• Title/Summary/Keyword: Beam Factor

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절제 불가능한 식도암에서 고선량 외부조사 방사선 치료의 결과 (Treatment Results of Increased Dose External Beam Radiation Therapy for Unresectable Esophageal Cancer)

  • 이승헌;이석호;이규찬;신동복;심선진;이재익
    • 대한기관식도과학회지
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    • 제15권2호
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    • pp.49-56
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    • 2009
  • Purpose : To evaluate the treatment outcome for patients with locally advanced, unresectable esophageal cancer treated with relatively high dose radiation therapy(RT). Materials and Methods : From January 2000 to December 2008, 32 patients with locally advanced unresectable or medically inoperable esophageal cancer were treated with radiation therapy(RT) with or without concurrent chemotherapy. Ten patients were excluded from analysis because of distant metastasis and drop off. Patient distributions according to AJCC stages II, III IVa were 7(31.8%), 12(54.6%), 3(13.6%) respectively. The locations of tumor were cervical/upper thorax 3 (13.6%), mid thorax 13(59.1%), and lower thorax/abdominal 6(27.3%), respectively. Eleven patients received RT only, and 11 patients received cisplatin based concurrent chemoradiotherapy(CCRT). Median radiation dose was 65 Gy(range 57.6~72 Gy). Results : The median follow-up was 9.1 months(range 1.9~43.8 months). The response rates for complete response, Partial response, stable disease and Persistent disease were 6(27.3%), 11(50.0%), 4(18.2%) and 1(4.5%), respectively. Two patients(9.1%) suffered from esophageal stenosis and stents were inserted. Two patients(9.1%) had Grade 3 radiation pneumonitis and one of them expired due to acute respiratory distress syndrome(ARDS) at 36 days after completion of radiation therapy. The recurrence rate was 11(50.0%). The patterns of recurrence were persistent disease and local progression in 5(22.7%), local recurrence 3(13.7%) and concomitant local and distant recurrence in 3(13.7%). The overall survival(OS) rate was 32.1% at 2 years and 21.4% at 3 years(median 12.0 months). Disease free survival(DFS) rate was 17.3% at 2 and 3 years. All patients who had no dysphagia at diagnosis showed complete response after treatment and 100% OS at 3 years(p=0.0041). The OS for above 64.8 Gy group and 64.8 Gy or below group at 3 years were 60.6% and 9.1%(p=0.1341). The response to treatment was the only significant factor affecting OS(p=0.004). Conclusion : Relatively high dose radiation therapy in unresectable esophageal cancer tended to have a better outcome without increased complication rate. Further study with more patients is warranted to justify improved result.

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Study on Concrete Activation Reduction in a PET Cyclotron Vault

  • Bakhtiari, Mahdi;Oranj, Leila Mokhtari;Jung, Nam-Suk;Lee, Arim;Lee, Hee-Seock
    • Journal of Radiation Protection and Research
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    • 제45권3호
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    • pp.130-141
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    • 2020
  • Background: Concrete activation in cyclotron vaults is a major concern associated with their decommissioning because a considerable amount of activated concrete is generated by secondary neutrons during the operation of cyclotrons. Reducing the amount of activated concrete is important because of the high cost associated with radioactive waste management. This study aims to investigate the capability of the neutron absorbing materials to reduce concrete activation. Materials and Methods: The Particle and Heavy Ion Transport code System (PHITS) code was used to simulate a cyclotron target and room. The dimensions of the room were 457 cm (length), 470 cm (width), and 320 cm (height). Gd2O3, B4C, polyethylene (PE), and borated (5 wt% natB) PE with thicknesses of 5, 10, and 15 cm and their different combinations were selected as neutron absorbing materials. They were placed on the concrete walls to determine their effects on thermal neutrons. Thin B4C and Gd2O3 were placed between the concrete wall and additional PE shield separately to decrease the required thickness of the additional shield, and the thermal neutron flux at certain depths inside the concrete was calculated for each condition. Subsequently, the optimum combination was determined with respect to radioactive waste reduction, price, and availability, and the total reduced radioactive concrete waste was estimated. Results and Discussion: In the specific conditions considered in this study, the front wall with respect to the proton beam contained radioactive waste with a depth of up to 64 cm without any additional shield. A single layer of additional shield was inefficient because a thick shield was required. Two-layer combinations comprising 0.1- or 0.4-cm-thick B4C or Gd2O3 behind 10 cm-thick PE were studied to verify whether the appropriate thickness of the additional shield could be maintained. The number of transmitted thermal neutrons reduced to 30% in case of 0.1 cm-thick Gd2O3+10 cm-thick PE or 0.1 cm-thick B4C+10 cm-thick PE. Thus, the thickness of the radioactive waste in the front wall was reduced from 64 to 48 cm. Conclusion: Based on price and availability, the combination of the 10 cm-thick PE+0.1 cmthick B4C was reasonable and could effectively reduce the number of thermal neutrons. The amount of radioactive concrete waste was reduced by factor of two when considering whole concrete walls of the PET cyclotron vault.

