• Title/Summary/Keyword: Dose Rate

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Feasibility of Improving the Accuracy of Dose Calculation Using Hybrid Computed Tomography Images: A Phantom Study

  • Jeon, Hosang;Kim, Dong Woon;Joo, Ji Hyeon;Ki, Yongkan;Kim, Wontaek;Park, Dahl;Nam, Jiho;Kim, Dong Hyeon
    • Progress in Medical Physics
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    • v.32 no.1
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    • pp.18-24
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    • 2021
  • Purpose: Kilovoltage computed tomography (kV-CT) is essential for radiation treatment planning. However, kV-CT images are significantly distorted by artifacts when a metallic prosthesis is present in the patient's body. Thus, the accuracies of target delineation and treatment dose calculation are inevitably lowered. We evaluated the accuracy of the calculated doses using an image restoration method with hybrid CT, which was introduced in our previous study. Methods: A cylindrical phantom containing four metals, namely, silver, copper, tin, and tungsten, was scanned using kV-CT and megavoltage CT to produce hybrid CT images. We created six verification plans for three head and neck patients on kV-CT and hybrid CT images of the phantom and calculated their doses. The actual doses were measured with film patches during beam delivery using tomotherapy. We used the gamma evaluation method to compare dose distribution between kV-CT and hybrid CT with three gamma criteria, namely, 3%/3 mm, 2%/2 mm, and 1%/1 mm. Results: The gamma pass rates decreased as the gamma criteria were strengthened, and the pass rate of hybrid CT was higher than that of kV-CT in all cases. When the 1%/1 mm criterion was used, the difference in gamma pass rates between them was up to 13%p. Conclusions: According to our findings, we expect that the use of hybrid CT can be a suitable approach to avoid the effect of severe metal artifacts on the accuracy of dose calculation and contouring.

Radiotherapeutic Result of Waldeyer's Ring Lymphoma (Waldeyer's Ring 임파종 : 방사선 치료의 결과)

  • Kim, Ju-Ree;Suh, Hyun-Suk
    • Radiation Oncology Journal
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    • v.8 no.2
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    • pp.261-267
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    • 1990
  • Twenty patients with biopsy-proven Waldeyer's ring lymphoma were treated with radiotherpy between 1984 and 1990 at the Department of Radiation Therapy, Inje University Paik Hospital and seventeen evaluable patients were analysed retrospectively. Dose of radiation ranged from 35 to 50 Gy to Waldeyer's ring structure with an additional 5 and 10 Gy boost dose to the primary site. The lower cervical nodes received 35 to 60 Gy. The median follow-up period was 24 months (range;9 to 80 months). The 5-year overall survival rate was $50.2{\%}$ and 5-year disease free survival rate was $47.1{\%}$. The final local control rate was $82.4{\%}$. The relapse developed average 10 months after treatment. Most of relapses were systemic ($87.5{\%}$). The patients with stage I disease fared better than advance stage. The favorable histology of lymphoma showed better prognosis than unfavorable histology. There was no significant difference in survival rate between radiotherapy alone and combination of chemotherapy and radiotherapy in early stage lymphomas. But of the patients with advanced stage, those who received chemotherapy and radiotherapy had better prognosis than those treated with radiotherapy alone.

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Development and Evaluation of an Oral Controlled Release Delivery System for Melatonin

