• 제목/요약/키워드: Optimal Dose

검색결과 561건 처리시간 0.028초

Gamma Knife Radiosurgery for Vestibular Schwannomas

  • Lim, Young-Jin;Choi, Seok-Keun
    • Journal of Korean Neurosurgical Society
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    • 제42권3호
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    • pp.159-167
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    • 2007
  • Vestibular schwannoma (VS) is a benign tumor typically originated in the schwann cell of vestibular nerve and usually accompany hearing symptom. Microsurgical removal and radiosurgery have a great role for the treatment of VS. Recently radiosurgery has been considered as an alternative or primary treatment for VS with the tremendous increase of patients who were treated with gamma knife radiosurgery (GKS) though microsurgery still takes the premier. By many published results, it is proved that GKS is a effective and noninvasive technique for VS, especially small sized tumors with satisfactory tumor control rate. The authors assumed that GKS can be expected to achieve satisfactory tumor control rate for small VS under 5cc in volume. A major interest regarding radiosurgery nowadays is to determine the optimal radiation dose for hearing preservation to improve the quality of life of patients. The more high radiation dose are used for effective tumor growth control, the more radiation-related complications like as hearing deficit, the impairment of other cranial nerve function are increased. Since 1990's the mean radiation dose for tumor margin was more than 18 Gy, but there were high complication rate in spite of good tumor growth control. After the year of 2000, under the influence of advanced neuro-imaging techniques and radiosurgical planning system which enable clinicians to do more precise planning, marginal dose for VS has been decreased to 12-13 Gy and the radiation-related complications has been reduced. But because there may be a unexpected radiation induced complications as time goes by after the latency period, optimal radiation dose for VS should be established on the basis of more long term follow-up observation.

Pentachlorophenol의 노출에 의한 사람 T-임파구의 hprt 유전자에서 돌연변이 빈도 (Mutant Frequency at the hprt Locus in Human T-Cell Exposed to Pentachlorophenol)

  • 윤병수;조명행;김인규;박선영;이영순
    • Toxicological Research
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    • 제13권1_2호
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    • pp.71-78
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    • 1997
  • The mutational effects of pentachlorophenol (PCP) on the hypoxanthine phosphoribosyl transf erase (hprt) locus in human T-cell were analysed by T-cell clonal assay in vitro. Cells were exposed for 24 hours at primary culture to 0~100 ppm (W/V) PCP in dimethyl sulfoxide. Treated cells were allowed at the same time to stimulate by phytohemagglutinin (PHA) and T-cell growth factor (TCGF) and then seeded in medium containing 6-thioguanine to select for hprt-negative routants. We have also defined the optimal condition for the determination of mutant frequency. The parameters investigated include survival counting, first and second subculture for clonal efficiency plating and mutant plating. Under the optimal conditions, mutant frequencies of high dose-treated cells were significantly higher than those of non-treated or low dose cells. The results indicated a clear dose-effect relationship and showed that mutant frequency in 50 ppm PCP treated cell was 4.31$\times$$10^{-5}$ (background, 8.32$\times$$10^{-6}$). Above data strongly suggest that hprt mutation assay can be used as a biomarker for the environmental risk assessment.

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이온도움 반응법을 이용한 스펙트라 섬유의 표면처리에 대한 연구 (A Study on the Surface Treatment of Spectra Fibers Using an ion Assisted Reaction Method)

  • 이경엽;신동혁;지창헌
    • 한국표면공학회지
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    • 제35권5호
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    • pp.319-324
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    • 2002
  • It is known that ion-assisted reaction method is effective for the surface modification of polymers. The surface treatment of Spectra fibers using the ion-assisted reaction method was investigated in the present study The Spectra fibers were treated by $Ar^{+}$ / ion irradiation under oxygen environment. The treatment was carried out at different $Ar^{+}$ ion doses. The$ Ar^{+ }$ /ion doses used were $6$\times$10^{15}$ , $1$\times$10^{16}$ , $5$\times$10^{16}$ , $1$\times$10^{17}$ / ions/$\m^2$. Optimal $Ar^{+}$ ion dose in the treatment of Spectra fibers was determined by measuring the tensile strength and modulus of Spectra/vinylester composites as a function of ion dose. It was found that the optimal ion dose was $1$\times$10^{16}$ions/$\m^2$. It was also found from the scanning electron microscope examination that the surface-treatment improved adhesion between fibers and vinylester resin.

