The Journal of Korean Society for Radiation Therapy
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v.19
no.2
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pp.99-106
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2007
Purpose: The patient's position and anatomy during the treatment course little bit varies to some extend due to setup uncertainties and organ motions. These factors could affected to not only the dose coverage of the gross tumor but over dosage of normal tissue. Setup uncertainties and organ motions can be minimized by precise patient positioning and rigid immobilization device but some anatomical site such as prostate, the internal organ motion due to physiological processes are challenge. In planning procedure, the clinical target volume is a little bit enlarged to create a planning target volume that accounts for setup uncertainties and organ motion as well. These uncertainties lead to differences between the calculated dose by treatment planning system and the actually delivered dose. The purpose of this study was to evaluate the differences of interfractional displacement of organ and GTV based on the tomoimages. Materials and Methods: Over the course of 3 months, 3 patients, those who has applied rectal balloon, treated for prostatic cancer patient's tomoimage were studied. During the treatment sessions 26 tomoimages per patient, Total 76 tomoimages were collected. Tomoimage had been taken everyday after initial setup with lead marker attached on the patient's skin center to comparing with C-T simulation images. Tomoimage was taken after rectal balloon inflated with 60 cc of air for prostate gland immobilization for daily treatment just before treatment and it was used routinely in each case. The intrarectal balloon was inserted to a depth of 6 cm from the anal verge. MVCT image was taken with 5 mm slice thickness after the intrarectal balloon in place and inflated. For this study, lead balls are used to guide the registration between the MVCT and CT simulation images. There are three image fusion methods in the tomotherapy, bone technique, bone/tissue technique, and full image technique. We used all this 3 methods to analysis the setup errors. Initially, image fusions were based on the visual alignment of lead ball, CT anatomy and CT simulation contours and then the radiation therapist registered the MVCT images with the CT simulation images based on the bone based, rectal balloon based and GTV based respectively and registered image was compared with each others. The average and standard deviation of each X, Y, Z and rotation from the initial planning center was calculated for each patient. The image fusions were based on the visual alignment of lead ball, CT anatomy and CT simulation contours. Results: There was a significant difference in the mean variations of the rectal balloon among the methods. Statistical results based on the bone fusion shows that maximum x-direction shift was 8 mm and 4.2 mm to the y-direction. It was statistically significant (P=<0.0001) in balloon based fusion, maximum X and Y shift was 6 mm, 16mm respectively. One patient's result was more than 16 mm shift and that was derived from the rectal expansions due to the bowl gas and stool. GTV based fusion results ranging from 2.7 to 6.6 mm to the x-direction and 4.3$\sim$7.8 mm to the y-direction respectively. We have checked rotational error in this study but there are no significant differences among fusion methods and the result was 0.37$\pm$0.36 in bone based fusion and 0.34$\pm$0.38 in GTV based fusion.
Radiosonde is an important in-situ profiling instrument that measures atmospheric temperature, moisture, and wind structure from the surface to the middle stratosphere. The operational radiosonde measurements are carried out more than twice (at 0000 UTC and 1200 UTC) daily at approximately 1,300 World Meteorological Organization (WMO) stations and play a pivotal role in daily weather forecasts. It also contributes to the monitoring of atmospheric structure by providing the key physical information like temperature and pressure, forming the backbone of atmospheric (re)analyses and numerical weather forecasts. Additionally, high-resolution radiosonde profiles are used for calibration and evaluation of satellite products. Despite these advantages, radiosonde measurements are mostly limited to operational uses due to the high initial cost of ground instrument setup required for data transmission and reception. This study outlines a cost-effective (roughly one-tenth of the operational cost) method for establishing the ground station and the necessary radiosonde measurement procedures, offering guidance for individual researchers or university-level instructors.
An automatic calibration tool of Hydrological Simulation Program-Fortran (HSPF), Parameter Estimation (PEST) program, was applied at the Imha lake watershed to get optimal hydrological parameters of HSPF. Calibration of HSPF parameters was performed during 2004 ~ 2008 by PEST and validation was carried out to examine the model's ability by using another data set of 1999 ~ 2003. The calibrated HSPF parameters had tendencies to minimize water loss to soil layer by infiltration and deep percolation and to atmosphere by evapotranspiration and maximize runoff rate. The results of calibration indicated that the PEST program could calibrate the hydrological parameters of HSPF with showing 0.83 and 0.97 Nash-Sutcliffe coefficient (NS) for daily and monthly stream flow and -3% of relative error for yearly stream flow. The validation results also represented high model efficiency with showing 0.88 and 0.95, -10% relative error for daily, monthly, and yearly stream flow. These statistical values of daily, monthly, and yearly stream flow for calibration and validation show a 'very good' agreement between observed and simulated values. Overall, the PEST program was useful for automatic calibration of HSPF, and reduced numerous time and effort for model calibration, and improved model setup.
