• 제목/요약/키워드: Organ/tissue dose

검색결과 108건 처리시간 0.029초

토모테라피를 이용한 폐종양 방사선수술 계획 시 선량 분석 (Analysis on the Calculated Dose in the Lung Radiation Surgery Planning Using TomoTherpay)

  • 송주영;정재욱;윤미선;안성자;정웅기;나병식;남택근
    • 한국의학물리학회지:의학물리
    • /
    • 제22권4호
    • /
    • pp.178-183
    • /
    • 2011
  • 본 연구에서는 토모테라피를 이용한 폐종양의 방사선수술 치료계획을 수립한 후 기존의 선형가속기를 사용하였을 경우와 비교, 분석하여 선량분포 측면에서 유효성 및 타당성을 살펴보았다. 종양의 움직임이 5 mm 이하인 10명의 환자 CT 영상을 대상으로 기존의 선형가속기를 이용한 세기조절방사선수술에서와 동일한 처방선량과 동일한 조건의 중요장기 선량제한치로 토모테라피 치료계획을 수립한 후 선량분포를 비교하였다. 토모테라피를 이용한 결과에서도 기존의 선형가속기를 이용한 세기조절방사선수술과 동일하게 중요장기의 선량제한치를 충족시키면서 GTV에 처방선량을 부여할 수있음을 확인하였다. 방사선조사로 인한 폐의 정상조직합병증확률과 종양 반대편 폐의 등가균일선량 측면에서는 토모테라피가 기존 선형가속기보다 상대적으로 더 우수한 결과를 보였으나, 종양 내 치료선량 분포의 균일도에서는 기존 선형 가속기가 더 양호한 결과를 보였다. 치료 빔 전달 시간측면에서는 토모테라피가 기존 선형가속기 경우보다 2배 이상의 시간이 소요되었다. 이와 같은 본 연구의 결과 분석을 통해 폐종양 부위의 움직임이 적은 경우, 환자의 상태와 선량분포의 적합성 등을 고려한 최적의 치료계획을 세운다면 토모테라피를 사용하는 방사선 수술이 유효성 및 타당성이 있음을 확인할 수 있었다.

Dosimetric comparison of coplanar and non-coplanar volumetric-modulated arc therapy in head and neck cancer treated with radiotherapy

  • Gayen, Sanjib;Kombathula, Sri Harsha;Manna, Sumanta;Varshney, Sonal;Pareek, Puneet
    • Radiation Oncology Journal
    • /
    • 제38권2호
    • /
    • pp.138-147
    • /
    • 2020
  • Purpose: To evaluate the dosimetric variations in patients of head and neck cancer treated with definitive or adjuvant radiotherapy using optimized non-coplanar (ncVMAT) beams with coplanar (cVMAT) beams using volumetric arc therapy. Materials and Methods: Twenty-two patients of head and neck cancer that had received radiotherapy using VMAT in our department were retrospectively analyzed. Each of the patients was planned using coplanar and non-coplanar orientations using an optimized couch angle and fluences. We analyzed the Conformity Index (CIRTOG), Dose Homogeneity Index (DHI), Heterogeneity Index (HIRTOG), low dose volume, target and organs-at-risk coverage in both the plans without changing planning optimization parameters. Results: The prescription dose ranged from 60 Gy to 70 Gy. Using ncVMAT, CIRTOG, DHI and HIRTOG, and tumor coverage (ID95%) had improved, low dose spillage volume in the body V5Gy was increased and V10Gy was reduced. Integral dose and intensity-modulated radiation therapy factor had increased in ncVMAT. In the case of non-coplanar beam arrangements, maximum dose (Dmax) of right and left humeral head were reduced significantly whereas apex of the right and left lung mean dose were increased. Conclusion: The use of ncVMAT produced better target coverage and sparing of the shoulder and soft tissue of the neck as well as the critical organ compared with the cVMAT in patients of head and neck malignancy.

