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P53 Overexpression and Outcome of Radiation Therapy in Head & Neck Cancers (두경부종양 환자에서 p53의 과발현과 방사선치료결과)

  • Kim In Ah;Choi Ihl Bhong;Kang Ki Mun;Jang Ji Young;Kim Kyung Mi;Park Kyung Shin;Young Shin Kim;Kang Chang Suk;Cho Seung Ho;Kim Hyung Tae
    • Radiation Oncology Journal
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    • v.17 no.1
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    • pp.1-8
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    • 1999
  • Purpose : Experimental studies have implicated the wild type p53 In cellular response to radiation. Whether altered p53 function can lead to changes in clinical radiocurability remains an area of ongoing study. This study was performed to investigate whether any correlation between change of p53 and outcome of curative radiation therapy in patients with head and neck cancels. Methods : Immunohistochemical analysis with a mouse monoclonal antibody (DO-7) specific for human p53 was used to detect to overexpression of protein in formalin fixed, paraffin-embedded tumor sample from 55 head and neck cancer patients treated with curative radiation therapy (median dose of 7020 cGy) from February 1988 to March 1996 at 51. Mary's Hospital. Overexpression of p53 was correlated with locoregional control and survival using Kaplan-Meier method. A Cox regression multi-variate analysis was peformed that included all clinical variables and status of p53 expression. Results : Thirty-seven (67.2$\%$) patients showed overexpression of p53 by immunohistochemical staining in their tumor. One hundred percent of oral cavity, 70$\%$ of laryngeal, 66.7$\%$ of oropharyngeal, 66.7$\%$ of hypopharyngeal cancer showed p53 overexpression (P=0.05). The status of p53 had significant relationship with stage of disease (P=0.03) and history of smoking (P=0.001). The overexpression of p53 was not predictive of response rate to radiation therapy. The locoregional control was not significantly affected by p53 status. Overexpression of p53 didn't have any prognostic implication for disease free survival and overall survival. Primary site and stage of disease were significant prognostic factors for survival. Conclusions : The p53 overexpression as detected by immunohistochemical staining had significant correlation with stage, primary site of disease and smoking habit of patients. The p53 overexpression didn't have any predictive value for outcome of curative radiation therapy in a group of head and neck cancers.

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A Study on the Design of Artificial Stream for Riverbed Filtration in Multi-purpose Filtration Pond (다목적 여과저류지에서의 하상여과용 인공하천 설계연구)

  • Sohn, Dong-Hoon;Park, Jae-Young;Kim, Seung-Hyun
    • Journal of Korean Society of Environmental Engineers
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    • v.33 no.7
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    • pp.536-543
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    • 2011
  • In order to find the best design of artificial stream for the riverbed filtration in multi-purpose filtration pond, a mathematical model was developed employing the energy line and the Manning's formula and was analyzed by the Euler's technique. Various design factors were investigated through scenario analyses of the artificial stream using the model. Results showed that the appropriate slope of the stream bottom was 2/10,000 and the appropriate infiltration rate at the streambed was $2.5m^3/m^2-day$ for the pond with the area of 100 ha, and that the Manning's roughness coefficient in this case was expected to be about 0.026 and the maximum water-depth was less than 1m. It was also shown that the longer the artificial stream the more advantageous it became for the riverbed filtration. Furthermore, results showed that it was not an efficient way to prevent clogging of the streambed by increasing the flow velocity of the stream and that the performance was higher near a weir with a large head drop.

Comparison and Evaluation of radiotherapy plans by multi leaf collimator types of Linear accelerator (선형가속기의 다엽콜리메이터 형태에 따른 치료계획 비교 평가)

