• Title/Summary/Keyword: Primary Radiation

Search Result 937, Processing Time 0.034 seconds

Therapeutic Results of Radiotherapy in Nonsmall Cell Lung Cancers (비소세포성 폐암의 방사선치료 성적)

  • Shin, Sei-One;Kim, Sung-Kyu;Kim, Myung-Se
    • Journal of Yeungnam Medical Science
    • /
    • v.11 no.1
    • /
    • pp.72-81
    • /
    • 1994
  • Total 55 patients with nonsmall cell lung cancer treated with radiation therapy at Department of Therapeutic Radiology, Yeungnam University Hospital, between May-1 1986 and April-30 1993 were retrospectively analyzed by clinical characteristics, failure patterns, follow up duration and survival ratio according to prognostic factors. Obtained results were as follows : 1. Male to female ratio was 17.3 2. Sixth and seventh decades were predominant age group. 3. The patients were 8 in stage I-II, 34 in stage IIIA, 13 in stage IIIb, respectively. 4. Forty five patients out of 55 were squamous cell carcinoma. 5. Primary tumor were originated from upper lobe bronchi predominantly. 6. The size of the primary tumor, lymph node involvement and the degree of differentiation were important in evaluation of prognosis. 7. In conclusion, for patients with poor prognostic factors systemic chemotherapy and multidisciplinary approach were recommended for better treatment outcome and improvement of survival.

  • PDF

Evaluation of Community Land Model version 3.5-Dynamic Global Vegetation Model over Deciduous Forest in Gwangneung, Korea (광릉 활엽수림에서 Community Land Model 3.5-Dynamic Global Vegetation Model의 평가)

  • Lim, Hee-Jeong;Lee, Young-Hee;Kwon, Hyo-Jung
    • Korean Journal of Agricultural and Forest Meteorology
    • /
    • v.12 no.2
    • /
    • pp.95-106
    • /
    • 2010
  • The performance of Community Land Model version 3.5 - Dynamic Global Vegetation Model (CLM-DGVM) was evaluated through a comparison with the observation over temperate deciduous forest in Gwangneung, Korea. Influence of plant phenology, composition of plant functional type, and climate variability on carbon exchanges was also examined through sensitivity test. To get equilibrium carbon storage, the model was run for 400 years driven by the observed atmospheric data at the deciduous forest of the year 2006. We run the model for 2006 with the equilibrium carbon storage at Gwangneung forest and compared the model output with the observation. A comparison of leaf area index (LAI) between the model and observation indicated that the simulated phenology poorly represented the timing of budburst, leaf-fall, and evolution of LAI. Senescence of the phenology was delayed about four weeks and the simulated maximum LAI (of 5.8 $m^2$ $m^{-2}$) was greater than the observed value (of 4.5 $m^2$ $m^{-2}$). The overestimated LAI contributed to overestimation of both gross primary productivity (GPP) and ecosystem respiration $(R_e)$ through increased photosynthesis and foliar autotropic respiration $(R_a)$, respectively. Despite the discrepancy between the simulated and observed LAI, the simulated tree carbon storage amounts were comparable with the reported values at the site. Change in plant phenology from the simulated to the observed reduced more than six weeks of the plant growth period, resulting in the decreased amount of GPP and $R_e$. These values, however, were still higher (~10% of GPP and 40% of $R_e$) than the observed values. The effect of change in plant functional type composition (from dominant temperate deciduous forest to the coexistence of temperate deciduous and needle leaf forests) on the estimated amount of GPP and $R_e$ was marginal. The influence of climate variability on carbon storage amounts was not significant. The simulated inter-annual variation of GPP and $R_e$ from 1994 to 2003 depended on annual mean air temperature and total radiation but not on precipitation. Other deficiencies of CLM3.5-DGVM have been discussed.

