• 제목/요약/키워드: Korean Oncology

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The Feasibility Study on the Monte Carlo Based RTP Commissioning

  • Kang, Sei-Kwon;Cho, Byung-Chul;Park, Suk-Won;Oh, Do-Hoon;Park, Hee-Chul;Bae, Hoon-Sik
    • 한국의학물리학회:학술대회논문집
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    • 한국의학물리학회 2004년도 제29회 추계학술대회 발표논문집
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    • pp.43-46
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    • 2004
  • The commissioning of a treatment planning system of model-based dose calculation algorithm requires a lot of parameters to be selected to fit measured data, in which process physical insights for the parameters are often forgotten. We present the photon beam commissioning of Pinnacle$^3$ with the help of Monte Carlo (MC) simulation and evaluate the parameters Pinnacle$^3$ demands. Even though the MC calculation produces reasonable values for the commissioning, the thorough physical basis of the Pinnacles$^3$'s commissioning process is needed to use the MC derived parameters directly.

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통합 종양학 시술 지침 (Integrative Oncology Practice Guidelines)

  • 유원승;이종훈;이연월;조종관;유화승
    • 대한암한의학회지
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    • 제12권1호
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    • pp.37-65
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    • 2007
  • The Society for Integrative Oncology (SIO) is an international organization established to encourage scientific evaluation, dissemination of evidence-based information, and appropriate clinical integration of complementary therapies (http://www.Integrativeonc.org.). Practice Guidelines were developed by the authors listed below and by the Executive Committee of the Society for Integrative Oncology, which approved this document. Guidelines are a work in progress; they will be updated as needed and are available on the SIO Web site as well: www.IntegrativeOnc.org.

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두경부종양 환자에서 경부림프절 전이의 분포에 관한 고찰 (Distribution of Neck Node Metastasis in Head and Neck Cancer)

  • 신현수;금기창;김귀언;서창옥
    • 대한두경부종양학회지
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    • 제15권1호
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    • pp.9-17
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    • 1999
  • Objectives: The records of 936 patients with previously untreated carcinoma of the head and neck were reviewed in order to define the incidence and topographical distribution of neck node metastasis on admission. Materials and Methods: The common regions of metastasis are presented for each of the 12th individual head and neck sites selected for study. Results and Conclusion: Knowledge of the preferred areas of spread and those that are almost never involved allows the design of more adequate radiation therapy plans to manage the individual tumors.

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The impact of continuous positive airway pressure on radiation dose to heart and lung during left-sided postmastectomy radiotherapy when deep inspiration breath hold technique is not applicable: a case report

  • Kil, Whoon Jong;Pham, Tabitha;Hossain, Sabbir;Casaigne, Juan;Jones, Kellie;Khalil, Mohammad
    • Radiation Oncology Journal
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    • 제36권1호
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    • pp.79-84
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    • 2018
  • Deep inspiration breathing hold (DIBH) compared to free-breathing (FB) during radiotherapy (RT) has significantly decreased radiation dose to heart and has been one of the techniques adopted for patients with breast cancer. However, patients who are unable to make suitable deep inspiration breath may not be eligible for DIBH, yet still need to spare the heart and lung during breast cancer RT (left-sided RT in particular). Continuous positive airway pressure (CPAP) is a positive airway pressure ventilator, which keeps the airways continuously open and subsequently inflates the thorax resembling thoracic changes from DIBH. In this report, authors applied CPAP instead of FB during left-sided breast cancer RT including internal mammary node in a patient who was unable to tolerate DIBH, and substantially decreased radiation dose the heart and lung with CPAP compared to FB.

