• Title/Summary/Keyword: therapeutic radiology

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The Result of Combined Modality Treatment for Non-Hodgkin's Lymphoma of Head and Neck (두경부 악성 임파종에 대한 병용치료의 결과)

  • Kim Jae Cheol;Kim Sang Bo;Ryu Samuel;Park In Kyu
    • Radiation Oncology Journal
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    • v.8 no.2
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    • pp.255-260
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    • 1990
  • From April 1985 to September 1989, 26 patients with stage I and II non-Hodgkin's lymphoma of unfavorable histology localized in head and neck region were treated with combined modality (combination chemotherapy plus radiotherapy) at the Department of Therapeutic Radiology in Kyungpook National University Hospital. Of the 26 patients, 23 showed complete response and 3 partial response. Between these two groups there were no statistical differences according to the variables. Three-year survival and disease-free survival rate were $62.4{\%}$ and $65.2{\%}$, respectively. Unilateral involvement of neck node (p<0.05), radiation dose over 5000 cGy (p<0.01), and 6 or more cycles chemotherapy (p=0.06) had a favorable effect on 3-year survival rate. There were 8 recurrences including 3 partial responders, 1 local failure, 1 distant failure, 1 contiguous failure, and 2 simultaneous local and distant failure. It could be suggested that combined modality treatment might be necessary for the treatment of stage I and II Non-Hodgkin's lymphoma of unfavorable histology.

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Dosimetric Consideration of the Lung Block in the Mantle Field (Mantle Field에서 Lung Block의 선량분포 고려)

  • Yoo Myung-Jin;Sin Byung-Chul;Moon Chang-Woo;Jeung Tae-Sig;Yum Ha-Yong
    • Radiation Oncology Journal
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    • v.13 no.2
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    • pp.199-203
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    • 1995
  • Purpose: To evaluate the dose under lung block as a function of depth and the effectiveness of a block as a function of block width. Materials and Methods : Field size of mantle field was $22.8{\times}32.4cm^2.$ Dose distribution of the mantle field was measured with two dimensional water phantom system. To analyze the effectiveness of the lung block. central axis plane, 5cm off-axis plane, and 10cm off-axis plane were studied. Results: The dose under the lung block was recorded with maximum at the depth between 5cm and 10cm. In the central axis plane, dosimetric block width was $10-15\%$ less than physical block width. In the 5cm off-axis plane, dosimetric block width was $4-9\%$ less than physical block width. In the 10cm off-axis plane, dosimetric block width was $2\%$ less than physical block width. Conclusion: Depth dependence of the dose under the lung block was founded. Also, block width dependence of the lung block was founded. To induce the accurate relation between the physical block width and the 'effective' block width, it needs more detailed understanding of the variables involved.

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Serum Oncofetal Fibronectin (onfFN) mRNA in Differentiated Thyroid Carcinoma (DTC): Large Overlap between Disease-Free and Metastatic Patients

  • Sritara, Chanika;Charoenphun, Putthiporn;Ponglikitmongkol, Mathurose;Musikarat, Suchawadee;Utamakul, Chirawat;Chokesuwattanasakul, Payap;Thakkinstian, Ammarin
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.8
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    • pp.4203-4208
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    • 2012
  • Aim: This study assessed if onfFN mRNA in the peripheral blood of patients with DTC can identify individuals with metastatic disease. Methods: Comparison of onfFN mRNA was made among 3 groups: disease-free, lymph node metastasis, and distant metastasis using real-time RT-PCR on 5 ml blood samples from each DTC patient. Results: Fifty-one patients were included: 30 (59%) were disease-free; 7 (13.7%) had lymph node metastasis; and 14 (27.5%) had distant metastasis. OnfFN mRNA levels in the 3 groups were significantly different (P=0.001) but with a large overlap and the expression being highest in the disease-free group. Subgroup analysis of the metastatic groups did not show any effect of age, cell type, and serum TSH, Tg, and antiTg on onfFN mRNA. The within-run and between-run root mean square coefficients of variations were <2%. Conclusion: OnfFN mRNA in patients with DTC cannot identify those with metastatic disease.

