• Title/Summary/Keyword: 방사선치료시설

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Present Status and Future Aspects of Radiation Oncology in Korea (방사선 치료의 국내 현황과 미래)

  • Huh, Seung-Jae
    • Radiation Oncology Journal
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    • v.24 no.4
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    • pp.211-216
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    • 2006
  • $\underline{Purpose}$: An analysis of the infrastructure for radiotherapy in Korea was performed to establish a baseline plan in 2006 for future development. $\underline{Materials\;and\;Methods}$: The data were obtained from 61 radiotherapy centers. The survey covered the number of radiotherapy centers, major equipment and personnel. Centers were classified into technical level groups according to the IAEA criteria. $\underline{Results}$: 28,789 new patients were treated with radiation therapy in 2004. There were 104 megavoltage devices in 61 institutions, which included 96 linear accelerators, two Cobalt 60 units, three Tomotherapy units, two Cyberknife units and one proton accelerator in 2006. Thirty-five high dose rate remote after-loading systems and 20 CT-simulators were surveyed. Personnel included 132 radiation oncologists, 50 radiation oncology residents, 64 medical physicists, 130 nurses and 369 radiation therapy technologists. All of the facilities employed treatment-planning computers and simulators, among these thirty-two percent (20 facilities) used a CT-simulator. Sixty-six percent (40 facilities) used a PET/CT scanner, and 35% (22 facilities) had the capacity to implement intensity modulated radiation therapy. Twenty-five facilities (41%) were included in technical level 3 group (having one of intensity modulated radiotherapy, stereotactic radiotherapy or intra-operative radiotherapy system). $\underline{Conclusion}$: Radiation oncology in Korea evolved greatly in both quality and quantity recently and demand for radiotherapy in Korea is increasing steadily. The information in this analysis represents important data to develop the future planning of equipment and human resources.

Study on the Decommissioning of Small Nuclear Facility through Analyzing Foreign Decommissioning Practices (국외 해체 사례 분석을 통한 국내 소규모 방사선이용시설 해체에 관한 연구)

  • Kwon, Dayeong;Kim, Yongmin
    • Journal of the Korean Society of Radiology
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    • v.9 no.3
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    • pp.125-130
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    • 2015
  • RI & RG are used in various field such as medical field, industrial field, agricultural and food&life field. The number of small nuclear facilities is on the increase. We need to take an interest in decommissioning of small nuclear facility and predict the occurring problem from facility decommissioning. Because of the relatively low radiation risk, the preparation of the small nuclear facility dismantling is often neglected. As the accident in Goiania, Brazil showed, the impact of the decommissioning of small nuclear facilities is not less than the large nuclear facilities although it may seem dangerless. Therefore, we analyzed the each institutional characteristics of the decommissioning of small nuclear facilities through foreign case study on this research. Also, we proposed several considerations on decommissioning such as reuse of facility and source, lack of space, stakeholder involvement and failures of protection. Through these study, we tried to make guideline of the small nuclear facilities decommissioning.

새로운 방사선에 의한 암치료

  • 한국원자력산업회의
    • Nuclear industry
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    • v.7 no.10 s.56
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    • pp.88-89
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    • 1987
  • 일본의 방사선의학총회연구소는 1957년에 설립되어, 금년으로 30주년을 맞이한다. 동 연구소에서는 방사선에 의한 암치료에도 크게 공헌해 왔다. 나아가 장래에 중립자선이라는 새로운 방사선을 사용한 획기적인 암치료의 계획이 구체화 되어 내년부터 시설의 건설이 시작될 예정이다.

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The consideration about the shielding effect of LEDITE (LEDITE를 이용한 방사선 차폐시설에 관한 고찰)

  • Min Je-soon;Lee Je-hee;Park heung-deuk
    • The Journal of Korean Society for Radiation Therapy
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    • v.15 no.1
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    • pp.11-18
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    • 2003
  • The concrete is usually used to build a radiation therapy facility and the enough concrete thickness for high energy x-ray beam is about 1 meter. But if the space is not enough to build a radiation therapy facility with concrete, the substitute for concrete is needed, and the Ledite can be a good substitute for concrete. In this study, we compared the Ledite with the concrete. The comparing list are the needed shielding thickness, the period of construction and the cost.