Dose coefficients of mesh-type ICRP reference computational phantoms for idealized external exposures of photons and electrons

  • Yeom, Yeon Soo;Choi, Chansoo;Han, Haegin;Lee, Hanjin;Shin, Bangho;Nguyen, Thang Tat;Han, Min Cheol;Lee, Choonsik;Kim, Chan Hyeong
    • Nuclear Engineering and Technology
    • /
    • 제51권3호
    • /
    • pp.843-852
    • /
    • 2019
  • In the present study, we established a comprehensive dataset of dose coefficients (DCs) of the new meshtype ICRP reference computational phantoms (MRCPs) for idealized external exposures of photons and electrons with the Geant4 code. Subsequently, the DCs for the nine organs/tissues, calculated for their thin radiosensitive target regions, were compared with the values calculated by averaging the absorbed doses over the entire organ/tissue regions to observe the influence of the thin sensitive regions on dose calculations. The result showed that the influences for both photons and electrons were generally insignificant for the majority of organs/tissues, but very large for the skin and eye lens, especially for electrons. Furthermore, the large influence for the skin eventually affected the effective dose calculations for electrons. The DCs of the MRCPs also were compared with the current ICRP-116 values produced with the current ICRP-110 reference phantoms. The result showed that the DCs for the majority of organs/ tissues and effective dose were generally similar to the ICRP-116 values for photons, except for very low energies; however, for electrons, significant differences from the ICRP-116 values were found in the DCs, particularly for superficial organs/tissues and skeletal tissues, and also for effective dose.

Iodine-131 S values for use in organ dose estimation of Korean patients in radioiodine therapy

  • Yeom, Yeon Soo;Shin, Bangho;Choi, Chansoo;Han, Haegin;Kim, Chan Hyeong
    • Nuclear Engineering and Technology
    • /
    • 제54권2호
    • /
    • pp.689-700
    • /
    • 2022
  • In the present study, iodine-131 S values (rT ← thyroid) were calculated for 30 target organs and tissues using the most recently developed Korean reference computational phantoms. The calculated S values were then compared with those of the International Commission on Radiological Protection (ICRP) reference computational phantoms to investigate the dosimetric impact of the Korean S values against those of the ICRP reference phantoms. The results showed significant differences in the S values due to the different anatomical/morphological characteristics between the Korean and ICRP reference phantoms. Most target organs/tissues showed that the S values of the Korean reference phantoms are lower than those of the ICRP reference phantoms, by up to about 4 times (male spleen and female thymus). Exceptionally, three target organs/tissues (gonads, thyroid, and extrathoracic region) showed that the S values of the Korean reference phantoms are greater, by 1.5-3.7 times. We expect that the S values calculated in the present study will be beneficially used to estimate organ/tissue doses of Korean patients under radioiodine therapy.

선형가속기형 방사선수술시 인형 팬텀에서 수정체 및 갑상선 선량 (Radiation Dose of Lens and Thyroid in Linac-based Radiosurgery in Humanoid Phantom)

  • 김대용;김일한
    • Radiation Oncology Journal
    • /
    • 제16권4호
    • /
    • pp.517-529
    • /
    • 1998
  • 목적 : 정위방사선수술은 뇌동정맥기형 및 청신경초종, 뇌수막종양, 뇌하수체종양 뿐만 아니라 단일 전이성 종양의 치료에 있어서도 그 이용의 빈도가 급격히 늘어나는 추세이다. 그에 따라 목표부위에 있어서 정위방사선술의 선량분포에 관한 연구는 많이 발표되고 있으나 두 개강 외의 수정체 갑상선과 같이 방사선의 결정적 또는 확률적 효과에 민감한 장기와 같은 조직에서 흡수되는 선량에 관한 자료는 극히 제한적이다. 본 연구는 인체모형에서 방사선수술시 수정체 및 갑상선의 선량을 측정하고 그 선량에 영향을 미치는 변수를 규명하고자 하였다. 대상 및 방법 : 6 곳의 상이한 회전중심점에서 각각 서울대학교 의과대학 치료방사선과학교실에서 개발한 선형가속기형 정위방사선수술 기법을 이용하여 치료계획을 세웠다. 각 회전중심점당 6개의 arc를 기본으로 하고 각 arc의 범위는 100도를 기준으로 하고 보조콜리메이터 크기는 직경 2cm로 선정하였다. 각 arc 별로 250cGy 조사한 후 내회 열형광선량계를 이용하여 수정체 및 갑상선의 표면에 미치는 선량을 측정하였다. 결과 : 회전중심점 또는 arc plane 이 각 장기와 가까울수록 흡수 선량이 높았다. exit beam이 수정체나 갑상선을 지나지 않을 경우 각 장기의 선량은 최대선량의 0.23$\pm$0.08$\%$ 와 0.18$\pm$0.05$\%$ 이고, exit beam 이 수정체나 갑상선을 지나는 경우 각 장기의 선량은 최대선량의 0.76$\pm$0.12$\%$ 와 0.41$\pm$0.04$\%$ 이다. exit beam의 통과 여부가 각 장기의 선량에 미치는 가장 큰 인자이며, 장기를 통과하는 arc에 의해 흡수하는 선량은 총 선량의 80$\%$를 차지한다. 인체 모형의 표면선량과 5mm 깊이에서의 선량에 큰 차이가 없어 표면선량을 수정체 및 갑상선 선량으로 대체할 수 있다고 판단한다. 결론 : 정위방사선수술시 인체모형의 수정체와 갑상선에 흡수되는 방사선량을 측정한 결과 회전중심점 및 arc plane 이 각 장기와 가까울수록 높은 흡수 선량을 나타내었으며, exit beam이 수정체나 갑상선을 통과하는 경우 흡수선량이 높았고 exit beam의 통과 여부가 각 장기의 흡수선량에 가장 큰 영향을 미쳤다. 또한 수정체와 갑상선의 표면선량은 수정체 및 갑상선 선량과 큰 차이가 없었다. 최적의 방사선수술을 위한 계획을 수립할 경우 각 장기의 선량은 최대 1$\%$ 미만으로 후유증을 일으키기에 낮은 선량이기는 하나, 특히 소아 등에서는 갑상선 선량을 가능한 낮추어야 할 것이다.

