• Title/Summary/Keyword: High-Dose

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Fetal dose from Head and Neck Tomotherapy Versus 3D Conformal Radiotherapy

  • Park, So Hyun;Choi, Won Hoon;Choi, Jinhyun
    • Journal of Radiation Protection and Research
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    • v.44 no.4
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    • pp.156-160
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    • 2019
  • Background: To compare the dose of radiation received by the fetus in a pregnant patient irradiated for head and neck cancer using helical tomotherapy and three-dimensional conformal radiation therapy (3DCRT). Materials and Methods: The patient was modeled with a humanoid phantom to mimic a gestation of 26 weeks. Radiotherapy with a total dose of 2 Gy was delivered with both tomotherapy (2.5 and 5.0 cm jaw size) and 3DCRT. The position of the fetus was predicted to be 45 cm from the field edge at the time of treatment. The delivered dose was measured according to the distance from the field edge and the fetus. Results and Discussion: The accumulated dose to the fetus was 1.6 cGy by 3DCRT and 2 and 2.3 cGy by the 2.5 and 5 cm jaw tomotherapy plans. For tomotherapy, the fetal dose with the 2.5 cm jaw was lower than that with the 5 cm jaw, although the radiation leakage was greater for 2.5 cm jaw plan due to the 1.5 fold longer beam-on time. At the uterine fundus, tomotherapy with a 5 cm jaw delivered the highest dose of 2.4 cGy. When the fetus moves up to 35 cm at the 29th week of gestation, the resultant fetal doses for 3DCRT and tomotherapy with 2.5 and 5 cm jaws were estimated as 2.1, 2.7, and 3.9 cGy, respectively. Conclusion: For tomotherapy, scattering radiation was more important due to the high monitor unit values. Therefore, selecting a smaller jaw size for tomotherapy may reduce the fetal dose. however, evaluation of risk should be individually performed for each patient.

Neutron Personal Dose Equivalent Evaluation Using Panasonic UD-809P Type TLD Albedo Dosimeters (Panasonic UD-809P 알비도 열형광선량계를 이용한 중성자 개인선량당량 평가)

  • Shin, Sang-Woon;Son, Joong-Kwon;Jin, Hua
    • Journal of Radiation Protection and Research
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    • v.24 no.3
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    • pp.143-154
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    • 1999
  • Panasonic UD-809P type albedo neutron TL dosimeters mounted on a water phantom were used to measure neutron personal dose equivalent in a Korean nuclear power plant. From the measured TL readings, personal dose equivalents from thermal, epithermal and fast neutrons were evaluated by using a method adopted in a neutron dose calculation algorithm for Panasonic UD-809P type albedo neutron TL dosimeters, which was suggested in a Panasonic TLD System User's Manual. The results showed that personal dose equivalent from fast neutrons could not be adequately evaluated in a field with high thermal neutron fraction to be encountered in a nuclear power plant. This seems to be related to the incomplete incidence of albedo thermal neutrons to the TL dosimeters. In order to evaluate appropriately the personal dose equivalent from fast neutrons in the field condition, new method fer the neutron dose calculation algorithm was suggested. In this new method, neutrons are grouped into thermal neutrons and fast neutrons. For each neutron component, equations for TL response, sensitivity factor, calibration factor and personal dose equivalent were derived.

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Dose Computational Time Reduction For Monte Carlo Treatment Planning

  • Park, Chang-Hyun;Park, Dahl;Park, Dong-Hyun;Park, Sung-Yong;Shin, Kyung-Hwan;Kim, Dae-Yong;Cho, Kwan-Ho
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.116-118
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    • 2002
  • It has been noted that Monte Carlo simulations are the most accurate method to calculate dose distributions in any material and geometry. Monte Carlo transport algorithms determine the absorbed dose by following the path of representative particles as they travel through the medium. Accurate Monte Carlo dose calculations rely on detailed modeling of the radiation source. We modeled the effects of beam modifiers such as collimators, blocks, wedges, etc. of our accelerator, Varian Clinac 600C/D to ensure accurate representation of the radiation source using the EGSnrc based BEAM code. These were used in the EGSnrc based DOSXYZ code for the simulation of particles transport through a voxel based Cartesian coordinate system. Because Monte Carlo methods use particle-by-particle methods to simulate a radiation transport, more particle histories yield the better representation of the actual dose. But the prohibitively long time required to get high resolution and accuracy calculations has prevented the use of Monte Carlo methods in the actual clinical spots. Our ultimate aim is to develop a Monte Carlo dose calculation system designed specifically for radiation therapy planning, which is distinguished from current dose calculation methods. The purpose of this study in the present phase was to get dose calculation results corresponding to measurements within practical time limit. We used parallel processing and some variance reduction techniques, therefore reduced the computational time, preserving a good agreement between calculations of depth dose distributions and measurements within 5% deviations.

