• Title/Summary/Keyword: 사방향 조사

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Comparison of the Surface Dose of the Thyroid according to AP versus PA Positioning in Cervical Spine Oblique View (경추 사방향 검사에서 전후면과 후전면 자세에 따른 갑상선 표면선량 비교)

  • Park, Jeong-Ho;Yang, Sung-Gyu;Kim, Ki-Jeong;Joo, Young-Cheol;Hong, Dong-Hee;Lim, Woo-Taek
    • Journal of radiological science and technology
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    • v.40 no.4
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    • pp.543-548
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    • 2017
  • The aim of this study was to evaluate anteroposterior oblique(RPO, LPO) and posteroanterior oblique(LAO, RAO) projections of the cervical spine, at various kVp and mA s increments, in order to compare thyroid surface dose. Using Rando phantom, dosimeter was attached to the Cervical spine 4~5 to measure the surface dose in the same thyroid position. As a result, the surface dose was $595.08{\pm}215.01{\mu}Gy$ for anteroposterior oblique(RPO, LPO) projections and $64.21{\pm}33.49{\mu}Gy$ for posteroanterior oblique(LAO, RAO) projections by changing kVp increment. The surface dose was $445.20{\pm}230.90{\mu}Gy$ for anteroposterior oblique(RPO, LPO) projections and $44.51{\pm}22.77{\mu}Gy$ for posteroanterior oblique(LAO, RAO) projections by changing mAs increment. The posteroanterior oblique method could reduce about 90% the surface dose than the anteroposterior oblique method. There were statistically significant differences among the examinations(p<0.001). Change the direction of position to reduce the surface dose at oblique projection of cervical spine. Therefore, we consider posteroanterior oblique projections than anteroposterior oblique projections of cervical spine examination in other to reduce patient surface dose.

A Study on the Optimization of Exposure condition at Lumbar projection Using Blind Test (블라인드 테스트를 통한 요추 검사 시 조사 조건의 최적화 연구)

  • Park, Jikoon;Kim, Kyotae;Yoon, Inchan;Choi, Ilhong;Jung, Hyungjin;Kang, Sangsik;Noh, Sicheul;Jung, Bongjae
    • Journal of the Korean Society of Radiology
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    • v.7 no.6
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    • pp.389-395
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    • 2013
  • This study intended to investigate the optimum conditions for lumbar test that has the highest level of irradiation conditions among general test sites. To to this, the most widely used irradiation conditions in terms of statistics were set as standards; test groups applied with DMF were selected; tests groups suitable for clinical trials were selected by using suggested patient dose. Blind tests were conducted by 10 specialists and radiologists. The results suggested that under the optimum conditions, the radiation dose reduction of 2.09 mGy, 4.42 mGy and 3.65 mGy can be achieved in forward-backward test, lateral test and 4-direction test, respectively. There is a need of further studies on the optimization of irradiation conditions in accordance with the conditions of patients.

