• Journal of Korean Neurosurgical Society
• /
• 제53권2호
• /
• pp.102-107
• /
• 2013

Objective : The Leksell Gamma Knife$^{(R)}$ (LGK) is based on a single-fraction high dose treatment strategy. Therefore, independent verification of the Leksell GammaPlan$^{(R)}$ (LGP) is important for ensuring patient safety and minimizing the risk of treatment errors. Although several verification techniques have been previously developed and reported, no method has ever been tested statistically on multiple LGK target treatments. The purpose of this study was to perform and to evaluate the accuracy of a verification method (modified variable ellipsoid modeling technique, MVEMT) for multiple target treatments. Methods : A total of 500 locations in 10 consecutive patients with multiple brain tumor targets were included in this study. We compared the data from an LGP planning system and MVEMT in terms of dose at random points, maximal dose points, and target volumes. All data was analyzed by t-test and the Bland-Altman plot, which are statistical methods used to compare two different measurement techniques. Results : No statistical difference in dose at the 500 random points was observed between LGP and MVEMT. Differences in maximal dose ranged from -2.4% to 6.1%. An average distance of 1.6 mm between the maximal dose points was observed when comparing the two methods. Conclusion : Statistical analyses demonstrated that MVEMT was in excellent agreement with LGP when planning for radiosurgery involving multiple target treatments. MVEMT is a useful, independent tool for planning multiple target treatment that provides statistically identical data to that produced by LGP. Findings from the present study indicate that MVEMT can be used as a reference dose verification system for multiple tumors.

• 한국의학물리학회지:의학물리
• /
• 제28권4호
• /
• pp.197-206
• /
• 2017

We develop guidelines for the quality assurance of radiation treatment planning systems (TPS) by comparing and reviewing recommendations from major countries and organizations, as well as by analyzing the AAPM, ESTRO, and IAEA TPS quality assurance guidelines. We establish quality assurance items for acceptance testing, commissioning, periodic testing, system management, and security, and propose methods to perform each item within acceptable standards. Acceptance includes tests of hardware and network environments, data transmission, software, and benchmarking as specified by the system supplier, and apply the IAEA classification criteria. Commissioning includes dosimetric and non-dosimetric items for assessing TPS performance by applying the AAPM classification criteria and the latest technical items from the IAEA. Periodic quality assurance tests include daily, weekly, monthly, yearly, and occasional items by applying the AAPM classification criteria. System management and security items include the state and network connectivity of TPS, periodic data backup, and data access security. The guidelines for TPS quality assurance proposed in this study will help to improve the safety and quality of radiotherapy by preventing incidents related to radiotherapy.

• 한국의학물리학회지:의학물리
• /
• 제27권4호
• /
• pp.232-235
• /
• 2016

The purpose of this study is to develop the treatment planning system (TPS) based on Monte-Carlo simulation for BNCT. In this paper, we will propose a method for dose estimation by Monte-Carlo simulation using the CT image, and will evaluate the accuracy of dose estimation of this TPS. The complicated geometry like a human body allows defining using the lattice function in MCNPX. The results of simulation such as flux or energy deposition averaged over a cell, can be obtained using the features of the tally provided by MCNPX. To assess the dose distribution and therapeutic effect, dose distribution was displayed on the CT image, and dose volume histogram (DVH) was employed in our developed system. The therapeutic effect can be efficiently evaluated by these evaluation tool. Our developed TPS could be effectively performed creating the voxel model from CT image, the estimation of each dose component, and evaluation of the BNCT plan.

• Journal of Yeungnam Medical Science
• /
• 제12권2호
• /
• pp.203-209
• /
• 1995

본 연구는 최근에 개발되어 임상적으로 널리 이용되는 자기공명 영상상을 20명의 자궁 경부암 환자의 치료계획에 적용하여 전통적인 치료계획과 비교하여 아래의 결과를 얻었다. 1. 측방 조사야의 가로길이는 11 cm가 7명(35%)으로 가장 많았으며, 10 cm가 6명(30%), 9 cm와 12 cm가 각각 3명(15%)이었으며 13 cm는 1명(5%)이었다. 2. 측방 조사야의 중심 이동은 자궁의 크기나 골반의 횡경과는 무관하였다. 3. 자기공명 영상을 이용한 방사선치료계획을 한 결과 전통적인 방법으로 결정된 전골반 측방 조사야의 변경이 20명 중 5명(25%)에서 있었으므로 향후 자궁 경부암이나 자궁 체부암의 정확한 치료를 위해서는 자기공명 영상이 매우 중요함을 시사하였으며 향후 더 많은 환자를 대상으로 자기공명 영상을 이용한 방사선치료 성적을 전통적인 방법에 의한 성적과 비교하는 연구가 요구된다.

• 환경위생공학
• /
• 제15권3호
• /
• pp.101-119
• /
• 2000

In order to establish water quality management planning in some watershed, water quality of the future of the watershed should be predicted first. The Yongsan river various pollutant sources ; sewage, industry, livestock, farming and so on. And pollutants from these sources are likely to increase even though a number of publicly owned treatment works(POTWs) are founded. Therefore, it is estimated that water quality if the river would be even worse than now in near future. In this study, water quality of the future(2001, 2006) on the Yongsan river was simulated with QUAL2E model. Concentration of three water quality parameters(BOD, T-N, T-P) was predicted according to dry season, low flow season, average flow season of the river with and without POTWs. The results of this study showed the significant contrast in concentration between with and without POTWs, specially in terms of T-N and T-P. Therefore, POTWs must be founded around the Yongsan river and more advanced treatment should be considered. And because these parameters are mostly affected by polluants from upper watershed, including Kwangiudcheon, water quality management planning on the Yongsan river might be focused on this area.

