• Title/Summary/Keyword: Radiation management

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The Increased Use of Radiation Requires Enhanced Activities Regarding Radiation Safety Control (방사성 물질 등의 이용 증가에 따른 안전 관리 문제점 고찰)

  • Lee, Yunjong;Lee, Jinwoo;Jeong, Gyo-Seong
    • Journal of Radiation Industry
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    • v.9 no.2
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    • pp.103-109
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    • 2015
  • More recently, companies that have obtained permission to use radioactive materials or radiation device and registered radiation workers have increased by 10% and 4% respectively. The increased use of radiation could have an effect on radiation safety control. However, there is not nearly enough manpower and budget compared to the number of workers and facilities. This paper will suggest a counteroffer thought analyzing pending issues. The results of this paper indicate that there are 47 and 31.3 workers per radiation protection officer in educational and research institutes, respectively. There are 20.1 persons per RPO in hospitals, even though there are 2 RPOs appointed. Those with a special license as a radioisotope handler were ruled out as possible managers because medical doctors who have a special license for radioisotope handling normally have no experience with radiation safety. The number of staff members and budget have been insufficient for safety control at most educational and research institutes. It is necessary to build an optimized safety control system for effective Radiation Safety Control. This will reduce the risk factor of safety, and a few RPOs can be supplied for efficiency and convenience.

Epidermoid Carcinoma of the Larynx - Twenty-year Experience with 263 Cases - (후두(候頭) 유표피암(類表皮癌) - 20년간(年間) 263 치험례(治驗例)를 중심(中心)으로 -)

  • Park Yoon-Kyu;Yoo Bong-Ok;Seel David J.;Lee Young-Sik;Chun Kyung-Doo
    • Korean Journal of Head & Neck Oncology
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    • v.3 no.1
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    • pp.15-24
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    • 1987
  • This study is limited to epidermoid carcinoma arising in the larynx. The 623 patients in this series comprised 1.6% of all malignant neoplasms seen during the 20-year period .from 1965 to 1984 ; it comprised 13.2% of all cancers of the head and neck registered during this period. The male: female ratio was 11:1, and the highest incidence was in the fifth decade of life. Analysis by anatomical site revealed that 51.7% were supraglottic, 36.1% glottic, and 6.8% subglottic in oriain. One-hundred eighty-nine(79%) were clinically Stage III or Stage IV lesions at the time of the first visit. Of the total of 263 cases, 113 refused treatment, 4 definite radiation for $T_1$. lesion,21 underwent palliative therapy only, and 125 underwent surgical management with intent to cure. This surgical category included 53 patients who had surgical treatment only and 72 who underwent combined therapy(preoperative radiation, postoperative radiation, or inductive chemotherapy followed by surgery and postoperative radiation). The surgical management varied from partial laryngectomy to widefield laryngectomy and ipsilateral neck dissection. In 14.4% pathologically positive node or nodes were found in the clinically negative contralateral neck nedes. Such contralateral spread was most common in supraglottic site of origin(222%). Combined modality of management was compared to single therapy. Although results at three years showed no difference in determinate disease-free survival between patients treated by surgery only and those treated by surgery followed by postoperative radiation therapy at 5 years a statistically significant difference emerged, only 36% of those receiving surgery alone surviving as compared to 65.4% in the surgery with radiation group.

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A Study on the Exposure Dose of Frequent Workers and Radiation Workers in a University Hospital (일개 대학병원의 수시출입자와 방사선작업종사자의 피폭선량에 관한 고찰)

  • Joo-Ah Lee
    • Journal of the Korean Society of Radiology
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    • v.17 no.4
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    • pp.581-587
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    • 2023
  • In this study, we tried to provide basic data for radiation safety management by comparing and analyzing the exposure doses of radiation workers and frequent workers at C University Hospital in Incheon. From January 2021 to December 2022, surface dose and deep dose were analyzed for 30 radiation workers and 8 frequent workers who worked at C university hospital in Incheon. Radiation workers were targeted at radiation technicians and nurses working in the radiation oncology department and nuclear medicine department, and frequent visitors were targeted at frequent workers who manage and clean facilities in the same radiation management area. In the radiation worker group, 3.1 per 10,000 radiation technologist, 1.2 per 100,000 nurses, and 4.5 per 1,000,000 frequent workers showed the possibility of developing side effects on the lungs. The probability of radiation oncology was 1.1 per 10,000 for radiation technologist and 5.2 per 1,000,000 for nurses, and the probability of radiation technologist in nuclear medicine was 2.9 per 10,000 and for nurses was 7.1 per 1,000,000. It is hoped that this study can be used as basic data in future revisions on frequent workers, and it is considered that it will be used as basic data in the field of obstacles in relation to the stochastic effect of radiation in the future.

