• Quality Improvement in Health Care
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• v.2 no.1
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• pp.110-117
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• 1995

The Comprehensive quality assurance for radiation oncology provides an overall organizational structures, responsibilities, procedures, processes and resources for assuring the quality of patient management by radiation treatment. Superior performance of modern radiotherapy equipment will be essential part of quality assurance in radiation oncology, which high degree of accuracy and consistency should be maintained under the optimal quality assurance program. Besides quality control of all radiation equipment, this review also emphasizes quality assurance of clinical aspect such as adequacy of the medical decision-making which eventually leads to the treatment prescription, accuracy of treatment procedure from treatment preparation to radiation delivery, and the significance of assessment of treatment outcomes with structure and process.

• Journal of Yeungnam Medical Science
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• v.25 no.2
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• pp.85-91
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• 2008

Intensity-modulated radiation therapy (IMRT) is believed to be one of the best radiation treatment techniques. IMRT is able to deliver fatal doses of radiation to the tumor region with minimal exposure of critical organs. It is essential to have a comprehensive quality assurance program to assure precision and accuracy in treatment, due to the character of IMRT. We applied quality assurance technique to the Eclipse treatment planning system and sought to determine its effectiveness in patient treatment planning. An acrylic phantom, film, and an ionization chamber were used in this study.

• 대한방사선방어학회:학술대회논문집
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• 2009.04a
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• pp.114-115
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• 2009

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• Imaging Science in Dentistry
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• v.54 no.2
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• pp.129-137
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• 2024

Purpose: Patients with head and neck cancer (HNC) who undergo dental procedures during radiotherapy (RT) face an increased risk of developing osteoradionecrosis (ORN). Accordingly, new tools must be developed to extract critical information regarding the dose delivered to the teeth and mandible. This article proposes a novel approach for visualizing 3-dimensional planned dose distributions on panoramic reconstruction computed tomography (pCT) images. Materials and Methods: Four patients with HNC who underwent volumetric modulated arc therapy were included. One patient experienced ORN and required the extraction of teeth after RT. In the study approach, the dental arch curve (DAC) was defined using an open-source platform. Subsequently, pCT images and dose distributions were generated based on the new coordinate system. All teeth and mandibles were delineated on both the original CT and pCT images. To evaluate the consistency of dose metrics, the Mann-Whitney U test and Student t-test were employed. Results: A total of 61 teeth and 4 mandibles were evaluated. The correlation coefficient between the 2 methods was 0.999, and no statistically significant difference was observed (P>0.05). This method facilitated a straightforward and intuitive understanding of the delivered dose. In 1 patient, ORN corresponded to the region of the root and the gum receiving a high dosage (approximately 70 Gy). Conclusion: The proposed method particularly benefits dentists involved in the management of patients with HNC. It enables the visualization of a 3-dimensional dose distribution in the teeth and mandible on pCT, enhancing the understanding of the dose delivered during RT.

• Progress in Medical Physics
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• v.33 no.4
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• pp.37-52
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• 2022

Over the past decades, radiation therapy combined with imaging modalities that ensure optimal image guidance has revolutionized cancer treatment. The two major purposes of using imaging modalities in radiotherapy are to clearly delineate the target prior to treatment and set up the patient during radiation delivery. Image guidance secures target position prior to and during the treatment. High quality images provide an accurate definition of the treatment target and the possibility to reduce the treatment margin of the target volume, further lowering radiation toxicity and improving the quality of life of cancer patients. In this review, the various types of image guidance modalities used in radiation therapy are distinguished into ionized (kilovoltage and megavoltage image) and nonionized imaging (magnetic resonance image, ultrasound, surface imaging, and radiofrequency). The functional aspects, advantages, and limitation of imaging using these modalities are described as a subsection of each category. This review only focuses on the technological viewpoint of these modalities and any clinical aspects are omitted. Image guidance is essential, and its importance is rapidly increasing in modern radiotherapy. The most important aspect of using image guidance in clinical settings is to monitor the performance of image quality, which must be checked during the periodic quality assurance process.

• The Journal of the Korea Contents Association
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• v.16 no.7
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• pp.681-688
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• 2016

