• Title/Summary/Keyword: Medical radiation

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Gene Expression Patterns of Spleen, Lung and Brain with Different Radiosensitivity in C57BL6 Mice

  • Majumder Md. Zahidur Rahman;Lee, Woo-Jung;Lee, Su-Jae;Bae, Sang-Woo;Lee, Yun-Sil
    • Journal of Radiation Protection and Research
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    • v.30 no.4
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    • pp.197-208
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    • 2005
  • Although little information is available on the underlying mechanisms, various genetic factors have been associated with tissue-specific responses to radiation. In the present study, we explored the possibility whether organ specific gene expression is associated with radiosensitivity using samples from brain, lung and spleen. We examined intrinsic expression pattern of 23 genes in the organs by semi-quantitative RT-PCR method using both male and female C57BL/6 mice. Expression of p53 and p21, well known factors for governing sensitivity to radiation or chemotherapeutic agents, was not different among the organ types. Both higher expression of sialyltransferase, delta7-sterol reductase, leptin receptor splice variant form 12.1, and Cu/Zn superoxide dismutase (SOD) and lower expression of alphaB crystalline were specific for spleen tissue. Expression level of glutathione peroxidase and APO-1 cell surface antigen gene in lung tissue was high, while that of Na, K-ATPase alpha-subunit, Cu/ZnSOD, and cyclin G was low. Brain, radioresistant organ, showed higher expressions of Na, K-ATPase-subunit, cyclin G, and nucleolar protein hNop56 and lower expression of delta7-sterol reductase. The result revealed a potential correlation between gene expression patterns and organ sensitivity, and Identified genes which might be responsible for organ sensitivity.

A Study on the Apron Shielding Ratio According to Electromagnetic Radiation Energy (감마선 에너지에 따른 납치마의 차폐효과 분석)

  • Jang, Dong-Gun;Lee, Sang-Ho;Choi, Hyung-Seok;Son, Joo-Chul;Yoon, Chang-Yong;Ji, Yung-Sik;Cho, Yong-In;Lee, Hong Je;Yang, Seoung-Oh
    • Journal of radiological science and technology
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    • v.37 no.4
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    • pp.247-252
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    • 2014
  • The medical institution has been used electromagnetic radiation of various energy. But researchers are divided on whether using apron for radiation shielding will be effective or not. The purpose of present study was to analyze electromagnetic radiation shielding effect of apron by using Monte carlo simulation. 1 MBq electromagnetic radiation was emitted from 10-500 keV at 10 keV increments in Monte carlo simulation. Then shielded radiation dose difference was confirmed, when 0.25 mmPb shield use for shielding. As a results, shielding ratio was markedly decreased in high energy electromagnetic radiation. The radiation dose was inversely increased with 0.25 mmPb shielding.

PDCD4 as a Predictor of Sensitivity to Neoadjuvant Chemoradiotherapy in Locally Advanced Rectal Cancer Patients

  • Dou, Xue;Wang, Ren-Ben;Meng, Xiang-Jiao;Yan, Hong-Jiang;Jiang, Shu-Mei;Zhu, Kun-Li;Xu, Xiao-Qing;Chen, Dong;Song, Xian-Rang;Mu, Dian-Bin
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.2
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    • pp.825-830
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    • 2014
  • Objective: The purpose of this study was to examine the role of programmed cell death 4 (PDCD4) expression in predicting tumor response to neoadjuvant chemoradiotherapy and outcomes for patients with locally advanced rectal cancer. Methods: Clinicopathological factors and expression of PDCD4 were evaluated in 92 patients with LARC treated with nCRT. After the completion of therapy, 4 cases achieved clinical complete response (cCR), and thus the remaining 88 patients underwent a standardized total mesorectal excision procedure. There were 38 patients (41.3%) with a good response (TRG 3-4) and 54 (58.7%) with a poor one (TRG 0-2). Results: Immunohistochemical staining analyses showed that patients with high expression of PDCD4 were more sensitive to nCRT than those with low PDCD4 expression (P=0.02). High PDCD4 expression before nCRT and good response (TRG3-4) were significantly associated with improved 5-year disease-free survival and 5-year overall survival (P<0.05). Multivariate analysis demonstrated that the pretreatment PDCD4 expression was an independent prognostic factor. Conclusion: Our study demonstrated that high expression of PDCD4 protein is a useful predictive factor for good tumor response to nCRT and good outcomes in patients with LARC.

