• 제목/요약/키워드: Dosimetric study

검색결과 203건 처리시간 0.028초

좌측 유방 방사선치료를 위한 역치료계획의 세기변조방사선치료와 다중빔조사영역치료기법 사이의 포괄적 선량측정 분석 (A Comprehensive Dosimetric Analysis of Inverse Planned Intensity Modulated Radiation Therapy and Multistatic Fields Technique for Left Breast Radiotherapy)

  • 문성권;윤선민
    • Radiation Oncology Journal
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    • 제28권1호
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    • pp.39-49
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    • 2010
  • 목 적: 좌측 유방의 방사선치료에 있어, 3 빔 또는 5 빔을 이용한 세기변조방사선치료(intensity modulated radiation therapy, IMRT)와 다중빔조사영역 치료기법(multistatic fields techniques, MSF) 사이의 선량학적 차이를 분석하고자 하였다. 대상 및 방법: 개선된 선량 균일성을 만들 수 있는 가능성을 지닌 두 종류의 방사선치료 기술을 서로 비교 분석하였다. 첫째, 다중빔조사영역치료로 주조사야와 소조사야를 동시에 사용하여 치료하였다. 둘째, 고정된 다엽 조준기를 사용하는 IMRT로, 3 빔 또는 5 빔을 이용하였다. 유방보존술 후 방사선치료를 받은 16명의 초기 좌측 유방암 환자들을 대상으로 방사선치료계획들을 세운 다음, 이들을 선량학적 측면에서 비교 분석하였다. 결 과: $V_{95}$와 선량균일지수의 평균값은, 이 세 치료 사이에 통계학적으로 유의한 차이가 없었다. 방사선처방선량의 110% 이상을 받는 극심한 열점은 세 치료 모두에서 관찰되지 않았다. 동측 폐와 심장의 피폭 선량측정인자들에 대한 Tukey 검정에서, 세기변조방사선치료가 다중빔조사영역치료에 비해 저선량 영역의 피폭 선량을 유의하게 증가시킨 반면, 오히려 고선량 영역에서는 다중빔조사영역치료가 방사선 피폭을 약간 증가시켰다. 결 론: 선량 균일성 개선을 위해, 통상적인 쐐기기법 대신, 세기변조방사선치료보다 쉽게 계획되고 실시 될 수 있는 다중빔조사영역치료의 적용은 초기 좌측 유방암의 방사선치료 기술로 적합하다고 생각한다.

Factors predicting radiation pneumonitis in locally advanced non-small cell lung cancer

  • Kim, Myung-Soo;Lee, Ji-Hae;Ha, Bo-Ram;Lee, Re-Na;Lee, Kyung-Ja;Suh, Hyun-Suk
    • Radiation Oncology Journal
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    • 제29권3호
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    • pp.181-190
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    • 2011
  • Purpose: Thoracic radiotherapy is a major treatment modality of stage III non-small cell lung cancer. The normal lung tissue is sensitive to radiation and radiation pneumonitis is the most important dose-limiting complication of thoracic radiation therapy. This study was performed to identify the clinical and dosimetric parameters related to the risk of radiation pneumonitis after definitive radiotherapy in stage III non-small cell cancer patients. Materials and Methods: The medical records were reviewed for 49 patients who completed definitive radiation therapy for locally advanced non-small cell lung cancer from August 2000 to February 2010. Radiation therapy was delivered with the daily dose of 1.8 Gy to 2.0 Gy and the total radiation dose ranged from 50.0 Gy to 70.2 Gy (median, 61.2 Gy). Elective nodal irradiation was delivered at a dose of 45.0 Gy to 50.0 Gy. Seven patients (14.3%) were treated with radiation therapy alone and forty two patients (85.7%) were treated with chemotherapy either sequentially or concurrently. Results: Twenty-five cases (51.0%) out of 49 cases experienced radiation pneumonitis. According to the radiation pneumonitis grade, 10 (20.4%) were grade 1, 9 (18.4%) were grade 2, 4 (8.2%) were grade 3, and 2 (4.1%) were grade 4. In the univariate analyses, no clinical factors including age, sex, performance status, smoking history, underlying lung disease, tumor location, total radiation dose and chemotherapy were associated with grade ${\geq}2$ radiation pneumonitis. In the subgroup analysis of the chemotherapy group, concurrent rather than sequential chemotherapy was significantly related to grade ${\geq}2$ radiation pneumonitis comparing sequential chemotherapy. In the univariate analysis with dosimetric factors, mean lung dose (MLD), $V_{20}$, $V_{30}$, $V_{40}$, MLDipsi, $V_{20}$ipsi, $V_{30}$ipsi, and $V_{40}$ipsi were associated with grade ${\geq}2$ radiation pneumonitis. In addition, multivariate analysis showed that MLD and V30 were independent predicting factors for grade ${\geq}2$ radiation pneumonitis. Conclusion: Concurrent chemotherapy, MLD and $V_{30}$ were statistically significant predictors of grade ${\geq}2$ radiation pneumonitis in patients with stage III non-small cell lung cancer undergoing definitive radiotherapy. The cutoff values for MLD and $V_{30}$ were 16 Gy and 18%, respectively.

