• Title/Summary/Keyword: Rectal volume

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Rectal balloon for the immobilization of the prostate internal motion (전립선 내부 움직임 고정용 직장풍선)

  • Cho, Sam-Ju;Cho, Jae-Ho;Lee, Sang-Kyoo;Chu, Sung-Sil;Bak, Jin-Ho;Lee, Se-Byong;Jeong, Kyoung-Keun;Lee, Chang-Geol;Suh, Chang-Ok
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2004.11a
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    • pp.136-139
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    • 2004
  • In this study, we used the rectal balloon to overcome the dose limit of the radiation therapy in the prostate cancer. Using the rectal balloon, we could minimize the planning target volume (PTV) by minimizing the internal motion of prostate and increased the gap between the rectum wall and the high dose region. To this purpose, we analyzed the position reproducibility of rectal balloon during the patient setup. Moreover, we studied the clinical feasibility of rectal balloon by performing the IMRT plan.

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Rectal Balloon for the Immobilization of the Prostate Internal Motion (전립선암의 방사선치료 시 직장풍선의 유용성 평가)

  • Lee Sang-Kyu;Beak Jong-Geal;Kim Joo-Ho;Jeon Byong-Chul;Cho Jeong-Hee;Kim Dong-Wook;Na Soo-Kyong;Song Tae-Soo;Cho Jae-Ho
    • The Journal of Korean Society for Radiation Therapy
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    • v.17 no.2
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    • pp.113-124
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    • 2005
  • Purpose : The using of endo-rectal balloon has proposed as optimal method that minimized the motion of prostate and the dose of rectum wall volume for treated prostate cancer patients, so we make the customized rectal balloon device. In this study, we analyzed the efficiency of the Self-customized rectal balloon in the aspects of its reproducibility. Materials and Methods : In 5 patients, for treatment planning, each patient was acquired CT slice images in state of with and without rectal balloon. Also they had CT scanning samely repeated third times in during radiation treatment (IMRT). In each case, we analyzed the deviation of rectal ballon position and verified the isodose distribution of rectum wall at closed prostate. Results : Using the rectal balloon, we minimized the planning target volume (PTV) by decreased the internal motion of prostate and overcome the dose limit of radiation therapy in prostate cancer by increased the gap between the rectum wall and high dose region. Conclusion : The using of rectal balloon, although, was reluctant to treat by patients. View a point of immobilization of prostate internal motion and dose escalation of GTV (gross tumor volume), its using consider large efficients for treated prostate cancer patients.

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The Usefulness of $^{18}F$-FDG PET/CT for Predicting the Response of Locally Advanced Rectal Cancer to Neoadjuvant Chemoradiation Therapy (국소 진행된 직장암의 $^{18}F$-FDG PET/CT를 이용한 항암방사선치료의 반응성 예측)

  • Kang, Jin-Kyu;Kim, Mi-Sook;Choi, Chul-Won;Jeong, Su-Young;Yoo, Seong-Yul;Cho, Chul-Koo;Yang, Kwang-Mo;Yoo, Hyung-Jun;Cheon, Gi-Jeong;Shin, Young-Joo;Seo, Young-Seok
    • Radiation Oncology Journal
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    • v.27 no.3
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    • pp.111-119
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    • 2009
  • Purpose: This study aimed at assessing the value of fluorine-18 fluorodeoxyglucose positron emission tomography ($^{18}F$-FDG PET) for predicting the response of locally advanced rectal cancer to neoadjuvant CRT. Materials and Methods: Between August 2006 and January 2008, we prospectively enrolled 20 patients with locally advanced rectal cancer and who were treated with neoadjuvant CRT at the Korea Institute of Radiological and Medical Sciences. The treatment consisted of radiation therapy and chemotherapy, and this was followed by curative resection 6 weeks later. All the patients underwent $^{18}F$-FDG PET/CT both before CRT and 6 weeks after completing CRT. The measurements of the FDG uptake ($SUV_{max}$), the absolute difference (${\Delta}SUV_{max}$) and the percent $SUV_{max}$ difference (response index, $RI_{SUV}$) between the pre- and post-CRT $^{18}F$-FDG PET/CT scans were assessed. The measurements of the metabolic volume, the absolute difference (${\Delta}$metabolic volume) and the percent metabolic volume difference (response index, $RI_{metabolic\;volume}$) were also assessed. Results: Of the 20 patients who underwent surgery, 11 patients (55%) were classified as responders according to Dworak's classification. The post-CRT $SUV_{max}$ was significantly lower than the pre-CRT $SUV_{max}$. However, there were no significant differences in the $SUV_{max}$ and the metabolic volume reduction between the responders and non-responders. We used a minimum $SUV_{max}$ reduction of 67% as the cut-off value for defining a response, with a sensitivity of 45.5%, a specificity of 88.9%, a positive predictive value of 77% and a negative predictive value of 53.8%. Conclusion: Although there were no statistically significant results in this study, other studies have revealed that $^{18}F$-FDG PET/CT has the potential to assess the tumor response to neoadjuvant CRT in patients with locally advanced rectal cancer.