Radiation Protection Effects of Dendranthema Zawadskii Var. Latilobum (Maxim.) Kitam. Extracts on Blood Cells, Intestine, and Uterus of Female SD Rats Irradiated with Gamma-Ray 10 Gy (구절초 추출물이 감마선 10 Gy에 조사된 암컷 SD Rat의 혈구 및 소장, 자궁에 미치는 방사선 방호효과)

  • Sung-Hyun, Joo;Hae-Suk, Kim;Sang-Hyun, Jeong;Jae-Gyeong, Choi;Seong-Ok, Jin;Byung-In, Min
    • Journal of radiological science and technology
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    • v.46 no.1
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    • pp.23-28
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    • 2023
  • The purpose of this study is to see the radiation protection effect of the oral injected Dendranthema zawadskii var. latilobum (Maxim.) Kitam. extracts on the small intestine and uterus of female SD Rat as a natural radiation protection agent. The experimental group was divided into four groups: Normal Control group (NC group), Injected Dendranthema zawadskii var. latilobum (Maxim.) Kitam. extracts group (DZ group), irradiated group after injecting Dendranthema zawadskii var. latilobum (Maxim.) Kitam. extracts (DZ+IR group). The whole body of SD Rat was irradiated with gamma-ray 10Gy, and the administration of oral Dendranthema zawadskii var. latilobum (Maxim.) Kitam. Extract was 2 cc (71.56 mg/day/kg) once a day for 2 weeks. For this study, chages in blood cell levels, SOD assay, small intestine and uterus were observed. In the 21st white blood cell level, the DZ+IR group recovered to a normal level, and the IR group didn't. The IR group villus length was lower than other groups on Day 1. IR group was partially recovered, and DZ+IR group was recovered like the NC group on Day 21. In the case of the first-day endometrium, the IR group was thin and the boundary was cloudy, and the DZ+IR group was thicker and the boundary was clearer than the IR group. Day 21 IR group still did not recover, and DZ+IR group recovered like NC group. This is believed to have radiation protection effects in the blood cells and small intestine and uterus of the irradiated female SD Rat, and is expected to be useful for the study of natural radiation protection materials.

Contemporary treatment with radiosurgery for spine metastasis and spinal cord compression in 2015

  • Ryu, Samuel;Yoon, Hannah;Stessin, Alexander;Gutman, Fred;Rosiello, Arthur;Davis, Raphael
    • Radiation Oncology Journal
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    • v.33 no.1
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    • pp.1-11
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    • 2015
  • With the progress of image-guided localization, body immobilization system, and computerized delivery of intensity-modulated radiation delivery, it became possible to perform spine radiosurgery. The next question is how to translate the high technology treatment to the clinical application. Clinical trials have been performed to demonstrate the feasibility of spine radiosurgery and efficacy of the treatment in the setting of spine metastasis, leading to the randomized trials by a cooperative group. Radiosurgery has also demonstrated its efficacy to decompress the spinal cord compression in selected group of patients. The experience indicates that spine radiosurgery has a potential to change the clinical practice in the management of spine metastasis and spinal cord compression.

Annual Statistics of Radiation Therapy -1990- (방사선 치료 전국 통계 -1990-)

  • 대한치료방사선과학회
    • Radiation Oncology Journal
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    • v.9 no.2
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    • pp.361-367
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    • 1991
  • This paper on the status of radiotherapy machine and related facilities, clinical activities and radiation safety management is based on the statistical data which collected through the questionaire sent to a total number of 37 hospitals holding the Department of Therapeutic Radiology in Korea. It is true that the quality of instruments installed in the hospitals equal to that of the instrument in the industrialized conuntries' hospitals. But the clinical specialists and physicists who can utilize such instruments fall short of the required number, which might be a main factor in hindering the development of therapeutic radiology of Korea. According to the nation-wide cancer statistics, we can estimate the number of annual cancer patients as 45,000 to 50,000. As a result, probably around 25,000 should receive radiation therapy. It is expected that in the future the number of cancer patients to whom radiation therapy should be applied will become twice as much as that of the cancer patients in 1990. Given such a condition, the problem facing the Korean Society of Therapeutic Radiology now is to increase the number of medical doctors and physicists.

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Low-dose radiation therapy for massive chylous leakage after subtotal gastrectomy

  • Kim, Sang-Won;Kim, Jung Hoon
    • Radiation Oncology Journal
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    • v.35 no.4
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    • pp.380-384
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    • 2017
  • Massive chylous leakage is a rare postoperative complication that can prolong hospital stay and cause secondary morbidities. Conservative management strategies are the treatment of choice; however, radiation therapy (RT) can be used as an alternative for cases that are refractory to conservative treatment. Herein, we report a 69-year-old female patient who suffered from massive chylous leakage after subtotal gastrectomy. Due to persistent massive chylous leakage, she was scheduled to undergo low-dose RT. Radiation was delivered with a daily dose of 1 Gy, using an anterior-posterior and posterior-anterior beam arrangement. The clinical target volume encompassed the entire lymph node area of the D2 dissection. RT was completed at the total dose of 8 Gy because the amount of chylous leakage declined rapidly. Percutaneous drainage tube was removed after 3 days of RT. The patient did not complain of any symptoms related to massive chylous leakage 2 years after the completion of RT.

