• 제목/요약/키워드: Local irradiation

검색결과 235건 처리시간 0.03초

방사선 치료에 내성이 유도된 두경부 편평세포암에 대한 종양살상 헤르페스 바이러스의 유전자 치료 효과 (Therapeutic Effect of Oncolytic Herpes Simplex Virus on Induced Radioresistant Head and Neck Squamous Cell Carcinoma)

  • 김세헌;최은창;이진석;천제영;변형권;송기재;김광문
    • 대한두경부종양학회지
    • /
    • 제22권2호
    • /
    • pp.130-136
    • /
    • 2006
  • Introduction : The sensitivity of tumor cells to radiotherapy is a critical determinant of local control and potential cure in advanced head and neck squamous cell carcinoma(HNSCC). The emergence of radioresistant tumor cells is an obstacle to cancer therapy. Most radioresistant cells have a higher proportion of cells in the Sphase of the cell cycle and a lower apoptotic fraction than radiosensitive cells. HSV replication is increased in cells that have higher S-phase fractions. NV1066 is an oncolytic herpes simplex virus type-1 mutant. We hypothesized that NV1066 replication and cytotoxicity are increased in radioresistant cells. The purpose of this study is to evaluate the antitumor efficacy of NV1066 to treat radioresistant HNSCC. Methods : Radioresistant cells were selected by treating five HNSCC cell lines with repeated conventional fractionated doses of radiation(2Gy/day), using a Cs-137 irradiator, up to a cumulative dose of 70Gy. Clonogenic cell survival and S-phase fractions were compared between radioresistant and parental radiosensitive cells. The two cell populations were then treated with NV1066 to examine viral replication, by the viral plaque assay and viral cytotoxicity. Results : Fractionated irradiation resulted in the selection of radioresistant cells. Radioresistant cells had a higher S-phase fraction(42.9%) compared to parental cells(26.2%). NV1066 replication in radioresistant cells was 7.4 times higher than in parental cells(p<0.01). Treatment with NV1066 resulted in increased cytotoxicity of 24.5% in radioresistant cells compared to parental cells(p<0.05). Conclusion : NV1066 showed increased viral replication and cytotoxicity in radioresistant HNSCC cell lines. These findings suggest a potential clinical application for this oncolytic viral therapy as treatment for radioresistant head and neck cancers.

새로운 내부 방사선 치료용 $^{166}Ho$-Chitosan 착물 및 그 응집입자의 제조에 관한 연구 (Study on the Preparations of New $^{166}Ho$-Chitosan Complex and Its Macroaggregates for a Potential Use of Internal Radiotherapy)

  • 박경배;김영미;신병철;김재록
    • 대한핵의학회지
    • /
    • 제30권3호
    • /
    • pp.351-360
    • /
    • 1996
  • 새로운 내부 방사선 치료용(Internal radiotherapy) $^{166}Ho$-CHICO와 CHIMA를 개발하고자 한다. $^{166}Ho$-CHICO 형성에 pH, 반응시간, chitosan 농도, $^{166}Ho$의 양 등의 영향을 실험하고, 형성된 $^{166}Ho$-CHICO로부터 $^{166}Ho$-CHIMA를 제조하여 $^{166}Ho$-CHICO와 CHIMA의 체내외 안정성 검사 등의 실험을 수행하였다. $^{166}Ho$-CHICO 형성시 최적의 조건은 pH 3.0에서 0.75% 이상의 chitosan 용액과, chitosan 무게에 대해 최대 20%까지는 $^{166}Ho$이 정량적으로 착물을 형성하였고, $^{166}Ho$-CHICO를 알칼리 처리하여 $^{166}Ho$ CHIMA를 제조하였다. 그리고 $^{166}Ho$-CHICO와 CHIMA는 체내외에서 매우 안정하였다. $^{166}Ho$-CHICO와 CHIMA는 매우 이상적인 carrier로서의 특성을 지닌 천연의 chitosan에 $^{166}Ho$을 쉽게 정량적으로 표지할 수 있고, 높은 체내외 안정성으로 미루어보아 내부 방사선 치료용 제제로서의 이용 가능성이 매우 높으며, 앞으로 충분한 동물실험을 거치면 신규 내부 방사선 치료제로서 새로운 장을 열 수 있을 것이다.

