• Title/Summary/Keyword: 폐선량

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Effective Dose Equivalent due to Inhalation of Indoor Radon-222 Daughters in Korea (한국인의 라돈-222 자핵종 호흡 실효선량당량 평가)

  • Chang, Si-Young;Ha, Chung-Woo;Lee, Byoung-Hun
    • Journal of Radiation Protection and Research
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    • v.16 no.1
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    • pp.1-13
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    • 1991
  • Effective dose equivalents resulting from inhalation of indoor radon-222 daughters at 12 residential areas in Korea were assessed by a simple mathematical lung dosimetry model based on the measurements of long-term averaged radon concentrations at 340 dwellings. The long-term averaged indoor radon-222 concentrations and corresponding eqilibrium equivalent radon $concentration(EEC_{Rn})$ measured by passive time-integrating CR-39 radon cups are in the range of $33.82{\sim}61.42Bq/m^3(median\;:\;48.90Bq/m^3)$ and of $13.53{\sim}24.57Bq/m^3(median\;:\;19.55Bq/m^3)$, respectively. The effective dose equvalent conversion factor for the exposure to unit $EEC_{Rn}$ derived in this study was estimated $1.07{\times}10^{-5}mSv/Bq\;h\;m^{-3}$ for a reference adult and agreed well with those recommended by the ICRP and UNSCEAR. The annual average dose equivalent to the lung $(H_{LUNG})$ from inhalation exposure to measured $EEC_{Rn}$ was estimated to be 20.90 mSv and resulting effective dose $equivalent(H_E)$ was to be 1.25 mSv, which is about 50% of the natural radiation exposure of 2.40 mSv/y to the public reported by the UNSCEAR.

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Smoking Status and Serum NSE Level, as Prognostic Factors in Adenocarcinoma of Lung (원발성 폐선암 환자에서 예후인자로 흡연 및 NSE 수치의 의의)

  • Kim, Hee Kyoo;Ok, Chul Ho;Jung, Mann Hong;Jang, Tae Won
    • Tuberculosis and Respiratory Diseases
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    • v.58 no.6
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    • pp.582-589
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    • 2005
  • Background : The incidence of lung adenocarcinoma, which is more prevalent in women and nonsmokers, is increasing. The aim of this study was to determine the prognostic factors of an adenocarcinoma of the lung. Material and method : The clinical information of patients diagnosed with an adenocarcinoma of the lung at the Kosin University Gospel Hospital from January 1994 to July 2004 was reviewed retrospectively. The survival time of these patients was analyzed by the patient's age, gender, performance status, weight loss, smoking history, location of the primary tumor, clinical stage, serologic tumor markers, and treatment modality. Results : For all 422 patients with an adenocarcinoma of the lung, 247 (58.5%) were male, and their mean age was 59.8 years the. The majority of patients were smokers (58.3%), and the tumors were located in the periphery (59.7%). In the smokers, the tumor was located more in the central airway compared to the non-smokers (42.8% vs. 31.9%, p=0.12). The overall median survival time was 390 days (95% CI;304-436 days). Univariate survival analysis revealed that an older age (${\geq}65$ years old), male, weight loss, smoker, central type, advanced clinical stage, elevated serum carcinoembryonic antigen (CEA, >5 ng/ml) and neuron specific enolase (NSE, >15 ng/ml), and the supportive care only were significantly poor prognostic factors. The median survival time was shorter in the smokers than nonsmokers (289 days vs. 533 days, p<0.001). In addition, it was also shorter in the elevated NSE group than in the normal range group (207 days vs. 469 days, p<0.001). Multivariate analysis showed that age, clinical stage, serum NSE, smoking status, and treatment modality were independent predictors of survival (hazard ratios: 1.68, 1.94, 1.92, 2.39 and 1.57, respectively). Conclusions : Smoking is an important prognostic factor in an adenocarcinoma of the lung, but not gender. This suggests that the better prognosis of women is more related with the lower rate of smoking. In addition, the elevated serum NSE is also an important prognostic in an adenocarcinoma of the lung.

