• 한국의학물리학회지:의학물리
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• 제27권4호
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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.

• 한국인공지능학회지
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• 제7권1호
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• pp.23-59
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• 2019

The purpose of this study is to develop a measure of service quality in the traditional market by examining previous research on the service quality of the traditional market studied so far. After defining basic concepts through definition of traditional market and existing studies, 5 categories of configuration items for SERVQUAL measurement in traditional market were made up based on existing researches related to definition of service quality and service quality of traditional market. A survey was conducted on the items that fit the intention of this study and various statistical analyzes were conducted. Statistical analysis was performed using SPSS 22.0 and AMOS 22.0. The reliability of the items was measured by the reliability test, and the predictability and accuracy of the items were examined. The validity of the measured variables was verified through confirmatory factor analysis. Reliability, empathy, responsiveness, certainty, and tangibility were the most important factors in this study. Responsiveness factors include communication, time reduction, real time, promptness. Assurance factors include the assurance of delivery, prompt answers, product knowledge items. Tangibility factors include, convenient device systems, location information, presence as a fact, and as a result, the latest modern items are adopted. The quality of service in the traditional market developed in this study was found to be good in reliability and validity test. Confirmatory factor analysis result using structural equation model also met the conformity index standard. If service satisfaction is measured based on this research, basic data can be presented to policy makers who implement policies on traditional markets to make the right decisions. In addition, it will be able to provide traditional market operators with operational strategy and marketing data. In the future, based on the traditional market service quality scale developed in this study, it is necessary to grasp the factors to be continuously managed to improve the service quality of the traditional market, user satisfaction, and intention to use.

• 한국의학물리학회지:의학물리
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• 제29권2호
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• pp.59-65
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• 2018

This paper describes the clinical use of the dose verification of multileaf collimator (MLC)-based CyberKnife plans by combining the Octavius 1000SRS detector and water-equivalent RW3 slab phantom. The slab phantom consists of 14 plates, each with a thickness of 10 mm. One plate was modified to support tracking by inserting 14 custom-made fiducials on surface holes positioned at the outer region of $10{\times}10cm^2$. The fiducial-inserted plate was placed on the 1000SRS detector and three plates were additionally stacked up to build the reference depth. Below the detector, 10 plates were placed to avoid longer delivery times caused by proximity detection program alerts. The cross-calibration factor prior to phantom delivery was obtained by performing with 200 monitor units (MU) on the field size of $95{\times}92.5mm^2$. After irradiation, the measured dose distribution of the coronal plane was compared with the dose distribution calculated by the MultiPlan treatment planning system. The results were assessed by comparing the absolute dose at the center point of 1000SRS and the 3-D Gamma (${\gamma}$) index using 220 patient-specific quality assurance (QA). The discrepancy between measured and calculated doses at the center point of 1000SRS detector ranged from -3.9% to 8.2%. In the dosimetric comparison using 3-D ${\gamma}$-function (3%/3 mm criteria), the mean passing rates with ${\gamma}$-parameter ${\leq}1$ were $97.4%{\pm}2.4%$. The combination of the 1000SRS detector and RW3 slab phantom can be utilized for dosimetry validation of patient-specific QA in the CyberKnife MLC system, which made it possible to measure absolute dose distributions regardless of tracking mode.

• Asia Marketing Journal
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• 제1권3호
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• pp.53-78
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• 1999

Despite of the vibrant nature of the fitness industry, there has not been a sustained effort to understand the dynamics of the industry, particularly with reference to the quality of services offered in that industry. The purpose of this paper is to present a system based process model of quality in health/fitness services. The characteristics of the organization, the service employees and the client are the inputs into the service encounter where the service is produced (i.e., the throughput). The output is the quality of the service. The extent of quality perceived by both the service provider and the client is said to influence the satisfaction of the respective parties, and subsequent motivation to participate in the production of quality in the service. The model also suggests that physical environment as well as other customers and their behaviors influence customer perception of service quality. The quality of service is enhanced through the quality assurance practices of the organization and the feedback from client. Further, the input, throughput, and output in our model reflect (a) quality of the design of the service delivery system, (b) objective quality of the product, and (c) quality as perceived by client. The specific attributes of the design element (i.e., organization, service employee, and the client) are elaborated upon. It is suggested that the organization can assure quality by seeking feedback from clients and service employees, monitoring the service production phases, and managing inter-customer interactions.