Rectal Complication Following Radical Radiotherapy in Carcinoma of the Uterine Cervix (자궁경부암에서 근치적 방사선치료 후의 직장 합병증)

  • Kim Won-Dong;Park Woo-Yoon
    • Radiation Oncology Journal
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    • v.24 no.1
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    • pp.44-50
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    • 2006
  • Puroose: This study evaluated the late rectal complications in cervix cancer patients following treatment with external beam radiotherapy (EBRT) and high dose rate intracavitary radiation (HDR ICR). The factors affecting the risk of developing late rectal complications and its incidence were analyzed and discussed. Materials and Methods: The records of 105 patients with cervix cancer who were treated with radical radiotherapy using HDR ICR between July, 1995 and December, 2001 were retrospectively reviewed. The median dose of EBRT was 50.4Gy $(41.4{\sim}56.4 Gy)$ with a daily fraction size of 1.8Gy. A total of $5{\sim}7$ (median: 6) fractions of HDR ICR were given twice weekly with a fraction size of $4{\sim}5 Gy$ (median: 4Gy) to A point using an Ir (Iridium)-192 source. The median dose of ICR was 24 Gy $(20{\sim}35 Gy)$. During HDR ICR, the rectal dose was measured in vivo by a semiconductor dosimeter. The median follow-up period was 32 months, ranging from 5 to 84 months. Results: Of the 105 patients, 12 patients (11%) developed late rectal complications: 7 patients with grade 1 or 2, 4 patients with grade 3 and 1 patient with grade 4. Rectal bleeding was the most frequent chief complaint. The complications usually began to occur $5{\sim}32$ (median: 12) months after the completion of radiotherapy. Multivariate analysis revealed that the measured cumulative rectal BED over 115 Gy3 (Deq over 69 Gy) and the depth (D) of a 5 Gy isodose volume more than 50 mm were the independent predictors for late rectal complications. Conclusion: With evaluating the cumulative rectal BED and the depth of a 5 Gy isodose volume as predictors, we can individualize treatment planning to reduce the probability of late rectal complications.

Thermoregulatory Responses of Swamp Buffaloes and Friesian Cows to Diurnal Changes in Temperature

  • Koga, A.;Kurata, K.;Furukawa, R.;Nakajima, M.;Kanai, Y.;Chikamune, T.
    • Asian-Australasian Journal of Animal Sciences
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    • v.12 no.8
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    • pp.1273-1276
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    • 1999
  • Several reports have indicated that a rectal temperature of buffaloes is easily influenced by their surroundings. To clarify an effect of changing environmental temperature on thermoregulatory responses of buffaloes, an environment with diurnal temperature changes of $25^{\circ}C$ to $35^{\circ}C$ was created using an artificial climate laboratory. Three swamp buffaloes and three Friesian cows were exposed to three different experimental periods as follows: Period 1 (constant temperature of $30^{\circ}C$, Period 2 (diurnally changing temperature) and Period 3 (diurnally changing temperature and fasting). Heat production, rectal temperature, respiration rate, heart rate and respiration volume were measured during each period. Rectal temperature of the buffaloes fluctuated diurnally with the changing temperature (Periods 2 and 3), but remained constant in cows. Mean heat production was significantly lower in buffaloes than in cows in Period 2 and 3. However, the maximum rectal temperature and the increment of heat production were not always lower in buffaloes than in cows during Period 2. These results show that a rectal temperature and heat production in buffaloes are markedly influenced by the diurnal changes in temperature. Compared with Bos Taurus cows, the differences may be attributed to the physiological features of buffaloes including a high heat conductivity of their bodies and an lower heat production.

