• 제목/요약/키워드: Maximum Dose

검색결과 1,212건 처리시간 0.03초

Recommended Rice Intake Levels Based on Average Daily Dose and Urinary Excretion of Cadmium in a Cadmium-Contaminated Area of Northwestern Thailand

  • La-Up, Aroon;Wiwatanadate, Phongtape;Pruenglampoo, Sakda;Uthaikhup, Sureeporn
    • Toxicological Research
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    • 제33권4호
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    • pp.291-297
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    • 2017
  • This study was performed to investigate the dose-response relationship between average daily cadmium dose (ADCD) from rice and the occurrence of urinary cadmium (U-Cd) in individuals eating that rice. This was a retrospective cohort designed to compare populations from two areas with different levels of cadmium contamination. Five-hundred and sixty-seven participants aged 18 years or older were interviewed to estimate their rice intake, and were assessed for U-Cd. The sources of consumed rice were sampled for cadmium measurement, from which the ADCD was estimated. Binary logistic regression was used to examine the association between ADCD and U-Cd (cut-off point at $2{\mu}g/g$ creatinine), and a correlation between them was established. The lowest estimate was $ADCD=0.5{\mu}g/kg\;bw/day$ [odds ratio (OR) = 1.71; with a 95% confidence interval (CI) 1.02-2.87]. For comparison, the relationship in the contaminated area is expressed by $ADCD=0.7{\mu}g/kg\;bw/day$, OR = 1.84; [95 % CI, 1.06-3.19], while no relationship was found in the non-contaminated area, meaning that the highest level at which this relationship does not exist is $ADCD=0.6{\mu}g/kg\;bw/day$ [95% CI, 0.99-2.95]. Rice, as a main staple food, is the most likely source of dietary cadmium. Abstaining from or limiting rice consumption, therefore, will increase the likelihood of maintaining U-Cd within the normal range. As the recommended maximum ADCD is not to exceed $0.6{\mu}g/kg\;bw/day$, the consumption of rice grown in cadmium-contaminated areas should not be more than 246.8 g/day. However, the exclusion of many edible plants grown in the contaminated area from the analysis might result in an estimated ADCD that does not reflect the true level of cadmium exposure among local people.

Non-coplanar whole brain radiotherapy is an effective modality for parotid sparing

  • Park, Jaehyeon;Park, Jae Won;Yea, Ji Woon
    • Journal of Yeungnam Medical Science
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    • 제36권1호
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    • pp.36-42
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    • 2019
  • Background: The purpose of this study was to evaluate the efficacy and feasibility of non- coplanar whole brain radiotherapy (NC-WBRT) for parotid sparing. Methods: Fifteen cases, previously treated with WBRT were selected. NC-WBRT plans were generated. The beam arrangement for the non-coplanar plans consisted of superior anterior, right, and left beams. After generation of the non-coplanar plans a field-in-field technique was applied to the bilateral parallel opposed beams in order to reduce maximum dose and increase dose homogeneity. The NC-WBRT plans were subsequently compared with the previously generated bilateral WBRT (B-WBRT) plans. A field-in-field technique was also used with the B-WBRT plans according to our departmental protocol. As per our institutional practice a total dose of 30 Gy in 10 fractions of WBRT was administered 5 days a week. Results: The mean dose to the parotid gland for the two different plans were 16.2 Gy with B-WBRT and 13.7 Gy with NC-WBRT (p<0.05). In the NC-WBRT plan, the V5Gy, V10Gy, V15Gy, V20Gy, and V25Gy of the parotid were significantly lower (p<0.05) than those of the B-WBRT plan. The $D_{max}$ of the lens was also lower by 10% with NC-WBRT. Conclusion: The use of NC-WBRT plans could be a simple and effective method to reduce irradiated volumes and improve the dose-volume parameters of the parotid gland.

