• Journal of Korean Neurosurgical Society
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• 제30권sup2호
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• pp.289-293
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• 2001

Objectives : The optimal treatment of craniopharyngioma is controversial. Despite recent advances in microsurgical management, complete surgical removal of craniopharyngioma remains very difficult. Radiation added to surgery is effective, but radiation therapy resulted in untoward side effect in young patient. Gamma knife radiosurgery offers the theoretical advantage of a reduced radiation dose to surrounding structures during the treatment of residual or recurrent craniopharyngioma compared with fractionated radiotheraphy. We described retrospective analysis of tumor size and clinical symptoms of patients after gamma knife radiosurgery in residual or recurrent craniopharyngioma were performed. Material and Methods : From September 1990 to January 2000, 18 patients of craniopharyngioma were treated by gamma knife radiosurgery. All patient had undergone surgery, but residual or recurrent tumor was found and all of them treated postoperative gamma knife radiosurgery. The mean age was 19(from 6 to 66) and male to female ratio was 10 to 8 and 8 patients were below 15 years old. In young age group(below age 15), the average volume of the tumor was $2904.8mm^3$ and mean maximal gamma knife dose was 34.9Gy. In old age group(older than 15), the average volume of the tumor was $2590.4mm^3$ and mean maximal gamma knife dose was 45.2Gy. The size of the tumor was average $2730.1mm^3$($88-12000mm^3$), mean average radiation dose was 40.7Gy and the mean prescription dose was 17.6 Gy(4-35Gy) delivered to a median prescription 50.7% isodose. Results : The follow up was from 1 year to 9 years(mean 59.1 months) after gamma knife radiosurgery. The tumor was controlled in 13(72.2%) patients. The tumor decreased in 9 patients and not changed in 4 patients. The tumor size increased in 4(22.2%) patients during follow up period. In two cases the tumor size increased because of its cystic portion was increased, but their solid portion of the tumor was not changed. In another two patients, the solid portion of the tumor was increased. So, one patient underwent reoperation and the other patient underwent operation and repeated gamma knife radiosurgery. The tumor recurred in one case(5.6%) that is a outside of irradiated site. The presenting symptoms were improved in 4 patients(improved visual acuity in 1, controlled increased intracranial presure sign in 3 patients). In one case, visual acuity decreased after gamma knife radiosurgery. The endocrine symptoms were not influenced by gamma knife radiosurgery. Conclusion : Craniopharyngioma can be treated successfully by gamma knife radiosurgery. Causes of the tumor regrowth are inadequate dose planning because of postoperatively poor margination of the tumor, close approximation of optic nerve and residual tumors outside the target lesion. Recurrence can develop 4 years after gamma knife radiosurgery. Volume is important, but the accurate targeting is more important to prevent tumor recurrence. If the tumor definition is not clear during planning gamma knife surgery, long-term image follow up is required.

• Journal of Korean Neurosurgical Society
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• 제61권5호
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• pp.633-639
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• 2018

Objective : We investigated the outcomes of repeat stereotactic radiosurgery (SRS) for metastatic brain tumors that locally recurred despite previous SRS, focusing on the tumor control. Methods : A total of 114 patients with 176 locally recurring metastatic brain tumors underwent repeat SRS after previous SRS. The mean age was 59.4 years (range, 33 to 85), and there were 68 male and 46 female patients. The primary cancer types were non-small cell lung cancer (n=67), small cell lung cancer (n=12), gastrointestinal tract cancer (n=15), breast cancer (n=10), and others (n=10). The number of patients with a single recurring metastasis was 95 (79.8%), and another 19 had multiple recurrences. At the time of the repeat SRS, the mean volume of the locally recurring tumors was 5.94 mL (range, 0.42 to 29.94). We prescribed a mean margin dose of 17.04 Gy (range, 12 to 24) to the isodose line at the tumor border primarily using a 50% isodose line. Results : After the repeat SRS, we obtained clinical and magnetic resonance imaging follow-up data for 84 patients (73.7%) with a total of 108 tumors. The tumor control rate was 53.5% (58 of the 108), and the median and mean progression-free survival (PFS) periods were 246 and 383 days, respectively. The prognostic factors that were significantly related to better tumor control were prescription radiation dose of 16 Gy (p=0.000) and tumor volume less than both 4 mL (p=0.001) and 10 mL at the repeat SRS (p=0.008). The overall survival (OS) periods for all 114 patients after repeat SRS varied from 1 to 56 months, and median and mean OS periods were 229 and 404 days after the repeat SRS, respectively. The main cause of death was systemic problems including pulmonary dysfunction (n=58, 51%), and the identified direct or suspected brain-related death rate was around 20%. Conclusion : The tumor control following repeat SRS for locally recurring metastatic brain tumors after a previous SRS is relatively lower than that for primary SRS. However, both low tumor volume and high prescription radiation dose were significantly related to the tumor control following repeat SRS for these tumors after previous SRS, which is a general understanding of primary SRS for metastatic brain tumors.

