• 대한방사선기술학회지:방사선기술과학
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• 제46권3호
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• pp.239-246
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• 2023

In this study, we assessed the effect of reduction of tumor volume in the head and neck cancer by using RANDO phantom in Static Intensity-Modulated Radiation Therapy (S-IMRT) and Volumetric-Modulated Arc Therapy (VMAT) planning. RANDO phantom's body and protruding volumes were delineated by using Contour menu of Eclipse™ (Varian Medical System, Inc., Version 15.6, USA) treatment planning system. Inner margins of 2 mm to 10 mm from protruding volumes of the reference were applied to generate the parameters of reduced volume. In addition, target volume and Organ at Risk (OAR) volumes were delineated. S-IMRT plan and VMAT plan were designed in reference. These plans were assigned in the reduced volumes and dose was calculated in reduced volumes using preset Monitor unit (MU). Dose Volume Histogram (DVH) was generated to evaluate treatment planning. Conformity Index (CI) and R² in reference S-IMRT were 0.983 and 0.015, respectively. There was no significant relationship between CI and the reduced volume. Homogeneity Index (HI) and R² were 0.092 and 0.960, respectively. The HI increased when volume reduced. In reference VMAT, CI and R² were 0.992 and 0.259, respectively. There was no relationship between the volume reduction and CI. On the other hand, HI and R² were 0.078 and 0.895, respectively. The value of HI increased when the volume reduced. There was significant difference (p<0.05) between parameters (D_mean and D_max) of normal organs of S-IMRT and VMAT except brain stem. Volume reduction affected the CI, HI and OAR dose. In the future, additional studies are necessary to incorporate the reduction of the volume in the clinical setting.

• 한국방사선학회논문지
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• 제17권3호
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• pp.327-333
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• 2023

본 연구는 X-Ray 단순 코곁굴 검사에서 위턱뼈와 위턱굴의 진단하고자 바로누운자세에서 부비동 비극-두정방향은 검사법 연구하였다. Skull Rando Phantom을 이용하여 자세와 엑스선관 각도를 변경하여 검사 후 영상의학과에서 10년 이상 근무한 방사선사 5명에게 주관적평가(ROC)를 의뢰한 결과 엑스선관을 머리쪽 또는 다리쪽을 향하여 5° 씩 기울려 검사 시 19점으로 높은 평가를 맞았다. 평가한 점수를 SPSS Ver. 3.0을 통해 유의성을 검증하였으며 Cronbach 값이 0.712로 유의하게 나타났다. 또한 위턱굴과 위턱뼈 영상의 관심영역(ROI)을 설정하여 SNR를 산출한 결과 엑스선관 머리쪽 또는 다리쪽 5° 씩 기울려 검사 시 6.449로 가장 높게 나타났다. 본 연구에서 X-Ray 단순검사의 코곁굴 검사에서 비극-두정방향(acanthi oparietal projection: Revesse Waters) 검사 시 엑스선관을 머리쪽 또는 다리쪽을 향하여 5° 씩 기울려 검사할 경우 선예한 영상을 얻을 수 있을 것으로 사료된다.

• Investigative Magnetic Resonance Imaging
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• 제10권2호
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• pp.89-97
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• 2006

목적 : 자기공명영상 화질을 평가하는 팬텀으로서 코일 장착도구가 내장된 새로운 형태의 팬텀을 개발하였다. 대상 및 방법 : 자기공명영상 화질평가항목인 절편 두께 정확도, 공간 분해능, 대조도 분해능, 기하학적 정확도, 절편 위치 정확도, 영상강도 균일성, 고스트 신호 백분율, 신호대잡음비 등 총 8개의 사양을 가진 팬텀을 고안하였다. 팬텀의 코일 장착을 위한 장치가 팬텀 표면에 설치 되었다. 개발된 팬텀의 임상적용가능성을 알아보기 위하여 6개의 다른 종류의 자기공명영상기기를 사용하여 영상을 습득하였고 이들 화질이 평가되었다. 결과 : 사용된 모든 자기공명영상기기에서 영상평가에 문제가 없는 영상을 보여주었고 그들의 평가결과는 일부 평가항목에서 실측치와 비교하여 적절한 값 범위에 있음을 확인하였다. 코일장착도구를 사용하여 팬텀을 두부용 코일 안에 설치하는 데 문제가 없음을 확인하였다. 결론 : 본 논문에서 개발된 팬텀은 자기공명영상 화질을 평가하는 데 있어 그 임상적용 가능성이 있음을 보여주었다.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1998년도 추계학술대회
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• pp.297-298
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• 1998

