• 한국의학물리학회지:의학물리
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• 제11권2호
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• pp.147-155
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• 2000

Patient dose verification is one of the most important parts in quality assurance of the treatment delivery for radiation therapy. The dose distributions may be meaningfully improved by modulating two dimensional intensity profile of the individual high energy radiation beams In this study, a new method is presented for the pre-treatment dosimetric verification of these two dimensional distributions of beam intensity by means of a charge coupled device video camera-based fluoroscopic device (henceforth called as CCD-VCFD) as a radiation detecter with a custom-made software for dose calculation from fluorescence signals. This system of dosimeter (CCD-VCFD) could reproduce three dimensional (3D) relative dose distribution from the digitized fluoroscopic signals for small (1.0$\times$1.0 cm$^2$ square, ø 1.0 cm circular ) and large (30$\times$30cm$^2$) field sizes used in intensity modulated radiation therapy (IMRT). For the small beam sizes of photon and electron, the calculations are performed In absolute beam fluence profiles which are usually used for calculation of the patient dose distribution. The good linearity with respect to the absorbed dose, independence of dose rate, and three dimensional profiles of small beams using the CCD-VCFD were demonstrated by relative measurements in high energy Photon (15 MV) and electron (9 MeV) beams. These measurements of beam profiles with CCD-VCFD show good agreement with those with other dosimeters such as utramicro-cylindrical (UC) ionization chamber and radiographic film. The study of the radiation dosimetric technique using CCD-VCFD may provide a fast and accurate pre-treatment verification tool for the small beam used in stereotactic radiosurgery (SRS) and can be used for verification of dose distribution from dynamic multi-leaf collimation system (DMLC).

• 환경생물
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• 제24권4호
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• pp.387-391
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• 2006

Manchester system 타입의 장착기중 상, 하부에 차폐체가 장착되어 있는 Henschke 장착기를 이용하여 자궁암 근접치료시 자궁 및 주변장기의 선량분포를 평가하기 위하여 치료계획수립에 사용되는 실용프로그램 결과와 몬테칼로 모의계산 결과를 비교하였다. 또한 자궁 및 주변 정상조직이 받은 선량을 계산하기 위해 ORNL(Oak Ridge National Laboratory)에서 수립한 여성의 MIRD (Medical Internal Radiation Dose)형 모의피폭체를 이용 하여 주변장기가 받는 선량을 MCNP로 계산하였다. 몬테칼로 모사에는 MCNP 4B코드를 사용하였으며, 실용계산프로그램에는 GAMMADOT를 이용하였다 MCNP계산에는 $^{192}Ir$ 선원과 장착기의 기하학적 모양을 정밀하게 모사하여 계산 오차를 줄이도록 하였으며, 치료계획용 실용계산프로그램의 계산 조건과 동일하게 치료선원의 강내 체류시간과 체류위치를 적용하여 선량을 계산하였다. 주요 선량 비교 평가점은 Manchester system에서 사용되는 4곳과 ICRU 38에서 Manchester system을 보완하기 위해 제시한 방광표면 및 직장이였다. 실용계산 결과는 MCNP모의계산의 결과와 비교했을 때 대부분 위치에서 상대오차 4% 이내의 결과를 보였고, 난형체의 차폐체 장착효과로 인한 방광과 직장에서의 선량감쇠효과는 각각 19%, 20%였다.

• Clinical and Experimental Pediatrics
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• 제59권4호
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• pp.178-182
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• 2016

Purpose: Medium-dose (1 g/kg) intravenous immunoglobulin (IVIG) is effective in the majority of patients with Kawasaki disease (KD) but some patients who do not respond to medium-dose IVIG are at high risk for the development of coronary artery lesions (CALs). The purpose of this study was to identify the clinical predictors associated with unresponsiveness to medium-dose IVIG and the development of CALs. Methods: A retrospective study was performed in 91 children with KD who were treated with mediumdose IVIG at our institution from January 2004 to December 2013. We classified the patients into responders (group 1; n=68) and nonresponders (group 2; n=23). We compared demographic, laboratory, and echocardiographic data between the 2 groups. Results: Multivariate logistic regression analysis identified 6 variables as predictors for resistance to medium-dose IVIG. We generated a predictive scoring system assigning 1 point each for percentage of neutrophils ${\geq}65%$, C-reactive protein ${\geq}100mg/L$, aspartate aminotransferase ${\geq}100IU/L$, and alanine aminotransferase ${\geq}100IU/L$, as well as 2 points for less than 5 days of illness, and serum sodium level ${\leq}136mmol/L$. Using a cutoff point of ${\geq}4$ with this scoring system, we could predict nonresponsiveness to medium-dose IVIG with 74% sensitivity and 71% specificity. Conclusion: If a patient has a low-risk score in this system, medium-dose IVIG can be recommended as the initial treatment. Through this process, we can minimize the adverse effects of high-dose IVIG and incidence of CALs.

