• 제목/요약/키워드: Dose-response

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Development and Performance of a Hand-Held CZT Detector for In-Situ Measurements at the Emergency Response

  • Ji, Young-Yong;Chung, Kun Ho;Kim, Chang-Jong;Yoon, Jin;Lee, Wanno;Choi, Geun-Sik;Kang, Mun Ja
    • Journal of Radiation Protection and Research
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    • 제41권2호
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    • pp.87-91
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    • 2016
  • Background: A hand-held detector for an emergency response was developed for nuclide identification and to estimate the information of the ambient dose rate in the scene of an accident as well as the radioactivity of the contaminants. Materials and Methods: To achieve this, the most suitable sensor was first selected as a cadmium zinc telluride (CZT) semiconductor and the signal processing unit from a sensor and the signal discrimination and storage unit were successfully manufactured on a printed circuit board. Results and Discussion: The performance of the developed signal processing unit was then evaluated to have an energy resolution of about 14 keV at 662 keV. The system control unit was also designed to operate the CZT detector, monitor the detector, battery, and interface status, and check and transmit the measured results of the ambient dose rate and radioactivity. In addition, a collimator, which can control the inner radius, and the airborne dust sampler, which consists of an air filter and charcoal filter, were developed and mounted to the developed CZT detector for the quick and efficient response of a nuclear accident. Conclusion: The hand-held CZT detector was developed to make the in-situ gamma-ray spectrometry and its performance was checked to have a good energy resolution. In addition, the collimator and the airborne dust sampler were developed and mounted to the developed CZT detector for a quick and efficient response to a nuclear accident.

악성 폐쇄성 황달 환자에 있어서 간문에 대한 방사선치료의 역할 (The Role of Porta Hepatis Irradiation in Relieving Malignant Obstructive Jaundice)

  • 양광모;서현숙
    • Radiation Oncology Journal
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    • 제8권1호
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    • pp.79-84
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    • 1990
  • 1984년부터 1988년까지 인제대학교 의과대학 치료방사선과에서 전이성 암에의해 발생한 악성 폐쇄성 황달환자 13명을 대상으로 간문을 포함하는 국소방사선치료를 시행하였다. 총 3명의 환자중 추적가능한 7명은 표준 방사선 조사야에 2.6주에서 6주 동안에 걸쳐 $2600\~5480$cGy의 방사선 조사를 받았으며 이중 5명은 완전관해, 1명은 부분 관해를 보여주었다. 전체 13명의 환자에서의 평균 생존기간은 3개월 이었으며 7명의 추적가능한 환자에서는 10.5개월이었다. 완전 관해를 보인 환자 5명중 2명은 황달의 재발없이 1년 이상의 생존기간을 보여주었다. 따라서 간문의 전이성 암으로 인해 발생한 악성 폐쇄성 황달 환자에 있어서 간문을 포함하는 조사야의 국소적 방사선 치료는 황달 해소와 증상완화에 많은 도움을 줄 수 있는 것으로 생각된다.

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상급종합병원 암센터에서 Nivolumab 사용평가와 치료성과에 미치는 영향인자 (Evaluation of Nivolumab Use and Factors related to Treatment Outcomes in a Cancer Center of a Top Tier General Hospital)

  • 엄고혜;조윤숙;이정연
    • 한국임상약학회지
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    • 제28권2호
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    • pp.88-94
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    • 2018
  • Background: We strived to evaluate the status of nivolumab use and associated factors on the clinical efficacy of the drug. Methods: The study was retrospectively conducted in patients who had been administered nivolumab at least once at the cancer center of Seoul National University Hospital from June 2015 to April 2017. Data were collected from electronic medical records. A medication-use evaluation was performed based on the American Society of Health-System Pharmacists mediation-use guidelines. Results: Sixty-six of the 74 patients (89.2%) showed indications approved for nivolumab use by the Korean Ministry of Food and Drug Safety (MFDS; n=55) or the US Food and Drug Administration (FDA; n=11). Approximately 73.0% of the patients were administered the approved dose of 3 mg/kg but 25.7% were administered an unapproved fixed dose of 100 mg. The overall response rate was 21.7%, and the response rate of non-small cell lung cancer patients, who accounted for the largest number of indications, was 18.8%. Adverse reactions were found in 90.1% of the patients and were mostly mild (86%). The expression of programmed death-ligand 1 (PD-L1) was analyzed as a factor affecting treatment response (p=0.028, odds ratio [OR]=11.331). Conclusion: PD-L1 expression was found to affect treatment response. However, caution is required while using an unapproved dosage and in the absence of monitoring for effectiveness and safety. Therefore, an effective protocol or instruction manual for the proper use of nivolumab should be considered.