A Study on the Physiological Responses and the Microclimate in Girdle (Girdle 착용이 인체생리반응과 의복기후에 미치는 영향)

  • Kim Hyun Sik;Choi Jeong Wha
    • Journal of the Korean Society of Clothing and Textiles
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    • v.11 no.2 s.24
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    • pp.57-67
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    • 1987
  • The purpose of this study was to confirm the effects of girdle on the physiological responses and the microclimate in summer. The measuring points were rectal temperature, skin temperature, pulse rate and sweat volume as physiological responses and the inside clothing temperature, relative humidity as microclimate when the subjects wore girdle (girdle A; polyurethan+nylon, girdle B; polyurethan+cotton) for the period of rest and exercise in climate chamber. The enviromental conditions were at $25^{\circ}C$ ($65{\pm}5\%$ RH) and $30^{\circ}C$ ($75{\pm}5\%$ RR). The results were as followings. 1. Mean skin temperature increased in girdle during the exercise at $30^{\circ}C$. 2. The pulse rate decreased in girdle during the rest at $25^{\circ}C$. In the case of girdle A, it was remarkably decreased. Rectal temperature increased in girdle A and B during the exercise at $25^{\circ}C$. But the kinds of girdle didn't affect the pulse rate and rectal temperature. 3. The total sweat volume in girdle was larger than in control. 4. The difference between skin temperature and inside clothing temperature of abdomen had a tendency to increase at all experiment condition. 5. The relative humidity of inside ($RH_1$) and outside ($RH_2$) of girdle increased in girdle during the rest at $25^{\circ}C$ and $30^{\circ}C$. And the relative humidity of wearing girdle B was hig-her than girdle A during the rest at $25^{\circ}C$ and $30^{\circ}C$. The $RH_1$ after stepping at $30^{\circ}C$ was the highest in girdle A and the lowest in control. From this point of view, we concluded that physiological responses and the microclimate were affected by wearing girdle. And mean skin temperature and relative humidity of inside clothing were affected by the materials of girdle.

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Effect on the Human Thermoregulation of Wear Training in Air Condition (여름철 냉방 조건에서의 착의 훈련이 인체의 체온 조절 반응에 미치는 효과)

  • Kim, Mi-Kyung;Choi, Jeong-Wha;Yeom, Hee-gyong
    • Journal of the Korean Society of Clothing and Textiles
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    • v.19 no.3
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    • pp.504-515
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    • 1995
  • This study was performed to investigate that wear training using thermal insulation with clothes has the effect on the human thermoregulatory response, especially on the heat tolerance. Twelve men and women in twenties wert divided into the control group, the training groups and each group except the control group had participated in wear training. The heat tolerance was assessed in all subjects who had participated in the experiment carried out in hot environment(40$\pm$1$^{\circ}C$, 50$\pm$5%RH) by such parameters as rectal temperature, skin temperature, systolic blood pressure, diastolic blond pressure, plume rate, total sweat volume, local sweat volume, subjective sensation, and the differences of heat tolerance in each group were compared. The results were as follows: In hot environment(4$0^{\circ}C$) the changing width of rectal temperature was decreased in the control and the heavy clothing group. Forehead and abdomen temperature in hot environment were significantly decreased after the training. Sweat rate was higher after the training than before. In all experimental groups, systolic and diastolic blood pries.;uses in hot environment(4$0^{\circ}C$) were significantly decreased after the training.

