• Journal of Korean Neurosurgical Society
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• 제64권6호
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• pp.933-943
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• 2021

Objective : Percutaneous pedicle screw (PPS) fixation is a needle based procedure that requires fluoroscopic image guidance. Consequently, radiation exposure is inevitable for patients, surgeons, and operation room staff. We hypothesize that reducing the production of radiation emission will result in reduced radiation exposure for everyone in the operation room. Research was performed to evaluate reduction of radiation exposure by modifying imaging manner and mode of radiation source. Methods : A total of 170 patients (680 screws) who underwent fusion surgery with PPS fixation from September 2019 to March 2020 were analyzed in this study. Personal dosimeters (Polimaster Ltd.) were worn at the collar outside a lead apron to measure radiation exposure. Patients were assigned to four groups based on imaging manner of fluoroscopy and radiation modification (pulse mode with reduced dose) : continuous use without radiation modification (group 1, n=34), intermittent use without radiation modification (group 2, n=54), continuous use with radiation modification (group 3, n=26), and intermittent use with radiation modification (group 4, n=56). Post hoc Tukey Honest significant difference test was used for individual comparisons of radiation exposure/screw and fluoroscopic time/screw. Results : The average radiation exposure/screw was 71.45±45.75 µSv/screw for group 1, 18.77±11.51 µSv/screw for group 2, 19.58±7.00 µSv/screw for group 3, and 4.26±2.89 µSv/screw for group 4. By changing imaging manner from continuous multiple shot to intermittent single shot, 73.7% radiation reduction was achieved in the no radiation modification groups (groups 1, 2), and 78.2% radiation reduction was achieved in the radiation modification groups (groups 3, 4). Radiation source modification from continuous mode with standard dose to pulse mode with reduced dose resulted in 72.6% radiation reduction in continuous imaging groups (groups 1, 3) and 77.3% radiation reduction in intermittent imaging groups (groups 2, 4). The average radiation exposure/screw was reduced 94.1% by changing imaging manner and modifying radiation source from continuous imaging with standard fluoroscopy setting (group 1) to intermittent imaging with modified fluoroscopy setting (group 4). A total of 680 screws were reviewed postoperatively, and 99.3% (675) were evaluated as pedicle breach grade 0 (<2 mm). Conclusion : The average radiation exposure/screw for a spinal surgeon can be reduced 94.1% by changing imaging manner and modifying radiation source from real-time imaging with standard dose to intermittent imaging with modified dose. These modifications can be instantly applied to any procedure using fluoroscopic guidance and may reduce the overall radiation exposure of spine surgeons.

• Radiation Oncology Journal
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• 제36권1호
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• pp.79-84
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• 2018

Deep inspiration breathing hold (DIBH) compared to free-breathing (FB) during radiotherapy (RT) has significantly decreased radiation dose to heart and has been one of the techniques adopted for patients with breast cancer. However, patients who are unable to make suitable deep inspiration breath may not be eligible for DIBH, yet still need to spare the heart and lung during breast cancer RT (left-sided RT in particular). Continuous positive airway pressure (CPAP) is a positive airway pressure ventilator, which keeps the airways continuously open and subsequently inflates the thorax resembling thoracic changes from DIBH. In this report, authors applied CPAP instead of FB during left-sided breast cancer RT including internal mammary node in a patient who was unable to tolerate DIBH, and substantially decreased radiation dose the heart and lung with CPAP compared to FB.

• Journal of Radiation Protection and Research
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• 제21권3호
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• pp.175-182
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• 1996

BEIR V 방법을 사용하여 한국인이 단일 및 연속 방사선피폭을 받았을 경우 일생동안 방사선에 의한 암사망을 평가하였다. 단일피폭시 지배적으로 나타나는 암은 젊은층 피폭의 경우는 소화기암, 노령층피폭의 경우는 호흡기 암이었다. 한국인 모든 집단이 피폭받았을 경우, 지배적으로 나타나는 암은 소화기 암이었다. 출생에서 사망까지 1mGy/yr의 피폭을 연속적으로 받았을 경우, 방사선에 의한 모든 암의 발생은 자연 암발생의 3% 정도였다.