사료성분에 의한 닭의 혈중 Cholecystokinin 농도의 상승 (Enhanced Release of Cholecystokinin by Dietary Components in Chicks)

  • 양성익
    • 한국가금학회지
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    • 제17권2호
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    • pp.83-91
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    • 1990
  • 닭의 Cholecystokinin (CCK) 방출에 미치는 사료성분에 대한 효과에 대해서 stomach tube에 의한 사료투여에 의해, 특수 CCK-8 antibody 를 이용해서 그 혈중 CCK의 농도를 측정했다. 실험 1에서, 무단백질사료에 대두단백질 및 대두단백질과 같은 조성의 아미노산혼합물을 첨가해서 투여한 결과 무단백질사료에 비교해서 유의하게 높은 증가를 보였으며, 아미노산혼합물사료투여가 단백질사료투여보다 빠른 증가가 관찰되었다. 무단백질사료에 아미노산을 단독으로 첨가하여 투여한 결과. phenylalanine 첨가 사료에서 Plasma중의 CCK농도가 가장 높게 나타나 아미노산혼합물과 같은 수준으로 나타났으며. 뒤이어 arginine이, valine에서 가장 낮은 분필반응이 관찰되었다. 실험 2와 3에서, 단백질사료에 SBTI를 첨가하여 투여한 결과, SBTI첨가 사료에 의해 Plasma CCK 농도는 투여 후 급격히 증가하였으며, 그 반응은 1,000mg첨가가 100mg/kg첨가보다 높은 dose response가 관찰되었다. SBTI첨가 사료에 의한 crop emptying에는 처리군과 차이가 나타나지 않아, SBTI가 단독으로 plasma CCK농도를 상승시킨다고 생각된다.

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Enhancing immune responses to inactivated foot-and-mouth virus vaccine by a polysaccharide adjuvant of aqueous extracts from Artemisia rupestris L.

  • Wang, Danyang;Yang, Yu;Li, Jinyu;Wang, Bin;Zhang, Ailian
    • Journal of Veterinary Science
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    • 제22권3호
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    • pp.30.1-30.15
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    • 2021
  • Background: New-generation adjuvants for foot-and-mouth disease virus (FMDV) vaccines can improve the efficacy of existing vaccines. Chinese medicinal herb polysaccharide possesses better promoting effects. Objectives: In this study, the aqueous extract from Artemisia rupestris L. (AEAR), an immunoregulatory crude polysaccharide, was utilized as the adjuvant of inactivated FMDV vaccine to explore their immune regulation roles. Methods: The mice in each group were subcutaneously injected with different vaccine formulations containing inactivated FMDV antigen adjuvanted with three doses (low, medium, and high) of AEAR or AEAR with ISA-206 adjuvant for 2 times respectively in 1 and 14 days. The variations of antibody level, lymphocyte count, and cytokine secretion in 14 to 42 days after first vaccination were monitored. Then cytotoxic T lymphocyte (CTL) response and antibody duration were measured after the second vaccination. Results: AEAR significantly induced FMDV-specific antibody titers and lymphocyte activation. AEAR at a medium dose stimulated Th1/Th2-type response through interleukin-4 and interferon-γ secreted by CD4+ T cells. Effective T lymphocyte counts were significantly elevated by AEAR. Importantly, the efficient CTL response was remarkably provoked by AEAR. Furthermore, AEAR at a low dose and ISA-206 adjuvant also synergistically promoted immune responses more significantly in immunized mice than those injected with only ISA-206 adjuvant and the stable antibody duration without body weight loss was 6 months. Conclusions: These findings suggested that AEAR had potential utility as a polysaccharide adjuvant for FMDV vaccines.

A Synthetic Analog of Resveratrol Inhibits the Proangiogenic Response of Liver Sinusoidal Cells during Hepatic Metastasis

