• Title/Summary/Keyword: Dose rate effect

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SHR에 Clonidine을 Labetalol 또는 Metoprolol과 병용투여후의 혈압강하에 관한 연구 (Studies on the Antihypertensive Effect of Clonidine Administered Concurrently with Labetalol or Metoprolol in SHR)

  • 허인회;김동섭;이종흔
    • 약학회지
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    • 제26권2호
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    • pp.105-110
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    • 1982
  • The antihypertensive effect of clonidine administered concurrently with labetalol or metoprolol were studied with spontaneously hypertensive rats (SHR). The changes of heart rate were also observed in the same rats. Every drug was orally administered single dose after prechecking the systolic blood pressure and heart rate of SHR. The blood pressure of SHR in concurrently administered group was more significantly decreased than in alone administered group. The effective and stable decrease of blood pressure was maintained at the group of clonidine with labetalol (0.05+50mg/kg) for 9 hours. The group of clonidine with metoprolol (0.05+100mg/kg) manifested more marked decrease of blood pressure than the group of metoprolol (100mg/kg) alone for 9 hours. The diminishing effect of heart rate was enhanced in group of administering clonidine with labetalol, decreasing the dose of labetalol from 50mg/kg via 25mg/kg to 12.5mg/kg. On the other hand, in the group that clonidine was administered concurrently with metoprolol, the diminishing effect of heart rate was decreased with decreasing doses of metoprolol from 100mg/kg via 50mg/kg to 25mg/kg.

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Correction of Dose Distribution at Total Body Irradiation using Compensator

  • 김종식;조현상;김영곤;조정근;주상규;박영환
    • 대한방사선치료학회지
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    • 제9권1호
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    • pp.87-93
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    • 1997
  • The using of compensator is required to adjust the irregular dose distribution due to irregular thickness of the body in Total Body Irradiation. Aluminuim, copper or lead is generally used as compensator. In our study, we would like to introduce a result of the attenuation and compensation effect of radiation use compensator made by duralumin and its clinical use. The thickness of compensator was calculated by the attenustion of radiation, which was measured by polystyrene phantom and ionization chamber(farmer). The compensation effect of radiation was measured by diode detector. All of conditions were set as in real treatment, and the distanc from source to detector was 446 cm. We also made fixation of device to easily attach the compensator to LINAC. Beam spoiler was menufactured and placed on the patient to irradiate sufficient dose to the skin. diode detector were placed on head, neck, chest, umbilicus. pelvis and knee with each their entranced exit points, and datas of dose distribution were evaluated and compared in each points for eleven patients(Feb. 96-Feb. 97). The attenuation rate of irradiation by duralumin compensator was measured as $1.4\%$ in 2mm thickness. The mean attenuation rate was $1.3\%$ per 2mm as increasing the thickness gradually to 50 mm. By using duralunim compensator, dose distribution in each points of body was measured with ${\pm}2.8\%$ by diode detectior. We could easily calculate the thickness of compensator by measuring the attenuation rate of radiation, remarkably reduce the irragularity of dose distribution duo to the thickness of body and magnify the effect of radiation therapy.

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Feasibility Test of Flat-Type Faraday Cup for Ultrahigh-Dose-Rate Transmission Proton Beam Therapy

