• Title/Summary/Keyword: Coverage Simulation

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Comparison of Dosimetric Parameters of Patient with Large and Pendulous Breast Receiving Breast Radiotherapy in the Prone versus Supine Position (유방 크기가 큰 유방암 환자의 방사선 치료 시 환자의 자세에 따른 선량 비교)

  • Moon, Sun Young;Yoon, Myonggeun;Chung, Weon Kuu;Chung, Mijoo;Shin, Dong Oh;Kim, Dong Wook
    • Progress in Medical Physics
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    • v.26 no.4
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    • pp.234-240
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    • 2015
  • The purpose of this study is to analyze dosimetric parameters of patient with large and pendulous breast receiving breast radiotherapy in the prone versus supine position. The patient underwent computed tomography simulation in both prone and supine position. The homogeneity index (HI), conformity index (CI), coverage index (CVI) to the left breast as planning target volume (PTV) and the doses to the lung, heart, and right breast as organ at risk (OAR) were compared by using dose-volume histogram. The lifetime attributable risk (LAR) according to the prone and supine position was measured for the lung and right breast. The HI, CI of the PTV decreased 21.7%, 6.49%, respectively and the CVI increased 10.8% with the prone position. The mean and maximum dose to the left lung decreased 91.6%, 87.0%, respectively and the volume parameters also decreased over 99% with the prone position. The parameters to the right lung were same regardless of the position. The mean and maximum dose to the heart decreased 51.6%, 14.2% with the prone position. But the mean and maximum dose to the right breast increased unlike the other OARs. The LARs to the lung decreased 80.3% (left), 24.2% (right) but the LAR to the right breast doubled with the prone position. The prone position is a favorable alternative for irradiation of breast in patients with large and pendulous breasts.

Pelvic MRI Application to the Dosimetric Analysis in Brachytherapy of Uterine Cervix Carcinoma (자궁경부암의 강내조사치료에 있어서 흠수선량평가시 골반강 자기공명사진의 응용)

  • Chung, Woong-Ki;Nah, Byung-Sik;Ahn, Sung-Ja
    • Radiation Oncology Journal
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    • v.15 no.1
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    • pp.57-64
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    • 1997
  • Purpose : Before we report the results of curative radiotherapy in cervix cancer patients, we review the significance and safety of our dose specification methods in the brachytherapy system to have the insight of the potential Predictive value of doses at specified points. Matersials and Methods : We analyze the 리5 cases of cervix cancer patients treated with intracavitary brachytherapy in the lateral simulation film we draw the isodose curve and observe the absorbed dose rate of point A, the reference point of bladder(SBD) and rectum(SRD). In the sagittal view of Pelvic MRI film we demarcate the tumor volume(TV) and determine whether the prescription dose curve of point A covers the tumor volume adequately by drawing the isodose curve as correctly as possible. Also we estimate the maximum Point dose of bladder(MBD) and rectum(MRD) and calculate the inclusion area where the absorbed dose rate is higher than that of point A in the bladder(HBV) and rectum(HRV), respectively. Results : Of forty-five cases, the isodose curve of point A seems to cover tumor volume optimally in only 24(53%). The optimal tumor coverage seems to be associated not with the stage of the disease but with the tumor volume. There is no statistically significant association between SBD/SRD and MBD/MRD, respectively. SRD has statistically marginally significant association with HRV, while TV has statistically significant association with HBV and HRV. Conclusion : Our current treatment calculation methods seem to have the defect in the aspects of the nonoptimal coverage of the bulky tumor and the inappropriate estimation of bladder dose. We therefore need to modify the applicator geometry to optimize the dose distribution at the position of lower tandem source. Also it appears that the position of the bladder in relation to the applicators needs to be defined individually to define 'hot spots'.

