• The Journal of Korean Society for Radiation Therapy
• /
• v.21 no.1
• /
• pp.17-23
• /
• 2009

Purpose: In treating head and neck cancer, it is very important to irradiate uniform dose on the junction of the bilateral irradiation field of the upper head and neck and the anterior irradiation field of the lower neck. In order to improve dose distribution on the junction, this study attempted to correct non uniform dose resulting from under dose and over dose using the field-in-field technique in treating the anterior irradiation field of the lower neck and to apply the technique to the treatment of head and neck cancer through comparison with conventional treatment. Materials and Methods: In order to examine dose difference between the entry point and the exit point where beam diffusion happens in bilateral irradiation on the upper head and neck, we used an anthropomorphic phantom. Computer Tomography was applied to the anthropomorphic phantom, the dose of interest points was compared in radiation treatment planning, and it was corrected by calculating the dose ratio at the junction of the lower neck. Dose distribution on the junction of the irradiated field was determined by placing low-sensitivity film on the junction of the lower neck and measuring dose distribution on the conventional bilateral irradiation of the upper head and neck and on the anterior irradiation of the lower neck. In addition, using the field-in-field technique, which takes into account beam diffusion resulting from the bilateral irradiation of the upper head and neck, we measured difference in dose distribution on the junction in the anterior irradiation of the lower neck. In order to examine the dose at interest points on the junction, we compared and analyzed the change of dose at the interest points on the anthropomorphic phantom using a thermoluminescence dosimeter. Results: In case of dose sum with the bilateral irradiation of the upper head and neck when the field-in-field technique is applied to the junction of the lower neck in radiation treatment planning, The dose of under dose areas increased by 4.7~8.65%. The dose of over dose areas also decreased by 2.75~10.45%. Moreover, in the measurement using low-sensitivity film, the dose of under dose areas increased by 11.3%, and that of over dose areas decreased by 5.3%. In the measurement of interest point dose using a thermoluminescence dosimeter, the application of the field-in-field technique corrected under dose by minimum 7.5% and maximum 17.6%. Thus, with the technique, we could improve non.uniform dose distribution. Conclusion: By applying the field-in-field technique, which takes into account beam divergence in radiation treatment planning, we could reduce cold spots and hot spots through the correction of dose on the junction and, in particular, we could correct under dose at the entry point resulting from beam divergence. This study suggests that the clinical application of the field-in-field technique may reduce the risk of lymph node metastasis caused by under dose on the cervical lymph node.

• The Journal of the Korea Contents Association
• /
• v.10 no.6
• /
• pp.360-363
• /
• 2010

This study evaluated surface dose of treatment immobilization devices such as Themo-plastic, Vac-lock, Cotton and Plaster according to their electron energy. Using a linear accelerater, a plane parallel chamber was set up on 6Mev, 9Mev, 12Mev and 15Mev. A distance between a source and a surface was 100cm and a field size was 10cm*10cm. An incident angle was 0 degree and a radiation dose was 100MU. To decrease an error, the measurement repeated 3 times. The analysis reveals that the surface dose of Vac-lock was the highest and Themo-plastic, Plaster and Cotton were high in order.

• Progress in Medical Physics
• /
• v.21 no.1
• /
• pp.86-92
• /
• 2010

The purpose of this study was to measure curvature contour skin dose using radiochromic film and TLD for a conventional open field. We also attempted to quantify the degradation of skin sparing associated with use of immobilization devices for high energy photon beams and to calculate the skin dose with a help of Monte Carlo (MC) simulation. To simulate head-and-neck and shoulder treatment, a cylindrical solid water phantom 11 cm in diameter was irradiated with 6 MV x-rays using $40{\times}40\;cm^2$ field at 100 cm source axis distance (SAD) to the center of the phantom. Aquaplastic mesh mask was placed on the surface of the cylindrical phantom that mimicked relevant clinical situations. The skin dose profile was obtained by taking measurements from $0^{\circ}$ to $360^{\circ}$ around the circumference of the cylindrical phantom. The skin doses obtained from radiochromic film were found to be 47% of the maximum dose of $D_{max}$ at the $0^{\circ}$ beam entry position and 61% at the $90^{\circ}$ oblique beam position without the mask. Using the mask (1.5 mm), the skin dose received was 59% at $0^{\circ}$ incidence and 78% at $80^{\circ}$ incidence. Skin dose results were also gathered using thin thermoluminescent dosimeters (TLD). With the mask, the skin dose was 66% at $0^{\circ}$ incidence and 80% at $80^{\circ}$ incidence. This method with the mask revealed the similar pattern as film measurement. For the treatments of the head-and-neck and shoulder regions in which immobilization mask was used, skin doses at around tangential angle were nearly the same as the prescription dose. When a sloping skin contour is encountered, skin doses may be abated using thinner and more perforated immoblization devices which should still maintain immoblization.

