• Title/Summary/Keyword: High dose-rate

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Optimum Dose Combination of External Radiation and High Dose Rate ICR in FIGO IB Uterine Cervical Cancer (병기 IB 자궁경부암의 방사선치료에서 외부방사선치료와 고선량율 강내치료의 최적선량 배합)

  • Lee Sang Wook;Suh Chang Ok;Chung Eun Ji;Kim Woo Cheol;Chang Sei Kyung;Keum Ki Chang;Kim Gwi Eon
    • Radiation Oncology Journal
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    • v.14 no.3
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    • pp.201-209
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    • 1996
  • Purpose : To assess the efficacy of high dose rate - intracavitary radio-therapy (HDR-ICR) in the radiotherapy of FIGO stage IB squamous cell carcinoma of uterine cervix and to determine the optimum dose combination scheme of external radiotherapy and ICR to achieve acceptable local control without severe complication. Materials and Methods : One hundred and sixty two patients with FIGO stage Ib squamous cell carcinoma of uterine cervix who received definitive radiotherapy between May 1979 and December 1990 were retrospectively analyzed. All the patients received external radiotherapy combined with HDR-ICR. External dose of 40-46 Gy in 4.5-5 weeks was given to whole pelvis(median 45 Gy) and ICR dose of 30-39 Gy in 10-13 times was given to the point A. Midline shielding was done after 20-45 Gy of external radiotherapy(median 40 Gy) Summation of external dose Plus ICR dose to the point A range were 64.20-95.00 Gy. and mean was 83.94 Gy. We analyzed the local control rate, survival rate, and late complication rate. Rusults : Initial complete response rate was $99.4\%$ for all patients. Overall 5-year survival rate was $91.1\%$ and 5-year disease free survival rate was $90.9\%$. Local failure rate was $4.9\%$ and distant failure rate was $4.3\%$. Tumor size was the only significant prognostic factor. When tumor size greater than 3cm, 5-rear survival rate was $92.6\%$ and less than 3cm, that was $79.6\%$. Late complication rate was $23.5\%$ with $18.5\%$ of rectal complication and $4.9\%$ of bladder complication. Mean rectal dose summation of external midline dose plus ICR rectal point dose was lower in the patients without rectal complication(74.88 Gr) than those with rectal complication (78.87 Gy). Complication rate was increased with low rate of improvement of survival rate when summation of external midline dose plus point A or point R dose by ICR was greater than 70-75 Gy. Conclusion : The definitive radiation therapy using high dose rate ICR in FIGO stage IB uterine cervical cancer is effective treatment modality with good local control and survival rate without severe complication.

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Si(100)에 low energy로 Ultra high dose 이온 주입 시 Dose rate 변화에 따른 Sheet Resistance

  • Kim, Hyeong-In;Park, Jae-Hyeong;Jeon, Yu-Seung;Gang, Seok-Tae
    • Proceedings of the Korean Vacuum Society Conference
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    • 2010.02a
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    • pp.242-242
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    • 2010
  • Si(100) 표면에 이온을 일정한 에너지로 dose량을 동일하게 유지하고, dose rate만을 변화시켜가며 주입한 후에 depth profile과 damage, 그리고 sheet resistance를 조사하였다. 일정한 에너지로 이온을 주입하여도 dose rate의 변화에 따라서 depth profile에 변화를 보이는 것을 확인할 수 있었고 sheet resistance역시 dose rate변화에 비례하여 변화하는 것을 확인할 수 있었다. 본 연구는 Crystal-TRIM program으로 computer simulation 하여 damage profile의 결과를 통해 dose rate가 클수록 시료 표면 근처에 잔류 damage의 양이 높게 나타나는 것을 알 수 있었고 그 잔류 damage의 표면근방 분포가 sheet resistance에 직접적인 영향을 미친다는 것을 확인할 수 있었다.

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Solution to Decrease Spatial Dose Rate in Laboratory of Nuclear Medicine through System Improvement (시스템 개선을 통한 핵의학 검사실의 공간 선량률 감소방안)

  • Moon, Jae-Seung;Shin, Min-Yong;Ahn, Seong-Cheol;Yoo, Mun-Gon;Kim, Su-Geun
    • Quality Improvement in Health Care
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    • v.20 no.1
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    • pp.60-73
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    • 2014
  • Objectives: This study aims at decreasing spatial dose rate through work improvement whilst spatial dose rate is the cause of increasing personal exposure dose which occurs in the process of handling radioisotope. Methods: From February 2013 until July 2013, divided into "before" and "after" the improvement, spatial dose rate in laboratory of nuclear medicine was measured in gamma image room, PET/CT-1 image room, and PET/CT-2 image room as its locations. The measurement time was 08:00, 12:00 and 17:00, and SPSS 21.0 USA was opted for its statistical analysis. Result: The spatial dose rate at distribution worktable, injection table, the entrance to the distribution room, and radioisotope storage box, which had showed high spatial dose rate, decreased by more than 43.7% a monthly average. The distribution worktable, that had showed the highest spatial dose rate in PET/CT-1 image room, dropped the rate to 42.3% as of July. The injection table and distribution worktable in the PET/CT-2 image room also showed the decline of spatial dose rate to 89% and 64.4%, respectively. Conclusion: By improving distribution process and introducing proper radiation shielding material, we were able to drop the spatial dose rate substantially at distribution worktable, injection table, and nuclide storage box. However, taking into account of steadily increasing amount of radioisotope used, strengthening radiation related regulations, and safe utilization of radioisotope, the process of system improvement needs to be maintained through continuous monitoring.

