• Title/Summary/Keyword: Journal of Korean Therapeutic Radiology and Oncology

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Radiation Therapy (RT) of Midline Granuloma (중앙성육아종의 방사선치료)

  • Kwon, Hyoung-Cheol;Oh, Yoon-Kyeong;Gil, Hak-Jun;Yoon, Sei-Chul;Bahk, Yong-Whee
    • Radiation Oncology Journal
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    • v.4 no.2
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    • pp.135-139
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    • 1986
  • Seven patients having midline granuloma received local irradiation from March 1983 to June 1986. Clinically, all of the 7 patients had pansinusitis with necrotic destruction of the involved sites and one case revealed colonic lesion. Each of the patients received a tumor dose of $4,000\~5,000 cGy/5\~6$ wks to the upper aerodigestive tract using a 6-MV linear accelerator. Complete and partial remission occured in 3 patients each, and in one case, the disease progressed despite of the irradiation.

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Three Dimensional Dose Planning Using 6MV X-ray and Multiaxial Computed Tomography for Pituitary Adenoma (6MV X-선과 전산화 단층 촬영상을 이용한 뇌하수체 종양 치료계획)

  • Lee, Myung-Za;Choi, Tae-Jin
    • Radiation Oncology Journal
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    • v.3 no.1
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    • pp.59-64
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    • 1985
  • Computation of three dimensional dose distribution using CT image and RT plan was applied to a case of pituitary adenoma. Algorithm was based on two dimensional Tissue Maximun Ratio model extended to the third dimension. The resulting isodose curve of transeverse, coronal and sagittal section was demonstrated. This RT plan allows computation of dose distribution in any arbitarily defined plane in addition to conventional cross sectional view.

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Clinical Result of Combined Radiotherapy and Hyperthermia Induced by 915 MHz Microwave and Ultrasound in Locally Advanced Malignant Tumors of Head and Neck (915 MHz 극초단파 및 초음파를 이용한 온열치료와 방사선치료 병합치료에 의한 두경부암의 치료성적)

  • Koh Kyoung-Hwan;Park Young-Hwan;Cho Chul-Koo;Yoo Seong-Yul
    • Korean Journal of Head & Neck Oncology
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    • v.6 no.1
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    • pp.40-45
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    • 1990
  • Thirty five lesions of 35 patients with locally advanced malignant tumors of head and neck were received thermoradiotherapy with ultrasound and/or 915 MHz microwave. Most of all patients were failed with previous conventional therapeutic trial. Hyperthermia had been done immediately after radiotherapy, twice a week, $43^{\circ}C$ for one hour and radiotherapy had been done 5 fractions per week with a fraction size of 2 Gy up to total 30 to 60 Gy. Conclusions are as follows; 1) Total response rate (CR+PR) of thermoradiotherapy with microwave and ultrasound was 80%. 2) Tumor depth, minimum temperature of tumor center, number of heat fraction and irradiation dose were statistically significant factors affecting response. 3) Hyperthermia with microwave and ultrasound can be used efficiently to control locally advanced malignant tumors in head and neck whether previously received near tolerance dose of radiotherapy or not.

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Radiation Therapy of Primary Carcinoma of the Vagina (원발성 질암의 방사선치료)

  • Huh, Seung-Jae;Shin, Kyung-Hwan;Ahn, Yong-Chan;Ha, Sung-Whan;Park, Charn-Il
    • Radiation Oncology Journal
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    • v.13 no.1
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    • pp.63-67
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    • 1995
  • A retrospective study was carried out of 20 patients with histologically proven invasive carcinoma of the vagina from 1979 to 1993; 17 cases with curative primary radiotherapy and three cases with postoperative radiotherapy. The five and ten year overall survival rates were $79\%$ and $53\%$, respectively. Survival was strongly correlated with stage. Five year survival rates of stage I, stage II, and stage III, IV were $100\%$, $78\%$, and $0\%$, respectively. Eight patients experienced recurrences: five within the irradiated volume, two distant metastasis, and one combined both local and distant metastasis. There was no significant late complication. From these data, radiation is effective in the management of the vaginal cancer patients and optimum treatment modality and total dose recommendation are made.

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Clinical Applications of Microwave and Ultrasound in Hyperthermia: Preliminary Results (극초단파와 초음파온열치료에 의한 각종암의 임상치료)

  • Koh Kyoung Hwan;Park Young Hwan;Cho Chul Koo;Yoo Seong Yul
    • Radiation Oncology Journal
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    • v.6 no.1
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    • pp.75-80
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    • 1988
  • Twenty seven lesions of 25 patients with locally advanced malignant tumors were treated with combined hyperthermia introduced by microwave and ultrasound and radiotherapy. Most of all patients were failed with previous conventional therapeutic trial. Hyperthermia had been done immediately after radiotherapy, twice a week, $43^{\circ}C$ for one hour and radiotherapy had been done 5 fractions per week with fraction size of 2Gy upto 30 to 60Gy. Conclusions are as follows. 1. Total response rate (PR+PR) to thermoradiotherapy with microwave and ultrasound was $81\%$. 2. Tumor depth, minimum temperature of tumor center, number of heat fraction and radiation dose were statistically significant factors affecting response. 3. Hyperthermia with microwave and ultrasound can be used efficiently to control locally advanced malignant disease whether previously received near tolerance dose of radiotherapy or not.