Influences on Radiation Safety Management Practice of General Characteristics and Radiation Safety Management Practice for Dental Hygienists in Busan and Gyeongnam Province (부산.경남 일부지역 치과위생사들의 일반적 특성과 방사선 안전관리 특성이 방사선 안전관리 실천에 미치는 영향)

  • Seong, Mi-Kyung;Jang, Kyeung-Ae
    • Journal of dental hygiene science
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    • v.13 no.3
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    • pp.264-270
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    • 2013
  • This research, which was conducted for dental hygienists, intended to check out what factors have an influence on their practices by knowledge and attitude on radiation safety management (RSM). This study performed a survey on such an issue from July 2 to August 30, 2012 for 220 dental hygienists who worked in Busan, Gyeongnam areas. The data was analysed using the IBM SPSS Statistics 21.0 program. The results were as follows: As a result of the knowledge according to the general characteristics and RSM, a statistically meaningful difference was found according to the education on radiation and wearing apron. As for the attitude according to the general characteristics and RSM, a statistically meaningful difference was found according to the education on radiation and wearing apron. As to the practice according to the general characteristics and RSM, a statistically meaningful difference was found according to the education on radiation, wearing thermo luminescent dosimeter and wearing apron. When the analysis of safety management practice for radiation was conducted with the independent variables such as knowledge, altitude and health concerns about radiography, it turned out that the factors having an effect on the practice were altitude and health concerns by that order.

Classification of Radiation Work in Korean Nuclear Power Plants

  • Changju Song;Tae Young Kong;Seongjun Kim;Jinho Son;Hwapyoung Kim;Jiung Kim;Hee Geun Kim
    • Journal of Radiation Industry
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    • v.17 no.3
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    • pp.239-256
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    • 2023
  • The classification of the radiation work performed in Korean nuclear power plants (NPPs) must be understood to provide workers with more comprehensive radiation protection. This study used annual reports on occupational exposure to investigate and analyze the similarities and differences in the radiation work performed in Korean NPPs with pressurized water reactors (PWRs) and pressurized heavy water reactors (PHWRs). The results showed that the radiation work performed in Korean NPPs could be classified into three categories. Category 1 contains work at the highest level. This work can be divided into individual tasks belonging to Category 2, which enables the evaluation of the radiation dose during the work. The work in Category 2 consists of tasks from Category 3, which contains basic detailed tasks that are not further subdivided. This study emphasized the need for the systematic management of the radiation work performed in both Korean PWRs and PHWRs, such as the tasks in Category 3, which are similar, with similar working conditions, for PWRs and PHWRs. It also suggested the need to establish a list of radiation work for decommissioning because Kori Unit 1 and Wolsong Unit 1 are currently in permanent shutdown and preparations are being made for their decommissioning.

The radiation safety education and the pain physicians' efforts to reduce radiation exposure

  • Kim, Tae Hee;Hong, Seung Wan;Woo, Nam Sik;Kim, Hae Kyoung;Kim, Jae Hun
    • The Korean Journal of Pain
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    • v.30 no.2
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    • pp.104-115
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    • 2017
  • Background: C-arm fluoroscopy equipment is important for interventional pain management and can cause radiation injury to physicians and patients. We compared radiation safety education and efforts to reduce the radiation exposure of pain specialists. Methods: A survey of 49 pain specialists was conducted anonymously in 2016. The questionnaire had 16 questions. That questionnaire was about radiation safety knowledge and efforts to reduce exposure. We investigated the correlation between radiation safety education and efforts of radiation protection. We compared the results from 2016 and a published survey from 2011. Results: According to the 2016 survey, all respondents used C-arm fluoroscopy in pain interventions. Nineteen respondents (39%) had received radiation safety education. Physicians had insufficient knowledge about radiation safety. When the radiation safety education group and the non-education group are compared, there was no significant difference in efforts to reduce radiation exposure and radiation safety knowledge. When the 2011 and 2016 surveys were compared, the use of low dose mode (P = 0.000) and pulsed mode had increased significantly (P = 0.001). The number checking for damage to radiation protective garments (P = 0.000) and use of the dosimeter had also increased significantly (P = 0.009). But there was no significant difference in other efforts to reduce radiation exposure. Conclusions: Pain physicians seem to lack knowledge of radiation safety and the number of physicians receiving radiation safety education is low. According to this study, education does not lead to practice. Therefore, pain physicians should receive regular radiation safety education and the education should be mandatory.