• Journal of Radiation Protection and Research
• /
• 제10권2호
• /
• pp.89-95
• /
• 1985

연속감속근사법(CSDA)과 감속평균선질계수를 이용하여 선량당량 정의에서의 본래의 LET분포 개념을 하전입자속 스펙트럼의 개념으로 변환함으로써 새로운 선량당량 산정법을 도출하였다. 이 산정법을 몬테칼로법에 적용함으로써 주어진 방사선장에 위치한 피사체 내에서의 선량당량을 직접적으로 간편하게 산출할 수 있다. 산정에 필요한 감속평균 선질계수는 중성자와 연조직과의 상호작용으로부터 발생될 수 있는 모든 하전입자에 대하여 10 MeV 이하의 에너지 범위에서 산출하여 제시하였다.

• 한국의학물리학회:학술대회논문집
• /
• 한국의학물리학회 2002년도 Proceedings
• /
• pp.53-60
• /
• 2002

Motion of lung tumors from respiration has been reported in the literature to be as large as of 1-2 cm. This motion requires an additional margin between the Clinical Target Volume (CTV) and the Planning Target Volume (PTV). While such a margin is necessary, it may not be sufficient to ensure proper delivery of Intensity Modulated Radiotherapy (IMRT) to the CTV during the simultaneous movement of the DMLC. Gated treatment has been proposed to improve normal tissues sparing as well as to ensure accurate dose coverage of the tumor volume. The following questions have not been addressed in the literature: a) what is the dose error to a target volume without gated IMRT treatment\ulcorner b) what is an acceptable gating window for such treatment. In this study, we address these questions by proposing a novel technique for calculating the 3D dose error that would result if a lung IMRT plan were delivered without gating. The method is also generalized for gated treatment with an arbitrary triggering window. IMRT plans for three patients with lung tumor were studied. The treatment plans were generated with HELIOS for delivery with 6 MV on a CL2100 Varian linear accelerator with a 26 pair MLC. A CTV to PTV margin of 1 cm was used. An IMRT planning system searches for an optimized fluence map ${\Phi}$ (x,y) for each port, which is then converted into a dynamic MLC file (DMLC). The DMLC file contains information about MLC subfield shapes and the fractional Monitor Units (MUs) to be delivered for each subfield. With a lung tumor, a CTV that executes a quasi periodic motion z(t) does not receive ${\Phi}$ (x,y), but rather an Effective Incident Fluence EIF(x,y). We numerically evaluate the EIF(x,y) from a given DMLC file by a coordinate transformation to the Target's Eye View (TEV). In the TEV coordinate system, the CTV itself is stationary, and the MLC is seen to execute a motion -z(t) that is superimposed on the DMLC motion. The resulting EIF(x,y)is inputted back into the dose calculation engine to estimate the 3D dose to a moving CTV. In this study, we model respiratory motion as a sinusoidal function with an amplitude of 10 mm in the superior-inferior direction, a period of 5 seconds, and an initial phase of zero.

• 한국의학물리학회지:의학물리
• /
• 제31권3호
• /
• pp.54-62
• /
• 2020

Dose calculation algorithms play an important role in radiation therapy and are even the basis for optimizing treatment plans, an important feature in the development of complex treatment technologies such as intensity-modulated radiation therapy. We reviewed the past and current status of dose calculation algorithms used in the treatment planning system for radiation therapy. The radiation-calculating dose calculation algorithm can be broadly classified into three main groups based on the mechanisms used: (1) factor-based, (2) model-based, and (3) principle-based. Factor-based algorithms are a type of empirical dose calculation that interpolates or extrapolates the dose in some basic measurements. Model-based algorithms, represented by the pencil beam convolution, analytical anisotropic, and collapse cone convolution algorithms, use a simplified physical process by using a convolution equation that convolutes the primary photon energy fluence with a kernel. Model-based algorithms allowing side scattering when beams are transmitted to the heterogeneous media provide more precise dose calculation results than correction-based algorithms. Principle-based algorithms, represented by Monte Carlo dose calculations, simulate all real physical processes involving beam particles during transportation; therefore, dose calculations are accurate but time consuming. For approximately 70 years, through the development of dose calculation algorithms and computing technology, the accuracy of dose calculation seems close to our clinical needs. Next-generation dose calculation algorithms are expected to include biologically equivalent doses or biologically effective doses, and doctors expect to be able to use them to improve the quality of treatment in the near future.

