• 제목/요약/키워드: Gy2

검색결과 2,782건 처리시간 0.035초

원발성 중추신경계 림프종의 치료전략 (Treatment Strategies for Primary Central Nervous System Lymphoma)

  • 김일만;이창영;손은익;김동원;임만빈;김상표
    • Journal of Korean Neurosurgical Society
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    • 제30권3호
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    • pp.334-341
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    • 2001
  • Objective : We have currently changed treatment strategies to methotrexate(MTX)-based preirradiation chemotherapy with subsequent planned radiation for the initial therapy of primary central nervous system lymphoma (PCNSL). The aim of this study was to evaluate the results of treating PCNSL with chemotherapy plus radiotherapy (CRT) or radiotherapy(RT) alone. Method and Material : This study involved 10 females and 3 males patients with a mean age of 54.2 years. All patients underwent surgery, open(8 cases) or stereotactic biopsy(5 cases) for histological diagnosis. Eleven tumors were diffuse large B-cell lymphomas. Tumor volume change in the follow-up images and survival time were evaluated in patients treated with CRT and RT alone. In the beginning, two patients received ProMACE-Cytabom chemotherapeutic regimen, but did not complete the course and died of progressive tumor 8 and 9 months after diagnosis, respectively. One patient died at 6 months before chemotherapy. These three were excluded from the survival analysis. Five patients(RT group) completed full courses of cranial irradiation with or without boost. For the current combined modality treatment, high-dose MTXbased chemotherapy(systemic and intrathecal MTX, IV vincristine, and oral procarbazine) followed by whole brain irrdiation to 45Gy to tumor was introduced in 5 patients of CRT group. Result : A complete response was achieved in three of five who received RT only and in all of five who received CRT. All patients in CRT groups are in disease free status at a mean 23 months following therapy. The RT group patients refused any additional salvage therapy at tumor relapse and survived at mean 20 months from diagnosis. The Karnofsky performance status improved in eight of ten patients with treatment. The treatment toxicity included leukoencephalopathy in RT group and severe leukopenia, transient hepatitis, avascular necrosis of femoral head, hearing loss, and amenorrhea in CRT group, respectively. Conclusion : The combined modality therapy of MTX-based chemotherapy plus radiotherapy for PCNSL may enhance tumor response and improve patient survival. The patients who received CRT should be carefully followed up because of the higher risk of treatment-induced late neurotoxicity.

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핵임계사고시(核臨界事故時)에 있어서 속중성자선량(速中性子線量) 측정(測定) (Fast Neutron Dosimetry in Nuclear Criticality Accidents)

  • 육종철;노성기
    • Journal of Radiation Protection and Research
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    • 제2권1호
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    • pp.17-23
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    • 1977
  • 여러가지 핵분열중성자(核分裂中性子) 스펙트럼에 $^{32}S(n,\;p),\;^{27}Al(n,\;{\alpha})$$^{115}In(n\;n')$ 여기함수(勵起函數)를 증율(增率)시켜 평균핵반응단면적(平均核反應斷面積)을 전자계산기(電子計算機)로 계산(計算)하였다. 그 결과(結果) 발단(發端)에너지가 높을수록 중성자(中性子)스펙트럼 변화(變化)에 따라 평균(平均) 단면적(斷面積)은 민감(敏感)하게 변화(變化)한다는 것이 판명(判明)되었다. 발단(發端)에너지가 비교적(比較的) 낮은 인디움의 경우(境遇), 핵분열특성(核分裂特性)에 따라 그의 평균(平均) 단면적(斷面積)은 크게 변화(變化)되지 않았는데 중성자(中性子) 산란작용(散亂作用)에 의(依)한 영향(影響)이 배제(排除)될 수만 있다면 인디움은 핵임계사고시(核臨界事故時)에 방출(放出)되는 중성자(中性子)의 적산계(積算計)로서 효과적(效果的)으로 사용(使用)될 수 있을 것 같았다. 더욱이 중성자선량환산인자(中性子線量換算因子)가 핵분열(核分裂) 중성자(中性子)스펙트럼에 거의 무관(無關)하다는 사실(事實)은 인디움을 핵임계사고시(核臨界事故時)의 중성자선량적산계(中性子線量積算計)로 사용할 수 있음을 뒷받침하는 것 같았다.