  • Sang-il Pak;Sungkoo Cho;Seohyeon An;Seonghoon Jeong;Dongho Shin;Youngkyung Lim;Jong Hwi Jeong;Haksoo Kim;Se Byeong Lee
    • 한국의학물리학회지:의학물리
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    • 제33권4호
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    • pp.108-113
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    • 2022
  • Purpose: Proton therapy has been used for optimal cancer treatment by adapting its Bragg-peak characteristics. Recently, a tissue-sparing effect was introduced in ultrahigh-dose-rate (FLASH) radiation; the high-energy transmission proton beam is considered in proton FLASH therapy. In measuring high-energy/ultrahigh-dose-rate proton beam, Faraday Cup is considered as a dose-rate-independent measurement device, which has been widely studied. In this paper, the feasibility of the simply designed Faraday Cup (Poor Man's Faraday Cup, PMFC) for transmission proton FLASH therapy is investigated. Methods: In general, Faraday cups were used in the measurement of charged particles. The simply designed Faraday Cup and Advanced Markus ion chamber were used for high-energy proton beam measurement in this study. Results: The PMFC shows an acceptable performance, including accuracy in general dosimetric tests. The PMFC has a linear response to the dose and dose rate. The proton fluence was decreased with the increase of depth until the depth was near the proton beam range. Regarding secondary particles backscatter from PMFC, the effect was negligible. Conclusions: In this study, we performed an experiment to investigate the feasibility of PMFC for measuring high-energy proton beams. The PMFC can be used as a beam stopper and secondary monitoring system for transmission proton beam FLASH therapy.

자궁 경부암 고선량율 강내조사 치료의 국내 현황과 적정 치료방법 (Current Status of High Dose Rate Brachytherapy in Cervical Cancer in Korea and Optimal Treatment Schedule)

  • 허승재
    • Radiation Oncology Journal
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    • 제16권4호
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    • pp.357-366
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    • 1998
  • Brachytherapy is an essential part of radiotherapy for uterine cervical cancer. The low dose rate (LDR) regimen has been the major technique of intracavitary therapy for cervical cancer. However, there has been an expansion in the last 20 years of high dose rate (HDR) machines using Ir-192 sources. Since 1979, HDR brachytherapy has been used for the treatment of uterine cervical cancer in Korea. The number of institutions employing HDR has been increasing, while the number of low dose rate system has been constant. In 1995, there was a total 27 HDR brachytherapy units installed and 1258 cases of patients with cervical cancer were treated with HDR Most common regimens of HDR brachytherapy are total dose of 30-39 Gy at point A with 10-13 fractions in three fractions per week. 24-32 Gy with 6-8 fractions in two fractions per week, and 30-35 Gy with 6-7 fractions in two fractions per week. The average fractionation regimen of HDR brachytherapy is about 8 fractions of 4.1 Gy each to Point A. In Korea, treatment results for HDR brachytherapy are comparable with the LDR series and appears to be a safe and effective alternative to LDR therapy for the treatment of cervical carcinoma. Studies from the major centers report the five-year survival rate of cervical cancer as. 78-86$\%$ for Stage 1, 68-85$\%$ for stage 11, and 38-56$\%$ for Stage III. World-wide questionnaire study and Japanese questionnaire survey of multiple institutions showed no survival difference in any stages and dose-rate effect ratio (HDR/LDR) was calculated to be 0.54 to 0.58. However the optimum treatment doses and fractionation schemes appropriate to generate clinical results comparable to conventional LDR schemes have yet to be standardized. In conclusion, HDR intracavitary radiotherapy is increasingly practiced in Korea and an effective treatment modality for cervical cancer. To determine the optimum radiotherapy dose and fractionation schedule, a nation-wide prospective study is necessary in Korea. In addition, standardization of HDR application (clinical, computer algorithms, and dosimetric aspects) is necessary.

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Measurements of Neutron Activation and Dose Rate Induced by High-Energy Medical Linear Accelerator