Prototype portal imaging device (EPID) based on CCD camera, which has a $20\times20cm^2$ field of view (FOV), has been developed and then tested by acquiring phantom images for 6 MV x-ray beam. While, among the captured images, each frame suffered notorious quantum noise, the frame averaging largely enhanced the image quality against quantum noise. Over 60 frames averaging, the signal-to-noise ratio (SNR) was increased by $\sim20$ times and contrast was increased about 2 times in the skull-region of the acquired head-phantom image.

• Nuclear Engineering and Technology
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• 제49권1호
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• pp.189-195
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• 2017

Gel dosimeters have unique advantages in comparison with other dosimeters. Until now, these gels have been used in different radiotherapy techniques as a reliable dosimetric tool. Because dose distribution measurement is an important factor for appropriate treatment planning in different radiotherapy techniques, in this study, we evaluated the ability of the N-isopropylacrylamide (NIPAM) polymer gel to record the dose distribution resulting from the mixed neutron-gamma field of boron neutron capture therapy (BNCT). In this regard, a head phantom containing NIPAM gel was irradiated using the Tehran Research Reactor BNCT beam line, and then by a magnetic resonance scanner. Eventually, the $R_2$ maps were obtained in different slices of the phantom by analyzing T2-weighted images. The results show that NIPAM gel has a suitable potential for recording three-dimensional dose distribution in mixed neutron-gamma field dosimetry.

• Journal of Radiation Protection and Research
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• 제47권3호
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• pp.152-157
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• 2022

Background: The hemi-body electron beam irradiation (HBIe^-) technique has been proposed for the treatment of mycosis fungoides. It spares healthy skin using an electron shield. However, shielding electrons is complicated owing to electron scattering effects. In this study, we developed a thimble-like head bolus shield that surrounds the patient's entire head to prevent irradiation of the head during HBIe^-. Materials and Methods: The feasibility of a thimble-like head bolus shield was evaluated using a simplified Geant4 Monte Carlo (MC) simulation. Subsequently, the head bolus was manufactured using a three-dimensional (3D) printed mold and Ecoflex 00-30 silicone. The fabricated head bolus was experimentally validated by measuring the dose to the Rando phantom using a metal-oxide-semiconductor field-effect transistor (MOSFET) detector with clinical configuration of HBIe^-. Results and Discussion: The thimble-like head bolus reduced the electron fluence by 2% compared with that without a shield in the MC simulations. In addition, an improvement in fluence degradation outside the head shield was observed. In the experimental validation using the inhouse-developed bolus shield, this head bolus reduced the electron dose to approximately 2.5% of the prescribed dose. Conclusion: A thimble-like head bolus shield for the HBIe^- technique was developed and validated in this study. This bolus effectively spares healthy skin without underdosage in the region of the target skin in HBIe^-.