  • PDF

비인강암의 예후인자가 생존율에 미치는 영향 (Nasopharyngeal Carcinoma : Correlations with Prognostic Factors and Survival)

  • 박찬일;박우윤;김종선
    • Radiation Oncology Journal
    • /
    • 제7권1호
    • /
    • pp.29-36
    • /
    • 1989
  • 1979년부터 1985년까지 서울대학교병원 치료방사선과에서 비인강암으로 확진되어 방사선치료를 시행한 총 환자는 110명이었다. 이중 진단시 원격전이된 5명과, 근치 방사선량을 받지 못한 16명을 제외한 89명의 치료성적을 분석하였다. 생존 환자의 최소 추적기간은 36개월이었다. 전체 환자의 $43\%$가 T4병변, $72\%$가 제 4병기이었으며, 편평상피암이 $40\%$, 미분화암이 $47\%$이었고 임파상피암은 $5\%$이었다. T1, T2의 초기병변과 경부 임피절 전이는 6,500cGy의 선량으로 대부분이 근치되었다. 추적기간 중 재발된 환자는 42명, $(47\%)$으로, 이중 16명 $(38\%)$은 국소재발, 24명 $(57\%)$은 원격전이를 일으켰다. 국소재발된 예중 9명에게 재치료를 시행하여 이중 2명에서 장기 생존이 관찰되고 있다. 전체 환자의 5년 생존율 $42\%$, 무병생존율은 $38\%$이었다. T-병기와 조직학적 아형은 생존율에 무관하나, N-병기는 생존율에 유의한 상관관계가 있음이 증명되었다.

  • PDF

골종양 절제후 방사선 조사한 자가골을 이용한 재건술 (Reconstruction with Extracorporeally Radiated Autogenous Bone Graft After Wide Resection of Bone Tumors)

  • 이종석;전대근;김석준;이수용;양현석
    • 대한골관절종양학회지
    • /
    • 제3권1호
    • /
    • pp.32-38
    • /
    • 1997
  • PURPOSE : For the reconstruction of large bone defect after tumor resection, it is possible to reuse the bone involved by tumor with some treatment to it. Several bone-reusing methods have been reported such as autoclaving, low-heat treatment(pasteurization) and intraoperative radiotherapy. We have used extracorporeally radiated autogenous bone graft for reconstruction after tumor resection, and analyzed the periods for junctional union, functional results and complications to know the indications of this method. METHODS : From Dec. 1993 to Sept. 1995, nine patients had taken autogenous bone graft with extracorporeal irradiation. Eight cases were osteosarcoma and 1 giant cell tumor. The graft sites were 5 in femur, 3 proximal tibia and 1 femur and tibia. Stage 3 was 1 case(GCT), Stage IIB 3 and Stage IIIB 5. After wide resection, surrounding soft tissue and intramedullary and extramedullary portion of the tumor were removed. Radiation was done in 5000cGy to the resected bone. Ender nails and bone cement were inserted and filled into the medulla to prevent fracture. RESULTS : Average follow-up period was 12.3(4 to 21) months. Average junctional union period in simple X-ray was 6.5 months in 4 cases. Average functional score following Enneking's criteria was 19(12-27). Complications were as follows ; condylar fractures and femur neck fracture in 4 cases, subluxation of the knee joint 3 and infection 1. Although local recurrence was detected in 1 case, the site of recurrence was not in the radiated bone but surrounding soft tissue. At final follow-up, no recurrence was found in one case(GCT), CDF 2, AWD 2, DOD 3, and died of chemotherapy related sepsis 1. CONCLUSIONS : Extracorporeally radiated bone autograft is considered to be a method for reconstruction of the large bone defect made by tumor resection, especially in the reconstruction around the joint.