동적 세기조절방사선치료에서 깊이에 따른 DLG변화 분석 (Evaluation of Dosimetric Leaf Gap (DLG) at Different Depths for Dynamic IMRT)

  • 장경환;곽정원;조병철;정치영;배재범;윤상민;이상욱
    • 한국의학물리학회지:의학물리
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    • 제26권3호
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    • pp.153-159
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    • 2015
  • 본 연구에서는 동적 세기조절방사선치료에서 깊이에 따른 DLG (Dosimetric Leaf Gap)의 변화가 치료계획시스템에서의 선량계산의 정확성에 미치는 영향을 평가하고자 하였다. 6 MV와 15 MV광자선에 대하여 동일한 SAD 조건하에 4개의 다른 깊이(2 cm, 5 cm, 10 cm, 15 cm)에서 측정된 다엽콜리메이터의 투과계수와 DLG 값을 치료계획시스템에 적용하여 DLG 측정 과정을 모사하였을 때 계산된 투과계수와 DLG 값들을 각각의 측정값들과 비교하여 분석하였다. 이를 위하여 Millenium 120 MLC시스템이 장착 된 단일 선형가속기가 사용되었다. 각각 다른 깊이에서 측정된 DLG와 투과계수 값을 적용하였을 때 치료계획시스템을 이용한 모사에서는 투과계수의 경우 1% 이내로 계산과 측정이 일치함을 보이는 반면에 DLG 값은 15 MV 경우 5% 이내의 차이를 보이고 6 MV에서는 최대 깊이인 15 cm에서 15% 이상 차이가 보였다. 실제의 경우 15 MV 경우 15 cm 깊이까지 DLG의 변화에 의한 실험과 계산의 차이가 작은 반면 6 MV 경우, 10 cm 이상의 깊이에서는 치료계획 시스템에서 계산된 값이 측정과 크게 차이를 나타냈다. 다엽콜리메이터 투과계수를 기준 조건하에서 측정한 고정된 값을 치료계획시스템에 적용하였을 때 측정 깊이에 따른 고정된 투과계수 값과 변화된 투과계수 값의 차이는 크지는 않지만 종양이 위치하는 깊이에 따라서 선량학적 영향이 나타날 수 있으므로 깊이에 따른 다엽콜리메이터 투과계수 및 DLG 값을 각각의 치료계획에 반영하여 환자 맞춤형 치료계획이 될 수 있도록 해야 할 것이다.

