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Late Rectal Complication in Patients treated with High Dose Rate Brachytherapy for Stage IIB Carcinoma of the Cervix (FIGO병기 IIB 자궁경부암에서 고선량 강내 방사선치료후의 후기 직장 합병증)

  • Chung, Eun-Ji;Kim, Gwi-Eon;Suh, Chang-Ok;Keum, Ki-Chang;Kim, Woo-Cheol
    • Radiation Oncology Journal
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    • v.14 no.1
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    • pp.41-52
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    • 1996
  • Purpose : This paper reports a dosimetric study of 88 patients treated with a combination of external radiotherapy and high dose rate ICR for FIGO stage IIB carcinoma of the cervix. The purpose is to investigate the correlation between the radiation doses to the rectum, external radiation dose to the whole pelvis, ICR reference volume, TDF BED and the incidence of late rectal complications, retrospectively. Materials and Methods : From November 1989 through December 1992, 88 patients with stage IIB cervical carcinoma received radical radiotherapy at Department of Radiation Oncology in Yonsei University Hospital. Radiotherapy consisted of 44-54 Gy(median 49 Gy) external beam irradiation plus high dose rate intracavitary brachytherapy with 5 Gy per fraction twice a week to a total dose of 30 Gy on point A. The maximum dose to the rectum by contrast(r, R) and reference rectal dose by ICRU 38(dr, DR) were calculated. The ICR reference volume was calculated by Gamma Dot 3.11 HDR planning system, retrospectively The time-dose factor(TDF) and the biologically effective dose (BED) were calculated. Results : Twenty seven($30.7\%$) of the 88 patients developed late rectal complications:12 patients($13.6\%$) for grade 1, 12 patients($13.6\%$) for grade 2 and 3 patients($3.4\%$) for grade 3. We found a significant correlation between the external whole pelvis irradiation dose and grade 2, 3 rectal complication. The mean dose to the whole pelvis for the group of patients with grade 2, 3 complication was Higher, $4093.3\pm453.1$ cGy, than that for the patients without complication, $3873.8\pm415.6$ (0.05$7163.0\pm838.5$ cGy, than that for the Patients without rectal complication, $0772.7\pm884.0$ (p<0.05). There was no correlation of the rate of grade 2, 3 rectal complication with the iCR rectal doses(r, dr), ICR reference volume, TDF and BED. Conclusion : This investigation has revealed a significant correlation between the dose calculated at the rectal dose by ICRU 38(DR) or the most anterior rectal dose by contrast(R) dose to the whole pelvis and the incidence of grade 2, 3 late rectal complications in patients with stage IIB cervical cancer undergoing external beam radiotherapy and HOR ICR. Thus these rectal reference points doses and whole pelvis dose appear to be useful Prognostic indicators of late rectal complication in high dose rate ICR treatment in cervical carcinoma.

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Cone-beam computed tomography analysis of transverse dental compensation in patients with skeletal Class III malocclusion and facial asymmetry

  • Lee, Ji-Yea;Han, Sung-Hoon;Ryu, Hyeong-Seok;Lee, Hee-Min;Kim, Sang-Cheol
    • The korean journal of orthodontics
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    • v.48 no.6
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    • pp.357-366
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    • 2018
  • Objective: The purpose of this study was to analyze the transverse dental compensation in reference to the maxillary and mandibular basal bones using cone-beam computed tomography (CBCT) and evaluate the correlations between transverse dental compensation and skeletal asymmetry variables in patients with skeletal Class III malocclusion and facial asymmetry. Methods: Thirty patients with skeletal Class I (control group; 15 men, 15 women) and 30 patients with skeletal Class III with menton deviation (asymmetry group; 16 men, 14 women) were included. Skeletal and dental measurements were acquired from reconstructed CBCT images using OnDemand3D 1.0 software. All measurements were compared between groups and between the deviated and nondeviated sides of the asymmetry group. Correlation coefficients for the association between skeletal and dental measurements were calculated. Results: Differences in the ramus inclination (p < 0.001), maxillary canine and first molar inclinations (p < 0.001), and distances from the canine and first molar cusp tips to the midmaxillary or midmandibular planes (p < 0.01) between the right and left sides were significantly greater in the asymmetry group than in the control group. In the asymmetry group, the ramus inclination difference (p < 0.05) and mandibular canting (p < 0.05) were correlated with the amount of menton deviation. In addition, dental measurements were positively correlated with the amount of menton deviation (p < 0.05). Conclusions: Transverse dental compensation was correlated with the maxillary and mandibular asymmetry patterns. These results would be helpful in understanding the pattern of transverse dental compensation and planning surgical procedure for patients with skeletal Class III malocclusion and facial asymmetry.

