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Feasibility Study of Dose Evaluation of Stereotactic Radiosurgery using GafChromic $EBT^{(R)}$ Film (GafChromic $EBT^{(R)}$ 필름을 이용한 뇌정위방사선치료의 선량분석 가능성 평가)

  • Jang, Eun-Sung;Lee, Chul-Soo
    • The Journal of Korean Society for Radiation Therapy
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    • v.19 no.1
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    • pp.27-33
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    • 2007
  • Purpose: We have performed SRS (stereotactic radiosurgery) for avm (arterry vein malformation) and brain cancer. In order to verify dose and localization of SRS, dose distributions from TPS ($X-Knife^{(R)}$ 3.0, Radionics, USA) and GafChromic $EBT^{(R)}$ film in a head phantom were compared. Materials and Methods: In this study, head and neck region of conventional humanoid phantom was modified by substituting one of 2.5 cm slap with five 0.5 cm acrylic plates to stack the GafChromic $EBT^{(R)}$ film slice by slice with 5 mm intervals. Four films and five acrylic plates were cut along the contour of head phantom in axial plane. The head phantom was fixed with SRS head ring and adapted SRS localizer as same as real SRS procedure. CT images of the head phantom were acquired in 5 mm slice intervals as film interval. Five arc 6 MV photon beams using the SRS cone with 2 cm diameter were delivered 300 cGy to the target in the phantom. Ten small pieces of the film were exposed to 0, 50, 100, 200, 300, 400, 500, 600, 700, 800, 900 cGy, respectively to calibrate the GafChromic $EBT^{(R)}$ film. The films in the phantom were digitized after 24 hours and its linearity was calibrated. The pixel values of the film were converted to the dose and compared with the dose distribution from the TPS calculation. Results: Calibration curve for the GafChromic $EBT^{(R)}$ film was linear up to 900 cGy. The R2 value was better than 0.992. Discrepancy between calculated from $X-Knife^{(R)}$ 3.0 and measured dose distributions with the film was less than 5% through all slices. Conclusion: It was possible to evaluate every slice of humanoid phantom by stacking the GafChromic EBT film which is suitable for 2 dimensional dosimetry, It was found that film dosimetry using the GafChromic $EBT^{(R)}$ film is feasible for routine dosimetric QA of stereotactic radiosurgery.

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Comparison of using CBCT with CT simulator for radiation dose of treatment planning (CBCT와 Simulation CT를 이용한 치료계획의 선량비교)

  • Cho, jung-keun;Kim, dae-young;Han, tae-jong
    • Proceedings of the Korea Contents Association Conference
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    • 2009.05a
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    • pp.1159-1166
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    • 2009
  • The use of cone-beam computed tomography(CBCT) has been proposed for guiding the delivery of radiation therapy. A kilovoltage imaging system capable of radiography, fluoroscopy, and cone-beam computed tomography(CT) has been integrated with a medical linear accelerator. A standard clinical linear accelerator, operating in arc therapy mode, and an amorphous-silicon (a-Si) with an on-board electronic portal imager can be used to treat palliative patient and verify the patient's position prior to treatment. On-board CBCT images are used to generate patient geometric models to assist patient setup. The image data can also, potentially, be used for dose reconstruction in combination with the fluence maps from treatment plan. In this study, the accuracy of Hounsfield Units of CBCT images as well as the accuracy of dose calculations based on CBCT images of a phantom and compared the results with those of using CT simulator images. Phantom and patient studies were carried out to evaluate the achievable accuracy in using CBCT and CT stimulator for dose calculation. Relative electron density as a function of HU was obtained for both planning CT stimulator and CBCT using a Catphan-600 (The Phantom Laboratory, USA) calibration phantom. A clinical treatment planning system was employed for CT stimulator and CBCT based dose calculations and subsequent comparisons. The dosimetric consequence as the result of HU variation in CBCT was evaluated by comparing MU/cCy. The differences were about 2.7% (3-4MU/100cGy) in phantom and 2.5% (1-3MU/100cGy) in patients. The difference in HU values in Catphan was small. However, the magnitude of scatter and artifacts in CBCT images are affected by limitation of detector's FOV and patient's involuntary motions. CBCT images included scatters and artifacts due to In addition to guide the patient setup process, CBCT data acquired prior to the treatment be used to recalculate or verify the treatment plan based on the patient anatomy of the treatment area. And the CBCT has potential to become a very useful tool for on-line ART.)