Evaluation of the heart and lung dosimetric parameters in deep inspiration breath hold using 3D Slicer

  • Eskandari, Azam;Nasseri, Shahrokh;Gholamhosseinian, Hamid;Hosseini, Sare;Farzaneh, Mohammad Javad Keikhai;Keramati, Alireza;Naji, Maryam;Rostami, Atefeh;Momennezhad, Mehdi
    • Radiation Oncology Journal
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    • 제38권1호
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    • pp.68-76
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    • 2020
  • Purpose: The present study was conducted to compare dosimetric parameters for the heart and left lung between free breathing (FB) and deep inspiration breath hold (DIBH) and determine the most important potential factors associated with increasing the lung dose for left-sided breast radiotherapy using image analysis with 3D Slicer software. Materials and Methods: Computed tomography-simulation scans in FB and DIBH were obtained from 17 patients with left-sided breast cancer. After contouring, three-dimensional conformal plans were generated for them. The prescribed dose was 50 Gy to the clinical target volume. In addition to the dosimetric parameters, the irradiated volumes and both displacement magnitudes and vectors for the heart and left lung were assessed using 3D Slicer software. Results: The average of the heart mean dose (Dmean) decreased from 5.97 to 3.83 Gy and V25 from 7.60% to 3.29% using DIBH (p < 0.001). Furthermore, the average of Dmean for the left lung was changed from 8.67 to 8.95 Gy (p = 0.389) and V20 from 14.84% to 15.44% (p = 0.387). Both of the absolute and relative irradiated heart volumes decreased from 42.12 to 15.82 mL and 8.16% to 3.17%, respectively (p < 0.001); however, these parameters for the left lung increased from 124.32 to 223.27 mL (p < 0.001) and 13.33% to 13.99% (p = 0.350). In addition, the average of heart and left lung displacement magnitudes were calculated at 7.32 and 20.91 mm, respectively. Conclusion: The DIBH is an effective technique in the reduction of the heart dose for tangentially treated left sided-breast cancer patients, without a detrimental effect on the left lung.

LiF:Mg,Cu,Na,Si TL 소자의 선량계적 특성 (Dosimetric Properties of LiF:Mg,Cu,Na,Si TL pellets)

  • 남영미;김장렬;장시영
    • Journal of Radiation Protection and Research
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    • 제26권1호
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    • pp.7-12
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    • 2001
  • 최근 개발된 방사선량 측정용 LiF:Mg,Cu,Na,Si TL 소자의 글로우 곡선, 방출스펙트럼, 광자에 대한 선량의존성, 에너지의존성 및 페이팅 등과 같은 물리적 및 선량계적 특성들을 연구하였다. LiF:Mg,Cu,Na,Si TL 소자는 LiF:Mg,Cu,Na,Si TL 분말에 압력을 가한 후 소결하는 방법으로 제조되었다. 방사선에 대한 특성을 알아보기 위하여 광자선 조사는 한국원자력연구소의 X선 발생 장치 및 $^{137}Cs$ ${\gamma}$선 원격조사장치를 이용하였으며, 사용된 광자선 에너지 범위는 20-662keV, 선량 범위는 $10^{-6}-10^{-2}\;Gy$이었다. 글로우 곡선은 수동형의 TLD 판독장치 (System 310, Teledyne)로 질소를 흘리면서 선형적인 가열률로 측정하였으며, TL 강도는 글로우 곡선을 전체 적분한 면적으로 평가하였다. $5^{\circ}C\;s^{-1}$의 선형적인 가열률로 측정한 글로우 곡선은 5개의 피크들로 분리되었으며, $234^{\circ}C$에 나타나는 주피크의 활성화에너지는 2.34 eV, 진동수인자는 $1.00{\times}10^{23}$이고, 방출스펙트럼은 410nm를 중심으로한 단일한 분포로 나타났다. 선량의존성은 100Gy 이상까지 선형성을 나타내었으며, $^{137}Cs$에 대한 저에너지 광자의 상대적인 에너지 반응값은 20% 범위 이내였다. 또한 실온에서 1년간 보관하였을 때, 시간경과에 따른 TL 감도의 감소가 거의 없는 좋은 페이딩 특성을 보였다.

