• Journal of radiological science and technology
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• v.36 no.3
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• pp.237-244
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• 2013

The purpose of this study is to compare method in the treatment of breast cancer using dose index. And, it is to find the optimized treatment technique to the patient. The phantom filled with tissue-equivalent material were used simulation and treatment as techniques of 3D-CRT, IMRT, VMAT was planned using Eclipse v10. By using HI(homogeneity index), CI(Conformity index), OED(Organ equivalent dose), EAR(Excess Absolute Risk), were assessed for each treatment plans. HI and CI of 3D-CRT, IMRT, VMAT were calculated 16.89, 11.21, 9.55 and 0.59, 0.61, 0.83. The organ average doses of Lt lung, Rt lung, liver, heart, esophagus, cord, Lt breast, trachea and stomach were 0.01 ~ 2.02 Gy, 0.36 ~ 5.01 Gy, 0.25 ~ 2.49 Gy, 0.14 ~ 6.92 Gy, 0.03 ~ 2.02 Gy, 0.01 ~ 1.06 Gy, 0.25 ~ 6.08 Gy, 0.08 ~ 0.59 Gy, 0.01 ~ 1.34 Gy, respectively. The OED, EAR of the IMRT and VMAT show higher than 3D-CRT. As the result of this study, we could confirm being higher dose index(HI, CI) in IMRT and VMAT than 3D-CRT, but doses of around normal organs was higher IMRT, VMAT than 3D-CRT.

• Journal of Radiation Protection and Research
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• v.28 no.1
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• pp.35-42
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• 2003

Methodology for calculating the organ equivalent doses and the effective doses of pediatric and adult patients undergoing medical X-ray examinations were established. The MIRD-type mathematical phantoms of 4 age groups were constructed with addition of the esophagus to the same phantoms. Two typical examination procedures, chest PA and abdomen AP, were simulated for the pediatric patients as well as the adult as illustrative examples. The results confirmed that patients pick up approximate 0.03 mSv of effective dose from a single chest PA examination, and 0.4 to 1.7 mSv from an abdomen AP examination depending on the ages. For dose calculations where irradiation is made with a limited field, the details of the position, size and shape of the organs and the organ depth from the entrance surface considerably affect the resulting doses. Therefore, it is important to optimize radiation protection by control of X-ray properties and beam examination field. The calculation result, provided in this study, can be used to implement optimization for medical radiation protection.

• Journal of Radiation Protection and Research
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• v.22 no.1
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• pp.47-58
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• 1997

The conversion coefficients of effective dose per unit air kerma and equivalent dose per unit fluence were calculated by MCNP4A code for antero-posterior(AP) and postero- anterior(PA) incidence of broad, unidirectional beams of photons into anthropomorphic MIRD phantom. Calculations have been performed for 20 monoenergetic photons of energy ranging from 0.03 to 10 MeV. The conversion coefficients showed a good agreement with the corresponding values given in the draft publication of joint task group of ICRP and ICRU within 10%. The deviations may arise from the differences of geometry in the MIRD phantom and the ADAM/EVE phantoms, and the differences in the codes and cross-section data used. Inclusion of a specific oesophagus model results in effective dose slightly different(5% at most) from the effective doses obtained by adopting the equivalent doses for the thymus or pancreas. Deletion of the ULI from the remainder organ appeared not to be significant for the cases of photon dosimetry covered in this study.

• Progress in Medical Physics
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• v.22 no.4
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• pp.178-183
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• 2011

The applicability and feasibility of TomoTherapy in the lung radiation surgery was analyzed by comparison of the calculated dose distribution in TomoTherapy planning with the results of conventional IMRS (intensity modulated radiation surgery) using LINAC (linear accelerator). The acquired CT (computed tomograph) images of total 10 patients whose tumors' motion were less than 5 mm were used in the radiation surgery planning and the same prescribed dose and the same dose constraints were used between TomoTherapy and LINAC. The results of TomoTherapy planning fulfilled the dose requirement in GTV (gross tumor volume) and OAR (organ at risk) in the same with the conventional IMRS using LINAC. TomoTherapy was superior in the view point of low dose in the normal lung tissue and conventional LINAC was superior in the dose homogeneity in GTV. The calculated time for treatment beam delivery was long more than two times in TomoTherapy compared with the conventional LINAC. Based on the results in this study, TomoTherapy can be evaluated as an effective way of lung radiation surgery for the patients whose tumor motion is little when the optimal planning is produced considering patient's condition and suitability of dose distribution.