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Comparison of Dosimetry Protocols in High Energy Electron Beams (고에너지 전자선에 대한 표준측정법간의 비교)

  • 박성용;서태석;김회남;신동오;지영훈;군수일;이길동;추성실;최보영
    • Progress in Medical Physics
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    • v.9 no.4
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    • pp.267-276
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    • 1998
  • Any detector inserted into a phantom should have such a geometry that it caused as small as possible perturbation of the electron fluence. Plane parallel chambers meet this requirement better than other chambers of configurations. IAEA protocol recommends the use of plane parallel chambers for this reason. However, the cylindrical chambers are widely used for convenient. The purpose of this study is to evaluate the absorbed dose due to the differences of four different dosimetry protocols such as IAEA protocol using cylindrical chamber, TG 21 protocol using cylindrical chamber, Markus protocol using plane parallel chamber, and TG 39 report for the calibration of plane parallel chamber in electron beams. Depth-ionization measurements for the electron beams of nominal energy 6, 9, 12, 15, and 18 MeV from Siemens accelerator with a 10$\times$10 cm$^2$ field size were made using a radiation field analyser with 0.125 cc ion chamber. Dosimetric measurements by IAEA and TG 21 protocol were made with a farmer type ionization chamber in solid water for each electron energy, respectively. Dosimetric measurements by Markus protocol were made with a plane parallel ionization chamber in solid water for each electron energy, respectively. The cavity-gas calibration factor for the plane parallel chamber was obtained with the use of 18 MeV electron beam as guided by TG 39 report. Dosimetric measurements by TG 39 were performed with a plane parallel ionization chamber in solid water for each electron energy, respectively. For all the energies and protocols, measurements were made along the central axis of the distance of 100 cm (SSD = 100 cm) with 10$\times$10 cm$^2$ field size at the depth of d$_{max}$ for each electron beam, respectively. In the case of 18 MeV, the discrepancy of 0.9 % between IAEA and TG 21 was found and the two protocols were agreed within 0.7 % for other energies. In the case of 18 MeV and 6 MeV, the discrepancies of $\pm$ 0.8 % between Markus and TG 39 was found, respectively and the two protocols were agreed within 0.5 % for other energies. Since the discrepancy of 1.6 % between cylindrical and plane parallel chamber was found for 18 MeV, it is suggested to get the calibration factor using other method as guided. by TG 39.9.

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Evaluation of the combustion chamber for burning candle and measuring the emission factor of its’ combustion products (양초 연소 시 발생되는 오염물질 방출계수 측정을 위한 연소실 제작과 평가)

  • Lim, Hyung-Jin;Kim, Man-Goo
    • Analytical Science and Technology
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    • v.28 no.3
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    • pp.236-245
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    • 2015
  • Recently, candles have been widely used to create a romantic atmosphere and to heat tea. In this study, a small combustion chamber for candle was designed using an 0.008 m3 bell jar. The emission factors of combustion products were then measured. The combustion chamber includes a glass dish, which prevents candle flame from affecting the composition of the gas emitted through the exhaust outlet. The outlet in the combustion chamber was designed as a cone shape, and it was lengthened to prevent flow from the outside, which could affect the homogeneous composition of the exhaust gas. The temperature at the outlet of the chamber was 34 ℃~41℃. The major combustion products of the candle, such as such aldehydes and acids, contained oxygen. The mass specific emission rates of benzene, toluene, ethylbenzene, and TVOC were 0.04 μg/g, 0.01 μg/g, 0.02 μg/g, and 3.81, respectively. The mass specific emission rates of formaldehyde, acetaldehyde and benzaldehyde were 4.48 μg/g, 1.09 μg/g, and 0.67 μg/g, respectively. Considering the different compositions of the candle samples, their mass specific emission rates were similar to those obtained by using a large chamber 0.17 m3~50 m3 in size.