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비파 메탄올 추출물의 생리활성 및 방사선 조사 효과 (Biological Evaluation of the Methanolic Extract of Eriobotrya japonica and Its Irradiation Effect)

  • 김희정;조철훈;김태훈;김동섭;박문영;변명우
    • 한국식품과학회지
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    • 제38권5호
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    • pp.684-690
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    • 2006
  • 본 연구에서는 비파의 산업적 이용 평가를 목적으로 하여 부위별 비파 추출물의 생리활성 및 감마선 조사효과를 평가하였다. 비파 추출물의 감마선 조사에 의한 색도변화에서 명도 및 적색도는 증가하였고 황색도는 감소하여 더 밝은 색을 띄었다. 총 페놀 함량은 비파 잎에서 94.1 mg/g으로 가장 높았으며, 다음으로 씨, 과육 순으로 나타났으며 조사후의 유의적인 변화는 없었다. 항산화 효과로서는 electron donation ability, ${\beta}-carotene$ blcaching assay, FRAP assay 및 reducing power을 정하였는데 이와 같은 항산화 관련 실험에서 비파 부위별 메탄올 추출물 중 잎이 씨와 과육보다 상대적으로 강한 활성을 보였으며 감마선조사에 의한 유의적인 변화는 관찰되지 않았다(p<0.05). 본 실험에서의 결과로서 비파에서는 총 페놀 함량이 높을수록 항산화 활성 비례 증가함을 시사하는 자료가 얻어졌다. Xanthine oxidase 저해활성 측정결과, 비파 잎이 39.6%, 씨가 35.4%로 유의적 차이는 없었으나 과육은 20.2%로 차이를 나타냈다. 또한, 조사에 의한 유의적 차이는 없었다. 부위별 비파 추출물의 항간효과를 paper disc법을 이용하여 측정한 결과, 잎 추출물이 가장 강한 항균 활성을 가지는 10에서 14mm의 저해환을 나타내었으며, 특히 대장균에 대해서는 감마선 조사에 의한 유의적 변화 없이 가장 강한 항균 활성 나타냈었다. Ames test를 이용한 복귀돌연변이 시험에서는 $10,000\;{\mu}g/plate$이하 일 때 부위별 비파 메탄올 추출물의 돌연변이원성이 나타나지 않는 것으로 확인되었다. 이상의 결과로부터 다량의 페놀성 화합물을 함유하고 있는 비파의 생활 습관성병 예방 및 기능성 천연 소재로서의 개발이 기대되며 감마선 조사에 의한 비파 성분의 화학적 변형에 관한 고찰이 필요하다고 사료된다.

Gefitinib Alone or with Concomitant Whole Brain Radiotherapy for Patients with Brain Metastasis from Non-small-cell Lung Cancer: A Retrospective Study

  • Zeng, Yin-Duo;Zhang, Li;Liao, Hai;Liang, Ying;Xu, Fei;Liu, Jun-Ling;Dinglin, Xiao-Xiao;Chen, Li-Kun
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권3호
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    • pp.909-914
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    • 2012
  • Background: Gefitinib, a tyrosine kinase inhibitor (TKI) of epidermal growth factor receptor (EGFR), is used both as a single drug and concurrently with whole brain radiotherapy (WBRT) the standard treatment for brain metastases (BM), and is reported to be effective in a few small studies of patients with BM from non-small-cell lung cancer (NSCLC). However, no study has compared the two treatment modalities. This retrospective analysis was conducted to compare the efficacy of gefitinib alone with gefitinib plus concomitant WBRT in treatment of BM from NSCLC. Methods: We retrospectively reviewed 90 patients with BM from NSCLC who received gefitinib alone (250mg/day, gefitinib group) or with concomitant WBRT (40Gy/20f/4w, gefitinib-WBRT group) between September 2005 and September 2009 at Sun Yat-Sen University Cancer Center. Forty-five patients were in each group. Results: The objective response rate of BM was significantly higher in gefitinib-WBRT group (64.4%) compared with gefitinib group (26.7%, P<0.001). The disease control rate of BM was 71.1% in gefitinib-WBRT group and 42.2% in gefitinib group (P=0.006). The median time to progression of BM was 10.6 months in gefitinib-WBRT group and 6.57 months in gefitinib group (P<0.001). The median overall survival(OS) of gefitinib-WBRT and gefitinib alone group was 23.40 months and 14.83 months, respectively (HR, 0.432, P=0.002). Conclusion: Gefitinib plus concomitant WBRT had higher response rate of BM and significant improvement in OS compared with gefitinib alone in treatment of BM from NSCLC.