Phase-shifting diffraction grating interferometer for testing concave mirrors (오목 거울 측정용 위상천이 회절격자 간섭계)

  • 황태준;김승우
    • Korean Journal of Optics and Photonics
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    • v.14 no.4
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    • pp.392-398
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    • 2003
  • We present a novel concept of a phase-shifting diffraction-grating interferometer, which is intended for the optical testing of concave mirrors with high precision. The interferometer is configured with a single reflective diffraction grating, which performs multiple functions of beam splitting, beam recombination, and phase shifting. The reference and test wave fronts are generated by means of reflective diffraction at the focal plane of a microscope objective with large numerical aperture, which allows testing fast mirrors with low f-numbers. The fiber-optic confocal design is adopted for the microscope objective to focus a converging beam on the diffractive grating, which greatly reduces the alignment error between the focusing optics and the diffraction grating. Translating the grating provides phase shifting, which allows measurement of the figure errors of the test mirror to nanometer accuracy.

Design of a Spinning Direction-Finding Compact Offset-Parabolic-Reflector Antenna for Airborne Applications (항공용 회전 방향탐지 소형 옵셋 파라볼릭 반사판 안테나 설계)

  • Park, Young-Ju;Park, Dong-Chul
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.27 no.8
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    • pp.766-773
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    • 2016
  • This paper proposes an aircraft-installed compact offset-parabolic-reflector antenna for the spinning direction-finding applications. The feeder of the reflector antenna is a LPDA antenna that has the ultra-wideband characteristics and the $45^{\circ}$ slant linear polarization. The reflector is designed to be slanted by $5^{\circ}$ in the elevation and to be small in size on the basis of the reference parabolic shape for the purpose of the high gain and mounting on the underside of aircraft fuselage. Over the ultra-wideband 20:1 bandwidth from S to Ka band, the measured average gain of the proposed antenna is 27.97 dBi, and the average half-power beam width is $4.55^{\circ}$ in the azimuth and $4.3^{\circ}$ in the elevation which is the pencil-beam radiation pattern. All the measured data are similar to the simulation results. The designed compact offset-parabolic-reflector antenna that is installed in the limited area has the ultra-wideband and high-gain characteristics. We expect that the newly designed antenna can be applied to the spinning direction-finding antenna system installed in an aircraft.

Construction of Static 3D Ultrasonography Image by Radiation Beam Tracking Method from 1D Array Probe (1차원 배열 탐촉자의 방사빔추적기법을 이용한 정적 3차원 초음파진단영상 구성)

  • Kim, Yong Tae;Doh, Il;Ahn, Bongyoung;Kim, Kwang-Youn
    • Journal of the Korean Society for Nondestructive Testing
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    • v.35 no.2
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    • pp.128-133
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    • 2015
  • This paper describes the construction of a static 3D ultrasonography image by tracking the radiation beam position during the handy operation of a 1D array probe to enable point-of-care use. The theoretical model of the transformation from the translational and rotational information of the sensor mounted on the probe to the reference Cartesian coordinate system was given. The signal amplification and serial communication interface module was made using a commercially available sensor. A test phantom was also made using silicone putty in a donut shape. During the movement of the hand-held probe, B-mode movie and sensor signals were recorded. B-mode images were periodically selected from the movie, and the gray levels of the pixels for each image were converted to the gray levels of 3D voxels. 3D and 2D images of arbitrary cross-section of the B-mode type were also constructed from the voxel data, and agreed well with the shape of the test phantom.