Climate change is tough global issue with human being to tackle in cooperative manners, because climate change affects globally and has long-term detrimental impacts. To get a clue to this intricate problem, vertical governance (global, regional, national, and local) with horizontal governance should be well orchestrated. In this research, we analyzed about 24,000 articles in Korean daily newspapers from 1990 to 2018 to find out vertical and horizontal governance characters of Korean climate change. The result showed that Korean government followed the global issues but lacks relations with neighbor countries. and found a little actions in local government. In horizontal governance aspect, Korean government approached the climate change as a tool for economic development and lead the issues without communication with other two player which are market and civil society. We proposed to use market mechanism to facilitate the participation and Climate Change Framework Act to setup the mechanism for cooperation.
Purpose: This historical research was done to identify disaster nursing activities during the last 60 years through the most serious disasters during the last 60years(1945-2005) in Korea. Method: Fot the data collection, three of main daily newspaper and The Korean Nurses Association News were reviewed and nurses who were called out to the most serious disaster onsite were interviewed. Results: The nurses were positively involved for setup onsite clinic, mobile medical services, triage, CPR, and psychological support during response and recovery phase, while hardly involved during preparedness phase. Conclusion: The clarification of job description for disaster nursing and developing systematic training program should be followed.
Purpose: To assess the usefulness of implanted fiducial markers in the setup of hypofractionated radiotherapy for prostate cancer patients by comparing a fiducial marker matched setup with a pelvic bone match. Materials and Methods: Four prostate cancer patients treated with definitive hypofractionated radiotherapy between September 2009 and August 2010 were enrolled in this study. Three gold fiducial markers were implanted into the prostate and through the rectum under ultrasound guidance around a week before radiotherapy. Glycerin enemas were given prior to each radiotherapy planning CT and every radiotherapy session. Hypofractionated radiotherapy was planned for a total dose of 59.5 Gy in daily 3.5 Gy with using the Novalis system. Orthogonal kV X-rays were taken before radiotherapy. Treatment positions were adjusted according to the results from the fusion of the fiducial markers on digitally reconstructed radiographs of a radiotherapy plan with those on orthogonal kV X-rays. When the difference in the coordinates from the fiducial marker fusion was less than 1 mm, the patient position was approved for radiotherapy. A virtual bone matching was carried out at the fiducial marker matched position, and then a setup difference between the fiducial marker matching and bone matching was evaluated. Results: Three patients received a planned 17-fractionated radiotherapy and the rest underwent 16 fractionations. The setup error of the fiducial marker matching was $0.94{\pm}0.62$ mm (range, 0.09 to 3.01 mm; median, 0.81 mm), and the means of the lateral, craniocaudal, and anteroposterior errors were $0.39{\pm}0.34$ mm, $0.46{\pm}0.34$ mm, and $0.57{\pm}0.59$ mm, respectively. The setup error of the pelvic bony matching was $3.15{\pm}2.03$ mm (range, 0.25 to 8.23 mm; median, 2.95 mm), and the error of craniocaudal direction ($2.29{\pm}1.95$ mm) was significantly larger than those of anteroposterior ($1.73{\pm}1.31$ mm) and lateral directions ($0.45{\pm}0.37$ mm), respectively (p<0.05). Incidences of over 3 mm and 5 mm in setup difference among the fractionations were 1.5% and 0% in the fiducial marker matching, respectively, and 49.3% and 17.9% in the pelvic bone matching, respectively. Conclusion: The more precise setup of hypofractionated radiotherapy for prostate cancer patients is feasible with the implanted fiducial marker matching compared with the pelvic bony matching. Therefore, a less marginal expansion of planning target volume produces less radiation exposure to adjacent normal tissues, which could ultimately make hypofractionated radiotherapy safer.
