• Radiation Oncology Journal
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• 제36권3호
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• pp.248-253
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• 2018

Radiation protection in the scrotum to reduce the risk of genetic effect in the future is very important. This study aimed to measure the scrotal dose outside the treatment fields by using the radio-photoluminescence glass dosimeter (RPLGD). The characteristics of RPLGD model GD-302M were studied. Scattered dose to scrotum was measured in one liposarcoma case with the prescribed dose of 60 Gy. RPLGDs were placed in three different locations: one RPLGD was positioned at the posterior area which closer to the scrotum, and the other two RPLGDs were placed between the penis and the scrotum. Three RPLGDs were employed in each location. The scattered doses were measured in every fraction during the whole course of treatment. The entire number of 100 RPLGDs showed the uniformity within ±2%. The signal from RPLGD demonstrated linear proportion to the radiation dose (r = 0.999). The relative energy response correction factor was 1.05. The average scrotal dose was 4.1 ± 0.9 cGy per fraction. The results presented a wide range since there was a high uncertainty during RPLGD placement. The total scrotal dose for the whole course of treatment was 101.9 cGy (1.7% of the prescribed dose). The RPLGD model GD-302M could be used to measure scattered dose after applying the relative energy correction factor.

• 한국방사선학회논문지
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• 제15권1호
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• pp.85-91
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• 2021

이 연구의 목적은 6 MV X선 빔의 미로 도어 설계 시 미로 도어 바깥 측정지점에서 계산되는 성분별 선량률의 정확성을 검증하는 식을 유도하는데 있다. NCRP 보고서 151과 IAEA 안전 보고서 시리즈 47에 기술된 미로 도어 바깥 측정지점에 대한 성분별 선량률 계산식 기반으로, 도면 기반 파라미터들의 값 적용시 성분별 선량률 계산식 및 보수적 파라미터들의 값 적용 시 성분별 선량률 계산식을 유도하였다. 각각의 성분에 대한 두 개의 선량률 계산식들로부터, 미로 도어 바깥 측정지점에서 성분별 선량률 검증식은 유도되었다. 결과로서 얻어진 미로 도어 바깥 측정지점에서 성분별 선량률 검증식은 설계자가 계산한 미로 도어 바깥 측정지점에서 성분별 선량률이 유도된 성분별 선량률 검증식에서 얻어진 선량률 범위 안에 포함되는지 비교분석할 수 있다. 이 검증식은 설계자가 계산한 성분별 선량률의 정확성을 검증하는데 실무적으로 유용하게 사용될 수 있을 것으로 사료된다.

• 한국방사선학회논문지
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• 제17권7호
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• pp.1025-1031
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• 2023

저선량흉부 CT (Low Dose chest CT, LDCT)에서 Scout 관전압을 변화시키고 scan parameter인 자동노출제어장치(Auto Exposure Control, AEC)와 적응식 반복재구성기법(Adaptive Statistical Iterative Reconstruction, ASIR)등을 적용하여 최적의 프로토콜을 찾음으로써 방사선 피폭선량과 화질을 평가하고자 하였다. Scout 관전압을 80, 100, 120, 140 kV로 변화시키며 LDCT 프로토콜로 5회 반복 측정 후 선량을 비교하기 위해 장비에서 제공된 Dose report를 이용하여 연구 목적에 적합한 관전압을 선택하였다. 120 kV, 30 mAs의 조건으로 기본 LDCT 촬영한 후, 이 조건에 ASIR 50%를 적용하였으며 신호대잡음비와 대조도대잡음비를 평가하기 위해 배경의 노이즈를 측정하였다. 선량 비교를 위해 장비에서 제공되는 CTDI_vol과 선량길이곱(Dose length product, DLP)를 식을 이용하여 비교 분석하였다. 그 결과 S140 + LDCT + ASIR 50 + AEC를 적용한 프로토콜에서 고식적인 LCDT보다 방사선 피폭선량을 감소시키고 영상의 질을 향상시켰으며 최적의 프로토콜을 얻을 수 있었으며 LDCT는 매 검사 시 필요 이상의 피폭선량이 우려되기 때문에 적절한 Parameter를 적용하는 것이 중요하며, 향후 LDCT를 이용한 건강검진에서 국민의 건강에 이바지 하는데 긍정적인 요인으로 작용될 것으로 사료된다.

• 대한방사선기술학회지:방사선기술과학
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• 제46권6호
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• pp.509-517
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• 2023

This study analyzed imaging conditions and exposure index through clinical information collection and dose calculation programs in coronary angiography examinations. Through this, we aim to analyze the effective dose according to examination conditions and provide basic data for dose optimization. In this study, ALARA(As Low As Reasonably Achievable)-F(Fluoroscopy), a program for evaluating the radiation dose of patients and the collected clinical data, was used. First, analysis of imaging conditions and exposure index was performed based on the data of the dose report generated after coronary angiography. Second, after evaluating organ dose according to 9 imaging directions during coronary angiography, with the LAO fixed at 30°, dose evaluation was performed according to tube voltage, tube current, number of frames, focus-skin distance, and field size. Third, the effective dose for each organ was calculated according to the tissue weighting factors presented in ICRP(International Commission on Radiological Protection) recommendations. As a result, the average sum of air kerma during coronary angiography was evaluated as 234.0±112.1 mGy, the dose-area product was 25.9±13.0 Gy·cm², and the total fluoroscopy time was 2.5±2.0 min. Also, the organ dose tended to increase as the tube voltage, milliampere-second, number of frames, and irradiation range increased, whereas the organ dose decreased as the FSD increased. Therefore, medical radiation exposure to patients can be reduced by selecting the optimal tube voltage and field size during coronary angiography, maximizing the focal-skin distance, using the lowest tube current possible, and reducing the number of frames.