CONFUTER-AIDED CASTING DESIGN FOR IMPLANT TITANIUM SUPERSTRUCTURES (컴퓨터 시뮬레이션을 이용한 임플란트 상부 티타늄 구조물의 주조방안)

  • Oh Se-Wook;Lee Ho-Yong;Lee Keun-Woo;Shim Jun-Sung
    • The Journal of Korean Academy of Prosthodontics
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    • v.41 no.4
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    • pp.421-439
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    • 2003
  • Statement of problem : It is difficult to obtain a good titanium casting body using the traditional sprue design because of high melting point of Ti, and the low fluidity and high reactivity of molten Ti. Purpose : A new sprue design for titanium casting bodies needs more trial and error. In order to decrease the number of trial and error, computer simulation(MAGMASOFT, Magmasoft Giessereitechnologie GmbH, Achen, Germany) was used to optimize sprue design in U-shaped implant superstructures. Material and method : Five kinds of sprue were examined for the design of the sprue former for titanium casting: Sprue design A(sprue length 4 mm, rectangular shape, 4 sprues), Sprue design B(sprue length 4 mm. round shape. radius 2 mm, 7 sprues), Sprue design C (sprue length 2 mm, round shape, radius 2 mm, 7 sprues). Sprue design D (sprue length 2 mm, cone shape, large radius 3mm. small radius 2mm, 7 sprues), and Sprue design E( sprue length 2 mm. one unit channel shape). Sprue design F(sprue length 2mm, one unit channel shape) was also examined for the design of the customized sprue former in the Biotan system(Schutz Dental Gmbh, Germany). The casting bodies were taken in Sprue design A, Sprue design D, Sprue design E, and Sprue design F in the Biotan casting system. The numerically predicted defects were compared with the experimental dental castings by the radiographic and sectional view observations. Results : 1. According to the result of computer simulation, turbulence during mold filling was decreased in the sequence of Sprue design F, Sprue design E, Sprue design D, Sprue design C, Sprue design B, and Sprue design A. 2. The calculated solidification time contours indicate that hot spot was moved from the casting body to the sprue button in the sequence of Sprue design A, Sprue design B, Sprue design C, Sprue design D, and Sprue design E. The filling pattern of Sprue design F was similar to that of Sprue design E. 3 The predicted filling pattern shows that less turbulence was found in the customized sprue former than in the standard sprue former. 4. According to the results of the radiographic and cross sectional observations, casting defects less than 1mm were found at the center of a casting body with Sprue design E and Sprue design F. However, larger casting defects of 4mm were found in a casting with Sprue design A. 5. The predicted casting porosity was similar to that of the real casting. Conclusion : One unit channel-type and customized sprue former can be recommended. Further research and developement of various sprue designs using computer simulation in necessary to optimize casting design, in order to reduce the formation of casting defects in implant titanuim super-structures.

Development and Application of TDR Penetrometer for Evaluation of Soil Water Content of Subsoil (지반의 함수비 평가를 위한 관입형 TDR 프로브의 개발 및 적용)

  • Hong, Won-Taek;Jung, Young-Seok;Lee, Jong-Sub;Byun, Yong-Hoon
    • Journal of the Korean Geotechnical Society
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    • v.31 no.2
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    • pp.39-46
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    • 2015
  • Dielectric constant depends on the variation of soil water content, and the estimation of soil water content using time domain reflectometry (TDR) has been studied by many researchers. The purpose of this study is the development and application of TDR penetrometer (TDRP) in order to evaluate the soil water content according to the penetration depth. The TDRP consists of cone, sleeve, driving rod, hammer, and guide. Three electrodes, which are used to measure the dielectric constant of soils, are mounted on the surface of sleeve and, in turn, connected with coaxial cable and time domain reflectometer. To establish the relationship between the volumetric water content and dielectric constant, several laboratory tests by using the TDRP are performed in the specimens with a variety of volumetric water content. The experimental results show that the dielectric constant is strongly correlated to volumetric water content as polynomial equations with an order of 3. In addition, the volumetric water content calculated from the dielectric constant is similar to that obtained from the sample weight. In the field, a small sampler is used to compare the volumetric water content calculated from the dielectric constant with the volumetric water content obtained from the sample. The results of field application demonstrate that the volumetric water content estimated by the TDRP shows similar trend to the gravimetric water content of sample. This study suggests that the TDRP is effectively used to evaluate the volumetric water content of unsaturated soils according to the penetration depth.