Sinonasal teratocarcinosarcoma treated with surgery followed by volumetric modulated radiotherapy: a case report with review of literature

  • Tandon, Sarthak;Gairola, Munish;Ahlawat, Parveen;Sharma, Kanika;Barik, Soumitra;Sachdeva, Nishtha;Pasricha, Sunil;Shenoy, Apeksha
    • Radiation Oncology Journal
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    • 제36권4호
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    • pp.341-347
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    • 2018
  • Surgical excision along with use of postoperative radiotherapy forms an integral management of sinonasal teratocarcinosarcoma (SNTCS). However, given the rarity of the tumor, no standardised guidelines, dose, technique and target delineation exist especially in the era of modern radiation delivery techniques. This is a case of 55-year-old male diagnosed as SNTCS treated with radical ethmoidectomy followed by volumetric modulated radiotherapy, showing good local control and acceptable toxicity profile.

자궁경부암에서 대동맥 임파절 전이의 치료 (Radiotherapy of Para-Aortic Node Metastases in Carcinoma of the Uterine Cervix)

  • 이종영;서창옥;성진실;김귀언;노준규
    • Radiation Oncology Journal
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    • 제7권2호
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    • pp.259-267
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    • 1989
  • Forty one patients with para-aortic node metastases from carcinoma of the uterine cervix treated with radiotherapy at Department of Radiation Oncology, Yonsei University, College of Medicine from January 1982 to December 1987 were retrospectively analyzed. Eleven patients were diagnosed at the time of diagnosis of carcinoma of the cervix (early diagnosis) and 30 patients were diagnosed during follow up period after definitive radiotherapy of primary site (late diagnosis). The most important factors affecting the survival in this study were time of diagnosis and dose of irradiation. Overall 5 year actuarial survival rate of 41 patients was $25.7\%$. Five year survival rate for early diagnosis was $60.3\%$, but late diagnosis was $16.9\%$. And survival rate for high dose (over 4000 cGy) radiation group and low dose radiation group were $42.2\%\;and\;8.9\%$ respectively The most leading cause of death was para-aortic node failure, so early diagnosis and maximum palliation with full dose radiotherapy (over 4000 cGy) is necessary to improve the survival and the quality of life.

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Stereotactic radiosurgery for brain metastasis in non-small cell lung cancer

  • Won, Yong Kyun;Lee, Ja Young;Kang, Young Nam;Jang, Ji Sun;Kang, Jin-Hyoung;Jung, So-Lyoung;Sung, Soo Yoon;Jo, In Young;Park, Hee Hyun;Lee, Dong-Soo;Chang, Ji Hyun;Lee, Yun Hee;Kim, Yeon-Sil
    • Radiation Oncology Journal
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    • 제33권3호
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    • pp.207-216
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    • 2015
  • Purpose: Stereotactic radiosurgery (SRS) has been introduced for small-sized single and oligo-metastases in the brain. The aim of this study is to assess treatment outcome, efficacy, and prognostic variables associated with survival and intracranial recurrence. Materials and Methods: This study retrospectively reviewed 123 targets in 64 patients with non-small cell lung cancer (NSCLC) treated with SRS between January 2006 and December 2012. Treatment responses were evaluated using magnetic resonance imaging. Overall survival (OS) and intracranial progression-free survival (IPFS) were determined. Results: The median follow-up was 13.9 months. The median OS and IPFS were 14.1 and 8.9 months, respectively. Fifty-seven patients died during the follow-up period. The 5-year local control rate was achieved in 85% of 108 evaluated targets. The 1- and 2-year OS rates were 55% and 28%, respectively. On univariate analysis, primary disease control (p < 0.001), the Eastern Cooperative Oncology Group (ECOG) performance status (0-1 vs. 2; p = 0.002), recursive partitioning analysis class (1 vs. 2; p = 0.001), and age (<65 vs. ${\geq}65$ years; p = 0.036) were significant predictive factors for OS. Primary disease control (p = 0.041) and ECOG status (p = 0.017) were the significant prognostic factors for IPFS. Four patients experienced radiation necrosis. Conclusion: SRS is a safe and effective local treatment for brain metastases in patients with NSCLC. Uncontrolled primary lung disease and ECOG status were significant predictors of OS and intracranial failure. SRS might be a tailored treatment option along with careful follow-up of the intracranial and primary lung disease status.