• Title/Summary/Keyword: therapeutic radiology

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Radiotherapy Results of Pineal Tumors (송과선종의 방사선치료 성적)

  • Chai Kyu Young;Park Woo Yoon;Choi Doo Ho;Chung Woong Ki;Kim Il Han;Ha Sung Whan
    • Radiation Oncology Journal
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    • v.6 no.2
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    • pp.177-182
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    • 1988
  • A retrospective analysis was peformed on 23 patients with pineal region tumors treated with radiation from 1979 through 1985 at the Department of Therapeutic Radiology, Seoul National University Hospital. Histologic confirmation was done in only one case by surgical removal, and in the remaining 22 patients, the diagnosis was based on clinical and radiological findings. The radiation volume was the primary tumor site in 1 case, whole brain in 14 cases, and the whole craniospinal axis En 8 cases. The overall 5 year survival was $71.5\%$. The 5 year survival was $69.3\%$ for whole brain treated group and $73.3\%$ for craniospinal axis treated group. The survival for the two groups did not differ significantly. In two cases sites of recurrence were detected, one in supratentorial area, and the other in the lung. The results from this retrospective analysis and the review of other reports indicate that routine use of prophylactic spinal irradiation is not warranted in pineal region tumor, and the craniospinal irradiation is recommended in cases with high risk for subarachnoid seeding such as positive CSF cytology, surgical removal or biopsy.

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A Correction Method of Dose to Attenuation Rate of Transmitting Photon Beam Through Couch Top for Radiosurgery Using Novalis (노발리스를 이용한 방사선 수술시 치료테이블을 투과하는 광자선의 감쇠율에 따른 선량 보정방법)

  • Kim, Sung-Joon;Shin, Hyun-Soo;Ko, Seung-Young;Park, Hye-Li;Kim, Ja-Young;Lee, Bo-Mi;Yea, Ji-Woon;Kim, Sung-Kyu
    • Progress in Medical Physics
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    • v.22 no.1
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    • pp.12-17
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    • 2011
  • This study has its own goal to deliver the accurate dose on the target volume by calculating and modifying the attenuation rate of photon beam transmitting the couch top with geometric model. The experiment was that the transmission rate and attenuation rate of photon beam transmitting the couch top was predicted by the geometric model, then compared and analyzed with what was measured experimentally based on that. The result showed that the predicted value by the geometric model accorded closely with the experimental value. In addition, in order to judge whether the practical clinical application is available, the point dose, measured after modifying the attenuation rate modelinged according to the treatment plan of a patient of spine radiosurgery, was compared with the one done nothing. The result was that the former showed decreased error range with treatment planned one than the latter. This papers calculated the transmission and attenuation rate with the geometric model transmitting the couch top and verified it experimentally. This method is expected to be very useful in not only the radiosurgery using Novalis but also the general radiation therapy.

Transmission Dose Estimation Algorithm for Irregularly Shaped Radiation Field (부정형 방사선 조사면에 대한 투과선량 보정 알고리즘)

  • Yun Hyong Geun;Chie Eui Kyu;Huh Soon Nyung;Wu Hong Gyun;Lee Hyoung Koo;Shin Kyo Chul;Kim Siyong;Ha Sung Whan
    • Radiation Oncology Journal
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    • v.20 no.3
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    • pp.274-282
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    • 2002
  • Purpose : Measurement of transmission dose is useful for in vivo dosimetry. In this study, the algorithm for estimating the transmission dose for open radiation fields was modified for application to partially blocked radiation fields. Materials and Methods : The beam data was measured with a flat solid phantom with various blocked fields. A new correction algorithm for partially blocked radiation field was developed from the measured data. This algorithm was tested in some settings simulating clinical treatment with an irregular field shape. Results : The correction algorithm for the beam block could accurately reflect the effect of the beam block, with an error within ${\pm}1.0\%$, with both square fields and irregularly shaped fields. Conclusion : This algorithm can accurately estimate the transmission dose in most radiation treatment settings, including irregularly shaped field.

