• Title/Summary/Keyword: Low dose-rate

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체외수정시술 환자의 과배란유도시 저용량 아스피린 투여의 효용성에 관한 연구 (The Efficacy of Low-dose Aspirin Therapy for Controlled Ovarian Hyperstimulation in IVF-ET)

  • 이은실;이상훈
    • Clinical and Experimental Reproductive Medicine
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    • 제28권3호
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    • pp.225-233
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    • 2001
  • Objective : To evaluate the efficacy of low-dose aspirin on IVF outcome and endometrium in patients undergoing IVF-ET. Materials and Methods : From February, 2001 to Jun, 2001, 60 infertile patients were randomly divided into study group (28 cycles) and control group (32 cycles). The study group received a daily oral dose of 25 mg of aspirin for at least 2 weeks from first visiting day. Controlled ovarian hyperstimulation was initiated in all patients with the GnRH agonist starting in the midluteal phase of the previous cycle. Results: There were no significant differences in age of the patients, basal serum E2, LH, FSH level and endometrial thickness among two groups. There were no statistically significant differences between the study group and the control group respectively in dosage ($26.5{\pm}4.8$ vs $26.2{\pm}5.3$ amples) and duration ($10.4{\pm}4.2$ vs $9.8{\pm}5.3$ days) of gonadotropin administration, serum E2 level on the hCG administration day ($1823{\pm}342$ vs $1854{\pm}543$), LH ($14.5{\pm}2.7$ vs $14.8{\pm}3.1$), FSH ($16.7{\pm}3.4$ vs $18.3{\pm}4.7$), the number of follicles > 15 mm ($13.2{\pm}6.3$ vs $12.8{\pm}5.9$), the number of oocytes retrieved ($9.2{\pm}2.4$ vs $8.4{\pm}1.7$), the number of embryos transferred ($4.7{\pm}2.0$ vs $4.7{\pm}2.0$), fertilization rate (68.4% vs 64.5%), implantation rate (21.3% vs 17.6%), and clinical pregnancy rate (28.4% vs 26.2%). The endometrial thickness and the percentage of endometrial trilaminar pattern on hCG day were significantly higher in study group than control group ($12.9{\pm}3.7mm$ vs $10.4{\pm}2.8mm$, 78.3% vs 64.5%). Conclusion: Many reports suggest that low-dose aspirin improve ovarian response, implantation rate, fertilization rate, implantation rate, and pregnancy rate by increasing the blood flow, but we couldn't prove the significant effect of low-dose aspirin on the IVF outcome except on endometrium. This may be affected by dose of aspirin, duration, and number of patients studied. This trial is small, so our results highlight the need for a large randomized controlled trial to identify the effect of low-dose as pirin on IVF-ET outcome.

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Measurements of low dose rates of gamma-rays using position-sensitive plastic scintillation optical fiber detector

  • Song, Siwon;Kim, Jinhong;Park, Jae Hyung;Kim, Seunghyeon;Lim, Taeseob;Kim, Jin Ho;Kim, Sin;Lee, Bongsoo
    • Nuclear Engineering and Technology
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    • 제54권9호
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    • pp.3398-3402
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    • 2022
  • We fabricated a 15 m long position-sensitive plastic scintillation optical fiber (PSOF) detector consisting of a PSOF, two photomultiplier tubes, four fast amplifiers, and a digitizer. A single PSOF was used as a sensing part to estimate the gamma-ray source position, and 137Cs, an uncollimated solid-disk-type radioactive isotope, was used as a gamma-ray emitter. To improve the sensitivity, accuracy, and measurement time of a PSOF detector compared to those of previous studies, the performance of the amplifier was optimized, and the digital signal processing (DSP) was newly designed in this study. Moreover, we could measure very low dose rates of gamma-rays with high sensitivity and accuracy in a very short time using our proposed PSOF detector. The results of this study indicate that it is possible to accurately and quickly locate the position of a very low dose rate gamma-ray source in a wide range of contaminated areas using the proposed position-sensitive PSOF detector.