Radiation Therapy for Primary Eyelid Cancers in Tunisia

  • Belaid, A;Nasr, C;Benna, M;Cherif, A;Jmour, O;Bouguila, H;Benna, F
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권7호
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    • pp.3643-3646
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    • 2016
  • Management of eyelid cancers is based on surgery and/or radiotherapy (RT). The treatment objective is to control tumors with acceptable functional and esthetic outcomes. The aim of this study was to evaluate the results of radiation therapy in management of epithelial eyelid cancers, reviewing retrospectively the clinical records of patients treated in our institution from January 1989 to December 2013. We focused on clinical and histological features, treatment characteristics, tolerance and disease control. One hundred and eight patients (62 men and 46 women) were enrolled, with a mean age of 61 years [ranges 15-87]. The most frequent tumor location was the inner canthus (42.6%). Median tumor size was 21 mm [ranges 4-70]. Histological type was basal cell carcinoma in 88 cases (81.5%), squamous cell carcinoma in 16 (14.8%) and sebaceous carcinoma in 4 (3.7%). Radiation therapy was exclusive in 67 cases (62%) and post-operative for positive or close margins in the remaining cases. Kilovoltage external beam radiotherapy (KVRT) was used in 63 patients (58.3%) and low-dose-rate interstitial brachytherapy in 37 (34.3%). Eight (7.4%) were treated with cobalt or with a combination of KVRT-cobalt, KVRT-electron beams, KVRT-brachytherapy or cobalt-electron beams. The total delivered radiation doses were 70 Gy (2 Gy/fraction) in 62 patients (57.4%), 66 Gy (2 Gy/fraction) in 37 (34.3%) and 61.2 Gy (3.4Gy/fraction) in 9 (8.3%). After a median follow-up of 64 months, we noted 10 cases of local recurrences(9.2%): 7 after exclusive and 3 after post-operative RT. No local recurrence occurred in patients treated with brachytherapy. Actuarial 5-year local recurrence-free rate, disease-free survival and overall survival were respectively 90%, 90% and 97%. T-stage was found to be a significant factor for recurrence (p=0.047). All acute radiation-related reactions were scored grade I or II. Delayed effects were eye watering in 24 cases (22.2%), eye dryness in 19 (17.6%), unilateral cataract in 7 (6.4%) and ectropion in 4 (3.7%). Radiation therapy and especially brachytherapy is an efficient treatment of eyelid cancers, allowing eye conservation and functional preservation with good local control rates and acceptable toxicity.