• 대한방사선기술학회지:방사선기술과학
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• 제44권5호
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• pp.495-502
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• 2021

This study aims to provide basic data for elderly health insurance policy and medical radiation safety management by analyzing the general radiography usage and exposure dose of the elderly in Korea. The effective dose for each general radiography was calculated using the ALARA-GR program for 260 general radiography codes selected from 'National Health Insurance Care Benefit Cost'. The usage of general radiography was analyzed in the 2016 elderly patient data of the Health Insurance Review and Assessment Service, and the effective dose for each general radiography was applied. The general radiography usage and exposure dose per person aged 65 years and over was 6.47 cases and 0.56 mSv. Females showed higher value than males as 7.15 cases and 0.66 mSv(p<.001). By age, those between 75 and 79 showed the highest number as 6.97 cases and 0.62 mSv(p<.001). Those who were supported by Medical Aid showed higher value than those who were insured by National Health Insurance as 8.82 cases and 0.76 mSv(p<.001). In addition, the ratio by radiography was in the order of Chest 20.85%, Knee Joint 15.58%, and L-spine 14.67%, and the exposure dose was L-spine 29.40%, Chest 15.82%, Abdomen 7.97%, and Entire Spine 7.20%. General radiography, which is widely used due to the high frequency of diseases in the elderly population should be taken into consideration when establishing health insurance policies. In addition, it is necessary to check whether the general radiography with high exposure dose is performed as a routine examination without considering medical necessity.

• Journal of Radiation Protection and Research
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• 제43권4호
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• pp.143-153
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• 2018

Background: The determination of the amount of radionuclides and internal dose for the worker who may have intake of radionuclides results in a variation due to uncertainty of measurement data and ingestion information. As a result of this, it is possible that for the same internal exposure scenario assessors could make considerably different estimation of internal dose. In order to reduce this difference, internal exposure scenarios for nuclear facilities were developed, and intercomparison were made to determine the harmonization of dose assessment results among the assessors. Materials and Methods: Seven cases on internal exposures incidents that have occurred or may occur were prepared by referring to the intercomparison excercise scenario that NRC and IAEA have carried out. Based on this, 16 nuclear facilities concerned with internal exposure in Korea were asked to evaluate the scenarios. Each result was statistically determined according to the harmonization discrimination criteria developed by IDEAS/IAEA. Results and Discussion: The results were evaluated as having no outliers in all 7 cases. However, the distribution of the results was spread by various causes. They can be divided into two wide categories. The first one is the distribution of the results according to the assumption of the intake factors and the evaluation factors. The second one is distribution due to misapplication of calculation method and factors related to internal exposure. Conclusion: In order to satisfy the harmonization criteria and accuracy of the internal exposure dose evaluation, it is necessary that exact guidelines should be set on low dose, and various intercomparison cases also be needed including high dose exposure as well as the specialized education. The aim of the blind test is to make harmonization evaluation, but it will also contribute to securing the expertise and high quality of dose evaluation data through the discussion among the participants.