  • PDF

MIRD 인형팬텀의 넓고 평행한 감마선빔에 대한 선량 환산계수 계산 (Calculation of Dose Conversion Coefficients in the Anthropomorphic MIRD Phantom in Broad Unidirectional Beams of Monoenergetic Photons)

  • 장재권;이재기
    • Journal of Radiation Protection and Research
    • /
    • 제22권1호
    • /
    • pp.47-58
    • /
    • 1997
  • MCNP4A 코드를 이용하여 MIRD 인형팬텀의 정면과 후방에서 입사하는 넓고 평행한 감마선빔에 대한 단위 공기커마당 유효선량 환산계수와 단위 플르언스당 장기의 등가선량을 계산하였다. 본 연구에서 고려한 감마선은 0.03-10 MeV 에너지 구간에서 20개의 단일에너지에 대해 수행되었다. 환산계수의 계산결과를 ICRP/ICRU의 연구결과 발표예정 출판물에 주어진 해당되는 값과 비교한 결과 편차 10%이내에서 일치하고 있다. 결과의 차이가 발생한 이유는 MIRD 팬텀과 ADAM/EVE 팬텀의 기하학적 차이가 주원인이며 또한 계산에 사용된 전산코드와 단면적 차이 등으로 판단된다. 특정 식도 모델을 사용한 결과로부터 얻어진 유효선량과 흉선과 췌장에 대한 등가선량을 채택함으로써 얻어지는 유효선량은 약간(최고 5%)의 차이를 보인다. 기타장기로부터 상부대장을 제외했을 때 본 연구에서 다루었던 감마선 선량학적 측면의 경우에서는 중요하지 않은 것으로 나타났다.

  • PDF

Protective Effects of Thiazolo[3,2-b]-1,2,4-Triazoles on Ethanol­Induced Oxidative Stress in Mouse Brain and Liver

  • Aktay Goknur;Tozkoparan Birsen;Ertan Mevlut
    • Archives of Pharmacal Research
    • /
    • 제28권4호
    • /
    • pp.438-442
    • /
    • 2005
  • A series of 3-[1-(4-(2-methylpropyl) phenyl) ethyl]-1,2,4-triazole-5-thione (I) and its bicyclic condensed derivatives 6-benzylidenethiazolo[3,2-b]-1, 2,4-triazole-5(6H)-ones (IIa-IIf) were investigated for the prevention of ethanol-induced oxidative stress in liver and brain of mice. Administration of ethanol (0.1 mL/mice, p.o.) resulted in a drop of total thiol groups (T-SH) and non-protein thiol groups (NP-SH), and an increase in thiobarbituric acid reactive substances (TBARS) in both liver and brain tissue of mice (p<0.001). Among the compounds investigated (at a dose of 200 mg/kg, p.o.), I and IId ameliorated the peroxidative injury in these tissues effectively. Compounds IIa, IIc and IIe improved the peroxidative tissue injury only in brain. These findings suggest that certain condensed thiazolo-triazole compounds may contribute to the control of ethanol-induced oxidative stress in an organ selective manner.