묵은 채소 종자의 발아와 생육 및 효소활성에 미치는 $\gamma$선의 영향 (Effects of Gamma Radiation on the Germination, Growth and Enzyme (peroxidase and catalase) Activities of Old Vegetable Seed)

  • 김재성;백명화;김동희;이영근;정규회
    • 환경생물
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    • 제19권3호
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    • pp.205-210
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    • 2001
  • 묵은 배추와 무 종자에 저선량 ${\gamma}$선을 조사하여 종자발아율과 발아유식물의 효소활성 변화를 조사하였다. 발아율은 대조구에 비해 저선량 조사구에서 증가하는 경향을 보였는데 특히 발아초기단계에 효과가 뚜렷하게 나타났으며 배추는 2 Gy와 8 Gy조사구에서 4-ll % 정도, 무는 2 Gy, 6 Gy, 10 Gy 조사구에서 25-41% 정도 증가하였다. 저선량 ${\gamma}$선이 조사된 배추와 무의 유묘초장도 저선량 조사구에서 증가하였는데 특히 배추의 경우는 4 Gy와 l0 Gy 조사구에서, 무는 6 Gy 조사구에서 뚜렷한 증가효과를 보였다. 저선량 조사구의 단백질 함량은 발아초기단계에 대조구에 비해 증가하였으며 POD와 CAT 활성은 4 Gy와 l0 Gy 조사구에서 증가하였다. 이에 저선량 $\gamma$선에 의해 묵은 종자의 발아와 효소활성이 촉진됨을 확인할 수 있었다.

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방사선(放射線) 조사(照射) 중(中) 절연유(絶緣油)의 유기전류(誘起電流)에 관한 연구(硏究) (A Study on Radition-Induced Current in Insulating Oil during X-ray Irradiation)

  • 김영일;이덕출;정연택
    • 대한방사선기술학회지:방사선기술과학
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    • 제11권1호
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    • pp.33-41
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    • 1988
  • This study was measured the radiation-induced current - X-ray dose, dose rate, X-ray quality, time, temperature, electric field characteristics and the dependence of gap length in insulating oil under of D.C. Voltage before, during and after X-ray irradiation. The obtained results can be summarized as following. 1. The radiation - induced current is more the dependence of X-ray quality (tube voltage) than quantity (tube current), the dependence of quantity is appeared at the high than low X-.ay tube voltage. 2. The dependence of dose rate is appeared at the more dose rate, and ${\triangle}\;=\;0.64{\sim}0.74$. 3. The higher temperature of insulating oil and X-ray tube voltage (X-ray quality) is increased, at the low electric field, the more radiation-induced current. 4. $G_{eq}-G_{o}(={\triangle}G)$ is increased at the low than high temperature, high than low X-ray quality. 5. The dependence of temperature is appeared before than during X-ray irradiation. 6. The RIC saturation region is appeared at the high than low insulating oil temperature during (1000 V/cm above) than before (4000 V/cm above) X-ray irradiation.

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

  • 조영갑
    • Radiation Oncology Journal
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    • 제14권2호
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    • pp.123-128
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    • 1996
  • 목적 : 악성 종양으로 인해 기도 폐쇄가 온 환자들을 저선량 및 고선량으로 내기관지 근접 치료하였을 경우의 대중치료 효과, 생존율 및 병발증을 비교 검토한다. 대상 및 방법 : 1988년 10월부터 1992년 6월까지 저선량 방법으로 21명, 1992년 8월부터 1994년 4월까지 고선량 방법으로 22명, 총 43명의 환자들에게 내기관지 근접치료를 시행하였다. 총 91회의 치료시, 모두 Fluorocopy하에서 굴절성 Fiberoptlc 내시경을 이용하였으며, 저선량 방법의 21회는 15-30 Gy를 0.75 cm 원경에, 고선량 방법의 64회는 5-7.5 Gy를 Ir-192 선원으로부터 1 Cm 원경에 각각 투사하였다. 결과 : 주관적 및 객관적 치료효과의 분석은 임상재진시 나타난 환자의 증상, 흥부 방사선 사진 및 흥부 단층촬영의 결과로 이루어졌다. 저산량으로 치료한 21명 중 15명의 환자와 고선량으로 치료한 22명 중 19명의 환자들이 주관적 치료효과가 있었음을 보였고, 8명의 저선량 환자와 10명의 고선량 환자가 흥부 방사선 사진과 단층 촬영상에서 객관적 효과가 있었음을 나타냈다. 결론 : 저선량 및 고선량 방사선에 의해 근접치료의 기술은 비교적 간단하며 환자가 별다른 후유증 없이 치료를 잘 받아 드리는 편이다. 이 치료 방법은 여생이 얼마 남지 않은 말기 폐암환자에게 내기관지 협착 내지는 폐쇄가 왔을 때 기관지의 공기소통을 원활히 증진시켜주는 대증치료 방법 이다.