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Dosimetric Comparison between Intensity Modulated Radiotherapy and 3 Dimensional Conformal Radiotherapy in the Treatment of Rectal Cancer

  • Simson, David K;Mitra, Swarupa;Ahlawat, Parveen;Sharma, Manoj Kumar;Yadav, Girigesh;Mishra, Manindra Bhushan
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.11
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    • pp.4935-4937
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    • 2016
  • Objective: To compare dosimetric parameters of 3 dimensional conformal radiotherapy (3 DCRT) and intensity modulated radiotherapy (IMRT) in terms of target coverage and doses to organs at risk (OAR) in the management of rectal carcinoma. Methods: In this prospective study, conducted between August 2014 and March 2016, all patients underwent CT simulation along with a bladder protocol and target contouring according to the Radiation Therapy Oncology Group (RTOG) guidelines. Two plans were made for each patient (3 DCRT and IMRT) for comparison of target coverage and OAR. Result: A total of 43 patients were recruited into this study. While there were no significant differences in mean Planning Target Volume (PTV) D95% and mean PTV D98% between 3 DCRT and IMRT, mean PTV D2% and mean PTV D50% were significantly higher in 3 DCRT plans. Compared to IMRT, 3 DCRT resulted in significantly higher volumes of hot spots, lower volumes of cold spots, and higher doses to the entire OAR. Conclusion: This study demonstrated that IMRT achieves superior normal tissue avoidance (bladder and bowel) compared to 3 DCRT, with comparable target dose coverage.

PHYSIOLOGICAL RESPONSES, FEED INTAKE, URINE VOLUME AND SERUM OSMOLALITY OF AARDI GOATS DEPRIVED OF WATER DURING SPRING AND SUMMER

  • El-Nouty, F.D.;Al-Haidary, A.A.;Basmaeil, S.M.
    • Asian-Australasian Journal of Animal Sciences
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    • v.3 no.4
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    • pp.331-336
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    • 1990
  • In order to evaluate the adaptability of Aardi goats to arid environment, 5 Aardi bucks were deprived of water for four days during spring and summer seasons. The rise in average maximum ambient temperature from $24.8^{\circ}C$ in spring to $35.8^{\circ}C$ in summer caused a significant rise in rectal temperature ($0.3^{\circ}C$), respiratory rate (62%), serum osmolaity (8%) and serum sodium concentration (17%). While, it resulted in a significant decline in dry matter intake (50%), urine volume (74%) and fecal water excretion (60%) compared with their values in spring, but had no significant effect on the volume of drinking water. At the end of the 4-days deprivation period during spring, respiratory rate, dry matter intake and urine volume were reduced by 18, 77 and 91% relative to their average in control goats. The corresponding reduction in summer were 58, 100 and 100%. Serum osmolaity was risen by 15% in spring deprived goats and 29% in summer deprived goats. Rectal temperature rose by a mean value of $1.3^{\circ}C$ only in goats deprived of water in summer. Percent of moisture in the feces declined from 64 in control goats, to 24% in water deprived goats during spring season. The corresponding values in summer were 25 and 6%. These responses of Aardi goats deprived of water in summer indicate that they possess a water economy mechanism enable them to tolerate infrequent drinking in hot-arid environment.

UV ray protective function and wear sensation of garment for plastichouse worker (비닐하우스용 작업복의 자외선 차단 성능과 착용감 연구)

  • 최정화;백윤정
    • Korean Journal of Rural Living Science
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    • v.6 no.1
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    • pp.25-30
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    • 1995
  • This study was designed to obtain the basic data developing the UV ray protective garments for the plastichouse workers. Two subjects were volunteered for 1hr. wear test in plastic house, and the ensembles was composed of one of three kinds blouse (UV blocking blouse, polyester/cotton 47/53 blouse, and polyester blouse), shorts, sleeveless undershirts, pants and socks. The measurements were rectal temperature, skin temperature, microclimate inside clothing, subjective sensation, and the colour difference of UV sensor. The results were as follows: 1. Microclimate especially, temperature inside clothing of polyester blouse was the highest among the garments. And UV-proof polyester blouse showed the lower mean skin temperature and microclimate than others. Showing the highest sweat volume. 2. No significant difference on UV ray blocking function among 3 kinds of garment was shown. 3. We could conform that in spring for the plastic house wぉw s garment low thermal insulating value and wide covering area were more important factors than UV blocking function of fabric.

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