• Progress in Medical Physics
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• v.18 no.3
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• pp.167-171
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• 2007

In the case of radiotherapy following breast conservation therapy for breast cancer patients, the characteristic of skin dose was investigated in the treatment of intensity modulated radiation therapy (IMRT) for breast cancer patients by comparing and analysing entrance skin dose irradiated during radiotherapy using tangential technique radiotherpy, and IMRT. The calculation dose irradiated to breast skin was compared with TLD measurement dose in treatment planning by performing the two methods of radiotherapy using tangential technique, and IMRT in treatment planning equipment. The skin absorbed dose was measured to pass a nipple by spacing of 1 cm distance from center to edge of body. In the radiotherapy of tangential technique, for the irradiation of 180 cGy to PTV, the calculation dose was ranged from 103.5 cGy to 155.2 cGy, measurement dose was ranged from 107.5 cGy to 156.2 cGy, and skin dose in the center was maximum 1.45 times more irradiated than that in the edge. In the IMRT, for the irradiation of 180 cGy to PTV, the calculation dose was ranged 9.8 cGy at 80.2 cGy, measurement dose was ranged 8.9 cGy at 77.2 cGy, and skin dose in the center was maximum 0.23 times less irradiated than that in the edge. IMRT was more effective for skin radiation risks because radiation dose irradiated to skin in IMRT was much less than that in radiotherapy of tangential field technique.

• Journal of The Korean Radiological Technologist Association
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• v.29 no.1
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• pp.6-11
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• 2003

목적 : 전신방사선조사(TBI)시 균등한 선량을 조사할 목적으로 사용되는 각 신체부위별 보상체(compensator) 두께의 결정은 열형광선량계(TLD)를 이용하여 표면선량(surface dose)을 측정하고, 심부선량(depth dose)으로 환산하는 방법을 주로 이용한다. 그러나 이와 같은 방법은 골(bone) 조직에 대한 선량감쇠(dose attenuation)의 영향이 고려되지 않아 신체중심부에서의 정확한 심부선량을 알 수가 없다. 이에 본 연구

• 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.

• Progress in Medical Physics
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• v.5 no.2
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• pp.57-68
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• 1994

Purpose : The purposes are to discuss the reason to measure dose distributions of circular small fields for stereotactic radiosurgery based on medical linear accelerator, finding of beam axis, and considering points on dosimetry using home-made small water phantom, and to report dosimetric results of 10MV X-ray of Clinac-18, like as TMR, OAR and field size factor required for treatment planning. Method and material : Dose-response linearity and dose-rate dependence of a p-type silicon (Si) diode, of which size and sensitivity are proper for small field dosimetry, are determined by means of measurement. Two water tanks being same in shape and size, with internal dimension, 30${\times}$30${\times}$30cm$^3$ were home-made with acrylic plates and connected by a hose. One of them a used as a water phantom and the other as a device to control depth of the Si detector in the phantom. Two orthogonal dose profiles at a specified depth were used to determine beam axis. TMR's of 4 circular cones, 10, 20, 30 and 40mm at 100cm SAD were measured, and OAR's of them were measured at 4 depths, d$\sub$max/, 6, 10, 15cm at 100cm SCD. Field size factor (FSF) defined by the ratio of D$\sub$max/ of a given cone at SAD to MU were also measured. Result : The dose-response linearity of the Si detector was almost perfect. Its sensitivity decreased with increasing dose rate but stable for high dose rate like as 100MU/min and higher even though dose out of field could be a little bit overestimated because of low dose rate. Method determining beam axis by two orthogonal profiles was simple and gave 0.05mm accuracy. Adjustment of depth of the detector in a water phantom by insertion and remove of some acryl pates under an auxiliary water tank was also simple and accurate. TMR, OAR and FSF measured by Si detector were sufficiently accurate for application to treatment planning of linac-based stereotactic radiosurgery. OAR in field was nearly independent of depth. Conclusion : The Si detector was appropriate for dosimetry of small circular fields for linac-based stereotactic radiosurgery. The beam axis could be determined by two orthogonal dose profiles. The adjustment of depth of the detector in water was possible by addition or removal of some acryl plates under the auxiliary water tank and simple. TMR, OAR and FSF were accurate enough to apply to stereotactic radiosurgery planning. OAR data at one depth are sufficient for radiosurgery planning.