The study on the breast types and characteristics of Chinese female adults. (Ver. 2) - Focused on the female college students in Shanghai - (중국 성인여성용 유방유형 및 특성에 관한 연구(제 II보) - 상해지역 20대 전반 여성을 중심으로 -)

  • Cha, Su-Joung;Sohn, Hee-Soon
    • Journal of Fashion Business
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    • v.14 no.1
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    • pp.57-75
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    • 2010
  • This study is done in Shanghai area by sample survey of female college students in their lower 20s. Through direct contact survey, this study collected and analyzed information on figure to understand feature of breasts and measurements of body to provide base information to improve product of brassiere for adult female in China. Data was analyzed by using SPSSWIN 13.0 Program and SAS 9.0. 1. From a result of factor analysis on 40 items of measures to derive the components of the shape of the breast, 6 factors were derived such as the factors to show the obesity of the bust, to show the ratio of the upper and lower area of the lower bust, droop and volume, to show the internal shape and broadness of the bust, to show the location and vertical size of the bust, to show the protrusion of the bust and the eternal shape of the bust. 2. From a result of classification on the shape of the breast of the Chinese women in their early 20s, 4 types were selected. Type 1 is the protrusion type that a woman has a broad drooped breast due to the development in the upper and lower parts of the chest as well as the highest height, a high degree of obesity in the bust part, big volume and much protrusion. Type 2 is the hemisphere type that the degree of obesity in the breast is second to Type 1 and a breast is located at a region higher than Type 1 as the degree of obesity in the breast is secondly highest, the lower part of the bust is bigger than the Type 1 and the degree of being broad and drooped is second to Type 1. Type 3 is the cone type with a breast of being drooped and broad a little bit and a certain degree of a volume. Type 4 is the flat type with the smallest value in the item that shows the obesity of the bust area and with the smallest value in the R$\ddot{o}$hrer index to have the small and slender body type for the bust area, which is somewhat flat due to a low slope at the internal side of the bust.

Whole pelvic intensity-modulated radiotherapy for high-risk prostate cancer: a preliminary report

  • Joo, Ji Hyeon;Kim, Yeon Joo;Kim, Young Seok;Choi, Eun Kyung;Kim, Jong Hoon;Lee, Sang-Wook;Song, Si Yeol;Yoon, Sang Min;Kim, Su Ssan;Park, Jin-Hong;Jeong, Yuri;Ahn, Hanjong;Kim, Choung-Soo;Lee, Jae-Lyun;Ahn, Seung Do
    • Radiation Oncology Journal
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    • v.31 no.4
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    • pp.199-205
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    • 2013
  • Purpose: To assess the clinical efficacy and toxicity of whole pelvic intensity-modulated radiotherapy (WP-IMRT) for high-risk prostate cancer. Materials and Methods: Patients with high-risk prostate cancer treated between 2008 and 2013 were reviewed. The study included patients who had undergone WP-IMRT with image guidance using electronic portal imaging devices and/or cone-beam computed tomography. The endorectal balloon was used in 93% of patients. Patients received either 46 Gy to the whole pelvis plus a boost of up to 76 Gy to the prostate in 2 Gy daily fractions, or 44 Gy to the whole pelvis plus a boost of up to 72.6 Gy to the prostate in 2.2 Gy fractions. Results: The study cohort included 70 patients, of whom 55 (78%) had a Gleason score of 8 to 10 and 50 (71%) had a prostate-specific antigen level > 20 ng/mL. The androgen deprivation therapy was combined in 62 patients. The biochemical failure-free survival rate was 86.7% at 2 years. Acute any grade gastrointestinal (GI) and genitourinary (GU) toxicity rates were 47% and 73%, respectively. The actuarial rate of late grade 2 or worse toxicity at 2 years was 12.9% for GI, and 5.7% for GU with no late grade 4 toxicity. Conclusion: WP-IMRT was well tolerated with no severe acute or late toxicities, resulting in at least similar biochemical control to that of the historic control group with a small field. The long-term efficacy and toxicity will be assessed in the future, and a prospective randomized trial is needed to verify these findings.

