• Title/Summary/Keyword: Radiation Technique

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Dosimetric Comparison of Three-Dimensional Conformal, Intensity-Modulated Radiotherapy, Volumetric Modulated Arc Therapy, and Dynamic Conformal Arc Therapy Techniques in Prophylactic Cranial Irradiation

  • Ismail Faruk Durmus;Dursun Esitmez;Guner Ipek Arslan;Ayse Okumus
    • Progress in Medical Physics
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    • v.34 no.4
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    • pp.41-47
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    • 2023
  • Purpose: This study aimed to dosimetrically compare the technique of three-dimensional conformal radiotherapy (3D CRT), which is a traditional prophylactic cranial irradiation method, and the intensity-modulated radiotherapy (IMRT) and volumetric modulated arc therapy (VMAT) techniques used in the last few decades with the dynamic conformal arc therapy (DCAT) technique. Methods: The 3D CRT, VMAT, IMRT, and DCAT plans were prepared with 25 Gy in 10 fractions in a Monaco planning system. The target volume and the critical organ doses were compared. A comparison of the body V2, V5, and V10 doses, monitor unit (MU), and beam on-time values was also performed. Results: In planned target volume of the brain (PTVBrain), the highest D99 dose value (P<0.001) and the most homogeneous (P=0.049) dose distribution according to the heterogeneity index were obtained using the VMAT technique. In contrast, the lowest values were obtained using the 3D CRT technique in the body V2, V5, and V10 doses. The MU values were the lowest when DCAT (P=0.001) was used. These values were 0.34% (P=0.256) lower with the 3D CRT technique, 66% (P=0.001) lower with IMRT, and 72% (P=0.001) lower with VMAT. The beam on-time values were the lowest with the 3D CRT planning (P<0.001), 3.8% (P=0.008) lower than DCAT, 65% (P=0.001) lower than VMAT planning, and 76% (P=0.001) lower than IMRT planning. Conclusions: Without sacrificing the homogeneous dose distribution and the critical organ doses in IMRTs, three to four times less treatment time, less low-dose volume, less leakage radiation, and less radiation scattering could be achieved when the DCAT technique is used similar to conventional methods. In short, DCAT, which is applicable in small target volumes, can also be successfully planned in large target volumes, such as the whole-brain.

IMAGING IN RADIATION THERAPY

  • Kim Si-Yong;Suh Tae-Suk
    • Nuclear Engineering and Technology
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    • v.38 no.4
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    • pp.327-342
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    • 2006
  • Radiation therapy is an important part of cancer treatment in which cancer patients are treated using high-energy radiation such as x-rays, gamma rays, electrons, protons, and neutrons. Currently, about half of all cancer patients receive radiation treatment during their whole cancer care process. The goal of radiation therapy is to deliver the necessary radiation dose to cancer cells while minimizing dose to surrounding normal tissues. Success of radiation therapy highly relies on how accurately 1) identifies the target and 2) aim radiation beam to the target. Both tasks are strongly dependent of imaging technology and many imaging modalities have been applied for radiation therapy such as CT (Computed Tomography), MRI (Magnetic Resonant Image), and PET (Positron Emission Tomogaphy). Recently, many researchers have given significant amount of effort to develop and improve imaging techniques for radiation therapy to enhance the overall quality of patient care. For example, advances in medical imaging technology have initiated the development of the state of the art radiation therapy techniques such as intensity modulated radiation therapy (IMRT), gated radiation therapy, tomotherapy, and image guided radiation therapy (IGRT). Capability of determining the local tumor volume and location of the tumor has been significantly improved by applying single or multi-modality imaging fur static or dynamic target. The use of multi-modality imaging provides a more reliable tumor volume, eventually leading to a better definitive local control. Image registration technique is essential to fuse two different image modalities and has been In significant improvement. Imaging equipments and their common applications that are in active use and/or under development in radiation therapy are reviewed.