Institutional Applications of Eclipse Scripting Programming Interface to Clinical Workflows in Radiation Oncology

  • Kim, Hojin;Kwak, Jungwon;Jeong, Chiyoung;Cho, Byungchul
    • Progress in Medical Physics
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    • v.28 no.3
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    • pp.122-128
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    • 2017
  • Eclipse Scripting Application Programming Interface (ESAPI) was devised to enhance the efficiency in such treatment related workflows as contouring, treatment planning, plan quality measure, and data-mining by communicating with the treatment planning system (TPS). It is provided in the form of C# programming based toolbox, which could be modified to fit into the clinical applications. The Scripting program, however, does not offer all potential functionalities that the users intend to develop. The shortcomings can be overcome by combining the Scripting programming with user-executable program on Windows or Linux. The executed program has greater freedom in implementation, which could strengthen the ability and availability of the Scripting on the clinical applications. This work shows the use of the Scripting programming throughout the simple modification of the given toolbox. Besides, it presents the implementation of combining both Scripting and user-executed programming based on MATLAB, applied to automated dynamic MLC wedge and FIF treatment planning procedure for promoting the planning efficiency.

Estimation of RTP Accuracy Based the International Reference Level (국제기준을 적응한 치료계획시스템 정확성 평가)

  • Oh, Young-Kee;Kim, Ki-Hwan;Jeong, Dong-Hyeok;Choi, Tae-Jin;Kim, Jin-Hee;Kim, Ok-Bae
    • Progress in Medical Physics
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    • v.19 no.2
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    • pp.113-119
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    • 2008
  • In this study, we have estimated error of calculation results for 5-type RTP systems and investigated a toleration for error of the RTPs referenced from the evaluation items of AAPM Report-62. For this study, we have introduced the concept of 'normal dose rate(NDR)' and compared the results of experiment and calculation from RTPs at the same reference level. The results from all RTPs were satisfied at various field shapes and heterogeneous phantom materials except the surface irregularity.

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Interobserver variation in target volume for salvage radiotherapy in recurrent prostate cancer patients after radical prostatectomy using CT versus combined CT and MRI: a multicenter study (KROG 13-11)

  • Lee, Eonju;Park, Won;Ahn, Sung Hwan;Cho, Jae Ho;Kim, Jin Hee;Cho, Kwan Ho;Choi, Young Min;Kim, Jae-Sung;Kim, Jin Ho;Jang, Hong-Seok;Kim, Young-Seok;Nam, Taek-Keun
    • Radiation Oncology Journal
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    • v.36 no.1
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    • pp.11-16
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    • 2018
  • Purpose: To investigate interobserver variation in target volume delineations for prostate cancer salvage radiotherapy using planning computed tomography (CT) versus combined planning CT and magnetic resonance imaging (MRI). Materials and Methods: Ten radiation oncologists independently delineated a target volume on the planning CT scans of five cases with different pathological status after radical prostatectomy. Two weeks later, this was repeated with the addition of planning MRI. The volumes obtained with CT only and combined CT and MRI were compared, and the effect of the addition of planning MRI on interobserver variability was assessed. Results: There were large differences in clinical target volume (CTV) delineated by each observer, regardless of the addition of planning MRI ($9.44-139.27cm^3$ in CT only and $7.77-122.83cm^3$ in CT plus MRI) and no significant differences in the mean and standard deviation of CTV. However, there were decreases in mean volume and standard deviation as a result of using the planning MRI. Conclusion: This study showed substantial interobserver variation in target volume delineation for salvage radiotherapy. The combination of planning MRI with CT tended to decrease the target volume and the variation.