• 한국환경과학회지
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• 제9권6호
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• pp.463-468
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• 2000

Ther effect of UV on the mortality rate of toxic dinoflagellate Amphidinium Carterae causing a red tide in the coastal area of korea was investigated in the batch and continuous-scale reactor equipped with ultraviolet irradiation-apparatus. Degussa P(sub)25 titanium oxide, a photocatalyst proved to be effective of the mortality of Amphidinium Carterae supplied with photocatalyst and UV radiation were greater than 95% in 2 minutes of UV radiation and the rate were higher than that by UV-radiation without titanium dioxide in the batch and continuous-flow scale reactor, The mortality time of Amphidinium Carterae increased with the cell density under UV-illumination in the batch scale reactor. The mortality rate in the density of $5.0$\times$10^4$ cell/mL at the same experimental condition was more than 90% in 4 minutes in the continuous flow scale reactor. The percentage of 99.9$\pm$0.1% of Amphidinium Carterae in the density of $0.5$\times$10^4$ cells/mL was died in 20 minutes when the phytoplankton was illuminated with UV-radiation without photocatalyst.

• 한국원자력학회:학술대회논문집
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• 한국원자력학회 1996년도 추계학술발표회논문집(2)
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• pp.629-635
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• 1996

The lifetime radiation-induced cancer mortality for Korean has been estimated for both single and continuous radiation exposure using the BEIR V method. In case of single exposure, a dominant cancer site for young and old ages was digestive and respiratory cancer, respectively. For Korean population, digestive cancer was the most dominant radiation-induced cancer site. In case of 1 mGy/yr continuous exposure from birth to death, the contribution of total radiation-induced cancer mortality was negligible as within 3% in comparison with total natural cancer mortality.

• 설비공학논문집
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• 제6권2호
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• pp.78-92
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• 1994

Thermal performance of pipe network of continuous heating system controlled by thermostat and flow control valve was simulated in consideration of radiation heat transfer and solved by linear analysis method. Thermal performance of real apartment building with radiant floor heating system was simulated by equivalence heat resistance-capacity method. This method enables to simulate the unsteady variation of temperature or each element of building. Heat transfer characteristics of each element were also investigated.

• Radiation Oncology Journal
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• 제13권3호
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• pp.233-241
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• 1995

Purpose : To analyse clinical outcome and prognostic factors according to treatment modality, this paper report our experience of retrospective study of patients with esophageal cancer Materials and Methods : One hundred and ten patients with primary esophageal cancer who were treated in Presbyterian Medical Center from May 1985 to December 1992. We analysed these patients retrospectively with median follow up time of 28 months, one hundred and four patients($95{\%}$) were followed up from 15 to 69 months. In methods, twenty-eight patients were treated with median radiation dose irradiated 54.3Gy only. Fifty-six patients were treated with combined chemoradiotherapy. Sixteen cases of these patients were treated with concurrent chemoradiation and the other patients(forty cases) were treated sequential chemoradiotherapy. In concurrent chemoradiotherapy group, patients received 5-FU continuous IV infusion for 4 days. Cisplatin IV bolus. and concurrent esophageal irradiation to 30 Gy. After that patients received 5-FU continuous IV, Cisplatin bolus injection and Mitomycin-C bolus IV, Bleomycin continuous IV, and irradiation to 20 Gy. In sequential chemoradiotherapy group, the chemotherapy consisted of 5-FU 1,000mg/$m^2$ administered as a continuous 24 hour intravenous infusion during five days and Cisplatin 80-100mg/$m^2$ bolus injected, or Bleomycin, Vinblastine, Cisplatin, Methotrexate were used of 1 or 2 cycles. After preoperative concurrentm chemoradiation twenty-six patients underwent radical esophagectomy. Results : Ninety-three patients could be examined for response assessment, By treatment modality, response rates were $85.1{\%}$ for radiation alone group and $86.3{\%}$ for combined chemoradiation group. But in operation group, after one cycle of concurrent chemoradiation treatment, response rate was $61.9{\%}$. The pathologic complete response were $15.4{\%}$ in operation group. Overall median survival was II months and actuarial 5-year survival rate was $8{\%}$. The median survival interval was 6 months for radiation alone group, 11 months for combined chemoradiation group and 19 months for operation group. And also median survival was 19 months for complete responder group that 8 months for noncomplete responder group. In univariative analysis, statistically significant prognostic factors were tumor size, clinical stage, tumor response, and operation. In multivariative analysis, significantly better survival was associated with clinical stage, tumor response, radiation dose, and operation. Conclusion : Compared with radiotherapy alone, combined multimodality may improve the median survival in patients with localized carcinoma of the esophagus and toxicity is acceptable.

