• Title/Summary/Keyword: Radiation intensity

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The effect of photon energy on intensity-modulated radiation therapy (IMRT) plans for prostate cancer

  • Sung, Won-Mo;Park, Jong-Min;Choi, Chang-Heon;Ha, Sung-Whan;Ye, Sung-Joon
    • Radiation Oncology Journal
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    • v.30 no.1
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    • pp.27-35
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    • 2012
  • Purpose: To evaluate the effect of common three photon energies (6-MV, 10-MV, and 15-MV) on intensity-modulated radiation therapy (IMRT) plans to treat prostate cancer patients. Materials and Methods: Twenty patients with prostate cancer treated locally to 81.0 Gy were retrospectively studied. 6-MV, 10-MV, and 15-MV IMRT plans for each patient were generated using suitable planning objectives, dose constraints, and 8-field setting. The plans were analyzed in terms of dose-volume histogram for the target coverage, dose conformity, organs at risk (OAR) sparing, and normal tissue integral dose. Results: Regardless of the energies chosen at the plans, the target coverage, conformity, and homogeneity of the plans were similar. However, there was a significant dose increase in rectal wall and femoral heads for 6-MV compared to those for 10-MV and 15-MV. The $V_{20Gy}$ of rectal wall with 6-MV, 10-MV, and 15-MV were 95.6%, 88.4%, and 89.4% while the mean dose to femoral heads were 31.7, 25.9, and 26.3 Gy, respectively. Integral doses to the normal tissues in higher energy (10-MV and 15-MV) plans were reduced by about 7%. Overall, integral doses in mid and low dose regions in 6-MV plans were increased by up to 13%. Conclusion: In this study, 10-MV prostate IMRT plans showed better OAR sparing and less integral doses than the 6-MV. The biological and clinical significance of this finding remains to be determined afterward, considering neutron dose contribution.

Status of Domestic and International Recommendations for Protection Design and Evaluation of Medical Linear Accelerator Facilities

  • Choi, Sang Hyoun;Shin, Dong Oh;Shin, Jae-ik;Kwon, Na Hye;Ahn, So Hyun;Kim, Dong Wook
    • Progress in Medical Physics
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    • v.32 no.4
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    • pp.83-91
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    • 2021
  • Various types of high-precision radiotherapy, such as intensity-modulated radiation therapy (IMRT), tomotherapy (Tomo), and stereotactic body radiation therapy have been available since 1997. After being covered by insurance in 2015, the number of IMRT cases rapidly increased 18-fold from 2011 to 2018 in Korea. IMRT, which uses a high-beam irradiation monitor unit, requires higher shielding conditions than conventional radiation treatments. However, to date, research on the shielding of facilities using IMRT and the current understanding of its status are insufficient, and detailed safety regulation procedures have not been established. This study investigated the recommended criteria for the shielding evaluation of facilities using medical linear accelerators (LINACs), including 1) the current status of safety management regulations and systems in domestic and international facilities using medical LINACs and 2) the current status of the recommended standards for safety management in domestic and international facilities using medical LINACs. It is necessary to develop and introduce a safety management system for facilities using LINACs for clinical applications that is suitable for the domestic medical environment and corresponds to the safety management systems for LINACs used overseas.

Treatment outcome of anaplastic ependymoma under the age of 3 treated by intensity-modulated radiotherapy

  • Lee, Joongyo;Chung, Seung Yeun;Han, Jung Woo;Kim, Dong-Seok;Kim, Jina;Moon, Jin Young;Yoon, Hong In;Suh, Chang-Ok
    • Radiation Oncology Journal
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    • v.38 no.1
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    • pp.26-34
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    • 2020
  • Purpose: Intensity-modulated radiotherapy (IMRT) allows for more precise treatment, reducing unwanted radiation to nearby structures. We investigated the safety and feasibility of IMRT for anaplastic ependymoma patients below 3 years of age. Materials and Methods: A total of 9 anaplastic ependymoma patients below 3 years of age, who received IMRT between October 2011 and December 2017 were retrospectively reviewed. The median equivalent dose in 2 Gy fractions was 52.0 Gy (range, 48.0 to 60.0 Gy). Treatment outcomes and neurologic morbidities were reviewed in detail. Results: The median patient age was 20.9 months (range, 12.1 to 31.2 months). All patients underwent surgery. The rates of 5-year overall survival, freedom from local recurrence, and progression-free survival were 40.6%, 53.3%, and 26.7%, respectively. Of the 9 patients, 5 experienced recurrences (3 had local recurrence, 1 had both local recurrence and cerebrospinal fluid [CSF] seeding, and 1 had CSF seeding alone). Five patients died because of disease progression. Assessment of neurologic morbidity revealed motor dysfunction in 3 patients, all of whom presented with hydrocephalus at initial diagnosis because of the location of the tumor and already had neurologic deficits before radiotherapy (RT). Conclusion: Neurologic morbidity is not caused by RT alone but may result from mass effects of the tumor and surgical sequelae. Administration of IMRT to anaplastic ependymoma patients below 3 years of age yielded encouraging local control and tolerable morbidities. High-precision modern RT such as IMRT can be considered for very young patients with anaplastic ependymoma.