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Study on dose comparison using X-Jaw split in VMAT treatment planning for left breast cancer including supraclavicular lymph nodes. (쇄골 상부 림프절을 포함하는 왼쪽 유방암의 VMAT 치료계획시 X-Jaw split을 이용한 선량비교에 관한 연구)

  • Kim, Hak Jun;Lee, Yang Hoon;Min, Jae Soon
    • The Journal of Korean Society for Radiation Therapy
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    • v.33
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    • pp.137-144
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    • 2021
  • Purpose : The usability of X-Jaw split VMAT was evaluated by comparative analysis of the dose distribution between the treatment plan divided by X-Jaw and Full field VMAT treatment plan in left breast cancer treatment including supraclavicular lymph nodes. Materials and Methods : 10 patients with left breast cancer, including supraclavicular lymph nodes, were simulated using vacuum cushion, and 2 Full field Arc VMAT and 4 X-Jaw split Arc VMAT were planned The treatment plan was designed to include more than 95% of the Planning Target Volume (PTV) and to be minimally irradiated in the surrounding Organ at risk (OAR). Dose analysis of PTV and OAR was performed through dose volume histogram (DVH). Results : The Full field VMAT treatment plan and the X-Jaw split VMAT treatment plan of 10 patients were expressed as average values and compared. The difference between the two treatment plans was not large, with a Conformity index (CI) of 1.05±0.04, 1.04±0.03, and a Homogeneity index (HI) of 1.07±0.008, 1.07±0.009. For OAR, V5 in the left lung is 56.1±6.50%, 50.4±6.30%, and V20 is 20.0±4.15%, 13.52±3.61%. Compared to Full field VMAT, V5 decreased by 10.0% V20 by 32.6% in X-Jaw split VMAT. The V30 of the heart is 3.68±1.85%, 2.23±1.52%, and the Mean dose is 8.93±1.65 Gy, 7.67±1.52 Gy. In the X-Jaw split VMAT, V30 decreased by 39.3% and the Mean dose decreased by 14.1%. The left lung and heart, which are normal tissues, were found to have a statistical significance of that p-value is less than 0.05. Conclusion : In the case of left breast cancer treatment, which includes Supraclavicular lymph nodes with a large PTV volume and a length of X Jaw of 15 cm or more, the X-Jaw split VMAT shows improved dose distribution, which can reduce radiation dose of OAR such as lungs and heart, while maintaining similar PTV coverage with HI and CI equivalent to Full field VMAT. It is thought to be effective in reducing radiation complications.

A Mobility Supporting MAC Protocol to Improve Handover Performance in IEEE 802.16j Multi-hop Relay Networks (IEEE 802.16j 멀티 홉 릴레이 네트워크에서의 핸드오버 성능 향상을 위한 이동성 지원 MAC 프로토콜)

  • Yang, Hyeon-Chae;Lee, Mee-Jeong
    • Journal of KIISE:Information Networking
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    • v.35 no.5
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    • pp.437-452
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    • 2008
  • IEEE 802.16j MR networks introduce RSs (Relay Stations) within the IEEE 802.16 system in order to enhance the data throughput and extend the coverage. However, the current standardization defines that the BS (Base Station) controls MS's (Mobile Station's) handover, not only it induces the large signaling overhead but also handover latency could increase. In this paper, we propose a handover protocol in the MR networks where the high capability RSs that can process the MS's control functions are deployed. First, we classify the handover scenarios for the MR networks with the high capability RSs. Then, we define the MAC handover procedure, corresponding MAC management messages and the transmission routes for the proposed messages so that an 802.16e MS can perform seamless handover without noticing it is attached to an MR network. The simulation results show that the proposed handover protocol not only reduces the MAC management message overhead transferred through the wireless links compared to IEEE 802.16j/D1, which is the current standard for MR networks, but also performs the rapider and more secure MS handover than IEEE 802.16e and IEEE 802.16j/D1.

