• Title/Summary/Keyword: Setup Error

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The error analysis of field size variation in pelvis region by using immobilization device (고정기구의 사용이 골반부위 방사선조사영역의 변화에 미치는 오차분석)

  • Kim, Ki-Hwan;Kang, No-Hyun;Bim, Dong-Wuk;Kim, Jun-Sang;Jang, Ji-Young;Kim, Yong-Eun;Kim, Jae-Sung;Cho, Moon-June
    • Journal of Radiation Protection and Research
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    • v.25 no.1
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    • pp.31-36
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    • 2000
  • In radiotherapy, it may happen to radiate surrounding normal tissue because of inconsistent field size by changing patient position during treatment. We are going to analyze errors reduced by using immobilization device with Electonic portal imaging device(EPID) in this study. We had treated the twenty-one patients in pelvic region with 10 MV X-ray from Aug. 1998 to Aug. 1999 at Chungnam National University Hospital. All patients were treated at supine position during treatment. They were separated to two groups, 11 patients without device and 10 patients with immobilization device. We used styrofoam for immobilization device and measured the errors of anterior direction for x, y axis and lateral direction for z, y axis from simulation film to EPID image using matching technique. For no immobilization device group, the mean deviation values of x axis and y axis are 0.19 mm. 0.48 mm, respectively and the standard deviations of systematic deviation are 2.38 mm, 2.19 mm, respectively and of random deviation for x axis and y axis are 1.92 mm. 1.29 mm, respectively. The mean deviation values of z axis and y axis are -3.61 mm. 2.07 mm, respectively and the standard deviations of systematic deviation are 3.20 mm, 2.29 mm, respectively and of random deviation for z axis and y axis are 2.73 mm. 1.62 mm, respectively. For immobilization device group, the mean deviation values of x axis and y axis are 0.71 mm. -1.07 mm, respectively and the standard deviations of systematic deviation are 1.80 mm, 2.26 mm, respectively and of random deviation for x axis and y axis are 1.56 mm. 1.27 mm, respectively. The mean deviation values of z axis and y axis are -1.76 mm. 1.08 mm, respectively and the standard deviations of systematic deviation are 1.87 mm, 2.83 mm, respectively and of random deviation for x axis and y axis are 1.68 mm, 1.65 mm, respectively. Because of reducing random and systematic error using immobilization device, we had obtained good reproducibility of patient setup during treatment so that we recommend the use of immobilization device in pelvic region of radiation treatment.

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Usefulness of Abdominal Compressor Using Stereotactic Body Radiotherapy with Hepatocellular Carcinoma Patients (토모테라피를 이용한 간암환자의 정위적 방사선치료시 복부압박장치의 유용성 평가)