  • Lim, Ji Hye;Chang, Nam Joon;Seok, Jin Yong;Jung, Yun Ju;Won, Hui Su;Jung, Hae Youn;Choi, Byeong Don
    • The Journal of Korean Society for Radiation Therapy
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    • v.30 no.1_2
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    • pp.129-138
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    • 2018
  • Purpose : An aim of this study was to compare the effect of multi leaf collimator(MLC) types for high dimension radiotherapy in treatment sites used clinically. Material and Method : 70 patients with lung cancer, spine cancer, prostate cancer, whole pelvis, head and neck, breast cancer were included in this study. High definition(HD) MLC of TrueBeam STx (Varian Medical system, Palo Alto, CA) and millenium(M) MLC of VitalBeam (Varian Medical system, Palo Alto, CA) were used. Radiotherapy plans were performed for each patient under same treatment goals with Eclipse (Version 13.7, Varian Palo Alto USA, CA). To compare the indicators of the radiotherapy plans, planning target volume(PTV) coverage, conformity index(CI), homogeneity index(HI), and clinical indicators for each treatment sites in normal tissues were evaluated. To evaluate low dose distribution, $V_{30%}$ values were compared according to MLC types. Additionally, length and volume of targets for each treatment sites were investigated. Result : In stereotatictic body radiotherapy(SBRT) plan for lung, the average value of PTV coverage was reduced by 0.52 % with HD MLC. With SBRT plan using HD MLC for spine, the average value of PTV coverage decreased by 0.63 % and maximum dose decreased by 1.13 %. In the test of CI and HI, the values in SBRT plan with HD MLC for spine were 1.144, 1.079 and the values using M MLC were 1.160, 1.092 in SBRT plan for lung, The dose evaluation of critical organ was reduced by 1.48 % in the ipsilateral lung mean dose with HD MLC. In prostate cancer volumetric modulated arc therapy(VMAT) with HD MLC, the mean dose and the $V_{30}$ of bladder and the mean dose and the $V_{25}$ of rectum were reduced by 0.53 %, 1.42 %, 0.97 %, and 0.69 %, respectively (p<0.05). The average value of heart mean dose was reduced by 0.83 % in breast cancer VMAT with M MLC. Other assessment indices for treatment sites showed no significant difference between treatment plans with two types of MLC. Conclusion : Using HD MLC had a positive impact on the PTV coverage and normal tissue sparing in usually short or small targets such as lung and spine SBRT and prostate VMAT. But, there was no significant difference in targets with long and large such as lung, head and neck, and whole pelvis for VMAT.

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Reducing of Craniofacial Radiation Dose Using Automatic Exposure Control Technique in the 64 Multi-Detector Computed Tomography (64 다중 검출기 전산화단층촬영에서 관전류 자동노출조절 기법을 이용한 두개부 방사선량 감소 정도 평가)

  • Seoung, Youl-Hun;Kim, Yong-Ok;Choe, Bo-Young
    • Progress in Medical Physics
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    • v.21 no.2
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    • pp.137-144
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    • 2010
  • The purpose of this study was to evaluate the usefulness of reducing of craniofacial radiation dose using automatic exposure control (AEC) technique in the 64 multi-detector computed tomography (MDCT). We used SOMATOM Definition 64 multi-detector CT, and head of whole body phantom (KUPBU-50, Kyoto Kagaku CO. Ltd). The protocol were helical scan method with 120 kVp, 1 sec of rotation time, 5 mm of slice thickness and increment, 250 mm of FOV, $512{\times}512$ of matrix size, $64{\times}0.625\;mm$ of collimation, and 1 of pitch. The evaluation of dose reducing effect was compared the fixed tube current of 350 with AEC technique. The image quality was measured the noise using standard deviation of CT number. The range of craniofacial bone was to mentum end from calvaria apex, which devided three regions: calvaria~superciliary ridge (1 segment), superciliary ridge~acanthion (2 segment), and acanthion~mentum (3 segment). In the fixed tube current technique, CTDIvol was 57.7 mGy, DLP was $640.2\;mGy{\cdot}cm$ in the all regions. The AEC technique was showed that 1 segment were 30.7 mGy of CTDIvol, 340.7 $mGy{\cdot}cm$ of DLP, 2 segment were 46.5 mGy of CTDIvol, $515.0\;mGy{\cdot}cm$ of DLP, and 3 segment were 30.3 mGy of CTDIvol, $337.0\;mGy{\cdot}cm$ of DLP. The standard deviation of CT number was 2.622 with the fixed tube current technique and 3.023 with the AEC technique in the 1 segment, was 3.118 with the fixed tube current technique and 3.379 with the AEC technique in the 2 segment, was 2.670 with the fixed tube current technique and 3.186 with the AEC technique in the 3 segment. The craniofacial radiation dose using AEC Technique in the 64 MDCT was evaluated the usefulness of reducing for the eye, the parotid and thyroid with high radiation sensitivity particularly.