저칼슘식이와 방사선조사가 백서하악과두에 미치는 영향에 관한 실험적 연구 (THE EFFECTS OF THE LOW CALCIUM DIET AND IRRADIATION ON THE MANDIBULAR CONDYLE OF RATS)

  • 안희문;이상래
    • 치과방사선
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    • 제23권1호
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    • pp.27-44
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    • 1993
  • This study was performed to investigate the changes of mandibular condyle by low calcium diet and the effects of irradiation on the bone in osteoporotic state. In order to carry out this experiment, 80 seven-week old Sprague-Dawley strain rats weighing about 150 gm were selected and equally divided into one experimental group of 40 rats and one control group with the remainder. The experimental group and the control group were then subdivided into two group and exposed to irradiation. The two irradiation groups received a single dose of 20 Gy on the jaw area only and irradiated with a cobalt-60 teletherapy unit. The rats in the control and experimental groups were serially terminated by fours on the 3rd, the 7th, the 14th, and the 21st day after irradiation. After termination, both sides of the dead rats mandibular condyle were removed and fixed with 10% neutral formalin. The bone mineral density of mandibular condyle was measured by use of dual energy X-ray bone densitometer(model DDX-alpha, Lunn Corp., U. S. A.). The mandibular condyle was radiographed with Hitex HA-80(Hitex Co., Japan). Thereafter, the obtained radiographs were observed, and the mandibular condyle was further decalcified and embedded in paraffin as the general method. The specimen sectioned and stained with hematoxylin-eosin, PAS and Rabbit Anti-Human Tumor Necrosis Factor-a observed by a light microscope. The obtained results were as follows: 1. In the non-irradiated group with the low calcium diet, the bone mineral density of the condyle was markedly decreased after 14 days, and decrease the number of trabeculae of the condyle and resorption of the calcified cartilaginous zone were observed after 3 days. On microscopic observations, the number nd size of trabeculae were decreased after 7 days of experiment. 2. In the irradiated group with the low calcium diet, the bone mineral density of the condyle was markedly decreased after 14 days and resorption of the calcified cartilaginous zone and decrease the number and coarse of the trabeculae of the condyle were observed. These findings were extended rather than in non-irradiated group with low calcium diet. On microscopic observations, many osteoclasts were detected and the number and size of trabeculae were somewhat decreased after 7 days. Also there was degenerative changes of tissues of bone marrow on the 14th day but that condition was restored on the 21st day of experiment. 3. In the irradiated group with normal diet, the bone mineral density of the condyle was somewhat decreased with times and degree of decrease of the number of trabeculae was somewhat larger than in the non-irradiated group with normal diet. On microscopic observations, the tissues of bone marrow were atrophic and degenerative changes but that condition was restored on the 21st day of experiment. 4. In immunocytochemical findings, in the irradiated and non-irradiated groups with low calcium diet, negative or partial positive response to TNF was observed, but positive response in the normal diet groups.

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현대 여성 수트에 있어서 남성성(masculinity)을 나타내는 색채 특성 - 2004~2006년 F/W의 파리, 런던, 뉴욕, 밀라노 컬렉션을 중심으로 - (The Color Characteristics of Masculinity Presented in Modern Women's Suit - Focus on the Paris, London, New York and Milan Collections from 2004 F/W to 2006 F/W -)

  • 권지현;김영인
    • 복식
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    • 제58권2호
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    • pp.62-77
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    • 2008
  • This study aims to analyze color characteristics centered by women's suit styles that represent masculinity remarkably. Through this, it figures out color's type and continuance availability as a representing tool to express masculinity to provide useful color information which can be applied effectively to various color planning. For this research, related images were collected among women's pants suits appeared in $2004{\sim}2006's$ Paris, London, New York and Milan collection F/W that are most similar to modern man's suit. Among them, the study analyzes 319 pictures where the features of masculinity were represented effectively. The referred color values were earned by converting $L^*a^*b^*$ values measured through the color extracting tool of Computer program (Adobe Photoshop CS) and color tone characteristic were analyzed by classifying 12 color PCCS and 5 achromatic colors. The result of the study are as follows: First, based on standard of color hue and tone, in terms of color hue, PB, YR, Y were frequently shown up but G, BG series were not found much after analyzing overall women's pants suit color characteristics shown in $2004{\sim}2006$ Paris, London, New York and Milan collection. Second, the color analysis about 3years of $2004{\sim}2006$ tells that achromatic colors have been most widely used in every year. In terms of color hue, PB, YR, Y series were appeared most popular and G, BG classes weren't appeared frequently. In addition, once looking at yearly color tone distribution trend, like overall color tone distribution result, Bk, w, dkg, g, p were highly used as sequential and b, v, dp, sf, ItGy series show low distribution level. And such a distribution level of low and high in frequency has been showed continuously as a similar style. Accordingly, through the study, as a tool to express masculinity in women's suit, achromatic colors like black and white series and PB, YR, Y series color were investigated as most popular uses. And as color tones, Bk, w, dkg, g, p were used frequently.