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A Study on the Additional Absorbed Dose of Normal Tissues by Image Guided Radiation Therapy(IGRT) (영상유도 방사선 치료(IGRT)에 따른 정상 조직의 추가 피폭에 대한 연구)

  • Kim, Gha-Jung;Ryu, Jun-Min;Choi, Jun-Gu;Hong, Dong-Hee
    • The Journal of the Korea Contents Association
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    • v.16 no.1
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    • pp.75-81
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    • 2016
  • The recent radiation therapy field can provide treatment which guarantees a high degree of accuracy, due to patient set-up using various image guided radiation therapy(IGRT) instruments. But the additional absorbed dose to patient's normal tissues is increasing. Therefore, this study measured the absorbed dose to surrounding normal tissues which is caused by patient set-up using OBI, CBCT, ExacTrac, among various IGRT instruments. The absorbed dose to the head, the chest, the abdomen, and the pelvis from CBCT was 12.57 mGy, 20.82 mGy, 82.93 mGy, and 52.70 mGy, respectively. Also, the absorbed dose from OBI and ExacTrac ranged from 0.76 to 8.58 mGy and from 0.14 to 0.63 mGy, respectively. As a result, CBCT's absorbed dose was far higher than other instruments. CBCT's surface dose was far higher than others, too, but OBI's entrance skin dose was almost the same as CBCT's.

Measurement of the Natural Radiation Dose in the Ski Field (Focusing on the Gyeonggi Province area) (스키장의 자연방사선량 측정(경기도 지역을 중심으로))

  • Jung, Hongmoon;Jung, Jaeeun
    • Journal of the Korean Society of Radiology
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    • v.11 no.3
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    • pp.117-122
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    • 2017
  • With the increase in leisure life, the population of ski resorts is rapidly increasing. The activity at the ski resort is likely to receive a direct chance of natural sunlight or space ray. Because it is located in the mountains where altitude exists. As a general rule, it is widely known that the higher the elevation rate, the more increasing the natural radiation dose. However, the natural radiation dose rate for the ski slopes has not been reported yet. Various ski resorts exist in Korea, but this study had chose 4 ski resorts to measure the natural dose of natural radiation. As a result, the natural radiation dose for the ski slope was measured at a relatively high dose of ordinary living areas. However, the level of natural radiation dose was not worrisome. It is recommended to wear ski wear or goggles to minimize natural radiation exposure at the ski slopes.

Transmission Dose Estimation Algorithm for in vivo Dosimetry

  • Yun, Hyong-Geun;Huh, Soon-Nyung;Lee, Hyoung-Koo;Woo, Hong-Gyun;Shin, Kyo-Chul;Ha, Sung-Whan
    • Journal of Radiation Protection and Research
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    • v.28 no.1
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    • pp.59-63
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    • 2003
  • Purpose : Measurement of transmission dose is useful for in vivo dosimetry of QA purpose. The objective of this study is to develope an algorithm for estimation of tumor dose using measured transmission dose for open radiation field. Materials and Methods : Transmission dose was measured with various field size (FS), phantom thickness (Tp), and phantom chamber distance (PCD) with a acrylic phantom for 6 MV and 10 MV X-ray Source to chamber distance (SCD) was set to 150 cm. Measurement was conducted with a 0.6 cc Farmer type ion chamber. Using measured data and regression analysis, an algorithm was developed for estimation of expected reading of transmission dose. Accuracy of the algorithm was tested with flat solid phantom with various settings. Results : The algorithm consisted of quadratic function of log(A/P) (where A/P is area-perimeter ratio) and tertiary function of PCD. The algorithm could estimate dose with very high accuracy for open square field, with errors within ${\pm}0.5%$. For elongated radiation field, the errors were limited to ${\pm}1.0%$. Conclusion : The developed algorithm can accurately estimate the transmission dose in open radiation fields with various treatment settings.

Linear Energy Transfer Dependence Correction of Spread-Out Bragg Peak Measured by EBT3 Film for Dynamically Scanned Proton Beams

  • Lee, Moonhee;Ahn, Sunghwan;Cheon, Wonjoong;Han, Youngyih
    • Progress in Medical Physics
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    • v.31 no.4
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    • pp.135-144
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    • 2020
  • Purpose: Gafchromic films for proton dosimetry are dependent on linear energy transfers (LETs), resulting in dose underestimation for high LETs. Despite efforts to resolve this problem for single-energy beams, there remains a need to do so for multi-energy beams. Here, a bimolecular reaction model was applied to correct the under-response of spread-out Bragg peaks (SOBPs). Methods: For depth-dose measurements, a Gafchromic EBT3 film was positioned in water perpendicular to the ground. The gantry was rotated at 15° to avoid disturbances in the beam path. A set of films was exposed to a uniformly scanned 112-MeV pristine proton beam with six different dose intensities, ranging from 0.373 to 4.865 Gy, at a 2-cm depth. Another set of films was irradiated with SOBPs with maximum energies of 110, 150, and 190 MeV having modulation widths of 5.39, 4.27, and 5.34 cm, respectively. The correction function was obtained using 150.8-MeV SOBP data. The LET of the SOBP was then analytically calculated. Finally, the model was validated for a uniform cubic dose distribution and compared with multilayered ionization chamber data. Results: The dose error in the plateau region was within 4% when normalized with the maximum dose. The discrepancy of the range was <1 mm for all measured energies. The highest errors occurred at 70 MeV owing to the steep gradient with the narrowest Bragg peak. Conclusions: With bimolecular model-based correction, an EBT3 film can be used to accurately verify the depth dose of scanned proton beams and could potentially be used to evaluate the depth-dose distribution for patient plans.