움직이는 자기장을 이용한 10 MV X-선의 선량변조에 관한 몬테칼로 계산 (Monte Carlo Calculation on the Dose Modulation Using Dynamic Magnetic Fields for 10 MV X-rays)

  • 김기환;오영기;신교철;김진기;정동혁;김정기;조문준;김선영
    • 한국의학물리학회지:의학물리
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    • 제18권4호
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    • pp.221-225
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    • 2007
  • 움직이는 자기장을 이용한 팬텀 속 선량 변조에 관한 몬테칼로 계산을 수행하였다. 본 연구의 목적은 빔 축을 따라 이동하는 횡 자기장을 이용하여 특정감이 영역에 균일한 선량을 얻는 것이다. 이를 위해 두 가지 구성 즉, 깊이 방향으로 일정한 속도 그리고 점차 감소하는 속도를 가지는 자기장에 대해 깊이 선량율을 구하였다. 연속적 움직임에 대한 근사로서 단계별 이동과 시간인자를 도입하였다. 위치별 정지한 자기장 대한 김이 선량율 자료에 최소제곱법을 적용하여 자기장 위치에 따른 최적의 시간인자를 구하였다. 몬테칼로 계산결과를 통하여 자기장의 속도를 변화시킴으로써 평탄한 선량 분포를 얻을 수 있음을 확인하였다. 이 때 3 T 자기장 세기에 대한 계산결과 평탄 영역의 선량은 자기장이 없을 때에 비해 약 10.1% 증가하는 것으로 나타났다.

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암환자에서 방사선치료에의한 염색체이상 (Effect of Radiotherapy on Chromosomal Aberration in Cancer Patients)

  • 전하정;이명자;유명수
    • Radiation Oncology Journal
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    • 제11권1호
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    • pp.43-50
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    • 1993
  • 방사선에의 노출은 염색체 이상을 유발하는 원인으로 널리 인식되고 있으나 in vivo상태에서 방사선 조사 후 발생되는 염색체 이상의 종류와 빈도 규명은 드물었다. 이에 본 연구에서는 암 환자에서 방사선 치료 전 및 후에 말초혈액 임파구의 염색체 변이를 비교 관찰하고 방사선 조사에 의해 암 환자세포에서 나타나는 염색체 이상에서 절단점의 분포가 암 발생과 밀접한 연관이 된 유전자 및 염색체의 재조합이 자주 일어나는 부위와 연관관계 가 있음을 규명하고자 하였다. 25예의 암 환자에서 방사선 치료가 시작되기 전과 $4000\~7000cGy$의 근치적 방사선치료가 끝난 직후 말초 혈액을 채취하여 임파구를 배양후 G-분염법을 이용하여 염색한 후 환자마다 방사선치료 전후로 각각 30개씩의 증기상을 관찰하였다. 치료전에 염색체 이상을 나타낸 세포 분열 중기상의 빈도는 $4.93\%$로 정상 대조군 집단의 빈도 $2\%$보다 높았다(p<0.05). 방사선 치료후 염색체 이상 세포의 빈도는 $22.13\%$로 치료전에 비해 매우 중가되었다(p<0.01). 또한 세포 중기상당 이상 염색체의 수도 치료전과 후가 각각 1.49및 2.14로 치료후 증가 되었다(p<0.05). 염색체 이상의 종류는 major chromosomal aberration 특히 구조적 이상의 빈도가 치료전보다 후에 $65.45\%$에서 $88.45\%$로 증가되었고 minor structural abnormality와 수적 변이의 빈도는 감소되었다. 방사선 치료후 염색체 절단점의 수가 2개 이상인 경우가 단일 절단점을 가진 이상에 비해 증가되었다. 절단점의 분포에 있어서는 암세포에서 가장 흔한 이상을 나타내는 1번 및 3번 염색체와 절단점의 증가가 암 발생관 연관된다고 보고된 8번 및 11번 염색체에서 본 연구결과 기대치 이상의 절단점의 분포를 보이고, 암 세포에서 드물게 이상을 나타내는 13, 15및 21번 염색체에서는 기대치 보다 감소된 절단점의 분포를 보였다. 따라서 방사선 치료 후 염색체 이상의 빈도는 증가되었으며 방사선 조사에 의해 나타나는 염색체의 절단점의 분포는 암 발생과 밀접한 연관이 된 유전자 및 염색체의 재조합이 자주 일어나는 부위와 밀접한 연관 관계가 있음을 보여 주었다.