Development of a vestibulo-ocular reflex measurement system for the study of cybersickness (사이버멀미 경감 연구를 위한 전정안구반사 측정 시스템 개발)

  • Jeon, Hyeonjin;Chang, EunHee;Wendimagegn, Tariku Weldtsadik;Park, Chan Hyun;Jeong, Ji Woon;Kim, Hyun Taek
    • Science of Emotion and Sensibility
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    • v.18 no.1
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    • pp.27-38
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    • 2015
  • Vestibulo-ocular reflex (VOR) is a compensatory response of the extraocular muscles generated by vestibular signals to stabilize images on the retina during head/body movements. It has been reported that mismatches between retinal and vestibular information, which cause motion sickness or cybersickness, modify VOR. To investigate the characteristic changes of VOR in subjects experiencing cybersickness, we developed a low-cost, multi-purpose VOR measurement system using LabVIEW and Arduino. To test the applicability of the system, we performed two experiments. In Experiment 1, horizontal and vertical VORs of four participants were measured using a vestibular autorotation task. In Experiment 2, eight participants were exposed to a virtual navigation to measure changes of VORs as an index of cybersickness. We observed significantly greater head rotations and eye movements while the participants were exposed to the virtual navigation than to a static image. The results suggest that the present system can help understand the psychophysiological mechanisms of cybersickness symptoms.

Dose Measurements using Phantoms for Tube Voltage, Tube Current, Slice Thickness in MDCT (MDCT의 관전압, 관전류, 슬라이스 두께 변화에 따른 팬텀의 선량 분포 측정)

  • Lee, Chang-Lae;Jeon, Seong-Su;Nam, So-Ra;Cho, Hyo-Min;Jung, Ji-Young;Kim, Hee-Joung
    • Progress in Medical Physics
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    • v.18 no.3
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    • pp.139-143
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    • 2007
  • The purpose of this study was to measure and evaluate radiation dose for MDCT parameters. Patient dose for various combination of MDCT parameters were experimentally measured, using MDCT (GE light speed plus 4 slice, USA), model 2026C electrometer (RADICAL 2026C, USA), standard Polymethylmethacrylate (PMMA) head and body CT dosimetry phantoms. In clinical situations, for a typical abdominal scan performed with MDCT at 120 kVp, 180 mAs, 20 mm collimation, and a pitch of 0.75 $CTDI_w,\;CTDI_{vol}$ were measured as 20.2 mGy, 26.9 mGy, respectively. When scan length is assumed as 271.3 mm, DLP and measured effective dose of the abdominal would be calculated as $729.1\;mGy{\cdot}cm$, 10.9 mSv, respectively.

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Planning the New City Based on the Geomancy: A Case of the Design of the New Multi-functional Administrative City (NMAC) (경관풍수에 입각한 신도시의 개념적 설계 : 행정중심복합 예정도시를 사례로)

  • Seo, Tae-Yeol;Ock, Han-Suk
    • Journal of the Korean Geographical Society
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    • v.40 no.5 s.110
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    • pp.491-513
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    • 2005
  • The Republic of Korea is planning to build the now Multi-functional Administrative city (NMAC). The purpose of this paper is to suggest the conceptual framework for this new city that relies on the Korean geomancy, oriental viewpoint on man and nature relationship, particularly in Korea. According to the Geomancy which could conceptualize the human-environment relationship in the site, the overall landscape image of the city could be symbolized by two flying crane with three Taegueks. In transforming the overall landscape image to urban form, two diamonds which means eternity and strength arises from the western spatial viewpoint, as means to protect and harmonize the human, land and mountain relationship in this site and the symbolic meaning of this site as generative and sacred place in Korean people's mind. On the one hand, through juxtaposing of the two diamonds a geometric structure shows up, on the other hand the main axis of the city could be established from two crane and three Taegueks. On the North-South axis from the core of the symbolic green axis, symbolic things will be located, and the administrative offices will be Placed on the East-West axis. Peripherals of the central axis also play a role in developing overall land use from image. The buildings and residents could be arranged and located according to undulations and this is based on the oriental theory of geomancy. We can build cultural amenities on the head part of the crane and on the core area.