토모테라피에서 쌀 볼루스 팬텀의 유용성 평가: 팬텀연구 (Evaluating the Usefulness of Rice Bolus Phantom in Tomotherapy: Phantom Study)

  • 김대건;정재홍
    • 대한방사선기술학회지:방사선기술과학
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    • 제44권6호
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    • pp.663-669
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    • 2021
  • The purpose of this study was to evaluate the usefulness of the rice bolus for upper-lower extremity radiation therapy by Tomotherapy. The computed tomography images were obtained for air, water, and rice bolus. The average and standard deviation of the Hounsfield unit (HU) were measured for image evaluation. The conformity index (CI) and homogeneity index (HI) were calculated for dose distribution of the planning target volume (PTV) which was treated by direct mode with gantry angle (90 and 270 angle). The point dose of a total of ten axial planes was measured to confirm the different regions. The mean of HU was -999.72 ± 0.72 at the air. The water and rice bolus were -0.13 ± 1.65 and -170 ± 27.2, respectively. The CI (HI) of PTV was 0.96 (1.36) at the air. 0.95 (1.04) at the water bolus, and 0.95 (1.04) at the rice bolus. The maximum dose for air was 136 cGy which is about 32% higher than 103 cGy for water and 104 cGy for rice bolus. There was a statistical difference for point dose between air and water including rice bolus (p=0.04), however, no statistical difference between water and rice bolus (p=0.579).The rice bolus phantom for extremities radiation therapy could be not only the optimized dose distribution but also the convenience and equipment safety at Tomotherapy. However, additional research will be necessary to more accurately verify the clinical usefulness of rice bolus phantom due to not enough examination.

유방 촬영 장치의 국제 규격 Beam Quality 기준에 따른 평균 선량 평가에 관한 연구 (A Study on Radiation Beam Quality Set-up of Mammography Equipment and Average Glandular Dose)

  • 박윤희;박지군
    • 한국방사선학회논문지
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    • 제16권3호
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    • pp.303-308
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    • 2022
  • 유방암의 조기 진단에는 X선을 이용한 유방 촬영이 현재 가장 많이 이용되고 있다. X선 장치의 사용 빈도가 증가함에 따라 유방 X선 촬영에서 기인하는 방사선의 위해해 대한 관심이 고조되고 있는 추세이다. 이에 본 연구에서는 고 대조도 및 고해상력을 요구하는 X선 유방촬영에서 유선의 피폭선량을 측정하기 위하여 International Atomic Energy Agency (IAEA)에서 규정한 검사 기준에 대해 IEC 62220-1-2에서 제시하는 국제 권고안의 beam quality 기준을 바탕으로 평균 유선 선량을 평가하는 가이드라인을 제시 하고자 하였다. 그 결과 4.5 cm PMMA 팬톰의 평균 유선선량 값은 30 kV 범위 이내에서 최대 2.3 mGy였으며, 28 kV를 기준으로 1.19 mGy로 평가되었다.

Dosimetric Characteristics of Flexible Radiochromic Film Based on LiPCDA

  • Jung, Seongmoon;Cho, Jin Dong;Kim, Jung-in;Park, Jong Min;Choi, Chang Heon
    • 한국의학물리학회지:의학물리
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    • 제32권4호
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    • pp.179-184
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    • 2021
  • This study aimed to determine the optimal thickness of the active layer and scan mode for a flexible radiochromic film (F-RCF) based on the active lithium salt of pentacosa-10,12-diynoic acid (LiPCDA). F-RCFs of 90, 120, 140, and 170-㎛ thickness were fabricated using LiPCDA. Several pieces of the F-RCFs were exposed to doses ranging from 0 to 3 Gy. Transmission and reflection modes were used to scan the irradiated F-RCFs. Their dose-response curves were obtained using a second-order polynomial equation. Their sensitivity was evaluated for both scanning modes, and the uniformity of the batch was also examined. For both the transmission and reflection modes, the sensitivity increased as the film thickness increased. For the reflection mode, the dose response increased dramatically under 1 Gy. The value of the net optical density varied rapidly as the thickness of the film increased. However, the dose-response curves showed a supralinear-curve relationship at doses greater than 2 Gy. The sensitivity of the reflection scan at doses greater than 2 Gy was higher than that of the reflection scan within 0-2 Gy. The sensitivity steadily decreased with increasing doses, and the sensitivity of the two modes was within 0.1 to 0.2 at 2 Gy and was saturated beyond that. For the transmission scan, the sensitivity was approximately 0.2 at 3 Gy. For the intra-batch test result, the maximum net optical density difference of the intra-batch was 5.5% at 2 Gy and 7.4% at 0.2 Gy in the transmission and reflection scans, respectively. In the low-dose range, film thickness of more than 120-㎛ was proper in the transmission mode. In contrast, the transmission mode showed a better result compared to the reflection mode. Therefore, the proper scan mode should be selected according to the dose range.

