• 대한방사선치료학회지
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• 제32권
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• pp.93-109
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• 2020

목 적: 나선형 토모테라피 방사선치료를 위한 환자별 품질관리용 라디오크로믹 필름 및 3차원 분석시스템인 Dosimetry CheckTM (DC, MathResolutions, USA)의 성능평가를 시행하였다. 대상 및 방법: 인체모형팬톰(Anderson Rando Phantom, USA)을 이용하여 위치 변이가 있는 3가지 형태의 복부 종양(130.6㎤), 복막 후면 종양(849.0㎤) 및 전 복부 전이 종양(3131.0㎤)을 모델링하였다. 조사면 고정너비(field width, FW)를 2.5-cm, 5.0-cm, 피치(pitch) 0.287, 0.43으로 하여 부위별 4개씩(plan01-plan04), 총 12개의 비교용 치료계획을 수립하였다. 이온전리함(1D)과 라디오크로믹 필름(Gafchromic EBT3, Ashland Advanced Materials, USA)을 치즈팬톰 내 삽입하는 방법(2D)과 빔 플루언스 로그정보를 이용하여 CT영상 위에 선량을 3차원으로 재구성하는 방식의 DC측정을 진행하였다. 스레드효과(thread effect)를 분석을 위해 리플(ripple) 진폭(%)를 계산하였고, 선량 분포의 패턴 분석을 위해 감마인덱스 분석(DD: 3%/DTA: 3mm, 합격 문턱 값: 95%)을 수행하였다. 결 과: 리플 진폭 측정 결과 복막 후면 종양이 평균 23.1%로 가장 높았다. 라디오크로믹 필름의 분석결과, 절대 선량 평균 1.0±0.9%, 감마인덱스분석 평균 96.4±2.2%로 95% 이상 통과하였으나 전 복부 전이 종양과 같이 넓은 부위 평가에 범위의 제한적이었다. 인체모형팬톰에 적용한 DC 분석결과 FW가 5.0-cm인 세 부위의 2D 및 3D 플랜 평균이 91.8±6.4%였다. 세 단면 및 선량 프로파일 분석을 통해 복막 후면 및 전 복부 종양 표적 전체 영역에 분석이 가능하였고, 선량-용적 히스토그램을 통한 계획 선량 대 측정의 선량 오차가 FW 및 pitch에 따라 커지는 것을 확인하였다. 결 론: DC측정방법은 별도의 측정기 없이 조사 중 측정된 빔 플루언스 로그정보만으로 3차원 환자 영상 데이터 위에 선량 오류를 구현할 수 있고 종양의 위치나 크기에 제한이 없어 크고 불규칙한 종양의 나선형 토모테라피의 치료 시 환자별 품질관리 성능이 매우 우수하며 활용도가 높을 것으로 생각한다.

• 센서학회지
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• 제9권3호
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• pp.213-223
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• 2000

원자력 관련시설이나 우주 공간, 방사선 치료 센터 등에서 발생되는 방사선량은 정확히 검출되어야 할 필요성이 있다. 본 논문에서는 상용 P채널 Power MOSFET(metal oxide field effect transistor)를 방사선 누적선량 모니터링 센서로 활용하기 위해 실시간 방사선량 검출 측정 시스템을 설계 제작하였고, 시스템의 성능을 분석하기 위하여 Co-60 $\gamma$선원을 갖춘 고준위 조사시설에서 조사한 후 출력특성의 변화를 분석하였다. 방사선 조사실험 결과 P채널 Power MOSFET은 조사된 누적 방사선량에 비례하여 문턱전압($V_T$)이 변화됨과 곡선 변화의 선형적 특성을 지님을 알 수 있었다. 이 선형 함수관계를 이용하여 저가의 상용 P채널 Power MOSFET를 사용한 방사선 총 누적선량을 모니터링하기 위한 센서로 사용할 수 있음을 확인하였다.

• Radiation Oncology Journal
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• 제37권4호
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• pp.254-258
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• 2019

Purpose: Deep inspiration breath hold (DIBH) is a well-established technique that enables efficient cardiac sparing in patients with left-sided breast cancer. The aim of the current study was to determine if DIBH is effective for reducing radiation exposure of of liver and other organs at risk in right breast radiotherapy (RT). Materials and Methods: Twenty patients with right-sided breast cancer were enrolled in this study. Three-dimensional conformal RT plans were generated for each patient, with two different computed tomography scans of free breathing (FB) and DIBH. Nodes were contoured according to the Radiation Therapy Oncology Group contouring guidelines. Dose-volume histograms for the target volume coverage and organs at risk were evaluated and analyzed. Results: DIBH plans showed significant reduction in mean liver dose (5.59 ± 2.07 Gy vs. 2.54 ± 1.40 Gy; p = 0.0003), V_20Gy (148.38 ± 73.05 vs. 64.19 ± 51.07 mL; p = 0.0003) and V_10Gy (195.34 ± 93.57 vs. 89.81 ± 57.28 mL; p = 0.0003) volumes compared with FB plans. Right lung doses were also significantly reduced in DIBH plans. Heart and left lung doses showed small but statistically significant improvement with application of the DIBH technique. Conclusion: We report that the use of DIBH for right-sided breast cancer significantly reduces the radiation doses to the liver, lungs, and heart.