• 상하수도학회지
• /
• 제23권1호
• /
• pp.57-67
• /
• 2009

Under the supply-oriented policy, efficiency and rationale have not been fully considered in planning of water supply facilities in Korea. As a case, this study shows that large-size systems are suffering from overcapacity problem of water treatment plants, and thus discusses what options should be applied to deal with inefficiency. Water demand of large-size systems has suddenly decreased for the last 10 years while water demand has been often assumed to increase at a regular rate in planning of plants according to excess capacity hypothesis. This inconsistency led to a serious overcapacity. In 2006, total excess capacity of nine large-size systems was more than 1.2 times as large as maximum daily demand of total customers in Seoul. However, their options are expected to stay ex post facto. To prepare the risk of overcapacity, and draw large benefits out of the plants, the authors and other professionals in Korea should further discuss the more adaptive method for prediction of water demand, and systems integration between a large-size system and adjoining systems.

• 대한치과교정학회지
• /
• 제19권2호
• /
• pp.165-175
• /
• 1989

두개 안면부 내의 임의 부위를 평가시 정모두부 방사선 규격 사진과 측방 두부 방사선 규격 사진을 동시에 적절히 사용할시에는 3차원적 공간 개념을 인지함으로서 대상의 정확한 존재와 위치를 파악할 수 있다. 최근 교정학 분야에 있어서 점차 그 중요성과 사용 빈도가 증가하고 있는 정모 두부 방사선 규격 사진의 용도는 다음과 같다. 1. 교정 치료시 진단 및 치료 계획 과정에서의 이용 (1) 두부 안면부에서의 비대칭 부위와 양의 인지 (2) 교정 치료의 진단과 치료를 위한 therapeutic position의 평가 2. 교정 치료 mechanics의 성공 여부 평가 이같은 정모 두부 방사선 규격 사진을 측방두부 방사선 규격 사진과 등시에 적절히 사용 함으로서 정확한 진단과 그에 합당한 치료 계획을 수립할 수 있다.

• 대한치과보철학회지
• /
• 제46권6호
• /
• pp.634-638
• /
• 2008

PURPOSE: The application of computer-aided technology to implant dentistry has created new opportunities for treatment planning, surgery and prosthodontic treatment, but the correct selection and combination of available methods may be challenging in times. Hence, the purpose of this case report is to present a combination of several computer-aided tools as approaches to manage complicated implant case. MATERIAL AND METHODS: A 47 year-old female patient with severe dental anxiety, high expectations, financial restrictions and poor compliance presented for a fixed rehabilitation. A CT scan with a radiographic template obtained with software (SimPlant, Materialize, Leuven, Belgium) was used for treatment planning. The surgical plan was created and converted into a stereolithographic model of the maxilla with bone-supported surgical templates (SurgiGuide, Materialise, Leuven, Belgium), that allowed for the precise placement of 7 implants in a severely resorbed edentulous maxilla. After successful osseointegration, an accurate scan model served as the basis for the fabrication of a one-piece milled titanium framework using the Procera (Nobel Biocare, Gothenburg, Sweden) technology. The final rehabilitation of the edentulous maxilla was rendered in the form of a screw-retained maxillary metal-reinforced resin-based complete prosthesis. RESULTS: Despite challenging circumstances, 7 implants could be placed without bone augmentation in a severely resorbed maxilla using the SimPlant software for pre-implant analysis and the SurgiGuide-system as the surgical template. The patient was successfully restored with a fixed full arch restoration, utilizing the Procera system for the fabrication of a milled titanium framework.

• 한국실내디자인학회논문집
• /
• 제26권6호
• /
• pp.172-179
• /
• 2017

The regional trauma center should be a trauma treatment center equipped with facilities, equipments, and manpower capable of providing optimal treatment from emergency surgery to a severely traumatized patient upon arrival at the hospital. In order to establish a medical system for effective severe diseases, it is necessary to prepare architectural planning guidelines for the regional trauma centers. This study analyzes the connectivity, control, integration, and mean depth of current trauma centers using the convex map of space syntax, And to provide basic data for building for more efficient regional trauma center. The major areas that must be included in the regional trauma center are trauma resuscitation room, trauma operating room, trauma intensive care unit, and trauma general ward. It is necessary to carry out the architectural planning to increase the interconnection of the four areas. Also, the elevator plan for trauma patients should be emphasized. In addition, a regional trauma center should be separated from the existing facility for independent operation. According to the case analysis of the space configuration of the regional trauma center, the location of the operating room is most important considering the connection with each department of the hospital and the treatment flow of the severe trauma patients.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제27권1호
• /
• pp.35-44
• /
• 2021

Purpose: To presenting basic data for the spatial composition required when planning the future department of rehabilitation medicine by analyzing the spatial composition of the location, size, area, and plan type of the rehabilitation department of the Regional Public Hospital. Methods: 3 Methods have been used in this paper. 1) Analyzing drawings to derive the net floor area of each room. 2) A literature survey about rehabilitation healthcare system. 3) Observation survey for user circulation analysis. Results: 1) Rehabilitation is an overall process of treatment that helps to play a role as an individual in society, away from the perspective of treating physical damage. The Department of Rehabilitation Medicine of the local medical center must provide rehabilitation medical services corresponding to the recovery and maintenance period for community rehabilitation. 2) The Department of Rehabilitation Medicine can be classified into diagnostics area, examination area, treatment area, management area, and interface area based on the rehabilitation treatment process. Implication: It can be used as basic data when planning related facilities by analyzing the characteristics of the space plan of the required room according to the relationship between activities, movement lines, and operation plans based on user behavior.