• Progress in Medical Physics
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• v.34 no.4
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• pp.48-54
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• 2023

Purpose: In this study, the dosimetric characteristics of lung stereotactic body radiotherapy (SBRT) plans using the new Halcyon system were analyzed to assess its suitability. Methods: We compared the key dosimetric parameters calculated for the Halcyon SBRT plans with those of a conventional C-arm linear accelerator (LINAC) equipped with a high-definition multileaf collimator (HD-MLC)-Trilogy Tx. A total of 10 patients with non-small-cell lung cancer were selected, and all SBRT plans were generated using the RapidArc technique. Results: Trilogy Tx exhibited significant superiority over Halcyon in terms of target dose coverage (conformity index, homogeneity index, D_{0.1 cc}, and D_95%) and dose spillage (gradient). Trilogy Tx was more efficient than Halcyon in the lung SBRT beam delivery process in terms of the total number of monitor units, modulation factor, and beam-on time. However, it was feasible to achieve a dose distribution that met SBRT plan requirements using Halcyon, with no significant differences in satisfying organs at risk dose constraints between both plans. Conclusions: Results confirm that Halcyon is a viable alternative for performing lung SBRT in the absence of a LINAC equipped with HD-MLC. However, extra consideration should be taken in determining whether to use Halcyon when the planning target volume setting is enormous, as in the case of significant tumor motions.

• Progress in Medical Physics
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• v.26 no.4
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• pp.294-303
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• 2015

American Association of Physicists in Medicine (AAPM) Published Task Group 40 report which includes recommendations for comprehensive quality assurance (QA) for medical linear accelerator in 1994 and TG-142 report for recommendation for QA which includes procedures such as intensity-modulated radiotherapy (IMRT), stereotactic radiosurgery (SRS) and stereotactic body radiation therapy (SBRT) in 2010. Recently, Nuclear Safety and Security Commission (NSSC) published NSSC notification no. 2015-005 which is "Technological standards for radiation safety of medical field". This notification regulate to establish guidelines for quality assurance which includes organization and job, devices, methods/frequency/tolerances and action levels for QA, and to implement quality assurance in each medical institution. For this reason, all of these facilities using medical machine for patient treatment should establish items, frequencies and tolerances for proper QA for medical treatment machine that use the techniques such as non-IMRT, IMRT and SRS/SBRT, and perform quality assurance. For domestic, however, there are lack of guidelines and reports of Korean Society of Medical Physicists (KSMP) for reference to establish systematic QA report in medical institutes. This report, therefore, suggested comprehensive quality assurance system such as the scheme of quality assurance system, which is considered for domestic conditions, based the notification of NSSC and AAPM TG-142 reports. We think that the quality assurance system suggested for medical linear accelerator also help establishing QA system for another high-precision radiation treatment machines.

• Progress in Medical Physics
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• v.21 no.2
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• pp.223-231
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• 2010

We have taken surveys about total 72 departments of radiation oncology which is performing the treatment with linear accelerator and brachytherapy unit in Korea. The survey was included the research about the linear accelerator, brachytherapy, Also, we surveyed the various performance (QA period, manpower, time) of quality control for understanding of efficiency. The survey results show that the QA test of daily and weekly are almost same comparing to USA and Europe but the QA performance of monthly and yearly in Korea are 15.5 which is less than USA and Europe recommended QA item number of 17 to 21. The manpower and QA time in Korea also lower than 50% of USA and Europe recommended because the manpower and QA time limitation in Korea. It will be expected that the manual of quality management in each clinic could be appropriately established when combining the present results with previously published AAPM TG-40 and other protocols.

• Progress in Medical Physics
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• v.4 no.1
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• pp.55-71
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• 1993

Measured and calculated the TMR and SMR factors from percent depth dose underpartial attenuators which cover the whole part of the radiation beam with variousfilter thickness from 0 to 50 mm. This study was performed for x-ray beams generated with a 6 MV linear acceleratorat source to surface distance of 100cm in a water phantom for Lipowitz metal. TMR(0,d,t) was derived from non-linear polynomial regression with field sizedifferencies and a given filter thickness. In this experiments, the TMR(0,10,50) of 50mm of filter thickness was showed13.6 % higher than that of open field and SMR(5,10,50) was 38.5% smaller than thatof open field in same depth.

• Korean Journal of Digital Imaging in Medicine
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• v.12 no.1
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• pp.51-58
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• 2010

Ionization chambers often exhibit a stem effect, caused by interactions of radiation with air near the chamber end, or with dielectric in the chamber stem or cable. In this study measured stem effect correction factor for length of ionization chamber from medical linear accelerator recommend to with the use of stem correction method. For a model of the Farmer-type chamber, were used to calculate the beam quality correction factor. These interactions contribute to the apparent measured exposure. Additionally, it needs to consider ionization chamber use of small volume and stem effect of cable by a large field. Linear accelerator generated photons energy and increased dose repeatedly measured by using stem correction method. Stem effect was dependence of the energy and increases with photon energy conditions improved of beam quality. In conclusion, stem effect correction factor was measured within 0.4% calculated according to the exposures stem length and also supposed to determined below 1% of another stem correction method.

