• Title/Summary/Keyword: Therapeutic technique

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Rando phantom을 이용한 Radiosurgery에 관한 Dosimetry (The Dosimetry of Radiosurgery using of Rando Phantom)

  • 김성규;신세원;김명세
    • Journal of Yeungnam Medical Science
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    • 제7권1호
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    • pp.113-119
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    • 1990
  • 본 교실에서 18MeV 선형가속기를 이용한 방사선절제술에 대한 선량 측정 및 분석결과는 다음과 같았다. 1. 인체모형 팬텀을 이용한 실제 치료시 위치의 오차는 AP-LAT면과 AP-VERT면에서 0.4mm였고, AP-VERT $45^{\circ}$경사면에서는 1.0mm였다. 2. $2{\times}2mm$조사면에 대한 80% 등선량곡선의 면적비가 80%였다. 3. 선형가속기의 gantry회전과 couch회전에 대한 중심축의 정확도를 실시하여 직경 1.5mm의 성적을 얻었다. 4. 본 연구에서 얻은 측정치는 지금까지 보고된 가장 작은 오차의 보고에 근접함으로 본원의 방사선절제술이 입상이용에 적절함을 시사하였다.

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두경부 악성 종양 조직내 간질액 압력 (Tumor Interstitial Fluid Pressure in Patients with Head and Neck Cancer)

  • 조문준;김재성;이인태;김준상;장지영;김기환
    • 대한두경부종양학회지
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    • 제16권1호
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    • pp.9-13
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    • 2000
  • Objectives: To determine the tumor interstitial fluid pressure(TIFP) in patients with head and neck cancerand predict radiotherapy outcome.Materials and Methods: In 12 biopsy proven primary head and neck cancer patients with accessible by direct inspection and palpation, and of sufficient thickness(>1cm) to permit accurate needle placement, we measured TIFP at cervical lymph node before and during radiotherapy using a modified wick-in-needle technique. Tumor size was measured clinically and radiologically. Results: The mean preradiotherapy TIFP was 23.4mmHg. Preradiotherapy TIFP had significant relationship with tumor size(p=0.0009). Preradiotherapy TIFP was not different between complete response group and partial or less response group(p=0.114). Radiotherapy outcome was not different between group with above and group with below average TIFP(p=0.09). Conclusion: The mean TIFP was elevated with 23.4mmHg before radiation therapy. Preradiotherapy TIFP had significant relationship with tumor size. It is not definitive that TIFP could be prognostic indicator of radiation response.

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유방암환자의 세기조절방사선치료에서 피부선량 평가 (Evaluation of Skin Dose of Intensity Modulated Radiation Therapy in Breast Cancer Patients)

  • 김성규;김명세;윤상모
    • 한국의학물리학회지:의학물리
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    • 제18권3호
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    • pp.167-171
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    • 2007
  • 유방암 환자의 유방보존절제술 후 방사선치료를 시행하는 경우에서 비껴방향치료방법과 세기조절방사선치료를 시행한 두 경우에 피부에 조사되는 표피 흡수선량을 비교, 분석하여 유방암 환자에서 세기조절방사선치료시 피부선량의 특성을 살펴보았다. 비껴방향치료방법과 세기조절방사선치료에 대한 두 가지 방법으로 치료계획을 시행하여 유방 피부에 조사되는 계산선량과 TLD로 측정한 측정선량을 비교하였다. 선량측정은 유두가 있는 지점을 지나도록 몸의 중심에서 가장자리 방향으로 1 cm 간격으로 피부 흡수선량을 측정하였다. 비껴방향방사선치료에서 PTV에 180 cGy 방사선량을 계획할 때, 유방 표피에서 계산선량은 103.6 cGy에서 155.2 cGy 사이를 나타내었고, 측정선량은 107.5 cGy에서 156.2 cGy 사이를 나타내었으며, 중심부위의 피부선량이 가장자리 피부선량보다 최대 1.45배 많이 조사되었다. 세기조절방사선치료에서는 PTV에 180 cGy 방사선량을 계획할 때, 유방 표피에서 계산선량은 9.8 cGy에서 80.2 cGy사이를 나타내었고, 측정선량은 8.9 cGy에서 77.2 cGy사이를 나타내었으며, 중심부위의 피부선량이 가장자리 피부선량보다 최대 0.23배 적게 조사되었다. 비껴방향방사선치료에서 보다 세기조절방사선치료에서 피부에 조사되는 방사선량이 평균적으로 3.5배 적어서 방사선 치료에 의한 피부 위해를 줄일 수 있다.