One Case of Esophageal Cancer Treated with High Dose Rate ICR (고 선량률 강내 치료기를 이용한 식도암 치험 1례)

  • Kim, Kyeung-Ae;Kim, Sung-Kyu;Shin, Sai-One;Kim, Myung-Se
    • Journal of Yeungnam Medical Science
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    • v.5 no.1
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    • pp.147-151
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    • 1988
  • Esophageal cancers are highly malignant neoplasms. Prognosis of esophageal cancer treated by external irradiation alone is rather poor because of local recurrence and distant metastasis. Recently intracavitary irradiation has been used as a boost therapy after external irradation to optain better local control. One case of esophageal cancer has been treated by high dose rate remote-controlled afterloading unit as boost therapy after external irradiation. The result was excellent in short term follow up esophagogram but esophageal bleeding and esophagotracheal fistula were noted in further follow up examination after inappropriate posttreatment management including insufficient chemotherapy due to poor general condition. We reviewed possible causes of esophageal bleeding and esophagotracheal fistula after external irradiation and high dose rate ICR.

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A Study of Tissue-equivalent Compensator for 10MV X-ray and Co-60 Gamma-ray (고에너지 방사선치료용 조직등가보상체에 관한 고찰)

  • CHOI Tae Jin;HONG Young Rak;LIM Charn Soo;JEUNG Ho Yong
    • The Journal of Korean Society for Radiation Therapy
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    • v.1 no.1
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    • pp.47-51
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    • 1985
  • Authors describe some useful data when constructing tissue-equivalent compensators which would compensate tissue deficit in the treatment field of high energy electromagnetic radiation Tissue equivalent compensator is made of lucite. The ratio of compensator thickness to the thickness of tissue deficit depends on radiation energy, field size and the distance from the compensator to patient skin. When the compensator is separated from skin surface, the thickness ratio is always smaller than 1.0. This means that the larger the separation, the contribution to the total dose by means of scattered radiation from a tissue equivalent compensator is smaller. Authors propose that the thickness of lucite as tissue equivalent compensator is 0.57 times tissue deficit and the separation between compensator and skin is at least 15m for Co-60 gamma ray and 25cm for 10MV X-ray.

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Remote After Loading HDR Brachytherapy for Female Urethral Cancer (여성 요도암의 원격조정 고선량 근접치료)

  • Cho Jeong Gil;Choi Eun Kyung;Chang Hyesook;Yi Byong Yong;Kim Kwang Hoon;Lee Jong Goo
    • Radiation Oncology Journal
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    • v.9 no.2
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    • pp.319-324
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    • 1991
  • In our institution, a 76-year-old woman with primary urethral carcinoma was treated with remote afterloading high dose rate (HDR) interstitial brachytherapy using micro selectron Ir-192. In this paper, authors described the technical aspect of remote afterloading HDR interstitial brachytherapy for female urethal cancer.

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Two Cases of Nasopharyngeal Carcinoma Treated with Co-60 HDR ICR (강내 조사를 이용한 비인강압 치험2예)

  • Shin, Sei-One;Kang, Cheol-Hoon;Kim, Sung-Kyu;Kim, Myung-Se
    • Journal of Yeungnam Medical Science
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    • v.7 no.1
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    • pp.197-201
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    • 1990
  • The primary treatment modality of malignant tumors of the nasopharynx is radiation therapy owing to its inaccessibility to surgical intervention. Over the last two decades there were many changes in techniques of delivery, which include the use of higher doses of radiotherapy, the use of wide radiation field, including the elective radiation of the whole neck, the combined use of brachy- and teletherapy, and the use of split-course therapy. In spite of these advances local and regional recurrences remain the major cause of death. As a boost therapy after external irradiation, high-dose-rate intracavitary irradiation using remote control afterloading system(RALS) was used in two patients. Our results were satisfactory, however, this procedure should only be performed by those who have developed enough expertise in the use of intracavitary techniques for the treatment of nasopharyngeal cancer and have a supportive team including a physicist, dosimetrist, nurse, and trained technologist.

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

  • Cho Moon-June;Kim Jae-Sung;Lee In-Tae;Kim Jun-Sang;Jang Ji-Young;Kim Ki-Hwan
    • Korean Journal of Head & Neck Oncology
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    • v.16 no.1
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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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