  • Woo, Joong-Yeol;Kim, Joo-Ho;Kim, Joon-Won;Baek, Jong-Geal;Park, Kwang-Soon;Lee, Jong-Min;Son, Dong-Min;Lee, Sang-Kyoo;Jeon, Byeong-Chul;Cho, Jeong-Hee
    • The Journal of Korean Society for Radiation Therapy
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    • v.24 no.2
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    • pp.157-165
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    • 2012
  • Purpose: We evaluated usefulness of abdominal compressor for stereotactic body radiotherapy (SBRT) with unresectable hepatocellular carcinoma (HCC) patients and hepato-biliary cancer and metastatic liver cancer patients. Materials and Methods: From November 2011 to March 2012, we selected HCC patients who gained reduction of diaphragm movement >1 cm through abdominal compressor (diaphragm control, elekta, sweden) for HT (Hi-Art Tomotherapy, USA). We got planning computed tomography (CT) images and 4 dimensional (4D) images through 4D CT (somatom sensation, siemens, germany). The gross tumor volume (GTV) included a gross tumor and margins considering tumor movement. The planning target volume (PTV) included a 5 to 7 mm safety margin around GTV. We classified patients into two groups according to distance between tumor and organs at risk (OAR, stomach, duodenum, bowel). Patients with the distance more than 1 cm are classified as the 1st group and they received SBRT of 4 or 5 fractions. Patients with the distance less than 1 cm are classified as the 2nd group and they received tomotherapy of 20 fractions. Megavoltage computed tomography (MVCT) were performed 4 or 10 fractions. When we verify a MVCT fusion considering priority to liver than bone-technique. We sent MVCT images to Mim_vista (Mimsoftware, ver .5.4. USA) and we re-delineated stomach, duodenum and bowel to bowel_organ and delineated liver. First, we analyzed MVCT images to check the setup variation. Second we compared dose difference between tumor and OAR based on adaptive dose through adaptive planning station and Mim_vista. Results: Average setup variation from MVCT was $-0.66{\pm}1.53$ mm (left-right) $0.39{\pm}4.17$ mm (superior-inferior), $0.71{\pm}1.74$ mm (anterior-posterior), $-0.18{\pm}0.30$ degrees (roll). 1st group ($d{\geq}1$) and 2nd group (d<1) were similar to setup variation. 1st group ($d{\geq}1$) of $V_{diff3%}$ (volume of 3% difference of dose) of GTV through adaptive planing station was $0.78{\pm}0.05%$, PTV was $9.97{\pm}3.62%$, $V_{diff5%}$ was GTV 0.0%, PTV was $2.9{\pm}0.95%$, maximum dose difference rate of bowel_organ was $-6.85{\pm}1.11%$. 2nd Group (d<1) GTV of $V_{diff3%}$ was $1.62{\pm}0.55%$, PTV was $8.61{\pm}2.01%$, $V_{diff5%}$ of GTV was 0.0%, PTV was $5.33{\pm}2.32%$, maximum dose difference rate of bowel_organ was $28.33{\pm}24.41%$. Conclusion: Despite we saw diaphragm movement more than 5 mm with flouroscopy after use an abdominal compressor, average setup_variation from MVCT was less than 5 mm. Therefore, we could estimate the range of setup_error within a 5 mm. Target's dose difference rate of 1st group ($d{\geq}1$) and 2nd group (d<1) were similar, while 1st group ($d{\geq}1$) and 2nd group (d<1)'s bowel_organ's maximum dose difference rate's maximum difference was more than 35%, 1st group ($d{\geq}1$)'s bowel_organ's maximum dose difference rate was smaller than 2nd group (d<1). When applicating SBRT to HCC, abdominal compressor is useful to control diaphragm movement in selected patients with more than 1 cm bowel_organ distance.

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Objective Analysis of the Set-up Error and Tumor Movement in Lung Cancer Patients using Electronic Portal Imaging Device (폐암 환자에서 Electronic Portal Imaging Device를 이용한 자세 오차 및 종양 이동 거리의 객관적 측정)

  • Kim, Woo-Cheol;Chung, Eun-Ji;Lee, Chang-Geol;Chu, Sung-Sil;Kim, Gwi-Eon
    • Radiation Oncology Journal
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    • v.14 no.1
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    • pp.69-76
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    • 1996
  • Purpose : The aim of this study is to investigate the random and systematic errors and tumor movement using electronic portal imaging device in lung cancer patients for the adequate margin in the treatment planning of 3-dimensional conformal therapy. Material and Methods : The electronic portal imaging device is matrix ion chamber type(Portal Vision, Varian). Ten patients of lung cancer treated with chest irradiation were selected for this study. Patients were treated in the supine position without immobilization device. All treatments were delivered by an 10 MV linear accelerator that had the portal imaging system mounted to its ganrty. AP or PA field Portal images were only analyzed. Radiation therapy field included the tumor, mediastinum and supraclavicular lymph nodes. A total of 103 portal images were analyzed for set-up deviation and 10 multiple images were analyzed for tumor movement because of respiration and cardiac motion. Result : The average values of setup displacements in the x, y direction was 1.41 mm, 1 78 mm, respectively. The standard deviation of systematic component was 4.63 mm, 4.11 mm along the x, y axis, respectively while the random component was 4.17 mm in the x direction and 3.31 mm in the y direction. The average displacement from respiratory movement was 12.2 mm with a standard deviation of 4.03 mm. Conclusion : The overall set-up displacement includes both random and systematic component and respiratory movement. About 10 mm, 25 mm margins along x, y axis which considered the set-up displacement and tumor movement were required for initial 3-dimensional conformal treatment planning in the lung cancer patients and portal images should be made and analyzed during first week of treatment, individually.