A Comprehensive Dosimetric Analysis of Inverse Planned Intensity Modulated Radiation Therapy and Multistatic Fields Technique for Left Breast Radiotherapy (좌측 유방 방사선치료를 위한 역치료계획의 세기변조방사선치료와 다중빔조사영역치료기법 사이의 포괄적 선량측정 분석)

  • Moon, Sung-Kwon;Youn, Seon-Min
    • Radiation Oncology Journal
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    • v.28 no.1
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    • pp.39-49
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    • 2010
  • Purpose: This aim of this study is to analyze the dosimetric difference between intensity-modulated radiation therapy (IMRT) using 3 or 5 beams and MSF in the radiotherapy of the left breast. Materials and Methods: We performed a comparative analysis of two radiotherapy modalities that can achieve improved dose homogeneity. First is the multistatic fields technique that simultaneously uses both major and minor irradiation fields. The other is IMRT, which employs 3 or 5 beams using a fixed multileaf collimator. We designed treatment plans for 16 early left breast cancer patients who had taken breast conservation surgery and radiotherapy, and analyzed them from a dosimetric standpoint. Results: For the mean values of $V_{95}$ and dose homogeneity index, no statistically significant difference was observed among the three therapies. Extreme hot spots receiving over 110% of the prescribed dose were not found in any of the three methods. A Tukey test performed on IMRT showed a significantly larger increase in exposure dose to the ipsilateral lung and heart than multistatic fields technique (MSF) in the low-dose area, but in the high-dose area, MSF showed a slight increase. Conclusion: In order to improve dose homogeneity, the application of MSF, which can be easily planned and applied more widely, is considered an optimal alternative to IMRT for radiotherapy of early left breast cancer.

The Effect of Dose Distribution under Treatment Techniques on Cerebrospinal Irradiation (뇌 및 척수조사시 치료기법의 변화가 선량분포에 미치는 영향)

  • Lee, Seungchul;Kim, Youngjae
    • Journal of the Korean Society of Radiology
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    • v.10 no.1
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    • pp.21-28
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    • 2016
  • This study tries to evaluate the usefulness CSI treatment. Compare the standard technique and simple technique, using the volume region of a high dose of Field joints (hot spot) or low dose regions (cold Spot). In patients who agreed to this study, obtain CT image using CT simulator skull to pelvis region. Standard Technique were performed on the movement of the joint radiation field range and simple technique has set a treatment plan to secure the radiation field range and analyzed treatment planning. Under analysis standard technique occurred the area of the high dose(Hot Spot) for the area overlapping the field and simple technique showing a uniform doses. CI indices of standard technique and simple technique was 1.6~3, 1.6~1.87, CN indices was 0.32~0.53, 0.46~0.51 and HI indices was 0.11~0.33, 0.2~0.26. Therefore, adjacent to part of the dose distribution junction more equally than simple technique compared to the Standard Technique. Compare the dose distribution patterns using CI, CN, HI indices, showed a uniform dose distribution in the simple technique. so, simple technique was determined appropriate treatment the CSI.

Temperature Measurement by Radiation Wavelength of High Temperature CO2 gas (고온 CO2 가스의 복사 파장을 이용한 부분별 온도 측정)

  • Maeng, Saeromg;Yoo, Miyeon;Kim, Saewon;Lee, Changyeop
    • 한국연소학회:학술대회논문집
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    • 2014.11a
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    • pp.315-316
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    • 2014
  • Combustion gases emit various radiation signals by chemical reaction and excited molecules in combustion system. Since temperature measurement of combustion system is very difficult, non-contact temperature measuring methods are being researched. In this paper, we propose optical system of simple structure and implement technique for measuring temperature partially in furnace using radiation wavelength signals of high temperature $CO_2$ gas generated during combustion.

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An Asymptotic Series Solution for the Flanged - Waveguide Radiation (플란지 평행판 복사의 점근 수열 해)

  • 박타준;엄효준
    • The Proceeding of the Korean Institute of Electromagnetic Engineering and Science
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    • v.2 no.4
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    • pp.33-37
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    • 1991
  • The problem of radiation from a flanged parallel-plate waveguide is re-examined. The technique of the Fourier transform is used to represent the radiation fields in the spectral domain. The simultaneous equations for the radiation field coefficients are formulated and solved to give an asymptotic seolution. The asymptotic series solution is compared with other results, thus clarifying the discrepancy among different numerical approaches.

