A Study on the Dose Distribution for Total Body Irradiation using Co-60 Teletherapy Unit

Co-60 Teletherapy Unit를 이용한 전신조사의 선량분포에 관한 고찰

In recent years there has been a growing interest in total body, hemibody, total lymphoid irradiation. For refractory leukemia or lymphoma patients, various techniques and dose regimens were introduced, including high dose total body irradiation for destruction of leukemic or bone marrow cells and immunosuppression prior to bone marrow transplantation, and low dose total body irradiation for treatment of lymphocytic leukemia or lymphomas. Accurate provision for specified dose and the desired homogeneity are essential before clinical total body irradiation. Purposes of this paper are to discuss calibrating Cobalt Unit in 3m distance using Rando Phantom, to compare calculated dose, calibrated dose, and compensating filters for homogeneous dose distribution in the head and neck, the lung, and the pelvis. Results were following. 1. Measured dose on the lung was 6% higher than on the abdomen. Measured dose on the head (10%) and neck (18%) were higher than the abdomen because of thinness. Pelvic dose was measured 12% less than the abdomen. Those data suggest that compensating filter was essential. 2. Measured dose according to distance was 3% less than calculated dose which suggest that all doses in clinical use should be compared with calculated dose for minimizing error.

본 교실에서 Co-60치료기를 이용한 전신조사에 대한 선량의 측정 및 분석 결과는 다음과 같았다. 1. 폐부위는 기준되는 복부(24cm)에 비해 두께는 두껍지만(25.6cm) 폐의 낮은 밀도 때문에 6% 정도 더 많은 선량이 측정되어 폐손상이나 폐동맥 합병증의 예방을 위하여 적절한 보상판이 필요함을 시사하였다. 2. inverse square law에 의한 이론치 보다 실제의 측정치는 3% 정도 적게 측정되었다. 3. 머리부위(두께 15.8cm)와 목부위(11.0cm)는 얇은 두께 때문에 10%, 18% 정도 더 많은 선량이 측정되었고, 골반부위(두께 36.0cm)는 12% 정도 더 적은 선량이 측정되어 전신조사시 모든 부위에 등선량을 조사하기 위해서는 적당한 보상판이 필수적임을 시사하였다.