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Dosimetric Evaluation of 3-D Conformal and Intensity-modulated Radiotherapy for Breast Cancer after Conservative Surgery

  • Mansouri, Safae;Naim, Asmaa;Glaria, Luis;Marsiglia, Hugo
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권11호
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    • pp.4727-4732
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    • 2014
  • Background: Breast cancers are becoming more frequently diagnosed at early stages with improved long term outcomes. Late normal tissue complications induced by radiotherapy must be avoided with new breast radiotherapy techniques being developed. The aim of the study was to compare dosimetric parameters of planning target volume (PTV) and organs at risk between conformal (CRT) and intensity-modulated radiation therapy (IMRT) after breast-conserving surgery. Materials and Methods: A total of 20 patients with early stage left breast cancer received adjuvant radiotherapy after conservative surgery, 10 by 3D-CRT and 10 by IMRT, with a dose of 50 Gy in 25 sessions. Plans were compared according to dose-volume histogram analyses in terms of PTV homogeneity and conformity indices as well as organs at risk dose and volume parameters. Results: The HI and CI of PTV showed no difference between 3D-CRT and IMRT, V95 gave 9.8% coverage for 3D-CRT versus 99% for IMRT, V107 volumes were recorded 11% and 1.3%, respectively. Tangential beam IMRT increased volume of ipsilateral lung V5 average of 90%, ipsilateral V20 lung volume was 13%, 19% with IMRT and 3D-CRT respectively. Patients treated with IMRT, heart volume encompassed by 60% isodose (30 Gy) reduced by average 42% (4% versus 7% with 3D-CRT), mean heart dose by average 35% (495cGy versus 1400 cGy with 3D-CRT). In IMRT minimal heart dose average is 356 cGy versus 90cGy in 3D-CRT. Conclusions: IMRT reduces irradiated volumes of heart and ipsilateral lung in high-dose areas but increases irradiated volumes in low-dose areas in breast cancer patients treated on the left side.

Proposal on Guideline for Quality Assurance of Radiation Treatment Planning System

  • Oh, Yoonjin;Shin, Dong Oh;Kim, Juhye;Kwon, Nahye;Lee, Soon Sung;Choi, Sang Hyoun;Ahn, Sohyun;Park, Dong-wook;Kim, Dong Wook
    • 한국의학물리학회지:의학물리
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    • 제28권4호
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    • pp.197-206
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    • 2017
  • We develop guidelines for the quality assurance of radiation treatment planning systems (TPS) by comparing and reviewing recommendations from major countries and organizations, as well as by analyzing the AAPM, ESTRO, and IAEA TPS quality assurance guidelines. We establish quality assurance items for acceptance testing, commissioning, periodic testing, system management, and security, and propose methods to perform each item within acceptable standards. Acceptance includes tests of hardware and network environments, data transmission, software, and benchmarking as specified by the system supplier, and apply the IAEA classification criteria. Commissioning includes dosimetric and non-dosimetric items for assessing TPS performance by applying the AAPM classification criteria and the latest technical items from the IAEA. Periodic quality assurance tests include daily, weekly, monthly, yearly, and occasional items by applying the AAPM classification criteria. System management and security items include the state and network connectivity of TPS, periodic data backup, and data access security. The guidelines for TPS quality assurance proposed in this study will help to improve the safety and quality of radiotherapy by preventing incidents related to radiotherapy.