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자궁 경부암 고선량율 강내조사 치료의 국내 현황과 적정 치료방법 (Current Status of High Dose Rate Brachytherapy in Cervical Cancer in Korea and Optimal Treatment Schedule)

  • 허승재
    • Radiation Oncology Journal
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    • 제16권4호
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    • pp.357-366
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    • 1998
  • Brachytherapy is an essential part of radiotherapy for uterine cervical cancer. The low dose rate (LDR) regimen has been the major technique of intracavitary therapy for cervical cancer. However, there has been an expansion in the last 20 years of high dose rate (HDR) machines using Ir-192 sources. Since 1979, HDR brachytherapy has been used for the treatment of uterine cervical cancer in Korea. The number of institutions employing HDR has been increasing, while the number of low dose rate system has been constant. In 1995, there was a total 27 HDR brachytherapy units installed and 1258 cases of patients with cervical cancer were treated with HDR Most common regimens of HDR brachytherapy are total dose of 30-39 Gy at point A with 10-13 fractions in three fractions per week. 24-32 Gy with 6-8 fractions in two fractions per week, and 30-35 Gy with 6-7 fractions in two fractions per week. The average fractionation regimen of HDR brachytherapy is about 8 fractions of 4.1 Gy each to Point A. In Korea, treatment results for HDR brachytherapy are comparable with the LDR series and appears to be a safe and effective alternative to LDR therapy for the treatment of cervical carcinoma. Studies from the major centers report the five-year survival rate of cervical cancer as. 78-86$\%$ for Stage 1, 68-85$\%$ for stage 11, and 38-56$\%$ for Stage III. World-wide questionnaire study and Japanese questionnaire survey of multiple institutions showed no survival difference in any stages and dose-rate effect ratio (HDR/LDR) was calculated to be 0.54 to 0.58. However the optimum treatment doses and fractionation schemes appropriate to generate clinical results comparable to conventional LDR schemes have yet to be standardized. In conclusion, HDR intracavitary radiotherapy is increasingly practiced in Korea and an effective treatment modality for cervical cancer. To determine the optimum radiotherapy dose and fractionation schedule, a nation-wide prospective study is necessary in Korea. In addition, standardization of HDR application (clinical, computer algorithms, and dosimetric aspects) is necessary.

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Low LET X-ray가 췌장 ${\beta}$ 세포와 신경세포에 미치는 효과 (Effect on Pancreatic Beta Cells and Nerve Cells by Low LET X-ray)

  • 박광훈;김구환
    • 대한방사선기술학회지:방사선기술과학
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    • 제37권1호
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    • pp.21-28
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    • 2014
  • 배양된 췌장베타세포와 신경세포를 10% FBS (fetal bovine serum), 11.1 mM glucose의 normal 조건과 1% FBS, 30 mM glucose의 hyperglycemia 조건으로 배양하고, 저 LET X-선을 0.5 Gy/hr의 선량률로 총 선량이 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5 Gy가 되도록 저 LET 방사선을 조사한 후 MTT assay로 생존율을 측정하고 비교하였다. 분화된 췌장베타세포에 방사선을 조사하지 않았을 때는 normal 조건에 비해 hyperglycemia 조건의 생존율이 경미한 감소를 보였다. 그러나 X선의 총 선량이 점차 누적됨에 따라 normal 조건에서 생존율이 조금씩 감소하는 것에 비해 hyperglycemia 조건에서는 급격히 감소하여 시너지 효과를 나타냈다. 미분화된 신경세포에서는 방사선을 조사하지 않은 때도 normal 조건에 비해 hyperglycemia 조건의 생존율이 뚜렷하게 감소하였다. X선의 총 선량이 점차 누적됨에 따라 normal 과 hyperglycemia 조건 모두에서 비교적 급격한 세포사멸이 나타났지만 그 생존율의 감소비율이 거의 평행하게 진행되어 시너지 효과를 보이지 않았다.