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Comparative analysis of two methods of laser induced boron isotopes separation

  • K.A., Lyakhov;Lee, H.J.
    • 한국진공학회:학술대회논문집
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    • 한국진공학회 2011년도 제40회 동계학술대회 초록집
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    • pp.407-408
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    • 2011
  • Natural boron consists of two stable isotopes 10B and 11B with natural abundance of 18.8 atom percent of 10B and 81.2 atom percent of 11B. The thermal neutron absorption cross-section for 10B and 11B are 3837 barn and 0.005 barn respectively. 10B enriched specific compounds are used for control rods and as a reactor coolant additives. In this work 2 methods for boron enrichment were analysed: 1) Gas irradiation in static conditions. Dissociation occurs due to multiphoton absorption by specific isotopes in appropriately tuned laser field. IR shifted laser pulses are usually used in combination with increasing the laser intensity also improves selectivity up to some degree. In order to prevent recombination of dissociated molecules BCl3 is mixed with H2S 2) SILARC method. Advantages of this method: a) Gas cooling is helpful to split and shrink boron isotopes absorption bands. In order to achieve better selectivity BCl3 gas has to be substantially rarefied (~0.01%-5%) in mixture with carrier gas. b) Laser intensity is lower than in the first method. Some preliminary calculations of dissociation and recombination with carrier gas molecules energetics for both methods will be demonstrated Boron separation in SILARC method can be represented as multistage process: 1) Mixture of BCl3 with carrier gas is putted in reservoir 2) Gas overcooling due to expansion through Laval nozzle 3) IR multiphoton absorption by gas irradiated by specifically tuned laser field with subsequent gradual gas condensation in outlet chamber It is planned to develop software which includes these stages. This software will rely on the following available software based on quantum molecular dynamics in external quantized field: 1) WavePacket: Each particle is treated semiclassicaly based on Wigner transform method 2) Turbomole: It is based on local density methods like density of functional methods (DFT) and its improvement- coupled clusters approach (CC) to take into account quantum correlation. These models will be used to extract information concerning kinetic coefficients, and their dependence on applied external field. Information on radiative corrections to equation of state induced by laser field which take into account possible phase transition (or crossover?) can be also revealed. This mixed phase equation of state with quantum corrections will be further used in hydrodynamical simulations. Moreover results of these hydrodynamical simulations can be compared with results of CFD calculations. The first reasonable question to ask before starting the CFD simulations is whether turbulent effects are significant or not, and how to model turbulence? The questions of laser beam parameters and outlet chamber geometry which are most optimal to make all gas volume irradiated is also discussed. Relationship between enrichment factor and stagnation pressure and temperature based on experimental data is also reported.

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Increased Sensitivity of Carbon Nanotube Sensors by Forming Rigid CNT/metal Electrode