  • PDF

Determination of Optimal Storage Condition for Pre-packed Hanwoo Loin

  • Seol, Kuk-Hwan;Park, Tu San;Oh, Mi-Hwa;Park, Beom-Young;Cho, Seong In;Lee, Mooha
    • 한국축산식품학회지
    • /
    • 제33권3호
    • /
    • pp.390-394
    • /
    • 2013
  • The aim of this study was to determine the optimal storage condition of pre-packed Hanwoo beef without freezing. Hanwoo loin was purchased from a local distributor at 48 h after slaughter, then sliced in $1.5{\pm}0.5$ cm thickness, and packed in a polyethylene (PE) tray covered with linear low-density polyethylene (LLDPE) film. The studied factors to set the optimal storage condition were chamber temperature (5, 2.5 and $-1^{\circ}C$ for 14 d), cooling method (direct and indirect cooling system), and ultraviolet (UV) light irradiation for beef surface sterilization (0, 30, 60, and 120 min). The changes of pH, thiobarbituric acid reactive substances (TBARS) and number of aerobic bacteria were measured during storage. Beef samples stored in $-1^{\circ}C$ showed the minimal increasing rate in TBARS and microbial growth. After 15 d of storage, there was no significant difference in pH and TBARS values. However, the microbial population of beef stored in direct type cooling chamber ($4.25{\pm}0.66$ Log CFU/g) was significantly lower than that of beef stored in indirect type chamber ($6.47{\pm}0.08$ Log CFU/g) (p<0.05). After 4 d of storage, 60 or 120 min UV light irradiated beef samples showed significantly lower microbial population, and at 14 d of storage, 60 min UV irradiated beef sample showed significantly lower microbial population ($3.14{\pm}0.43$ Log CFU/g) than control ($4.46{\pm}0.13$ Log CFU/g) (p<0.05). However, TBARS values of 60 or 120 min UV light irradiated beef samples were significantly higher than non-irradiated beef sample after 4 d of storage (p<0.05).

치료 계획용 전산화 단층촬영이 방사선 치료계획에 미치는 효과 (The Effect of Therapy Oriented CT in Radiation Therapy Planning)

  • 김성규;신세원;김명세
    • Radiation Oncology Journal
    • /
    • 제5권2호
    • /
    • pp.149-155
    • /
    • 1987
  • 전산화 단층촬영 (CT)은 진단 분야 뿐 아니라 방사선 치료 계획 및 치료효과의 추적 등 치료분야에 까지 광범위하게 사용되고 있다. 그러나 환자의 체위가 치료시와는 다름으로 얻어진 영상이 치료시의 영상과는 차이가 있으며, 삼차원적인 치료면적의 계산이 곤란할 뿐 아니라 조영제를 사용함으로 생길 수 있는 선량계산의 오라 및 정확한 조사야가 표현되지 많음으로 병소 및 중요 정상장기의 선량 측정이 정확하지 못한점 등의 단점이 없다. 저자들은 1986년 5월 1일부터 1987린 4월 30일까지 영남대학병원 치료방사선과에서 치료받은 총 365명의 환자 중 일반 CT의 단점을 보완한 치료용 CT와 종래의 simulation을 병행한 106명의 치료계획을 비교 분석하여 다음과 같은 결과를 얻었다. 치료용 CT후 두경부 암 환자의 $47\%$, 흉부암 환자의 $79\%$, 복부암 환자의 $63\%$에서 치료계획의 변경이 있어 치료용 CT가 두경부암, 흉부암, 복부암에서 거의 철수적임을 시사하였다. 그러나 직장암, 자궁경부암에서는 추가치료의 조사야의 측정 및 선량계산 이외의 전예에서 치료계획의 변경이 없었다. 선량분포의 비교측정에서는 윤곽만을 사용한 종래의 선량계산이 CT를 사용한 경우에 비해서 두경부암에서는 평균 $20\%$, 흉부암, 복부암에서는 약 $10\%$의 차이를 보여 전례에서 CT보다 과측정 되었음을 보여 종래의 윤곽만을 사용한 치료계획시의 저선량 조사에 대한 보정이 필요함을 시사하였다.