The Dynamics of CO2 Budget in Gwangneung Deciduous Old-growth Forest: Lessons from the 15 years of Monitoring (광릉 낙엽활엽수 노령림의 CO2 수지 역학: 15년 관측으로부터의 교훈)

  • Yang, Hyunyoung;Kang, Minseok;Kim, Joon;Ryu, Daun;Kim, Su-Jin;Chun, Jung-Hwa;Lim, Jong-Hwan;Park, Chan Woo;Yun, Soon Jin
    • Korean Journal of Agricultural and Forest Meteorology
    • /
    • v.23 no.4
    • /
    • pp.198-221
    • /
    • 2021
  • After large-scale reforestation in the 1960s and 1970s, forests in Korea have gradually been aging. Net ecosystem CO2 exchange of old-growth forests is theoretically near zero; however, it can be a CO2 sink or source depending on the intervention of disturbance or management. In this study, we report the CO2 budget dynamics of the Gwangneung deciduous old-growth forest (GDK) in Korea and examined the following two questions: (1) is the preserved GDK indeed CO2 neutral as theoretically known? and (2) can we explain the dynamics of CO2 budget by the common mechanisms reported in the literature? To answer, we analyzed the 15-year long CO2 flux data measured by eddy covariance technique along with other biometeorological data at the KoFlux GDK site from 2006 to 2020. The results showed that (1) GDK switched back-and-forth between sink and source of CO2 but averaged to be a week CO2 source (and turning to a moderate CO2 source for the recent five years) and (2) the interannual variability of solar radiation, growing season length, and leaf area index showed a positive correlation with that of gross primary production (GPP) (R2=0.32~0.45); whereas the interannual variability of both air and surface temperature was not significantly correlated with that of ecosystem respiration (RE). Furthermore, the machine learning-based model trained using the dataset of early monitoring period (first 10 years) failed to reproduce the observed interannual variations of GPP and RE for the recent five years. Biomass data analysis suggests that carbon emissions from coarse woody debris may have contributed partly to the conversion to a moderate CO2 source. To properly understand and interpret the long-term CO2 budget dynamics of GDK, new framework of analysis and modeling based on complex systems science is needed. Also, it is important to maintain the flux monitoring and data quality along with the monitoring of coarse woody debris and disturbances.

Long-term Survival Analysis of Bronchioloalveolar Cell Carcinoma (기관세지폐포암의 장기결과분석)

  • Lee Seung Hyun;Kim Yong Hee;Moon Hye Won;Kim Dong Kwan;Kim Jong Wook;Park Seung Il
    • Journal of Chest Surgery
    • /
    • v.39 no.2 s.259
    • /
    • pp.106-110
    • /
    • 2006
  • Background: Bronchioloalveolar carcinoma (BAC) is an uncommon primary malignancy of the lung, and it accounts for $2{\~}14\%$ of all pulmonary malignancies. According to World Health Organization (WHO) categorisation, BAC is a subtype of adenocarcinoma. The current definition of BAC includes the following: malignant neoplasms of the lung that have no evidence of extrathoracic primary adenocarcinoma, an absence of a central bronchogenic source, a peripheral parenchymal location, and neoplastic cells growing along the alveolar septa. Previous reports had demonstrated a better prognosis following surgery for patients affected by BAC than those affected by other type of non-small cell lung cancer (NSCLC). We aim to analyse Asan Medical Center experiences of BAC. Material and Method: Between 1990 and 2002, 31 patients were received operations for BAC. We analyse retrosepectively sex, age, disease location, preoperative clinical stage, postoperative pathologic stage & complications, survival according to medical record. Result: There were 12 men and 19 women, the average age was 61.09$\pm$10.63 ($31{\~}79$) years. Tumor locations were 7 in RUL, 1 in RML, 4 in RLL, 8 in LUL, 11 in LLL. Operations were 28 lobectomies, 2 pneumonectomies. Postoperative pathologic stage were 12 T1N0M0, 15 T2N0M0, 1 T1N1M0, 1 T1N2M0, 1 T2N2M0, 1 T1N0M1. Mortality were 4 cases ($12.9\%$) and there were no early mortality. Cancer free death was 1 cases, other 3 were cancer related deaths. All of them were affected by distal metastasis and received chemotherapy and each metastatic locations were right rib, brain, and both lung field. The average follow up periods were 50.87$\pm$24.77 months. The overall 3, 5-year survival rate among all patients was $97.1\%,\;83.7\%$, stage I patients overall 2, 5year survival rate was $96.3\%$. The overall disease free 1, 2, 5-year survival rate among all patients was $100\%,\;90\%,\;76\%$ and 2, 5-year survival rate in cases of stage I was $96.4\%,\;90.6\%$. 7 cases ($22.58\%$) were chemotherapies, 1 case ($3.22\%$) was radiation therapy, and 2 cases ($6.45\%$) were chemoradiation therapies. Metastatic locations were 3 cases in lung, 1 case in bone, 1 cases in brain. Conclusion: BAC has a favourable survival and low recurrence rate compare with reported other NSCLC after operative resections.