  • 박대현;전동렬
    • 한국진공학회:학술대회논문집
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    • 한국진공학회 2011년도 제41회 하계 정기 학술대회 초록집
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    • pp.348-348
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    • 2011
  • Carbon nanotube (CNT) field effect transistors and sensors use CNT as a current channel, of which the resistance varies with the gate voltage or upon molecule adsorption. Since the performance of CNT devices depends very much on the CNT/metal contact resistance, the CNT/electrode contact must be stable and the contact resistance must be small. Depending on the geometry of CNT/electrode contact, it can be categorized into the end-contact, embedded-contact (top-contact), and side-contact (bottom-contact). Because of difficulties in the sample preparation, the end-contact CNT device is seldom practiced. The embedded-contact in which CNT is embedded inside the electrode is desirable due to its rigidness and the low contact resistance. Fabrication of this structure is complicated, however, because each CNT has to be located under a high-resolution microscope and then the electrode is patterned by electron beam lithography. The side-contact is done by depositing CNT electrophoretically or by precipitating on the patterned electrode. Although this contact is fragile and the contact resistance is relatively high, the side-contact by far has been widely practiced because of its simple fabrication process. Here we introduce a simple method to embed CNT inside the electrode while taking advantage of the bottom-contact process. The idea is to utilize a eutectic material as an electrode, which melts at low temperature so that CNT is not damaged while annealing to melt the electrode to embed CNT. The lowering of CNT/Au contact resistance upon annealing at mild temperature has been reported, but the electrode in these studies did not melt and CNT laid on the surface of electrode even after annealing. In our experiment, we used a eutectic Au/Al film that melts at 250$^{\circ}C$. After depositing CNT on the electrode made of an Au/Al thin film, we annealed the sample at 250$^{\circ}C$ in air to induce eutectic melting. As a result, Au-Al alloy grains formed, under which the CNT was embedded to produce a rigid and low resistance contact. The embedded CNT contact was as strong as to tolerate the ultrasonic agitation for 90 s and the current-voltage measurement indicated that the contact resistance was lowered by a factor of 4. By performing standard fabrication process on this CNT-deposited substrate to add another pair of electrodes bridged by CNT in perpendicular direction, we could fabricate a CNT cross junction. Finally, we could conclude that the eutectic alloy electrode is valid for CNT sensors by examine the detection of Au ion which is spontaneously reduced to CNT surface. The device sustatined strong washing process and maintained its detection ability.

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복합 튜브 구조시스템의 단위 모듈 개발에 대한 민감도 해석 (Sensitivity Analysis for Unit Module Development of Hybrid tube Structural System)

  • 이연종;박성수
    • 한국구조물진단유지관리공학회 논문집
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    • 제22권1호
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    • pp.167-175
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    • 2018
  • 본 연구에서는 튜브 구조시스템의 역학적 특징과 거동에 대한 이론과 모델 연구 등을 고찰하고, 단위 모듈 시스템의 적정성, 최적 위치. 최적 형태를 파악하고, 각 부재의 강성증감에 따른 부재 변수를 고려한 복합 튜브 구조시스템을 통계학적인 개념을 도입한 민감도 방법에 의한 해석을 수행하였다. 구체적인 방법에서 복합 튜브 구조시스템의 전단지연 현상과 횡적 거동에 대한 특성을 비교 고찰하였고, 또한 그 결과 치를 이용하여 향후 있을 초고층 복합 구조시스템의 설계와 실무에 대한 기초 자료를 제시하는데 연구의 목표를 두었다. 연구 결과로는 골조튜브 구조시스템만으로는 초고층 건물의 횡적 거동에는 효과적으로 대치하지 못하므로, 복합 튜브 구조시스템을 구성하여 횡하중 저항요소로 구성부재를 다양하게 변화시켜 검토한 결과, 각 부재 물량대비 가새 부재가 가장 큰 횡적 거동에 대한 영향 요소로 파악되었다. 골조 튜브구조는 물량대비 보가 기둥보다 횡변위 영향에 미치는 민감도의 정도가 크게 나타났고, 가새 튜브구조시스템의 경우는 가새가 물량대비 기둥 및 보와 비교하면 가장 민감한 것으로 나타났다.

양혈장근건보탕(養血壯筋健步湯)과 전침의 병용치료가 손상된 척수신경 및 운동기능에 미치는 영향 (Effects of Yanghyuljanggeungunbo-tang(Yangxuezhuangjinjianbu-tang) and Electrical Acupuncture on the Spinal Nerve Injury and the Motor Function)