• Radiation Oncology Journal
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• v.19 no.3
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• pp.293-299
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• 2001

Prupose : LiF TLD has a problem to be used in vivo dosimetry because of the toxic property of LiF. The aim of this study is to develop new dosimeter with LiF TLD to be used in vivo dosimetry. Materials and methods : We designed and manufactured the teflon box(here after TLD holder) to put TLD in. The external size of TLD holder is $4\times4\times1\;mm^3$ To estimate the effect of TLD holder on TLD response for radiation, the linearity of TLD response to nominal dose were measured for TLD in TLD holder. Measurement were peformed in the 10 MV x-ray beam with LiF TLD using a solid water phantom at SSD of 100 cm. Percent Depth Dose (PDD) and Tissue-Maximum Ratio (TMR) with varying phantom thickness on TLD were measured to find the effect of TLD holder on the dose coefficient used for dose calculation in radiation therapy. Results : The linearity of response of TLD in TLD holder to the nominal dose was improved than TLD only used as dosimeter And in various measurement conditions, it makes a marginnal difference between TLD in TLD holder and TLD only in their responses. Conclusion : It was proven that the TLD in TLD holder as a new dosimetry could be used in vivo dosimetry.

• Journal of radiological science and technology
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• v.34 no.2
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• pp.157-163
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• 2011

Recently a variety of high technologies for radiation therapy (IMRT, SRS,. 3D-RT, etc.) has been developed. For the cervical and rectal cancer, 3field or 4field radiotherapy have been applied to the patients. In the case of two-dimensional treatment, one of the most typical side-effects is skin burn due to the radiation irradiation. In general the skin dose is evaluated by only a single measurement during the whole treatment period. In this study, however, skin dose was measured in each radiation treatment and the total skin dose was accumulated in a glass dosimeter through all the cases. After simulating the skin dose from treatment planning system, the results were compared with the actual skin doses. The results showed a good agreement between two data sets. Even though there are certain amount of errors caused by the patient movement along the treatment, the difference between actual dose and simulated dose was within the accepted range of error.

• Radiation Oncology Journal
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• v.21 no.4
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• pp.322-329
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• 2003

Purpose: It is difficult to exactly determine the surface dose and the dose distribution In buildup region of high energy X-rays by using the conventional ion chamber. The aim of this study Is to evaluate the accuracy of widely used dosimetry systems to measure the surface dose and the depth of maximum dose (d$_{max}$). Materials and Methods: We measured the percent depth dose (PDD) from the surface to the d$_{max}$ in either a water phantom or in a solid water phantom using TLD-100 chips, thimble type ion chamber, diode detector, diamond detector and Markus parallel plate ion chamber for 6 MV and 15 MV X-rays, 10$\times$10 cm$^{2}$, at SSD=100cm. We analysed the surface dose and the d$_{max}$. In order to verify the accuracy of the TLD data, we executed the Monte Carlo simulation for 5 MV X-ray beams. Results: The surface doses In 6 MV and IS MV X-rays were 29.31% and 23.36% ior Markus parallel plate ion chamber, 37.17$\%$ and 24.01$\%$ for TLD, 34.87$\%$ and 24.06$\%$ for diamond detector, 38.13$\%$ and 27.8$\%$ for diode detector, and 47.92$\%$ and 35.01$\%$ for thimble type ion chamber, respectively. in Monte Carlo simulation for 6 MV X-rays, the surface dose was 36.22$\%$, which Is similar to the 37.17$\%$ of the TLD measurement data. The d$_{max}$ In 6 WV and 15 MV X-rays was 14$\~$16 mm and 27$\~$29 mm, respectively. There was no significant difference in the d$_{max}$ among the detectors. Conclusion: There was a remarkable difference in the surface dose among the detectors. The Markus parallel plate chamber showed the most accurate result. The surface dose of the thimble ion chamber was 10$\%$ higher than that of other detectors. We suggest that the correction should be made when the surface dose of the thimble ion chamber Is used for the treatment planning ion the supeficial tumors. All the detectors used In our study showed no difference in the d$_{max}$.