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Tumor Interstitial Fluid Pressure in Patients with Head and Neck Cancer (두경부 악성 종양 조직내 간질액 압력)

  • Cho Moon-June;Kim Jae-Sung;Lee In-Tae;Kim Jun-Sang;Jang Ji-Young;Kim Ki-Hwan
    • Korean Journal of Head & Neck Oncology
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    • v.16 no.1
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    • pp.9-13
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    • 2000
  • Objectives: To determine the tumor interstitial fluid pressure(TIFP) in patients with head and neck cancerand predict radiotherapy outcome.Materials and Methods: In 12 biopsy proven primary head and neck cancer patients with accessible by direct inspection and palpation, and of sufficient thickness(>1cm) to permit accurate needle placement, we measured TIFP at cervical lymph node before and during radiotherapy using a modified wick-in-needle technique. Tumor size was measured clinically and radiologically. Results: The mean preradiotherapy TIFP was 23.4mmHg. Preradiotherapy TIFP had significant relationship with tumor size(p=0.0009). Preradiotherapy TIFP was not different between complete response group and partial or less response group(p=0.114). Radiotherapy outcome was not different between group with above and group with below average TIFP(p=0.09). Conclusion: The mean TIFP was elevated with 23.4mmHg before radiation therapy. Preradiotherapy TIFP had significant relationship with tumor size. It is not definitive that TIFP could be prognostic indicator of radiation response.

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Determination of the Phantom Scatter Factor ($S_P\;Factor$) using a small Block in the Phantom (작은 블럭을 이용한 판톰 내에서의 판톰 산란 인자(Sp Factor)측정법)

  • Yi Byong Yong;Hong Seok Min;Kim Jae Sung;Choi Eun Kyung;Chang Hyesook;Lee Myung Za;Chun Ha Chung
    • Radiation Oncology Journal
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    • v.10 no.1
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    • pp.121-123
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    • 1992
  • New measurement method for $S_{p}$ factors (Phantom Scatter Factors) is presented. The theoretical development of the approach is disscused showing that $S_{p}$ factors can be obtained from three measurements of ionnization in a blocked, reference field and open field. This method has been tested using $^{60}Co$ gamma rays. The results were within 1% deviation between the theory and the experiment for the $S_{p}$ factor. The new method does not need air measurement, and we could could determine the $S_P$ factors with a small piece of block

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Radiation Therapy of Pituitary Tumors (뇌하수체 선종의 방사선 치료 결과)

  • Park, Moon-Baik;Hong, Seong-Eong
    • Radiation Oncology Journal
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    • v.7 no.2
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    • pp.185-188
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    • 1989
  • Radiation treatment results were analyzed in a retrospective analysis of 47 patients with pituitary adenoma treated with radiation alone or combined with surgery from 1974 through 1987 at the Department of Therapeutic Radiology of Kyung Hee University. The 5-year overall survival rates for all patients was $80.4\%$ Radiation therapy was effective for improving visual symptoms and headache, but could not normalize amenorrhea and galactorrhea. There was no difference of survival rate between radiation alone and combination with surgery. Prognostic factors such as age, sex, disease type, visual field, headache and surgical treatment were statistically no significant in survival rates of these patients.

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Dose Characteristics of Small Radiation Fields for 6MV X-ray of Linear Accelerator (선형가속기의 6MV X선에 대한 소형조사면의 선량측정)

  • Choi, Tae-Jin;Kim, Ok-Bae;Kim, Young-Hoon;Son, Eun-Ik;Kim, In-Hong
    • Radiation Oncology Journal
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    • v.7 no.2
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    • pp.287-291
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    • 1989
  • Radiation dosimetry has been extended to small fields less than $4\times4cm^2$ which may be suitable for irradiation of small intracranial tumors. Special consideration was given to the percentage depth dose and scatter correction factors with 0.14ml ion chamber, film dosimetry and TLD measurement. Calculated dose distributions were compared with measured data.

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Neutron Therapy of Unresectable and Recurrent Rectal Cancer (수술불능 및 재발성 직장암에 대한 중성자선 치료)

  • Yoo Seong Yul;Koh Kyoung Hwan;Cho Chul Koo;Park Woo Yun;Yun Hyong Geun;Shim Jae Won
    • Radiation Oncology Journal
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    • v.11 no.1
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    • pp.127-132
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    • 1993
  • Total of 53 patients of unresectable and recurrent rectal cancer treated with neutron beam during the period from Oct.1987 to Apr.1992 were analyzed. Dose fractionation for the neutron only group was 1.5 Gy per fraction,3 fraction per week,21 Gy/41/2 wks for 42 patients out of 53 ($76{\%}$). Neutron only but modified fractionation schedule ($10{\%}$ more or less of total dose) was applied for 9 patients, and mixed beam (neutron boost) was for 4 patients, Complete tumor response was obtained in 40 patients ($76{\%}$, response rate). Local control rate was 28 out of 53 ($53{\%}$). Statistically significant better prognostic factors for local control were age below 49 years old (15/22, $68{\%}$) than above 50 years old (13/31, $42{\%}$), male (20/32, $63{\%}$) than female (8/21, $38{\%}$), tumor size less than 5 cm and non-metastatic (16/24, $67{\%}$) than size more than 5 cm or metastatic (12/29, $41{\%}$). Major complication had developed in 7 patients ($13{\%}$). Two year overall survival rate by Kaplan-Meier method was $30{\%}$, but it was rised to, $47{\%}$ when the turner was less than 5 cm non-metastatic.

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