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Development of Adjustable Head holder Couch in H&N Cancer Radiation Therapy (두경부암 방사선 치료 시 Set-Up 조정 Head Holder 장치의 개발)

  • Shim, JaeGoo;Song, KiWon;Kim, JinMan;Park, MyoungHwan
    • The Journal of Korean Society for Radiation Therapy
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    • v.26 no.1
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    • pp.43-50
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    • 2014
  • In case of all patients who receive radiation therapy, a treatment plan is established and all steps of treatment are planned in the same geometrical condition. In case of head and neck cancer patients who undergo simulated treatment through computed tomography (CT), patients are fixed onto a table for planning, but laid on the top of the treatment table in the radiation therapy room. This study excogitated and fabricated an adjustable holder for head and neck cancer patients to fix patient's position and geometrical discrepancies when performing radiation therapy on head and neck cancer patients, and compared the error before and after adjusting the position of patients due to difference in weight to evaluate the correlation between patients' weight and range of error. Computed tomography system(High Advantage, GE, USA) is used for phantom to maintain the supine position to acquire the images of the therapy site for IMRT. IMRT 4MV X-rays was used by applying the LINAC(21EX, Varian, U.S.A). Treatment planning system (Pinnacle, ver. 9.1h, Philips, Madison, USA) was used. The setup accuracy was compared with each measurement was repeated five times for each weight (0, 15, and 30Kg) and CBCT was performed 30 times to find the mean and standard deviation of errors before and after the adjustment of each weight. SPSS ver.19.0(SPSS Inc., Chicago, IL,USA) statistics program was used to perform the Wilcoxon Rank test for significance evaluation and the Spearman analysis was used as the tool to analyze the significance evaluation of the correlation of weight. As a result of measuring the error values from CBCT before and after adjusting the position due to the weight difference, X,Y,Z axis was $0.4{\pm}0.8mm$, $0.8{\pm}0.4mm$, 0 for 0Kg before the adjustment. In 15Kg CBCT before and after adjusting the position due to the weight difference, X,Y,Z axis was $0.2{\pm}0.8mm$, $1.2{\pm}0.4mm$, $2.0{\pm}0.4mm$. After adjusting position was X,Y,Z axis was $0.2{\pm}0.4mm$, $0.4{\pm}0.5mm$, $0.4{\pm}0.5mm$. In 30Kg CBCT before and after adjusting the position due to the weight difference, X,Y,Z axis was $0.8{\pm}0.4mm$, $2.4{\pm}0.5mm$, $4.4{\pm}0.8mm$. After adjusting position was X,Y,Z axis was $0.6{\pm}0.5mm$, $1.0{\pm}0mm$, $0.6{\pm}0.5mm$. When the holder for the head and neck cancer was used to adjust the ab.0ove error value, the error values from CBCT were $0.2{\pm}0.8mm$ for the X axis, $0.40{\pm}0.54mm$ for Y axis, and 0 for Z axis. As a result of statistically analyzing each value before and after the adjustment the value was significant with p<0.034 at the Z axis with 15Kg of weight and with p<0.038 and p<0.041 at the Y and Z axes respectively with 30Kg of weight. There was a significant difference with p<0.008 when the analysis was performed through Kruscal-Wallis in terms of the difference in the adjusted values of the three weight groups. As it could reduce the errors, patients' reproduction could be improved for more precise and accurate radiation therapy. Development of an adjustable device for head and neck cancer patients is significant because it improves the reproduction of existing equipment by reducing the errors in patients' position.