• 한국의학물리학회지:의학물리
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• 제7권2호
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• pp.19-28
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• 1996

정위적 방사선수술 (Stereotactic radiosurgery) 은 병소(region)의 위치를 정확히 결정하고 치료에 요구되는 방사선량이 정확히 전달되는 것이 중요하다. 본 연구는 이를 실험적으로 확인할 목적으로 특별히 고안된 물팬텀 (water phantom)을 개발하여 Leksell 정위기구 (Leksell Stereotactic Frame; LSF)에 부착하여 방사선수술을 시행하였다. 방사선 수술에는 Leksell 감마나이프 (Gamma Knife Unit; GKU) 와 LSF를 사용하였으며 실험을 위해 개발된 팬텀은 1mm 두께 플라스틱의 직경 160mm의 구형으로 물을 채울수 있는 구조로 되어있다. 측정장치로서는 목표점 설정(target localization)을 위한 필름과 전달 선량(dose delivery) 측정을 위해 이온 전리함(ionchamber) 을 사용하였으며 이를 팬텀의 목표점에 각각 위치시킬 수 있도록 설계하였다. 본 연구에서 목표점 확인은 허용 오차범위인 $\pm$0.5 mm 이내에서의 값을 보였으며 선량전달값은 $\pm$3% 정도의 오차로 허용값내에 있음을 보여주었다. 본 연구에서 개발된 팬텀으로 측정된 값이 모두 허용 오차범위 내에 있음을 보여주었고 이로인해 GKU 및 LSF의 주기적 QA(Quality Assurance)에 계속적으로 사용할수 있게 되었다.

• 한국지역사회생활과학회지
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• 제11권1호
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• pp.9-18
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• 2000

The purposed of the study was to assess customer satisfaction concerning foodservice quality characteristics by using developed DINESERV model for university employee foodservices. Specially, it was intended to develop the tool which assesses the differences between customer importance and perceptions of customer with actual foodservice delivery by university employee foodservices. Questionnaires were distributed to 300 un9iversity employees. Total 230 university employees responded with a usable response rate of 67.7%. Statistical data analysis was completed using SAS programs for descriptive analysis and t-test. The results of the study are as follows: 1) Employees´first choice was distance when they select foodserveices. They answered their preference as the first factor when they order menu in the foodservices. The first complain factor concerning university foodservices was the taste of food. 2) Customers did not satisfied with the foodservice quality of university employee foodservices. Importance mean score of service quality was 3.81 out of 5 but percption mean score of service quality was 3.10. Importance mean score of food quality was 4.11 out of 5 but perception mean score of food quality was 2.96. 3) Customers´satisfaction of service quality by dimensions were as following order: assurance > reliability > responsiveness > empathy > tangibles. And customers´satisfaction of food quality by dimensions were as following order: nutrition > food > price > sanitation. There were no significant difference about customer satisfaction between contracted management and self-operated.

• 품질경영학회지
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• 제45권1호
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• pp.129-138
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• 2017

Purpose: This research aims to analyze the service process of corporate courier services in order to offer service providers possible directions for adaptation of new technologies and assurance of better quality services. Methods: Through the analysis on the parcel service process of company Y by applying service blueprinting method, the overall process and failure service points of corporate courier services can be recognized and investigated. Next, the several newer technologies, augmented reality glasses, exoskeleton, and drone are applied to the service process of company Y as they are suggested by the literature review and referenced to DHL's report on the Fourth Industrial Revolution. Then, service options to overcome the service failure points to improve the service process can be produced. Results: The parcel service process of the company Y is utilized as a hub-and-spoke structure by having distribution and delivery centers which separates customers into two types, ones using the total services and the others only using the delivery service. In addition, the main cause of the service failures is determined that it is due to the limited working hours of delivery centers compared to the workload. Conclusion: This research contributes in better understanding of corporate courier services and providing information for benchmarking. An empirical research on the costs and the efficiencies of applying the new technologies is suggested for the further improvement in the processes of corporate courier services.

• 대한지역사회영양학회지
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• 제5권2호
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• pp.324-332
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• 2000

The purpose of the study was to assess customer satisfaction concerning service quality characteristics of university foodservice by using a developed DINESERV model. In particular, it was intended to develop a tool to assess the difference between customer judgements on importance and customers perceptions with actual service delivery by university foodservices. Quenstionnaires were distributed to 1,000 university students. A total at 820 university students responded with a usable response rate of 77.7%. A statistical data analysis was completed using SAS programs for descriptive analysis; a t-test, chi-square test and Dunan's multiple range test. The results of the study are as follows; 1) The mean number of students visiting university foodservices per week for males was larger than that of females. The students' first choice depended on distance when they selected foodservices. They answered their preference as the first factor when they order a particular menu items in foodservices. The first complaint factor concerning university foodservices was the price of the food. 2) Customers was not satisfied with the quality of the service of university foodservices. The important mean score of the service quality was 3.63 out of 5, but the perception mean score of the service quality was 2.87. Therefore, there was a gap(0.76) between the importance score and perception score. 3) Customers' satisfaction with the service quality by dimensions wee int he follow order: assurance>reliability>responsiveness>tangibles>empathy. Customers were more satisfied with the service quality of contracted management than that of self-operated facilities.