Park, Yang-Kyun;Ha, Sung-Whan;Ye, Sung-Joon;Cho, Woong;Park, Jong-Min;Park, Suk-Won;Huh, Soon-Nyung
Radiation Oncology Journal
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v.24
no.4
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pp.300-308
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2006
$\underline{Purpose}$: To develop a wireless CCTV system in semi-beam's eye view (BEV) to monitor daily patient setup in radiation therapy. $\underline{Materials\;and\;Methods}$: In order to get patient images in semi-BEV, CCTV cameras are installed in a custom-made acrylic applicator below the treatment head of a linear accelerator. The images from the cameras are transmitted via radio frequency signal (${\sim}2.4\;GHz$ and 10 mW RF output). An expected problem with this system is radio frequency interference, which is solved utilizing RF shielding with Cu foils and median filtering software. The images are analyzed by our custom-made software. In the software, three anatomical landmarks in the patient surface are indicated by a user, then automatically the 3 dimensional structures are obtained and registered by utilizing a localization procedure consisting mainly of stereo matching algorithm and Gauss-Newton optimization. This algorithm is applied to phantom images to investigate the setup accuracy. Respiratory gating system is also researched with real-time image processing. A line-laser marker projected on a patient's surface is extracted by binary image processing and the breath pattern is calculated and displayed in real-time. $\underline{Results}$: More than 80% of the camera noises from the linear accelerator are eliminated by wrapping the camera with copper foils. The accuracy of the localization procedure is found to be on the order of $1.5{\pm}0.7\;mm$ with a point phantom and sub-millimeters and degrees with a custom-made head/neck phantom. With line-laser marker, real-time respiratory monitoring is possible in the delay time of ${\sim}0.17\;sec$. $\underline{Conclusion}$: The wireless CCTV camera system is the novel tool which can monitor daily patient setups. The feasibility of respiratory gating system with the wireless CCTV is hopeful.
In order to measure ECG in daily life, a new ECG measurement method on bed was developed. The provided method does not require any direct conductive contact between the instrument and bare skin, so that it does not cause the uncomfortable feel of touch and the possible skin trouble which are typical shortcomings of the conventional conductive contact ECG measurement. The provided method utilized an array of high-input-impedance active electrodes fixed on the mattress and an indirect-skin-contact ground made of a large conductive textile sheet and laid on lower area of the mattress. A thin cotton bedcover covered the mattress, the electrodes, and the conductive textile and subjects lay on the mattress over the bedcover. ECG was obtained successfully. However its signal quality is lower and the motion artifact is larger than direct-contact measurement. Careful measurement setup was needed to reduce the motion artifact originated from variation in static electricity. From the ECG obtained by the provided method, R-peak could be discriminated easily and the information about the position and the posture of the subject could be obtained.
The data collected by the In-Situ Decommissioning (ISD) sensors are time-specific, age-specific, and developmental stage-specific. Research has been done on the stream data collected by ISD testbed in the recent few years to seek both frequent episodes and abnormal frequent episodes. Frequent episodes in the data stream have confirmed the daily cycle of the sensor responses and established sequences of different types of sensors, which was verified by the experimental setup of the ISD Sensor Network Test Bed. However, the discovery of abnormal frequent episodes remained a challenge because these abnormal frequent episodes are very small signals and may be buried in the background noise of voltage and current changes. In this work, we proposed Advanced Data Analytics (ADA) methods that are applied to the baseline data to identify frequent episodes and extended our approach by adding more features extracted from the baseline data to discover abnormal frequent episodes, which may lead to the early indicators of ISD system failures. In the study, we have evaluated our approach using the baseline data, and the performance evaluation results show that our approach is able to discover frequent episodes as well as abnormal frequent episodes conveniently.
Habimana, Jean de Dieu;Ha, Doan Thi Thu;Bae, Deg-Hyo
Proceedings of the Korea Water Resources Association Conference
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2020.06a
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pp.117-117
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2020
The main objective of this study was to setup model and evaluate the model performance for streamflow simulation in Burundi using Soil and Water Assessment Tool (SWAT) model. The total area of Burundi is 27,834 ㎢. The elevation of Burundi ranges from 780 m to 2,700m. The West and East are low lands, while the Central part is high land. The topographic data (30 meters Digital Elevation Model) and land use and land cover data of Burundi were obtained respectively from Shuttle Radar Topography Mission (SRTM) and the Regional Centre for Mapping of Resources for Development (RCMRD). The soil data used was obtained from Food and Agriculture Organization (FAO). The local weather data and discharge data were provided by Burundi Hydro meteorological Service (IGEBU). Mean Areal Precipitation (MAP) and Mean Areal Temperature (MAT) were estimated. The streamflow simulation was done for the period 1980-2017. The calibration and validation of river discharge was performed at a daily time step from 2005 through 2011 as the calibration period and 2012 up to 2017 as the validation period. The findings show that streamflow decreases during Jun to September and increases during March to May and October to December.
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