• Korean Journal of Radiology
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• 제24권7호
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• pp.681-689
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• 2023

Objective: Three-dimensional rotational angiography (3D-RA) is increasingly used for the evaluation of intracranial aneurysms (IAs); however, radiation exposure to the lens is a concern. We investigated the effect of head off-centering by adjusting table height on the lens dose during 3D-RA and its feasibility in patient examination. Materials and Methods: The effect of head off-centering during 3D-RA on the lens radiation dose at various table heights was investigated using a RANDO head phantom (Alderson Research Labs). We prospectively enrolled 20 patients (58.0 ± 9.4 years) with IAs who were scheduled to undergo bilateral 3D-RA. In all patients' 3D-RA, the lens dose-reduction protocol involving elevation of the examination table was applied to one internal carotid artery, and the conventional protocol was applied to the other. The lens dose was measured using photoluminescent glass dosimeters (GD-352M, AGC Techno Glass Co., LTD), and radiation dose metrics were compared between the two protocols. Image quality was quantitatively analyzed using source images for image noise, signal-to-noise ratio, and contrast-to-noise ratio. Additionally, three reviewers qualitatively assessed the image quality using a five-point Likert scale. Results: The phantom study showed that the lens dose was reduced by an average of 38% per 1 cm increase in table height. In the patient study, the dose-reduction protocol (elevating the table height by an average of 2.3 cm) led to an 83% reduction in the median dose from 4.65 mGy to 0.79 mGy (P < 0.001). There were no significant differences between dose-reduction and conventional protocols in the kerma area product (7.34 vs. 7.40 Gy·cm², P = 0.892), air kerma (75.7 vs. 75.1 mGy, P = 0.872), and image quality. Conclusion: The lens radiation dose was significantly affected by table height adjustment during 3D-RA. Intentional head off-centering by elevation of the table is a simple and effective way to reduce the lens dose in clinical practice.

• 한국의학물리학회지:의학물리
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• 제2권2호
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• pp.109-120
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• 1991

골수이식을 받게 될 환자의 이상 골수를 완전히 죽이기 위해 MV 정도의 선질의 광자선에 의한 전신방사선요법이 시행되고 있다. 국소방사선요법에 이용되고 있는 방사선치료장치에 의한 일상적인 방법으로 환자의 전선에 걸쳐 방사선을 조사하기에는 조사면의 크기가 훨씬 미치지 못한다. 그래서 환자의 전선에 걸쳐 방사선을 조사할 수 있는 방법이 개발되어야 한다. 방사선 전신조사를 위한 여건이 병원에 따라 다를 것이기 때문에 병원에 따라 독특한 방법이 개발될 수 있다. 서울대학교병원에서는 코발트치료기 만이 두부를 기울일 수 있어서 전신조사에 이용될 수 있다. 코발트치료기의 두부를 밖으로 90$^{\circ}$ 기울일 때 선축은 수평이고 또한 맞은편 벽과 직각이 된다. 이 때 선원에서 맞은편 벽가지 거리는 319cm 이였다. 벽에서 환자의 중앙시상면까지 간격을 40cm라고 가정할 때, 중앙시상면에서 명목상 최대 조사면 크기가 122cm$\times$122em 이였고, 조사선량 분포를 측정한 결과로는 130cm$\times$129cm 이였으며 상하방향에서는 대칭이 아니였다. 환자가 쭈그리고 앉은 자세를 취한다면 조사면의 크기는 전신조사를 시행할 수 있을 정도로 충분히 크다. 환자 좌우폭의 평균을 30cm 라고 가정하고, 중앙시상면에서 선원쪽 15cm 위치에 기준표면 (SSD는 264cm, 명목상 조사면 크기 115.5cm$\times$155.5cm)을 두고 단면의 크기가 25cm$\times$25cm이고 두께가 30cm 인 폴리스티렌 팬톰에서 평판형 전리함으로 PDD를 측정하였다. 최대선량점의 깊이는 0.3cm 이였고 표면선량율은 82%, 50% 깊이는 16.9cm였다. 대향조사시 선축상 선량분포는 중점의 선량에서 10%이내로 일치하였다. SCD를 279cm. 최대 조사면, 기준깊이 15cm 에 대한 TPR 을 폴리스티렌 팬톰에서 깊이 10cm 에서 20cm 에 걸쳐 측정하였다 . 측정범위에서 TPR 은 직선성을 보였다. 인체팬톰의 최대 전단면(coronal plane) 에 있는 각 구멍에 TLD 조각을 넣고, 코발트 선원에서 팬톰의 시상면까지 거리를 279cm 되게 하고 선축은 팬톰의 27번 절편과 28번 절편의 접변과 최대 전단면의 교차선과 일치시켜 양방향에서 15분씩 조사하여 전단면에서 선량을 측정하였다. 팬톰내 선축상 중앙점의 선량을 기준으로 다른 부위의 선량을 비교하였다. 두경부와 복부, 폐의 하반에서 선량의 차이는 $\pm$ 10% 이내였고, 폐의 상반과 어깨와 골반 부위에서 선량은 10%이상 저선량을 보였다. 특히 어깨부위에는 30%이상 저선량을 보였다. 이로부터 서울대병원과 유사한 조건에서 코발트로 전신조사하는 경우에는 폐나 두경부에 대응하는 조직보상체를 이용하기보다는 어깨부위에 선량을 추가하는 것이 바람직할 것이라고 생각한다.