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방사선치료빔 실시간 측정장치 개발

  • Kim, Jae-Hong;Swanepoe, M.W.;deKock, E.A.;Park, Yeon-Su;Yang, Tae-Geon
    • Proceedings of the Korean Vacuum Society Conference
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    • 2010.02a
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    • pp.288-288
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    • 2010
  • 현대사회의 급속한 고령화로 암 환자의 수는 2002년 기준 약 10만 명에서 매년 7~10 %씩 증가되어 2012년에는 20만 명이 될 것으로 추정되어지고 있다. 수술, 방사선 치료, 약물요법 등이 주요 치료방법이며, 암 환자의 30-50 %가 전리 방사선치료를 받고 있다. 방사선치료는 19세기 말에 발견된 미지의 X-선이 희망의 방사선으로 변화하여 암의 진단 및 치료에 활용되고 있으며, 인간 삶의 질 향상에 핵심적인 역할을 담당하고 있다. 기존의 X-선이나 감마선의 단점을 극복 할 수 있는 입자 빔을 1970년대 미국의 캘리포니아 대학 Berkely National Laboratory에서 처음으로 암 치료에 적용하였다. 현재는 일본과 독일에서 활발하게 활용되고 있으며 국내에서도 입자 치료시설을 구축 또는 개발계획 중에 있다. 방사선치료의 완치율을 높이기 위해서는 정확한 선량을 암세포에 전달해야 한다. 환자에 전달되는 입자빔을 실시간으로 측정하는 기술이 연구되어지고 있다. 지금까지는 빔의 특성을 측정하기 위해 간섭적인 방법을 사용하였으나, 투과형 검출기를 개발하여 실시간으로 치료와 빔 특성을 동시에 수행하는 기술개발연구가 보고되고 있다. 본 연구에서는 Multileaf Faraday Cup (MLPC) 검출기 설계구조와 데이터 측정방법에 관한 연구를 수행하고자 한다. 빔의 전송 방향으로 3개층의 $4{\times}4$ 배열의 구조로 48 channel의 전류값을 측정하여 입자빔의 분포를 실시간으로 관측하고, 측정된 전류는 ADC를 거쳐 치료계획에 의해 선택된 영역의 SOBP를 유지하도록 range modulation propeller를 조절하는 feed-back system을 갖춘 방사선치료빔 실시간 측정장치 개발에 관한 결과를 보고하고자 한다.

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The National Survey of Breast Cancer Treatment Pattern in Korea (1998): The Use of Breast-Conserving Treatment (1998년도 우리나라 유방암 치료 현황 조사: 유방보존술 적용 실태를 중심으로)

  • Shin Hyun Soo;Lee Hyung Sik;Chang Sei Kyung;Chung Eun JE;Kim Jin Hee;Oh Yoon Kyung;Chun Mi Sun;Huh Seung Jae;Loh Jun Kyu;Suh Chang-Ok
    • Radiation Oncology Journal
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    • v.22 no.3
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    • pp.184-191
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    • 2004
  • Purpose: In order to improve the proper use of radiotherapy and breast-conserving treatment (BCT) in the management of breast cancer, current status of breast cancer treatment in Korea was surveyed nationwide and the use of BCT were evaluated. Materials and Methods: Patients characteristics and treatment pattern of 1048 breast cancer patients from 27 institutions diagnosed between January, 1998 and June, 1998 were analyzed. The incidence of receiving BCT was analyzed according to the stage, age, geography, type of hospital, and the availability of radiotherapy facility. Results: Radical mastectomy was peformed in 64.8$\%$ of total patients and 26$\%$ of patients received breast- conserving surgery (BCS). The proportions of patients receiving BCT were 47.5$\%$ in stage 0, 54.4$\%$ in stage I, and 20.3$\%$ in stage II, Some of the patients (6.6$\%$ of stage I, 10.1$\%$ of stage II and 66.7$\%$ of stage III) not received radiotherapy after BCS. Only 45$\%$ of stage III patients received post-operative radiotherapy after radical mastectomy. The proportion of patients receiving BCT was different according to the geography and availability of radiotherapy facilities. Conclusion: Radiotherapy was not fully used in the management of breast cancer, even in the patients received breast-conserving surgery. The proportion of the patients who received BCT was lower than the report of western countries. To improve the application of proper management of breast cancer, every efforts such as a training of physicians, public education, and improving accessibility of radiotherapy facilities should be done. The factors predicting receipt of BCT were accessibility of radiotherapy facility and geography. Also, periodic survey like current research is warranted.

Advances in Radiation Oncology in New Millennium in Korea (21세기 방사선종양학의 전망:최근의 진보와 한국에서의 발전)

  • Huh, Seung-Jae;Park, Chan-Il
    • Radiation Oncology Journal
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    • v.18 no.3
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    • pp.167-176
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    • 2000
  • The objective of recent radiation therapy is to improve the quality of treatment and the after treatment quality of life. In Korea, sharing the same objective, significant advancement was made due to the gradual increase of patient number and rapid increase of treatment facilities. The advancement includes generalization of three-dimensional conformal radiotherapy (3D-CRT), application of linac-based stereotactic radiosurgery (SRS), and furthermore, the introduction of intensity modulated radiation therapy (IMRT). Authors in this paper prospectively review the followings: the advancement of radiation oncology in Korea, the recent status of four-dimensional radiation therapy, IMRT, the concept of the treatment with biological conformity, the trend of combined chemoradiotherapy, the importance of internet and radiation oncology information management system as influenced by the revolution of information technology, and finally the global trend of telemedicine in radiation oncology. Additionally, we suggest the methods to improve radiotherapy treatment, which include improvement of quality assurance (QA) measures by developing Koreanized QA protocol and system, regional study about clinical protocol development for phase three clinical trial, suggestion of unified treatment protocol and guideline by academic or research societies, domestic generation of treatment equipment's or system, establishment of nationwide data base of radiation-oncology-related information, and finally patterns-of-care study about major cancers.