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

  • Yun-won Choi;Dong-min Jeong;Se-young Kim;Ryeong-hwang Park;I-ji Kim;Yong-wan Cho;Yongjae Kwon;Byeol-nim Park;Gyeong-min Yoo;Ho-kyung Moon;Dong-jae Jang;Jae-young Lee;Dayoung Lim;Sang-gyu Lee;Jong-geol Baek
    • The Journal of Korean Society for Radiation Therapy
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    • v.35
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    • pp.23-31
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    • 2023
  • Purpose: The purpose of this study is to evaluate the usefulness of Non-Treat Functionality Volumetric Modulated Arc Therapy(NTF-VMAT) and Treat Functionality VMAT(TF-VMAT) treatment plans in reducing the low-dose area during radiation therapy for patients with multiple metastatic cancers. Materials and Methods: The study was conducted on an Arccheck phantom, treatment planning target locations were set in pairs at intervals of 2 cm, 4 cm, and 6 cm on the X, Y, and Z axes. Based on these location settings, the volume of the low-dose area in NTF-VMAT and TF-VMAT was measured and compared. Results: The results of the study showed that, within a prescription dose range of 10% ~ 70%, the difference in low-dose area volumes across each axis was as follows: On the X-axis, there was a maximum difference of -47.6% and a minimum difference of -2.2%. On the Y-axis, there was a maximum difference of -17.5% and a minimum difference of -7.3%. The Z-axis showed a maximum difference of -39.7%, with the smallest difference being -6.8%. Conclusion: In radiation therapy for patients with multiple metastatic cancers, the TF-VMAT treatment plan was able to reduce the low-dose area by 10-40% compared to NTF-VMAT. This suggests that utilizing Treat Functionality, which includes the Island block technique, improves dose distribution and minimizes side effects, making it beneficial for the treatment of patients with multiple metastatic cancers.

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Basic Principles of CT Dose Index and Understanding of CT Parameter for Dose Reduction Technique (CT선량지표의 원리와 선량감소 방안에 관한 연구)

  • Kim, Jung-Su;Kwon, Soon-Mu;Kim, Jung-Min
    • Journal of radiological science and technology
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    • v.38 no.1
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    • pp.51-61
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    • 2015
  • Computed tomography(CT) using radiation have potential risks. All medical radiographic examinations should require the justification of medical imaging examinations and optimization of the image quality and radiation exposure. The CT examination was higher radiation dose then general radiography. Especially pediatric CT examinations need to great caution of radiation risk. Because of pediatric patient was more sensitive of radiation exposure. Therefore, physician should consider the knowledge of CT radiation exposure indicator information for reduce a needless radiation exposure. This article was aim to understanding of CT exposure indicator, size-specific dose estimates by American Association of Physicists in Medicine (AAPM) report 204, XR 25 and understanding of CT dose reduction technique.

Combined Convection and Radiation in a Tube with Circumferential Fins and Circular Disks

  • Kim, Namjin;Lee, Jaeyong;Taebeom Seo;Kim, Chongbo
    • Journal of Mechanical Science and Technology
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    • v.16 no.12
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    • pp.1725-1732
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    • 2002
  • Combined convection and radiation heat transfer in a circular tube with circumferential fins and circular disks is investigated for various operating conditions. Using a finite volume technique for steady laminar flow, the governing equations are solved in order to study the flow and temperature fields. The P- 1 approximation and the weighted sum of gray gases model (WSGGM) are used for solving the radiation transport equation. The results show that the total Nusselt number of combined convection and radiation is higher than that of pure convection. If the temperatures of the combustion gas and the wall in a tube are high, radiation becomes dominant. Therefore, it is necessary to evaluate the effect of radiation on the total heat transfer.

Combustion and Radiation Characteristics of Oxygen-Enhanced Inverse Diffusion Flame

  • Hwang, Sang-Soon;Gore, Jay-P
    • Journal of Mechanical Science and Technology
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    • v.16 no.9
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    • pp.1156-1165
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    • 2002
  • The characteristics of combustion and radiation heat transfer of an oxygen-enhanced diffusion flame was experimentally analyzed. An infrared radiation heat flux gauge was used to measure the thermal radiation of various types of flames with fuel, air and pure oxygen. And the Laser Induced Incandescence (LII) technique was applied to characterize the soot concentrations which mainly contribute to the continuum radiation from flame. The results show that an oxygen-enhanced inverse diffusion flame is very effective in increasing the thermal radiation compared to normal oxygen diffusion flame. This seems to be caused by overlapped heat release rate of double flame sheets formed in inverse flame and generation of higher intermediate soot in fuel rich zone of oxygen-fuel interface, which is desirable to increase continuum radiation. And the oxygen/methane reaction at slight fuel rich condition (ø=2) in oxygen-enhanced inverse flame was found to be more effective to generate the soot with moderate oxygen availability.