Analysis of Payload Technical Specifications for Efficient Agriculture and Forestry Satellite Observation (효율적인 농림업 위성관측을 위한 탑재체 기술사양 분석)

  • Kim, Bum-Seung;Lee, Kyung-Do;Hong, Suk-Young;Lee, Woo-Kyung
    • Korean Journal of Remote Sensing
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    • v.32 no.3
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    • pp.287-305
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    • 2016
  • Over the past half century, satellites have continuously expanded their roles in remote sensing applications. As the number of satellites to be launched are expected to continuously increase in coming years, the research on satellite payloads will be in high demands. Earth Observation (EO) satellites are nowadays widely utilized for various purposes. Especially, Agriculture and forestry applications are considered as their major application areas. Since about 85% of domestic land cover is classified as forest or cropland areas, it would be reasonable to suggest that the demand for these satellites should be of high priority. In this paper, a comprehensive analysis is performed on the technical specifications of satellite payloads that may be applicable to agricultural applications. We attempted to build a solid database on payload specifications by collecting relevant information available from various related institutes and academic research works. A number of experts involved in national agricultural research and satellite development programs have been invited to investigate required payload design. Based on the current technology development status and future plan, multiple options for future satellite payload designs have been suggested bearing in mind that the results may be applicable to the future agriculture and forestry satellite payload design. The proposed payload specifications are analyzed in depth through satellite operation simulations under the mission of observing the national agriculture areas. The proposed design scheme and simulation results may be used as technical references to satellite payload design for future space missions.

Integrating Portable Internet with cdma2000 Mobile Communication Networks for Seamless Service (연속적인 서비스를 위한 휴대 인터넷과 cdma2000 이동통신망의 연동 방안)

  • Cho Jinsung;Kim Jeong Gem
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.29 no.11B
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    • pp.920-929
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    • 2004
  • Nowadays, wireless packet data services are provided over cdma2000 1x/1xEV-DO mobile communication network and Portable Internet are being standardized for users demanding higher data rate services. Portable Internet can provide high data rate services, but its service coverage is relatively small. If Portable Internet may be integrated with cdma2000 mobile networks, users are able to choose the best service according to service areas and get seamless services while they are moving around. At the same time, it is cost-effective for operators to construct and maintain the integrated network. For the purpose of effectively integrating Portable Internet into cdma2000 networks, we propose an integration scheme including network architecture, protocol architecture, functions in network elements, interfaces between them, and call-flow procedures. The integration scheme proposed in this paper adopts a tightly-coupled architecture for unified authentication/accounting and seamless services. In addition, the scheme can be implemented without modifying the existing cdma2000 mobile communication networks. It is also simple to develop the dual-mode mobile station. Through the simulation results based on the performance model for handoffs between cdma2000 and Portable Internet, it has teen validated that the proposed scheme diminishes packet losses compared with the loosely-coupled architecture.

Comparison of imputation methods for item nonresponses in a panel study (패널자료에서의 항목무응답 대체 방법 비교)

  • Lee, Hyejung;Song, Juwon
    • The Korean Journal of Applied Statistics
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    • v.30 no.3
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    • pp.377-390
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    • 2017
  • When conducting a survey, item nonresponse occurs if the respondent does not respond to some items. Since analysis based only on completely observed data may cause biased results, imputation is often conducted to analyze data in its complete form. The panel study is a survey method that examines changes of responses over time. In panel studies, there has been a preference for using information from response values of previous waves when the imputation of item nonresponses is performed; however, limited research has been conducted to support this preference. Therefore, this study compares the performance of imputation methods according to whether or not information from previous waves is utilized in the panel study. Among imputation methods that utilize information from previous responses, we consider ratio imputation, imputation based on the linear mixed model, and imputation based on the Bayesian linear mixed model approach. We compare the results from these methods against the results of methods that do not use information from previous responses, such as mean imputation and hot deck imputation. Simulation results show that imputation based on the Bayesian linear mixed model performs best and yields small biases and high coverage rates of the 95% confidence interval even at higher nonresponse rates.

