• Title/Summary/Keyword: left thigh

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Image-Based Assessment and Clinical Significance of Absorbed Radiation Dose to Tumor in Repeated High-Dose $^{131}I$ Anti-CD20 Monoclonal Antibody (Rituximab) Radioimmunotherapy for Non-Hodgkin's Lymphoma (반복적인 $^{131}I$ rituximab 방사면역치료를 시행 받은 비호지킨 림프종 환자 군에서 종양 부위의 영상기반 방사선 흡수선량 평가와 임상적 의의)

  • Byun, Byung-Hyun;Kim, Kyeong-Min;Woo, Sang-Keun;Choi, Tae-Hyun;Kang, Hye-Jin;Oh, Dong-Hyun;Kim, Byeong-Il;Cheon, Gi-Jeong;Choi, Chang-Woon;Lim, Sang-Moo
    • Nuclear Medicine and Molecular Imaging
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    • v.43 no.1
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    • pp.60-71
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    • 2009
  • Purpose: We assessed the absorbed dose to the tumor ($Dose_{tumor}$) by using pretreatment FDG-PET and whole-body (WB) planar images in repeated radioimmunotherapy (RIT) with $^{131}I$ rituximab for NHL. Materials and Methods: Patients with NHL (n=4) were administered a therapeutic dose of $^{131}I$ rituximab. Serial WB planar images alter RIT were acquired and overlaid to the coronal maximum intensity projection (MIP) PET image before RIT. On registered MIP PET and WB planar images, 2D-ROls were drawn on the region of tumor (n=7) and left medial thigh as background, and $Dose_{tumor}$ was calculated. The correlation between $Dose_{tumor}$ and the CT-based tumor volume change alter RIT was analyzed. The differences of $Dose_{tumor}$ and the tumor volume change according to the number of RIT were also assessed. Results: The values of absorbed dose were $397.7{\pm}646.2cGy$ ($53.0{\sim}2853.0cGy$). The values of CT-based tumor volume were $11.3{\pm}9.1\;cc$ ($2.9{\sim}34.2cc$), and the % changes of tumor volume before and alter RIT were $-29.8{\pm}44.3%$ ($-100.0%{\sim}+42.5%$), respectively. $Dose_{tumor}$ and the tumor volume change did not show the linear relationship (p>0.05). $Dose_{tumor}$ and the tumor volume change did not correlate with the number of repeated administration (p>0.05). Conclusion: We could determine the position and contour of viable tumor by MIP PET image. And, registration of PET and gamma camera images was possible to estimate the quantitative values of absorbed dose to tumor.

Development of Immobilization Devices for Patients with Pelvic Malignancies and a Feasibility Evaluation during Radiotherapy (골반부 암 환자를 위한 고정기구 개발 및 방사선치료 시 효용성 평가)

  • Park, Jong-Min;Park, Yang-Kyun;Cho, Woong;Park, Charn-Il;Ha, Sung-Whan
    • Radiation Oncology Journal
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    • v.25 no.2
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    • pp.134-144
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    • 2007
  • [ $\underline{Purpose}$ ]: Immobilization devices that improve the setup reproducibility of pelvic cancer patients and that provide comfort to patients during radiotherapy were designed and the feasibility of the devices was evaluated. $\underline{Materials\;and\;Methods}$: A customized device was designed to immobilize a knee, thigh, and foot of a patient. Sixty-one patients with prostate cancer were selected and were divided into two groups-with or without devices. The setup errors were measured with respect to bony landmarks. The difference between digitally reconstructed radiographs (DRR) and simulation films, and the differences between DRR and portal films were measured. $\underline{Results}$: The left-right (LR), anterior-posterior (AP) and craniocaudal (CC) errors between the DRR and simulation films were $1.5{\pm}0.9\;mm$, $3.0{\pm}3.6\;mm$, and $1.6{\pm}0.9\;mm$, respectively without devices. The errors were reduced to $1.3{\pm}1.9\;mm$, $1.8{\pm}1.5\;mm$ and $1.1{\pm}1.1\;mm$, respectively with the devices. The errors between DRR and portal films were $1.6{\pm}1.2\;mm$, $4.0{\pm}4.1\;mm$, and $4.2{\pm}5.5\;mm$, respectively without the devices and were reduced to $1.0{\pm}1.8\;mm$, $1.2{\pm}0.9\;mm$, and $1.2{\pm}0.8\;mm$, respectively, with the devices. The standard deviations among the portal films were 1.1 mm, 2.1 mm, and 1.0 mm at each axis without the devices and 0.9 mm, 1.6 mm and 0.8 mm with the devices. The percentage of setup errors larger than 3 mm and 5 mm were significantly reduced by use of the immobilization devices. $\underline{Conclusion}$: The designed devices improved the setup reproducibility for all three directions and significantly reduced critical setup errors.

Effect of Dietary Metabolizable Energy and Crude Protein Concentrations on Growth Performance and Carcass Characteristics of Korean Native Ducks (사료의 에너지 및 조단백질 함량이 토종오리의 성장과 도체 특성에 미치는 영향)

  • Kim, Hong-Rae;Kwon, Hyung-Joo;Oh, Sung-Taek;Yun, Jeong-Geun;Choi, Young-In;Choo, Yun-Kyung;Kang, Bo-Seok;Kim, Hak-Kyu;Hong, Eui-Chul;Kang, Chang-Won;An, Byoung-Ki
    • Korean Journal of Poultry Science
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    • v.39 no.3
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    • pp.167-175
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    • 2012
  • This study was undertaken to assess dietary CP and ME concentrations for optimum growth performance and carcass characteristics of Korean Native male ducks. In a $3{\times}3$ factorial arrangement, 1-d-old Korean Native male ducks were completely randomized design to experimental diets with 3,000, 2,900, and 2,800 kcal of ME/kg of diet; each contained 23, 22, and 21% CP, respectively, from 0 to 3 wk of age. From 4 to 8 wk of age, experimental diets had 3,100, 3,000, and 2,900 kcal of ME/kg of diet, and each contained 19, 18, and 17% CP, respectively. Each dietary treatment was replicated 4 times, and feed and water were provided ad libitum. Body weight, feed intake and uniformity were measured at 3 wk and 8 wk, and carcass characteristics were evaluated at 8 wk. As CP increased from 21 to 23 %, the body weight, BW gain and feed conversion ratios (FCR) linearly improved (P<0.01) during 0 to 3 wk of age. From 4 to 8 wk of age, the body weight, feed intake, BW gain, FCR and uniformity were not different (P>0.05). Carcass ratios of birds fed 3,000 kcal of ME/kg diets from 3 to 8 wk of age were quadratically increased significantly (P<0.01). As ME and CP increased, respectively, relative weight of liver weight per 100 g of BW was linearly decreased (P<0.01). Relative weights of left breast, thigh and drumstick weight per 100 of BW were not different (P>0.05). Also, breast meat color, pH, cooking loss and shear force were not different (P>0.05). Thus, diets with 2,800 kcal of ME/kg and 23% CP or with 2,900 kcal of ME/kg and 17% CP at 0 to 3 wk and 4 to 8 wk, respectively, were used more efficiently. However, diets with 3,000 kcal of ME/kg at 4 to 8 wk in carcass rate was quadratically increased.