Development of a Biophysical Rice Yield Model Using All-weather Climate Data (MODIS 전천후 기상자료 기반의 생물리학적 벼 수량 모형 개발)

  • Lee, Jihye;Seo, Bumsuk;Kang, Sinkyu
    • Korean Journal of Remote Sensing
    • /
    • v.33 no.5_2
    • /
    • pp.721-732
    • /
    • 2017
  • With the increasing socio-economic importance of rice as a global staple food, several models have been developed for rice yield estimation by combining remote sensing data with carbon cycle modelling. In this study, we aimed to estimate rice yield in Korea using such an integrative model using satellite remote sensing data in combination with a biophysical crop growth model. Specifically, daily meteorological inputs derived from MODIS (Moderate Resolution imaging Spectroradiometer) and radar satellite products were used to run a light use efficiency based crop growth model, which is based on the MODIS gross primary production (GPP) algorithm. The modelled biomass was converted to rice yield using a harvest index model. We estimated rice yield from 2003 to 2014 at the county level and evaluated the modelled yield using the official rice yield and rice straw biomass statistics of Statistics Korea (KOSTAT). The estimated rice biomass, yield, and harvest index and their spatial distributions were investigated. Annual mean rice yield at the national level showed a good agreement with the yield statistics with the yield statistics, a mean error (ME) of +0.56% and a mean absolute error (MAE) of 5.73%. The estimated county level yield resulted in small ME (+0.10~+2.00%) and MAE (2.10~11.62%),respectively. Compared to the county-level yield statistics, the rice yield was over estimated in the counties in Gangwon province and under estimated in the urban and coastal counties in the south of Chungcheong province. Compared to the rice straw statistics, the estimated rice biomass showed similar error patterns with the yield estimates. The subpixel heterogeneity of the 1 km MODIS FPAR(Fraction of absorbed Photosynthetically Active Radiation) may have attributed to these errors. In addition, the growth and harvest index models can be further developed to take account of annually varying growth conditions and growth timings.

Nitrogen Balance in Paddy Soil of Control-Release Fertilizer Application (완효성비료 시용 논 토양중의 질소행동에 관한 연구)

  • Lee, Kyeong-Bo;Park, Chan-Won;Park, Kwang-Lai;Kim, Jong-Gu;Lee, Deog-Bae;Kim, Jae-Duk
    • Korean Journal of Soil Science and Fertilizer
    • /
    • v.38 no.3
    • /
    • pp.157-163
    • /
    • 2005
  • The increasing of greenhouse gases may change agricultural environment. The agronomic productivity will depend upon change of temperature, precipitation, solar radiation and fertilization. Particularly, nitrogen fertilization considerably influences rice productivity and agricultural environments. This experiment was conducted to study transformation of nitrogen and to determine the primary yield components responsible for yield differences in paddy soil. $NH_4-N$ concentration of NPK plot in surface water of paddy soil was $2.07mg\;L^{-1}$ at 5 days after transplanting, and then was decreased sharply due to rice absorption and loss to environment. $NO_3-N$ concentration of NPK plot in surface water was $3.97mg\;L^{-1}$ at 10 days after transplanting. $NO_3-N$ concentration range of CRF plot in surface water was $3-5mg\;L^{-1}$ at 30th after transplanting. The accumulation of $NH_3$ volatilization in NPK plot was $22.39kg\;ha^{-1}$, which accounted for 20% of N fertilizer applied but using of CRF fertilizer can reduce $NH_3$ volatilization by 67% in paddy soil. Use efficiency of N fertilizer was not different between CRF70% and CRF100% plot. Rate of N use efficiency were 27.4%, 51.2%, 49.0% in paddy field NPK, CRF70% and CRF100% plots respectively. The yield of CRF70% showed the best effect with 9.3% increase production ratio, compare with NPK plot.