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A Study on the dose distribution and the accuracy of the system for small fields of high energy x-rays (고에너지 X-선 소조사야의 선량분포 및 계측에 관한 연구)

  • 이호남;지광수;김재휴;지영훈
    • The Journal of Korean Society for Radiation Therapy
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    • v.7 no.1
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    • pp.32-44
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    • 1995
  • I. 제 목 고에너지 X-선 소조사야의 선량분포 및 계측에 관한 연구 II. 연구의 목적 및 중요성 최근 수술이 어려운 뇌종양등에 대한 방사선수술법(Radiosurgery)이 관심의 대상이 되고 있다. 방사선수술법은 크게 나누어 200여개의 Co-60이 장착된 장치(Gamma Knife)를 이용하는 방법과, X-선치료기를 이용하는 방법은 몇개의 보조기구를 설치하면 가능한 매우 경제적인 방법이다. 따라서 Microtron을 이용한 방사선수술의 기초자료확보를 위하여 소조사야에 대한 선량과 선량분포의 측정 및 계산을 실시하였다. III. 연구의 내용 및 범위 Microtron으로부터 조사되는 6MV, 10MV, 21MV X-선의 지름 3cm이하 소조사야에 대한 정확한 선량 및 선량분포 자료를 확보하기 위해, 가. Microtron치료기와 보조장치등에 대한 정밀도 계측 및 평가 나. 보조 Collimator의 적당한 크기와 재료의 선택 및 설계, 제작. 다. 에너지와 조사야 크기 각각에 대한 여러측정장치(Ion chamber, Diode detector, TLD 및 Film등)를 이용한 선량 및 선량분포 측정. 라. 측정값들의 비교, 검토 및 측정된 자료에 의한 선량 및 선량분포의 계산을 수행했다. IV. 연구결과 및 활용에 대한 건의 본 연구에서 얻은 결과는 다음과 같다. 가. Microtron치료기와 보조장치등의 정확도의 허용 오차범위내에서 잘 일치하였다. 나. 보조 collimater adpator는 총 길이 24cm로 하였으며 재질로는 두랄미늄을 사용하였고, 보조 collimator는 low melting alloy를 사용하였으며 소조사야 크기의 정확도는 0.5mm이내에서 매우 잘 일치 하였다. 다. 방사선 수술법의 에너지 선택에 중요한 요소중의 하나인 penumbra는 6MV X-선에서 가장 적게 나타났으며 라. 소조사면에 대한 깊이-선량 백분율곡선은 모든 에너지에서 조사면이 작아질수록 표면으로 이동하는 경향을 보였다. 이상의 결과로부터 방사선 수술을 시행할 경우 수십억원에 이르는 장비의 도입이나 새로운 시설 없이 Microtron에서 조사되는 고에너지 X-선을 이용할 수 있을 것으로 사료된다. 또한 새로 구입한 측정기나 보조 Collimator를 이용하여 소조사야에 대한 선량측정기술을 습득함으로써 일반적인 소조사야의 방사선치료나 회전치료등에 활용할 수 있다.

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A Study on the Difference of Geometrical Modeling in the Calculation of Shielding and Activation Using Monte Carlo Simulation (몬테카를로 시뮬레이션을 이용한 차폐 및 방사화 계산에서 기하학적 모델링의 차이에 따른 결과 연구)

  • Heo, Seunguk;Song, Yongkeun;Cho, Gyuseok;Han, Moojae;Park, Jikoon
    • Journal of the Korean Society of Radiology
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    • v.11 no.6
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    • pp.429-435
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    • 2017
  • In order to increase the therapeutic effect of radiation, there has been an increase in the use of conventional photon therapy. The intensive care unit should pay more attention to the radiation safety evaluation due to the higher energy and the larger facility compared to the existing Photon treatment. These radiation safety evaluations are mainly performed by using Monte Carlo simulation, and the first thing to be done is geometric modeling. The Heavy-ion treatment facility uses synchrotron as the accelerating device, which is difficult to precisely model geometrically and is mostly modeled briefly. This study investigated the effect of simplification and precise implementation of Dipole magnet among the components of synchrotron acceleration device on the radiation safety evaluation. The results show that the simplified geometric model is overestimated with the precisely implemented geometric model. Therefore, it is considered that the radiological safety evaluation results in more reliable results of the precise geometric modeling.