management of patients until now have been required. Surgery and inspection using the radiation in Korea will increase, due to this medical exposure has increased, but it is a reality that medical institution don't know the level of radiation exposure applied to the patient. Therefore a system for managing the radiation exposure of the patient from the medical institution is required. This paper proposes a design of a software program to manage the radiation exposure of CT is an typical imaging tool to use the radiation in the medical institution. By check the amount of radiation dose and set the limit of dose, we would help to optimize the medical exposure of the patient.

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Change of Proton Bragg Peak by Variation of Material Thickness in Head Phantom using Geant4 (Geant4 전산모사를 이용한 두개골 팬텀의 물질 두께 변동에 따른 양성자 브래그 피크의 위치 변화)

  • Kim, You Me;Chon, Kwon Su
    • Journal of the Korean Society of Radiology
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    • v.15 no.4
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    • pp.401-408
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    • 2021
  • Proton therapy using the Bragg peak is one of the radiation therapies and can deliver its maximum energy to the tumor with giving least energy for normal tissue. A cross-sectional image of the human body taken with the computed tomography (CT) has been used for radiation therapy planning. The HU values change according to the tube voltage, which lead to the change in the boundary and thickness of the anatomical structure on the CT image. This study examined the changes in the Bragg peak of the brain region according to the thickness variation in the head phantom composed of several materials using the Geant4. In the phantom composed of a single material, the Bragg peak according to the type of media and the incident energy of the proton beams were calculated, and the reliability of Geant4 code was verified by the Bragg peak. The variation of the peak in the brain region was examined when each thickness of the head phantom was changed. When the thickness of the soft tissue was changed, there was no change in the peak position, and for the skin the change in the peak was small. The change of the peak position was mainly changed when the bone thickness. In particular, when the bone was changed only or the bone was changed together with other tissues, the amount of change in the peak position was the same. It is considered that measurement of the accurate bone thickness in CT images is one of the key factors in depth-dose distribution of the radiation therapy planning.

The Comparative Analysis of Chest Radiographs and Low Dose Computed Tomography in Subjects for Health Screening (건강검진 수검자를 대상으로 한 단순흉부촬영과 저 선량 나선형 CT와의 비교 분석)

  • Choi Jin Yeong;Kang Hwa Won;Lee Kang Woo;Lee Woo Sik
    • Journal of The Korean Radiological Technologist Association
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    • v.28 no.1
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    • pp.112-119
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    • 2002
  • Purpose : The purpose of this study is to evaluate the usefulness, after we compare and analyze the difference about the location of a lesion and the result of diagnosis on chest radiographs(CR) and low dose computed tomography(LDCT) in subjects for healt

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