• Journal of the Korean Society of Radiology
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• v.17 no.2
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• pp.243-248
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• 2023

This study aims to analyze the secondary carcinogenesis rate caused by exposure of organs at risk of damage using a glass dosimeter during radiosurgery in vestibular schwannoma disease. Using a pediatric phantom of human tissue equivalent material, the volume of the tumor was set to a total of three volumes: 0.506 cm³, 1.008 cm³, and 2.032 cm³, and a radiosurgery plan was established with an average dose of 18.4 ± 3.4 Gy. After mounting the human body phantom on the table of surgical equipment, glass dosimeters were placed on the right eye, left eye, thyroid gland, thymus, right lung, and left lung to measure the exposure dose, respectively. In this study, the incidence of secondary cancer due to exposure to damaged organs during gamma knife radiosurgery in vestibular schwannoma disease with the largest tumor volume of 2.032 cm³ was measured with a glass dosimeter. This study studies the risk of secondary radiation exposure dose that can occur during stereotactic radiosurgery, and it is considered that it will be used as basic data in the field of radiation damage related to the stochastic effect of radiation in the future.

• Journal of Radiation Protection and Research
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• v.27 no.3
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• pp.155-164
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• 2002

Methodology to evaluate the effective doses to adults undergoing various diagnostic x-ray examinations were established by Monte Carlo simulation of the x-ray examinations. Anthropomorphic mathematical phantoms, the MIRD5 male phantom and the ORNL female phantom, were used as the target body and x-ray spectra were produced by the x-ray spectrum generation code SPEC78. The computational procedure was validated by comparing the resulting doses to the results of NRPB studies for the same diagnostic procedures. The effective doses as well as the organ doses due to chest, abdomen, head and spine examinations were calculated for x-rays incident from AP, PA, LLAT and RLAT directions. For instance, the effective doses from the most common procedures, chest PA and abdomen AP, were 0.029 mSv and 0.44 mSv, respectively. The fact that the effective dose from PA chest x-ray is far lower than the traditional value of 0.3 mSv(or 30 mrem), which results partly from the advances of technology in diagnostic radiology and partly from the differences in the dose concept employed, emphasizes necessities of intensive assessment of the patient doses in wide ranges of medical exposures. The methodology and tools established in this study can easily be applied to dose assessments for other radiology procedures; dose from CT examinations, dose to the fetus due to examinations of pregnant women, dose from pediatric radiology.

• Proceedings of the Korean Nuclear Society Conference
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• 1998.05b
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• pp.600-605
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• 1998

체내방사능 측정시스템의 교정인자는 측정결과에 주요한 요인으로 작용한다. 교정인자는 특정 집단으로부터 표준체위와 표준장기를 도출, 이를 기초로 하여 제작한 펜텀으로부터 구하는 것이 일반적인 방법이다. 그러나 팬텀의 기하학적 구조 및 내부장기의 형상은 특정 집단에 따라 다르므로 이로 인한 측정오차가 발생할 수 있다. 따라서 본 연구에서는 북아메리카 성인남성의 표준자료에 근거하여 제작된 LLNL 팬텀과 일본성인 남성의 표준자료에 근거하여 제작된 JAERI 팬텀을 한국원자럭연구소 폐 카운터를 이용하여 상호비교.분석하였다. 이와 함께 LLNL 팬텀으로 교정된 폐 카운터의 성능시험을 JAERI 팬텀으로 DOELAP 성능시험범주 I, II, III 및 IV에 대해 수행하여 편텀의 구조 및 형상으로부터 발생하는 측정오차를 분석하였다. 비교.분석결과 1.7 cm ~ 3.7 cm 근육등가 가슴벽두께 범위내에서 JAERI 팬텀에 의한 교정인자가 전반적으로 LLNL 팬텀의 것보다 다소 높은 수치를 보였으나 허용수준이었고, 성능시험결과 상대편중은 DOELAP 성능 용인 기준을 만족하였다. 결국 두 팬텀간의 측정오차는 측정 및 체내피폭선량 평가시 수반되는 오차와 비교해 보면 그다지 크지 않은 것으로 결론지울 수 있다. 따라서 LLNL 펜텀으로부터 구한 교정인자를 국내 성인남성의 일상 모니터링에 사용할 경우 측정결과가 다소 과대평가되기는 하나 허용수준으로서 큰 문제가 없는 것으로 나타났다.

• Journal of the Korean Society of Radiology
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• v.16 no.7
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• pp.843-849
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• 2022

In this study, the probability of secondary carcinogenesis was analyzed by measuring the exposure dose of surrounding normal organs during radiosurgery using a gamma knife. A pediatric phantom (Model 706-G, CIRS, USA) composed of human tissue-equivalent material was set to four tumor volumes of 0.25 cm³, 0.51 cm³, 1.01 cm³, and 2.03 cm³, and the average dose was 18.4 ± 3.4 Gy. After installing the Rando phantom on the table of the gamma knife surgical equipment, the OSLD nanoDot dosimeters were placed in the right eye, left eye, thyroid, thymus gland, right lung, and left lung to measure each exposure dose. The probability of cancer occurrence due to radiation exposure of surrounding normal organs during gamma knife radiosurgery for acoustic schwannoma disease was 4.08 cancers per 100,000 at a tumor volume of 2.03 cm³. This study is expected to be used as useful data in relation to stochastic effects in the future by studying the risk of secondary radiation exposure that can occur during stereotactic radiosurgery.