Arm-up holder의 보조기구 제작에 따른 유용성 평가

  • 이현직;최병기;심재구;김종식;오동균;박영환
    • The Journal of Korean Society for Radiation Therapy
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    • v.14 no.1
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    • pp.85-88
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    • 2002
  • I. 목적 : arm-up holder는 흉부 및 복부 질환 치료의 환자고정에 유용하게 사용하고 있으나 손잡이 부분과 어깨가 닿는 부분까지 거리 때문에 동일한 자세를 유지하는데 불편함이 있다. 특히 긴장을 많이 하거나 기력이 없는 환자는 방사선 치료 시 자세의 불안정으로 인하여 치료의 정확성이 떨어질 수 있다. 이에 본원에서는 현재 사용하고 있는 arm-up holder에 팔의 지지를 위한 보조기구를 제작하여 유용성을 평가하였다. II. 대상 및 방법 : 기존의 arm-up holder에 어깨받침대를 부착하여 개선된 arm-up holder를 제작하였다. 실험을 위하여 기존의 arm-up holder를 사용하는 환자그룹과 개선된 arm-up holder를 사용하는 그룹으로 구분하여 자세 변화를 평가하였다. 두 그룹의 환자를 대상으로 모의 치료를 실시한 후 치료실에서 L-gram 을 2회 씩 촬영하여 치료하고자 하는 portal film과 isocenter의 변화를 측정했다. 각 그룹 당 10명씩의 환자를 선정하여 반복 조사하였다. III. 결과 : 개선된 arm-up holder를 사용한 그룹의 isocenter 의 변화는 최대 2mm, 최소 0.5mm 평균 1.2mm 이다. 기존의 arm-up folder를 사용한 그룹과 비교하여 평균변화는 약 2배로 나라났고, 최대 변화는 2.5배의 오차범위가 측정되었다. IV. 결론 : 현재 사용하고 있는 arm-up holder는 흉부 및 복부의 사방향 방사선 치료 시 팔에 의한 방사선 감약을 예방할 수 있는 유용한 고정용구이다. 하지만 팔을 올리고 있는 자세는 환자에게 불편함을 야기 시키며 이로 인한 치료의 정확성을 감소시킬 수 있다. 따라서, 기존의 arm-up holder에 보조기구를 제작하여 사용함으로써 환자의 불편함을 개선하고, set-up 의 안정성과 재현성을 향상시킬 수 있었다.

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고체 팬톰을 이용한 방사선치료계획시스템의 정도관리

  • 이상훈;조광환;조삼주;최진호;추성실;권수일;신동오
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2003.09a
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    • pp.65-65
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    • 2003
  • 목적 : 방사선치료기술이 날로 발전함에 따라 방사선치료계획시스템에 대한 주기적인 정도관리의 필요성은 증대하고 있으나, 국내 실정에 적합한 표준화된 정도관리절차서가 없는 실정이다. 따라서 본 연구에서는 방사선치료계획용 시스템에 대한 정도관리용 고체팬톰을 제작하여 주기적인 정도관리 활용 및 절차서를 제시하고자 한다. 대상 및 방법 : 체윤곽 보정을 위한 삼각기둥 모형 (30cm$\times$30cm$\times$5cm, 30cm$\times$15cm$\times$5$\times$) 및 정형ㆍ부정형, 불균질 측정이 가능한 물등가고체팬톰을 제작하였고, 컴퓨터단층촬영(AcQsim)을 통해 영상을 얻었으며, RTPS(AcQplan)에 입력하여 영상 내 기준점에서의 선량값을 계산하였다. RTPS를 통해 계산된 값의 평가를 위해 동일한 조건하에서 각 기준점에 대한 실제 측정을 이온함을 이용하여 측정하였다. 평가 항목으로는 정방형 조사면, 부정형 조사면, 쐐기 조사면, 불균질 물질 보정, 사방향 조사 등에 대해서 알고리즘별로 수행하였다. 결과 : RTPS를 이용하여 계산된 값과 실제 측정한 값을 비교하여 RTPS의 정확성을 평가한 결과로 합성의 불확도 허용 기준 (3%), 선속 중심축 상에서의 허용 기준 (2%) 등, 선진 각국 및 각 학회에서 권고하고 있는 허용 범위 내에서 잘 일치하였다. 결론 : RTPS는 측정된 심부선량과 선량분포 등 물리적인 인자에 의존하는 제한성이 있고, 실제로 선량계산 알고리즘과 기하학적 변화에 따라 계산값과 측정값 간에 차이가 발생할 수 있었다. 실제 인체의 체윤곽 불균일성과 불균질성을 모사한 팬톰을 제작하여 이용함으로써 다양한 RTPS간의 비교를 통한 치료 선량의 정확성을 평가하고, 방사선 치료의 원활하고 정확한 수행을 위해 실용적이고, 보편적인 치료계획 시스템의 정도관리 방법과 절차서를 수립하는데에 유용할 것으로 사료된다.