A Study on Rebuildup of 6MV X-ray by the Cavity (공동에 의한 6MV X선의 재선량증가 현상에 관한 연구)

  • Cho, Moon-June;Choi, Eun-Kyung;Chung, Woong-Ki;Kang, Wee-Saing;Park, Charn-Il
    • Radiation Oncology Journal
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    • v.7 no.1
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    • pp.113-121
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    • 1989
  • The inclusion of air filled cavities in treatment fields creates a potential dosimetric problem due to the rebuildup phenomenon near the air-tissue interface using a simulated phantom, such as air gap, air cylinder, and air cavity, the amount of rebuldup along the various field sizes and air cavity dimensions was measured. The results are as follows. 1. As the field size becomes larger in comparison with the cavity size, or as the cavity size gets bigger when the field size is equal to the cavity size, rebuildup decreases. 2. When the distance between the phantom surface and the air cavity is less than 1.5cm, there is prominent rebuildup. And when the distance is more than 1.5cm, rebuildup is relatively constant, 3. The change according to the depth of the cavity is affected by the field size and the cavity size, rebuildup usually increases when the depth of the cavity increases. 4. It is suggested that tissue equivalent material should be applied on the skin to make tissue thickness over the air cavity more than 1.5cm and that the field size should include the air cavity with at least 1cm margin.

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Radiation Therapy of Nasopharyngeal Carcinoma KCCH Experience ($1964\~1984$) (비인강암의 방사선 치료)

  • Koh Kyoung Hwan;Park Woo Yoon;Cho Chul Koo;Yoo Seong Yul;Shim Youn Sang;Oh Kyung Kyoon
    • Radiation Oncology Journal
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    • v.8 no.1
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    • pp.29-34
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    • 1990
  • Total of 154 patients of pathologically proven and previously untreated nasopharyngeal carcinoma who were treated in the Department of Therapeutic Radiology, Korea Cancer Center Hospital during the period from 1964 to 1984 were analyzed. Minimal follow-up period of survivors was 3 years. Thirteen percent of the patients had $T_4$ primary lesions and $65\%$ had stage IV disease. Total radiation dose to the primary site was $1550\~1750$ ret in 82 and above 1750 ret in 72 patients. Local control was obtained in $79\%$ of patients. Significant prognostic factors for the survival were tumor dose (above vs. below 1750 ret), age (below vs. above 30 years), stage (AJCC I-III vs. IV), T stage ($T_1\;vs.\;T_2-4$), and N stage (NO vs. $N^+$).

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The RBE of Fractionated Fast Neutron on Walker 256 Carcinosarcoma with KCCH-Cyclotron (Walker 256 Carcinosarcoma의 원자력병원 싸이클로트론 속중성자선 분할조사에 대한 생물학적 효과비에 관한 연구)

  • Yoo, Seong-Yul;Koh, Kyoung-Hwan;Cho, Chul-Koo;Park, Charn-Il;Kang, Wee-Saing
    • Radiation Oncology Journal
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    • v.5 no.2
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    • pp.75-82
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    • 1987
  • For evaluation of biological effect of $p^+(50.5MeV)$ Be neutron beam produced by Korea Cancer Center Hospital (KCCH) cyclotron the RBE had been measured in experimental tumor Walker 256 carcinosarcoma as well as normal tissue, mouse intestine and bone marrow, in single and fractionated irradiation. As pilot study, the RBE had been measured for the mouse jejunal crypt cells in single whole body irradiation of which the result was 2.8. The obtained RBE values of TCD 50 of Walker 256 tumor, bone marrow and intestine En single irraiation were 1.9, 1.9 and 1.5 respectively. In fractionated irradiation, the RBE value of tumor Walker 256 was decreased as increasing of fraction number and increased as increaing of fraction size.