• 한국의학물리학회:학술대회논문집
• /
• 한국의학물리학회 2004년도 제29회 추계학술대회 발표논문집
• /
• pp.166-169
• /
• 2004

IAEA의TRS-398물 흡수선량 표준 프로토콜에서 고 에너지 전자선의 물 흡수선량 결정에 있어서 10MeV이하의 에너지 에서만 사용하길 권고하고 있다. Plastic Water$^{TM}$ Virtual Water$^{TM}$ 고체 팬톰을 이용하여 전자선에 대한 hpl값을 측정하였다. 측정결과 Plastic Water$^{TM}$의 경우 6 MeV에서 20 MeV가지의 전자선에 대해 평균 0.9964의 값을 나타냈고, Virtual Water$^{TM}$의 경우 1.0156의 값을 나타냈다.

• 한국의학물리학회지:의학물리
• /
• 제29권4호
• /
• pp.137-142
• /
• 2018

This study aimed to evaluate and verify a process for correcting the extended source-to-imager distance (SID) in portal dosimetry (PD). In this study, eight treatment plans (four volumetric modulated arc therapy and four intensity-modulated radiation therapy plans) at different treatment sites and beam energies were selected for measurement. A Varian PD system with portal dose image prediction (PDIP) was used for the measurement and verification. To verify the integrity of the plan, independent measurements were performed with the MapCHECK device. The predicted and measured fluence were evaluated using the gamma passing rate. The output ratio was defined as the ratio of the absolute dose of the reference SID (100 cm) to that of each SID (120 cm or 140 cm). The measured fluence for each SID was absolutely and relatively compared. The average SID output ratios were 0.687 and 0.518 for 120 SID and 140 SID, respectively; the ratio showed less than 1% agreement with the calculation obtained by using the inverse square law. The resolution of the acquired EPIDs were 0.336, 0.280, and 0.240 for 100, 120, and 140 SID, respectively. The gamma passing rates with PD and MapCHECK exceeded 98% for all treatment plans and SIDs. When autoalignment was performed in PD, the X-offset showed no change, and the Y-offset decreased with increasing SID. The PD-generated PDIP can be used for extended SID without additional correction.

• 한국콘텐츠학회논문지
• /
• 제15권6호
• /
• pp.283-289
• /
• 2015

현재 방사선치료는 치료효과를 높이기 위해 고에너지 광자선의 사용이 증가하고 있는 추세이다. 일반적으로 6~8 MeV 이상의 고에너지 광자선을 사용하는 경우에는, 광핵반응에 의한 광중성자가 발생됨으로써 방사선 방호의 측면에서 많은 문제를 야기 시킬 수 있다. 이에 본 연구는 MCNPX를 이용하여 방사선 치료실의 광중성자 선량분포를 분석하였다. 그 결과 10 MV와 12 MV 구간에서 급격한 흡수선량의 증가를 보였다. 이를 통해 10 MV를 시작으로 광중성자 플루언스의 급격한 증가가 흡수선량으로 연계됨을 알 수 있었다. 또한 산출된 흡수선량을 바탕으로 등가선량을 환산한 결과는 ICRP 103 권고안의 경우, 낮은 에너지 범위에서 인체의 흡수선량에 대한 2차 광자의 기여를 반영함으로써 ICRP 60 권고안에 비해 낮은 등가선량을 나타냈다.