Pulmonary Toxicity Following High-Dose Chemotherapy With Peripheral Blood Stem Cell Transplantation (고용량 항암화학요법 후에 발생한 폐손상)

  • Lee, Sun-Min;Park, Kwang-Joo;Oh, Yoon-Jung;Cheong, Seong-Cheoll;Hwang, Sung-Chul;Lee, Yi-Hyung;Kim, Hyun-Soo;Lim, Ho-Yeong;Kim, Hugh-Chul;Yim, Hyun-Ee;Hahn, Myung-Ho
    • Tuberculosis and Respiratory Diseases
    • /
    • v.47 no.1
    • /
    • pp.77-89
    • /
    • 1999
  • Background: High-dose chemotherapy is increasingly employed in many refractory malignant diseases. This therapy has been reported to increase response rate and survival benefits but it is also associated with higher treatment-related morbidity and mortality. We evaluated clinical characteristics and course of the pulmonary toxicity following high-dose chemotherapy with peripheral blood stem cell transplantation. Methods: Ninety-seven patients who had received high-dose chemotherapy with peripheral blood stem cell transplantation were evaluated. Five patients who developed lung lesions which were not related to infection nor primary malignant disease underwent transbronchial lung biopsy. The patients' clinical characteristics, treatments, and prognosis were reviewed retrospectively. Results: Five patients(5.1%) developed idiopathic pneumonia syndrome. The high dose chemotherapy regimens employed were cyclophosphamide, BCNU, and cisplatin in 3 cases, one case of BCNU, etoposide, Ara-C, and cyclophosphamide combination, and a regimen consisting of BCNU, etoposide, Ara-C, and melphalan. The total dose of BCNU used was 300-400 mg/$m^2$ and that of cyclophosphsmide was 6,000 mg/$m^2$. All of 5 patients received radiation therapy before this treatment. After an average duration of 14 weeks (4-26 weeks) of high-dose chemotherapy, patients developed cough, dyspnea and fever. The chest X-rays showed bilateral diffuse infiltration in 3 cases and the focal infiltration in the other 2 cases. All the patients received corticosteroid therapy as a treatment for the lung lesions. Two of them progressed to acute respiratory distress syndrome and died. Three patients recovered without residual lung lesion but one of them died of dilated cardiomyopathy. Conclusion: High-dose chemotherapy with peripheral blood stem cell transplantation especially which containing BCNU regimen may develop idiopathic pneumonia syndrome related to pulmonary toxicity and corticosteroid therapy may be bel1eficial in some cases.

  • PDF

Impact of Adjuvant Chemoradiation Therapy on the Postoperative 5-year Survival Rates for Stage-II Gastric Cancer (2기 위암환자의 수술 후 보조 항암요법 및 방사선 치료가 생존율에 미치는 영향)

  • Hong, Seong-Kweon;Choi, Min-Gew;Baik, Yong-Hae;Noh, Jae-Hyung;Sohn, Tae-Sung;Kim, Sung
    • Journal of Gastric Cancer
    • /
    • v.5 no.4 s.20
    • /
    • pp.281-287
    • /
    • 2005
  • Purpose: This study was conducted to evaluate the effectiveness and the role of post-operative adjuvant chemoradiation therapy in a stage-II (UICC, 1997) primary gastric cancer. Materials and Methods: From September 1994 to December 2004, 954 stage-II gastric-cancer patients were seen, and all of them underwent a curative resection with extensive (D2) lymph-node dissection. The chemotherapy consisted of fluorouracil $(400mg/m^2)$ plus leucovorin $(20mg/m^2)$ for 5 days, followed by 4,500 cGy of radiotherapy for 5 weeks with fluorourcil and leucovorin on the first 4 days and the last 3 days of radiotherapy. Two five-day cycles of chemotherapy were given four weeks after the completion of radiotherapy. The Kaplan-Meier method was used to estimate the survival rates. To assess the importance of potential prognostic factors, we performed univariate and multivariate analyses using a log-rank test and Cox's proportional hazards regression model. A P value <0.05 was considered significant. Results: Univariate analysis revealed that age, tumor size, gross type, surgical method, and postoperative adjuvant therapy had statistical significance. Among these factors, age, surgical method, tumor size, surgical method, and postoperative adjuvant therapy were found to be independent prognostic factors by using a multivariate analysis. The postoperative adjuvant chemotherapy group and the chemoradiation therapy group had survival benefit compared to the surgery-only group. However the chemoradiation therapy group had no significant survival benefit compared to the chemotherapy group. Conclusion: The postoperative adjuvant therapy in stage-II gastric-cancer patients had significant benefit. Therefore, postoperative adjuvant chemoradiation therapy has an acceptable effect. A large-scale, randomized study is needed to evaluate the effectiveness and the role of postoperative radiation therapy.