  • Olaso, Elvira;Benedicto, Aitor;Lopategi, Aritz;Cossio, Fernando P.;Arteta, Beatriz
    • Biomolecules & Therapeutics
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    • 제30권2호
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    • pp.162-169
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    • 2022
  • We utilized Fas21, a resveratrol analog, to modulate the function of hepatic stellate cells (HSCs) and liver sinusoidal endothelial cells (LSECs) during the angiogenic phase of murine liver metastasis by B16 melanoma and 51b colorectal carcinoma. Preangiogenic micrometastases were treated with Fas21 (1 mg/kg/day) or vehicle during the development of intra-angiogenic tracts. Mice treated with Fas21 showed reduced liver tumor foci in both liver metastasis models. Micrometastases were classified immunohistochemically, as well as according to their position coordinates and connection to local microvasculature. The volume of liver occupied by sinusoidal-type foci, containing infiltrating angiogenic capillaries, decreased by ~50% in Fas21-treated mice compared to vehicle-treated ones in both tumor metastasis models. The volume of portal foci, containing peripheral neoangiogenesis within a discontinuous layer of myofibroblasts, was similar in all experimental groups in both tumor metastasis models, but displayed enhanced necrotic central areas devoid of angiogenesis following Fas21 treatment. As a result, sinusoidal tumors from mice treated with Fas21 showed a 50% reduction in desmin(+)/asma(+) HSCs and CD31(+) vessel density, and a 45% reduction in intrametastatic VEGF mRNA compared with sinusoidal tumors from vehicle-treated mice. Necrotic portal metastases increased 2-4-fold in treated mice. In vitro, Fas21 reduced VEGF secretion by HSCs and 51b cells dose-dependently. Additionally, HSCs migration in response to tumor soluble factors was dose-dependently diminished by Fas21, as was LSEC migration in response to HSCs and tumor soluble factors. Resveratrol analog Fas21 inhibits the proangiogenic response of HSCs and LSECs during the development of murine liver metastasis.

상행정맥 증후군의 방사선 치료 성적 (The Result of Radiation Therapy of Superior Vena Cava Syndrome)

  • 조종희;김현순;홍성언;안치열
    • Radiation Oncology Journal
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    • 제4권1호
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    • pp.67-73
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    • 1986
  • 1978년 1월부터 1985년 12월까지 경희의대 부속병원 치료방사선과에서 상행정맥 증후군으로 방사선치료를 받은 환자 21명을 대상으로, 분할조사방법과 치료 총선량에 따른 초기종상의 완화와 치료에 대한 반응 및 생존율을 관찰하여 다음과 같은 결과를 얻었다. 1) 고 선량 치료군에서는 $54.5\%(6/11)$에서 치료 $1\~2$일 후에 증상의 판화를 보였으며 $81.7\%(9/11)$에서 치료 $3\~4$일내에 증상의 완화를 나타내었다. 2) 일반분할조사가 각각 $29\%,\;50\%$를 나타낸 것보다는 월등히 많은 환자에서 조기에 증상완화를 보였으나 두 군간의 생존율에는 유의한 차이가 없었다. 3) 치료후의 반응 판정에서는 총 선량 3,000c0y이상 치료한 군에서는 대부분이 반응을 나타냈으나, 3,000cGy이하를 치료한 군의 5예에서는 모두 반응을 나타내지 않았다.

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스마트칩 카드을 이용한 광 자극 발광 특성 연구 (A Study on Retrospective of External Radiation Exposure Dose by Optically Stimulated Luminescence of Smart Chip Card)

  • 박상원;유세종
    • 대한방사선기술학회지:방사선기술과학
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    • 제42권5호
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    • pp.379-385
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    • 2019
  • Radiation is used for various purposes such as cancer therapy, research of industrial and drugs. However, in case of radiation accidents such as terrorism, collapsing nuclear plant by natural disasters like Fukushima in 2011, very high radiation does expose to human and could lead to death. For this reason, many people are concerning about radiation exposures. Therefore, assessment and research of retrospective radiation dose to human by various path is an necessary task to be continuously developed. Radiation exposure for workers in radiation fields can be generally measured using a personal exposure dosimeter such as TLD, OSLD. However, general people can't be measured radiation doses when they are exposed to radiation. And even if radiation fields workers, when they do not in possession personal dosimeter, they also can't be measured exposure dose immediately. In this study, we conduct retrospective research on reconstruction of dose after exposure by using smart chip card of personal items through Optically Stimulated Luminescence (OSL). The OSL signal of smart chip card shows linear response from 0.06 Gy to 15 Gy and results of fading rate 45 %, 48% for 24 and 48 hours due to the natural emission of radiation in sample, respectively. The minimum detectable limit (MDD) was 0.38 mGy. This values are expected to use as correction values for reconstruction of exposure dose.