Construction reproducibility of a composite tooth model composed of an intraoral-scanned crown and a cone-beam computed tomography-scanned root

  • Lim, Seung-Weon;Moon, Ryu-Jin;Kim, Min-Seok;Oh, Min-Hee;Lee, Kyung-Min;Hwang, Hyeon-Shik;Kim, Tae-Woo;Baek, Seung-Hak;Cho, Jin-Hyoung
    • The korean journal of orthodontics
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    • v.50 no.4
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    • pp.229-237
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    • 2020
  • Objective: To evaluate the construction reproducibility of a composite tooth model (CTM) composed of an intraoral-scanned crown and a cone-beam computed tomography (CBCT)-scanned root. Methods: The study assessed 240 teeth (30 central incisors, 30 canines, 30 second premolars, and 30 first molars in the maxillary and mandibular arches) from 15 young adult patients whose pre-treatment intraoral scan and CBCT were available. Examiner-Reference (3 years' experience in CTM construction) and Examiners-A and Examiner-B (no experience) constructed the individual CTMs independently by performing the following steps: image acquisition and processing into a three-dimensional model, integration of intraoral-scanned crowns and CBCT-scanned teeth, and replacement of the CBCT-scanned crown with the intraoral-scanned crown. The tooth axis angle in terms of mesiodistal angulation and buccolingual inclination of the CTMs constructed by the three examiners were measured. To assess the construction reproducibility of CTMs, intraclass correlation coefficient (ICC) assessments were performed. Results: The ICC values of mesiodistal angulation and buccolingual inclination among the 3 examiners showed excellent agreement (0.950-0.992 and 0.965-0.993; 0.976-0.994 and 0.973-0.995 in the maxillary and mandibular arches, respectively). Conclusions: The CTM showed excellent construction reproducibility in mesiodistal angulation and buccolingual inclination regardless of the construction skill and experience levels of the examiners.

Measurement of Fine 6-DOF Displacement using a 3-facet Mirror (삼면반사체를 이용한 6자유도 미소 변위 측정)

  • 박원식;조형석;변용규;박노열
    • 제어로봇시스템학회:학술대회논문집
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    • 2000.10a
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    • pp.50-50
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    • 2000
  • In this paper, a new measuring system is :proposed which can measure the fine 6-DOF displacement of rigid bodies. Its measurement principle is based on detection of laser beam reflected from a specially fabricated mirror that looks like a triangular pyramid having an equilateral cross-sectional shape. The mirror has three lateral reflective surfaces inclined 45$^{\circ}$ to its bottom surface. We call this mirror 3-facet mirror. The 3-facet mirror is mounted on the object whose 6-DOF displacement is to be measured. The measurement is operated by a laser-based optical system composed of a 3-facet mirror, a laser source, three position-sensitive detectors(PSD). In the sensor system, three PSDs are located at three corner points of a triangular formation, which is an equilateral triangular formation tying parallel to the reference plane. The sensitive areas of three PSDs are oriented toward the center point of the triangular formation. The object whose 6-DOF displacement is to be measured is situated at the center with the 3-facet mirror on its top surface. A laser beam is emitted from the laser source located at the upright position and vertically incident on the top of the 3-fatcet mirror. Since each reflective facet faces toward each PSD, the laser beam is reflected at the 3-facet mirror and splits into three sub-beams, each of which is reflected from the three facets and finally arrives at three PSDs, respectively. Since each PSD is a 2-dimensional sensor, we can acquire the information on the 6-DOF displacement of the 3-facet mirror. From this principle, we can get 6-DOF displacement of any object simply by mounting the 3-facet mirror on the object. In this paper, we model the relationship between the 6-DOF displacement of the object and the outputs of three PSDs. And, a series of simulations are performed to demonstrate the effectiveness of the proposed method. The simulation results show that the proposed sensing system can be an effective means of obtaining 3-dimensional position and orientation of arbitrary objects.