• 한국의학물리학회지:의학물리
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• 제30권4호
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• pp.160-166
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• 2019

This study examined the clinical use of two newly installed computed tomography (CT) simulators in the Department of Radiation Oncology. The accreditation procedure was performed by the Korean Institute for Accreditation of Medical Imaging. An Xi R/F dosimeter was used to measure the CT dose index for each plug of the CT dose index phantom. Image qualities such as the Hounsfield unit (HU) value of water, noise level, homogeneity, existence of artifacts, spatial resolution, contrast, and slice thickness were evaluated by scanning a CT performance phantom. All test items were evaluated as to whether they were within the required tolerance level. CT calibration curves-the relationship between CT number and relative electron density-were obtained for dose calculations in the treatment planning system. The positional accuracy of the lasers was also evaluated. The volume CT dose indices for the head phantom were 22.26 mGy and 23.70 mGy, and those for body phantom were 12.30 mGy and 12.99 mGy for the first and second CT simulators, respectively. HU accuracy, noise, and homogeneity for the first CT simulator were -0.2 HU, 4.9 HU, and 0.69 HU, respectively, while those for second CT simulator were 1.9 HU, 4.9 HU, and 0.70 HU, respectively. Five air-filled holes with a diameter of 1.00 mm were used for assessment of spatial resolution and a low contrast object with a diameter of 6.4 mm was clearly discernible by both CT scanners. Both CT simulators exhibited comparable performance and are acceptable for clinical use.

• Journal of Radiation Protection and Research
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• 제49권2호
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• pp.68-77
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• 2024

Background: Cone beam computed tomography (CBCT) is essential for correcting and verifying patient position before radiation therapy. However, it poses additional radiation exposure during CBCT scans. Therefore, this study aimed to evaluate radiological safety for the human body through dose assessment for CBCT. Materials and Methods: For CBCT dose assessment, the depth dose was evaluated using a cheese phantom, and the dose in the orbital area was evaluated using a human body phantom self-fabricated with a three-dimensional printer. Results and Discussion: The evaluation of radiation doses revealed maximum doses of 14.14 mGy and minimum doses of 6.12 mGy for pelvic imaging conditions. For chest imaging conditions, the maximum doses were 4.82 mGy, and the minimum doses were 2.35 mGy. Head imaging conditions showed maximum doses of 1.46 mGy and minimum doses of 0.39 mGy. The eyeball doses using a human body phantom model averaged at 2.11 mGy on the left and 2.19 mGy on the right. The depth dose ranged between 0.39 mGy and 14.14 mGy, depending on the change in depth for each imaging mode, and the average dose in the orbit area using a human body phantom was 2.15 mGy. Conclusion: Based on the experimental results, CBCT did not significantly affect the radiation dose. However, it is important to maintain a minimal radiation dose to optimize radiation protection following the as low as reasonable achievable principle.