다발성 전이암 환자의 방사선치료 시 저선량 영역 감소를 위한 용적조절 회전 방사선치료(Volumetric Modulated Arc Therapy) 기법의 유용성 평가 (Usefulness assessment of the Volumetric Modulated Arc Therapy technique for reducing low-dose areas during radiotherapy for patients with multiple metastatic cancers)

  • 최윤원;정동민;김세영;박령황;김이지;조용완 ;권용재;박별님;유경민;문호경;장동재;이재영;임다영;이상규;백종걸
    • 대한방사선치료학회지
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    • 제35권
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    • pp.23-31
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    • 2023
  • 목 적: 다발성 전이암 환자의 방사선치료 시 저선량 영역을 줄이기 위해 Non-Treat Functionailty-Volumetric Modulated Arc Therapy(NTF-VMAT)과 Treat Functionality VMAT(TF-VMAT)치료계획을 수립하고 비교하여 유용성을 평가하고자 한다. 대상 및 방법: Arccheck phantom에서 X, Y, Z 축에 2 cm, 4 cm, 6 cm 간격으로 치료계획용적 위치를 쌍(Pair)으로 설정하였다. 이를 바탕으로 NTF-VMAT와 TF-VMAT의 저선량 체적을 측정하여 비교·분석하였다. 결 과: 처방선량의 10% ~ 70% 범위 내에서 NTF-VMAT와 TF-VMAT의 18개 전산화 치료계획을 분석한 결과, 각 축에서 저선량 영역의 체적 차이는 X축에서는 최대 -47.6%, 최소 -2.2%, Y축에서는 최대 -17.5%, 최소 -7.3%의 차이가 나타났다. Z축에서는 최대 -39.7%의 차이를 보였으며, 가장 적은 차이는 -6.8%로 나타났다. 결 론: 다발성 전이암 환자의 방사선치료 시 TF-VMAT 치료계획이 NTF-VMAT에 비해 저선량 영역을 10~40% 줄일 수 있었다. 이는 Island block technique이 적용된 Treat Functionaliy을 이용하여 선량 분포를 개선하고, 부작용을 최소화하여 다발성 전이암 환자의 치료에 유용할 것으로 사료된다.

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보조세포 비의존형 CTL 반응이 고려된 HIV 감염 모형에 대한 점진적 약물 감소 기법의 적용 (Gradual Reduction of Drug Dosage on an HIV Infection Model with Helper-independent CTL)

  • 장혁준;조남훈;심형보
    • 제어로봇시스템학회논문지
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    • 제10권12호
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    • pp.1148-1154
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    • 2004
  • The goal of this paper is to verity that the gradual reduction of drug dose (GRDD), which has already been shown by authors to be effective for a simplified HIV infection model, still works for a more realistic model. While the simplified HIV infection model does not take into account an helper-independent CTL, the five state nonlinear model proposed by Wodarz describes the dynamics of both helper-dependent and helper-independent CTL in HIV infection. In this paper, it is shown that, by applying GRDD to Wodarz's five state HIV infection model, the state of HIV infected patient converges to that of non-progressor whose immune response is excited so that his symptom would not be developed into AIDS. Roughly speaking, GRDD is 'slow reduction of dose after the maximum dose for a certain period.' It turns out that an equilibrium representing non-progressor is locally asymptotically stable for the most values of drug dosage, which is required to hold in order to apply GRDD. Simulation results establish that GRDD is still considerably effective both for an AIDS patient and a patient who has been on HAART for a long time.