  • Kwon, Na Hye;Jang, Young Jae;Kim, Jinsung;Kim, Kum Bae;Yoo, Jaeryong;Ahn, So Hyun;Kim, Dong Wook;Choi, Sang Hyoun
    • 한국의학물리학회지:의학물리
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    • 제32권4호
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    • pp.145-152
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    • 2021
  • Purpose: During the treatments of cancer patients with a linear accelerator (LINAC) using photon beams with energies ≥8 MV, the components inside the LINAC head get activated through the interaction of photonuclear reaction (γ, n) and neutron capture (n, γ). We used spectroscopy and measured the dose rate for the LINAC in operation after the treatment ended. Methods: We performed spectroscopy and dose rate measurements for three units of LINACs with a portable high-purity Germanium (HPGe) detector and a survey meter. The spectra were obtained after the beams were turned off. Spectroscopy was conducted for 3,600 seconds, and the dose rate was measured three times. We identified the radionuclides for each LINAC. Results: According to gamma spectroscopy results, most of the nuclides were short-lived radionuclides with half-lives of 100 days, except for 60Co, 65Zn, and 181W nuclides. The dose rate for three LINACs obtained immediately in front of the crosshair was in the range of 0.113 to 0.129 µSv/h. The maximum and minimum dose rates measured on weekends were 0.097 µSv/h and 0.092 µSv/h, respectively. Compared with the differences in weekday data, there was no significant difference between the data measured on Saturday and Sunday. Conclusions: Most of the detected radionuclides had half-lives <100 days, and the dose rate decreased rapidly. For equipment that primarily used energies ≤10 MV, when the equipment was transferred after at least 10 minutes after shutting it down, it is expected that there will be little effect on the workers' exposure.

RALS시행시 선원의 거리 이동및 직장선량에 관한 계산치와 측정치의 비교연구 (Dose Distribution of Rectum in the treatment of Uterine Cervical Cancer using Remote Afterloading System)

  • 김성규;신세원;김명세
    • 한국의학물리학회지:의학물리
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    • 제5권1호
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    • pp.67-74
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    • 1994
  • 선량분포특성은 거리의 제곱에 반비례하기 때문에 근접조사에서 선원의 조그마한 오차는 선량계산에서 큰 차이를 초래할 수 있어서 선원의 정확한 거리 이동과 그에 따른 critical organ에 조사되는 선량의 정확도는 자궁경부암 환자의 치료성적에 결정적인 역할을 할 수가 있다. 특히 High Dose Rate의 RALS(Remote After Loading System)에서 선원의 정확한 calibration은 자궁경부암 환자의 치료에서 선량분포에 지대한 영향을 미치며 나아가 이 선량분포는 치료후 나타나는 재발 및 합병증이나 휴유증의 발생에도 큰 영향을 미치게 된다. 본 연구에서는 실제 RALS시 선원의 거리 이동을 측정하여 치료계획용 computer에서 계산된 선원간의 거리 이동과 비교 검토하였으며 Rectum 위치에 chamber를 삽입하여 실제 Rectum에 조사되는 선량과 computer에서 계산된 값들을 비교검토하였다. Tandem Source을 1cm 간격으로 거리를 이동하면서 실험을 되풀이 한 결과 처음 monitor로 1cm을 이동할 때 측정치가 0.8cm 이동한 것으로 나타났으며, 2번째부터 5번째까지의 거리 이동에서는 monitor의 값과 측정치의 값이 정확하게 일치하였다. 또한 12명의 환자를 대상으로 실시한 Rectum dose의 측정치는 computer계산치보다 평균 8%로 낮게 나타났다.

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에탄올과 Sulfamethazine의 약물상호작용 (Drug Interaction of Sulfamethazine and Ethanol)

  • 최준식;전종철;이진환;유영종
    • Journal of Pharmaceutical Investigation
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    • 제16권1호
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    • pp.31-35
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    • 1986
  • Effect of ethanol on the absorption rate, blood level and bioavailability of sulfamethazine (SM) in rats was determined. Absorption rate of SM was determined both by the in vitro and in situ experiment. In vitro, absorption rate of SM in rat small intestine was increased by 0.3, 1.0 and 3.0% ethanol. In situ, absorption rate of SM was increased by 0.3 and 1.0% ethanol but not by 3.0% ethanol. After oral administration, blood level of SM was elevated and relative bioavailability was significantly increased to 114.8% at the dose of 0.6g/kg ethanol but not significantly at the dose of 3.0g/kg ethanol. The time for attainment of peak blood level was changed from 2.5 to 1.5hr. Ethanol enhanced absorption rate constant of SM significantly and reduced elimination rate constant of SM administered orally at the dose of 0.6g/kg ethanol.