Confirmation of the Dose Distribution by Stereotactic Radiosurgery Technique with a Multi-purpose Phantom (다용도 팬톰에서 정위방사선수술기법의 선량 정확도 확인)

  • Yoo Hyung Jun;Kim Il Han;Ha Sung Whan;Park Charn Il;Hur Sun Nyung;Kang Wee-Saing
    • Radiation Oncology Journal
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    • v.20 no.2
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    • pp.179-185
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    • 2002
  • Purpose : For the purpose of quality assurance of self-developed stereotactic radiosurgery system, a multi-purpose phantom was fabricated, and accuracy of radiation dose distribution during radiosurgery was measured using this phantom. Materials and Methods : A farmer chamber, a 0.125 cc ion chamber and a diode detector were used for the dosimetry. Six MV x-ray from a linear accelerator (CL2100C, Varian) with stereotactic radiosurgery technique (Green Knife) was used, and multi-purpose phantom was attached to a stereotactic frame (Fisher type). Dosimetry was done by combinations of locations of the detectors in the phantom, fixed or arc beams, gantry angles $(20^{\circ}\~100^{\circ})$, and size of the circular tertiary collimators (inner diameters of $10\~40\;mm$). Results : The measurement error was less than $0.5\%$ by Farmer chamber, $0.5\%$ for 0.125 cc ion chamber, and less than $2\%$ for diode detector for the fixed beam, single arc beam, and 5-arc beam setup. Conclusion : We confirmed the accuracy of dose distribution with the radiosurgery system developed in our institute and the data from this study would be able to be effectively used for the improvement of quality assurance of stereotactic radiosurgery or fractionated stereotactic radiotherapy system.

Study on Material Fracture and Debris Dispersion Behavior via High Velocity Impact (고속충돌에 따른 재료 파괴 및 파편의 분산거동 연구)

  • Sakong, Jae;Woo, Sung-Choong;Kim, Jin-Young;Kim, Tae-Won
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.41 no.11
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    • pp.1065-1075
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    • 2017
  • In this study, high velocity impact tests along with modeling of material behavior and numerical analyses were conducted to predict the dispersion behavior of the debris resulting from a high velocity impact fracture. For the impact tests, two different materials were employed for both the projectile and the target plate - the first setup employed aluminum alloy while the second employed steel. The projectile impacts the target plate with a velocity of approximately 1 km/s were enforced to generate the impact damages in the aluminum witness plate through the fracture debris. It was confirmed that, depending on the material employed, the debris dispersion behavior as well as the dispersion radii on the witness plate varied. A numerical analysis was conducted for the same impact test conditions. The smoothed particle hydrodynamics (SPH)-finite element (FE) coupled technique was then applied to model the fracture and damage upon the debris. The experimental and numerical results for the diameters of the perforation holes in the target plate and the debris dispersion radii on the witness plate were in agreement within a 5% error. In addition, the impact test using steel was found to be more threatening as proven by the larger debris dispersion radius.

Statistical Evaluation of Validity of KS Asphalt Penetration Grade System (통계적 분석을 통한 KS 아스팔트 침입도 규격의 문제점 고찰)

  • Kim, Kwang-Woo;Lee, Woo-Hyun;Jung, Jae-Hun;Doh, Young-Soo
    • International Journal of Highway Engineering
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    • v.8 no.4 s.30
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    • pp.125-133
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    • 2006
  • In this study, the Korean Industrial Standard(KS) penetration grade system was examined to evaluate its statistical validity. It was found from this limited study that the system has no gap between each grade, the binder falling out of limit trespasses into other binder grade. Therefore, many products can have similar property level with an adjacent grade even though the mean value is within the specification limit. It was also found out that the equal range setup of each grade, such as 20 for 40-60, 60-80, 80-100, has no statistical foundation. Since KS penetration grade is defined without gap between each grade, the producer must maintain the coefficient of variation below the level by the ASTM system to satisfy the normal quality control limit of products. Due to its lack of a gap between grades, higher percentage of products will be duplicated even if the mean is at the median of the specification limits due to material's quality uncertainty. Especially if the mean moves toward the upper limit, a half or more of the binder grade will be overlapped with the upper binder grade. Therefore, KS penetration specification should be immediately modified by statistically valid methodologies.