Long-term Outcomes of Gamma Knife Stereotactic Radiosurgery of Vestibular Schwannomas

  • Kim, Kang-Min;Park, Chul-Kee;Chung, Hyun-Tai;Paek, Sun-Ha;Jung, Hee-Won;Kim, Dong-Gyu
    • Journal of Korean Neurosurgical Society
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    • 제42권4호
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    • pp.286-292
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    • 2007
  • Objective : Gamma Knife Stereotactic Radiosurgery (GK SRS) has become an important treatment modality for vestibular schwannomas. We evaluated the tumor control rate, patterns of tumor volume change and preservation of hearing following low-dose radiation for vestibular schwannomas in a homogeneous cohort group in which the mean marginal dose was 12 Gy. Methods : A total of 59 patients were enrolled in this study. All enrolled patients were followed-up for at least 5 years and the radiation dose was 11-13 Gy. Regular MRI, audiometry and clinical evaluations were done and tumor volumes were obtained from MRI using the OSIRIS program. Results : The tumor control rate was 97%. We were able to classify the patterns of change in tumor volume into three categories. Transient increases in tumor volume were detected in 29% of the patients and the maximum transient increase in tumor volume was identified at 6 to 30 months after GK SRS. The transient increases in tumor volume ranged from 121% to 188%. Hearing was preserved in 4 of the 12 patients who had serviceable hearing prior to treatment. There were no other complications associated with GK SRS. Conclusion : Low-dose GK SRS was an effective and safe mode of treatment for vestibular schwannomas in comparison to the previously used high-dose GK SRS. Transient increases in tumor volume can be identified during the follow-up period after low-dose GK SRS for vestibular schwannomas. Physicians should be aware that these increases are not always indicative of treatment failure and that close observation is required following treatments. Unfortunately, a satisfactory hearing preservation rate was not achieved by reducing the radiation dose. It is thought that hearing preservation is a more sophisticated problem and further research is required.

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

  • 김형인;박재형;전유승;강석태
    • 한국진공학회:학술대회논문집
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    • 한국진공학회 2009년도 제38회 동계학술대회 초록집
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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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A LONG-TERM FIELD TEST OF A LARGE VOLUME IONIZATION CHAMBER BASED AREA RADIATION MONITORING SYSTEM DEVELOPED AT KAERI

  • Kim, Han-Soo;Ha, Jang-Ho;Park, Se-Hwan;Kim, Jung-Bok;Kim, Young-Kyun;Jin, Hyung-Ho
    • Journal of Radiation Protection and Research
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    • 제34권2호
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    • pp.77-81
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    • 2009
  • An Area Radiation Monitoring System (ARMS) ionization chamber, which had an 11.8 L active volume, was fabricated and performance-tested at KAERI. Low leakage currents, linearities at low and high dose rates were achieved from performance tests. The correlation coefficients between the ionization currents and the dose rates are 1 at high dose rate and 0.99 at low dose rate. In this study, an integration-type ARMS ionization chamber was tested over a year for an evaluation of its long-term stability at a radioisotope (RI) repository of the Young-gwang nuclear power plant. The standard deviation of dose rate of 1 day data and over a 100-days mean value were 6.2 $\mu$R/h and 2.9 $\mu$R/h, respectively. The fabricated ARMS ionization chamber showed stable performance from the results of the long-term tests. Design and performance characteristics of the fabricated ionization chamber for the ARMS from performance-tests are also addressed.