  • PDF

Clinical Charicteristics of Primary Lung Cancer Patients in a Tertiary Hospital (3차 의료기관에서 진단된 원발성 폐암의 임상적 특성)

  • Ryu, Jeong-Seon;Lee, Hun-Jae;Leem, Jong-Han;Kim, Lucia;Lee, Kyung-Hee;Cho, Jae-Hwa;Yoon, Young-Han;Kwak, Seung-Min;Lee, Hong-Lyeol;Kim, Kwang-Ho;Loh, John-Kyu;Jung, Soo-Kyung
    • Tuberculosis and Respiratory Diseases
    • /
    • v.60 no.3
    • /
    • pp.321-329
    • /
    • 2006
  • Background : To evaluate the clinical characteristics of lung cancer patients in Korea, where there is a higher number of smokers than in Western countries. Methods : A retrospective study was performed on 1655 lung cancer patients, who were diagnosed at a university hospital between September 1996 and August 2005. Age, gender, cell types and clinical stage were analysed. Of 941 patients, who responded to a questionnaire at the time of diagnosis, the smoking habits, occupational history, family history of lung cancer in the first-degree relatives, coexisting diseases (diabetes mellitus and cardiovascular disease), body weight loss, ECOG performance status and presenting symptoms, were examined prospectively. In addition, coexisting diseases including chronic obstructive pulmonary disease, idiopathic pulmonary fibrosis and active pulmonary tuberculosis were evaluated. Results : Of the 1655 patients, the male to females ratio was 3.6. Squamous cell carcinoma was the most common cancer whereas adenocarcinoma was more common in lifetime nonsmokers or women. 19.9% of the patients were non smokers and 80.1% ever smokers. Since 2000, there was an increase in the incidence of adenocarcinoma with a corresponding decrease in the incidence of squamous cell carcinoma. 6.2% of patients were asymptomatic. A coincident diagnosis of chronic obstructive pulmonary disease, cardiovascular disease, diabetes mellitus, active pulmonary tuberculosis, and idiopathic pulmonary fibrosis was made in: 44.1%, 22.2%, 10.7%, 3.9%, and 1.6% of patients, respectively. A positive family history of lung cancer in the first-degree relatives was identified in 4.4% of patients. An occupational history relevant to lung cancer was identified in 12.2% of patients. Conclusion : There is a high proportion of cigarette smokers in Korean lung cancer patients. The most common cell type was squamous cell carcinoma. However, a more detailed, prospective study of the clinical characteristics will be needed to better characterize lung cancer in Korea.

Sensitivity of Simulated Water Temperature to Vertical Mixing Scheme and Water Turbidity in the Yellow Sea (수직 혼합 모수화 기법과 탁도에 따른 황해 수온 민감도 실험)

  • Kwak, Myeong-Taek;Seo, Gwang-Ho;Choi, Byoung-Ju;Kim, Chang-Sin;Cho, Yang-Ki
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
    • /
    • v.18 no.3
    • /
    • pp.111-121
    • /
    • 2013
  • Accurate prediction of sea water temperature has been emphasized to make precise local weather forecast and to understand change of ecosystem. The Yellow Sea, which has turbid water and strong tidal current, is an unique shallow marginal sea. It is essential to include the effects of the turbidity and the strong tidal mixing for the realistic simulation of temperature distribution in the Yellow Sea. Evaluation of ocean circulation model response to vertical mixing scheme and turbidity is primary objective of this study. Three-dimensional ocean circulation model(Regional Ocean Modeling System) was used to perform numerical simulations. Mellor- Yamada level 2.5 closure (M-Y) and K-Profile Parameterization (KPP) scheme were selected for vertical mixing parameterization in this study. Effect of Jerlov water type 1, 3 and 5 was also evaluated. The simulated temperature distribution was compared with the observed data by National Fisheries Research and Development Institute to estimate model's response to turbidity and vertical mixing schemes in the Yellow Sea. Simulations with M-Y vertical mixing scheme produced relatively stronger vertical mixing and warmer bottom temperature than the observation. KPP scheme produced weaker vertical mixing and did not well reproduce tidal mixing front along the coast. However, KPP scheme keeps bottom temperature closer to the observation. Consequently, numerical ocean circulation simulations with M-Y vertical mixing scheme tends to produce well mixed vertical temperature structure and that with KPP vertical mixing scheme tends to make stratified vertical temperature structure. When Jerlov water type is higher, sea surface temperature is high and sea bottom temperature is low because downward shortwave radiation is almost absorbed near the sea surface.