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Contralateral Breast Doses Depending on Treatment Set-up Positions for Left-sided Breast Tangential Irradiation (좌측 유방암 환자의 방사선 치료 시 환자자세에 따른 반대편 유방의 산란선량 측정)

  • Joo, Chan Seong;Park, Su Yeon;Kim, JongSik;Choi, Byeong Gi;Chung, Yoonsun;Park, Won
    • The Journal of Korean Society for Radiation Therapy
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    • v.27 no.2
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    • pp.175-181
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    • 2015
  • Purpose : To evaluate Contralateral Breast Doses with Supine and Prone Positions for tangential Irradiation techniques for left-sided breast Cancer Materials and Methods : We performed measurements for contralateral doses using Human Phantom at each other three plans (conventional technique, Field-in-Field, IMRT, with prescription of 50 Gy/25fx). For the measurement of contralateral doses we used Glass dosimeters on the 4 points of Human Phantom surface (0 mm, 10 mm, 30 mm, 50 mm). For the position check at every measurements, we had taken portal images using EPID and denoted the incident points on the human phantom for checking the constancy of incident points. Results : The contralateral doses in supine position showed a little higher doses than those in prone position. In the planning study, contralateral doses in the prone position increased mean doses of 1.2% to 1.8% at each positions while those in the supine positions showed mean dose decreases of 0.8% to 0.9%. The measurements using glass dosimeters resulted in dose increases (mean: 2.7%, maximum: 4% of the prescribed dose) in the prone position. In addition, the delivery techniques of Field-in-field and IMRT showed mean doses of 3% higher than conventional technique. Conclusion : We evaluated contralateral breast doses depending on different positions of supine and prone for tangential irradiations. For the phantom simulation of set-up variation effects on contralateral dose evaluation, although we used humanoid phantom for planning and measurements comparisons, it would be more or less worse set-up constancy in a real patient. Therefore, more careful selection of determination of patient set-up for the breast tangential irradiation, especially in the left-sided breast, should be considered for unwanted dose increases to left lung and heart. In conclusion, intensive patient monitoring and improved patient set-up verification efforts should be necessary for the application of prone position for tangential irradiation of left-sided breast cancer.

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Development and Evaluation of Quality Assurance Worksheet for the Radiation Treatment Planning System (방사선치료계획 시스템의 정도관리 절차서 개발 및 유용성 평가)

  • Cho Kwang Hwan;Choi Jinho;Shin Dong Oh;Kwon Soo Il;Choi Doo Ho;Kim Yong Ho;Lee Sang Hoon
    • Progress in Medical Physics
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    • v.15 no.4
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    • pp.186-191
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    • 2004
  • The periodic Quality Assurance (QA) of each radiation treatment related equipments is important one, but quality assurance of the radiation treatment planning system (RTPS) is still not sufficient rather than other related equipments in clinics. Therefore, this study will present and test the periodic QA program to compare, evaluation the efficiency of the treatment planning systems. This QA program is divided to terms for the input, output devices and dosimetric data and categorized to the weekly, monthly, yearly and non-periodically with respect to the job time, frequency of error, priority of importance. CT images of the water equivalent solid phantom with a heterogeneity condition are input into the RTPS to proceed the test. The actual measurement data are obtained by using the ion chamber for the 6 MV, 10 MV photon beam, then compared a calculation data with a measurement data to evaluate the accuracy of the RTPS. Most of results for the accuracy of geometry and beam data are agreed within the error criteria which is recommended from the various advanced country and related societies. This result can be applied to the periodic QA program to improve the treatment outcome as a proper model in Korea and used to evaluate the accuracy of the RTPS.

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Evaluation of dose variation at the vertex during Total Skin Electron Beam (전신 피부 전자선 조사(TSEB)시 두정부(Vertex)에서의 선량 변화 평가)

  • Jeon Byeong-Chul;An Seung-Kwon;Lee Sang-Gyu;Kim Joo-Ho;Cho Kwang-Hwan;Cho Jung-Hee;Park Jae-Il
    • The Journal of Korean Society for Radiation Therapy
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    • v.12 no.1
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    • pp.112-116
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    • 2000
  • Purpose : The vertex scalp is always tangentially irradiated during total skin electron beam(TSEB) This study was discuss to the dose distribution at the vertex scalp and to evaluate the use of an electron reflector. positioned above the head as a means of improving the dose uniformity. Methods and Materials Vetex dosimetry was performed using ion-chamber and TLD. Measurements were 6 MeV electron beam obtained by placing an acrylic beam speller in the beam line. Studies were performed to investigate the effect of electron scattering on vertex dose when a lead reflector $40{\times}40cm$ in area, was positioned above the phantom. Results : The surface dose at the vertex, in the without of the reflector was found to be less than $37.8\%$ of the skin dose. Use of the lead reflector increased this value to $62.2\%$ for the 6 MeV beam. Conclusion : The vertex may be significantly under-dosed using standard techniques for total skin electron beam. Use of an electron reflector improves the dose uniformity at the vertex and may reduce or eliminate the need for supplemental irradiation.