• Journal of Radiation Protection and Research
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• v.11 no.1
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• pp.51-56
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• 1986

It is important to measure and protect from the radiation space dose and induced activity at the high energy medical linear accelerator facilities. These are to consider the additional risk to patients undergoing treatment, machine operators and staff members. Measurements of the space dose distribution and induced radioactivity at the 18 MeV medical linear accelerator facility in the Yonsei Cancer Center. 1. Exposure space dose for 300 rads monitor doses of 18 MeV electron are measured as 50 mR at 1 meter from patients. 2. Exposure space dose for 300 rads monitor doses of 10 MV X-ray are detected as 350 mR at 1 meter from phantom. 3. Induced radioactivity by photonuclear reaction was measured as 0.65 mR/hr from collimater after 30 Gy(3,000 rads) irradiated. 4. Analyzing the decay curves and energy spectrum of induced radioactivity, detected a few materials to be activated by photoneutron reaction, $^{65}Cu({\gamma}{\cdot}n)\;^{64}Cu,\;^{186}W({\gamma}{\cdot}n)\;^{185}W,\;^{181}Ta({\gamma}{\cdot}n)\;^{180}Ta,\;^{199}Au({\gamma}{\cdot}n)\;^{198}Au$.

• Journal of Radiopharmaceuticals and Molecular Probes
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• v.7 no.2
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• pp.119-125
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• 2021

⁸²Sr for ⁸²Rb generator was produced through the irradiation of the proton beam on the ^nat.RbCI target at the target irradiation facility installed at the end of the Rl-dedicated beamline of the 100 MeV proton linear accelerator of KOMAC (Korea Multi-purpose Accelerator Complex). The average current of the proton beam was 1.2 µA for irradiation time of 150 min. For the separation and purification of the ⁸²Sr from ^nat.RbCI irradiated, Chelex-100 resin was used. The activities of ⁸²Sr in the irradiated ^nat.RbCI target solution and after purification were 45.29 µCi and 43.4 µCi, respectively. The separation and purification yield was 95.8%. As an adsorbent to be filled in the generator for ⁸²Sr adsorption hydrous tin oxide was selected. The adsorption yield of ⁸²Sr into the generator adsorbent was > 99 %, and the total amount of ⁸²Sr adsorbed to the generator was 21.6 µCi as of the day of the ⁸²Rb elution experiment. When the elution amount was 22 mL, the maximum⁸²Rb elution yield was 93.3%, and the elution yield increased as the flow rate increased. After the eluted ⁸²Rb was filled in the correction phantom of the small PET for animals, a PET image was taken. The image scan time was set to 5 min, and the phantom PET image was successfully obtained. As results of impurity analysis on eluted ⁸²Rb using ICP-MS, ^nat.Rb stable isotopes that compete in vivo of ⁸²Rb were identified as undetected levels and were determined to be No-Carrier-Added (NCA).

• Progress in Medical Physics
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• v.30 no.4
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• pp.128-138
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• 2019

Purpose: Segmental analysis of volumetric modulated arc therapy (VMAT) is not clinically used for compositional error source evaluation. Instead, dose verification is routinely used for plan-specific quality assurance (QA). While this approach identifies the resultant error, it does not specify which machine parameter was responsible for the error. In this research study, we adopted an approach for the segmental analysis of VMAT as a part of machine QA of linear accelerator (LINAC). Methods: Two portal dose QA plans were generated for VMAT QA: a) for full arc and b) for the arc, which was segmented in 12 subsegments. We investigated the multileaf collimator (MLC) position and dosimetric accuracy in the full and segmented arc delivery schemes. A MATLAB program was used to calculate the MLC position error from the data in the dynalog file. The Gamma passing rate (GPR) and the measured to planned dose difference (DD) in each pixel of the electronic portal imaging device was the measurement for dosimetric accuracy. The eclipse treatment planning system and a MATLAB program were used to calculate the dosimetric accuracy. Results: The maximum root-mean-square error of the MLC positions were <1 mm. The GPR was within the range of 98%-99.7% and was similar in both types of VMAT delivery. In general, the DD was <5 calibration units in both full arcs. A similar DD distribution was found for continuous arc and segmented arcs sums. Exceedingly high DD were not observed in any of the arc segment delivery schemes. The LINAC performance was acceptable regarding the execution of the VMAT QA plan. Conclusions: The segmental analysis proposed in this study is expected to be useful for the prediction of the delivery of the VMAT in relation to the gantry angle. We thus recommend the use of segmental analysis of VMAT as part of the regular QA.

• Proceedings of the Korea Information Processing Society Conference
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• 2009.11a
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• pp.141-142
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• 2009

The PEFP (Proton Engineering Frontier Project) is constructing a 100MeV proton Linac (Linear Accelerator). The 20 MeV 20 mA proton beam has been serviced for an application in the fields of material, biological, information technology and medical sciences. For a stable and efficient acceleration of a proton beam, the control requirements must be optimized by studying various control methods. We propose that the integrated control system for the Linac machine components must be based on a distribution control method to improve a centralized control system. Based on EPICS (Experimental Physics and Industrial Control System) real-time software, the VME (Versa Module European package format) IOC (Input Output Controller) was developed under cross development environment with a RISC (Reduced Instruction Set Computer) PowerPC system. In this paper, we describe the design and implementation of distributed control system using the VME-based EPICS middleware for various components of the large proton accelerator.

• Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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• 2002.11a
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• pp.71-74
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• 2002

Currently small and accurate dosimeters are on the rise. In this study, the feasibility and energy dependency of the electret dosimeter that made of PET (polyethylene terephtalate) were observed by irradiating 4, 6, 15 MV photon beams from the clinical linear accelerator to develop a dosimeter for the clinical field. $10{\times}10cm$ field size of the photon beams were irradiated to the electret dosimeter where the 2.5 cm depth in the polystylene phantom from 100 cm SSD, while 300 DCV was applied to the electret dosimeter. The result showed that the absorbed dose was proportional to the charge linearly, and the volume of a dosimeter could be reduced and the signals were high enough. According to this study, it was found that the polymer electret detector could be produced as a large quantity with a small cost and showed the feasibility of a realtime measurement.