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발전된 방사선 치료에 관한 고찰 (A Study for Advanced Radiation Therapy)

  • 장은성;백성민;고성진;강세식
    • 대한방사선치료학회지
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    • 제20권2호
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    • pp.115-122
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    • 2008
  • 목 적: 암 치료를 위한 방사선치료 기술은 끊임없이 발전되어 왔으며 특히, 컴퓨터와 전자기 공학의 발달과 더불어 급속하게 방사선 치료분야에서 많은 발전을 하게 되었다. 따라서 본 연구에서는 발전된 치료기술에 대한 치료 원리와 방법들을 중심으로 그 특징들을 고찰하려고 한다. 대상 및 방법: 발전된 치료기술에 관한 이론적인 고찰을 위하여 관련된 문헌조사를 실시하였으며 임상에서의 자료를 광범위하게 조사 연구하였다. 결 과: 방사선을 이용한 암에 대한 치료는 눈부신 발전을 거듭하고 있다. 과거에는 2차원적인 방법으로 방사선치료를 하였으나 현재는 3차원적인 입체조형치료, 세기변조방사선치료를 병행한 4차원적인 치료기술이 도입되었으며 이는 과거 방사선치료의 난제였던 정상조직보호와 방사선에 의한 합병증 해결을 가능하게 하였다. 결 론: 발전된 방사선치료인 3, 4차원적 현대적 치료는 방사선치료의 목적에 부합되고 있으며 정상조직의 보호가 거의 완벽하게 이루어지고 있으며 방사선을 이용한 암 치료에 대한 평가도 다시 되어야 한다고 사료된다.

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Extracellular vesicles as novel carriers for therapeutic molecules

  • Yim, Nambin;Choi, Chulhee
    • BMB Reports
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    • 제49권11호
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    • pp.585-586
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    • 2016
  • Extracellular vesicles (EVs) are natural carriers of biomolecules that play central roles in cell-to-cell communications. Based on this, there have been various attempts to use EVs as therapeutic drug carriers. From chemical reagents to nucleic acids, various macromolecules were successfully loaded into EVs; however, loading of proteins with high molecular weight has been huddled with several problems. Purification of recombinant proteins is expensive and time consuming, and easily results in modification of proteins due to physical or chemical forces. Also, the loading efficiency of conventional methods is too low for most proteins. We have recently proposed a new method, the so-called exosomes for protein loading via optically reversible protein-protein interaction (EXPLORs), to overcome the limitations. Since EXPLORs are produced by actively loading of intracellular proteins into EVs using blue light without protein purification steps, we demonstrated that the EXPLOR technique significantly improves the loading and delivery efficiency of therapeutic proteins. In further in vitro and in vivo experiments, we demonstrate the potential of EXPLOR technology as a novel platform for biopharmaceuticals, by successful delivery of several functional proteins such as Cre recombinase, into the target cells.

Terahertz (THz) imaging technology for therapeutic and diagnostic applications of cancer incorporating with radiopharmaceutical fields

  • Min, Sun-Hong;Cho, Ilsung;Park, Chawon;Jung, Wongyun;Hwang, Won Taek;Kim, Minho;Lee, Kyo Chul;Lee, Yong Jin;Lim, Sang Moo;Hong, Bong Hwan
    • 대한방사성의약품학회지
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    • 제5권2호
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    • pp.120-128
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    • 2019
  • Radiopharmaceuticals include therapeutic radiopharmaceuticals and diagnostic radiopharmaceuticals. Therapeutic radiopharmaceuticals are administered to the body and ingested at specific organs to detect radiation emitted from the site and to construct an image to diagnose the disease. Diagnostic radiopharmaceuticals are used to treat diseases by killing cells with radiation emitted from radiopharmaceuticals, such as cancer cells, vascular endothelial cells, arthritis, and Alzheimer's disease. The application possibilities of terahertz imaging technology for the combination of radiopharmaceuticals and molecular imaging medicine are discussed and experimental methods are presented. Terahertz imaging is expected to be a powerful technique because of the effective piercing feasibility, which enables to perform safe and high resolutive imaging. To investigate the response of cell to the terahertz wave, both the pulsed and CW THz wave systems are employed. THz imaging of a rat's paraffin-embedded epithelial cell with tumor is studied in advance.

