• Title/Summary/Keyword: Dose verification

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Clinical Use of Shielding Block Correction factors (차폐블록보정인자의 임상적 응용)

  • 이정옥;정동혁
    • Progress in Medical Physics
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    • v.14 no.2
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    • pp.69-73
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    • 2003
  • In this study, we measured shielding block correction factors for irregular fields and compared them with published data for the square blocked field. We devised a methods to measure the factors at an arbitrary depth in phantom. The measurements were performed for 12 shielding blocks used in radiation therapy. The measured correction factors for irregular blocked fields were consistent within $\pm$0.5% with those of the square blocked fields. Our results show that the shielding block correction factors for the typical square blocked fields can be used in clinical dose calculations for irregular blocked fields. However, for small fields, we suggest that verification be done by measurement.

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Determination of the Kinetic Properties of Platycodin D for the Inhibition of Pancreatic Lipase Using a 1,2-Diglyceride-Based Colorimetric Assay

  • Zhao, Hai Lin;Kim , Yeong-Shik
    • Archives of Pharmacal Research
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    • v.27 no.10
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    • pp.1048-1052
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    • 2004
  • A 1, 2-diglyceride-based multi-step colorimetric assay to measure the pancreatic lipase activity was applied for the determination of the kinetic profiles of the lipase inhibition with a slight modification and the validity verification. With this assay method, our study revealed that platycodin D, one of major constituents of Platycodi Radix, inhibits the pancreatic lipase activity in a competitive type, with the value of $K_I$ being 0.18${\pm}$0.02 mM. In addition, PD has affected the values of $K_{m,app}\;and\;K_{cat}/K_m$ in a dose- dependent manner. The results shed a meaningful light on how PD mediates lipid metabolism in the intestinal tracts. On the other hand, since the revised assay is sensitive, rapid, and does not affect the accuracy to the kinetic properties, it is applicable not only to evaluation of the kinetic properties of the pancreatic lipase, but also to highthroughput screening of pancreatic lipase activity.

Development of the Safety Assessment Code (CALM) for the Disposal of Low-and Intermediate-Level Radioactive Waste (중ㆍ저준위 방사성폐기물 처분안정성 평가코드(CALM) 개발)

  • Han, Kyong-Won;Cho, Won-Jin;Lee, Han-Soo;Lee, Youn-Myoung;Park, Hee-Sung;Suh, Kyung-Suk;Park, Heu-Joo-;Park, Hun-Hwee
    • Nuclear Engineering and Technology
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    • v.22 no.1
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    • pp.36-44
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    • 1990
  • A safety assessment computer code CALM (Computer program of Assessment for LILW Management) is developed for the theoretical prediction of long-term safety of low-and intermediate-level radioactive waste disposal. CALM is composed of three submodels, which are the resaturation model, the geosphere migration model, and the radiation dose model. For the verification of its usefulness, the safety assessment of an assumed waste repository is performed. The results show that the computer code, CALM developed through this study can be a useful tool for the safety assessment of low- and intermediate-level radioactive waste repository.

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Administration Progression and Adverse Event Report of Er-Xian Decoction for Menopausal Hot Flushes: Case Report and Review of Literature (폐경기 안면홍조 증상에 대한 한약처방 이선탕의 투여경과 및 이상반응 보고 : 증례보고 및 문헌고찰)

  • Kim, Bo-min;Jo, Hee-geun
    • The Journal of Internal Korean Medicine
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    • v.40 no.1
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    • pp.154-163
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    • 2019
  • Objective: We report on the administration progression and adverse event of Er-Xian decoction for menopausal hot flushes. A hot flush is a rapid and intense heat-dissipation reaction that involves considerable sweating, enlargement of the peripheral blood vessels, and internal body heat. Er-Xian decoction is a prescription for treating menopausal hot flush symptoms in postmenopausal women. We report administration progression and adverse event of Er-Xian decoction for menopausal hot flush. Methods: We used the Menopause Rating Scale and Menopause-Specific Quality of Life questionnaire to evaluate the progression of hot flushes, and we conducted a literature review to determine the effective dosage of Er-Xian decoction. Result: In all cases, Facial hot flushes and evaluation variables were improved by the administration of EXD. However, in Case 1, a rise of liver function indexes which may be related to EXD administration was observed. Conclusion: Considering that menopausal flushing usually lasts for several years, The resluts are meaningful that the short-term administration of EXD led to improvement of symptoms. In order to further use EXD in the future, it will be necessary to conduct follow-up studies on the subject of safety verification, such as repeated dose toxicity studies.