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The inference about the cause of death of Korean Fir in Mt. Halla through the analysis of spatial dying pattern - Proposing the possibility of excess soil moisture by climate changes - (한라산 구상나무 공간적 고사패턴 분석을 통한 고사원인 추정 - 기후변화에 따른 토양수분 과다 가능성 제안 -)

  • Ahn, Ung San;Kim, Dae Sin;Yun, Young Seok;Ko, Suk Hyung;Kim, Kwon Su;Cho, In Sook
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.21 no.1
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    • pp.1-28
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    • 2019
  • This study analyzed the density and mortality rate of Korean fir at 9 sites where individuals of Korean firs were marked into the live and dead trees with coordinates on orthorectified aerial images by digital photogrammetric system. As a result of the analysis, Korean fir in each site showed considerable heterogeneity in density and mortality rate depending on the location within site. This make it possible to assume that death of Korean fir can occur by specific factors that vary depending on the location. Based on the analyzed densities and mortality rates of Korea fir, we investigated the correlation between topographic factors such as altitude, terrain slope, drainage network, solar radiation, aspect and the death of Korean fir. The density of Korean fir increases with altitude, and the mortality rate also increases. A negative correlation is found between the terrain slope and the mortality rate, and the mortality rate is higher in the gentle slope where the drainage network is less developed. In addition, it is recognized that depending on the aspect, the mortality rate varies greatly, and the mean solar radiation is higher in live Korean fir-dominant area than in dead Korean fir-dominant area. Overall, the mortality rate of Korean fir in Mt. Halla area is relatively higher in areas with relatively low terrain slope and low solar radiation. Considering the results of previous studies that the terrain slope has a strong negative correlation with soil moisture and the relationship between solar radiation and evaporation, these results lead us to infer that excess soil moisture is the cause of Korean fir mortality. These inferences are supported by a series of climate change phenomena such as precipitation increase, evaporation decrease, and reduced sunshine duration in the Korean peninsula including Jeju Island, increase in mortality rate along with increased precipitation according to the elevation of Mt. Halla and the vegetation change in the mountain. It is expected that the spatial patterns in the density and mortality rate of Korean fir, which are controlled by topography such as altitude, slope, aspect, solar radiation, drainage network, can be used as spatial variables in future numerical modeling studies on the death or decline of Korean fir. In addition, the method of forest distribution survey using the orthorectified aerial images can be widely used as a numerical monitoring technique in long - term vegetation change research.

Correlation between Strain and Dielectric properties in Paraelectic $ZrTiO_4$ Thin Films ($ZrTiO_4$상유전 박막의 Strain과 유전 특성 상관성 고찰)