폐암 세기변조방사선치료 시 최적화된 조사계획 설정과 가상 장기 설정에 관한 연구

  • Lee, Seok;Lee, Chang-Geol;Cho, Sam-Ju;Chu, Sung-Sil;Lee, Sang-Hoon;Choi, Myung-Sun;Kim, Chul-Yong
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2003.09a
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    • pp.34-34
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    • 2003
  • 목적 : 폐암 환자 세기변조방사선치료 과정을 소개하고, 방사선치료계획의 최적화를 위한 빔 수와 방향, 가상장기 설정 (virtual organ delineation, VOD) 및 선량 제한 인자들의 이용에 대해 평가함으로써 폐, 심장 등에 조사되는 선량을 최소화하는데 사용하는 세기변조방사선치료 (intensity modulated radiotherapy, IMRT) 기술의 유용성을 평가하고자한다. 대상 및 방법 : 종양이 종격동을 침범하여 상대적으로 장기움직임에 의한 오차가 적은 폐암환자 5 명을 대상으로 하였다. 환자고정장치는 상반신을 편안하게 유지함과 동시에 팔의 위치를 고정시킴으로써 기대할 수 있는 환자고정효과와 벨트를 이용하여 환자 상복부를 압박해줌으로써 호흡운동에 의한 장기 움직임을 감소시킬 수 있는 형태로 고안하였다. 치료계획시 빔 수와 방향은 5,7,9 문 (from 200 to 160, equispaced field, arbitrary field), 4 문 (anterior, posterior, bilateral posterior oblique field) 과 비등방 7, 9 문 (non-equispaced field, arbitrary field) 등을 사용하였다. 선량제한 ($V_{20}V_{25}$)은 문헌에 기초하여 설정하였으며, 가상장기를 적절히 사용하여 최적화된 치료계획 결과를 얻었다. 방사선치료계획 평가는 선량-체적간 히스토그람 (DVH), 등선량곡선 및 선량통계 등을 이용하여 수행하였다. 특히 가상장기 설정 전, 후의 결과 값을 분석함으로써 그 유용성을 확인하였다. 결과 : 9문 등방-IMRT와 7문 비등방-IMRT 방법이 치료계획용적의 선량균질성 (PTV dose homogeneity), 평균 폐선량 (mean lung dose) 및 $V_{20}V_{25}$ 모두에서 20% 이내의 좋은 결과를 얻을 수 있었고, 가상 장기를 설정함으로써 같은 결과를 가져옴을 알 수 있었다. 또한 폐암 세기변조방사선치료 프로토콜을 작성하여 임상에 사용함으로써 치료과정 중 발생할 수 있는 오류를 보완할 수 있음을 알 수 있었다. 결론 : 폐암 세기변조방사선치료 시 사용할 수 있는 프로토콜을 작성하였고, 적절한 가상 장기 및 조사계획 설정으로 치료계획의 최적화를 얻을 수 있음을 알 수 있었다.

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Study on the Assessment of Dose Equivalent due to the Inhalation of $^{222}Rn$ and Its Daughters in Indoor Air (실내 $^{222}Rn$$^{222}Rn$ 딸핵종에 의한 피폭선량 해석연구)

  • Jun, Jae-Shik;Chai, Ha-Seok;Yi, Chul-Young;Cho, Hyuck;Ha, Chung-Woo
    • Journal of Radiation Protection and Research
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    • v.20 no.1
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    • pp.16-24
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    • 1995
  • Assesment of dose equivalent given by inhaled $^{222}Rn$ and its progeny has been carried out based on the concentrations of $^{222}Rn$ and its daughters in indoor air, and equilibrium factor between them measured by charcoal canister method and alpha spectrometry. Assuming the occupancy factor to be 0.8, and breathing rate to be $0.75m^3\;h^{-1}$ for public and $1.2m^3\;h^{-1}$ for occupational exposure, respectively, the regional lung dose 대valent and the resulting annual effective dose equivalent due to the inhalation of $^{222}Rn$ and its daughters in indoor air were evaluated by use of three different lung models, namely, Jacobi-Eisfeld, James-Birchall and ICRP model.

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Comparison of Virtual Wedge versus Physical Wedge Affecting on Dose Distribution of Treated Breast and Adjacent Normal Tissue for Tangential Breast Irradiation (유방암의 방사선치료에서 Virtual Wedge와 Physical Wedge사용에 따른 유방선량 및 주변조직선량의 차이)