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The Study of Tissue Dose Perturbation by Air Cavity with 6MV Photon Beam (6MV 광자선에서 공동에 의한 조직 선량변동에 관한 연구)

  • Shin, Byung-Chul;Yoo, Myung-Jin;Moon, Chang-Woo;Jeung, Tae-Sig;Yum, Ha-Yong
    • Radiation Oncology Journal
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    • v.13 no.4
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    • pp.397-402
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    • 1995
  • Purpose : To determine the perturbation effect in the tissue downstream from surface layers of lesions located in the air/tumor-tissue interface of larynx using 6MV photon beam. Materials and Methods : Thermoluminescent dosimeters(TLDs), were embedded at 3 measurement locations in slab no. 7 of a humanoid phantom and exposed to forward and backward direction using various field sizes($4{\times}4cm^2\;-\;15{\times}15cm^2$). Results : At the air/tissue interface, forward dose perturbation factor(FDPF) is about 1.085 with $4{\times}4cm^2,\;1.05\;with\;7{\times}7cm^2,\;1.048\;with\;10{\times}10cm^2$ and $1.041\;with\;15{\times}15cm^2$. Backscatter dose perturbation factor(BDPF) is about 0.99 with $4{\times}4cm^2$, 0.981 with $7{\times}7cm^2$, 0.956 with $10{\times}10cm^2$ and 0.97 with $15{\times}15cm^2$. Conclusion : FDPF is greater as field size is smaller. And FDPF is smaller as the distance is further from the air/tissue interface.

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Transmission Dose Estimation Algorithm for in vivo Dosimetry

  • Yun, Hyong-Geun;Huh, Soon-Nyung;Lee, Hyoung-Koo;Woo, Hong-Gyun;Shin, Kyo-Chul;Ha, Sung-Whan
    • Journal of Radiation Protection and Research
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    • v.28 no.1
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    • pp.59-63
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    • 2003
  • Purpose : Measurement of transmission dose is useful for in vivo dosimetry of QA purpose. The objective of this study is to develope an algorithm for estimation of tumor dose using measured transmission dose for open radiation field. Materials and Methods : Transmission dose was measured with various field size (FS), phantom thickness (Tp), and phantom chamber distance (PCD) with a acrylic phantom for 6 MV and 10 MV X-ray Source to chamber distance (SCD) was set to 150 cm. Measurement was conducted with a 0.6 cc Farmer type ion chamber. Using measured data and regression analysis, an algorithm was developed for estimation of expected reading of transmission dose. Accuracy of the algorithm was tested with flat solid phantom with various settings. Results : The algorithm consisted of quadratic function of log(A/P) (where A/P is area-perimeter ratio) and tertiary function of PCD. The algorithm could estimate dose with very high accuracy for open square field, with errors within ${\pm}0.5%$. For elongated radiation field, the errors were limited to ${\pm}1.0%$. Conclusion : The developed algorithm can accurately estimate the transmission dose in open radiation fields with various treatment settings.

Treatment of Locally Unresectable Carcinoma of the Pancreas (국소적으로 절제불가능한 췌장암의 치료)

  • Park Woo Yoon;Cho Moon June;Ha Sung Whan;Park Charn Il;Choe Kuk Jin;Lee Kuhn Uk;Kim Noe Kyung
    • Radiation Oncology Journal
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    • v.4 no.2
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    • pp.141-145
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    • 1986
  • From January,1981 to December,1985,22 patients with locally unresectable carcinoma of the pancreas were treated in the Department of Therapeutic Radiology, Seoul National University Hospital. Radiation was given in two spl it courses; each consisting of 2000 cGy over two weeks sepatated by two-week rest period. 5-FU was administered on the first three days of each radiation therapy course. FAM (5-fluorouracil, adriamycin, mitomycin) was administered for maintenance chemotherapy. For pain control, complete relief was obtained in $22\% (4/18)$ of patients and partial relief in 39% (7/18). Median survival was 31 weeks. Pretreatment performance status was the only statistically significant prognostic factor.

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Endovascular Management of Iatrogenic Vertebral Artery Pseudoaneurysm: A Case Report (의인성 척추동맥 가성동맥류에 대한 중재적 치료: 증례 보고)

  • Jae Yang Park;Sanghyeon Kim;Myongjin Kang
    • Journal of the Korean Society of Radiology
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    • v.84 no.2
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    • pp.483-488
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    • 2023
  • Iatrogenic injury of the vertebral artery during cervical spine surgery though uncommon is critical. With advances in interventional endovascular techniques, the therapeutic approach for vertebral artery injuries has changed. Nonetheless, an established strategy for their management is lacking. We report a case of pseudoaneurysm due to vertebral artery injury, during cervical spine surgery for a tumor, that was treated successfully with endovascular coiling in a plug-and-patch fashion after triple stenting failed.