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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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Mechanical Physiology of the Somatic Nervous System-(Mechanical Transmission Mechanism and Initial Local Excitation of Somatic Neurons)- (체성신경계(體性神經系)의 기계적(機械的) 생리학(生理學)- 기계적전달(機械的傳達)과 체성신경원(體性神經元)의 초발국소흥분(初發雇所興奮) -)

  • Kwak, Je-Hi
    • The Korean Journal of Physiology
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    • v.1 no.1
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    • pp.7-22
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    • 1967
  • 인간(人間)의 감각(感覺), 운동(運動), 사고등(思考等)에 직접관여(直接關與)하는 체성신경원(體性神經元)이 인체내(人體內)에 있어서 단일세포동물(單一細胞動物)과 비체성신경원(非體性神經元)과 같이 각종(各種)의 자극(刺戟)에 직접응(直接應)하므로써 기능적(機能的) 활동(活動)을 개시(開始)한다는 한연(漢然)한 예상하(豫想下)에서 말초(末梢)에서는 혹종(或種)의 통소(痛素)를, 중추(中樞)에서는 어떤 묘(妙)한 화학적(化學約)인 흥분전달물질(興奮傳達物質)을 탐구(探求)하고 있으며 말초(末梢)의 통흥분시발(痛興奮始發)과 대뇌피질(大腦皮質)의 기능발생(機能發生)같은 중요(重要)한 제기전(諸機轉)이 해명(解明)될 가능성(可能性)조차 보이지 않는 것이 체성신경생리학(體性神經生理學)의 현상(現狀)이다. 저자(著者)는 생태분리(生態分離)한 단일신경섬유실험(單一神經纖維實驗)과 임상적연구(臨床的硏究)로서 인체내(人體內)의 체성신경섬유(體性神經纖維)와 그 구심성종말(求心性終末)은 최종(最終) 공통기계적자극(共通機械的刺戟)을 받는 점(點)을 입증(立證)하고 뇌피질내(腦皮質內)의 입사(入射)에 의(依)한 Synapse 전달(傳達)이 기계적(機械的)인 점(點)과 모세혈관확대(毛細血管擴大)에 의(依)한 Glial Satellite 부(部)의 기계적전달(機械的傳達)과 Spine Koph 에서는 입사(入射) 없이도 Massage에 의(依)하여 초발탈분극(初發脫分極)이 발생(發生)될 필연성(必然性)을 지적(指摘)하는 동시(同時)에 저자(著者)가 부르는 ${\ulcorner}$체성신경계(體性神經系)의 기계적생리학(機械的生理學)${\lrcorner}$에 의(依)하면 난간(難間)에 속(屬)하는 대다수(大多數)의 신경현상(神經現象)과 정신현상(精神現象)이 구체적(具體的)이며 합리적(合理的)이요 또 실용적(實用的)으로 해명(解明)됨을 실례(實例)를 들어서 예시(例示)한다. 본연구(本硏究)는 습수만예(拾數萬例)의 단일신경섬유관찰(單一神經纖維觀察)과 수백예(數百例)의 임상적연구(臨床的硏究)와 최근고도(最近高度)로 발달(發達)된 기술(技術)에 의(依)한 징소생리학적(徵少生理學的) 제연구업속(諸硏究業續)과 전자현미경적형태학성과(電子顯徵鏡的形態學成果)를 종합(綜合)하므로써 성립(成立)된 것이요 하등(何等)적 무리(無理)한 억측(憶測)을 내포(內包)하지 않음을 확신(確信)한다.

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Verification of Target Position in Stereotactic Radiosurgery Based on Photon Knife System (Photon Knife 시스템에 근거한 뇌정위 방사선수술에서 표적위치 확인)

