• Title/Summary/Keyword: Treatment plan

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Comparison of Target Approximation Techniques for Stereotactic Radiosurgical Plan

  • Choi, Kyoung-Sik;Oh, Seong-Jong;Lee, Jeong-Woo;Choe, Bo-Young;Kim, Moon-Chan;Chung, Hyun-Tai;Suh, Tae-Su
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2005.04a
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    • pp.47-50
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    • 2005
  • The aim of radiosurgery cures a patient to deliver the lower dose at the normal organ and the higher dose at the tumor. Therefore accuracy of the dose is required to gain effect of radiosurgery in surgical planning. In this paper, we developed the methods of target approximation for a fast treatment planning. Nominally, the stereotactic radiosurgery(SRS) using Linac and Gamma knife produces spherical dose distribution through circular collimators using multiple arcs and 201 holes on semi-spherical helmet by $^{60}Co$. We developed an automatic radiosurgical plan about spherical packing arrangement. To automatically plan the SRS, new planning methods based on cylinder and cube structure for target shaping was developed. This approach using heuristic and stochastic algorithm is a useful radiosurgical plan without restrictions in the various tumor shapes and the different modalities.

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Application of PERT/CPM in dental practice (PERT/CPM의 치과임상에의 적용)

  • Kim, Bo-Kuk;Kim, Jae-Hyun;Dong, Jin-Keun
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.3
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    • pp.186-194
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    • 2014
  • Purpose: Process management is the activity which manages all procedure of construction by representing visually interrelation of operation or sequence setting. The purpose of this study was for reducing treatment period and higher efficiency of treatment through application of PERT/CPM (Program Evaluation & Review Technique/Critical Path Method) in dental clinic. Materials and methods: The patients were selected for study who needed more than 2 departments' cooperation for prosthodontic treatment in Wonkwang Dental University Hospital. Control group is composed of the patient's whole treatment plan, treatment period, numbers of hospital visit, treatment costs, treatment results. On the other hand, experiment group contains the patient's virtual treatment data based on PERT/CPM technique. We applied PERT/CPM in operation analysis. Results: Treatment period, numbers of hospital visit was decreased as 18.1% and 15.3% when we applied operation analysis based on charts. Also treatment cost in experiment group was 0.9% economized compared with control group's treatment cost. Conclusion: Application of PERT/CPM in dental clinic can achieve reliable treatment and reduced treatment period and establish plan of minimum treatment cost.

A study on Dose of the Junction in Radiotherapy of Breast Cancer including SCL. (쇄골상부림프절을 포함한 유방암 방사선 치료 시 접합부 선량에 관한 고찰)

  • Jung, Woo Hyun;Hong, Joo Wan;Won, Hui Su;Chang, Nam Jun;Choi, Byeong Don
    • The Journal of Korean Society for Radiation Therapy
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    • v.29 no.2
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    • pp.93-100
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    • 2017
  • Purpose: A purpose of this study was to compare dose of junction between breast and SCL fields in radiation therapy by MLC located at the junction. Materials and Methods: With 6 MV of 21EX-S equipped with 120-leaf Millennium MLC, treatment plans were designed with 30 patients who underwent radiation therapy using TFT. Plan 1 where the MLC was all used at the junction. In plan 2 and plan 3, MCLs were retracted 5 mm from breast and SCL, respectively. Plan 4 with all of MLC retracted at the junction were designed. In all of the plans, collimator angle for SCL field was divided into $0^{\circ}$ and $270^{\circ}$. To verify junction dose, the dose at 3cm depth of junction was compared with average value by MapCHECK. Results: In case of the SCL field with $0^{\circ}$ collimator angle, average value of D3cm was 4131.1, 4215.9, 4351.4, and 4423.0 cGy. In case of the SCL field with $270^{\circ}$ collimator angle, average value of D3cm was 4044.3, 4246.7, 4291.1, and 4441.2 cGy. In plan1 and 3, change in average dose depending on collimator angle was changed more significantly than paln2 and 4. Dose measured at 3cm depth of junction was similar to treatment plan. Conclusion: In radiation therapy plan for breast cancer with SCL, retracting MLCs from junction between breast and SCL fields will lead to decrease effect of dose of the junction.