  • Lee, Beom-Jin;Parrott, Keith A.;Sack, Robert L.;Ayres, James W.
    • Journal of Pharmaceutical Investigation
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    • v.23 no.3
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    • pp.9-18
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    • 1993
  • Sugar spheres loaded with melatonin (MT) were coated with $Aquacoat^{\circledR}$ to control the release rate of MT over 8 hours. A zero-order release pattern over 8 hours was obtained with 20% coating on 8-10 mesh beads in USP basket dissolution studies. MT in 20% coated beads was quite stable at room temperature with less than 5% MT degraded during 6 months' storage. Dissolution profiles were also unchanged after 6 months. An oral preparation containing MT-loaded uncoated beads for immediate release and 20% coated beads with $Aquacoat^{\circledR}$ for controlled release over 8 hours was evaluated in six human subjects. When total 0.5 mg MT as low dose (immediate release portion of MT, 0.1 mg) was administered to four subjects, average peak plasma MT concentration was reached at about 600 pg/ml and maintained at about 10 pg/ml over 8 hours. Plasma MT concentration-time profiles were similar in shape to computer-simulated profiles. However, maximal plasma MT concentrations were three times greater compared to computer simulated curve. These results suggest that MT dose, ratio of immediate and controlled release MT, and pharmacokinetic parameters selected are adjusted to mimic endogenous MT concentration-time curve. In another study, 0.2 mg MT having 10% of immediate release portion and 80% controlled release portion produced plasma MT concentration-time curve which is more similar to endogenous profiles. A low bioavailability (<20%) may result from extensive first pass metabolism and remaining amounts of MT from controlled beads. A good correlation between plasma MT concentration and urinary excretion rate of 6-sulphatoxymelatonin (6-STMT), a major metabolite of MT was observed. As plasma MT concentration increased, urinary excretion rate of 6-STMT increased concomitantly. The linear relation between plasma MT and urinary excretion rate of 6-STMT was statistically significant. This result suggests that urinary 6-STMT may be used as an index of circadian rhythms of MT in humans.

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Understanding the Treatment Strategies of Intracranial Germ Cell Tumors : Focusing on Radiotherapy

  • Kim, Joo-Young;Park, Jeonghoon
    • Journal of Korean Neurosurgical Society
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    • v.57 no.5
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    • pp.315-322
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    • 2015
  • Intracranial germ cell tumors (ICGCT) occur in 2-11% of children with brain tumors between 0-19 years of age. For treatment of germinoma, relatively low radiation doses with or without chemotherapy show excellent 10 year survival rate of 80-100%. Past studies showed that neoadjuvant chemotherapy combined with focal radiotherapy resulted in unacceptably high rates of periventricular tumor recurrence. The use of generous radiation volume which covers the whole ventricular space with later boost treatment to primary site is considered as standard treatment of intracranial germinomas. For non-germinomatous germ cell tumors (NGGCT), 10-year overall survival rate is still much inferior than that of intracranial germinoma despite intensive chemotherapy and high-dose radiotherapy. Craniospinal radiotherapy combined with cisplatin-based chemotherapy provides the best treatment outcome for NGGCT; 60-70% of overall survival rate. There is a debate on the surgical role whether surgery can contribute to improved treatment outcome of NGGCT when added to combined chemoradiotherapy. Because higher dose of radiotherapy is required for treatment of NGGCT than for germinoma, it is tested whether whole ventricular irradiation can replace craniospinal irradiation in intermediate risk group of NGGCT to minimize radiation-related late toxicity in the recent studies. To minimize the treatment-related neural deficit and late sequelae while maintaining long-term survival rate of ICGCT patients, optimized administration of chemotherapy and radiotherapy should be selected. Use of technically upgraded radiotherapy modalities such as intensity-modulated radiotherapy or proton beam therapy is expected to bring an improved neurocognitive outcome with longitudinal assessment of the patients.

Removal of Residual Antibiotics - Erythromycin, Sulfamethazine and Sulfathiazole - from water by Ozone Oxidation (수중 미량 잔류항생물질 Erythromycin, Sulfamethazine, Sulfathiazole의 오존산화제거)