• Progress in Medical Physics
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• v.23 no.1
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• pp.54-61
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• 2012

A polymer gel dosimeter was fabricated. A 3-dimensional dosimetry experiment was performed in the small field of the photon of the cyberknife. The dosimeter was installed in a head and neck phantom. It was manufactured from the acrylic and it was used in dosimetry. By using the head and neck CT protocol of the CyberKnife system, CT images of the head and neck phantom were obtained and delivered to the treatment planning system. The irradiation to the dosimeter in the treatment planning was performed, and then, the image was obtained by using 3.0T magnetic resonance imaging (MRI) after 24 hours. The dose distribution of the phantom was analyzed by using MATLAB. The results of this measurement were compared to the results of calculation in the treatment planning. In the isodose curve on the axial direction, the dose distribution coincided with the high dose area, 0.76mm difference on 80%, rather than the low dose area, 1.29 mm difference on 40%. In this research, the fact that the polymer gel dosimeter and MRI can be applied for analyzing a small field in a 3 dimensional dosimetry was confirmed. Moreover, the feasibility of using these for the therapeutic radiation quality control was also confirmed.

• The Journal of Korean Society for Radiation Therapy
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• v.27 no.2
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• pp.107-113
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• 2015

Purpose : The measurement of skin dose is very important that treatment of breast cancer. On account of the cold or hot dose as compared with prescription dose, it is necessary to analyse the skin dose occurring during the various plan of the breast cancer treatment. At our hospital, we want to apply various analyses using a diversity of dosimeters to the breast cancer treatment. Subjectss and Methods : In the study, the anthropomorphic phantom is used to find out the dose difference of the skin(draining site), scar and others occurring from the tangential treatment plan of breast cancer. We took computed tomography scan of the anthropomorphic phantom and made plans for the treatment planing using open and wedge, Field-in-Field, Dose fluence. Using these, we made a comparative analysis of the dose date points by using the Eclipse. For the dose comparison, we place the anthropomorphic phantom in the treatment room and compared the measurement results by using the TLD and MOSFET on the dose data points. Results : On the central point of treatment planing basis, the upward and downward skin dose measured by the MOSFET was the highest when the fluence was used. The skin dose of inner and outer was distinguished from the figure(5.7% ~ 10.3%) when the measurements were fulfilled by using TLD and MOSFET. The other side of breast dose was the lowest in the open beam, on the other hand, is highest in the Dose fluence plan. In the different kinds of treatment, the dose deviation of inner and outer was the highest, and so this was the same with the TLD and MOSFET measurement case. The outer deviation was highest in the TLD, and the Inner'was highest in the MOSFET. Conclusion : Skin dose in relation to the treatment plan was the highest in the planing using the fluence technique in general and it was supposed that the high dose had been caused by the movement of the MLC. There's some differences among the all the treatment planning, but the sites such as IM node occurring the lack of dose, scar, drain site are needed pay close attention. Using the treatment planning of dose fluence is good to compensate the lack of dose, but It increases the dose of the selective range rather than the overall dose. Therefore, choosing the radiotherapy technique is desirable in the lights of the age and performance of the patient.

• Journal of Radiation Protection and Research
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• v.15 no.2
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• pp.57-65
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• 1990

Newly developed LiF(Mg, Cu, Na, Si) thermoluminescence phosphors sealed in a plastic capsules (32mm dia., 0.9mm wall thickness) were used for in-phantom dosimetry of $^{60}Co$ $\gamma$-irradiation. The absorbed doses in water were determined by applying the general cavity theory to the absorbed dose in TLD cavity, which was computed from exposure. The absorbed doses at various sites in the water-phantom were measured by LiF(Mg, Cu, Na, Si) TLD and compared with doses obtained by the ionization method. Both results were consistent within the experimental fluctuation$({\pm}3%)$ Central axis percentage depth doses and phantom-air ratios measured by LiF(Mg. Cu, Na, Si) TLD showed good agreement with the published values[Br. J. Radiology, Suppl. 17(1983)].