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Evaluation of the possibility of clinical application by surface dose measurement of ViewRay in MFW treatment (MFW 치료 시 ViewRay의 표면선량 측정에 따른 임상 적용 가능성 평가)

  • Sun, Geo Jun;Son, Sang Jun;Lee, Yang Hoon;Lee, Je Hee
    • The Journal of Korean Society for Radiation Therapy
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    • v.30 no.1_2
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    • pp.169-176
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    • 2018
  • Purpose : The purpose of this study is to evaluate clinical applicability of Co-60 ViewRay treatment plan to increase the skin dose in case of high skin dose is required such as Malignant Fungating Wound By measuring the presence / absence of Bolus application and skin dose by the treatment device and comparing it Materials and Methods : Nine inner measuring points of 2.5 cm lattice arrangement and all 13 measuring points including upper and lower left and right measuring points touching the chest and skin were marked. After CT was taken, each treatment plan was formulated through Eclipse and ViewRay-TPS, and a Fixed beam-IMRT treatment plan was formulated so that the left chest V2Gy=95 % is delivered. Before measurement QED detector was calibrated and the QED detector was positioned at the 13 measurement points displayed on Phantom and surface dose of each treatment planner was measured using 5 mm Bolus application using True-beam and View-ray before and after, measure three times and compare each before applying 5 mm Bolus. Results : The surface dose of the Co-60 ViewRay and the linear accelerator appeared at $76.8%{\pm}5.2%$ vs. $67.3{\pm}%7.5%$ and the surface dose after application of 5 mm Bolus was $87.6%{\pm}8.9%$ vs. $80.3%{\pm}10.2%$ It was measured at 10.2 % (p<0.001). Conclusion : As a result of the surface dose measurement of each treatment instrument, Co-60 ViewRay confirmed that the surface dose reached 95.6 % of 6 MV Linac with conventional 5 mm bolus, despite not using Bolus (p<0.001). Also, by utilizing magnetic resonance images for each treatment, it is possible to observe the change in the treatment site without the problem of exposure, it is easy to formulate an adaptive treatment plan and it is easy to secure the skin dose, so the size In the case of Malignant Fungating Wound patients who need fast skin changes and need high skin doses, Co-60 ViewRay is considered to be more useful than linear accelerators.

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The likelihood ratio test for detecting the best treatment among several exponential populations (지수분표에 있어서 최우수 처리의 판별을 위한 우도비 검정)

  • 황형태
    • The Korean Journal of Applied Statistics
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    • v.8 no.1
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    • pp.151-157
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    • 1995
  • The method for detecting the best treatment is considered by means of hypothesis testing in the exponential case. The likelihood ratio test for a given hypothesis is derived to control the error probability, and the minimum powers in the interested regions are calculated to design the sampling plan.

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하수처리에 관한 금후의 방향

  • Il, Bon-Myeong
    • Journal of the Korean Professional Engineers Association
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    • v.15 no.2
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    • pp.43-44
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    • 1982
  • What I would like to expect about this mater is that Korea would develop unique techniques of the waste water which are most suitable to social and other relevant conditions of that country, not entirely following models of sewerage construction of U.S.A. or European countries or Japan. Some cements will be made in the followings: (1) The investigation for the diffusion of seperated simple public sewerag, not the large scale sewerage treatment plant. (2) The plan for non-mixed treatment of lining waste water and industrial waste water. (3) Suggestion for "a man of ability" at the university education to cultivate a technologist of facilities and the elemental watchman at the sewerage maintenance.

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The Management Planning of Pollutant Loading Allocation in the Kumho River Basin (금호강 유역의 오염총량 관리 대책 수립)

  • 황병기;정효준
    • Journal of Environmental Science International
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    • v.11 no.10
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    • pp.1125-1131
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    • 2002
  • This study was performed to plan pollutant loading allocation by sub-watershed at Kumho river basin located in the north Kyeongsang province. HEC-geoHMS which is extension program of ArcView was used to extract sub-watershed. To simulate water quality, Qua12eu model was calibrated and validated. BOD was simulated under several scenarios to evaluate reduction effects of pollutant loading. Uniform treatment and transfer matrix method was considered. Effects of headwater flow rate and efficiency waste water treatment plant were also considered.