EPANET을 이용한 상수도 관망의 잔류염소 거동 예측 (Chlorine Residual Prediction in Drinking Water Distribution System Using EPANET)

  • 유희종;김주원;정효준;이홍근
    • 한국환경보건학회지
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    • 제29권1호
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    • pp.8-15
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    • 2003
  • In this study, chlorine dose at water storage tank was predicted to meet the recommended guideline for free chlorine residual in drinking water distribution system, using EPANET which is a computer program that performs extended Period simulation of hydraulic and water quality behavior within pressurized pipe networks. The results may be summarized as follows. The decay of chlorine residual by season varied considerably in the following order; in summer ($25^{\circ}C$) > spring and fall (15$^{\circ}C$) > winter (5$^{\circ}C$). For re-chlorination at water storage tank by season, season-varying chlorine dose was required at its maximum of 1.00 mg/l in summer and minimum of 0.40 mg/l in winter as free chlorine residual. The decay of chlorine residual through out the networks increased with water age spent by a parcel of water in the network except for some points with low water demand. In conclusion, the season-varying chlorine dose as well as the monitoring of water quality parameters at the some points which showed high decay of chlorine residual may be necessary to deliver the safe drinking water.

Anti-pyretic and anti-inflammatory activity of chloroform extract of Croton roxburghii in standard animal models

  • Sivakumar, T;Rajavel, R;Karthikeyan, D;Duraisamy, R;Srinivasan, K;Kumar, S Suresh;Karki, Subhas S
    • Advances in Traditional Medicine
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    • 제8권3호
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    • pp.252-259
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    • 2008
  • The chloroform extract of Croton roxburghii (Family: Euphorbiaceae) was evaluated for its antipyretic effects in Brewer's yeast induced hyperthermia in rats. The anti-inflammatory effect of the Croton roxburghii was also evaluated by using carrageenan, dextran, histamine, serotonin induced rat paw oedema and cotton pellet induced granuloma (chronic) models in rats. The chloroform extract of Croton roxburghii (CECR) exhibited significant anti-pyretic and anti-inflammatory effect at the dose 50, 100 and 200 mg/kg. Maximum inhibition (55.32%) was notedat the dose of 200 mg/kg after 3 h of drug treatment in carrageenan induced paw oedema, whereas the Indomethacin (standard drug) produced 61.33% of inhibition. The extract exhibited significant anti-inflammatory activity in dextran induced paw edema in a dose dependent manner. In the chronic model (cotton pellet induced granuloma) the CECR (200 mg/kg) and Indomethacin (10 mg/kg) showed decreased formation of granuloma tissue by 52.32% and 56.32% respectively. The extract also exhibited a significant antipyretic response in Brewer's yeast induced pyrexia in rats. Thus, the present study revealed that the CECR exhibited significant antipyretic and anti-inflammatory activity in the tested animal models.

조사야의 크기에 따른 쐐기 인자 (Wedge Factors in Various Field Sizes)

  • 조철우
    • 한국의학물리학회지:의학물리
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    • 제6권2호
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    • pp.29-34
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    • 1995
  • 쐐기인자는 중심축선상의 어느 특정 깊이에서 측정한 흡수선량으로써 쐐기가 제거된 선량과 쐐기가 부착된 선량의 비로써 정의된다. 본 연구에서는 조사야의 크기별 쐐기인자의 의존성을 살펴보았다. 쐐기인자들은 Varian Clinac1800의 6MV와 15MV 광자선과 Philips SL75/5 의 5MV광자선의 쐐기에 대하여 여러 조사야에 따라 구하였다. 특정 조사야 (10cmx10cm) 에서 구한 단일 쐐기인자를 모든 조사야에 적용시키는 것은 타당치가 않다. 두꺼운 쐐기일 경우 특히 SL75/5 의 5MV 광자선에서 autowedge 의 30cmx30cm 조사야 일 때 오차가 중요하였다(6.6%). 따라서 이러한 쐐기의 치료선량을 계산할 때는 조사야 크기에 따른 쐐기인자를 적용하여야 한다.

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