Journal of Radiation Protection and Research

The Korean Association for Radiation Protection (대한방사선방어학회)
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Measurement of Skin Dose for Rectal Cancer Patients in Radiotherapy using Optically Stimulated Luminescence Detectors (OSLDs)

광자극발광선량계(OLSDs)를 이용한 직장암 방사선치료 환자의 피부선량 측정

  • Im, In-Chul (Department of Radiological Science, Dongeui University) ;
  • Yu, Yun-Sik (Department of Radiological Science, Dongeui University) ;
  • Lee, Jae-Seung (Department of Radiation Oncology, Good Samaritan Hospital)
  • Received : 2011.05.17
  • Accepted : 2011.06.07
  • Published : 2011.06.30
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Abstract

This study used the optically stimulated luminescence dosimeters (OSLDs), recently, received the revaluation of usefulness in vivo dosimetry, and the diode detecters to measure the skin dose of patient with the rectal cancer. The measurements of dose delivered were compared with the planned dose from the treatment planning system (TPS). We evaluated the clinical application of OSDs in radiotherapy. We measured the calibration factor of OSLDs and used the percent depth dose to verified, also, we created the three point of surface by ten patients of rectal cancer to measured. The calibration factors of OSLD was 1.17 for 6 MV X-ray and 1.28 for 10 MV X-ray, demonstrating the energy dependency of X-ray beams. Comparison of surface dose measurement using the OSLDs and diode detectors with the planned dose from the TPS, The skin dose of patient was increased 1.16 ~ 2.83% for diode detectors, 1.36 ~ 2.17% for OSLDs. Especially, the difference between planned dose and the delivery dose was increased in the perineum, a skin of intense flexure region, and the OSLDs as a result of close spacing of measuring a variate showed a steady dose verification than the diode detecters. Therefore, on behalf of the ionization chamber and diode detecters, OSLDs could be applied clinically in the verification of radiation dose error and in vivo dosimety. The research on the dose verification of the rectal cancer in the around perineal, a surface of intense flexure region, suggest continue to be.

본 연구는 최근 생체내선량측정에서 유용성을 재평가 받고 있는 광자극발광선량계(optically stimulated luminescence dosimeters. OSLDs)와 다이오드 검출기를 병행하여 직장암 방사선치료 환자의 피부선량을 측정하고 치료계획시스템 에서 계산 선량과 측정 선량을 비교하여 OSL 선량계의 임상적 유용성을 평가하고자 하였다. 각 OSL 선량계의 고유한 교정상수를 측정하고 10 명의 직장암 환자를 대상으로 3 부위를 설정하여 측정하였다. 기준 흡수선량 100 cGy에 대하여 OSL 선량계의 교정상수는 6 MV X-선의 경우 1.17, 10 MV X-선의 경우 1.28 이었다. 또한 직장암 환자들의 피부선량은 측정 부위별로 치료계획시스템에서 계산 선량과 비교하여 다이오드 검출기는 1.16 ~ 2.83%의 선량증가를 보였고 OSL 선량계는 1.36 ~ 2.17%의 선량증가를 보였다. 특히 피부면의 굴곡이 심한 회음부(perineum)에서 계산된 선량과 전달 선량간 차이가 증가되었으며 다이오드 검출기보다 OSL 선량계가 측정값의 변화가 상대적으로 작았다. 따라서 OSL 선량계는 기존에 사용하던 이온함 및 다이오드 검출기를 대신하여 방사선량학적 오차의 검증 및 생체내선량측정에서 임상적으로 적용이 가능하였으며 직장암 환자의 굴곡이 심한 회음부 주변의 선량 평가에 대한 연구가 계속되어야 할 것으로 판단된다.

Keywords

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