• Journal of radiological science and technology
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• v.38 no.4
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• pp.451-461
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• 2015

In megavoltage (MV) radiotherapy, delivering the dose to the target volume is important while protecting the surrounding normal tissue. The purpose of this study was to evaluate the modulation transfer function (MTF), the noise power spectrum (NPS), and the detective quantum efficiency (DQE) using an edge block in megavoltage X-ray imaging (MVI). We used an edge block, which consists of tungsten with dimensions of 19 (thickness) ${\times}$ 10 (length) ${\times}$ 1 (width) $cm^3$ and measured the pre-sampling MTF at 6 MV energy. Various radiation therapy (RT) devices such as TrueBeam$^{TM}$ (Varian), BEAMVIEW$^{PLUS}$ (Siemens), iViewGT (Elekta) and Clinac$^{(R)}$iX (Varian) were used. As for MTF results, TrueBeam$^{TM}$(Varian) flattening filter free(FFF) showed the highest values of $0.46mm^{-1}$ and $1.40mm^{-1}$ for MTF 0.5 and 0.1. In NPS, iViewGT (Elekta) showed the lowest noise distribution. In DQE, iViewGT (Elekta) showed the best efficiency at a peak DQE and $1mm^{-1}DQE$ of 0.0026 and 0.00014, respectively. This study could be used not only for traditional QA imaging but also for quantitative MTF, NPS, and DQE measurement for development of an electronic portal imaging device (EPID).

• Radiation Oncology Journal
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• v.28 no.3
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• pp.166-176
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• 2010

Purpose: To determine the appropriate prostate planning target volume (PTV) margins for 3-dimensitional (3D) conformal radiotherapy (CRT) and intensity-modulated radiation therapy (IMRT) patients treated with an endorectal balloon (ERB) under our institutional treatment condition. Materials and Methods: Patients were treated in the supine position. An ERB was inserted into the rectum with 70 cc air prior to planning a CT scan and then each treatment fraction. Electronic portal images (EPIs) and digital reconstructed radiographs (DRR) of planning CT images were used to evaluate inter-fractional patient's setup and ERB errors. To register both image sets, we developed an in-house program written in visual $C^{++}$. A new method to determine prostate PTV margins with an ERB was developed by using the common method. Results: The mean value of patient setup errors was within 1 mm in all directions. The ERB inter-fractional errors in the superior-inferior (SI) and anterior-posterior (AP) directions were larger than in the left-right (LR) direction. The calculated 1D symmetric PTV margins were 3.0 mm, 8.2 mm, and 8.5 mm for 3D CRT and 4.1 mm, 7.9 mm, and 10.3 mm for IMRT in LR, SI, and AP, respectively according to the new method including ERB random errors. Conclusion: The ERB random error contributes to the deformation of the prostate, which affects the original treatment planning. Thus, a new PTV margin method includes dose blurring effects of ERB. The correction of ERB systematic error is a prerequisite since the new method only accounts for ERB random error.

• Korean Journal of Acupuncture
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• v.17 no.1
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• pp.47-65
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• 2000

