• Asian Pacific Journal of Cancer Prevention
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• 제15권11호
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• pp.4717-4721
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• 2014

Background: Dosimetric comparison of two dimensional (2D) radiography and three-dimensional computed tomography (3D-CT) based dose distributions with high-dose-rate (HDR) intracavitry radiotherapy (ICRT) for carcinoma cervix, in terms of target coverage and doses to bladder and rectum. Materials and Methods: Sixty four sessions of HDR ICRT were performed in 22 patients. External beam radiotherapy to pelvis at a dose of 50 Gray in 27 fractions followed by HDR ICRT, 21 Grays to point A in 3 sessions, one week apart was planned. All patients underwent 2D-orthogonal and 3D-CT simulation for each session. Treatment plans were generated using 2D-orthogonal images and dose prescription was made at point A. 3D plans were generated using 3D-CT images after delineating target volume and organs at risk. Comparative evaluation of 2D and 3D treatment planning was made for each session in terms of target coverage (dose received by 90%, 95% and 100% of the target volume: D90, D95 and D100 respectively) and doses to bladder and rectum: ICRU-38 bladder and rectum point dose in 2D planning and dose to 0.1cc, 1cc, 2cc, 5cc, and 10cc of bladder and rectum in 3D planning. Results: Mean doses received by 100% and 90% of the target volume were $4.24{\pm}0.63$ and $4.9{\pm}0.56$ Gy respectively. Doses received by 0.1cc, 1cc and 2cc volume of bladder were $2.88{\pm}0.72$, $2.5{\pm}0.65$ and $2.2{\pm}0.57$ times more than the ICRU bladder reference point. Similarly, doses received by 0.1cc, 1cc and 2cc of rectum were $1.80{\pm}0.5$, $1.48{\pm}0.41$ and $1.35{\pm}0.37$ times higher than ICRU rectal reference point. Conclusions: Dosimetric comparative evaluation of 2D and 3D CT based treatment planning for the same brachytherapy session demonstrates underestimation of OAR doses and overestimation of target coverage in 2D treatment planning.

• Journal of Yeungnam Medical Science
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• 제6권1호
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• pp.87-98
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• 1989

영남대학교 의과대학 부속병원에서 고선량율 강내 치료를 받은 53명에 대한 결과는 다음과 같다. 1. 환자 분포는 40대에서 60대가 42명으로 전체의 79.2%를 차지하였다. 2. 임상적 병기는 Stage-II가 31명으로 58.5%를 차지하였다. 3. 점-A의 선량은 3,501-4,000cGy가 41명으로 전체의 77.4%를 차지하였으며 왼쪽이 많은 경우가 81.2%이었다. 4. 점-B의 선량은 1001-1250cGy가 44명으로 전체의 83%를 차지하였으며 양측 선량의 차이는 400cGy이내였다. 5. 점-A선량에 대한 방광의 선량 비율은 50%미만이 33명이었다. 6. 점-A선량에 대한 하부직장의 선량 비율은 60% 미만이 48명이었다. 7. 점-A선량에 따른 상부 직장의 선량 비율은 60% 미만이 38명이었다. 8. 자궁의 위치는 좌측 편위가 36명으로 전체의 58.9%를 차지하였으며 자궁강의 길이는 4.4cm~5.3cm가 30명으로 30명으로 56.6%를 차지하였다. 9. 자궁의 전후 위치는 중위 및 후굴이 40명으로 75.5%를 차지하였다. 10. 자궁의 위치에 따른 직장 선량의 분포는 후굴 및 중위에서 전굴에 비해서 다소 증가하는 양상을 보였다.

• Nuclear Engineering and Technology
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• 제53권4호
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• pp.1289-1296
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• 2021

In this study, an electron-scattering device was fabricated to practically use the ultra-high dose rate electron beams for the FLASH preclinical research in Dongnam Institute of Radiological and Medical Sciences. The Dongnam Institute of Radiological and Medical Sciences has been involved in the investigation of linear accelerators for preclinical research and has recently implemented FLASH electron beams. To determine the geometry of the scattering device for the FLASH preclinical research with a 6-MeV linear accelerator, the Monte Carlo N-particle transport code was exploited. By employing the fabricated scattering device, the off-axis and depth dose distributions were measured with radiochromic films. The generated mean energy of electron beams via the scattering device was 4.3 MeV, and the symmetry and flatness of the off-axis dose distribution were 0.11% and 2.33%, respectively. Finally, the doses per pulse were obtained as a function of the source to surface distance (SSD); the measured dose per pulse varied from 4.0 to 0.2 Gy/pulse at an SSD range of 20-90 cm. At an SSD of 30 cm with a 100-Hz repetition rate, the dose rate was 180 Gy/s, which is sufficient for the preclinical FLASH studies.

• Journal of Radiation Protection and Research
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• 제40권1호
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• pp.25-35
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• 2015

We analyzed the differential effects of histopathology, apoptosis and expression of radiation response genes after chronic low dose rate (LDR) and acute high dose rate (HDR) radiation exposure in spleen, lung and liver of rats. Female 6-week-old Sprague-Dawley rats were used. For chronic low-dose whole body irradiation, rats were maintained for 14 days in a $^{60}Co$ gamma ray irradiated room and received a cumulative dose of 2 Gy or 5 Gy. Rats in the acute whole body exposure group were exposed to an equal dose of radiation delivered as a single pulse ($^{137}Cs$-gamma). At 24 hours after exposure, spleen, lung and liver tissues were extracted for histopathologic examination, western blotting and RT-PCR analysis. 1. The spleen showed the most dramatic differential response to acute and chronic exposure, with the induction of substantial tissue damage by HDR but not by LDR radiation. Effects of LDR radiation on the lung were only apparent at the higher dose (5 Gy), but not at lower dose (2 Gy). In the liver, HDR and LDR exposure induced a similar damage response at both doses. RT-PCR analysis identified cyclin G1 as a LDR-responsive gene in the spleen of rats exposed to 2 Gy and 5 Gy gamma radiation and in the lung of animals irradiated with 5 Gy. 2. The effects of LDR radiation differed among lung, liver, and spleen tissues. The spleen showed the greatest differential effect between HDR and LDR. The response to LDR radiation may involve expression of cyclin G1.