  • Kim Yeon-Sil;Kim Sung-Whan;Yoon Sel-Chul;Lee Jung-Seok;Son Seok-Hyun;Choi Ihl-Bong
    • Radiation Oncology Journal
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    • v.22 no.3
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    • pp.225-233
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    • 2004
  • Purpose: The Ideal breast irradiation method should provide an optimal dose distribution In the treated breast volume and a minimum scatter dose to the nearby normal tissue. Physical wedges have been used to Improve the dose distribution In the treated breast, but unfortunately Introduce an Increased scatter dose outside the treatment yield, pavllculariy to the contralateral breast. The typical physical wedge (FW) was compared with 4he virtual wedge (VW) to do)ermine the difference In the dose distribution affecting on the treated breast and the contralateral breast, lung, heart and surrounding perlpheral soft tissue. Methods and Materials: The data collected consisted of a measurement taken with solid water, a Humanoid Alderson Rando phantom and patients. The radiation doses at the ipsllateral breast and skin, contralateral breast and skin, surrounding peripheral soft tissue, and Ipsllateral lung and heart were compared using the physical wedge and virtual wedge and the radiation dose distribution and DVH of the treated breast were compared. The beam-on time of each treatment technique was also compared Furthermore, the doses at treated breast skin, contralateral breast skin and skin 1.5 cm away from 4he field margin were also measured using TLD in 7 patients of tangential breast Irradiation and compared the results with phantom measurements. Results: The virtual wedge showed a decreased peripheral dose than those of a typical physical wedge at 15$^{\circ}$, 30$^{\circ}$, 45$^{\circ}$, and 60$^{\circ}$. According to the TLD measurements with 15$^{\circ}$ and 30$^{\circ}$ virtual wedge, the Irradiation dose decreased by 1.35$\%$ and 2.55$\%$ In the contralateral breast and by 0.87$\%$ and 1.9$\%$ In the skin of the contralateral breast respectively. Furthermore, the Irradiation dose decreased by 2.7$\%$ and 6.0$\%$ in the Ipsllateral lung and by 0.96$\%$ and 2.5$\%$ in the heart. The VW fields had lower peripheral doses than those of the PW fields by 1.8$\%$ and 2.33$\%$. However the skin dose Increased by 2.4$\%$ and 4.58$\%$ In the Ipsliateral breast. VW fields, In general, use less monitor units than PW fields and shoriened beam-on time about half of PW. The DVH analysis showed that each delivery technique results In comparable dose distribution in treated breast. Conclusion: A modest dose reduction to the surrounding normal tissue and uniform target homogeneity were observed using the VW technique compare to the PW beam in tangential breast Irradiation The VW field is dosmetrically superlor to the PW beam and can be an efficient method for minimizing acute, late radiation morbidity and reduce 4he linear accelerator loading bV decreasing the radiation delivery time.

The Comparison of Dose Distribution on Radiation Therapy between IMRT and VMAT in Modified Radical Mastectomy Patients (전유방절제술 환자에서 IMRT와 VMAT을 이용한 방사선치료시 선량 분포의 비교)

  • Ko, Hye-Jin;Kim, Young-Jae;Jang, Seong-Joo
    • The Journal of the Korea Contents Association
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    • v.14 no.8
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    • pp.225-232
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    • 2014
  • Underwent on modified radical mastectomy(MRM) and radiation therapy, it affects increasing rates of chronic morbidity, because of including chest wall and internal mammary nodes(IMNs). It causes the high absorbed dose on heart and ipsilateral lung. Thus in this study, we compared dose distributions through utilizing the intensity modulated radiation therapy(IMRT) and the volumetric modulated arc therapy(VMAT). We selected 10 breast cancer patients at random who took MRM and radiation therapy. Treatment plannings were done by using IMRT and VMAT from each patient ranging supraclavicular lymphnodes(SCL) and IMNs. After that we analysed the planning target volume(PTV)'s conformity and absorbed doses on heart and lungs. As a results, PTV conformities were indicated the same patten(p<0.05) in both plans. In case of Lt breast cancer patients, the dose maximum regions of the heart were more lesser in VMAT technique rather than the IMRT(p<0.05). Also, the maximum dose areas of lungs were lesser in VMAT technique rather than the IMRT(p<0.05). Therefore, it would be safe to say that it is more effective way to adapt the VMAT technique than IMRT in such cases like involve IMNs in breast cancer patients.

The Effect of Glutathione on High Dose Cisplatin-Induced Cellular Toxicity in Non-small Cell Lung Cancer Cell Lines (비소세포폐암 세포주에서 고용량 Cisplatin 세포독성에 대한 Glutathione의 효과)