Novel Dosimeter for Low-Dose Radiation Using Escherichia coli PQ37

  • Park, Seo-Hyoung;Kim, Tae-Hwan;Cho, Chul-Koo;Lee, Yeon-Hee
    • Journal of Microbiology and Biotechnology
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    • 제11권3호
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    • pp.524-528
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    • 2001
  • The measurement of radiation response using simple and informative techniques would be of great value in studying the genetic risk following occupational, therapeutic, or accidental exposure to radiation. When patients receive radiation therapy, many suffer from side effects. Since each patient receives a different dose due to different physical conditions, it is important to measure the exact dose of radiation received by each patient to lessen the side effects. Even though several biological dosimetric systems have already been developed, there is no ideal system that can satisfy all the criteria for an idean dosimetric system, especially for low-dose radiation as used in radiation therapy. In this study, an SOS Chromotest of E. coli PQ37 was evaluated as a novel dosimeter for low-dose gamma-rays. E. coli PQ37 was originally developed to screen chemical mutagens using the SOS Chromotest-a colorimtric assay, based on the induction of ${\beta}$-galactosidase ue to DNA damage. The survival fraction of E. coli PQ37 decreased dose-dependently with an increasing dose of cobalt-60 gamma-rays. Also, a good linear correlation was found between the biological damage revealed by the ${\beta}$-galactosidase expression and the doses of gamma-rays. The expression of ${\beta}$-galactosidase activity that responded to low-dose radiation under 1 Gy was $Y=0.404+(0.089{\pm}0.3)D+(-0.018{\pm}0.16)D^2$ (Y, absorbance at 420 nm; D, Dose of irradiation) as calculated using Graph Pad In Plot and Excel. When a rabbit was fed with capsules containing an agar block embdded with E. coli PQ37 showed a linear response to the radiation doses. Accordingly, the results confirm that E. coli PQ37 can be used as a sensitive biological dosimeter fro cobalt-60 gamma-rays. To the best of our knowledge, this is the first time that a bacterium has been used as a biological dosimeter, especially for low-dose radiation.

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Evaluation of Dosimetric Effect and Treatment Time by Plan Parameters for Endobronchial Brachytherapy

  • Choi, Chang Heon;Park, Jong Min;Park, So-Yeon;Kang, SungHee;Cho, Jin Dong;Kim, Jung-in
    • 한국의학물리학회지:의학물리
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    • 제28권2호
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    • pp.39-44
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    • 2017
  • This study aims to analyze dose distribution and treatment time of endobronchial brachytherapy (EBBT) by changing the position step size of the dwell position. A solid water phantom and an intraluminal catheter were used in the treatment plan. The treatment plans were generated for 3, 5, 7, and 10 cm treatment lengths, respectively. For each treatment length, the source position step sizes were set as 2.5, 5, and 10 mm. Three reference points were set 1 cm away from the central axis of the catheter, along the axis, for uniform dose distribution. Volumetric dose distribution was calculated to evaluate the dosimetric effect. The total radiation delivery time and total dwell time were estimated for treatment efficiency, which were increased with position step sizes. At half-life time, the differences between the position step sizes in the total radiation delivery time were 18.1, 15.4, 18.0, and 24.0 s for 3, 5, 7, and 10 cm treatment lengths, respectively. The dose distributions were more homogenous by increasing the position step sizes. The dose difference of the reference point was less than 10%. In brachytherapy, this difference can be negligible. For EBBT, the treatment time is the key factor while considering the patient status. To reduce the total treatment time, EBBT can be performed with 2.5 mm position step size.

6MV X-선에 대한 조직 보상체의 제작 및 응용에 관한 연구 (A Study on Design and Application of Tissue Compensator for 6MV X-rays)

  • 채규영;최은경;정웅기;강위생;하성환;박찬일
    • Radiation Oncology Journal
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    • 제7권1호
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    • pp.123-132
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    • 1989
  • A radiation beam incident on an irregular or sloping surface produces the non-uniformity of absorded dose. The use of a tissue compensator can partially correct this dose inhomogeneity. The tissue compensator is designed based on the patient's three dimensional contour. After required compensator thickness was determined according to tissue deficit at $25cm\pm25cm$ field size, 10cm depth for 6MV x-rays, tissue deficit was mapped by isoheight technique using laser beam system. Compensator was constructed along the designed model using 0.8mm lead sheet or 5mm acryl plate. Dosimetric verification were peformed by film dosimetry using humanoid phantom. Dosimetric measurements were normalized to central axis full phantom readings for both compensated and non-compensated field. Without compensation, the percent differences in absorbed dose ranged as high as $12.1\%$ along transverse axis, $10.8\%$ along vertical axis. With the tissue compensators in place, the difference was reduced to $0\~43\%$ Therefore, it can be concluded that the compensator system constructed by isoheihnt technique can produce good dose distribution with acceptible inhomogeneity, and such compensator system can be effectively applied to clinical radiotherapy.

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