  • 최태진;김진희;김옥배
    • Progress in Medical Physics
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    • v.14 no.2
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    • pp.99-107
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    • 2003
  • This study was performed to prepare the verification film for localizing beam-target position with the Photon Knife radiosurgery system (PKRS) using linear accelerator(Mitsubishi, Model ML-15MDX). We developed a laser calibration system using a reticle of transparent lucite to detect Inlet and outlet beams. We verified fixation of the second collimator with film mounted on a holder in the shape of an octagon block 5cm apart from the isocenter. The film was exposed to photon beams of linear accelerator at an interval of 45 degrees during the gantry movement. There were no shifts in the beam of the second collimator during gantry movement. We used a position marker which is designed a head-shaped small lead block and a 10 mm in diameter of steel bead in the plastic tube. The position marker helped to verify the beam directions with patient position in multi-arc and trans-multi-arc of PKRS The verification of beam alignments showed an average 0.8$\pm$0.26 mm discrepancy in LINAC-gram images of PKRS. In our study, the couch movement was $\pm$5 mm laterally, while it shook $\pm$ 2 mm toward the couch axis. The couch, however, was immediately returned to the initial site after shaking. Thus, we postulate that the beam-target position(s) should be verified with LINAC-gram in a stereotactic radiosurgery system to achieve the accuracy of beam-target alignment.

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Electrocardiogram-Gated Multi-Angle Doppler Optical Coherence Tomography (심전도 게이트를 사용한 다관점 도플러 광 단층촬영법)

  • Ahn, Yeh-Chan
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.35 no.7
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    • pp.685-691
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    • 2011
  • The aim of this study is to point out the uniqueness of Doppler optical coherence tomography (DOCT) for use in a probe station for (in vivo) visualization of microscale flow and structure and to maximize the effectiveness of DOCT by overcoming its limitations. Conventional DOCT produces images of only one of the velocity components that is parallel to the incident light. In this study, a multi-angle DOCT to quantify a velocity vector field is proposed; this is an extension from a velocity scalar field to a vector field. Quantifying an instantaneous three-dimensional velocity field in a pulsating flow is another challenge because of its limited frame rate. The in-vivo pulsating blood flow is measured by using an electrocardiogram-gated multi-angle DOCT in a hamster cheek pouch model. It is shown that the aliasing problem caused by a relatively low frame rate is resolved by using this method of measurement.

Improvement of size measurement polystyrene spheres of diameters 3$\mu$m and 10$\mu$m by optical microscope with CCD camera (CCD 카메라가 장착된 광학현미경을 사용한 폴리스티렌구 (3 $\mu$m와 10 $\mu$m)의 평균지름측정)

  • 정기영;박병천;깅주식;송원영;오범환
    • Korean Journal of Optics and Photonics
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    • v.9 no.6
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    • pp.362-367
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    • 1998
  • Center Distance Finding (CDF) is a technique to find the sphere diameter by measuring the distance between two contacting spheres. The focal spots of the sphere clusters are formed in the back-focal plane by the transmission-mode optical microscope with the pseudothermal illumination source. Digital images taken by the CCD camera were processed by the software called Global Lab Image. The centers of the focal spots are found and the spot positions are expressed in terms of the CCD pixel elements, whose coordinate are calibrated by a heterodyne interferometer. The new CDF measurement system has been developed, which are more advantageous in time and convenience than the existing system, while the measurement uncertainly remains sufficient for its use as a magnification standard for optical microscopy. Two kinds of polystyrene spheres whose nominal diameters 3 and 10 $\mu\textrm{m}$ (NIST SRM 1962 and 1960) are measured with the uncertainly less than 1% at the confidence level of 99%, and the results are compared with the results of National Institute of Standards and Technology.

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The Study on the Reduction of Patient Surface Dose Through the use of Copper Filter in a Digital Chest Radiography (디지털 흉부 촬영에서 구리필터사용에 따른 환자 표면선량 감소효과에 관한 연구)