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PET검사 작업환경에 있어서 APRON의 방어에 대한 고찰 (A Consideration of Apron's Shielding in Nuclear Medicine Working Environment)

  • 이성욱;김승현;지봉근;이동욱;김정수;김경목;장영도;방찬석;백종훈;이인수
    • 핵의학기술
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    • 제18권1호
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    • pp.110-114
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    • 2014
  • PET/CT기기의 발달로 인한 검사시간의 단축과 대중화로 인해 검사건수도 꾸준히 증가하고 있다. 이는 방사선 작업종사자의 피폭선량도 함께 증가시키는 결과를 초래한다. 본 연구는 PET/CT 검사에 있어서 에너지가 강한 $^{18}F-FDG$를 apron을 착용 시 방사선 차폐율을 측정하고 차폐효과를 알아보고자 하였다. 또한 $^{99m}TC$과의 차폐율을 비교하여 방사선 작업종사자의 피폭선량을 최소화하는 것에 목적을 두고 진행하였다. 실험방법은 2013년 5월 2일부터 5월 10일까지 8일간 PET/CT 검사를 위해 본원을 방문한 10명의 환자를 대상으로 하였고 PET/CT 주요 작업공간인 $^{18}F-FDG$ 분배실, 환자 안정실($^{18F}$주사 후 환자 대기장소), PET/CT 검사실 모두 3곳을 선정하여 Apron장착 전과 apron장착 후로 나누어 선량율 변화를 측정하였다. 정확한 측정을 위해서 환자 또는 Source부터의 거리는 1 m로 고정하였다. 또한 Apron의 선량감소율을 비교하고자 $^{99m}TC$의 source에도 같은 방법을 적용하여 측정하였다. 측정결과 $^{18F}FDG$ 분배실에서 L-BLOCK만 있는 경우 평균 $0.32{\mu}Sv$였고 L-block+apron의 경우 $0.23{\mu}Sv$이였으며 두 경우의 선량과 선량율의 차이는 각각 $0.09{\mu}Sv$, 26%로 나타났다. 안정실에서 apron이 없는 경우 평균 $33.1{\mu}Sv$였고 apron이 있는 경우 평균 $22.3{\mu}Sv$였다. 두 경우의 선량과 선량율의 차이는 각각 $10.8{\mu}Sv$, 33%로 나타났다. PET/CT실에서의 apron이 없는 경우 평균 $6.9{\mu}Sv$였고 apron이 있는 경우 평균 $5.5{\mu}Sv$였다. 두 경우의 선량과 선량율의 차이는 각각 $1.4{\mu}Sv$, 25%로 나타났다. $^{99m}TC$은 apron이 없는 경우 평균 $23.7{\mu}Sv$였고 apron이 있는 경우 평균 $5.5{\mu}Sv$였다. 두 경우의 선량과 선량율의 차이는 각각 $18.2{\mu}Sv$, 77%나타났다. 실험결과 환자에게 투여한 후의 $^{99m}TC$의 경우 평균 77%의 차폐율을 나타내었고 $^{18}F-FDG$의 경우 평균 27%의 비교적 낮은 차폐율을 보였다. source 자체만을 비교하였을 때에 $^{18}F-FDG$는 17%의 차폐율을 보였고 $^{99m}TC$은 77%의 차폐율을 보였다. $^{99m}TC$에 비해 낮은 차폐효과이지만 $^{18}F-FDG$ 역시 apron에 대한 차폐효과가 있음을 알 수 있었다. 그러므로 PET/CT 검사에 있어서 $^{18}F-FDG$과 같은 고에너지에 맞는 apron을 착용한다면 방사선 작업종사자의 피폭선량을 최소화 할 수 있을 것으로 사료된다.

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