Spinal Cord Partial Block Technique Using Dynamic MLC (동적 다엽콜리메이터를 이용한 척수의 부분 차폐 기법)

  • 조삼주;이병용;이상욱;안승도;김종훈;권수일;최은경
    • Progress in Medical Physics
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    • v.14 no.1
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    • pp.8-14
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    • 2003
  • The spinal cord dose is the one of the limiting factor for the radiation treatment of the head & neck or the thorax region. It is not an easy task to maintain the spinal cord dose below tolerance and to keep the clinically acceptable dose to the PTV in this region. To overcome this problem, the spinal cord partial block technique (PBT) with the dynamic Multi-Leaf Collimator (dMLC) has been developed. This technique is an extension of the conventional treatment planning. In the beginning the beam directions are selected as same as the conventional treatment planning to encompass the PTV, then the partial block are designed to shield the spinal cord. The plan comparisons between the conventional therapy plan and the PTB plan were performed to evaluate the validity of this technique. The mean dose and the dose volume histogram (DVH) were used as the plan comparison indices. A series of quality assurance (QA) was performed to guarantee the reliable treatment. The QA consisted of the film dosimetry for the verification of the dose distribution and the point measurements. The PBT plan generated better results than the conventional treatment plan and it was proved to be useful for the H&N region.

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Evaluation of Accuracy on Hitchcoke CT/angio localization system using QA head phantom (QA용 두부 팬톰을 이용한 Hitchcoke CT 및 혈관조영 정위적 시스템에 대한 정확도 평가)

  • 김성현;서태석;윤세철;손병철;김문찬;신경섭
    • Progress in Medical Physics
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    • v.9 no.1
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    • pp.1-9
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    • 1998
  • In order to provide complementary image data, CT(computed tomography), MR(magnetic resonance) and angiography have been used in the field of Stereotactic Radiosurgery(SRS) and neurosurgery. The aim of this work is to develop 3-D stereotactic localization system in order to determine the precise shape, size and location of the lesion in the brain in the field of Stereotactic Radiosurgery(SRS) and neurosurgery using multi-image modality and multi purpose QA phantom. In order to obtain accurate position of a target, Hitchcoke stereotactic frame and CT/angiography localizers were rigidly attached to the phantom with nine targets dispersed in 3-D space. The algorithms to obtain a 3-D stereotactic coordinates of the target have been developed using the images of the geometrical phantom which were taken by CT/angiography. Positions of targets computed by our algorithms were compared to the absolute position assigned in the phantom. Outlines of targets on each CT image were superimposed each other on angiography images. A spatial mean distance errors were 1.02${\pm}$0.17mm for CT with a 512${\times}$512 matrix and 2mm slice thickness, 0.41${\pm}$0.05mm for angiogra- phy localization. The resulting accuracy in the target localization suggests that the developed system has enough Qualification for Stereotactic Radiosurgery (SRS).

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Elution Patterns of Anions in Multi-layered Soils amended with Cow Manure Compost (우분퇴비 처리에 따른 다층구조 토양내 음이온의 용출특성 변화)

  • 김필주;정덕영;이병열
    • Journal of Korea Soil Environment Society
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    • v.2 no.2
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    • pp.25-33
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    • 1997
  • To investigate the effects of cow manure compost(CMC) on soil and water environment as non-point source, the elution patterns of anions were determined in muti-layered soil columns which were consisted of one top and one bottom in combination. The top soil columns were uniformly packed with Ap horizon soils amended with air-dried CMC at different ratios(0, 2, 4, 6%, wt/wt), the bottom ones were packed with of B horizon soils of 15, 30, and 45cm in length. After saturating the each soil column, the leachate were collected from the bottom of the column while the double-ionized water was applied from the surface of the column by constant head method. From the hydraulic conductivity and anion eluted were measured in the leachate. Each saturated hydraulic conductivities for top and the bottom soils were 3$\times$$10^{-4}$sec and 1.6$\times$$10^{-3}$cm/sec. Most of water soluble chloride and sulfate, having non-specific adsorption characteristics onto the soil particles, were eluted within 1 PV, showing that there was no apparent retardation of anion movement with increasing CMC contents in the top soils. The effect of soil depths on anion movement were similar to the results of CMC contents. Sulfate of having both of non-specific and specific adsorption characteristics was also recovered in the effluent within 1 PV, while the elution curves were slightly skewed to the right showing that the CMC affected the movement of sulfate. Phosphate of specific adsorption characteristics was hardly eluted within 5 PV.

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