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Simulation on the shape of tuna longline gear (다랑어 연승어구의 형상에 관한 시뮬레이션)

  • 이지훈;이춘우
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.39 no.4
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    • pp.305-317
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    • 2003
  • Underwater shape and hook depth in tuna longline gear are important factors to decide fishing performance. It also should be considered that management and analysis of hooked rate data from hooked fish species and sizes, and each fishing would be used as a reference data in the future fishing. In this research, after analyzing underwater shape of tuna longline gear by current direction and speed using simulation, experiments were executed in flume tank to verify accuracy of the analysis. Also using the depth of each hook from the simulation, a database system was setup to process the data of bait and hooked fish species. The results were as follows;1. When the attack angle and the shortening rate are fixed, a decrease of the hook depth is proportion to an increase of current speed. 2. When the shortening rate and current speed are fixed, a decrease of hook depth is proportion to an increase of attack angle. 3. When the attack angle and velocity of flow are fixed, a decrease of hook depth is proportion to an increase of shortening rate 4. As a result of comparison between the underwater shape by simulation and that by model gear, the result of the simulation was very close to that of model gear within $$ {\pm}3%$$ 3% error range. 5. In this research, hooked rate database system using hook depth of simulation can analyze the species and size of fish by the parameter; bait. hook depth, so It could be helpful to manage and analyze the hooked data on the field.

Development and application of cellular automata-based urban inundation and water cycle model CAW (셀룰러 오토마타 기반 도시침수 및 물순환 해석 모형 CAW의 개발 및 적용)

  • Lee, Songhee;Choi, Hyeonjin;Woo, Hyuna;Kim, Minyoung;Lee, Eunhyung;Kim, Sanghyun;Noh, Seong Jin
    • Journal of Korea Water Resources Association
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    • v.57 no.3
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    • pp.165-179
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    • 2024
  • It is crucial to have a comprehensive understanding of inundation and water cycle in urban areas for mitigating flood risks and sustainable water resources management. In this study, we developed a Cellular Automata-based integrated Water cycle model (CAW). A comparative analysis with physics-based and conventional cellular automata-based models was performed in an urban watershed in Portland, USA, to evaluate the adequacy of spatiotemporal inundation simulation in the context of a high-resolution setup. A high similarity was found in the maximum inundation maps by CAW and Weighted Cellular Automata 2 Dimension (WCA2D) model presumably due to the same diffuse wave assumption, showing an average Root-Mean-Square-Error (RMSE) value of 1.3 cm and high scores of binary pattern indices (HR 0.91, FAR 0.02, CSI 0.90). Furthermore, through multiple simulation experiments estimating the effects of land cover and soil conditions on inundation and infiltration, as the impermeability rate increased by 41%, the infiltration decreased by 54% (4.16 mm/m2) while the maximum inundation depth increased by 10% (2.19 mm/m2). It was expected that high-resolution integrated inundation and water cycle analysis considering various land cover and soil conditions in urban areas would be feasible using CAW.

Accuracy Evaluation of Tumor Therapy during Respiratory Gated Radiation Therapy (호흡동조방사선 치료 시 종양 치료의 정확도 평가)

  • Jang, Eun-Sung;Kang, Soo-Man;Lee, Chol-Soo;Kang, Se-Sik
    • The Journal of Korean Society for Radiation Therapy
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    • v.22 no.2
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    • pp.113-122
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    • 2010
  • Purpose: To evaluate the accuracy of a target position at static and dynamic state by using Dynamic phantom for the difference between tumor's actual movement during respiratory gated radiation therapy and skin movement measured by RPM (Real-time Position Management). Materials and Methods: It self-produced Dynamic phantom that moves two-dimensionally to measure a tumor moved by breath. After putting marker block on dynamic phantom, it analyzed the amplitude and status change depending on respiratory time setup in advance by using RPM. It places marker block on dynamic phantom based on this result, inserts Gafchromic EBT film into the target, and investigates 5 Gy respectively at static and dynamic state. And it scanned investigated Gafchromic EBT film and analyzed dose distribution by using automatic calculation. Results: As a result of an analysis of Gafchromic EBT film's radiation amount at static and dynamic state, it could be known that dose distribution involving 90% is distributed within margin of error of 3 mm. Conclusion: As a result of an analysis of dose distribution's change depending on patient's respiratory cycle during respiratory gated radiation therapy, it is expected that the treatment would be possible within recommended margin of error at ICRP 60.

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