• Radiation Oncology Journal
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• 제38권1호
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• pp.60-67
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• 2020

Purpose: We performed three-dimensional (3D) dose reconstruction-based pretreatment verification to evaluate gamma analysis acceptance criteria in volumetric modulated arc therapy (VMAT) for prostate cancer. Materials and Methods: Pretreatment verification for 28 VMAT plans for prostate cancer was performed using the COMPASS system with a dolphin detector. The 3D reconstructed dose distribution of the treatment planning system calculation (TC) was compared with that of COMPASS independent calculation (CC) and COMPASS reconstruction from the dolphin detector measurement (CR). Gamma results (gamma failure rate and average gamma value [GFR and γAvg]) and dose-volume histogram (DVH) deviations, 98%, 2% and mean dose-volume difference (DD_98%, DD_2% and DD_mean), were evaluated. Gamma analyses were performed with two acceptance criteria, 2%/2 mm and 3%/3 mm. Results: The GFR in 2%/2 mm criteria were less than 8%, and those in 3%/3 mm criteria were less than 1% for all structures in comparisons between TC, CC, and CR. In the comparison between TC and CR, GFR and γAvg in 2%/2 mm criteria were significantly higher than those in 3%/3 mm criteria. The DVH deviations were within 2%, except for DD_mean (%) for rectum and bladder. Conclusions: The 3%/3 mm criteria were not strict enough to identify any discrepancies between planned and measured doses, and DVH deviations were less than 2% in most parameters. Therefore, gamma criteria of 2%/2 mm and DVH related parameters could be a useful tool for pretreatment verification for VMAT in prostate cancer.

• Journal of the Korean Data and Information Science Society
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• 제17권4호
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• pp.1413-1425
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• 2006

When X and Y have independent gamma distributions, we develop a Bayesian procedure for testing the equality of two gamma means. The reference prior is derived. Using the derived reference prior, we propose a Bayesian test procedure for the equality of two gamma means using fractional Bayes factor and intrinsic Bayes factor. Simulation study and a real data example are provided.

• Journal of Korean Neurosurgical Society
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• 제30권5호
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• pp.561-566
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• 2001

Objective : The purpose of this study are to evaluate the effectiveness of Gamma Knife radiosurgery(GKS) as a treatment of craniopharyngioma and to investigate the proper dose planning technique in GKS for craniopharyngioma. Method : Between May 1992 and March 1999, seven Gamma Knife radiosurgical procedures were done for residual tumor mass of 6 patients with craniopharyngioma after microsurgical resection. Conventional radiation therapy was not performed. In this study, their clinical, radiological and radiosurgical data were analyzed and the radiation dosage to the optic pathway, hypothalamus, pituitary stalk, and cavernous sinus were calculated and correlation with clinical outcome was evaluated. The mean follow-up period was 33.5 months(12.3-55.2 months). Result : The mean tumor volume was 4.4cc(0.4-18.0cc) and the maximum radiation dose ranged from 14 to 32 Gy(mean 20.9Gy). The radiation was given with isodose curve, 50-90% and the marginal dose varied within 8-22.4Gy(mean 12.7Gy). The mean number of isocenter was 4.3(1-12). The tumor was well controlled in all cases. In 5 of 7 cases, the size of tumor decreased to 10-50% of pre-GKS volume and remaining two showed no volume change. The mean dose to optic pathway was 5.7Gy(5.1-11.2Gy) and there were no complications. Conclusion : GKS seems to be effective for control of craniopharyngioma as an adjuvant treatment after microsurgical resection and even suboptimal dose for tumor margin is considered to be enough for tumor control. It is safe with careful dose planning to protect surrounding important structures, especially optic pathway. We believe conventional radiation therapy should be avoided because it has limitation for dose planning of additional treatments such as radiosurgery or intracystic instillation of radioisotope in case of recurrence.

• 한국임상수의학회지
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• 제7권2호
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• pp.471-487
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• 1990

Present experiment was performed in order to establish the optimum conditions for quantitation of ${\gamma}$-GTP and AGS activities in rat urine and investigate the applicability of the these enzymes in experimental assessment of nephrotoxicity in rats. The results obtained were as follows. 1. The optimal pH of Tris-BCI buffer containing glycylglycine for determination of urinary ${\gamma}$-GTP activity was 7.6(37$^{\circ}C$). 2. The Michaelis constant of urinary ${\gamma}$-GTP ranged from 1.1 to 1.2 mmol/$\ell$. 3. The optimal pH of citrate buffer for determination of urinary AGS activity was 3.6(37$^{\circ}C$). 4. The Michaelis constant of urinary AGS ranged from 0.8 to 0.9mmo1/$\ell$. 5. Coefficient of variance for within-run imprecision of urinary ${\gamma}$-GTP ranged from 3.8 to 6.4％ and that of urinary AGS ranged from 2.5 to 4.1％. 6. There was no significant difference between gel-filtered samples and crude samples in the mean activity of urinary ${\gamma}$-GTP and the intra-individual differences by gel-filtration were either increased or decreased. Mean values of ${\gamma}$ -GTP activities in gel-filtered samples and crude samples were 1570 and 1590 U/$\ell$, repectively. 7. The mean activity of urinary AGS increased significantly after gel-filtration and all the individual urines revealed higher activities after gel-filtration. 8. ${\gamma}$-GTP and AGS activities were linear to 135 and 7U/$\ell$, respectively. 9. Urinary ${\gamma}$-GTP and AGS excretion before administration of potassium dichromate were 22.1 ${\pm}$ 11.2 and 0.5${\pm}$0.2 U/24hrsㆍkg body weight respectively and increased significantly to 102.3${\pm}$44.5 and 5.8${\pm}$3.30/24hrsㆍkg body weight respectively within 24 hours after administration. 10. BUN increased continuously from 24 hours following exposure to potassium dichromate in all 10 rats. From these findings it is concluded that the urinary ${\gamma}$-GTP and AGS excretions are early and sensitive indicators for nephrotoxicity assessment in rat.