The meridian, the meridian point and the Acupuncture-Bu-Xie(鍼灸補瀉) of oriental medicine are very important in the Department of Acupuncture and Moxibustion. Until now it has been confused at the practical use, and it showed up many transformation to the ages and many scholars. And then, I made a study of effects on the thermal changes of Sangyang($LI_1$,商陽), Igan($LI_2$,二間), Samgan($LI_3$,三間), Hapkok($LI_4$,合谷), Yanggye($LI_5$,陽谿), Kokchi($LI_{11}$,曲池), Yonghyang($LI_{20}$,迎香) following acupuncture on the Hapkok with the Rotated Acupuncture-Bu-Xie(捻轉補瀉) stimulation. This study researched into clinical statistics for 140 men who are in good health, and they are studying oriental medicine at Woosuk university in Korea. This study was covered a period of 3 months form June, 1999 to August, 1999. The objective was divided into seven groups, those are the control group(CON, N=20), the acupuncture stimulation group with non-rotation on Hapkok of left hand(A-I, N=20), the acupuncture stimulation group with non-rotation on non-meridian point(NA) of left hand(A-II, N=20), the acupuncture stimulation group with Bu-rotation(捻轉補法) on Hapkok of left hand(B-I, N=20), the acupuncture stimulation group with Bu-rotation on non-meridian point(NA) of left hand(B-II, N=20), the acupuncture stimulation group with Xie-rotation(捻轉瀉法) on Hapkok of left hand(C-I, N=20), and the acupuncture stimulation group with Xie-rotation on non-meridian point of left hand(C-II, N=20). The first, I took a picture for 140 men with the Digital infrared thermal image(D.I.T.I.). After 10 minutes, I took a second picture for each group following experimental methods, those were followed acupuncture on the Hapkok and the non-meridian point with the retentive and Rotated Acupuncture-Bu-Xie stimulation. The results are summarized as follows : 1. The thermal changes of the area which is a meridian point in the Large Intestine Meridian of the acupuncture stimulation group on Hapkok different from the control groups with significantly change. 2.The thermal changes of the area which is a meridian point in the Large Intestine Meridian of acupuncture stimulation groups on non-meridian point was not significantly different from the control group. 3. The thermal changes of the area which is a meridian point in the Large Intestine Meridian of the acupuncture stimulation group with Bu-rotation on Hapkok different from the control group with significant increase. 4. The thermal changes of the area which is a meridian point in the Large Intestine Meridian of acupuncture stimulation group with Bu-rotation on non-meridian point was not significantly different from the control group. 5. The thermal changes of the area which is a meridian point in the Large Intestine Meridian of the acupuncture stimulation group with Xie-rotation on Hapkok different from the control group with significant decrease and increase following the decreasing or increasing temperature class, and the increasing temperature class of the acupuncture stimulation group with Xie-rotation on Hapkok significantly different from the acupuncture stimulation group with Bu-rotation on Hapkok. 6. The thermal changes of the area which is a meridian point in the Large Intestine Meridian of acupuncture stimulation group with Xie-rotation on non-meridian point was not significantly different from the control group. As a conclusion, I could think that the acupuncture stimulation with Bu-rotation or Xie-rotation on Hapkok affected the thermal change of the area which is a meridian point in the Large Intestine Meridian. And then I could relate these results with the existence of the meridian and meridian point, and with the Rotated Acupuncture-Bu-Xie theory of oriental medicine.

• Journal of radiological science and technology
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• v.33 no.2
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• pp.109-120
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• 2010

The purpose of this study was first to analyze the utilization of dental examination through questionnaire to develop a diagnostic reference level of patient doses for dental radiography in korea. 77 dental institutions were classified into three groups: A group for the dental hospitals of the college of dentistry (11 institutions), B group for dental hospitals (30 institutions) and C group for dental clinics (36 institutions). The results were as follows : The mean numbers of unit chairs and medical staffs were 140.2, 15.3 and 5.8 sets, 112.6, 7.3 and 1.7 dentists, 3.1, 0.5 and no one radiologic technologists, and 19.7, 12.5 and 3.3 dental hygienists in A, B and C groups, respectively. The mean numbers of dental X-ray equipments were 14.64, 3.21 and 2.19 in A, B and C groups, respectively. Intraoral dental X-ray unit was used the most, the following equipments were panoramic, cephalometric, and cone-beam CT units. The most used X-ray imaging system was also digital system (above 50%) in all three groups. Insight dental film (Kodak, USA) having high sensitivity was routinely used for periapical radiography. The automatic processor was not used in many dental institutions, but the film-holding device was used in many dental institutions. The utilization rates of PACS in A, B and C groups were 90.9%, 83.3% and 16.7% respectively, and the PACS software program was used the most PiView STAR (Infinitt, Korea). The annual mean number of radiographic cases in one dental institution in 2008 for A group was 6.8 times and 21.2 times more than those for B and C groups, and periapical and panoramic radiographs were taken mostly. Tube voltage (kVp) and tube current (mA) for periapical radiography were similar in all three groups, but exposure time in C group was 12.0 times and 3.5 times longer than those in B and C groups. The amount of radiation exposure in C group, in which dental hygienists take dental radiographs, was more than those in other groups. The exposure parameters for panoramic radiography were similar in all three groups. In conclusion, the exposure parameters in dental radiography should be determined with reference level, not past experiences. Use of automatic processor and film-holding devices reduces the radiation exposure in film system. The quality assurance of dental equipments are necessary for the reduction of the patient dose and the improvement of X-ray image quality.