가토 기흉에서 본 $^{86}Rb$의 분포 ($^{86}Rb$ Distribution in the Lung of the Rabbit with Pneumothorax)

  • 허갑도
    • 대한핵의학회지
    • /
    • 제6권1호
    • /
    • pp.51-59
    • /
    • 1972
  • $^{86}Rb$ uptake of some organs and tissues, ego both lungs, both renal cortices. small intestine, liver and skeletal muscle were studied in the control and the rabbit subjected to pneumothorax. $^{86}Rb$ in the form of chloride mixed with physiological saline was intravenously. injected. The doses were $100{\mu}c$ for a rabbit. The rabbits were sacrificed at intervals of 10, 20, 40, and 60 seconds after the injection of $^{86}Rb$, by the injection of saturated KCI solution. After sacrification, the organ and tissue sample were quickly removed. $^{86}Rb$ uptake in gm of the organs and tissues were measured. On the basis of uptake value, administered doses and body weight, % dose/gm tissues per 200 gm body weight was calculated. Followings were the results; 1. Pneumothorax resulted in a marked elevation in $^{86}Rb$ uptake value of collapsed lung and returned to normal level lately. 2. Contralateral lung of pnemothorax also showed marked elevation in $^{86}Rb$ uptake value and recovered to normal level. 3. Initial $^{86}Rb$ uptake value of liver, small intestine of the rabbit with pneumothorax showed some elevation as compared to control, but that of late stage were similar with control. 4. Local blood flow determination by means of $^{86}Rb$ uptake were inadequate in the collapsed lung of pneumothorax. 5. It was suggested that the mechanism for the initial elevation of $^{86}Rb$ uptake value in each organs and tissue were different from each other.

  • PDF

Biosafety and Toxicological Evaluation of Tissue-Cultured Echinacea purpurea Adventitious Roots

  • Murthy, Hosakatte Niranjana;Park, So-Young;Lee, Eun Jeong;Paek, Kee Yoeup
    • 원예과학기술지
    • /
    • 제33권1호
    • /
    • pp.124-132
    • /
    • 2015
  • Echinacea purpurea (L.) Moench (purple cone flower) is an important medicinal plant; it can enhance immunity, relieve pain, and reduce inflammation, and also has hormonal, antiviral, and antioxidant effects. Adventitious root biomass of Echinacea purpurea was produced in commercial-scale bioreactors for use as a dietary supplement in the food industry and in traditional medicine. Biosafety and toxicological evaluations of tissue-cultured Echinacea purpurea adventitious roots (TCEPARs) were performed. Reverse mutation and chromosomal aberration tests showed no significant mutagenicity. Furthermore, repeated four-week oral dose tests performed in Sprague-Dawley rats did not show any notable changes in the general behavior of the rats, in the gross appearance of their internal organs, or in their mortality rate. There were no differences between the control group and the treatment group in parameters such as absolute body weight, hematology, blood chemistry, and absolute and relative organ weights. These findings indicate that TCEPARs are safe and nontoxic when consumed at an average dietary level and can be used as raw material for traditional medicine and the food industry.

새로운 캅사이신유도체 DA-5018외 일반약리작용 (General Pharmacology of DA-5018, a New Capsaicin Derivative)

  • 김순희;손문호;신명수;김희기;배은주;차봉진;김원배;양중의
    • Biomolecules & Therapeutics
    • /
    • 제5권1호
    • /
    • pp.74-81
    • /
    • 1997
  • DA-5018(N-(3-(3, 4-dimethylphenyl)propyl)-4-(2-aminoethoxy)-3-methoxyphenylacetamide) is a new capsaicin derivative under development as topical analgesic agent. The general pharmacological properties of DA-5018 on central nervous, cardiovascular, gastrointestinal and other organ systems were studied in experimental animals. DA-5018 cream (0.3%) had no effects on behavior, hexobarbital-induced sleeping time, body temperature, spontaneous activity, blood pressure, heart rate, intestinal charcoal propulsion, urine volume and electrolyte excretion even at a high dose of 2000 mg/kg in rats. In addition, DA-5Ol8 cream had little skin irritation compared to Zostrix-HP (capsaicin, 0.075%) cream in rabbits. In isolated guinea pig tissue studies, DA-5018 increased the contractility of trachea and ileum and also increased sinus rate of atrium in a range of 10^{-8}-10^{-5}$$ M, but its efficacy as a agonist was weak. These results suggest that DA-5018 cream might be used topically without serious side effects.

  • PDF