Development of Dual-mode Signal Processing Module for Multi-slit Prompt-gamma Camera (다중 슬릿 즉발감마선 카메라를 위한 이중모드 신호처리 모듈 개발)

  • Park, Jong Hoon;Lee, Han Rim;Kim, Sung Hun;Kim, Chan Hyeong;Shin, Dong Ho;Lee, Se Byeong;Jeong, Jonh Hwi
    • Progress in Medical Physics
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    • v.27 no.1
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    • pp.37-45
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    • 2016
  • In proton therapy, in vivo proton beam range verification is very important to deliver conformal dose to the target volume and minimize unnecessary dose to normal tissue. For this purpose, a multi-slit prompt-gamma camera module made of 24 scintillation detectors and 24-channel signal processing system is under development. In the present study, we have developed and tested a dual-mode signal processing system, which can operate in the energy calibration mode and the fast data acquisition mode, to process the signals from the 24 scintillation detectors. As a result of performance test, using the energy calibration mode, we were able to perform energy calibration for the 24 scintillation detectors at the same time and determine the discrimination levels for the detector channels. Further, using the fast data acquisition mode, we were able to measure a prompt-gamma distribution induced by a 45 MeV proton beam. The measured prompt gamma distribution was found similar to the proton dose distribution at the distal fall-off region, and the estimated beam range was $17.13{\pm}0.76mm$, which is close to the proton beam range of 16.15 mm measured by an EBT film.

Comparison Study of Conventional Film-based and CT-reconstruction method in HDR Brachytherapy (고선량률 근접 방사선 치료에서 기존의 필름 방법과 CT 재구성 방법의 비교 연구)

  • 장지나;이형구;윤세철;서태석
    • Progress in Medical Physics
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    • v.15 no.2
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    • pp.63-69
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    • 2004
  • HDR brachytherapy administers a large dose of radiation in a short time compare with LDR, and its optimization for treatment is related to several complex factors, such as physical, radiation and optimization algorithms, so there is a need for these to be verified for accurate dose delivery. In our approach, a previous study concerning the phantom for dose verification has been modified, and a new pelvic phantom fabricated for the purpose of localization, including a structure enabling the use of a CT or MRI system. In addition, a comparison study was performed to verify an orthogonal method that is commonly used for brachytherapy localization by comparing target coordinates from a CT system. Since the developed phantom was designed to simulate the clinical setups of cervix cancer, it included an air-filled bladder and a rectum structure shaped sphere and cylinder An N-shaped localizer was used to obtain precision coordinates from both CT and films. Moreover, the IDL 5.5 software program for Windows was used to perform coordinates analysis based on an orthogonal algorithm. The film results showed differences within 1.0 mm of the selected target points compare with the CT coordinates. For these results, a Plato planning system (Nucletron, Netherlands) could be independently verified using this phantom and software. Furthermore, the new phantom and software will be efficient and powerful qualify assurance (QA) tools in the field of brachytherapy QA.

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Development of Respiratory Motion Reduction Device System (RMRDs) for Radiotherapy in Moving Tumor: Construction of RMRDs and Patient Setup Verification Program

  • Lee, Suk;Chu, Sung-Sil;Lee, Sei-Byung;Jino Bak;Cho, Kwang-Hwan;Kwon, Soo-Il;Jinsil Seong;Lee, Chang-Geol;Suh, Chang-Ok
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.86-89
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    • 2002
  • The purpose is to develop a system to reduce the organ movement from the respiration during the 3DCRT or IMRT. This research reports the experience of utilizing personally developed system for mobile tumors. The patients clinical database was structured for 10 mobile tumors and patient setup error measurement and immobilization device effects were investigated. The RMRD system is composed of the respiratory motion reduction device utilized in prone position and abdominal strip device(ASD) utilized in the supine position, and the analysis program, which enables the analysis on patients setup reproducibility. Dose to normal tissue between patients with RMRDs and without RMRDs was analyzed by comparing the normal tissue volume, field margins and dose volume histogram(DVH) using fluoroscopy and CT images. And, reproducibility of patients setup verify by utilization of digital images. When patients breathed freely, average movement of diaphragm was 1.2 cm in prone position in contrast to 1.6 cm in supine position. In prone position, difference in diaphragm movement with and without RMRDs was 0.5 cm and 1.2 cm, respectively, showing that PTV margins could be reduced to as much as 0.7 cm. With RMRDs, volume of the irradiated normal tissue (lung, liver) reduced up to 20 % in DVH analysis. Also by obtaining the digital image, reproducibility of patients setup verify by visualization using the real-time image acquisition, leading to practical utilization of our software. Internal organ motion due to breathing can be reduced using RMRDs, which is simple and easy to use in clinical setting. It can reduce the organ motion-related PTV margin, thereby decrease volume of the irradiated normal tissue.