• Progress in Medical Physics
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• v.11 no.1
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• pp.59-71
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• 2000

It is possible to obtain a fast CT scan during breath holding with spiral technique. But the risk of radiation is increased due to detailed and repeated scans. However, the limitation of X-ray doses is not fully specified on CT, yet. Therefore, the purpose of the present study is to define the limitation of X-ray doses on CT The CT unit was somatom plus 4. Alderson Rando phantom, Solenoid water phantom, TLD, and reader were used. For determining adequate position and size of organs, the measurement of distance(${\pm}$2mm) from the midline of vertebral body was performed in 40 women(20~40 years). On the brain scan for 8:8(8mm slice thickness, 8mm/sec movement velocity of the table) and 10:10(10mm slice thickness, 10mm/sec movement velocity of the table) methods, the absorption doses of exposed area of the 10:10 were slightly higher than those of 8:8. The doses of unexposed uterus were negligible on the brain scan for both 8:8 and 10:10. On the chest scan for 8:8, 8:10(8mm slice thickness, 10mm/sec movement velocity of the table), 10:10, 10:12(10mm slice thickness, 12mm/sec movement velocity of the table) and 10:15(10mm slice thickness, 15mm/sec movement velocity of the table) methods, 8:8 method of the absorption doses of exposure area was the most highest and 10:15 method was the most lowest. The absorption doses of 8:10 method was relatively lower than those of the other methods. In conclusion, the 8:10 method is the most suitable to give a low radiation burden to patient without distorting image quality.

• Proceedings of the Korean Society of Medical Physics Conference
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• 2003.09a
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• pp.58-58
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• 2003

목적 : 본 연구에서는 C-arm과 CT에 사용 가능한 자궁경부암용 팬톰을 개발하고 이를 이용하여 기존의 필름 방법에 기반한 위치 확인 방법과 CT 재구성 방법의 정확성을 비교 연구하고자 한다. 정확성이 검증된 후에는 두 방법의 장점을 이용하기 위해 CT로 재구성된 좌표를 필름의 좌표로 변환시켜 현재 사용되고 있는 필름에 기반한 근접 치료 계획 시행에 도움을 주고자 한다. 방법 : 자체 제작한 자궁경부암용 팬톰은 인체 등가 물질인 물과 아크릴을 사용하였고, 크게 localizer 부분과 팬톰 부분으로 구성되어 있다. 또한, 실제 자궁경부암 환자의 임상적인 구조를 모사하여 제작하였다. 자궁경부암 치료시 중요 장기인 방광과 직장을 구와 원기둥으로 설계하였고, 고선량율 applicator는 아크릴 판의 흠으로 고정시켜 제작하였기 때문에 CT 촬영시 applicator를 제거한 영상에서도 applicator의 구조가 정확하게 묘사될 수 있도록 제작하였다. 두 시스템에서 재구성된 좌표를 비교하기 위해 각각의 시스템에서의 얻은 재구성 좌표와 팬톰 자체의 localizer와 재구성 알고리즘을 바탕으로 개발된 프로그램을 이용하여 얻은 좌표로 두 재구성 좌표의 비교 연구를 수행하였다. 정확성이 검증되고 장기의 정보가 담긴 CT의 좌표는 자체 개발된 프로그램으로 2 차원의 필름 좌표로 변환되었다. 본 연구에 사용된 모든 프로그램은 ILD 5.5를 사용하여 개발되었다. 결과 : 두 시스템의 좌표 비교 결과 x, y 축은 차이가 2mm 이내로 비교적 정확한 실험 결과를 얻을 수 있었고, z 축의 경우 CT 슬라이드의 굵기에 따라 2mm-3mm 이내의 차이가 있음을 관찰할 수 있었다. z 축을 제외한 좌표의 차이는 획득한 영상에서 컴퓨터로 좌표를 옮기는 localizer 좌표 선택 과정에 발생했을 것으로 예상된다. 또한, 이 검증된 좌표와 개발된 프로그램을 이용하여 우리는 CT의 좌표를 2차원의 필름 좌표로 정확하게 변환할 수 있었다. 결론 : 이 연구로부터 기존의 C-arm 재구성 방법과 CT 재구성 방법의 비교를 통해 각 치료 기기의 신뢰성을 직접 확인할 수 있었으며, 비교를 통해 검증된 CT의 좌표를 필름 좌표로 변환시킴으로서, 각 시스템의 장점만을 결합한 효과적인 치료 계획을 세울 수 있는 가능성을 제시하였다. 또한 물과 아크릴을 사용한 비교적 간단하고 경제적인 방법으로 C-arm, CT 그리고 MRI에 모두 이용 가능한 팬톰을 제작하여 쉽고 정확하게 위치를 확인할 수 있었다. 더 나아가, 본 연구에서 제작된 자궁경부암 팬톰은 근접치료를 포함하여 관련 팬톰 개발에 도움을 줄 수 있을 것으로 예상된다.