두경부암에서 방사성이리디움 삽입치료의 효과 (The Effect of Iridium-192 Implant in the Treatment of Head and Neck Cancer)

  • 류성렬;고경환;조철구
    • 대한두경부종양학회지
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    • 제4권1호
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    • pp.13-19
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    • 1988
  • Brachytherapy is known to be a good modality to achieve local control as a boost treatment following limited external irradiation, which may reduce the external beam related acute radiation sickness, particularly in head and neck cancer. The authors developed iridium-192 ribbons recently to replace the radium needles. Total of 13 head and neck cancer patients had been treated with Ir-192 ribbons during last one year from October 1986 to September 1987, and the results were analysed to assess the applicability of the fabricated sources. The conclusion is as follows; 1) Iridium implant achieved 54% (7/13) of complete response and 69% (9/13) of overall response rate in head and neck cancer. 2) Iridium is superior to radium and cecium in brachytherapy because of easier to use and lesser exposure to the personnel. 3) Afterloading technique is useful to modify dose distribution, to expand treatment site and method, and to develop interstitial hyperthermia.

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이혼 부모와 자녀의 건강한 사회적응을 위한 통합적 집단치료 모형 개발 (The Development of all Integrated Group Therapy Model for Divorced Families' Better Adjustment)

  • 정문자;김은영
    • 대한가정학회지
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    • 제43권3호
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    • pp.161-183
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    • 2005
  • This study aimed to develop a comprehensive group therapy program for divorced parents and their children for increased self-esteem, problem-solving technique, communication ability and emotional support. This comprehensive program was based on Solution-Focused and Satir's Experiential Family Therapy Models, as well as on therapeutic activities from various sources. Six mothers and 18 children of divorced families participated in this program which consisted of six, two-hour sessions. This program was found to be effective in enhancing the participants' self-esteem and communicative ability in addition to emotional support between mothers and their children, and among participants. Therapeutic activities were implemented in harmony with the Solution and Experiential based values and techniques, which seemed to heighten the fun and motivation for the participants to change their view points and behaviors in a positive way.

Preparation and Characterization of Genetically Engineered Mesenchymal Stem Cell Aggregates for Regenerative Medicine

  • Kim, Sun-Hwa;Moon, Hyung-Ho;Chung, Bong-Genn;Choi, Dong-Hoon
    • Journal of Pharmaceutical Investigation
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    • 제40권6호
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    • pp.333-337
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    • 2010
  • Combining cell- and gene-based therapy is a promising therapeutic strategy in regenerative medicine. The aim of this study was to develop genetically modified mesenchymal stem cell (MSC) aggregates using a poly(ethylene glycol) (PEG) hydrogel micro-well array technique. Stable PEG hydrogel micro-well arrays with diameters of 200 to $500\;{\mu}m$ were fabricated and used to generate genetically engineered MSC aggregates. Rat bone marrow-derived MSCs were transfected with a green fluorescent protein (GFP) plasmid as a reporter gene, and aggregated by culturing in the PEG hydrogel micro-well arrays. The resultant cell aggregates had a mean diameter of less than $200\;{\mu}m$, and maintained the mesenchymal phenotype even after genetic modification and cell aggregation. Transplantation of MSC aggregates that are genetically modified to express therapeutic or cell-survival genes may be a potential therapeutic approach for regenerative medicine.

Development of Bioluminescence Immunoassay Using Photoprotein, Aequorin and Site-directed Immobilization

  • Shim, Yu-Nee;Rhee, In-sook
    • Bulletin of the Korean Chemical Society
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    • 제24권1호
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    • pp.70-74
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    • 2003
  • The heterogeneous bioluminescence immunoassay for digoxin was developed using photoprotein, native aequorin as a label and the site-directed immobilization technique based on avidin/biotin interaction. Aequorin is a bioluminescence protein, originally isolated from the jellyfish Aequoria Victoria and an attractive label in analytical applications because of sensitive detection due to virtually no background bioluminescent signal. Digoxin is a cardioactive drug, and its therapeutic level in serum is at low concentration with very narrow therapeutic index. The aequorin-digoxigenin conjugates were synthesized by the N-hydroxysuccinimide ester method and characterized in terms of bioluminescent residual activity. The resulting dose-response curve shows that the detection limit is $1.0\;{\times}\;10^{-10}\;M$ and a dynamic range is three orders of magnitude, which was obtained by $1.0\;{times}\;10^{-10}\;M$ conjugate and 0.9 μg/mL anti-digoxin antibody. Three structurally similar molecules to digoxin were examined for their cross-reactivity. None of these three compounds showed any crossreactivity with digoxin antibody employed in this study. Standard amounts of digoxin corresponding to the therapeutic range were spiked into the each serum solution. Study of the serum matrix effect indicated that correlation coefficient shows good agreement between luminescence light intensity between in buffer and in serum.