• Proceedings of the KOR-BRONCHOESO Conference
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• 1993.05a
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• pp.94-94
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• 1993

Squamous cell carcinoma of the oral tongue was reviewed retrospectively for the evaluation of clinical features and for the comparison between treatment modalities. Medical records of 112 patients who underwent treatment between 1916 and 1989 at Yonsei University Severance Hospital were reviewed.22 eases were excluded from this study due to incomplete treatment. Minimum follow up period was 36 months and median follow up was 41 months(range 1 to 135 months). The most common site of the tumor was lateral border of the tongue. 45.6% of the patients showed nodal metastasis. The 5-year survival rate of the patients with stage I, II was 78.8%, and those with III, IV was 20.7%. Over all 5-year survival rate was 58.5% . Survival rate of the patients treated with radiation was 19.7% in contrast to 55.7%, 66.2% in surgery plus radiation and surgery alone. The most common sites of failures were the primary site. Reducing the rate of local recurrence and more radical therapy is desired to improve the survival of this cancer.

• Journal of the Computational Structural Engineering Institute of Korea
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• v.27 no.1
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• pp.17-26
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• 2014

This paper presents a dynamic crack propagation algorithm based on the Moving Least Squares(MLS) difference method. The derivative approximation for the MLS difference method is derived by Taylor expansion and moving least squares procedure. The method can analyze dynamic crack problems using only node model, which is completely free from the constraint of grid or mesh structure. The dynamic equilibrium equation is integrated by the Newmark method. When a crack propagates, the MLS difference method does not need the reconstruction of mode model at every time step, instead, partial revision of nodal arrangement near the new crack tip is carried out. A crack is modeled by the visibility criterion and dynamic energy release rate is evaluated to decide the onset of crack growth together with the corresponding growth angle. Mode I and mixed mode crack propagation problems are numerically simulated and the accuracy and stability of the proposed algorithm are successfully verified through the comparison with the analytical solutions and the Element-Free Galerkin method results.

• Journal of the Computational Structural Engineering Institute of Korea
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• v.26 no.1
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• pp.39-48
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• 2013

This paper develops a 2-D moving least squares(MLS) difference method for Stefan problem by extending the 1-D version of the conventional method. Unlike to 1-D interfacial modeling, the complex topology change in 2-D domain due to arbitrarily moving boundary is successfully modelled. The MLS derivative approximation that drives the kinetics of moving boundary is derived while the strong merit of MLS Difference Method that utilizes only nodal computation is effectively conserved. The governing equations are differentiated by an implicit scheme for achieving numerical stability and the moving boundary is updated by an explicit scheme for maximizing numerical efficiency. Numerical experiments prove that the MLS Difference Method shows very good accuracy and efficiency in solving complex 2-D Stefan problems.

• Wind and Structures
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• v.14 no.4
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• pp.301-319
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• 2011

The full-scale measurements are compared with the wind tunnel test results for the long-span roof latticed spatial structure of Shenzhen Citizen Center. A direct comparison of model testing results to full-scale measurements is always desirable, not only in validating the experimental data and methods but also in providing better understanding of the physics such as Reynolds numbers and scale effects. Since the quantity and location of full-scale measurements points are different from those of the wind tunnel tests taps, the weighted proper orthogonal decomposition technique is applied to the wind pressure data obtained from the wind tunnel tests to generate a time history of wind load vector, then loads acted on all the internal nodes are obtained by interpolation technique. The nodal mean wind pressure coefficients, root-mean-square of wind pressure coefficients and wind pressure power spectrum are also calculated. The time and frequency domain characteristics of full-scale measurements wind load are analyzed based on filtered data-acquisitions. In the analysis, special attention is paid to the distributions of the mean wind pressure coefficients of center part of Shenzhen Citizen Center long-span roof spatial latticed structure. Furthermore, a brief discussion about difference between the wind pressure power spectrum from the wind tunnel experiments and that from the full-scale in-site measurements is compared. The result is important fundament of wind-induced dynamic response of long-span spatial latticed structures.