This study assess their quality of radiation on analysis of the spectrum of resolution suggesting IEC 61267 in radiation quality that RQA3, RQA5, RQA7, RQA9 and combination of clinical condition using several quality of radiation. In experiments edge method first, the spatial resolution assessment used image of the additional filter and SID is obtained the IEC 62220-1, spatial resolution and sharpness of the obtained image was evaluated in the MTF value 10%(0.1), MTF value 50%(0.5) using a Matlab program. Second, MCNPX simulation used spatial resolution analysis was radiation quality particle fluence and spectrum analysis in energy. As a result, make use of additional filter, image quality evaluation of SID that RQA3 radiation quality combination qualification is higher spatial resolution and sharpness make unused of additional filter and SID 100cm. RQA7 radiation quality combination qualification is higher that spatial resolution make unused of additional filter and SID 150cm. RQA9 radiation quality combination qualification is higher that spatial resolution and sharpness make used of additional filter and SID 180cm. spectrum analysis of radiation quality by reducing consequent errors occurring in the experiment that error due to the reproducibility of the X-ray tube, occur in an error of correction the detector suggest ideal conditions from spectrum analysis through MCNPX simulation. In conclusion, by suggesting spatial resolution and sharpness of result for various radiation quality, It provide basic data that radiation quality condition and quantitative assessment method for laboratory in clinical using detector evaluation.

• Progress in Medical Physics
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• v.28 no.4
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• pp.197-206
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• 2017

We develop guidelines for the quality assurance of radiation treatment planning systems (TPS) by comparing and reviewing recommendations from major countries and organizations, as well as by analyzing the AAPM, ESTRO, and IAEA TPS quality assurance guidelines. We establish quality assurance items for acceptance testing, commissioning, periodic testing, system management, and security, and propose methods to perform each item within acceptable standards. Acceptance includes tests of hardware and network environments, data transmission, software, and benchmarking as specified by the system supplier, and apply the IAEA classification criteria. Commissioning includes dosimetric and non-dosimetric items for assessing TPS performance by applying the AAPM classification criteria and the latest technical items from the IAEA. Periodic quality assurance tests include daily, weekly, monthly, yearly, and occasional items by applying the AAPM classification criteria. System management and security items include the state and network connectivity of TPS, periodic data backup, and data access security. The guidelines for TPS quality assurance proposed in this study will help to improve the safety and quality of radiotherapy by preventing incidents related to radiotherapy.

• Korean Journal of Digital Imaging in Medicine
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• v.12 no.1
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• pp.59-64
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• 2010

We examined the accuracy and efficiency of phantom by applying the designed phantom in order to check daily quality assurance easily by objective criteria and to confirm daily quality assurance of linear accelerator, simulator, and CT-simulator. The results of 10 weeks of linear accelerator output dose using American Association of Physicists in Medicine(AAPM) daily quality assurance guide were measured within ${\pm}1%$ of error. Mechanical check of laser alignment, optical distance indicator(ODI), CT scanner laser and alignment of gantry lasers with the center of imaging plane were measured within ${\pm}1mm$. Daily average working time for daily quality assurance of radiation therapy equipments was 38 minutes. The designed phantom was easy to install and daily quality assurance was possible with only one installation. The aspects reproducibility and efficiency as well as accuracy of quality assurance were excellent.

• Journal of Korean Society for Quality Management
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• v.43 no.3
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• pp.239-252
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• 2015

Purpose: Lead has been widely used in radiation shielding for its low price and high workability. Recently in several europe countries, use of lead was banned for environmental issues. Also lead can cause health problems like alergies. Alternative materials for lead are highly required. The purpose of this study was to propose lead free radiation shielding material. Methods: Research of radiation shielding in Korea is not easy for certain limits such as radiation materials, experimental facilities and places. The collected data through the research were simulated using MCNPX. The simulation tools used for this study were utilized Monte Carlo method. Results: we suggest new design of lead free radiation shielding material using MCNPX code comparing shielding performance of new composite materials to lead. Conclusion: This newly introduced nano-scale composite of metal and polymer makes new chance for highly lightened radiation protective garments with endurable shielding performance.

• Rapid Communication in Photoscience
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• v.3 no.1
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• pp.25-27
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• 2014

The relative importance of radiation dose, storage time, and temperature in radiation processing of spinach (Spinacia oleracea L.), was evaluated in terms of the postharvest quality through a model study using leaf disks. Physiological activity and chlorophyll and carotenoid contents were measured to represent the postharvest quality (in terms of external appearance) of spinach, a leafy green vegetable. At $22^{\circ}C$ and $30^{\circ}C$, the higher gamma-radiation dose caused a greater decrease in the physiological activity, depending on the storage time of 4 d. However, this decrease was not significant at $4^{\circ}C$ and $15^{\circ}C$. Total chlorophyll and carotenoid contents were substantially decreased by 3 kGy at $15^{\circ}C$, and dose-dependently by 0.5-3 kGy at $22^{\circ}C$. In contrast, the proportion of lutein in total carotenoid was significantly increased in the 2-3-kGy samples only at $22^{\circ}C$, while that of ${\beta}$-carotene was slightly decreased, indicating progression of leaf aging. These data suggest that the unfavorable effect of gamma irradiation on the postharvest quality of spinach could be avoided or controlled by the storage time or temperature rather than the radiation dose. The current study could be available to improve radiation processing of other leafy green vegetables.