• Title/Summary/Keyword: therapeutic radiology

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The Relative Biological Effectiveness of KCCH-Cyclotron neutron (원자력병원(原子力病院) 싸이클로트론 속중성자선(速中性子線)의 방사선생물학적효과비(RBE)에 관(關)한 연구(硏究))

  • Yoo, Seong-Yul;Koh, Kyoung-Hwan;Cho, Chul-Koo;Kim, Sung-Ho
    • Journal of Radiation Protection and Research
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    • v.12 no.2
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    • pp.1-8
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    • 1987
  • The relative biological effectiveness has been measured for the biological characterization of $p^+(50.5\;MeV)$ Be neutron of KCCH-Cyclotron prior to clinical application. Measured RBE of mouse jejunal crypt cell in single whole body irradiation was 2.8. This RBE value is changed differently in different biologic systems such as mouse jejunal crypt cells, intestine and bone marrow in different irradiation method, so that in fractionated irradiation RBE is variable to the different fraction size and total dose, and also variable to the number of fractions.

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The Effect of Neutron Therapy on Head and Neck Cancer (두경부암(頭頸部癌)에서 중성자선(中性子線) 치료(治療)의 효과(?果))

  • Yoo Seong-Yul;Koh Kyoung-Hwan;Cho Chul-Ku
    • Korean Journal of Head & Neck Oncology
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    • v.5 no.1
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    • pp.31-38
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    • 1989
  • The result of neutron therapy on head and neck cancer using KCCH -Cyclotron neutron which had been using from October 1986 to September 1989 in the Korea Cancer Center Hospital. Among the total of 27 patients the cases of malignant salivary gland tumor were 14 and the cases of advanced head and neck cancer of AJCC stage IV were 13. The local control rate was 80% in malignant salivary gland tumor and 46.2% in advanced head and neck cancer. The 2 year survival rate was 60% in malignant salivary gland tumor and 38.5% in advanced head and neck cancer. Although there was no significant difference in prognosis according to the pathologic types, squamous cell carcinoma revealed a pattern of poor prognosis. The major complication from the neutron therapy had developed 7.1% in malignant salivary gland tumor and 23.1% in advanced head and neck cancer. In conclusion, neutron therapy is superior in the treatment of malignant salivary gland tumor and also effective in the treatment of advanced head and neck cancer when it can avoid to treat some site of low tolerance.

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Multiple Pyogenic Abscess of the Hybrid Mice on the Course of Radiation Experiment - Case Report - (한국산 잡종쥐의 방사선 조사실험중에 발생한 다발성 농양 1예 보고)

  • Lee, Sung-Heon;Shin, Sei-One;Kim, Myung-Se;Choi, Won-Hee;Kim, Seung-Hoon
    • Radiation Oncology Journal
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    • v.3 no.2
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    • pp.175-178
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    • 1985
  • Even though the mechanism and the nature of radiation induced pneumonitis, esophagitis and gastroenteritis were detailed by many authors, complicated secondary infection is still serious problem, sometimes fatal, even today. We experience a case of multiple pyogenic abscess in subcutaneous tissue of the back and both kidneys which could not differenciate from multiple metastatic sarcoma grossly, and report with review of literatures, lab findings.

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Radiation Therapy of Primary Carcinoma of the Vagina (원발성 질암의 방사선치료)

  • Huh, Seung-Jae;Shin, Kyung-Hwan;Ahn, Yong-Chan;Ha, Sung-Whan;Park, Charn-Il
    • Radiation Oncology Journal
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    • v.13 no.1
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    • pp.63-67
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    • 1995
  • A retrospective study was carried out of 20 patients with histologically proven invasive carcinoma of the vagina from 1979 to 1993; 17 cases with curative primary radiotherapy and three cases with postoperative radiotherapy. The five and ten year overall survival rates were $79\%$ and $53\%$, respectively. Survival was strongly correlated with stage. Five year survival rates of stage I, stage II, and stage III, IV were $100\%$, $78\%$, and $0\%$, respectively. Eight patients experienced recurrences: five within the irradiated volume, two distant metastasis, and one combined both local and distant metastasis. There was no significant late complication. From these data, radiation is effective in the management of the vaginal cancer patients and optimum treatment modality and total dose recommendation are made.

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Radiotherapy Results of Malignant Astrocytoma and Glioblastoma Multiforme (악성 성상세포종과 교아세포종의 방사선 치료성적)

  • Choi, Doo-Ho;Lee, Hae-Kyung;Hong, Seong-Eon
    • Radiation Oncology Journal
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    • v.10 no.2
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    • pp.163-169
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    • 1992
  • A retrospective analysis was performed on 53 patients with brain malignant astrocytoma and glioblastoma multiforme treated with surgical resection and postoperative radiotherapy in the period between January 1980 and June 1991. There were 13 patients with malignant astrocytoma, 40 patients with glioblastoma multiforme. Survival rates were analyzed according to histologic grade, age, performance status, extent of surgical resection, tumor location, symptom duration, total radiation dose and addition of chemo­therapy after radiation therapy. 5 year actuarial survival rate for malignant astrocytoma was $29.4\%$, for glioblastoma multiforme was $2.8\%$. Histologic grade, age, performance status, total radiation dose were statistitically significant prognostic factors.