• 대한수의학회지
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• 제41권3호
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• pp.395-400
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• 2001

The present study analyze the morphological aspects of the cerebrum of mice with prenatal exposure to high and low dose (0.5, 1, 2 Gy) of $\gamma$-radiation on gestation day 12 or 16. The animal were allowed to give birth and the offspring were sacrificed at postnatal days 28 for gross and microscopic examination of cerebrum. Their body weight, brain weight, brain length, brain width, cortical thickness and area of cingulum bundle were examined. The histological and planimetric analysis were performed observing coronal sections. The gross malfomation (microcephaly) and abnormality of cortical architecture were prominent after exposure to 2 Gy on day 12 of gestation. significant dose-related reductions in body weight, brain weight, brain size were found in all irradiated groups. A significant change was found in thickness of the cerebral cortex and area of the cingulum bundle in the groups exposed to 0.5 Gy or more. There was no difference a lamina patter of six layers in cerebral cortex between the control and irradiated groups, but cell packing density increased significantly in the group exposed to 1 Gy or more. These results suggested that dose as low as 0.5 Gy could cause a morphologically reduce change in developing mouse cerebrum and exposure on day 12 of gestation to $\gamma$-irradiation is a particularly sensitive phase in causing malformation and abnormality of central nerve system.

• Journal of Korean Neurosurgical Society
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• 제30권5호
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• pp.652-656
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• 2001

Uveal melanoma is uncommon but life-threatening intraocular malignancy and has been treated by irradiation, local excision and enucleation. Gamma-Knife radiosurgery allows a high dose of radiation to be delivered to an intracranial target with a very high spatial accuracy and has been used for the treatment of ocular melanomas. We have treated two cases of uveal melanoma between October 1994 and December 1999. They include one man and one woman(34, 62 years, respectively). They were followed up for 12 momths. Mean maximal dose was 65Gy. In one case, the tumor disappeared 7 months after gamma-knife radiosurgery. In another case, multiple tumors (uveal, suprasellar and cerebellar tumor) had decreased in size. These results show that single and high dose gamma-knife radiosurgery is may be an option in the local control of uveal melanoma which can spare the eyeball and vision.

• 한국콘텐츠학회논문지
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• 제14권2호
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• pp.457-466
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• 2014

고 에너지 전자선 치료에 있어서 차폐물질은 종양조직 외 정상조직이나 주요장기를 보호하기 위해 사용된다. 하지만 이러한 물질에서 발생되어지는 산란선은 심부선량에 영향을 줄 수 있으며, 물질원자번호에 따라 다르게 나타난다. 이에 차폐물질로써 사용가능한 알루미늄, 구리, 납 등의 다양한 원자번호 물질을 전하 감약율 95% 되는 두께로 하여 측정과 MCNPX 모의계산으로 산란율을 비교분석하였다. 산란선 영향을 많이 받는 표면의 선량변화율은 최대 물질두께에서 +0.88%, 원자번호에서 +0.43%의 영향을 받으며, 전하 감약율 95% 되는 두께의 알루미늄, 구리, 납 물질은 측정에서 +19.70%, +15.20%, +12.40% 계산에서 +25.00%, +15.10%, +13.70%를 보였다. 이로 인해 산란율은 물질두께가 원자번호보다 많은 영향을 주며, 산란전자가 광자보다 많은 기여를 하고 있음을 알 수 있었다. 이에 임상에서의 적절한 차폐물질은 두께영향 산란선이 적게 방출되는 고 원자번호물질이 적당하다고 사료된다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권6호
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• pp.2793-2796
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• 2014