GafChromic 필름을 이용한 Ho-166 의 혈관내 방사선조사를 위한 선량분포 측정 (The Measurement of Ho-166 Absorbed Dose for the Endovascular Irradiation with a Balloon Angio Catheter Using a GafChromic Film)

  • 강해진;조철우;박찬희;오영택;전미선;김영미;박경배
    • 한국의학물리학회지:의학물리
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    • 제10권3호
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    • pp.151-157
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    • 1999
  • 심장 혈관 협착증 환자의 경우 수술후 재협착을 방지하기 위하여 혈관내 방사선 조사를 실시하여 혈관내벽의 세포증식을 억제하는 방법이 시도되고 있다. 이를 위해 여러 가지 방사성 동위원소가 사용되고 있지만 한국원자력연구소에서 생산되는 Ho-166 도 그 중의 하나의 원소이다. 따라서 이 Ho-166 을 이용하여 혈관내 방사선조사를 할 경우 선량분포를 측정해 보았다. 혈관 내벽을 방사선 조사하는 방법은 풍선 혈관 카테터를 혈관내에 위치시키고 풍선 안에 액체 상태인 Ho-l66 동위원소를 채우고 일정시간 머물게 함으로써 시행된다. 선량분포를 측정하기 위하여 Solid water phantom 과 방사선 흡수선량에 따라 현상기에 현상을 하지 않아도 바로 필름 흑화도 변화를 볼 수 있는 GafChromic Film 을 사용하였다. 필름 흑화도 측정은 Videodensitometer를 이용하였으며 Co-60 빔에 검교정된 GafChromic 필름의 흑화도로 부터 풍선 혈관 카테터 안에 있는 Ho-166 동위원소에 의한 선량분포플 측정하였다. 먼저 Co-60 빔을 이용한 GafChromic Film 의 calibration curve를 얻었다. 흡수선량 대 필름 흑화도 곡선 (H-D curve)은 직선을 이루지 않았으며 이는 densitometer에 쓰이는 광원으로 부터 짐작되는 결과이다. H-D 곡선을 이용하여 Ho-l66이 채워진 풍선 혈관 카테터로 부터의 거리에 따른 선량분포를 얻었으며 카테터 표면으로 부터 1 mm 떨어진 거리에서의 선량은 풍선 표면에서의 약 20% 정도 였으며 5mm 떨어진 거리에서는 풍선 표면 선량의 약 1% 정도로 급속히 떨어짐을 볼 수 있었다. 혈관내 방사선 조사시 중요한 것은 혈관 내 벽에는 원하는 만큼의 방사선량을 주어야 하지만 주변의 정상조직에는 최소한의 손상을 유지해야 하므로 선량분포가 동위원소로 부터 떨어졌을 때 급속히 감소해야 한다는 것이다 따라서 이와같은 이유 때문에 베타선 방출 핵종 들이 많이 시도되고 있으며 동위원소 Ho-l66 도 혈관내벽 방사선조사를 위한 하나의 좋은 핵종으로 이용할 수 있다.

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Evaluation of Dual-channel Compound Method for EBT3 Film Dosimetry

  • Kang, Sang-Won;Chung, Jin-Beom;Kim, Kyeong-Hyeon;Eom, Keun-Yong;Song, Changhoon;Lee, Jeong-Woo;Cho, Woong;Suh, Tae Suk
    • 한국의학물리학회지:의학물리
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    • 제28권1호
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    • pp.16-21
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    • 2017
  • This study assessed the feasibility of a dual-channel (DC) compound method for film dosimetry. The red channel (RC) is usually used to ensure dosimetric quality using a conventional fraction dose because the RC is more accurate at low doses within 3 Gy than is the green channel (GC). However, the RC is prone to rapid degradation of sensitivity at high doses, while degradation of the GC is slow. In this study, the DC compound method combining the RC and GC was explored as a means of providing accurate film dosimetry for high doses. The DC compound method was evaluated at various dose distributions using EBT3 film inserted in a solid-water phantom. Measurements with $10{\times}20cm^2$ radiation field and $60^{\circ}$ dynamic-wedge were done. Dose distributions acquired using the RC and GC were analyzed with root-mean-squares-error (RMSE) and gamma analyses. The DC compound method was used based on the RC after correcting the GC for high doses in the gamma analysis. The RC and GC produced comparatively more accurate RMSE values for low and high doses, respectively. Gamma passing rates with an acceptance criterion of 3%/3 mm revealed that the RC provided rapid reduction in the high dose region, while the GC displayed a gradual decrease. In the whole dose range, the DC compound method had the highest agreement (93%) compared with single channel method using either the RC (80%) or GC (85%). The findings indicate that the use of DC compound method is more appropriate in dosimetric quality assurance for radiotherapy using high doses.

