대한안전경영과학회지 (Journal of the Korea Safety Management & Science)

  • 제17권1호
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  • Pages.125-130
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  • 2015
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  • 1229-6783(pISSN)
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  • 2288-1484(eISSN)
대한안전경영과학회 (Korea Safety Management & Science)
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유방암 수술기법에 따른 방사선치료계획 기법의 선택

Selection of radiation treatment plan technique at breast cancer operating technique

  • 김정호 (건양대학교병원 방사선종양학과) ;
  • 배석환 (건양대학교 방사선학과) ;
  • 김기진 (건양대학교병원 영상의학과) ;
  • 유세종 (건양대학교병원 영상의학과)
  • Kim, Jeong-Ho (Dept. of Radiatioin Oncology, Konyang University Hospital) ;
  • Bae, Seok-Hwan (Dept. of Radiological Science, Konyang University) ;
  • Kim, Ki-Jin (Dept. of Diagnostic Radiology, Konyang University Hospital) ;
  • Yoo, Se-Jong (Dept. of Diagnostic Radiology, Konyang University Hospital)
  • 투고 : 2015.01.05
  • 심사 : 2015.03.17
  • 발행 : 2015.03.31
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초록

Techniques, using physical wedge filter and using dynamic wedge filter and FIF(Field in Field) and ISCT(Irregular Surface Compensating Technique), have been developed according to progress of radiation therapy of breast cancer. Measurement of dose was done to judge the usefulness of technique using three cases, non tissue loss after breast conserving operating and tissue loss after breast conserving operating and mastectomy. Dose indexes of breast tissue, CI (Conformity Index), HI (Homogeneity Index) and QOC (Quality of Coverage), dose index of skin, or dose indexes of lung, volume of 50 percent dose and 20 percent dose were estimated and compared. Using dynamic wedge filter is useful plan at non tissue loss allowing for high dose of lung. FIF and ISCT are useful plan at tissue loss. ISCT is useful plan at mastectomy. Henceforth, we need to apply to valid plan and body type and thorax size.

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참고문헌

  1. Ministry of health and welfare year book 2010, ministry of health and welfare, pp. 60, Nov, 2010
  2. J. Jung, "Nationwide Korean Breast Cancer Data of 2004 Using Breast Canser Registration Program The Korean Breast Cancer Society", Journal of breast cancer, pp. 72-83, Jun, 2006.
  3. S.H. Lee, K.C. Lee, J.H. Choi, Y.D. Lee, H.K. Park, H.Y. Kim, S.H. Park, "Radiation Therapy and Chemotherapy after Breast Conserving Surgery for Invasive Breast Cancer: An Intermediate Result", Radiation Oncology Journal, pp. 16-25, Mar, 2007.
  4. Y.H. Ji, M.S. Kim, S.Y. Ryu, "All parts of the country statistics department of radiation oncology(2006년).", Radiation Oncology Journal, pp. 131-133, Sep, 2008.
  5. T.J. Ban, S.D. Jeon, J.W. Kwak, G.M. Baek, "Evaluation of Scattered Dose to the Contralateral Breast by Separating Effect of Medial Tangential Field and Lateral Tangential Field: A Comparison of Common Primary Breast Irradiation Techniques", The journal of the korean society for radiotherapeutic technology, pp. 183-188. Sep, 2012.
  6. J.D. Boice, E.B. Harvey, M. Blettner, M. Stovall, J.T. Flannery, "Cancer in the contralateral breast after radiotherapy for breast cancer", NEJM, pp. 781-785, Mar, 1992
  7. C.C. Poppescu, I. Olivotto, V. Patenaude, W.A. Beckham, " Inverse planned dynamic multi-beam intensity-modulated radiation therapy (IMRT): A promising technique when target volume is the left breast and internal mammary lymph nodes", Medical Dosimetry, pp. 283-291, Dec, 2006.
  8. L. Cozzi, A. Fogliata, G. Nicolini, J. Bernier, "Clinical experience in breast irradiation with intensity modulated photon beams", Acta Oncologica. pp. 467-474, Apr, 2005.
  9. J.K. Sim, "A Study on Dose Analysis of Lung and Cardiac with Respiration Methods in Radiotherapy of Breast Cancer", Hanseo University, pp. 3-23, Oct, 2010.
  10. S.M. Yoo, M..S. Yeom, D.S. Kim, G.M. Back, K.T. Kwon, "A Comparison of Field-in-Field Intensity Modulated Radiation Therapy Planning and Conventional Radiation Therapy Planning with Tangential Beam for Breast Cancer", The journal of the korean society for radiotherapeutic technology, pp. 41-46. Apr, 2010.
  11. Y.W. Je, C.Y. Kim, H.D. Park, "Consideration Regarding the Breast Cancer Treatment Plan That Used Irregular Surface Compensator (ISC)", The journal of the korean society for radiotherapeutic technology, pp. 131-141. Sep, 2007.