• Nuclear Engineering and Technology
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• v.53 no.1
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• pp.44-60
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• 2021

In this paper, we validate the decay heat calculation capability via a two-step method to analyze spent nuclear fuel (SNF) discharged from pressurized water reactors (PWRs). The calculation method is implemented with a lattice code STREAM and a nodal diffusion code RAST-K. One of the features of this method is the direct consideration of three-dimensional (3D) core simulation conditions with the advantage of a short simulation time. Other features include the prediction of the isotope inventory by Lagrange non-linear interpolation and the use of power history correction factors. The validation is performed with 58 decay heat measurements of 48 fuel assemblies (FAs) discharged from five PWRs operated in Sweden and the United States. These realistic benchmarks cover the discharge burnup range up to 51 GWd/MTU, 23.2 years of cooling time, and spanning an initial uranium enrichment range of 2.100-4.005 wt percent. The SNF analysis capability of STREAM is also employed in the code-to-code comparison. Compared to the measurements, the validation results of the FA calculation with RAST-K are within ±4%, and the pin-wise results are within ±4.3%. This paper successfully demonstrates that the developed decay heat calculation method can perform SNF back-end cycle analyses.

• Journal of Gynecologic Oncology
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• v.29 no.6
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• pp.97.1-97.12
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• 2018

Objective: Women with cervical cancer (CC) found to have positive surgical margins, positive lymph nodes, and/or parametrial invasion receive a survival benefit from postoperative chemoradiotherapy (CRT) vs. radiation therapy (RT) alone. However, older women may not benefit to the same extent, as they are at increased risk of death from non-oncologic causes as well as toxicities from oncologic treatments. This study sought to evaluate whether there was a survival benefit of CRT over RT in elderly patients with cervical cancer. Methods: The National Cancer Database was queried for patients ${\geq}70$ years old with newly diagnosed IA2, IB, or IIA CC and positive margins, parametrial invasion, and/or positive nodes on surgical resection. Statistics included logistic regression, Kaplan-Meier overall survival (OS), and Cox proportional hazards modeling analyses. Results: Altogether, 166 patients met inclusion criteria; 62 (37%) underwent postoperative RT and 104 (63%) underwent postoperative CRT. Younger patients and those living in areas of higher income were less likely to receive CRT, while parametrial invasion and nodal involvement were associated with an increased likelihood (p<0.05 for all). There were no OS differences by treatment type. Subgroup analysis by number of risk factors, as well as each of the 3 risk factors separately, also did not reveal any OS differences between cohorts. Conclusion: In the largest such study to date, older women with postoperative risk factor(s) receiving RT alone experienced similar survival as those undergoing CRT. Although causation is not implied, careful patient selection is paramount to balance treatment-related toxicity risks with theoretical outcome benefits.

• Journal of Astronomy and Space Sciences
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• v.38 no.4
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• pp.217-227
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• 2021

In this study, we describe an analytical process for designing a low Earth orbit constellation for discontinuous regional coverage, to be used for a surveillance and reconnaissance space mission. The objective of this study was to configure a satellite constellation that targeted multiple areas near the Korean Peninsula. The constellation design forms part of a discontinuous regional coverage problem with a minimum revisit time. We first introduced an optimal inclination search algorithm to calculate the orbital inclination that maximizes the geometrical coverage of single or multiple ground targets. The common ground track (CGT) constellation pattern with a repeating period of one nodal day was then used to construct the rest of the orbital elements of the constellation. Combining these results, we present an analytical design process that users can directly apply to their own situation. For Seoul, for example, 39.0° was determined as the optimal orbital inclination, and the maximum and average revisit times were 58.1 min and 27.9 min for a 20-satellite constellation, and 42.5 min and 19.7 min for a 30-satellite CGT constellation, respectively. This study also compares the revisit times of the proposed method with those of a traditional Walker-Delta constellation under three inclination conditions: optimal inclination, restricted inclination by launch trajectories from the Korean Peninsula, and inclination for the sun-synchronous orbit. A comparison showed that the CGT constellation had the shortest revisit times with a non-optimal inclination condition. The results of this analysis can serve as a reference for determining the appropriate constellation pattern for a given inclination condition.