A Study on Radiation Dose and Image Quality using Dual Energy Computed Tomography ECG Gating High Pitch Chest Pain Protocol Mode (이중 에너지 전산화 단층촬영 ECG Gating High Pitch Chest Pain Protocol 모드를 이용한 방사선량과 영상 품질에 관한 연구)

  • Kim, Gyeong-Rip;Sung, Soon-Ki;Kim, Chang-Hyeun;Kwak, Jong-Hyeok
    • Journal of the Korean Society of Radiology
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    • v.16 no.1
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    • pp.7-13
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    • 2022
  • This study compared the aortic root image by using the ECG gating and non-ECG gating methods. We observed the presence or absence of progression of the aortic root image in the images examined by the high pitch (flash) chest pain protocol method and in the patients tested without ECG gating by the conventional method. The AAPM phantom was scanned by using high pitch (flash) chest pain protocol and general chest pain protocol. CTDI values were compared. By ECG gating, the blurring of ascending aorta was significantly reduced compared to the existing non-ECG gating test method, and the image quality of the aortic root was improved. Within the parametar range that did not show differences in noise, uniformity, and high contrast resolution, CTDI values were lower when tested with the high-pitch chest pain protocol. It was found that there is an advantage in dose reduction, and if it is applied and applied to diagnostic fields such as dissection using the dose reduction mode in the cardiac field, it is a very important test for patients who need rapid diagnosis and prompt treatment as well as a dramatic reduction in exposure dose. It is presumed to be a method.

A Study on the Application of Two-dosimeter Algorithm to Estimate the Effective Dose in an Inhomogeneous Radiation Field at Korean Nuclear Power Plants (원전 불균일 방사선장하에서 유효선량 평가를 위한 복수선량계 알고리즘 적용방안 연구)

  • Kim, Hee-Geun;Kong, Tae-Young
    • Journal of Radiation Protection and Research
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    • v.33 no.4
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    • pp.151-160
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    • 2008
  • In Korean nuclear power plants (NPPs), two thermoluminescent dosimeters (TLD) were provided to workers who work in an inhomogeneous radiation field; one on the chest and the other on the head. In this way, the effective dose for radiation workers at NPPs was determined by the high deep dose between two radiation dose from these TLDs. This represented a conservative method of evaluating the degree of exposure to radiation. In this study, to prevent the overestimation of the effective dose, field application experiments were implemented using two-dosimeter algorithms developed by several international institutes for the selection of an optimal algorithm. The algorithms used by the Canadian Ontario Power Generation (OPG) and American ANSI HPS N13.41, NCRP (55/50), NCRP (70/30), EPRI (NRC), Lakslumanan, and Kim (Texas A&M University) were extensively analyzed as two-dosimeter algorithms. In particular, three additional TLDs were provided to radiation workers who wore them on the head, chest, and back during maintenance periods, and the measured value were analyzed. The results found no significant differences among the calculated effective doses, apart from Lakshmanan's algorithm. Thus, this paper recommends the NCRP(55/50) algorithm as an optimal two-dosimeter algorithm in consideration of the solid technical background of NCRP and the convenience of radiation works. In addition, it was determined that a two-dosimeter is provided to a single task which is expected to produce a dose rate of more than 1 mSv/hr, a difference of dose rates depending on specific parts of the body of more than 30%, and an exposure dose of more than 2 mSv.

Comparison of 2D and 3D Brachytherapy Planning for Cervical Cancer (자궁경부암 근접방사선치료 시 2차원, 3차원 치료계획 비교평가)

  • Kim, Jung Hoon
    • Journal of radiological science and technology
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    • v.40 no.2
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    • pp.303-309
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    • 2017
  • To evaluate the usefulness of 3-dimensional brachytherapy(BT) planning technique based on CT in cervical cancer. Patients with cervical cancer underwent 2-D BT treatment planning and then CT scan with HDR intracavitary applicators in place with same positions. Dose was prescribed to Point A with 5Gy per fraction on 2-D BT planning. For 3-D BT planning, and dose was prescribed to the High risk CTV for BT (HR CTV) with 5Gy. The 3-D BT planning goal was to cover at least 90% of the HR CTV with target 5Gy isodose surface while limiting the dose to $2cm^3$ of bladder to less than 7.5 Gy, and $2cm^3$ of rectum to less than 5Gy. In one patient of 10 patients, $D_{2cm3}$ of rectal dose was over 5Gy and 6patients at $D_{2cm3}$ of bladder dose on 2-D BT planning. There was a tendency to underestimate ICRU bladder dose than ICRU rectal dose. CT based 3-D BT planning for cervical cancer will enable evaluation of dose distributions for tumor and critical organs at risk. So, rectal and bladder morbidity as well as geographic miss will be reduced in case of the bulky disease or uterine malposition.