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Radiotherapy Results of Brain Astrocytoma and Glioblastoma Multiforme (성상세포종과 교아세포종의 방사선치료성적)

  • Choi Doo Ho;Kim Il Han;Ha Sung Hwan;Chi Je Geun
    • Radiation Oncology Journal
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    • v.6 no.2
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    • pp.163-168
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    • 1988
  • A retrospective analysis was performed on 49 patients with astrocytoma or gliobiastoma multiforme of brain who received postoperative radiotherapy in the period between February 1979 and December 1985 Fourteen patients had grade 1 astrocytoma, 11 patients grade II, 14 patients grade III, and 10 patients glioblastoma multiforme. Three year actuarial survival rates were $85.7\%,\;44.0\%\;and\;23.1\%$ for grade I, II, and III astrocytomas, respectively. One and 2 year actuarial survival rates for patients with glioblastoma multiforme were $54.5\%\;and\;27.3\%$, respectively. Histologic grade, age, extent of operation and tumor location were revealed to be prognosticators.

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Sequential Combination Chemotherapy and Radiotherapy of an Isolated Non-Hodgkin's Lymphoma of the Larynx - Report of A Case - (병합 항암 요법 및 방사선 치료를 이용한 원발성 후두 림프종 치험 1례보고)

  • Shin, Sei-One;Kim, Myung-Se;Kim, Sung-Kyu;Shim, Young-Ran
    • Journal of Yeungnam Medical Science
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    • v.14 no.2
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    • pp.443-450
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    • 1997
  • 전신적인 침범없이 후두에만 국한되는 악성 림프종은 매우 드믄 예로서 일반적으로 두경부에만 국한된 방사선 치료로 근치 가능하다. 그러나 때때로 급성 호흡 곤란을 초래하여 응급 기관 절개와 복합 항암제를 투여해야 되는 경우를 간혹 경험하게 된다. 본 증례는 수 개월간 지속되어온 애성과 최근에 갑자기 심해진 호흡 곤란으로 급성 후두염이란 임상 진단명으로 보존적인 치료를 하였으나 증상이 호전되지 않아서 후두조직 검사 결과에서 비 호즈킨 림프종으로 확진되어 6회의 복합 항암제를 투여한 다음 남아있는 병변에 대한 45 Gy의 외부 방사선 치료후 촬영한 전산화 단층 촬영에서 완전 관해를 보였으며 진단후 10개월이 지난 현재 무병 상태를 보이는 환자를 경험하였기에 간단한 문헌 고찰과 함께 보고한다.

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30 Years of Radiotherapy Service in Southern Thailand: Workload vs Resources

  • Phungrassami, Temsak;Funsian, Amporn;Sriplung, Hutcha
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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    • pp.7743-7748
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    • 2013
  • Background: To study the pattern of patient load, personnel and equipment resources from 30-years experience in Southern Thailand. Materials and Methods: This retrospective study collected secondary data from the Division of Therapeutic Radiology and Oncology and the Songklanagarind Hospital Tumor Registry database, Faculty of Medicine, Prince of Songkla University, during the period of 1982-2012. Results: The number of new patients who had radiation treatment gradually increased from 121 in 1982 to 2,178 in 2011. Shortages of all kinds of personnel were demonstrated as compared to the recommendations, especially in radiotherapy technicians. In 2011, Southern Thailand, with two radiotherapy centers, had 0.44 megavoltage radiotherapy machines (cobalt or linear accelerator) per million of population. This number is suboptimal, but could be managed cost-effectively by prolonging machine operating times during personnel shortages. Conclusions: This study identified a discrepancy between workload and resources in one medical school radiotherapy center in Southern Thailand. This information is crucial for future strategic planning both regionally and nationally.

Compositional Qualification of Radiation Protection in Neutron Radiotherapy Room with KCCH Cyclotron (원자력병원(原子力病院) 싸이클로트론 중성자선(中性子線) 치료실(治療室)의 방사선(放射線) 방어(防禦)에 관한 총합적(總合的) 평가(評價))

  • Yoo, Seong-Yul;Cho, Chul-Koo;Koh, Kyoung-Hwan
    • Journal of Radiation Protection and Research
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    • v.14 no.2
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    • pp.45-50
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    • 1989
  • Radiation exposure of the personnel in the neutron therapy facility of KCCH cyclotron neutron system is discussed. In neutron therapy room, medical personnel is exposed to photons of the remanent induced radioactivity from the isocentric gantry in which targets and collimators are mounted. The radiation level of the neutron therapy room of KCCH cyclotron was acceptable and it decreased immediately after beam off. Personal exposure measured by individual monitor was far less than permissible level.

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Homogeneous Dose Planning to Paranasal Sinus with the Partial Attenuation filters and Wedged Beams in 6 MV Photon Beam (6 MV 광자선의 투과성필터와 Wedge 선속을 이용한 부비강의 균등선량계획)

  • Choi, Tae-Jin;Lee, Ho-Joon;Kim, Ok-Bae
    • Radiation Oncology Journal
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    • v.11 no.1
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    • pp.183-191
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    • 1993
  • The homogeneous dose planning is one of the most important roles in radiation therapy. But, it is not easy to obtain a homogeneous dose to paranasal sinus region including the ethmoidal sinus with conventional irradiation techniques. In this experimental study, the authors tried to get a homogeneous dose at PNS region, but the nasal cartirage does not exceed the tolerance dose, with anterior-posterior beam and two both lateral wedged beams. Used three fields were shielded with full thickness of blocks to preserve the eye-balls and with blocks of one half value layer to create a homogeneous dose at the whole treatment volume. The dose computations are based on the three dimensonal structure with modified scatter contributions of partial shielders and attenuated beams in 6 MV photon beams. The dose distributions of mid-plane is examined with Kodak verification films and teflon-embedded TLD rod (1 mm diameter and 6 mm length) to confirm the computed dose. In our study, the whole PNS regions have shown within $85{\%}$ of the resultant isodose curves with relatively homogeneous dose distribution. The results of dose computation and measurements are agree well within $5{\%}$ uncertainties.

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