• 제목/요약/키워드: Point

검색결과 51,565건 처리시간 0.061초

인공 유방 확대술을 받은 환자의 유방암 치료 시 크기에 따른 반대 측 유방의 피폭 선량 및 차폐 효율 평가 (The evaluation of contralateral breast's dose and shielding efficiency by breast size about breast implant patient for radiation therapy)

  • 김종욱;우헌;정현학;김경아;김찬용;유숙현
    • 대한방사선치료학회지
    • /
    • 제26권2호
    • /
    • pp.329-336
    • /
    • 2014
  • 목 적 : 인공 유방 확대술을 받은 환자가 유방암 방사선치료를 받을 경우 유방의 크기별로 치료 조사야와의 거리에 따른 치료반대 측 유방조직에 피폭되는 선량 및 차폐의 효율성을 평가해 보고자 한다. 대상 및 방법 : 인체팬텀(Rando-phantom)을 이용하여 유방 모형의 크기별 (200 cc ~ 500 cc) CT영상을 획득한 후 크기 별로 일 선량 180 cGy의 왼쪽 유방암 방사선 치료계획을 세웠다. 유방 모형이 커질수록 치료 반대 측 유방모형의 표면과 X선의 진행지점 사이에 발생하는 거리가 가까워지게 설정하였고, 체표에 입사하는 선속중심축을 기준으로 3 cm, 6 cm 떨어진 점에서 반대측 유방 표면에 수직으로 내린 거리를 각 A point, B point로 설정하였다. 그리고 유두지점에서 외측으로 2 cm 되는 점을 C point, 체표중앙에서 외측으로 6 cm 되는 점을 D point로 설정하였다. 유방 모형의 크기별로 각 측정지점에 MOSFET을 부착하여 6 MV, 10 MV, 15 MV의 X선 에너지로 조사하여 측정하였다. 이와 동일한 조건으로 납 2 mm의 두께로 차폐한 후의 선량 값과 납 2 mm 아래에 bolus 3 mm를 부착하여 차폐한 후의 선량 값을 얻었다. 결 과 : 유방 모형이 200 cc에서 500 cc로 커짐에 따라 유방 모형의 표면과 X선의 진행지점과의 거리가 A point에서는 2.14 cm에서 최대 1.23 cm으로 근접하였고 B point에서는 2.55 cm에서 1.31 cm으로 근접하였다. 유방 모형의 크기에 따라 180 cGy 기준으로 200 cc 대비 500 cc의 산란선 측정값이 A point에서 3.22 ~ 4.17%, B point에서 4.06 ~ 6.22%, C point는 0.4~0.5% 증가하였고, D point에서는 크기별로 측정값의 차이가 0.4% 미만이었다. X선 에너지가 커짐에 따라 6 MV 대비 15 MV X선에서 180cGy 기준으로 산란선이 A point에서는 4.06~5%, B point에서는 2.85~4.94%, C point에서는 0.74~1.65% 증가하였고, D point에서는 측정값 차이가 0.4% 미만이었다. 차폐체로 납 2 mm를 사용하였을 경우 A와 B point에서 평균 9.74%, C point에서 2.8%, D point에서 1% 미만의 산란선 감소효과가 있었고, 납과 bolus를 함께 차폐하였을 경우 A와 B point에서 평균 9.76%, C point에서 2.2%, D point에서 1% 미만의 산란선 감소효과가 있었다. 결 론 : 일반적으로 인공 유방 확대술을 받은 환자의 경우 유방의 크기에 따라 치료 반대편 유방 표면과 치료조사야의 거리가 가까울수록 유방 표면이 받는 산란선이 증가하였다. 동일한 크기의 유방 모형에서는 사용 X선 에너지가 커질수록 산란선에 의한 피폭이 증가하는 경향을 보였고, 이는 사용 X선의 에너지 선택에 있어 유방암의 방사선 치료계획에서 허용되는 한도에서는 낮은 X선 에너지의 사용이 반대측 유방의 선량 감소에 유리할 것으로 여겨진다.