• 한국의학물리학회지:의학물리
• /
• 제11권2호
• /
• pp.147-155
• /
• 2000

Patient dose verification is one of the most important parts in quality assurance of the treatment delivery for radiation therapy. The dose distributions may be meaningfully improved by modulating two dimensional intensity profile of the individual high energy radiation beams In this study, a new method is presented for the pre-treatment dosimetric verification of these two dimensional distributions of beam intensity by means of a charge coupled device video camera-based fluoroscopic device (henceforth called as CCD-VCFD) as a radiation detecter with a custom-made software for dose calculation from fluorescence signals. This system of dosimeter (CCD-VCFD) could reproduce three dimensional (3D) relative dose distribution from the digitized fluoroscopic signals for small (1.0$\times$1.0 cm$^2$ square, ø 1.0 cm circular ) and large (30$\times$30cm$^2$) field sizes used in intensity modulated radiation therapy (IMRT). For the small beam sizes of photon and electron, the calculations are performed In absolute beam fluence profiles which are usually used for calculation of the patient dose distribution. The good linearity with respect to the absorbed dose, independence of dose rate, and three dimensional profiles of small beams using the CCD-VCFD were demonstrated by relative measurements in high energy Photon (15 MV) and electron (9 MeV) beams. These measurements of beam profiles with CCD-VCFD show good agreement with those with other dosimeters such as utramicro-cylindrical (UC) ionization chamber and radiographic film. The study of the radiation dosimetric technique using CCD-VCFD may provide a fast and accurate pre-treatment verification tool for the small beam used in stereotactic radiosurgery (SRS) and can be used for verification of dose distribution from dynamic multi-leaf collimation system (DMLC).

• Nuclear Engineering and Technology
• /
• 제48권2호
• /
• pp.525-532
• /
• 2016

High-energy linear accelerators are increasingly used in the medical field. However, the unwanted photo-neutrons can also be contributed to the dose delivered to the patients during their treatments. In this study, neutron fluxes were measured in a solid water phantom placed at the isocenter 1-m distance from the head of an18-MV linac using the foil activation method. The produced activities were measured with a calibrated well-type Ge detector. From the measured fluxes, the total neutron fluence was found to be $(1.17{\pm}0.06){\times}10^7n/cm^2$ per Gy at the phantom surface in a $20{\times}20cm^2$ X-ray field size. The maximum photo-neutron dose was measured to be $0.67{\pm}0.04$ mSv/Gy at $d_{max}=5cm$ depth in the phantom at isocenter. The present results are compared with those obtained for different field sizes of $10{\times}10cm^2$, $15{\times}15cm^2$, and $20{\times}20cm^2$ from 10-, 15-, and 18-MV linacs. Additionally, ambient neutron dose equivalents were determined at different locations in the room and they were found to be negligibly low. The results indicate that the photo-neutron dose at the patient position is not a negligible fraction of the therapeutic photon dose. Thus, there is a need for reduction of the contaminated neutron dose by taking some additional measures, for instance, neutron absorbing-protective materials might be used as aprons during the treatment.

• 한국의학물리학회지:의학물리
• /
• 제22권4호
• /
• pp.206-215
• /
• 2011

다엽콜리메이터, 겐트리회전, 선량율 등에서 형성되는 플루언스 맵을 이용하여 환자 맞춤형 치료 선량검증이 가능한지 알아보았다. 플루언스 맵은 2D 배열 검출기로 측정하였고, 동일 치료계획을 팬톰 내에서 이온전리함, 필름, 유리선량계 등을 이용하여 측정 비교하였다. 목표점에서 체적감마인자(volume gamma index, 3%, 3 mm)기준에 통과율은 $85.22%{\pm}1.7$(RT_target), $89.96%{\pm}2.15$였고, G4는 $95.14%{\pm}1.18$이었다. 선량 전달 오차는 선량이 급격히 변화는 영역(G1, G2, G3)과 주요장기(G4)에서 각각 $11.72%{\pm}0.531$, $-11.47%{\pm}0.991$, $7.81%{\pm}0.857$, $-4.14%{\pm}0.761$이었다. 이온전리함 측정값의 상대오차는 각각 평균 $-1.02%{\pm}0.222$ (Rt_target), $0.96%{\pm}0.294$ (Lt_target)이었다. 필름의 감마인자(3%, 3 mm) 기준 평균 통과율은 $92.59%{\pm}3.312$이었다. 유리선량계 상대 오차는 8.3% (G1), -5.4% (G2), 7.2% (G3), 6.1% (G4)이었다. 체적변조회전방사선 치료(VMAT)시 실시간 플루언스 맵 측정을 통한 실시간 환자 맞춤형 선량 검증이 가능할 것으로 사료되었다.