• Journal of Radiation Protection and Research
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• 제23권3호
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• pp.159-174
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• 1998

개인방사선측정시스템은 광범위한 에너지의 방사선에 대하여 정확한 개인선량당량을 측정할 수 있어야 하지만 현재 사용중인 선량평가 알고리즘은 ANSI N13.11의 방사선장과 거의 유사한 과학기술부 고시에 명시되어 있는 X-선장을 기준으로 개발되었고 이는 실제 측정이 요구되는 방사선장과 상당한 차이가 있을 수 있다. 방사선작업종사자가 ANSI N13.11의 방사선장과 다른 형태의 방사선에 피폭되었을 경우 좀더 정확한 선량을 평가하기 위하여 한국원자력연구소에 설치되어 있는 단일에너지 X-선장에 $CaSO_4:Dy$ 열형광체를 조사시켜 에너지반응도를 실험적으로 구한 후 두 가지 형태의 알고리즘을 개발하였으며 이를 ANSI N13.11의 연속스펙트럼 X-선장에 기본을 두고 개발한 알고리즘과 비교하였다. 알고리즘 개발 후 ANSI, ISO의 연속 스펙트럼 X-선 및 단일에너지 X-선장과 IAEA/RCA 상호비교시험시 사용되었던 혼합방사선장 및 각도변화 실험데이타를 이용하여 이를 검증하였다. 검증결과 개발된 알고리즘들은 과학기술부 고시에 나타나 있는 X-선장뿐만 아니라 방사선작업환경에서 피폭될 수 있는 다른 종류의 방사선장에서도 매우 정확한 선량평가를 하고 있음을 확인하였다.

• 전기학회논문지
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• 제63권9호
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• pp.1253-1258
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• 2014

In this paper, we propose the fast and efficient detection method using the continuous measurement technique for the gamma-ray signal acquisition. This method is improved than the conventional method for the getting information of the radiation distribution. First, we implement the stereo radiation detection system using gamma-ray sensors and the motion controller. We apply continuous measurement technique to the gamma-ray detector and conduct gamma-ray irradiation test for the comparison of detection techniques. The results show that the continuous measurement technique has the high efficient performance than the conventional method.

• 방사선산업학회지
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• 제17권1호
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• pp.101-110
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• 2023

Radiation and radioisotopes have a high value in terms of utilization that can be used in convergence with various fields. However, due to the specificity of radiation, the use of radiation and radioisotopes is more difficult than in other industrial fields and also involves complex regulations. There are no clear industrial technology standards in these fields. Therefore, the growth of the radiation industry, especially including small companies, is being delayed. Since industrial technology standards play an important role in providing an institutional basis for the continuous development and settlement of domestic technology, the development of technical standards for the radiation and radioisotope industries can lead to systematic growth of the domestic radiation industry. To this end, the technology classification of the radiation industry was promoted and classified into 7 major categories, and detailed classification was divided according to the characteristics of each technology. In addition, a demand and perception survey on the need for industrial technology standards was conducted on RI licensed institutions and companies, and as a result, 61.4% responded that it was necessary, and in particular, they recognized the need for radiation safety(63.3%). In this paper, the technical classification for the radiation field is presented as the first step in the development of industrial technical standards for the radiation industry. In addition, the plan of the current status information and preparation of standard procedures of each category will be discussed.