• Journal of Radiation Protection and Research
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• 제44권1호
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• pp.43-52
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• 2019

Background: The mid-term performance of clinical linear accelerator (LINAC) during volumetric modulated arc therapy (VMAT) treatment period is not performed in clinical practice and usually replaced with one-time plan quality assurance (QA). In this research we aim to monitor daily reproducibility of VMAT delivery from tracking individual leaf movement error and dosimetric error to evaluate the mid-term quality of the machine used. Materials and Methods: First, multileaf collimator (MLC) information was imported into MATLAB program to determine which of the MLC leaves in the leaf bank had the maximum RMS position error (maxRMS). We estimated where the maximum positional errors (maxPE) of the chosen leaf occur along its path length and tracked its daily variations over the entire treatment period. Secondly, picture information of dosimetric error from portal dosimetry was imported into MATLAB where representative high gamma index region (HGR) was determined as HGR with length of > 1 cm and their centers were daily tracked. Results and Discussion: The maxPEs in the brain and tongue cases were distributed broader than in other cases, but all data were found located within ${\pm}0.5mm$. From first day to last day all of five cases show the similar visual pattern of HGRs and Centers of the longest HGRs remained within ${\pm}1mm$ of that in first day. These findings prove excellent mid-term performance of the LINAC used in VMAT treatments over a full course of treatment. Conclusion: Tracking the daily location changes of leaf movement and dosimetric error can be a good indicator of predicting the daily quality like stability and reproducibility of beam delivering in VMAT treatment.

• Radiation Oncology Journal
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• 제20권1호
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• pp.81-90
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• 2002

목적 : 세기조절 방사선치료(IMRT) 환자에 적합한 Quality Assurance (QA) 항목을 찾아내고 평가 항목의 유용성 및 타당성을 검토하였다. 대상 및 방법 : 3단계, 16항목으로 구성된 IMRT 환자 QA program을 만들어 9환자 12예의 다양한 IMRT 환자에 대해 적용하고 그 방법의 타당성을 검토하였다. 3단계 OA 항목은 전산화치료계획시스템(RTP) QA, 치료 정보의 전달 QA, 치료 전달 과정 OA 등으로 구성되었다. RTP QA는 다시 organ constraint의 검토, 그리고 점선량 및 선량 분포의 타당성 평가 등으로 세분화하였다. 치료 정보의 전달 QA에서는 leaf sequence pattern 작성, 치료 전달용 MLC file 생성 프로그램에서 작성된 IMRT field 용 MLC file의 정확성의 평가와 이 file로 만든 치료 조사면의 dry run 결과를 MLC simulation image와 비교하였다. 치료 전달 과정 QA는 환자의 set-up QA와 IMRT field delivery의 확인, Record and Verify 시스템의 확인 등으로 나누어 실시하였다. 결과 : 점선량 평가 결과, 총 12예 중 10예에서 측정값과 RTP 계산값이 $3\%$ 이내의 일치를 보였고, $3\%$ 이상 및 $5\%$ 이상이 각각 1예씩 발견되었다. RTP에서 설계한 MLC leaf 위치와 Dry run에서 나타난 실제 MLC leaf 위치를 비교하였을 때 2 mm 이상의 차이를 보이는 예는 없었다. 필름에 의한 선량 분포는 치료 계획 선량 분포와 정성적으로 일치함을 알 수 있었으나, 필름의 특성상 정량적인 비교를 할 수는 없었다. Leaf sequence에서 MLC file을 생성하는 프로그램은 오차 없이 구동하였다. 결론 : 본원에서 실시한 IMRT 환자 QA program이 유용하고 필요한 항목임을 보일 수 있었다. 특히 처음 IMRT를 시작할 때는 제시된 모든 항목에 대한 QA를 실시하여야 하나 계속 이 program을 유지하기에는 절차가 복잡하고 긴 시간이 소요되는 과정이라는 문제가 있다. 지속적으로 IMRT를 실시하는 기관을 위해 실용적이며 필수적인 QA 항목을 제시할 수 있었다.