Quantifications of Intensity-Modulated Radiation Therapy Plan Complexities in Magnetic Resonance Image Guided Radiotherapy Systems

  • Chun, Minsoo;Kwon, Ohyun;Park, Jong Min;Kim, Jung-in
    • Journal of Radiation Protection and Research
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    • v.46 no.2
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    • pp.48-57
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    • 2021
  • Background: In this study, the complexities of step-and-shoot intensity-modulated radiation therapy (IMRT) plans in magnetic resonance-guided radiation therapy systems were evaluated. Materials and Methods: Overall, 194 verification plans from the abdomen, prostate, and breast sites were collected using a 60Co-based ViewRay radiotherapy system (ViewRay Inc., Cleveland, OH, USA). Various plan complexity metrics (PCMs) were calculated for each verification plan, including the modulation complexity score (MCS), plan-averaged beam area (PA), plan-averaged beam irregularity, plan-averaged edge (PE), plan-averaged beam modulation, number of segments, average area among all segments (AA/Seg), and total beam-on time (TBT). The plan deliverability was quantified in terms of gamma passing rates (GPRs) with a 1 mm/2% criterion, and the Pearson correlation coefficients between GPRs and various PCMs were analyzed. Results and Discussion: For the abdomen, prostate, and breast groups, the average GPRs with the 1 mm/2% criterion were 77.8 ± 6.0%, 79.8 ± 4.9%, and 84.7 ± 7.3%; PCMs were 0.263, 0.271, and 0.386; PAs were 15.001, 18.779, and 35.683; PEs were 1.575, 1.444, and 1.028; AA/Segs were 15.37, 19.89, and 36.64; and TBTs were 18.86, 19.33, and 5.91 minutes, respectively. The various PCMs, i.e., MCS, PA, PE, AA/Seg, and TBT, showed statistically significant Pearson correlation coefficients of 0.416, 0.627, -0.541, 0.635, and -0.397, respectively, with GPRs. Conclusion: The area-related metrics exhibited strong correlations with GPRs. Moreover, the AA/Seg metric can be used to estimate the IMRT plan accuracy without beam delivery in the 60Co-based ViewRay radiotherapy system.

Experimental Analysis of Radiative Heat Interchange on Furnace Exit Plane of a Steam Boiler

  • Ahn, Kook-Young;Antonovsky, Vjacheslav-Ivanovich
    • Journal of Mechanical Science and Technology
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    • v.15 no.2
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    • pp.239-247
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    • 2001
  • Measured radiative heat fluxes on the furnace exit plane of a heavy duty power boiler of steam output 1650 T/h are discussed. A high-ash pulverized bituminous coal was used. Such measurements are necessary to improve heat fluxes inside a steam boiler furnace was manufactured. An extra small heat radiation sensor was placed in the water cooled head of the probe. The sensor had no direct contact with furnace gases and measured only the radiant energy. There was no exposure to convective heat transfer. With the radiometric probe, one can obtain a spherical indicatrix of radiation intensity as well as hemispherical radiative heat flux incident on any surface passing through a measuring point inside the furnace. Thus, the quantity of radiation energy, passing through the furnace exit plane, to the convective heating surfaces and the quantity of radiation energy going in the opposite direction were measured. A formula for relative radiative heat flux on the furnace exit plane has been proposed.