Background: Glioblastoma multiform (GBM) is a highly aggressive tumor with median survival of approximately 14 months. Management consists of maximal surgical resection followed by post-operative chemoradiation with concurrent then adjuvant temozolamide. The standard radiotherapy dose is 60Gy in 2-Gy fractions recommended by the radiation therapy oncology group (RTOG). With the vast majority of tumor recurrences occurring within the previous irradiation field and the poor outcome associated with standard therapy, regimens designed to deliver higher radiation doses to improve local control and enhance survival are needed. In this study, we report a single institutional experience in treatment of 68 consecutive patients with GBM, treated with resection, and given post-operative radiotherapy followed by concurrent and/or adjuvant chemotherapy. Results: Of the 80 patients who entered this study, 68 completed the treatment course; 45 (66.2%) males and 23 (33.8%) females with a mean age at diagnosis of $49.0{\pm}12.9$ (21-75) years. At a median follow up of 19 months, 39 (57.3%) patients had evidence of tumor progression and 36 (52.9%) had died. The median over all survival for all patients was 16 months and progression free survival for all patients was 6.02 months. All potential prognostic factors were analyzed to evaluate their effects on overall survival. Age ${\leq}50$ year, concurrent and adjuvant chemotherapy and extent of surgery had significant p values. We found lower progression rate among patients who received higher doses of radiotherapy (>60Gy). Higher radiation doses improved progression free survival (p=0.03). Despite increasing overall survival, this elevation was not significant. Conclusions: This study emphasize that higher radiation doses of (>60Gy) can improve local control and potentially survival, so we strongly advise prospective multi centric studies to evaluate the role of higher doses of radiotherapy on GBM patient outcome.

• 한국IT서비스학회지
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• 제8권2호
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• pp.147-156
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• 2009

As the result of the rapid development of IT technology, an on-line diagnostic system using the field bus communication network coupled with a smart sensor module will be widely used at the nuclear power plant in the near future. The smart sensor system is very useful for the prompt understanding of abnormal state of the key equipments installed in the nuclear power plant. In this paper, it is assumed that a smart sensor system based on the fieldbus communication network for the surveillance and diagnostics of safety-critical equipments will be installed in the harsh-environment of the nuclear power plant. It means that the key components of fieldbus communication system including microprocessor, FPGA, and ASIC devices, are to be installed in the RPV (reactor pressure vessel) and the RCS (reactor coolant system) area, which is the area of a high dose-rate gamma irradiation fields. Gamma radiation constraints for the DBA (design basis accident) qualification of the RTD sensor installed in the harsh environment of nuclear power plant, are typically on the order of 4 kGy/h. In order to use a field bus communication network as an ad-hoc diagnostics sensor network in the vicinity of the RCS pump area of the nuclear power plant, the robust survivability of IT-based micro-electronic components in such intense gamma-radiation fields therefore should be verified. An intelligent CCD camera system, which are composed of advanced micro-electronics devices based on IT technology, have been gamma irradiated at the dose rate of about 4.2kGy/h during an hour UP to a total dose of 4kGy. The degradation performance of the gamma irradiated CCD camera system is explained.

• 접착 및 계면
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• 제18권3호
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• pp.134-140
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• 2017

본 연구에서는 포호필름 코팅 용도를 목적으로 silicone-urethaneacrylate (SUA) 올리고머를 포함하는 자외선 경화형 점착제를 제조하였으며 SUA올리고머의 양과 자외선조사량이 접착물성에 미치는 영향을 조사하였다. 그 결과, 올리고머의 양과 자외선조사량이 증가 할 수 록 박리강도는 감소하였으나 응집력은 증가하였다. 자외선 조사가 시작되면서 젤함량은 초기에 급속히 증가하였으나 이후 일정량을 유지하였다. 탈착시험 결과 70%의 올리고머 함량의 시편 S70이 다른 S50(올리고머 50%함량)과 S60(올리고머 60%함량)과 비교하여 가장 우수한 탈착성을 보였으며 탈착 후 기재에 아무런 잔사를 남기지 않았다. S70의 경우 1857 자외선 조사량과 $2270mJ/cm^2$에서 $26mJ/m^2$ 이하의 표면에너지를 보였으며 95% 이상의 광투과도를 보였으며 이러한 물성은 보호용 필름이 요구하는 물성에 적절하다.

• 한국의학물리학회:학술대회논문집
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• 한국의학물리학회 2002년도 Proceedings
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• pp.146-149
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• 2002

The aim of stereotactic radiosurgery(SRS) is to deliver a high dose to a target region and a low dose to critical organ through only one or a few irradiation. To satisfy this aim, optimized irradiating conditions must be searched in the planning. Thus, many mathematical methods such as gradient method, simulated annealing and genetic algorithm had been proposed to find out the conditions automatically. There were some limitations using these methods: the long calculation time, and the difficulty of unique solution due to the different shape of tumor. In this study, optimization protocol using ideal models and data base was proposed. Proposed optimization protocol constitutes two steps. First step was a preliminary work. Some possible ideal geometry shapes, such as sphere, cylinder, cone shape or the combination, were assumed to approximate the real tumor shapes. Optimum variables such as isocenter position or collimator size, were determined so that the high dose region could be shaped to fit ideal models with the arrangement of multiple isocenter. Data base were formed with those results. Second, any shaped real targets were approximated to these models using geometry comparison. Then, optimum variables for ideal geometry were chosen from the data base predetermined, and final parameters were obtained by adjusting these data. Although the results of applying the data base to patients were not superior to the result of optimization in each case, it can be acceptable as a starting point of plan.