Uncertainty Assessment: Relative versus Absolute Point Dose Measurement for Patient Specific Quality Assurance in EBRT

  • Mahmood, Talat;Ibrahim, Mounir;Aqeel, Muhammad
    • 한국의학물리학회지:의학물리
    • /
    • 제28권3호
    • /
    • pp.111-121
    • /
    • 2017
  • Verification of dose distribution is an essential part of ensuring the treatment planning system's (TPS) calculated dose will achieve the desired outcome in radiation therapy. Each measurement have uncertainty associated with it. It is desirable to reduce the measurement uncertainty. A best approach is to reduce the uncertainty associated with each step of the process to keep the total uncertainty under acceptable limits. Point dose patient specific quality assurance (QA) is recommended by American Association of Medical Physicists (AAPM) and European Society for Radiotherapy and Oncology (ESTRO) for all the complex radiation therapy treatment techniques. Relative and absolute point dose measurement methods are used to verify the TPS computed dose. Relative and absolute point dose measurement techniques have a number of steps to measure the point dose which includes chamber cross calibration, electrometer reading, chamber calibration coefficient, beam quality correction factor, reference conditions, influences quantities, machine stability, nominal calibration factor (for relative method) and absolute dose calibration of machine. Keeping these parameters in mind, the estimated relative percentage uncertainty associated with the absolute point dose measurement is 2.1% (k=1). On the other hand, the relative percentage uncertainty associated with the relative point dose verification method is estimated to 1.0% (k=1). To compare both point dose measurement methods, 13 head and neck (H&N) IMRT patients were selected. A point dose for each patient was measured with both methods. The average percentage difference between TPS computed dose and measured absolute relative point dose was 1.4% and 1% respectively. The results of this comparative study show that while choosing the relative or absolute point dose measurement technique, both techniques can produce similar results for H&N IMRT treatment plans. There is no statistically significant difference between both point dose verification methods based upon the t-test for comparing two means.

상지동작에 따른 길의 변화에 관한 연구(제2보) - 사선방향의 변화를 중심으로 - (A Study on the Change of Waist Pattern by Upper Limb Motion (Part 2) - By the Change of Oblique Line -)

  • 이은정
    • 한국의류산업학회지
    • /
    • 제4권2호
    • /
    • pp.145-155
    • /
    • 2002
  • In order to investigate how upper limb motion gives influence on clothing, this study measured tests by following standards: Front Vertical motion, Side-Vertical motion, and Horizontal motion. For this study, the procedures in the order of alphabet are applied. A. Eeach of testee's pattern was copied by the motion with a method of tight fitting technique. B. Analyzing each of the size-change on measuring item. C. Studying the moving aspects at each datum points. The results shows that the biggest change can be found in the following items. 1) In vertical motion of F4 (the length to shoulder point from A-point) 2) In horizontal motion of F5 (the length to front-width point from A-point), the check-result gained by checking the notice between motions shows that the most noticeable items are F4 (the length to shoulder point from A-point), F5 (the length to front-width point from A-point), F6 (the length to armpit point from A-point), B7 (the length to side-waist point from B-point). In result of the study of datum point's movement by motion, the items which were measured with the longest on straight-distance in vertical motion are the front and rear-shoulder, and the rear-shoulder, front-armpit in horizontal motion each. In the movement of each datum points by length, the check-result gained by checking the notice between motions shows that the most remarkable item is the front-shoulder.

자연형 도로 비점오염저감시설의 저감효율 및 적용성 연구 (A Study on Removal Efficiency and Applicability of Natural Type Road Non-point Pollutant Reduction Facilities)