  • Choi, Yeon-Woo;Han, Min-Su;Song, Jun-Hyuck;Wang, Chang-Keun
    • Journal of Korean Society of Water and Wastewater
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    • v.31 no.4
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    • pp.347-356
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    • 2017
  • Oxidation of erythromycin, sulfamethazine and sulfathiazole by ozone was experimentally investigated to see the effects of background water quality such as ultrapure water, humic acid and biologically treated wastewater and water temperature on the removal rate, consequently to provide design information when the ozone treatment process is adopted. Initial concentration of the antibiotics was spiked to $10{\mu}g/l$ and ozone dose was 1, 2, 3, 5, 8 mg/l. While the removal rate of erythromycin under ultrapure water background by ozone oxidation was over 99%, that under humic acid and biologically treated wastewater background was markedly reduced to the range of 59.8%~99% and 17.0%~99%, respectively. When water temperature is decreased from $20^{\circ}C$ to $4^{\circ}C$, the removal rate is reduced from the range of 17.0%~99% to the range of 9.4%~97.4% under biologically treated wastewater background. The effects of background and temperature on the removal rate of sulfamethazine and sulfathiazole were similar to erythromycin, but the degree was different. Therefore, it is concluded that the background of water to be treated as well as water temperature should be taken into consideration when the design factor such as ozone dose is determined to meet the treatment objective in the ozone treatment process.

Collimator Design and Manufacture for $M{\ddot{o}}ssbauer$ Source ($M{\ddot{o}}ssbauer$ 선원용 콜리메이터 설계 및 제작)

  • Park, Sung-Ho;Kim, Jong-Kyung
    • Journal of Radiation Protection and Research
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    • v.28 no.3
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    • pp.183-187
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    • 2003
  • Collimator for $M{\ddot{o}}ssbauer$ source was manufactured for compton scattering experiment. Exposure dose rate was calculated and measured using GM counter for radiation evaluation. These results were well agreed to each other and used for collimator design. SUS303 was used for collimator material because exposure dose rate at 10 cm is about 2 mR/h. The radiation emited from the 35 mm, 65 mm hole was measured using gamma camera which have 4' diameter. 2-D radiation image was acquired and analyzed. The radiation size at Gamma Camera was 8.0 mm and 5.8 mm respectively.

Intracavitary Ultrasound Hyperthermia Applicators for Gynecological Cancer

  • Lee, Rena J. .;Suh, Hyun-Suk
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2003.09a
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    • pp.53-53
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    • 2003
  • For evaluating the feasibility of treating recurrent lesions in the vaginal cuff and cervix by hyperthermia, ultrasound applicators were designed, constructed, and characterized. For the treatment A half-cylindrical transducer Cd=1cm, length=lcm) and cylindrical transducer (d=2.5cm, length= 1.5cm) were used to construct ovoid type and cylindrical applicators. For the ovoid type applicator, each element was operated at 1.5MHz and characterized by measuring transducer efficiency and acoustic power distribution. Thermocouple probes were used to measure the temperature rise in phantom. The element sizes used in this study were selected to be comparable for high dose rate brachytherapy colpostat applicator. Each element was powered separately to achieve a desired temperature pattern in a target. The acoustic output power as a function of applied electric power of the element 1 and 2 was linear over this 1 to 40 W range and efficiencies were 32.2${\pm}$3.4% and 46.2${\pm}$0.8%, respectively. The temperature measurements in phantom showed that 6$^{\circ}C$ temperature rise was achieved at 2 cm from the applicator surface. As a conclusion, the ability of the ultrasound colpostat applicator to be used for hyperthermia was demonstrated by measuring acoustic output power, ultrasound field distribution, and temperature rise in phantom. Based on the characteristics of this applicator, it has the potential to be useful for inducing hyperthermnia to the vaginal cuff in clinic.

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Anti-nociceptive Effect of Curcuma longa Extract on Acetic Acid induced Pain Model (강황 에탄올 추출물 및 그 분획물의 초산 유발에 의한 통증억제 효과)