지충이 에탄올 추출물의 α-amylase 저해활성 (Inhibitory Effects of Sargassum thunbergii Ethanol Extract against α-amylase)

  • 이소정;송유진;김꽃봉우리;이청조;정지연;곽지희;최문경;김민지;김태완;안동현
    • 한국수산과학회지
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    • 제43권6호
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    • pp.648-653
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    • 2010
  • This study was performed to investigate the inhibitory activity of Sargassum thunbergii (ST) against ${\alpha}$-amylase and elucidate the availability of ST extract as a functional food agent. To test the inhibitory activity of ST against ${\alpha}$-amylase, porcine pancreatic ${\alpha}$-amylase and potato starch were used as substrates. It was revealed that ST crude ethanol extracts have high ${\alpha}$-amylase inhibitory activity. Subsequently, ST crude ethanol extract was separated into five partition layers by solvent extraction: n-hexane, chloroform, ethyl acetate, butanol, and water. Chloroform and n-hexane fractions showed higher inhibitory activities than did acarbose (positive control). To confirm the changes in enzyme inhibitory activity by physical treatments, ST crude ethanol extract was subjected to heat, pH, and ${\gamma}$-irradiation treatments. In all heat treatments with the exception of one ($121^{\circ}C$, 15 min), the inhibitory activity was increased compared with the untreated group. With regard to pH stability, ST extract showed no significant changes at pH 4.6, but somewhat decreased inhibitory activity was revealed at pH 2, 8, and 10. On the other hand, ST ethanol extract was stable under ${\gamma}$-irradiation under all conditions (3.20 kGy). In summary, ST ethanol extract can be used in the food industry as a natural ${\alpha}$-amylase inhibitor.

Neoadjuvant intra-arterial chemotherapy combined with radiotherapy and surgery in patients with advanced maxillary sinus cancer

  • Kim, Won Taek;Nam, Jiho;Ki, Yong Kan;Lee, Ju Hye;Kim, Dong Hyun;Park, Dahl;Cho, Kyu Sup;Roh, Hwan Jung;Kim, Dong Won
    • Radiation Oncology Journal
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    • 제31권3호
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    • pp.118-124
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    • 2013
  • Purpose: The optimal treatment of advanced maxillary sinus cancer has been challenging for several decades. Intra-arterial chemotherapy (IAC) for head and neck cancer has been controversial. We have analyzed the long-term outcome of neoadjuvant IAC followed by radiation therapy (RT) and surgery. Materials and Methods: Twenty-seven patients with advanced maxillary sinus cancer were treated between 1989 and 2002. Five-fluorouracil (5-FU, $500mg/m^2$) was infused intra-arterially, and followed by RT (total 50.4 Gy/28 fractions). A planned surgery was performed 3 to 4 weeks after completion of IAC and RT. Results: At a median follow-up of 77 months (range, 12 to 169 months), the 5-year rates of overall survival in all patients were 63%. The 5-year rates of overall survival of stage T3/T4 patients were 70.0% and 58.8%, respectively. Seven of fourteen patients with disease recurrence had a local recurrence alone. The 5-year actuarial local control rates in patients with stage T3/T4, and in all patients were 20.0%, 32.3%, and 27.4%, respectively. Overall response rate after the completion of IAC and RT was 70.3%. During the follow-up, seven patients (25.9%) showed mild to moderate late complications. The tumor extent (i.e., the involvement of either orbit and/or base of skull) appeared to be related with local recurrence. Conclusion: Neoadjuvant IAC with 5-FU followed by RT and surgery may be effective to improve local tumor control in the patients with advanced maxillary sinus cancer. However, local failure was still the major cause of death. Further investigations are required to determine the optimal treatment schedule, radiotherapy techniques and chemotherapy regimens.