  • 이상혁;조혜진;김이형
    • 한국도로학회논문집
    • /
    • 제16권6호
    • /
    • pp.9-17
    • /
    • 2014
  • PURPOSES : The purpose of this study is to assess removal efficiency of non-point pollutants and applicability for non-point pollutant reduction facilities by conducting the demonstration project operation. METHODS : In order to analyze removal efficiency of non-point pollutants for facilities such as a grassed swale, a small constructed wetland, a free water surface wetland, a horizontal sub-surface flow wetland, and a sand filtration, the field data including specifications of facilities, rainfall, inflow and runoff rainfall effluent etc. was acquired after occurring rainfall events, and the acquired data was analyzed for removal efficiency rate to assess road non-point pollutants facilities using event mean concentration (EMC) and summation of load (SOL) methods. RESULTS : The results of analyzing rainfall effluent, non-point pollutant sources showed that total suspended solid (TSS), chemical oxygen demand (COD), biochemical oxygen demand (BOD), total nitrogen (TN), total phosphorus (TP), chrome (Cr), zinc (Zn), and lead (Pb) can be removed through non-point pollutant reduction facilities by 60.3% ~ 100%. Especially removal efficiency of TSS, COD and BOD is relatively higher than removal efficiency of other non-point pollutant sources in all kind of non-point pollutant facilities. CONCLUSIONS : Based on the result of this study, even though natural type of non-point pollutant reduction facilities for roads occupy small areas comparing with drainage basin areas, most of non-point pollutant sources would be removed through the facilities.

A Randomized Controlled Trial to Verify Effects of Kuesu Point on Low Back Pain and Accompanied Sciatica

  • Lee, Jeong-Won;Kim, Dong-Il
    • 대한한의학회지
    • /
    • 제28권4호
    • /
    • pp.86-94
    • /
    • 2007
  • Objective : Kuesu point is a newly discovered point, it is located in 3-cun from the centre of sacrum laterally, paralleled to the 4th foramen on the sacrum. This controlled trial was to evaluate the superior effect of Kuesu point on back pain which radiated to lower extremities. Methods : Randomized Controlled Trial (RCT) and Single Blind in patient was designed. Patients (n=31) were randomized to two groups, Kuesu-point acupuncture group (Group A, n=16) and non Kuesu point acupuncture group (Group B, n=15). Group A was acupunctured on B25 (大腸兪), B26 (關元兪) and B60 (崑崙) with Kuesu point. Group B was acupunctured on the same points without Kuesu point. The clinical subjects were female patients. Beside acupuncture, the other therapies were excluded. Clinical period was three weeks total. Each group was treated 4-5 times per week for 3 weeks. The outcome measurements were The Estimation Index of Backache (quality of life), Pain Rating Scale (pain intensity) and other physical examinations (ROM, SLR, etc.). Results : 31 patients (Group A: n=16, Group B: n=15) were Randomized, 6 of them dropped out. Eventually 25 patients (Group A: n=15, Group B: n=10) were included in the analysis. Group A acupunctured on Kuesu point scored more significant Estimation Index of Backache and lower PRS (Pain Rating Scale) than Group B acupunctured without Kuesu point (p=0.003/2). It turned out that the group acupunctured on Kuesu point show meaningful high improvement index. And other examination's results showed that the treatment effects of Group A are twice as better as Group B. Conclusion : These results suggest that Kuesu point acupuncture was more effective on lower back pain and improved the life quality of patients, being compared with non Kuesu point acupuncture.

  • PDF

정혈(井穴) 자락요법(刺絡療法)에 관(關)한 문헌고찰(文獻考察) (The Literature Study on Jung point venesection therapy)

  • 김윤희;이현;이병렬
    • 혜화의학회지
    • /
    • 제10권1호
    • /
    • pp.237-245
    • /
    • 2001
  • I have come to next conclusions in consequnce of documentary study about medical books of many generations regarding Jung point venesection therapy. 1. Jung point is significant as the beginning of pulse energy flow on meridian, the origin of all meridional pulse energy being located at extrimity terminal, confluence of three yin and three yang, and emergent treatment point. 2. Jung point venesection therapy was much used for the first-aid treatment for acute and thermic disease, and that is the combination of the meaning as of restoration from death and emergent treatment of Jung point and function of openning of orifice, leakage of fever, circulation of blood, remove of edema of venesection therapy. 3. It is very much used for emergency case, five sensory organ disease and CVA, heating shock and so on. Besides that digestive disease, cough, fever with cold, childhood disease, cardiac ache, thoracic disease, numbness of digitus terminal, mental disorder follow that in order. 4. Sosang, Jung point of Arm Greater Yin Lung meridian, is very much used for five sensory organ disease. Sosang is for orbital disease, sangyang for auditory disease, sosang for nasal disease, and sosnag for introitus-throat disease. 5. Ten Jung point is most used for first-aid diseases of CVA, heating shock. 6. Ten Jung point is most used for digestive disease of stomach ache, vomiting, diarrhea, intestinal convulsion. 7. Ten Jung point is most used for cold disease of cough, fever, malaria. 8. Ten Jung point, sosang, kwanchung are much used for childhood disease of acute convulsion and fever. 9. Among Jung point, sosang is most used, 34 times. Next there are Ten Jung point, kwanchung, sangyang, sotaek, jungchung, unbaek, taedon in order. In the order of frequency in use, arm channel is more used than leg channel.