  • PDF

Comparative analysis of two methods of laser induced boron isotopes separation

  • K.A., Lyakhov;Lee, H.J.
    • 한국진공학회:학술대회논문집
    • /
    • 한국진공학회 2011년도 제40회 동계학술대회 초록집
    • /
    • pp.407-408
    • /
    • 2011
  • Natural boron consists of two stable isotopes 10B and 11B with natural abundance of 18.8 atom percent of 10B and 81.2 atom percent of 11B. The thermal neutron absorption cross-section for 10B and 11B are 3837 barn and 0.005 barn respectively. 10B enriched specific compounds are used for control rods and as a reactor coolant additives. In this work 2 methods for boron enrichment were analysed: 1) Gas irradiation in static conditions. Dissociation occurs due to multiphoton absorption by specific isotopes in appropriately tuned laser field. IR shifted laser pulses are usually used in combination with increasing the laser intensity also improves selectivity up to some degree. In order to prevent recombination of dissociated molecules BCl3 is mixed with H2S 2) SILARC method. Advantages of this method: a) Gas cooling is helpful to split and shrink boron isotopes absorption bands. In order to achieve better selectivity BCl3 gas has to be substantially rarefied (~0.01%-5%) in mixture with carrier gas. b) Laser intensity is lower than in the first method. Some preliminary calculations of dissociation and recombination with carrier gas molecules energetics for both methods will be demonstrated Boron separation in SILARC method can be represented as multistage process: 1) Mixture of BCl3 with carrier gas is putted in reservoir 2) Gas overcooling due to expansion through Laval nozzle 3) IR multiphoton absorption by gas irradiated by specifically tuned laser field with subsequent gradual gas condensation in outlet chamber It is planned to develop software which includes these stages. This software will rely on the following available software based on quantum molecular dynamics in external quantized field: 1) WavePacket: Each particle is treated semiclassicaly based on Wigner transform method 2) Turbomole: It is based on local density methods like density of functional methods (DFT) and its improvement- coupled clusters approach (CC) to take into account quantum correlation. These models will be used to extract information concerning kinetic coefficients, and their dependence on applied external field. Information on radiative corrections to equation of state induced by laser field which take into account possible phase transition (or crossover?) can be also revealed. This mixed phase equation of state with quantum corrections will be further used in hydrodynamical simulations. Moreover results of these hydrodynamical simulations can be compared with results of CFD calculations. The first reasonable question to ask before starting the CFD simulations is whether turbulent effects are significant or not, and how to model turbulence? The questions of laser beam parameters and outlet chamber geometry which are most optimal to make all gas volume irradiated is also discussed. Relationship between enrichment factor and stagnation pressure and temperature based on experimental data is also reported.

  • PDF

방사선치료 조사영역 내에 발생한 설암 환자에서 입체조형방사선치료 경험 : 증례보고 (Conformal Radiotherapy in a Patient with Cancer at the base of the Tongue in a Previously Irradiated Area)

  • 조문준;김기환;김병국;송창준;김준상;김재성;장지영
    • 대한두경부종양학회지
    • /
    • 제17권1호
    • /
    • pp.59-62
    • /
    • 2001
  • Objectives: We report an interim result of conformal radiotherapy in a patient with early stage cancer at the base of the tongue, which developed in a previously irradiated area. Materials and Methods: A 64-year-old male patient was diagnosed with T4N0M0 supraglottic cancer. He received 72Gy of radiation therapy from 21 November 1988 to 24 February 1989. He had local failure and underwent a salvage total laryngectomy on 28 August 1989. Subsequently, he did well. In early 1999, he suffered from throat pain. He had a 2.5cm ulcerative mass at the base of his tongue, in the area that had been irradiated previously. Biopsy showed squamous cell carcinoma. After workup, he was diagnosed with base of tongue cancer with T2N0M0. Surgery was not feasible because the morbidity was not acceptable. Since it was difficult to re-irradiate the area with a curable dose using conventional 2D radiation therapy with an acceptable morbidity, we decided to try conformal radiotherapy. We used 7 static beam ports with field sizes from $7x6.4\;to\;8x8cm^2$, using 6 and 10MV photons. The fractionation regimen was 1.8Gy, 5 times per week. He received 64.8Gy in 36 fractions from 9 April 1999 to 1 June 1999. Results: In the 21 months since radiotherapy, the patient has not experienced any acute or chronic complications, such as xerostomia. He experienced relief of pain shortly after the start of radiotherapy, showed a complete response, and is still doing well. Conclusion: Conformal radiotherapy can be used to treat cancer that develops within a previously irradiated field, with curative intent.