Application of Virtual Reality in the Medical Field (가상현실(VR)의 의료분야 적용 동향)

  • Chun, H.S.
    • Electronics and Telecommunications Trends
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    • v.34 no.2
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    • pp.19-28
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    • 2019
  • In recent years, medical and health care fields have attracted attention for virtual reality (VR) applications. VR technology is emerging as a healthcare specialist and psychotherapy alternative to cope with the increase in the demand for the treatment of conditions such as psychological diseases caused by old age and stress. Using VR, virtual patients or organs can be trained, and the medical staff can plan and pre-test before surgeries. The use of VR technology for psychotherapy and rehabilitation of one-to-one, face-to-face treatment allows a single physician to respond to multiple health care needs.

Introduction of the Basin Sewerage Plan in Japan through Case Studies of the Lake Biwa Sewerage System (비와호 유역하수도 사례분석을 통한 일본 유역하수도계획의 소개)

  • Han, Mideok;Park, Bae Kyung;Park, Ji Hyoung;Kim, Yong Seok;Rhew, Doug Hee
    • Journal of Korean Society of Environmental Engineers
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    • v.37 no.9
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    • pp.533-541
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    • 2015
  • We investigate the Japan's Master Plan of Comprehensive Sewerage System (JMPS) and Lake Biwa basin sewerage and suggest future development direction of the Watershed Sewerage System Maintenance Plan in Korea enforced on February 2, 2013. The JMPS is designed for compliance with the environmental standard for water quality under the Environmental Policy Act. The effluent standards applied in the master plan of Lake Biwa's Sewerage Plan for the Lake Biwa is tougher than the national standards. Therefore the Lake Biwa Baisn Sewerage System was the first in Japan to adopt facilities that perform advanced treatment for nitrogen and phosphorus removal. BOD, SS, T-N and T-P concentrations of discharge water of sewage are 0.9, 0.6, 5.5, 0.06 mg/L, respectively. Especially removal efficiency for BOD is 99.5 percent. It is necessary to study the diversification of the evaluation criteria, cost minimization approach, subsidy system improvement, economic concept of discharge load adjustment system and establishment of basin sewerage concept for the development of the basin sewerage plan in Korea.

Evaluation of Usefulness on In-vivo Diode Dosimetry for Measuring the Tumor Dose of Oral Cancer Patient (구강암 환자의 종양 선량 측정을 위한 In-vivo Diode Dosimetry의 유용성 평가)

  • Na Kyung-Su;Lee Je-Hee;Park Heung-Deuk
    • The Journal of Korean Society for Radiation Therapy
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    • v.17 no.2
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    • pp.133-140
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    • 2005
  • Purpose : This test is designed to identify the validity of treatment plan by implementing real-time dosimetry by means of dose that is absorbed into PTV and OAR when preparing doses of 3D and POP plans. Materials and Methods : In treatment. error can be calculated be comparing Exp. Dose with the actual dose, which has been converted from 'the reading value obtained by placing diode detector on the area to be measured'. Same test can be repeated using Alderson-Rando phantom. Results : Errors were found: A patient(POP plan): 197.6/199=-1.2%, B patient(3D-plan): 199.9/198.7=+0.6%, C patient: 196/200=-1.5%. In addition, considering the resulted value of measuring OAR besides target-dose for C patient showed 96/200, representing does of 47%, the purpose of protection was judged to be duly accomplished. Also it was acknowledged the resulted value of -3.7% met the targeted dose within the range of ${\pm}5%$. Conclusion : Aimed for identifying the usefulness of pre-treatment dose measurement using diode detector, this test was useful to evaluate the validity of curing because it resulted in the identification of category to be protected as well as t dose. Moreover, it is thought to have great advantage in ascertaining the dose of target, dose of which is not calculated yet. Similar to L-gram before treatment, this test is thought to be very effective so that it can bring great advantages in the aspects such as validity of curing method and post-treatment plan as well.

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