  • Shin, Soo-In;Kim, Chong-Yeal;Kim, Sung-Chul
    • Journal of radiological science and technology
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    • v.31 no.3
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    • pp.223-228
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    • 2008
  • The most critical point in the medical use of radiation is to minimize the patient's entrance dose while maintaining the diagnostic function. Low-energy photons (long wave X-ray) among diagnostic X-rays are unnecessary because they are mostly absorbed and contribute the increase of patient's entrance dose. The most effective method to eliminate the low-energy photons is to use the filtering plate. The experiments were performed by observing the image quality. The skin entrance dose was 0.3 mmCu (copper) filter. A total of 80 images were prepared as two sets of 40 cuts. In the first set (of 40 cuts), 20 cuts were prepared for the non-filter set and another 20 cuts for the Cu filter of signal + noise image set. In the second set of 40 cuts, 20 cuts were prepared for the non-filter set and another 20 cuts for the Cu filter of non-signal image (noisy image) with random location of diameter 4 mm and 3 mm thickness of acryl disc for ROC signal at the chest phantom. P(S/s) and P(S/n) were calculated and the ROC curve was described in terms of sensitivity and specificity. Accuracy were evaluated after reading by five radiologists. The number of optically observable lesions was counted through ANSI chest phantom and contrast-detail phantom by recommendation of AAPM when non-filter or Cu filter was used, and the skin entrance dose was also measured for both conditions. As the result of the study, when the Cu filter was applied, favorable outcomes were observed on, the ROC Curve was located on the upper left area, sensitivity, accuracy and the number of CD phantom lesions were reasonable. Furthermore, if skin entrance dose was reduced, the use of additional filtration may be required to be considered in many other cases.

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GCP Data Acquisition using Image Chip (영상 CHIP을 이용한 지상기준점 정보취득)

  • 손홍규;이재원;허민;김기홍;이준명
    • Proceedings of the Korean Association of Geographic Inforamtion Studies Conference
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    • 2003.04a
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    • pp.349-353
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    • 2003
  • 최근 관심이 증대되고 있는 국토모니터링과 관련하여 기존의 SPOT, IRS, KOMPSAT, LANDSAT 등의 중ㆍ저해상도 위성영상과 IKONOS 등의 고해상도 위성영상을 이용하여 국토의 변화를 탐지하고자 하는 시도가 활발히 진행되고 있다. 이 때 영상의 기하보정은 필수적인 과정이며 영상의 기하보정시 기준점을 취득하는 과정에 많은 시간과 작업비용이 소요된다. 현재 기준점 취득은 수치지도 등을 통해 기존의 지상기준점을 이용하는 방법과 GPS를 이용한 현지 측량방법이 활용되고 있는데 동일지역에 대해 매번 사업 때마다 수행되고 있는 실정이다. 따라서 이러한 과정을 보다 효율적으로 수행하기 위한 하나의 방안으로 본 연구에서는 image chip을 이용하여 GCP를 취득하고 이를 데이터베이스로 구축하여 기존의 작업을 자동화, 체계화하고자 하였다. 이를 통하여 중복측량 방지와 데이터의 균질성을 기할 수 있었다. Image Chip의 영상 정합을 위해서는 상관계수법과 최소제곱정합법을 이용하여 부영상소 단위까지 정합결과를 얻을 수 있었으며 위성의 header 정보로부터의 영상의 표정각과 입사각에 대한 정보를 이용하여 축척과 회전요소를 고려함으로써 영상 정합시 보다 정확한 기준점 정보를 취득할 수 있었다. 또한, 이종 센서간 영상정합 가능성에 대해서 연구한 결과 KOMPSAT과 SPOT간에는 신뢰할 만한 수준의 정합 결과를 얻을 수 있었으나 고해상도 영상의 경우에는 항공사진과 IKONOS의 영상 정합시 센서의 방사학적 특성의 차이로 신뢰할 안한 결과를 얻을 수 없었다. 영상 정합시 정확도에 영향을 미치는 인자들에 관한 실험 결과 센서의 파장, 계절, Chip 영상의 크기 등이 큰 영향을 미쳤으며 영상정합을 위해 영상 GCP를 데이터베이스에서 검색할 때 이에 대한 고려가 우선적으로 이루어져야 할 것으로 사료된다.n of hub-and-spoke system, integration of logistics bases, introduction of (automatic) parking building, diversification of transportation mode, and etc. At the same time, we constructed three practically executable scenarios based on those ideas. The first is "Center Hub" scenario, the second is "Metropolitan Hub" scenario. The third and last scenario is "Regional Consolidation of Warehouses (distribution centers)".f worldly desire' and 'cordiality' that one could be deserved his diligency becoming a part of the harmonious idealistic living place. Fourthly, on the character of story teller. Originally he is a incomer of "Gang-Ho" from real world. so that reason, he is showing dualism not to deny the loyalty oath to his king, while he intends to satisfy with the life in "Gang- Ho" separating himself from real world. As a gentry, at that time, the loyalty oath is inevitable one and that is found from wr