  • 김태석;오정민;김용조;박병우;홍국선
    • Proceedings of the Korean Vacuum Society Conference
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    • 2000.02a
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    • pp.108-108
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    • 2000
  • 급증하는 무선통신 정보수요는 특히, 고주파대역 (300NHz-300GHz)에서 사용되는 공진기, 필터, 발진기 등과 같은 소자의 품질향상을 요구하고 있다. 고주파용 유전체 중 ZrTiO4 는 $\alpha$-PbO2 계열의 사방정구조를 갖고 있는 유전체로서 높은 유전율 ($\varepsilon$=40)과 높은 품질계수 (Q=1/tan$\delta$=4700 at 7GHz)를 갖고 있고, Sn 첨가시 0ppm/$^{\circ}C$의 공진주파수 온도계수를 얻을 수 있다고 보고되어 있다. 본 연구에서는 약 110$0^{\circ}C$ 이상에서 안정한 상으로 존재하는 ZrTiO4를 저온에서 증착하여 준안정한 상태로 결정화되게 한후, 유전손실 (tan$\delta$)과 유전율($\varepsilon$)을 측정하였다. 또한 증착온도와 열처리과정에 따른 박막의 us형 (Strain) 정도의 변화를 X-선 회절결과로부터 분석하였으며 이를 측정된 유전특성 값과 비교하였다. ZrTiO4 박막은 DC magnetron reactive sputter로 Zr과 Ti 타겟으로부터 high phosphorous doped Si (100) 기판위에 증착하였다. 압력은 4mTorr로 유지하고 박막의 화학양론적 조성비를 맞추기 위해 각 타겟에 가해지는 power는 Zr/Ti=500W/650W로 고정하고, 반응가스의 비율을 Ar/O2=17sccm/3.5sccm으로 유지하여 박막내에 인입되는 산소량을 제어하였다. 증착 직후와 열처리 후의 박막특성을 비교하기 위해 증착온도를 상온에서부터 $600^{\circ}C$까지 변호시키고 증착후 각각의 시편을 80$0^{\circ}C$ 산소분위기에서 2시간동안 열처리하여 시편을 준비하였다. 박막의 상형성 여부와 결정성변화는 $ heta$-2$\theta$X-선 회절법을 사용하여 조사하였고, EPMA를 이용하여 박막의 조성을 확인하였다. 유전특성의 측정을 위해 백금 상부전극을 증착한 후, impedance analyzer를 이용하여 100kHz 영역에서의 유전손실을 측정하고, 측정된 정전용량과 박막의 두께로부터 유전율을 계산하였다. ZrTiO4 박막은 증착온도 20$0^{\circ}C$ 이상에서 결정성을 보이기 시작했으며, 열처리 이후에는 상온에서 비정질이었던 시편이 $650^{\circ}C$ 이상의 온도에서 결정화되기 시작하였다. 증착온도에 따라 유전손실은 0.038에서 0.017 정도로 감소하는 경향을 나타냈으며, 각각 열처리에 의해서 0.034, 0.005 정도로 다시 감소하였다. 박막의 유전율은 약 35 정도의 값을 나타내었으며 X-선 회절 data로부터 분석한 박막의 변형은 증온도에 따라 7.2%에서 0.04%로 감소하였고 이 이경향은 유전손실은 감소경향과 일치하였다.

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Monitoring on Dose Index Analyzed in the Mammography (유방촬영검사에서 선량지표분석에 대한 모니터링)

  • Cho, Ji-Hwan;Lee, Hyo-Yeong;Im, In-Chul
    • Journal of the Korean Society of Radiology
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    • v.10 no.7
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    • pp.477-482
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    • 2016
  • This study is tried to determine whether the management of medical radiation is well handled by comparison the guidelines of KFDA(korea food & drug administration) with analysis of dose indicator in mammography. As a method, it is analysed that kVp, exposure time, mAs, compressed breast thickness, average glandular dose and body mass index that were classified in the examination of both breasts by CC(cranio-caudal) and MLO(medio-lateral oblique) with EMR(electronic medical record) and dose report that were sent to the PACS(picture archiving communication system). As a result, in the site inspection according to the age, Compressed breast thickness in CC and MLO were the thickest of 45.6 mm and 49.6 mm in the 50-59 year old respectively. In the overall average compressed breast thickness, CC were 44.2 mm and MLO were 48.9 mm. MLO has more thick by 4.7 mm. In average glandular dose, CC were 1.05 mGy and MLO were 1.14 mGy. MLO has higher by 0.09 mGy than CC. As the compressed breast thickness increases 10mm, CC and MLO increases 0.15 mGy and 0.17 mGy respectively. When it was compared with the average glandular dose of 1.16 mGy per 1 film presented by KFDA, CC was showed 1.05 mGy. However, the 60 mm or more was found to exceed a 1.30 mGy. Also, As the compressed breast thickness was higher, body mass index showed high score. And in the case of 25 or more in the obese body index according to body mass index, it was showed obesity in case of the compressed breast thickness was more than 50mm.