• Journal of Gastric Cancer
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• v.22 no.1
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• pp.24-34
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• 2022

Purpose: Total gastrectomy (TG) with lymph node (LN) dissection is recommended for early gastric cancer (EGC) but is not indicated for endoscopic resection (ER). We aimed to identify patients who could avoid TG by establishing a scoring system for predicting lymph node metastasis (LNM) in proximal EGCs. Materials and Methods: Between January 2003 and December 2017, a total of 1,025 proximal EGC patients who underwent TG with LN dissection were enrolled. Patients who met the absolute ER criteria based on pathological examination were excluded. The pathological risk factors for LNM were determined using univariate and multivariate logistic regression analyses. A scoring system for predicting LNM was developed and applied to the validation group. Results: Of the 1,025 cases, 100 (9.8%) showed positive LNM. Multivariate analysis confirmed the following independent risk factors for LNM: tumor size >2 cm, submucosal invasion, lymphovascular invasion (LVI), and perineural invasion (PNI). A scoring system was created using the four aforementioned variables, and the areas under the receiver operating characteristic curves in both the training (0.85) and validation (0.84) groups indicated excellent discrimination. The probability of LNM in mucosal cancers without LVI or PNI, regardless of size, was <2.9%. Conclusions: Our scoring system involving four variables can predict the probability of LNM in proximal EGC and might be helpful in determining additional treatment plans after ER, functioning as a good indicator of the adequacy of treatments other than TG in high surgical risk patients.

• Journal of Chest Surgery
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• v.55 no.2
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• pp.101-107
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• 2022

Background: Spread through air spaces (STAS) has recently emerged as a prognostic factor in lung adenocarcinoma, but little is known about the association of STAS and its grade with recurrence in neuroendocrine tumors (NETs). This study investigated the prognostic effect of STAS grade in NETs after curative resection. Methods: Seventy-seven patients were retrospectively reviewed, including 9 with typical carcinoid (TC), 6 with atypical carcinoid (AC), 26 with large cell neuroendocrine carcinoma (LCNEC), and 36 with small cell carcinoma (SCC). STAS was defined as the presence of floating tumor cells within air spaces in the lung parenchyma beyond the edge of the main tumor. STAS was classified as grade 1 or 2 depending on whether it was found within or beyond one ×10 objective lens field away from the main tumor margin, respectively. Results: Fifty-four patients (70%) had STAS, including 22% with TC, 50% with AC, 69% with LCNEC, and 86% with SCC. Patients with STAS had more nodal metastasis, lymphatic and vascular invasion, tumor necrosis, and tumor subtypes other than TC. Among STAS cases, grade 2 STAS was present in 33% of AC, 78% of LCNEC, and 87% of SCC. The 5-year recurrence-free survival (RFS) rate was 81%, 63%, and 35% in patients with no STAS, grade 1, and grade 2 STAS, respectively. Multivariate analysis found that grade 2 STAS was an independent negative prognostic factor for RFS. Conclusion: Although STAS itself was not associated with a poor prognosis, grade 2 STAS was an independent negative prognostic factor for RFS.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.48 no.4
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• pp.192-200
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• 2022

Objectives: This study aimed to analyze the treatment outcomes and to evaluate the clinicopathological prognostic factors of oral tongue cancer. Patients and Methods: We retrospectively analyzed treatment results and prognostic factors in 205 patients with oral tongue squamous cell carcinoma who were admitted to the National Cancer Center, South Korea, between January 2001 and December 2020. The patients were treated with surgery and postoperative, definitive radiotherapy (RT) or chemoradiotherapy (CRT). Results: Eighteen patients (8.8%) were treated with curative RT or CRT, while the rest (91.2%) were treated with surgery with or without postoperative RT or CRT. The median follow-up period was 30 months (range, 0-234 months). The 5-year overall survival (OS) and 5-year disease-free survival (DFS) were 72% and 63%, respectively. Multivariate analysis revealed that a positive neck nodal status (N1, N2-3) was significantly associated with poorer 5-year OS and DFS, while perineural invasion was associated with poorer 5-year DFS. Conclusion: Cervical metastasis and perineural invasion are significant prognostic predictors, and combination treatments are necessary for improving OS and DFS in patients with these factors.