Application of Modified Mupit for the Recurrent Vulva Cancer in Brachytherapy

  • 김종식;정천영;오동균;송기원;박영환
    • 대한방사선치료학회:학술대회논문집
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    • 대한방사선치료학회 2005년도 춘계학술대회 초록집
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    • pp.23-26
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    • 2005
  • 재발한 vulva tumor의 근접 치료에 있어서 정상조직의 장애와 tumor volume내의 dose uniformity는 치료성적에 매우 중요한 요인이다. 이를 개선하기 위하여 modified MUPIT applicator를 제작하여 modified MUPIT applicator의 적용에 대한 유용성을 평가하고자 한다. modified MUPIT applicator는 template, cylinder, interstitial needle로 구성되었으며, tumor volume을 정하기 위하여 CT를 시행하였다. CT image를 이용하여 interstitial needle의 삽입 위치를 확인하고 수술실에서 template 를 치료 부위에 고정을 시키고 cylinder를 vaginal cavity에 삽입한 후 interstitial needle을 tumor volume 내에 삽입 하였다. tumor volume내에서 interstitial needle의 정확한 위치를 확인하기 위하여 CT를 시행하였으며 orthogonal film을 이용하여 computer planning을 실시하였다. daily tumor dose는 600 cGy, BID로 3000 cGy를 조사하였으며 치료 시 rectal dose를 평가하기 위하여 TLD를 이용하여 anal verge를 기준으로 5개 지점에서 rectal dose를 측정하였다. rectal dose는 34.1 cGy, 57.1 cGy, 103.8 cGy, 162.7 cGy, 165.7 cGy로 측정되었으며 EBRT(whole pelvis RT), ICR과 overlap되는 지점은 34.1 cGy, 57.1 cGy로 매우 우수하게 평가되었다. 결론적으로 자체 제작한 modified MUPIT applicator 사용하여 interstitial brachytherapy를 시행함으로써 EBRT로 cover하기 어려운 환자의 tumor volume내에서 irregularity를 효율적으로 극복할 수 있었고 우수한 rectal dose 분포를 통하여 rectal complication의 발생 확률을 현저히 감소시킬 수 있었다.

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확률분포 특성을 이용한 열형광선량계의 선량평가방법에 관한 연구 (A Study on the Dose Assessment Methodology Using the Probabilistic Characteristics of TL Element Response)

  • 조대형;오장진;한승재;나성호;황원국;이원근
    • Journal of Radiation Protection and Research
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    • 제23권3호
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    • pp.123-138
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    • 1998
  • 개인피폭선량 평가용 열형광선량계인 UD802 선량재에 대한 X-선장, 감마선장, 베타선장 및 중성자선장의 순수선장과 X-선장/감마선장, 베타선장/감마선장 및 중성자장/감마선장의 혼합선장에서의 반응특성을 조사하였으며 소자반응이 확률적으로 분포하는 성질을 이용한 개인피폭선량 평가 방법을 개발하였다. 선량계 특성조사를 위한 기준조사는 한국원자력안전기술원의 X-선장, 베타선장 및 감마선장을 이용하였으며 중성자선장은 미국 PNL에 의뢰하여 수행하였다. 특성조사 결과 광자 선장에 대한 소자1과 소자2는 에너지에 대한 의존성이 매우 적어 선량당량의 계산시 매우 유용한 자료로 사용되어질 수 있으며 소자3과 소자4는 저에너지 및 중에너지의 광자선장에 대해 매우 민감한 변화를 보이고 있다. 소자1/소자3 및 소자1/소자4의 반응비는 베타선장과 중성자선장에 대하여 에너지의존성이 큰 반응비를 나타내며, 소자3/소자2의 반응비는 중성자선장에 대해서만 1이하의 값을 나타내고 있다. 저에너지 및 중에너지 광자선장에 대한 에너지 분별은 소자3/소자2 및 소자3/소자4의 반응비로서 가능함을 확인하였다. 본 연구에서 개발한 확률분포 분석법의 적용가능성을 보이기 위하여 Panasonic UD716AGL/UD802 판독시스템에 적용하여 ANSI N13.11-1993에 따른 성능검증을 수행하였다. 성능검증 결과 모든 범주에 대하여 성능지수, ${\mid}B{\mid}+S$가 최대 0.232의 성능이 확인되었다. 특히 일부 소자의 비정상적 반응에 대해서도 최적의 피폭선량평가를 수행하고 있음이 확인되었으며, 실험실에서 재현될 수 없는 실제 방사선작업 환경에서의 선량평가 수행시, 본 논문에서 제시한 선량평가방법을 적용할 경우 계획된 피폭과 예상하지 못한 방사선장에 대한 피폭을 구분할 수 있어 보다 심도 있는 피폭선량평가 및 방사선관리가 가능할 것으로 판단된다.

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