Breast Radiotherapy with Mixed Energy Photons; a Model for Optimal Beam Weighting

  • Birgani, Mohammadjavad Tahmasebi;Fatahiasl, Jafar;Hosseini, Seyed Mohammad;Bagheri, Ali;Behrooz, Mohammad Ali;Zabiehzadeh, Mansour;meskani, Reza;Gomari, Maryam Talaei
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권17호
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    • pp.7785-7788
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    • 2015
  • Utilization of high energy photons (>10MV) with an optimal weight using a mixed energy technique is a practical way to generate a homogenous dose distribution while maintaining adequate target coverage in intact breast radiotherapy. This study represents a model for estimation of this optimal weight for day to day clinical usage. For this purpose, treatment planning computed tomography scans of thirty-three consecutive early stage breast cancer patients following breast conservation surgery were analyzed. After delineation of the breast clinical target volume (CTV) and placing opposed wedge paired isocenteric tangential portals, dosimeteric calculations were conducted and dose volume histograms (DVHs) were generated, first with pure 6MV photons and then these calculations were repeated ten times with incorporating 18MV photons (ten percent increase in weight per step) in each individual patient. For each calculation two indexes including maximum dose in the breast CTV ($D_{max}$) and the volume of CTV which covered with 95% Isodose line ($V_{CTV,95%IDL}$) were measured according to the DVH data and then normalized values were plotted in a graph. The optimal weight of 18MV photons was defined as the intersection point of $D_{max}$ and $V_{CTV,95%IDL}$ graphs. For creating a model to predict this optimal weight multiple linear regression analysis was used based on some of the breast and tangential field parameters. The best fitting model for prediction of 18MV photons optimal weight in breast radiotherapy using mixed energy technique, incorporated chest wall separation plus central lung distance (Adjusted R2=0.776). In conclusion, this study represents a model for the estimation of optimal beam weighting in breast radiotherapy using mixed photon energy technique for routine day to day clinical usage.

정수장 유입조류 전처리를 위한 천연조류제거제(W.H.)의 최적주입농도 결정 (Decision Algorithm of Natural Algae Coagulant Dose to Control Algae from the Influent of Water Works)

  • 장여주;정진홍;임현만;윤영한;안광호;장향연;김원재
    • 대한환경공학회지
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    • 제38권9호
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    • pp.482-496
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    • 2016
  • 하천과 호수의 부영양화로 인하여 남조류가 대량으로 증식하게 되면 고유의 생물독소로 인한 위해뿐만 아니라 정수처리 과정에서 경제적 손실을 야기할 가능성이 있다. 현재 상용화되어있는 천연조류제거제인 M사의 W.H. 응집제(이하 W.H.)는 참나무 유래 성분의 살조 및 타감작용을 이용한 응집.부상공정을 통하여 조류를 사전에 제거함으로써 정수공정에 미치는 영향을 효과적으로 저감할 수 있다. 그러나, W.H.를 활용한 응집 부상공정은 정수처리의 전처리공정으로 적용된 사례가 없기 때문에 최적주입농도의 결정기법에 대한 보고 또한 전무한 실정이다. 본 연구에서는 (1) 한강에서 채취한 복합 조류와 (2) 남조류를 선택적으로 대량 배양하여 광조건 하에서 W.H. 투여량 및 조류농도 등의 여러 조건을 변화시키면서 Jar-test를 시행하여 응집 부상공정에서의 조류의 제거기작을 검토하였다. Jar-test 결과를 바탕으로 IBM-SPSS를 활용한 다중회귀분석을 실시하여 최적 W.H. 주입농도를 결정하기 위한 Chl-a 농도와 탁도를 변수로 하는 두 가지 선형식을 도출하였다. 또한 유입수질의 변동에 따라 W.H. 주입농도를 신속하게 결정하고 자동화할 수 있는 자동제어 로직의 프로토타입(Prototype)을 제시하였다.

An R package UnifiedDoseFinding for continuous and ordinal outcomes in Phase I dose-finding trials

  • Pan, Haitao;Mu, Rongji;Hsu, Chia-Wei;Zhou, Shouhao
    • Communications for Statistical Applications and Methods
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    • 제29권4호
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    • pp.421-439
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    • 2022
  • Phase I dose-finding trials are essential in drug development. By finding the maximum tolerated dose (MTD) of a new drug or treatment, a Phase I trial establishes the recommended doses for later-phase testing. The primary toxicity endpoint of interest is often a binary variable, which describes an event of a patient who experiences dose-limiting toxicity. However, there is a growing interest in dose-finding studies regarding non-binary outcomes, defined by either the weighted sum of rates of various toxicity grades or a continuous outcome. Although several novel methods have been proposed in the literature, accessible software is still lacking to implement these methods. This study introduces a newly developed R package, UnifiedDoseFinding, which implements three phase I dose-finding methods with non-binary outcomes (Quasi- and Robust Quasi-CRM designs by Yuan et al. (2007) and Pan et al. (2014), gBOIN design by Mu et al. (2019), and by a method by Ivanova and Kim (2009)). For each of the methods, UnifiedDoseFinding provides corresponding functions that begin with next that determines the dose for the next cohort of patients, select, which selects the MTD defined by the non-binary toxicity endpoint when the trial is completed, and get oc, which obtains the operating characteristics. Three real examples are provided to help practitioners use these methods. The R package UnifiedDoseFinding, which is accessible in R CRAN, provides a user-friendly tool to facilitate the implementation of innovative dose-finding studies with nonbinary outcomes.