Measurements of Neutron Activation and Dose Rate Induced by High-Energy Medical Linear Accelerator

  • Kwon, Na Hye;Jang, Young Jae;Kim, Jinsung;Kim, Kum Bae;Yoo, Jaeryong;Ahn, So Hyun;Kim, Dong Wook;Choi, Sang Hyoun
    • Progress in Medical Physics
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    • v.32 no.4
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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.

Endobronchial Brachytherapy for Malignant Airway Obstruction: Low Dose Rate Versus High Dose Rate (악성 종양에 의한 기도폐쇄시 내기관지 근접치료 : 저선량 치료 대 고선량 치료의 비교)

  • Cho, Young-Kap
    • Radiation Oncology Journal
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    • v.14 no.2
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    • pp.123-128
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    • 1996
  • Purpose : This is a retrospective study to compare the Palliation rates, survival rates and complications of low dose rate and high dose rate endobronchial brachytherapy in the management of malignant airway obstruction. Materials and methods : Forty three consecutive patients with malignant airway compromise from primary or metastatic lung tumors were treated with low dose rate(LDR) endobronchial Iridium-192 insertion(21 patients) between October 1988 and June 1992, and high dose rate(HDR) endobronchial brachytherapy(22 patients) between August 1992 and April 1994 with palliative aim Flexible fiberoptic bronchoscopy under fluoroscopic control was utilized in all 91 procedures. Twenty seven LDR Procedures delivered a dose of 5-7.5 Gy to a 1.0 cm radius respectively. Results : Subjective and objective responses to treatments were evaluated on follow-up examinations by clinical examination, chest x-rays and CT scan of the chest on some patients. Fifteen of 21 LDR patients and 19 of 22 HDR Patients showed subjective improvement in terms of better breathing and less Productive cough as well as complete disappearance of hemoptysis. Objective improvement on chest x-rays and CT scan of the chest had been demonstrated on 8 LDR Patients and 10 HDR patients. Conclusion : The technique of LDR and HDR endobronchial brachytherapy is simple and well tolerated procedure with minimal morbidity It Provides excellent palliation by keeping airway Patent in these short life-spanned patients.

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Feasibility Test of Flat-Type Faraday Cup for Ultrahigh-Dose-Rate Transmission Proton Beam Therapy

  • Sang-il Pak;Sungkoo Cho;Seohyeon An;Seonghoon Jeong;Dongho Shin;Youngkyung Lim;Jong Hwi Jeong;Haksoo Kim;Se Byeong Lee
    • Progress in Medical Physics
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    • v.33 no.4
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    • pp.108-113
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    • 2022
  • Purpose: Proton therapy has been used for optimal cancer treatment by adapting its Bragg-peak characteristics. Recently, a tissue-sparing effect was introduced in ultrahigh-dose-rate (FLASH) radiation; the high-energy transmission proton beam is considered in proton FLASH therapy. In measuring high-energy/ultrahigh-dose-rate proton beam, Faraday Cup is considered as a dose-rate-independent measurement device, which has been widely studied. In this paper, the feasibility of the simply designed Faraday Cup (Poor Man's Faraday Cup, PMFC) for transmission proton FLASH therapy is investigated. Methods: In general, Faraday cups were used in the measurement of charged particles. The simply designed Faraday Cup and Advanced Markus ion chamber were used for high-energy proton beam measurement in this study. Results: The PMFC shows an acceptable performance, including accuracy in general dosimetric tests. The PMFC has a linear response to the dose and dose rate. The proton fluence was decreased with the increase of depth until the depth was near the proton beam range. Regarding secondary particles backscatter from PMFC, the effect was negligible. Conclusions: In this study, we performed an experiment to investigate the feasibility of PMFC for measuring high-energy proton beams. The PMFC can be used as a beam stopper and secondary monitoring system for transmission proton beam FLASH therapy.

Dose Distribution of Rectum in the treatment of Uterine Cervical Cancer using Remote Afterloading System (RALS시행시 선원의 거리 이동및 직장선량에 관한 계산치와 측정치의 비교연구)

  • 김성규;신세원;김명세
    • Progress in Medical Physics
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    • v.5 no.1
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    • pp.67-74
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    • 1994
  • Dose distribution of point source represents an inverse square law as the distance, Difference of measurement value and calculation value according to moving distance of radiation source show very large error in dose calculation of Brachytherapy. Therefore, in RALS of high dose rate, dose calculation have an important effect in treatment of uterine cervix cancer and recurrent rate. In this paper, authors measured moving distance of radiation source carrying out RALS. And we measured Rectum dose compared with calculationdose.

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Comparison of Environmental Radiation Survey Analysis Results in a High Dose Rate Environment Using CZT, NaI(Tl), and LaBr3(Ce) Detectors

  • Sungyeop Joung;Wanook Ji;Eunjung Lee;Young-Yong Ji;Yoomi Choi
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.21 no.4
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    • pp.543-558
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    • 2023
  • Currently, Japan is undertaking a nationwide project to measure and map radioactive contamination around Fukushima, as part of the efforts to restore normalcy following the nuclear accident. The Japan Atomic Energy Agency (JAEA) manages the Fukushima Environmental Safety Center, located approximately 20 km north of the Fukushima Daiichi nuclear power plant in Minamisōma City, Fukushima Prefecture. In collaboration with the JAEA, this study involved conducting comparison experiments and analyses with radiation detectors in high radiation environments, a challenging task in Korean environments. Environmental radiation surveys were conducted using three types of detectors: CZT, NaI(Tl), and LaBr3(Ce), across two contaminated areas. Dose rate values were converted using dose rate conversion factors for each detector type, and dose rate maps were subsequently created and compared. The detectors yielded similar results, demonstrating their feasibility and reliability in high radiation environments. The findings of this study are expected to be a crucial reference for enhancing the verification and supplementation of procedures and methods in future radiation measurements and mobile surveys in high-radiation environments, using these three types of radiation instruments.