• Journal of Pharmaceutical Investigation
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• 제31권1호
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• pp.19-25
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• 2001

The purpose of this study was to use a ternary polymeric matrix system for high drug loading of a highly soluble drug for controlled release delivery. The controlled drug delivery of diltiazem HCl (solubility > 50% in water at $25^{\circ}C$) with high loading dose (the final loading dose of drug was 34%) from a ternary polymeric matrix (gelatin, pectin, HPMC) was successfully accomplished. This simple monolithic system with 240 mg drug loading provided near zero-order release over a 24 hour-period by which time the system was completely dissolved. The release kinetics of diltiazem HCl tablet with high loading dose from the designed ternary polymeric system was dependent on the ratios of HPMC : pectin binary mixture. The release rate increased as pectin : HPMC ratio were increased. Swelling behavior of the ternary system and the ionic interaction of formulation components with cationic diltiazem molecule appear to control drug diffusion and the release kinetics. Comparable release profiles between commercial product and the designed system were obtained. The binding study between gelatin with diltiazem HCl showed the presence of two binding sites for drug interaction with subsequent controlled diffusion upon swelling. This designed delivery system is easy to manufacture and drug release behavior is highly reproducible and offers advantages over the existing commercial product.

• Radiation Oncology Journal
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• 제29권4호
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• pp.219-227
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• 2011

Purpose: This study evaluated the treatment effectiveness and proper radiation dose of helical tomotherapy (HT) in spine oligometastases from gastrointestinal cancers. Materials and Methods: From 2006 to 2010, 20 gastrointestinal cancer patients were treated with HT for spine oligometastases (31 spine lesions). The gross tumor volume (GTV) was the tumor evident from magnetic resonance imaging images fused with simulation computed tomography images. Clinical target volume (CTV) encompassed involved vertebral bodies or dorsal elements. We assumed that the planning target volume was equal to the CTV. We assessed local control rate after HT for 31 spine metastases. Pain response was scored by using a numeric pain intensity scale (NPIS, from 0 to 10). Results: Spine metastatic lesions were treated with median dose of 40 Gy (range, 24 to 51 Gy) and median 5 Gy per fraction (range, 2.5 to 8 Gy) to GTV with median 8 fractions (range, 3 to 20 fraction). Median biologically equivalent dose (BED, ${\alpha}/{\beta}$ = 10 Gy) was 52 $Gy_{10}$ (range, 37.5 to 76.8 $Gy_{10}$) to GTV. Six month local control rate for spine metastasis was 90.3%. Overall infield failure rate was 15% and outfield failure rate was 75%. Most patients showed pain relief after HT (93.8%). Median local recurrence free survival was 3 months. BED over 57 $Gy_{10}$ and oligometastases were identified as prognostic factors associated with improved local progression free survival (p = 0.012, P = 0.041). Conclusion: HT was capable of delivering higher BED to metastatic lesions in close proximity of the spinal cord. Spine metastases from gastrointestinal tumors were sensitive to high dose radiation, and BED (${\alpha}/{\beta}$ = 10 Gy) higher than 57 $Gy_{10}$ could improve local control.

• 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.

• Journal of Radiation Protection and Research
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• 제24권3호
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• pp.123-129
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• 1999

저선량 $\gamma$선 조사한 토마토 2품종, 서광과 하우스모모타로 종자의 발아와 초기생육 및 후속 고선량에 대한 생육효과를 조사하였다. 저선량에 의한 발아와 생육촉진효과는 품종에 따라 달랐다. 발아율의 경우 서광은 모든 저선량 조사구에서 증가되었으나, 하우스모모타로는 오히려 감소되었다. 유묘초장은 저선량 조사에 의해 증가되었으며 두 품종 모두 4 Gy와 8 Gy 조사구에서 가장 효과적이었다. 생육 2개월 후 서광의 초장은 억제되었으나 생체중은 4 Gy와 2 Gy에서 증가되었고, 하우스모모타로의 초장은 12 Gy와 20 Gy에서, 생체중은 20 Gy와 4 Gy에서 가장 높은 증가효과를 보였다. 토마토 식물체의 고선량 피폭에 의한 생육장해는 사전 저선량 조사에 의해 감소되었는데 서광의 경우 2 Gy와 8 Gy 조사구에서 저항성이 높았으며 하우스모모타로의 경우 모든 저선량 조사구에서 저항성 효과가 나타났으며 특히 2 Gy와 12 Gy 조사구에서 높았다.

• 방사성폐기물학회지
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• 제6권1호
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• pp.11-15
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• 2008

고밀도폴리 에틸렌 고건전성용기에 담은 폐수지의 운반을 위해 원전 폐수지의 방사능 분석결과를 사용하여 운반물 등급 분류방법을 도출하였다. 원전 폐수지의 방사능 분석결과로부터 폐수지 내 핵종 존재비를 구하였고, 폐수지의 표면선량률로 핵종재고량을 평가하기 위해 MCNP 코드로 방사능대선량 환산인자를 모사하였다. 이로부터 고밀도폴리에틸렌 고건전성용기에 담은 폐수지에 대한 A형 운반물과 B형 운반물의 경계값은 1.19 TBq 이고 이를 표면선량으로 환산한 결과는 124.2 mSv/h임을 알 수 있었다.