Mechanistic ligand-receptor interaction model: operational model of agonism

  • Kim, Hyungsub;Lim, Hyeong-Seok
    • Translational and Clinical Pharmacology
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    • 제26권3호
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    • pp.115-117
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    • 2018
  • This tutorial explains the basic principles of mechanistic ligand-receptor interaction model, which is an operational model of agonism. A growing number of agonist drugs, especially immune oncology drugs, is currently being developed. In this tutorial, time-dependent ordinary differential equation for simple $E_{max}$ operational model of agonism was derived step by step. The differential equation could be applied in a pharmacodynamic modeling software, such as NONMEM, for use in non-steady state experiments, in which experimental data are generated while the interaction between ligand and receptor changes over time. Making the most of the non-steady state experimental data would simplify the experimental processes, and furthermore allow us to identify more detailed kinetics of a potential drug. The operational model of agonism could be useful to predict the optimal dose for agonistic drugs from in vitro and in vivo animal pharmacology experiments at the very early phase of drug development.

Sensitivity Analysis on the Priority Order of the Radiological Worker Allocation Model using Goal Programming

  • Jung, Hai-Yong;Lee, Kun-Jai
    • 한국원자력학회:학술대회논문집
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    • 한국원자력학회 1998년도 춘계학술발표회논문집(2)
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    • pp.577-582
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    • 1998
  • In nuclear power plant, it has been the important object to reduce the occupational radiation exposure (ORE). Recently, the optimization concept of management science has been studied to reduce the ORE in nuclear power plant. In optimization of the worker allocation, the collective dose, working time, individual dose, an total number of worker must be considered and their priority orders must be thought because the main constraint is necessary for determining the constraints variable of the radiological worker allocation problem. The ultimate object of this study s to look into the change of the optimal allocation of the radiological worker as priority order changes. In this study, the priority order is the characteristic of goal programming that is a kind of multi-objective linear programming. From a result of study using goal programming, the total number of worker and collective dose of worker have changed as the priority order has changed and the collective dose limit have played an important role in reducing the ORE.

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광결정 도파로용 나노 마스터 제작 (Nano-master fabrication for photonic crystal waveguides)

  • 최춘기;한상필;정명영
    • 한국진공학회지
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    • 제12권4호
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    • pp.288-292
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    • 2003
  • Air hole 구조를 갖는 2차원 고분자 광결정 도파로를 나노 임프린트 방법으로 제작하기 위하여, e-beam lithography와 ICP etching 공정을 이용하여 기둥 구조를 갖는 실리콘 나노 마스터를 제작하였다. Air hole 구조를 갖는 광결정 구조를 얻기 위해, 실리콘 마스터 기둥의 형태를 4각형, 6각형, 12각형 및 원으로 설계하였다. 제작된 기둥의 직경과 구조를 CD-SEM과 SPM-AFM을 이용하여 측정하였으며, dose가 432 $\mu$C/$\textrm{cm}^2$일 때 최적의 dose임을 확인하였다.

안와 전산화단층촬영검사 시 수정체 선량감소 방법과 영상 평가 (Lens Dose Reduction Methods and Image Quality in Orbital Computed Tomography Scan)

  • 문세영;홍상우;서지숙;김영범;곽완신;이성영;김정수
    • 대한방사선기술학회지:방사선기술과학
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    • 제43권5호
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    • pp.343-351
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    • 2020
  • This study analyzed dose reduction and quality of images through dose reduction tools and shielding board to protect sensitive eye lens in radiation during orbit CT examinations for clinical data use. During CT scans of the phantom, surface dose (CT scanner dosimetry phantom, ion chamber-3 times) and quality of image (radiosurgery head phantom, visual assessment-2 times, HU standard deviation) were evaluated using X-care which is dose reduction tools and bismuth shielding board. The results of experiments of eight conditions showed a relatively reduced dose in all other conditions compared to when no conditions were set. In particular, the area corresponding to the ophthalmic part reduced the surface dose by up to 45.7 %. The visual evaluation of images by specialists and the quality evaluation of images analyzed by HU standard deviation were clinically closest to the use of X-care and shielding board (1 cm in height). Therefore, it is believed that the use of shielding board in a suitable location with dose reduction tools while investigating the optimal radiation dose will reduce the exposure dose of sensitive lens at radiation while maintaining the quality of the images with high diagnostic value.