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The Comparison of Beam Data between Measured Beam Data and Calculated Beam Data Using Treatment Planning System (6 MV 광자선의 측정데이터와 치료계획장치에 의한 계산데이터의 비교)

  • Park Sung Kwang;Cho Byung Chul;Cho Heung Lae;Ahn Ki Jung
    • Progress in Medical Physics
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    • v.16 no.3
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    • pp.125-129
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    • 2005
  • The first step in the commissioning procedure of a treatment planning system is always verification of the basic beam data. In this work, we have measured POD curves and beam profiles between 1 $\times$ 1 cm$^{2}$ and 40 $\times$ 40 cm$^{2}$ . In an attempt, Pinnacle 7.4f detect discrepancies between predicted dose distribution and delivered dose distribution. The discrepancies between measurement data and caculation data was found. The delivered dose was underestimated in field but overestimated out of field. The D$_{max}$ depth of 1 $\times$ 1 cm$^{2}$ was reduced about 2 mm. For the larger field size ($\geq$4$\times$4 cm$^{2}$, the beam profile and PDD curve showed good agreement between measurement data and calculation data.

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Verification of Balloon Catheter for Rectal Dose Reduction in Brachytherapy (강내 방사선치료에 있어 직장선량 감소를 위한 풍선형 카테터의 검증)

  • To-Sol, Yu;Young-Min, Moon;Wan, Jeon;Chul-Won, Choi;Bae, Sang-Il;Jin-Young, Kim
    • Journal of the Korean Society of Radiology
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    • v.16 no.6
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    • pp.735-740
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    • 2022
  • In order to reduce side effects such as rectal bleeding in the Brachytherapy, the rectal retractor and wet gauze have been used to increase the distance between the rectum and the tandem. However, there were disadvantages that it was difficult to insert through a narrow entrance into the vagina and poor reproducibility. Also, based on the CT image of the selected catheter, the distance from the tandem to the rectum with or without the balloon catheter was checked and the reduction of the dose to the rectum was confirmed. As a result of the experiment, catheter No. 7 was selected considering the maximum balloon size at a level that does not affect the distance between the start point of the balloon and the end of the catheter, and the ovoid applicator. Based on the CT image of the selected catheter, the degree of expansion according to the presence or absence of the balloon catheter was compared, and it was found that the distance difference was 0.3 - 1 cm. In addition, it was confirmed that a decrease of about 32% was observed due to this distance difference. Therefore, the actual clinical application of the selected catheter can be used as a substitute for the existing rectal retractor and wet gauze.

Verification of the Protective Effect of Functional Shielding Cream for the Prevention of X-ray Low-dose Exposure (X-ray 저선량 피폭방지를 위한 기능성 차폐크림의 방어 효과 검증)

  • Seon-Chil Kim
    • Journal of the Korean Society of Radiology
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    • v.17 no.4
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    • pp.497-506
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    • 2023
  • In the case of radiation workers in medical institutions, radiation exposure is made for patient protection and accurate procedures, so they have a problem of low dose exposure. Low-dose radiation exposure occurs mainly in parts of the body other than the Apron area, and the most frequent place is the skin of the back of the hand. In particular, since the medical personnel's hands require senses and fine movements during the procedure, they are defenseless in the radiation exposure area and are at risk of exposure. It can solve the problem of shielding such as lead gloves, and it is difficult to use by suggesting the activity of the hand during the procedure. To solve this problem, a shielding cream capable of obtaining a functional radiation protection effect was developed and its shielding performance was compared with lead equivalent of 0.1 mmPb. In the process of manufacturing shielding cream, the shielding performance was improved by adding a defoaming process to reduce air holes to increase the density of the cream. Therefore, the shielding cream using barium sulfate as the main material has a lower shielding rate than the lead plate, and in the realm of effective energy, it is 59%, At high effective energy, a difference of about 37% was shown, indicating that there is a functional radiation protection effect. The advantage is that it can be used directly on the skin, and it is considered that it can be used before wearing surgical gloves and has a permanent protective effect.