• 한국의학물리학회지:의학물리
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• 제32권4호
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• pp.145-152
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• 2021

Purpose: During the treatments of cancer patients with a linear accelerator (LINAC) using photon beams with energies ≥8 MV, the components inside the LINAC head get activated through the interaction of photonuclear reaction (γ, n) and neutron capture (n, γ). We used spectroscopy and measured the dose rate for the LINAC in operation after the treatment ended. Methods: We performed spectroscopy and dose rate measurements for three units of LINACs with a portable high-purity Germanium (HPGe) detector and a survey meter. The spectra were obtained after the beams were turned off. Spectroscopy was conducted for 3,600 seconds, and the dose rate was measured three times. We identified the radionuclides for each LINAC. Results: According to gamma spectroscopy results, most of the nuclides were short-lived radionuclides with half-lives of 100 days, except for ⁶⁰Co, ⁶⁵Zn, and ¹⁸¹W nuclides. The dose rate for three LINACs obtained immediately in front of the crosshair was in the range of 0.113 to 0.129 µSv/h. The maximum and minimum dose rates measured on weekends were 0.097 µSv/h and 0.092 µSv/h, respectively. Compared with the differences in weekday data, there was no significant difference between the data measured on Saturday and Sunday. Conclusions: Most of the detected radionuclides had half-lives <100 days, and the dose rate decreased rapidly. For equipment that primarily used energies ≤10 MV, when the equipment was transferred after at least 10 minutes after shutting it down, it is expected that there will be little effect on the workers' exposure.

• 한국안전학회지
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• 제9권1호
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• pp.48-55
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• 1994

In this paper, It is studied that the variation of the dielectric absorption of the specimen according to the change with $^{60}$ Co-${\gamma}$ ray irradiation dose of the influence of temperature and applied voltage. In order to investigate the effect of irradiated oriented polypropylene film, we have observed dielectric properties within the temporature range of 30~130 ($^{\circ}C$) and voltage range of 100~250 (V). As for the dependency of temperature by tan $\delta$, the $\alpha$ peak which appears at high temperature increases accordingly to the increment of irradiation dose which is contributed by the crystal region and moves towards the high temperature. The $\beta$ peak which appears the orientation by dipoles and molecular motions in the amorphous region at low temperature. For the dependency of voltage by tan $\delta$ at low temperature, the peak of the tan $\delta$ shifts accordingly to the increment of irradiation dose towards the high temperature region.

• Annals of Clinical Neurophysiology
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• 제10권1호
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• pp.79-82
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• 2008

The etiology of intractable hiccups is most commonly idiopathic. However, they are occasionally associated with some underlying disorders including gastro-esophageal reflux disease. There are a few previous reports describing the association of intractable hiccups with high dose corticosteroid. We experienced an unusual case of intractable hiccups following a high dose intravenous methylprednisolone therapy in a patient with right third nerve palsy. Since methylprednisolone is commonly used in various neurological problems, physicians should be aware of its possible side effect including intractable hiccups.

• Clinical and Experimental Pediatrics
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• 제58권3호
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• pp.77-83
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• 2015

Relative to a fetus of the same gestational age, very low birth weight (VLBW) infants are more likely to be underfed and to undergo growth restriction during their early hospital stay. The current trend towards "early and aggressive" nutritional strategies in VLBW infants aims to overcome the early nutritional deficiency and thereby boost postnatal catch-up growth, simultaneously improving long-term neurodevelopmental outcomes. Although the minimum starting amino acid (AA) dose to prevent negative nitrogen balance is well established, the upper limit and the rate of increase of early AA doses are controversial. Most randomized controlled trials show that early and high-dose (target, 3.5 to 4.9 g/kg/day) AA regimens, with or without high nonprotein calories, do not improve long-term growth and neurodevelopment. High-dose AA supplementation may lead to early metabolic disturbances and excessive or disproportionate plasma AA levels, particularly in infants of very low gestational age. Further large studies are needed to clarify the optimal strategy for early administration of parenteral AA doses in VLBW infants.

• 방사선산업학회지
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• 제2권3호
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• pp.111-119
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• 2008

Microarrays can measure the expression of thousands of genes to identify the changes in expression between different biological states. To survey the change of whole Salmonella genes after a relatively high dose of gamma radiation (1 kGy), transcriptome dynamics were examined in the cells by using DNA microarrays. At least 75 genes were induced and 89 genes were reduced two-fold or more after irradiation. Several genes located in pSLT plasmid, cyo operon, and Gifsy prophage were induced along with many genes encoding uncharacterized proteins.While, the expression of genes involved in the virulence of Salmonella as well as metabolic functions were decreased. Although the radiation response as a whole could not be illustrated by using DNA microarrays, the data suggest that the response to high dose of irradiation might be more complex than the SOS response.