Low-dose Radiation Induces Antitumor Effects and Erythrocyte System Hormesis

  • Yu, Hong-Sheng;Liu, Zi-Min;Yu, Xiao-Yun;Song, Ai-Qin;Liu, Ning;Wang, Hao
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.7
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    • pp.4121-4126
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    • 2013
  • Objective: Low dose radiation may stimulate the growth and development of animals, increase life span, enhance fertility, and downgrade the incidence of tumor occurrence.The aim of this study was to investigate the antitumor effect and hormesis in an erythrocyte system induced by low-dose radiation. Methods: Kunming strain male mice were subcutaneously implanted with S180 sarcoma cells in the right inguen as an experimental in situ animal model. Six hours before implantation, the mice were given 75mGy whole body X-ray radiation. Tumor growth was observed 5 days later, and the tumor volume was calculated every other day. Fifteen days later, all mice were killed to measure the tumor weight, and to observe necrotic areas and tumor-infiltration-lymphoreticular cells (TILs). At the same time, erythrocyte immune function and the level of 2,3-diphosphoglyceric acid (2,3-DPG) were determined. Immunohistochemical staining was used to detect the expression of EPO and VEGFR of tumor tissues. Results: The mice pre-exposed to low dose radiation had a lower tumor formation rate than those without low dose radiation (P < 0.05). The tumor growth slowed down significantly in mice pre-exposed to low dose radiation; the average tumor weight in mice pre-exposed to low dose radiation was lighter too (P < 0.05). The tumor necrosis areas were larger and TILs were more in the radiation group than those of the group without radiation. The erythrocyte immune function, the level of 2,3-DPG in the low dose radiation group were higher than those of the group without radiation (P < 0.05). After irradiation the expression of EPO of tumor tissues in LDR group decreased with time. LDR-24h, LDR-48h and LDR-72h groups were all statistically significantly different from sham-irradiation group. The expression of VEGFR also decreased, and LDR-24h group was the lowest (P < 0.05). Conclusion: Low dose radiation could markedly increase the anti-tumor ability of the organism and improve the erythrocyte immune function and the ability of carrying $O_2$. Low-dose total body irradiation, within a certain period of time, can decrease the expression of hypoxia factor EPO and VEGFR, which may improve the situation of tumor hypoxia and radiosensitivity of tumor itself.

Possible Risk Factors Associated with Radiation Proctitis or Radiation Cystitis in Patients with Cervical Carcinoma after Radiotherapy

  • Yang, Lin;Lv, Yin
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.12
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    • pp.6251-6255
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    • 2012
  • Radiation proctitis and radiation cystitis are major complications for patients with cervical carcinoma following radiotherapy. In the present study, we aimed to determine the potential risk factors for the development of radiation proctitis and radiation cystitis after irradiation. A total of 1,518 patients with cervical carcinoma received external beam radiotherapy (EBRT) followed by high-dose-rate intracavitary brachytherapy (HDRICB) in our hospital. The incidences of radiation proctitis and radiation cystitis were recorded and associations with different factors (age, time period, tumor stage) were analyzed with ${\chi}^2$ (chi-squared) and Fisher exact tests. We found that 161 and 94 patients with cervical carcinoma were diagnosed with radiation proctitis and radiation cystitis, respectively, following radiotherapy. The prevalence of Grade I-II radiation proctitis or radiation cystitis was significantly lower than that of Grade III (radiation proctitis: 3.82% vs. 6.76%, P < 0.05; radiation cystitis: 2.31% vs. 3.87%, P < 0.05) and was significantly enhanced in patients with late stage (IIIb) tumor progression compared to those in early stage (Ib, IIa) (P < 0.05). Moreover, the incidence of radiation proctitis and cystitis was not correlated with age or, time period following radiation, for each patient (P > 0.05). These observations indicate that a late stage of tumor progression is a potential risk factor for the incidence of radiation proctitis and cystitis in cervical carcinoma patients receiving radiotherapy.