  • Yoon, Won Ho;Lee, Keyong Ho
    • Korean Journal of Pharmacognosy
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    • v.46 no.3
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    • pp.229-233
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    • 2015
  • The anti-nociceptive effect of an ethanol extract and its various solvent fractions from Curcuma longa Linne ethanol extract was studied using the writhing test in mice. Different fractions by various solvent extraction from Curcuma longa Linne ethanol extract were administered orally 1 hr or time-course (0.5, 1, 2 and 5 hr) before intraperitoneal injection of acetic acid. After treatment with 30% ethanol extract and n-butanol fraction, CB-1, at a dose of 250 mg/kg, the significant writhing responses were 87.5 ± 13.4 (inhibition rate 31%, p<0.01) and 75.1 ± 11.1 (inhibition rate 41%, p<0.01) lower than the control group. At the dose of CB-1 50 mg/kg and 250 mg/kg, CB-1 showed a similar activity comparing to diclofenac of 10 mg/kg. A time-course experiment was performed, which involved oral administration of CB-1 (250 mg/kg) at 0, 0.5, 1, 2, and 5 hr before acetic acid intraperitoneal injection. The most effective time of CB-1 was 30 min before treatment and persisting until 2 hr. This study showed that Curcuma longa Linne has anti-nociceptive properties comparable with those of diclofenac, which suggests promise for the treatment of intractable visceral pain in humans. Major components of the active fraction are identified as curcumin, cyclocurcumin and demethoxycurcumin.

Development of Multi-Type Soft X-ray Ionizer using Radiation Dose Overlapped Effect (선량 중첩을 이용한 멀티형 연 X-선 정전기 제거장치의 개발)

  • Lee, Su Hwan;Lee, Dong Hoon
    • Journal of the Korean Society of Safety
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    • v.33 no.2
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    • pp.28-31
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    • 2018
  • In display and semi-conductor manufacturing process, there are numerous unstable factors such as particle concentration, minimal vibration, changes in magnetic field, or electrostatic that becomes an issue to be managed and controlled. In the recent, X-ray ionization is widely used that is neutralized by separating air or gas molecules in the area where the static must be resolved. The mono-type of X-ray ionizer was not capable to be used in $8^{th}$ generation panels manufacturing plant due to its insufficient ionizing coverage since the panel itself is approximately in $2m{\times}3m$. To resolve the current problem, the development of new type called, "Multi-type X-ray ionizer" has resulted in covering enough ionizing space in $8^{th}$ generation panels industry. Comparing mono and multi types with MCNPX code simulation, the multi one indicates more X-ray flux, efficiency, and ionization performance in comparison with either a mono-type or multi-type in array format. In addition, the ionizing efficiency of overlapping area with multi-type showed 30% higher effectiveness rate as to the ordinary mono-type.

General Pharmacology of ADP

  • Ban, Ju-Yeon;Lee, Bo-Young;Hong, Eun-Kyung;Jung, Young-shin;Seong, Yeon-Hee
    • Biomolecules & Therapeutics
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    • v.11 no.1
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    • pp.51-57
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    • 2003
  • General pharmacological properties of ADP, a new pharmaceutical composition, which contains a mixed water extract obtained from the mixture of Phellodendron cortex (Phellodendron amurense) and Anemarrhena rhizoma (Anemarrhena asphodeloides), as the active ingredients, were investigated in experimental animals administering orally and in vitro test system. ADP had no influences on general behavior, pentobarbital sleeping time, spontaneous motor activity, motor coordination of mice, normal body temperature, chemoshock produced by pentylenetetrazole and writhing syndromes induced by 0.8% acetic acid at the dose of 150 and 1500 mg/kg. Gastric secretion of rats and intestinal motility of mice were not also influenced by the administration of ADP at doses of 150 and 1500 mg/kg, with the exception of the significant decrease of free HCI concentration at a dose of 1500 mg/kg in rats. ADP (150 and 1500 mg/kg) did not alter mean arterial blood pressure and heart rate in conscious rats. ADP given to anesthetized rats showed no effect on respiratory rate at the same doses. In in vitro experiments, ADP at the concentration of 150 mg/L did not show direct effect and inhibitory or augmentative action on histamine- or acetylcholine-induced contractions in the isolated ileum of guinea-pig. Taken together, these results indicate that ADP does not induce any adverse effects in experimental animals.