• Journal of Radiation Protection and Research
• /
• v.24 no.3
• /
• pp.143-154
• /
• 1999

Panasonic UD-809P type albedo neutron TL dosimeters mounted on a water phantom were used to measure neutron personal dose equivalent in a Korean nuclear power plant. From the measured TL readings, personal dose equivalents from thermal, epithermal and fast neutrons were evaluated by using a method adopted in a neutron dose calculation algorithm for Panasonic UD-809P type albedo neutron TL dosimeters, which was suggested in a Panasonic TLD System User's Manual. The results showed that personal dose equivalent from fast neutrons could not be adequately evaluated in a field with high thermal neutron fraction to be encountered in a nuclear power plant. This seems to be related to the incomplete incidence of albedo thermal neutrons to the TL dosimeters. In order to evaluate appropriately the personal dose equivalent from fast neutrons in the field condition, new method fer the neutron dose calculation algorithm was suggested. In this new method, neutrons are grouped into thermal neutrons and fast neutrons. For each neutron component, equations for TL response, sensitivity factor, calibration factor and personal dose equivalent were derived.

• Proceedings of the Korean Nuclear Society Conference
• /
• 2003.05a
• /
• pp.363.1-363.1
• /
• 2003

• The Journal of the Korea Contents Association
• /
• v.12 no.8
• /
• pp.233-239
• /
• 2012

This study was performed to find a method to decrease the radiation exposure of patients when obtaining anteroposterior pelvic images maintaining the quality of the image by using the copper filter built in the DR equipment now being used in our hospital. We measured the level of radiation by changing the filters from none filter to 0.1mmCu, 0.2mmCu, and 0.3mmCu and detected the organ level of radiation by PCXMC program. As a result, high levels of radiation were detected in the bladders and testicles and the levels were decreased as the thickness of the filter was increased and the amount of decrease was the highest in 0.1mmCu. And we asked for the expert opinions to 3 radiologists and as a result, only images obtained by 0.1mmCu filter out of all the images on which copper filters were used were accepted as the ones with diagnostic value same as none filter. At this time, the incident dose on the pelvic region was 0.895mGy which was smaller than the one in none filter by 47%. Therefore, using 0.1mmCu when obtaining anteroposterior pelvic images can effectively decrease the radiation exposure of patients.

• Journal of radiological science and technology
• /
• v.28 no.4
• /
• pp.293-299
• /
• 2005

In the present investigation, we analyzed the data of 1,318 patients (2,636 images) who underwent mammographic examinations and obtained the distribution of the patient age and compressed breast thickness. We measured also average glandular doses (AGD) as function of compressed breast thickness. In order to obtain the values of AGD, we measured half value layer (HVL) and tube output (mR/mAs) for each kVp and target/filter combination. Entrance surface air kerma (ESAK) was calculated from the tube output as measured for each voltage used under clinical conditions and from the tube loading (mAs). AGD per exposure were calculated by multiplying the ESAK values by the conversion factors tabulated by Dance. We obtained in this study the following conclusions. The mean value of compressed breast thickness for cranio-caudal (CC) view was 35.8mm and that for medio-lateral oblique (MLO) view was 43.3 mm. The mean value of AGD for CC view was 1.55 mGy and that for MLO view was 1.70 mGy. The AGD for MLO view was 0.15 mGy (10%) higher than that for CC view because the thickness for MLO view was on average 4.8 mm higher than that for CC view. The values of AGD increased with increasing compressed brest thickness. The increased AGD value was on average 0.34 mGy per 10 mm in the thickness ranges $10{\sim}80\;mm$, therefore differences between the AGD values of each thickness were relative large. Thus, it is considered to need limited doses for mammography with the upper end of exposure range at several different compressed brest thickness.

• Progress in Medical Physics
• /
• v.15 no.1
• /
• pp.39-44
• /
• 2004

The energy distributions for clinically used electron beams from measured and calculated mono energetic depth dose values were calculated. The energy distributions having the minimum difference between the measured and reduced values of depth dose are determined by iterations based on least square method. The nominal energies of 6, 9, 12, 15 MeV clinical electron beams were examined. The Monte Carlo depth dose calculations with determined energy distributions were peformed to evaluate those distributions. In a comparison of the calculated and measured depth dose data, the standard errors are estimated within $\pm$ 3% from surface to R$_{80}$ depth and within $\pm$4% from the surface to near the range for all electron beams. This can be practically applied to determine the energy distributions for clinically used electron beams.

• Journal of the Institute of Electronics Engineers of Korea SC
• /
• v.41 no.6
• /
• pp.61-66
• /
• 2004

To make a guide line of property control of angiography equipments, we made standard evaluation sheet forms of facility and management of angiography suite, physical properties of angiography equipments, and image quality of film and then surveyed them at 29 hospital nationwide. Survey and development of standard evaluation sheet form of physical properties of angiography equipments. By using resolution & radiation dose, physical properties of angiography equipments of 49 in number nationwide were evaluated. Most of them (91%) had good performance.

• Journal of Radiation Protection and Research
• /
• v.16 no.2
• /
• pp.17-26
• /
• 1991

Beta ray $(^{90}Sr+^{90}Y)$ absorbed dose at tissue surface was measured from the distance of 30cm by use of extrapolation chamber. In the measurement, following factors were considered: effective area of collecting electrode, polarity effect, ion recombination and window attenuation. The measured absorbed dose rate at tissue surface was $1.493{\mu}Gy/sec$ with ${\pm}2.9%$.