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Reduction of Exposure Dose of Mammography by Comparison of Compression Paddle Material (압박대 재질 비교를 통한 유방촬영의 피폭선량 감소 방안)

  • Hong, Dong-Hee
    • Journal of radiological science and technology
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    • v.42 no.6
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    • pp.455-460
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    • 2019
  • This study compared the radiation transmission and image quality of polymethylmethacrylate (PMMA), polycarbonate (PC), and carbon, which are common components of the compression plates currently used during breast imaging. In addition to measuring the transmitted dose and the intensity without the use of a compression paddle, the four different compression paddles were evaluated according to the material and thickness of each paddle. Radiation transmittance, maximum intensity, and plot profile type w ere all evaluated for each material, and for each factor evaluated the follow ing order w as noted, from best to w orst: carbon 4 mm, PMMA 3 mm, PMMA 4 mm, and PC 4 mm. It is necessary to study a variety of materials and thicknesses in order to find the optimal combination of material and thickness, because not only does the material have a large influence in reducing the radiation exposure during mammography, but the thickness of the compression plate also has a great influence.

THE EFFECT OF ATMOSPHERIC SCATTERING AS INFERRED FROM THE ROCKET-BORNE UV RADIOMETER MEASUREMENTS

  • Kim, Jhoon
    • Journal of Astronomy and Space Sciences
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    • v.14 no.1
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    • pp.87-93
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    • 1997
  • Radiometers in UV and visible wavelengths were onboard the Korean Sounding Rocket(KSR)-1 and 2 which were launched on June 4th and September 1st, 1993. These radiometers were designed to capture the solar radiation during the ascending period of the rocket flight. The purpose of the instrument was to measure the vertical profiles of stratospheric ozone densities. Since the instrument measured the solar radiation from the ground to its apogee, it is possible to investigate the altitude variation of the measured intensity and to estimate the effect of atmospheric scattering by comparing the UV and visible intensity. The visible channel was a reference because the 450-nm wavelength is in the atmospheric window region, where the solar radiation is transmitted through the atmosphere without being absorbed by other atmospheric gases. The use of 450-nm channel intensity as a reference should be limited to the altitude ranges above the certain altitudes, say 20 to 25km where the signals are not perturbed by atmospheric scattering effects.

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Preliminary Study of Neuronal Response to Dose Distribution of Radiation with MR Spectroscopy

  • Ahn, Seung-Do;Yi, Byoung-Young;Lee, Jung-Hee
    • Proceedings of the Korean Biophysical Society Conference
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    • 2002.06b
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    • pp.25-26
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    • 2002
  • The goal of radiation therapy is to maximize the tumor dose and to minimize the dose of normal tissue. In order to achieve this goal, the new radiation therapy techniques such as three dimensional conformal therapy or intensity modulated radiation therapy has been developed and tried to clinical application. The relationship between radiation dose and normal tissue response is an interesting subject in the radiation therapy field.(omitted)

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Evaluating the Effects of Dose Rate on Dynamic Intensity-Modulated Radiation Therapy Quality Assurance

  • Kim, Kwon Hee;Back, Tae Seong;Chung, Eun Ji;Suh, Tae Suk;Sung, Wonmo
    • Progress in Medical Physics
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    • v.32 no.4
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    • pp.116-121
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    • 2021
  • Purpose: To investigate the effects of dose rate on intensity-modulated radiation therapy (IMRT) quality assurance (QA). Methods: We performed gamma tests using portal dose image prediction and log files of a multileaf collimator. Thirty treatment plans were randomly selected for the IMRT QA plan, and three verification plans for each treatment plan were generated with different dose rates (200, 400, and 600 monitor units [MU]/min). These verification plans were delivered to an electronic portal imager attached to a Varian medical linear accelerator, which recorded and compared with the planned dose. Root-mean-square (RMS) error values of the log files were also compared. Results: With an increase in dose rate, the 2%/2-mm gamma passing rate decreased from 90.9% to 85.5%, indicating that a higher dose rate was associated with lower radiation delivery accuracy. Accordingly, the average RMS error value increased from 0.0170 to 0.0381 cm as dose rate increased. In contrast, the radiation delivery time reduced from 3.83 to 1.49 minutes as the dose rate increased from 200 to 600 MU/min. Conclusions: Our results indicated that radiation delivery accuracy was lower at higher dose rates; however, the accuracy was still clinically acceptable at dose rates of up to 600 MU/min.