Origin of kaersutite in the basalt from Jeju Island(I): Biseokgeori hawaiite (제주도 현무암 내 각섬석의 성인에 대한 연구(I): 비석거리 하와이아이트)

  • Yun, Sung-Hyo;Cha, Jun-Seok;Koh, Jeong-Seon;Lee, Sang Won
    • The Journal of the Petrological Society of Korea
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    • v.21 no.3
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    • pp.277-285
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    • 2012
  • Hawaiite which distributed in Sanjideungdae of Sarabong cinder cone and Biseokgeori area in northern part of Jeju island, contains phenocrysts of titanium-rich hornblende (kaersutite) and plagioclase with microphenocrysts of olivine, pyroxene and very small amounts of K-feldspar lath and apatite. Kaersutite is mostly euhedral or subhedral phenocrysts having opaque reaction rim. And kaersutite in Sanjideungdae area completely replaced to opaque minerals showing pseudomorph. Also it may be seen partly replacement of pyroxene by kaersutire as reaction rim. It is considered that hydration reaction had occurred with fluids. The crystallization pressure of kaersutite using pressure-$Al^T$ geobarometer is approximately 6.3 kb in Sanjideungdae area and 4.9 kb in Biseokgeori area, respectively. As a result, fluid injection to magma and crystallization of kaersutite of Sanjideungdae hawaiite is deeper than that of Biseokgeori hawaiite, and it was growed to phenocrysts through crystallization. It is estimated that kaersutite of Biseokgeori hawaiite originated from crystallization from the host magma, based on the euhedral nature of the phenocrysts and on the presence of apatite inclusions.

CLINICAL STUDY OF MAXILLARY ANTERIOR SUPERNUMERARY TEETH (상악 전치부 과잉치 외과적 발거에 관한 임상적 연구)

  • Song, Woo-Sik;Kim, In-Kwon;Lee, Sang-Hyun;Lee, Wan-Kee
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.27 no.1
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    • pp.46-53
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    • 2001
  • The prevalence of supernumerary teeth is between $1{\sim}3%$. Of these, $90{\sim}98%$ occur in the maxilla with particular predilection for the premaxilla, preceded by mandibular third premolars, mandibular forth molars and maxillary paramolars. The most common ones occur in the maxillary anterior region, they may occur singly between the central incisors(mesiodens), or they may be double(mesiodentes). Maxillary anterior supernumeraries may erupt into the oral cavity or remain unerupted. It is found that approximately 25% are erupted, while the rest are unerupted. They are usually a small tooth with a cone-shaped crown and a short root. They may cause delayed eruption, median diastema, bodily displacement or rotation of the adjacent permanent teeth. Occasionally they may lead to the developement of dentigerous cyst or primordial cyst, or eruption into nasal cavity. In this study, 109 supernumeraries surgically extracted from premaxilla in 84 patients are analysed. The results are as follows : 1. Sex distribution of male and female is 2.2 : 1. 2. Almost cases are in pediatric age from 5 to 12 years old (87%). 3. Problems with supernumeraries are tooth malpositon, diastema, delayed eruption, eruption to nasal cavity and cyst formation. 4. Of 109 supernumeraries, 16(15%) are erupted into oral cavity, 92(84%) are impacted, and 1(1%) is erupted into nasal cavity. 5. Of 84 patients, 59(70%) have one supernumeray while 25(30%) have two supernumeraries. 6. Of 109 supernumeraries, 96(88%) are found within the region of the central incisors. 7. Of 109 supernumeraries, 94(86%) are vertically impacted, 11(10%) are horizontally impacted, 3(3%) are labiopalatally impacted and 1(1%) is impacted in nasal cavity. 8. Of 84 patients, we used palatal flap in 67(80%), labial flap in 6(7%), both flaps in 4(5%) and no flap in 7(8%). And incisive nerve was cut in 33(49%) of 67 palatal flaps. 9. Extration with ostectomy was done in 72 supernumeraries(66%), without ostectomy in 37 teeth(34%). 10. Extraction with tooth sectioning was done in 21 supernumeraries(19%), without tooth sectioning was done in 88 teeth(81%). 11. We used local anesthesia in 70 patients(83%) and general anesthesia in 14 ones(17%).

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