• Radiation Oncology Journal
• /
• 제19권1호
• /
• pp.66-73
• /
• 2001

목적 : 붕소-중성자 포획치료법(Boron Neutron Capture Therapy, BNCT)을 위해 원자력병원 싸이클로트론에서 발생되는 최대에너지 34.4 MeV의 속중성자(Fast neutron)를 70 cm 파라핀으로 감속시킨 후 선량 특성을 조사하였다. 그 결과를 토대로 열외중성자(Epithermal neutron) 선량 측정법에 대한 프로토콜을 확립하여 원자로에서 방출되는 열외 중성자 선량 특성 평가의 기초를 삼고, 가속기를 이용한 BNCT 연구에 대한 타당성 여부를 조사하고자 한다. 대상 및 방법 : 공기 중 선량 및 물질 내 선량 분포 측정을 위해 Unidos 10005 (PTW, Germany) 전기계와 조직 등가 물질인 A-150 플라스틱으로 제작된 IC-17 (Far West, USA) 및 IC-18, ElC-1 이온함을 사용하였고, 감마선의 측정을 위해서는 마그네슘으로 제작된 IC-l7M 이온함을 이용하였으며 조직등가 기체와 아르곤 기체를 분당 5cc 씩 주입하며 측정하였다. 중성자, 광자, 전자가 혼합된 장의 모의 수송 해석을 위해 이용되는 Monte Carlo N-Particle (MCNP) transport code를 사용하여 2차원적 선량 분포 및 에너지 분포를 계산하였으며 이 결과를 측정값과 비교하였다. 결과 : BNCT에서의 유효 치료 깊이인 물 팬텀 4 cm에서의 선량은 치료기 1 MU 당 $6.47\times10^{-3}\;cGy$로 미세하였으며, 이때 감마 오염도(contamination)는 $65.2{\pm}0.9\%$로 중성자보다는 감마선에 의한 선량 기여분이 우세하였다. 깊이에 따른 선량 분포 특성에서는 중성자 선량은 선형적으로 감쇠 되었고, 감마선량은 지수적으로 보다 급격히 감쇠되는 경향을 보였으며 전체 선량의 $D_{20}/D_{10}$은 0.718 이었다. MCNP에 의한 에너지 분포 전산 계산의 결과 2.87 MeV 이하에서 중성자 피크가 나타났으며, 저에너지 영역에서는 감마선이 연속적으로 분포되는 양상을 보였다. 결론 : 벽 물질이 서로 다른 두 개의 이온함을 사용한 직접 선량 측정과 MCNP 전산 시뮬레이션을 이용한 공간 선량분포 계산으로 미세 속중성자 빔에 대한 선량 특성을 파악할 수 있었으며, 원자로 열외중성자 주(Epithermal neutron column)에 대한 선량 평가 자료로 확보하였다. 아울러 가속기에 대한 연구가 진행되어 고전압, 고전류를 발생시키는 전원 공급장치와 표적핵(Target) 물질이 개발되고 비스무스나 납 등에 의해 감마 오염도를 줄일 경우, 싸이크로트론에 의한 보론-중성자 포획치료도 가능해질 것으로 판단된다.