  • PDF

구개측 매복된 상악 견치의 교정적 치험례 (ORTHODONTIC TREATMENT OF THE PALATALLY IMPACTED MAXILLARY CANINE)

  • 감동훈;김정욱;한세현
    • 대한소아치과학회지
    • /
    • 제25권1호
    • /
    • pp.127-133
    • /
    • 1998
  • An impacted tooth is defined pathologically as a tooth that remains under the mucosa of inside bone without eruption of the crown after a specific period of eruption. Clinically, the term includes those teeth, even before eruption period, that are not expected to erupt due to shape, position and alignment of tooth and lack of space. Canine is prone to impaction more than other teeth because it has the longest time to develop and a complex route from the place of formation to the site of eruption. The impaction incidence of maxillary canine is repoted 0.92$\sim$3.3% (Ferguson, 1990). In 1995 Orton reported that the incidence was 0.92$\sim$2.2% and palatal impaction was more frequent than labial impaction(85%:15%). In 1969 Johnston presented it was more common to woman than to man(3:1). The etiology includes systemic disease such as endocrine disorder, cleidocranial dysostosis, irradiation, Crouzon syndrome, ricketts, facial hemihypertrophy and hereditary and local problems such as ectopic position of the tooth, distance of tooth from its place of eruption, malformation of the tooth, presence of supernumerary teeth, trauma of tooth germ, infection of tooth germ, displacement of tooth germ or tooth by a neoplasm, ankylosis, overretention of deciduous predecessor, lack of space for the tooth in the dental arch and mucosal barrier due to gingival fibrosis. The maxillary canine is especially important as it has the longest root, provides guidance for lateral movement of the mandible and masticatory function and assumes an important role esthetically as it is located at mouth angle. If left untreated, it may cause migration and external, internal resorption of adjacent teeth, loss of arch length, formation of dentigerous cyst or tumors, infection and referred pain as well as malposition of the tooth. Therefore, periodic examination of the development and eruption of the maxillary canine is especially important in a growing child. This case study presents the results of treatment of palatally impacted maxillary canine utilizing surgical exposure and orthodontic tooth movement on patients visiting SNUDH dept. of pediatric dentistry.

  • PDF

황기 발아 및 생장에 미치는 감마선 조사 효과 (Effect of Gamma Irradiation on the Germination and Growth of Astragalus membranaceus)

  • 김동휘;박희운;박춘근;성정숙;성낙술
    • 한국약용작물학회지
    • /
    • 제16권4호
    • /
    • pp.238-241
    • /
    • 2008
  • 황기는 한국의 중요 약용작물로 한약재 및 식품의 용도로 이용되고 있으며. 재배시 가장 중요한 조건은 병해 및 각종 재해 등에 대한 안정성의 확보이다. 본 연구에서는 황기의 돌연변이 육종체계 확립 및 유용변이체를 육성하기 위한 목적으로, Y-선 처리에 의한 발아, 출현 및 생존율 등에 대한 감수성을 구명하여 각종 병해 및 재해에 안정성을 지닌 돌연변이체를 육성하기 위한 기초자료를 얻고자 하였다. 시험재료로는 포천 재래종을 이용하였고 파종 후 4일째부터의 발아율은 무처리에 비하여 고선량 (300 Gy 이상)에서 유의하게 낮아지는 것으로 나타났으며, 감마선량별 생존율은 무처리 대비 100 Gy 32%, 200Gy 43%, 300 Gy 63%, 400 Gy 이상에서는 72${\sim}$89%로 현저히 감소하였다. 감마선에 민감한 형질은 초장과 분지수였고, 둔감한 형질은 엽폭, 엽장, 엽수의 순으로 나타났으며, 초장, 분지수 및 생존율을 대상으로 한 황기의 생육 및 생존 반감 ($LD_{50}$)에 해당하는 선량은 $200{\sim}300$ Gy로 나타났다. 종합적으로 감마선 처리구의 발아, 생존율 및 생육차이를 감안해 보았을 때 황기 돌연변이 유기를 위한 적정 감마선량은 $200{\sim}300$ Gy로 판단되었다.