  • Lee, Seung-Il;Boo, Gwi-Beom;Jang, Dai-Yong;Chung, Ki-Young;Seo, Jeoung-Gyun;Lee, Byeong-Lai;Chung, Jong-Hoon
    • Tuberculosis and Respiratory Diseases
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    • v.52 no.5
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    • pp.463-474
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    • 2002
  • Background : This study was designed to examine how glutathione, one of the nucleophilic sulfur compounds, effects the cisplatin cellular toxicity in the non-small cell lung cancer cell lines and normal lung epithelial cell line. Materials and Methods : Three cultured cell lines, the lung adenocarcinoma cell(NCL-H23), the lung squamous carcinoma cell(SK-MES-1) and the normal lung epithelial cell(L-132) line were exposed to various concentrations of cisplatin with or without glutathione. The relative viability was estimated as a means of measuring the cisplatin cellular toxicity using the MTT method. Results : In NCI-23, the response to cisplatin was sensitive but glutathione markedly increased the relative survival of the tumor cells by removing the antitumor effect of cisplatin. In both SK-MES-1 and L-132, the responses to cisplatin were less sensitive, and the chemoprotective effect of glutathione compared to and equal cisplatin dose was significantly higher in L-132 than in SK-MES-1(p<0.05). Conclusion : The protective effectes of of glutathione on cisplatin-induced cellular toxicity is more significant in normal lung epithelial cells than in squamous carcinoma cells.

Effects of Water Cavitation Peening on Cavitation Characteristics of 5000 Series Al Alloys (5000계열 Al 합금의 캐비테이션 특성에 관한 워터 캐비테이션 피닝의 영향)

  • Kim, Seong-Jong;Hyun, Koang-Yong
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.18 no.5
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    • pp.481-487
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    • 2012
  • Recently, the construction of the small Al alloy ships is an increasing trend in viewpoint such as the disposal issue of a retired ship, the enhancement of environmental regulation and resources recycling etc. for FRP ships. However, Al alloy ship which can achieve high speed by light weight in marine environment is exposed to a problem on materials damage by cavitation-erosion which is generated by large impact pressure with the collapse of air bubbles due to cavitation. Consequently, in this study, water cavitation peening technology was applied in Al alloy for ship to enhance durability life by preventing cavitation damage. So, the water cavitaton peening application time that presented the excellent cavitation characteristic investigated. The weight-loss of 5456-H116, 5083-H321 and 5052-O Al alloy at the optimum water cavitation peening time were improved to 42.11 %, 50.0 % and 25.7 %, respectively.

Evaluation of Grade-Classification of Wood Waste in Korea by Characteristic Analysis (국내 폐목재 특성분석을 통한 등급화 평가)

  • Kim, Joung-Dae;Park, Joon-Seok;Do, In-Hwan;Hong, Soo-Youl;Oh, Gil-Jong;Chung, David;Yoon, Jung-In;Phae, Chae-Gun
    • Journal of Korean Society of Environmental Engineers
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    • v.30 no.11
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    • pp.1102-1110
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    • 2008
  • This research was performed to analyze the characteristics of wood wastes from origin and to suggest grade-classification for them. Korean proximate analysis was conducted, and heating value, heavy metals and Cl concentrations were analyzed for gradeclassification. Wood wastes were sampled from forest, living, construction and demolition, and industrial areas with origin. Moisture content of most wood wastes was ranged in 5$\sim$10%. VS (volatile solids) and ash contents of them showed > 95% and < 5%, respectively. Most wood wastes except wood for growing mushroom permitted the standard (low heating value $\geq$ 3,500 kcal/kg) for refusederived fuel. CCA (Cr, Cu, As) concentration of wood wastes used in bench, wasted fishing boat, and railroad crosstie was higher than that of the other ones. Cl content showed approximately 1.3% in wood box for fish and $\leq$ 0.2% in the other wood wastes. Cl content of all wood wasted used in this research permitted the standard (Cl $\leq$ 0.2%, dry weight basis) for refuse-derived fuel. If the wood wastes were classified in 3-grade, plywoods would be in 2nd grade, and MDF (medium density fiber), wooden bench, painted electric wire drum, wasted fishing boat, and railroad crosstie be in 3rd grade.

A study on the properities of the paralytic shellfish poison (마비성 패류 중독의 독성에 관한 연구)

  • Lee, J.T.;Shon, H.S.;Moon, D.H.;Lee, C.U.;Kim, S.C.;Pae, K.T.;Kim, J.Y.;Kim, Y.W.;Paik, N.W.
    • Journal of Preventive Medicine and Public Health
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    • v.21 no.1 s.23
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    • pp.163-171
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    • 1988
  • The paralytic shellfish poisoning was occurred among 25 laborers who worked at breaking-up of ships in Pusan for 5 days from March 29 to April 2 of 1956. For the purpose of accurately defining the paralytic shellfish poison(PSP) , the authors carried out mouse bioassay and chemical analysis. The results were summarized as follows: 1. The mean amount of Paralytic shellfish toxin was $1,207.8{\mu}g$ Per 100gm meat, and the mean death time of mouse was 5 minutes 16 second. 2. The properties of the PSP were mainly gonyautoxin group by chemical analysis(TLC, IR, $^{1}H-NMR$).

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