Dosimetric evaluation of Tomotherapy and four-box field conformal radiotherapy in locally advanced rectal cancer

  • Yu, Mina;Jang, Hong Seok;Jeon, Dong Min;Cheon, Geum Seong;Lee, Hyo Chun;Chung, Mi Joo;Kim, Sung Hwan;Lee, Jong Hoon
    • Radiation Oncology Journal
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    • v.31 no.4
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    • pp.252-259
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    • 2013
  • Purpose: To report the results of dosimetric comparison between intensity-modulated radiotherapy (IMRT) using Tomotherapy and four-box field conformal radiotherapy (CRT) for pelvic irradiation of locally advanced rectal cancer. Materials and Methods: Twelve patients with locally advanced rectal cancer who received a short course preoperative chemoradiotherapy (25 Gy in 5 fractions) on the pelvis using Tomotherapy, between July 2010 and December 2010, were selected. Using their simulation computed tomography scans, Tomotherapy and four-box field CRT plans with the same dose schedule were evaluated, and dosimetric parameters of the two plans were compared. For the comparison of target coverage, we analyzed the mean dose, $V_{nGy}$, $D_{min}$, $D_{max}$, radical dose homogeneity index (rDHI), and radiation conformity index (RCI). For the comparison of organs at risk (OAR), we analyzed the mean dose. Results: Tomotherapy showed a significantly higher mean target dose than four-box field CRT (p = 0.001). But, $V_{26.25Gy}$ and $V_{27.5Gy}$ were not significantly different between the two modalities. Tomotherapy showed higher $D_{max}$ and lower $D_{min}$. The Tomotherapy plan had a lower rDHI than four-box field CRT (p = 0.000). Tomotherapy showed better RCI than four-box field CRT (p = 0.007). For OAR, the mean irradiated dose was significantly lower in Tomotherapy than four-box field CRT. Conclusion: In locally advanced rectal cancer, Tomotherapy delivers a higher conformal radiation dose to the target and reduces the irradiated dose to OAR than four-box field CRT.

Design and Analysis of Multiple Mobile Router Architecture for In-Vehicle IPv6 Networks (차량 내 IPv6 네트워크를 위한 다중 이동 라우터 구조의 설계와 분석)

  • Paik Eun-Kyoung;Cho Ho-Sik;Choi Yang-Hee
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.2 no.2 s.3
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    • pp.43-54
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    • 2003
  • As the demand for ubiquitous mobile wireless Internet grows, vehicles are receiving a lot of attention as new networking platforms. The demand for 4G all-IP networks encourages vehicle networks to be connected using IPv6. By means of network mobility (NEMO) support, we can connect sensors, controllers, local ,servers as well as passengers' devices of a vehicle to the Internet through a mobile router. The mobile router provides the connectivity to the Internet and mobility transparency for the rest of the mobile nodes of an in-vehicle nv6 network. So, it is .important for the mobile router to assure reliable connection and a sufficient data rate for the group of nodes behind it. To provide reliability, this paper proposes an adaptive multihoming architecture of multiple mobile routers. Proposed architecture makes use of different mobility characteristics of different vehicles. Simulation results with different configurations show that the proposed architecture increases session preservation thus increases reliability and reduces packet loss. We also show that the proposed architecture is adaptive to heterogeneous access environment which provide different access coverage areas and data rates. The result shows that our architecture achieves sufficient data rates as well as session preservation.

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Dose Comparison Using Deformed Image Registration Method on Breast Cancer Radiotherapy (유방암 방사선치료에서 변형영상정합기법을 이용한 선량비교)

  • Won, Young Jin;Kim, Jong Won;Kim, Jung Hoon
    • Journal of radiological science and technology
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    • v.40 no.1
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    • pp.57-62
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    • 2017
  • The purpose of this study is to reconstruct the treatment plan by applying CBCT and DIR to dose changes according to the change of the patient's motion and breast shape in the large breast cancer patients and to compare the doses using TWF, FIF and IMRT. CT and CBCT were performed with MIM6 to create DIRCT and each treatment plan was made. The patient underwent computed tomography simulation in both prone and supine position. The homogeneity index (HI), conformity index (CI), coverage index (CVI) to the left breast as planning target volume (PTV) were determined and the doses to the lung, heart, and right breast as organ at risk (OAR) were compared by using dose-volume histogram and the unique property of each organ. The value of HI of the PTV breast increased in all treatment planning methods using DIRCT, and CVI and CI were decreased in the treatment planning methods using DIRCT.