• 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 the Korean Association of Oral and Maxillofacial Surgeons
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• 제47권4호
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• pp.315-320
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• 2021

Carbon-ion radiotherapy (CIRT) is on the rise as a treatment choice for malignant tumor. Compared to conventional radiotherapy, particle beams have different physical and biological properties. Particle beam provides a low entry dose, deposits most of the energy at the endpoint of the flight path, and forms an asymptotic dose peak (the "Bragg peak"). Compared to protons, carbon with its larger mass decreases beam scattering, resulting in a sharper dose distribution border. We report a 50-year-old male who underwent CIRT without surgical resection on osteosarcoma of the mandible. After CIRT, the patient's pain was gone, and the malignant mass remained stable with accompanying necrosis. Nine months later, however, magnetic resonance imaging demonstrated progression of the left mandibular osteosarcoma with pulmonary metastases. After multidisciplinary discussion, concurrent chemoradiotherapy was conducted. While necrotic bone segments came out of the mandible during subsequent periodic outpatient visits, the tumor itself was stable. Thirty months after his first visit and diagnosis, the patient is waiting for chemotherapy. Although CIRT is superior in treating radioresistant hypoxic disease, CIRT is in its infancy, so care must be taken for its indications and complications.

• 방사성폐기물학회지
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• 제20권4호
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• pp.511-521
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• 2022

Decommissioning of nuclear power plants generates a large amount of radioactive waste in a short period. Moreover, Radioactive waste has various forms including a large volumes of metal, concrete, and solid waste. The disposal of decommissioning waste using 200 L drums is inefficient in terms of economics, work efficiency, and radiation safety. Therefore, The Korea Radioactive Waste Agency is developing large containers for the packaging, transportation, and disposal of decommissioning waste. Assessing disposability considering the characteristics of the radioactive waste and facility, convenience of operation, and safety of workers is necessary. In this study, the exposure dose rate of workers during the disposal of new containers was evaluated using Monte Carlo N-Particle Transport code. Six normal and four abnormal scenarios were derived for the assessment of the dose rate in a near surface disposal facility operation. The results showed that the calculated dose rates in all normal scenarios were lower than the direct exposure dose limitation of workers in the safety analysis report. In abnormal scenarios, the work hours with dose rates below 20 mSv·y^-1 were calculated. The results of this study will be useful in establishing the optimal radiation work conditions.

• Childhood Kidney Diseases
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• 제26권2호
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• pp.91-96
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• 2022

The messenger RNA-based vaccine for the coronavirus disease 2019 (COVID-19) may induce glomerulonephritis, including immunoglobulin A nephropathy (IgAN). New-onset IgAN triggered by vaccination against COVID-19 has been reported rarely, especially in children. Herein, we report a pediatric case of newly diagnosed IgAN after administration of the Pfizer vaccine for COVID-19. A 12-year-old girl was referred to our hospital for evaluation of gross hematuria after inoculation with the second dose of Pfizer's COVID-19 vaccine; she had no adverse effects after the first dose. At the time of admission, she showed heavy proteinuria and persistent hematuria. Kidney biopsy revealed an IgAN, and she was treated with an oral steroid and an angiotensin-converting enzyme inhibitor. Four months after discharge, the proteinuria and hematuria resolved completely.

• 한국의학물리학회지:의학물리
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• 제19권2호
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• pp.113-119
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• 2008

본 연구에서는 6종에 대한 RTP의 실험 결과에 대하여 오차를 평가하고 AAPM Report-62의 평가 항목에 적용하여 RTP 오차의 허용범위 여부를 조사하였다. 이를 위하여 NDR (Normalized dose rate) 개념을 도입하여 RTP 계산값과 측정값을 동일한 기준으로 비교할 수 있도록 하였다. 평가결과 대부분의 RTP들은 차폐조사면과 불균질 물질의 계산에서 허용범위 이내의 오차를 보였으나 표면 불균일성에 대해서는 대부분 허용범위를 초과하는 것으로 나타났다.

• Radiation Oncology Journal
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• 제13권1호
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• pp.101-104
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• 1995

High Dose Rate Remote Afterloading system was installed at Wonkwang University Hospital in January 1994. In this report, the calibration of a Gammamed 12-i High Dose Rate Remote Afterloading system and the radiation survey around the facility after design and construct a shieding room are discussed. The radiation survey of the facility indicates that the use of ordinary concrete shielding of existing room will provide adequate shielding. Also, the methodologies for performing source calibration are presented.