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Linear accuracy of cone-beam computed tomography and a 3-dimensional facial scanning system: An anthropomorphic phantom study

  • Oh, Song Hee;Kang, Ju Hee;Seo, Yu-Kyeong;Lee, Sae Rom;Choi, Hwa-Young;Choi, Yong-Suk;Hwang, Eui-Hwan
    • Imaging Science in Dentistry
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    • v.48 no.2
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    • pp.111-119
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    • 2018
  • Purpose: This study was conducted to evaluate the accuracy of linear measurements of 3-dimensional (3D) images generated by cone-beam computed tomography (CBCT) and facial scanning systems, and to assess the effect of scanning parameters, such as CBCT exposure settings, on image quality. Materials and Methods: CBCT and facial scanning images of an anthropomorphic phantom showing 13 soft-tissue anatomical landmarks were used in the study. The distances between the anatomical landmarks on the phantom were measured to obtain a reference for evaluating the accuracy of the 3D facial soft-tissue images. The distances between the 3D image landmarks were measured using a 3D distance measurement tool. The effect of scanning parameters on CBCT image quality was evaluated by visually comparing images acquired under different exposure conditions, but at a constant threshold. Results: Comparison of the repeated direct phantom and image-based measurements revealed good reproducibility. There were no significant differences between the direct phantom and image-based measurements of the CBCT surface volume-rendered images. Five of the 15 measurements of the 3D facial scans were found to be significantly different from their corresponding direct phantom measurements(P<.05). The quality of the CBCT surface volume-rendered images acquired at a constant threshold varied across different exposure conditions. Conclusion: These results proved that existing 3D imaging techniques were satisfactorily accurate for clinical applications, and that optimizing the variables that affected image quality, such as the exposure parameters, was critical for image acquisition.

A Pseudo-Random Beamforming Technique for Time-Synchronized Mobile Base Stations with GPS Signal

  • Son, Woong;Jung, Bang Chul
    • Journal of Positioning, Navigation, and Timing
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    • v.7 no.2
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    • pp.53-59
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    • 2018
  • This paper proposes a pseudo-random beamforming technique for time-synchronized mobile base stations (BSs) for multi-cell downlink networks which have mobility. The base stations equipped with multi-antennas and mobile stations (MSs) are time-synchronized based on global positioning system (GPS) signals and generate a number of transmit beamforming matrix candidates according to the predetermined pseudo-random pattern. In addition, MSs generate receive beamforming vectors that correspond to the beam index number based on the minimum mean square error (MMSE) using transmit beamforming vectors that make up a number of transmit beamforming matrices and wireless channel matrices from BSs estimated via the reference signals (RS). Afterward, values of received signal-to-interference-plus-noise ratio (SINR) with regard to all transmit beamforming vectors are calculated, and the resulting values are then feedbacked to the BS of the same cells along with the beam index number. Each of the BSs calculates each of the sum-rates of the transmit beamforming matrix candidates based on the feedback information and then transmits the calculated results to the BS coordinator. After this, optimum transmit beamforming matrices, which can maximize a sum-rate of the entire cells, are selected at the BS coordinator and informed to the BSs. Finally, data signals are transmitted using them. The simulation results verified that a sum-rate of the entire cells was improved as the number of transmit beamforming matrix candidates increased. It was also found that if the received SINR values and beam index numbers are feedbacked opportunistically from each of the MSs to the BSs, not only nearly the same performance in sum-rate with that of applying existing feedback techniques could be achieved but also an amount of feedback was significantly reduced.

Determination of output factors by 1D method for 6MeV electron (1D 방법에 의한 6MeV 전자선의 output 인자 결정)

  • 유명진
    • Progress in Medical Physics
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    • v.13 no.1
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    • pp.27-31
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    • 2002
  • Output factors for 6MeV electron were directly measured under the condition of an individual beam cutout and these factors were compared with the output factors by 1D method which is an easy means to predict the output factors of electron beam. Output factors by 1D method are defined as output factors of rectangular fields where one side is always equal to the side of the square reference field and the output of an arbitrary rectangular field X, Y is given by the product of the 1D output factors. The output of very large square fields is overestimated using 1D method for the 6MeV electron, but it results in agreement with measured data under the condition of an individual cutout within 1% error adopting a correction factor $CF=C\times$[(X-10)(Y-10)/$\mid$(X-10)(Y-10)$\mid^{1/2}]$.

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