  • PDF

Poly(ethylene-co-octene)과 탄화수소 2성분계 혼합물의 상거동에 대한 고분자 농도 및 용매의 영향 (Effect of Polymer Concentration and Solvent on the Phase Behavior of Poly(ethylene-co-octene) and Hydrocarbon Binary Mixture)

  • 이상호;정성윤;김효준;박경규
    • Elastomers and Composites
    • /
    • 제39권4호
    • /
    • pp.318-323
    • /
    • 2004
  • Poly(ethylene-co-13.8 mol% octene) ($PEO_{13.8}$), Poly(ethylene-co-15.3 mol% octene) ($PEO_{15.3}$)과 분자크기와 분자구조가 각각 다른 탄화수소의 2성분계 혼합물에 대한 cloud-point, bubble-point 압력을 $150^{\circ}C$, 450 bar까지 측정하였다. (PEO+n-프로판), (PEO+n-부탄) 2성분계 혼합물에서 cloud-point 곡선이 측정되었고, (PEO+n-펜탄) 혼합물에서는 cloud-point와 bubble-point 곡선이 모두 측정되었다. (PEO+시클로펜탄), (PEO+시클로헥산), (PEO+시클로 헵탄), (PEO+시클로옥탄) 2성분계 혼합물에서는 bubble-point 곡선이 측정되었다. (PEO+탄화수소) 2성분계의 압력-조성 등온곡선과 온도-조성 등압곡선은 PEO의 농도가 약 5 wt%일 때 각각 최고점과 최저점을 가졌다. (PEO+탄화수소) 2성분계는 PEO 농도가 5 wt%에서 임계조성을 가진다. PEO는 n-알칸과 시클로알칸 용매에서 LCST 유형의 상거동을 보여주며, 탄화수소의 분자크기가 증가할수록 PEO의 녹는 압력은 감소하였고 용해도는 증가하였다.

급성기(急性期) 요통(腰痛)의 침치료(鍼治療)에 있어서 근위취혈(近位取穴)과 원위취혈병용(遠位取穴倂用)의 비교(比較) 연구(硏究) (The Comparison of Effectiveness between Near Acupuncture Point Needling and Near Acupuncture with Remote Acupuncture Point Needling on Treating Low Back Pain of Acute Stage)

  • 박기범;이진석;김대중;송계화
    • Journal of Acupuncture Research
    • /
    • 제23권4호
    • /
    • pp.61-68
    • /
    • 2006
  • Objectives : The Purpose of this report is to examine the effect of Remote Acupuncture Point Needling in the Low Back Pain patient of Acute Stage. Methods : From October 1st 2005 to May 31th 2006, 30 cases of low back pain patients at acute stage were divided into 2 groups; one group(control group) took near acupuncture point needling, and the other group(test group) took near acupuncture point needling with remote acupuncture point needling. For evaluating change of pain, Visual Analog Scale(VAS) was checked before and after Treatment. Results : Both acupuncture therapy showed good effect on low back pain of acute stage. And test group showed better effect on decreasing pain than control group. It was proved by the difference between VAS checked before treatment and what checked after treatment. But it was not significant statistically. Conclusion : Near acupuncture point needling and remote acupuncture point needling can be recommended as a useful therapy to treat low back pain of acute stage.

  • PDF