  • 설재욱;추민규;김선종;최진봉;신미숙;김수익
    • 한방재활의학과학회지
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    • 제19권2호
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    • pp.1-25
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    • 2009
  • Objectives : The purpose of this study was to investigate the effects of Yanghyuljanggeungunbo-tang(Yangxuezhuangjinjianbu-tang, YGKT) and electrical acupuncture treatment in spinal cord injury(SCI)-induced rats. Methods : The subjects were divided into 5 groups ; Normal, Control-no treatment after SCI, Experimental I(Exp. I)-taken with YGKT 500 mg/kg $0.5m{\ell}$ daily after SCI. Experimental II(Exp. II)-taken with electrical acupuncture after SCI and Experimental III(Exp. III)-taken with YGKT 500 mg/kg $0.5m{\ell}$ and electrical acupuncture after SCI. After each operation, the present author observed cytological changes, the motor behavior recovery and nerve regeneration by analysis of the motor behavior tests, EMG, hematological(AST, ALT, WBC), histological and immunological changes. Rats were tested by Motor behavior test at 1st, 3rd, 7th, 14th and 21st day. Results : 1. All the experimental groups were improved compared with control group in the motor behavior tests including Tarlov test, Basso-Beattle-Bresnahan locomotor rating scale, modified inclined plane test, open field test, grid walk test and narrow beam test. Especially Exp. III was significantly improved among other groups. 2. In EMG test, H and M wave were significantly increased in Exp. III. 3. All the experimental groups were significantly decreased compared with control group in AST, ALT and WBC. 4. NGF, BDNF and Trk B of spinal cord gray matter in all the experimental groups were increased compared with control group. Especially, Exp. III was more effective. 5. In histological observations, muscle contraction and denaturation of gastrocnemius muscle of all the experimental groups were inhibited. Especially, those of Exp. III was more effective. On the observations of liver and kidney, cell atrophy and apoptosis of all the experimental groups were decreased compared with control group. Especially, those of Exp. III was more effective. Conclusions : It can be suggested that YGKT and electrical acupuncture may improve motor behavior, EMG, hematological, histological and immunological findings in SCI-induced rats. Especially, combination of these two treatments will be somewhat better in spinal nerve recovery and motor function improvement.

단부 기계적 정착장치를 갖는 철근의 뽑힘강도 (Pullout Test of Reinforcement with End Mechanical Anchoring Device)

  • 김용곤;임원석;최동욱
    • 콘크리트학회논문집
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    • 제14권3호
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    • pp.430-439
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    • 2002
  • 콘크리트 내 이형철근 정착의 중요성은 철근콘크리트 구조에서 필수적인 요소이다. 표준갈고리는 인장정착을 위하여 광범위하게 사용되어 왔으나 콘크리트의 고강도화에 따라 부재 단면이 작아지는 추세 등으로 인하여 보-기둥 접합부에서는 좁은 공간에 철근이 과밀하게 배근됨으로써 시공 상의 어려움이 제기되고 있다. 단부 기계적 정착장치를 갖는 철근(단부보강철근)을 사용하는 경우 정착길이를 감소시키고, 정착부 상세를 단순화하며, 반복하중에 대한 저항능력을 증가시키는 등의 이점으로 인하여 공사비와 공사시간을 단축시킬 수 있을 것으로 사료된다. 본 연구는 단부보강철근의 뽐힘강도 및 거동에 대한 실험적 연구이다. D25 이형철근을 사용하여 수행된 총 33회의 뽑힘강도시험에서 실험변수는 철근 묻힘깊이, 철근중심과 콘크리트 가장자리간 거리, 단부보강 철물의 크기, 그리고 횡보강근(전단철근)의 간격이었다. 실험적으로 결정된 뽐힘강도는 CCD 방법에 의해 계산된 예측값에 관전하는 결과를 얻을 수 있었다. 철근 묻힘깊이가 증가하거나 철근과 콘크리트 가장자리간 거리가 증가할수록 뽑힘강도도 증가하였고 단부보강 철물의 크기가 증가함에 따라 뽑힘강도도 대체로 증가하는 경향을 보였다. 전단철근의 영향에 대한 연구로부터 뽑힘강도에 대한 파괴변에 걸친 전단철근의 영향을 나타내기 위하여 CCD 방법을 이용한 뽑힘강도 예측시 보정계수의 사용이 제안되었다.