• Title/Summary/Keyword: Therapeutic radiation

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Novel biological strategies to enhance the radiation therapeutic ratio

  • Kim, Jae Ho;Jenrow, Kenneth A.;Brown, Stephen L.
    • Radiation Oncology Journal
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    • v.36 no.3
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    • pp.172-181
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    • 2018
  • Successful anticancer strategies require a differential response between tumor and normal tissue (i.e., a therapeutic ratio). In fact, improving the effectiveness of a cancer therapeutic is of no clinical value in the absence of a significant increase in the differential response between tumor and normal tissue. Although radiation dose escalation with the use of intensity modulated radiation therapy has permitted the maximum tolerable dose for most locally advanced cancers, improvements in tumor control without damaging normal adjacent tissues are needed. As a means of increasing the therapeutic ratio, several new approaches are under development. Drugs targeting signal transduction pathways in cancer progression and more recently, immunotherapeutics targeting specific immune cell subsets have entered the clinic with promising early results. Radiobiological research is underway to address pressing questions as to the dose per fraction, irradiated tumor volume and time sequence of the drug administration. To exploit these exciting novel strategies, a better understanding is needed of the cellular and molecular pathways responsible for both cancer and normal tissue and organ response, including the role of radiation-induced accelerated senescence. This review will highlight the current understanding of promising biologically targeted therapies to enhance the radiation therapeutic ratio.

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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The Acoustic Output Estimation for Therapeutic Ultrasound Equipment using Electro-Acoustic Radiation Conductance (전기-음향 방사컨덕턴스를 이용한 치료용 초음파 자극기의 음향출력 예측)

  • Yun, Yong-Hyeon;Jho, Moon-Jae;Kim, Yong-Tae;Lee, Myoung-Ho
    • Journal of Biomedical Engineering Research
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    • v.32 no.3
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    • pp.264-269
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    • 2011
  • To increase therapeutic efficiency and biological safety, it is important to precision control of acoustic output for therapeutic ultrasound equipment. In this paper, the electro-acoustic radiation conductance, one of electroacoustic characteristics of therapeutic ultrasound equipment, was measured by the radiation force balance method according to IEC 61161 standards and the acoustic output was estimated using the electro-acoustic radiation conductance. The estimation of acoustic output was conducted to continuous wave mode and pulse wave mode of duty cycle between 20% and 80%. The differences between prediction values and measurement results are within 5% of measurement uncertainty, which is a reasonably good agreement. The results show that acoustic output controlled by electro-acoustic radiation conductance was found to be an effective method.

A Trial of 6-MV Linear Accelerator Radiation Therapy (RT) for Breast Cancer (6MV 선형가속기를 사용한 유방암 치료)

  • Yoon S. C.;Kwon H. C.;Oh Y. K.;Kim J. W.;Bahk Y. W.
    • Radiation Oncology Journal
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    • v.2 no.2
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    • pp.303-309
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    • 1984
  • Radiation therapy(RT) has been used in the treatment of breast cancer for over 80years. Technically, it should include a part or all of such areas as chest wall or breast, axilla, internal mammary nodes (IM) and supraclavicular nodes (SCL). Authors tried three-field technique for the treatment of breast cancer using 6-MV linear accelerator, exclusively the department of radiology. Kang-Nam St. Mary's Hospital, at Catholic Medical College. The field junction was checked by a Phantom study and radiation doses measured by film densitometry and TLD. The 3 fields we used in this study were two isocentric opposing tangential fields encompassing the breast, chest wall and occasionally IM and one single anterior field encompassing the axilla and SCL. sing appropriate beam blocks and boluses, we were able to avoid unwanted intrinsic divergency of photon beam. Blocking also enabled us to set-up precise radiation field with ease.

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Dobe Contamination by Tangential Irradiation of Breast Cancer (유방암의 방사선 절선조사에 의한 선량분포)

  • Lee Jong Gul;Lee Byung Jun;Lee Ho Soo;Lee Byung Je
    • The Journal of Korean Society for Radiation Therapy
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    • v.6 no.1
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    • pp.67-70
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    • 1994
  • The use of primary breast irraditation with advantage of improved cosmesis in breast cancer may be the potential risks of radiation for a change in the number of normal breast cancers and lung fibrosis. The magnitude of the scattered dose for a variety of radiation treatment techniques from patient of breast cancer and phantom was measured by adequate dosimeters. We can reduce the dose of the normal breast to treated with radiation by understanding the factors contributing to the unwanted dose and by determining ways to decrease this dose.

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Regulation of p53 Expression in an Acidic Environment after Radiation

  • Park, E-K;Chung, H-S;Rhee, Y-H;Ha, S-W;Song, C-W;Park, H-J
    • Proceedings of the Korean Biophysical Society Conference
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    • 2001.06a
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    • pp.59-59
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    • 2001
  • The purpose of this study was to investigate the molecular mechanism by which environmental pH alters the radiation-induced expression of p53, the key regulator of cellular responses to radiation. We have already reported that an acidic environment markedly prolongs the radiation-induced expression of p53 and also prolongs the radiation-induced G2/M arrest.(omitted)

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Radiation Therapy of Pituitary Tumors (뇌하수체 선종의 방사선 치료 결과)

  • Park, Moon-Baik;Hong, Seong-Eong
    • Radiation Oncology Journal
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    • v.7 no.2
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    • pp.185-188
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    • 1989
  • Radiation treatment results were analyzed in a retrospective analysis of 47 patients with pituitary adenoma treated with radiation alone or combined with surgery from 1974 through 1987 at the Department of Therapeutic Radiology of Kyung Hee University. The 5-year overall survival rates for all patients was $80.4\%$ Radiation therapy was effective for improving visual symptoms and headache, but could not normalize amenorrhea and galactorrhea. There was no difference of survival rate between radiation alone and combination with surgery. Prognostic factors such as age, sex, disease type, visual field, headache and surgical treatment were statistically no significant in survival rates of these patients.

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The using of megavoltage computed tomography in image-guided brachytherapy for cervical cancer: a case report

  • Tharavichitkul, Ekkasit;Janla-or, Suwapim;Wanwilairat, Somsak;Chakrabandhu, Somvilai;Klunklin, Pitchayaponne;Onchan, Wimrak;Supawongwattana, Bongkot;Galalae, Razvan M.;Chitapanarux, Imjai
    • Radiation Oncology Journal
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    • v.33 no.2
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    • pp.155-159
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    • 2015
  • We present a case of cervical cancer treated by concurrent chemoradiation. In radiation therapy part, the combination of the whole pelvic helical tomotherapy plus image-guided brachytherapy with megavoltage computed tomography of helical tomotherapy was performed. We propose this therapeutic approach could be considered in a curative setting in some problematic situation as our institution.