• Journal of the Korean Data and Information Science Society
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• 제17권4호
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• pp.1329-1341
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• 2006

When X and Y have independent gamma distributions, we consider the testing problem for two gamma means. We propose a solution based on a Bayesian model selection procedure to this problem in which no subjective input is considered. The reference prior is derived. Using the derived reference prior, we compute the fractional Bayes factor and the intrinsic Bayes factors. The posterior probability of each model is used as a model selection tool. Simulation study and a real data example are provided.

• Journal of Korean Neurosurgical Society
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• 제39권2호
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• pp.96-101
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• 2006

Objective : The authors assess the long term effectiveness of gamma knife radiosurgery[GKS] for remnant or recurred craniopharyngiomas on tumor control and possibly set proper radiation dose for tumor control with utmost preservation of the adjacent structures. Methods : Sixteen GKS were done in 14 patients with recurred or remnant craniopharyngiomas after surgery. Mean follow up duration was 44.2 months [range $11.3{\sim}123.6\;months$]. Follow up MR imagings were analyzed. Results : Mean tumor volume was $3.6cm^3$ [range $0.6{\sim}18cm^3$] and mean margin dose was 12.2Gy [range $8{\sim}22.4Gy$]. Tumor control was achieved in 87.5% [14 of 16 tumors] which were either solid or cystic in nature. Dose to optic apparatus was mean 7.9Gy and no radiation related complications were observed. Conclusion : GKS seems to be effective treatment modality for craniopharyngiomas regardless of nature of tumor whether it is cystic or solid. Dose of 8 to 8.5Gy may be sufficient to achieve long term tumor control for remnant or recurred craniopharyngiomas.

• 한국분말재료학회지
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• 제9권5호
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• pp.341-345
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• 2002

Nanoparticles of $Fe_2O_3$ with a mean particle size of 4-30 nm have been prepared by a pulsed wire evaporation method, and its structural and magnetic properties were studied by SQUID magnetometer and Mossbauer spectroscopy. From the main peak intensity of XRD and absorption rate of Mossbauer spectrum, the amounts of $\gamma-Fe_2O_3$ and $\alpha-Fe_2O_3$ in as-prepared sample are about 70% and 30%, respectively. The coercivity (53 Oe) and the saturation magnetization (14 emu/g) are about 20% of those of the bulk $\gamma-Fe_2O_3$. The low value of coercivity and saturation magnetization indicate that the $\gamma-Fe_2O_3$ phase nearly shows the spin glass-like behavior. Analysis of the set of Mossbauer spectrum indicates a distribution of magnetic hyperfine fields due to the particle size distribution yielding 20 nm of average particle size. The magnetic hyperfine parameters are consistent with values reported of bulk $\gamma-Fe_2O_3$ and $alpha-Fe_2O_3$. A quadrupole line on the center of spectrum represents of superparamagnetic phase of $\gamma-Fe_2O_3$ with a mean particle size of 7 nm or below.

• 한국산림과학회지
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• 제61권1호
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• pp.1-7
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• 1983

Weibull 분포함수(分布函數)에 의하여 임분(林分)의 직경(直徑) 분포(分布)를 추정(推定)할 수 있는 방법(方法) 중(中) 직경분포(直徑分布)의 실측치(實測値)로 직접(直接) 계산(計算)하는 방법(方法)에 대하여는 제(第) I 보(報)에서 발표(發表)하였다. 본(本) 연구(硏究)에서는 임의추출(任意抽出)한 표본목(標本木)의 평균직경(平均直徑)과 단면적평균직경(斷面績平均直徑)만을 구한 다음 Gamma함수(函數)를 사용(使用)한 Weibull 분포함수(分布函數)에 의하여 임분(林分)의 직경분포(直徑分布)를 추정(推定)하였다. 그 결과(結果) 실제(實際) 임분(林分)의 직경분포(直徑分布)와 매우 적합(適合)하였다. 그러므로 이 방법(方法)을 응용(應用)하면 임분(林分)의 직경분포(直徑分布)의 추정(推定)은 물론 장래(將來)의 임분구조(林分構造)의 해석(解析)과 예측(豫測)도 쉽게할 수 있다.