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Digital X-ray Detector에 적용을 위한 Polycrystalline CdTe 구조에 따른 전기적 신호 연구

  • Kim, Jin-Seon;O, Gyeong-Min;Jo, Gyu-Seok;Song, Yong-Geun;Hong, Ju-Yeon;Heo, Seung-Uk;Nam, Sang-Hui
    • Proceedings of the Korean Vacuum Society Conference
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    • 2013.02a
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    • pp.484-484
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    • 2013
  • 기존 진단용 Digital X-ray Detector이 직접방식에서는 a-Se (Amorphous Selenium)이 대중화되었지만 고전압을 인가하여야한다는 점과 그로 인한 물질 자체의 Life time 감소 등 여러 단점들 때문에 기타 후보물질들로 HgI2, PbI2, PbO, CdTe, CdZnTe가 연구 되고 있다. 이러한 후보 물질들 중 본 연구에서는 PVD (Physical Vapor Deposition)방식을 이용하여 Polycrystalline CdTe 박막을 제작하고 특성 향상을 위해 유전물질을 Passive layer와 Protect layer로써 증착하였다. 또한 유전체층의 위치에 따른 특성 분석을 위해 제작된 박막은 FE-SEM (Field Emission Scanning Electron Microscope), XRD (X-ray Diffraction)을 통해 구조적인 특성을 확인하였다. 그리고 입사되는 X-ray 선량에 의해 생성되는 전기적 특성을 분석하였다, 그 결과 박막의 Grain Size는 약 $5{\mu}M$이며 (111)방향의 주 peak를 띄는 Poly CdTe형태로 증착된 것을 확인하였다. 전기적인 신호 결과 Passive layer와 Protect layer를 증착한 박막 모두 Darkcurrent가 감소된 것을 확인하였다. 또한 Sensitivity 측정 결과 Passive layer를 삽입한 경우 신호 값이 감소하였으며 Protect layer를 삽입한 경우 신호 값의 변화가 일어나지 않았다. 그러므로 Protect layer를 등착한 박막의 경우 SNR이 현저히 높아지는 결과를 낳았다.

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Maximum Electromagnetic Transmission through a Narrow Slit in Conducting Screen (도체 스크린의 좁은 슬릿을 통한 전자파 최대 투과 현상)

  • Lee, Jong-Ig;Cho, Young-Ki
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.19 no.8
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    • pp.832-836
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    • 2008
  • In this study, the electromagnetic coupling problem through narrow slit in an infinite conducting screen is considered for the case that the TM polarized plane wave is incident upon the slit. This study aims at explaining the mechanism of the maximum power transmission via the resonated slit using the equivalent circuit. It is shown that the transmitted power through the slit for the case of resonance corresponds to the power normally incident upon the conducting plane of the effective width 1/pi wavelengths, irrespective of the slit width. Some similarities between the maximum power transmissions observed in both the proposed structure and narrow slit in thick conducting screen are described from the viewpoint of equivalent circuit. In addition, it is found that, when the slit is resonated, the transmitted power equal to the scattered power.

Performance Prediction of Centrifugal Compressors (원심 압축기의 성능 예측)

  • 오형우;정명균
    • Transactions of the Korean Society of Automotive Engineers
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    • v.5 no.2
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    • pp.136-148
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    • 1997
  • The present study has been carried out to develop a computational procedure for the analysis of the off-design performance in centrifugal compressors with vaneless diffusers by integrating empirical loss models and analytical equations. Losses in centrifugal compressors stem from a number of sources and their exact calculation is not yet possible. This study investigates several modeling schemes and shows that a fairly good prediction can be achieved by a proper selection of the most important flow parameters resulting form a meanline one-dimensional analysis. The performance maps for compressors are calculated and compared with measured performance maps. The off-design performance characteristics in terms of the pressure ratio vs. mass flow produced have generally correct forms. However, no universal means have been found to predict accurately the onset of surge. The prediction method developed through this study can serve as a tool to ensure good matching between parts and it can assist the understanding of the operational characteristics of general purpose centrifugal compressors.

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