• Title/Summary/Keyword: Treatment Planning

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The Availability of the step optimization in Monaco Planning system (모나코 치료계획 시스템에서 단계적 최적화 조건 실현의 유용성)

  • Kim, Dae Sup
    • The Journal of Korean Society for Radiation Therapy
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    • v.26 no.2
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    • pp.207-216
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    • 2014
  • Purpose : We present a method to reduce this gap and complete the treatment plan, to be made by the re-optimization is performed in the same conditions as the initial treatment plan different from Monaco treatment planning system. Materials and Methods : The optimization is carried in two steps when performing the inverse calculation for volumetric modulated radiation therapy or intensity modulated radiation therapy in Monaco treatment planning system. This study was the first plan with a complete optimization in two steps by performing all of the treatment plan, without changing the optimized condition from Step 1 to Step 2, a typical sequential optimization performed. At this time, the experiment was carried out with a pencil beam and Monte Carlo algorithm is applied In step 2. We compared initial plan and re-optimized plan with the same optimized conditions. And then evaluated the planning dose by measurement. When performing a re-optimization for the initial treatment plan, the second plan applied the step optimization. Results : When the common optimization again carried out in the same conditions in the initial treatment plan was completed, the result is not the same. From a comparison of the treatment planning system, similar to the dose-volume the histogram showed a similar trend, but exhibit different values that do not satisfy the conditions best optimized dose, dose homogeneity and dose limits. Also showed more than 20% different in comparison dosimetry. If different dose algorithms, this measure is not the same out. Conclusion : The process of performing a number of trial and error, and you get to the ultimate goal of treatment planning optimization process. If carried out to optimize the completion of the initial trust only the treatment plan, we could be made of another treatment plan. The similar treatment plan could not satisfy to optimization results. When you perform re-optimization process, you will need to apply the step optimized conditions, making sure the dose distribution through the optimization process.

Geometrical Limitations in Non-coplanar Treatment (비동일 평면 치료에서의 기하학적인 제약)

  • 이병용
    • Progress in Medical Physics
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    • v.8 no.1
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    • pp.31-35
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    • 1997
  • Purpose: To analyse the geometrical limitations in non-coplanar treatment for applying this result to treatment planning. Material and Method: The ranges of gantry movement were mesured for the treatment sites with or without EPID and various couch angle. Resultas and conclusitn : The gantry range of motions for various situations were quantitized for applying these results to treatment planning.

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A Case-control Study of unexpected Readmission in a University Hospital (비예정 재입원의 위험요인에 대한 환자-대조군 연구)

  • Yu, Seung-Hum;Oh, Hyohn-Joo
    • Journal of Preventive Medicine and Public Health
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    • v.32 no.3
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    • pp.289-296
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    • 1999
  • Objectives: This study describes the risk factors affecting the unexpected readmission of 261 patients who were discharged from a university hospital in Seoul. Methods: This case-control study reviewed medical records of inpatients who had been discharged from a hospital between 1 August 1995 and 31 October 1995 after the treatment for general diseases. The cases were 68 patients who were readmitted unexpectedly within 28 days of discharge from an index stay, and the controls were 193 Patients who were discharged without readmission during the study period. Results: Logistic regression analysis results were as follows; Patients who had no operation during their hospital stay were more likely to be readmitted unexpectedly than patients who had operation. Patients who had 1 or 2 parts of their body being involved in treatment were more likely to be readmitted unexpectedly than patients who hand more than 3 parts of their body being involved in treatment. Patients who had complications after surgery were more likely to be readmitted unexpectedly than patients who had no complications. Insufficient discharge planning caused unexpected readmissions. Conclusions: Discharge planning education should be extended to health care providers. And the assessment of discharge planning should be evaluated. Readmission is often necessary for the treatment of related problems of originating from initial hospitalization, which causes cost problems. Unexpected readmission is preventable and the models for readmission can serve as a valuable clinical tool for high risk patients.

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Intensity Modulation in Radiation Therapy (선량강도 조절법을 이용한 방사선치료)

  • 김성규;김명세
    • Progress in Medical Physics
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    • v.8 no.2
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    • pp.27-34
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    • 1997
  • In radiation therapy, the goal of three dimensional conformal radiation therapy(3DCRT) is to conform the apatial distribution of the prescribed radiation dose to the precise 3D configuration of the tomor, and at the same time, to minimize the dose to the surrounding normal tissues. To optimize treatment volume of tomor, treatment volume will be same tomor volume. Biological considerations need to be incorporated in the intensity modulation optimization process. Planning of intensity modulated treatment can irradiate more 20% in tomor compare to conventional 3DCRT. In lung cancer and rectal cancer, planning of intensity modulated treatment showed optimizing dose distribution.

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Anatomical Site Classification for Implant Insertion:ASCIi

  • Jeong, Seung-Mi;Chung, Chae-Heon;Engelke, W.
    • The Journal of Korean Academy of Prosthodontics
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    • v.38 no.3
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    • pp.321-327
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    • 2000
  • Statement of Problem. As a standard means of diagnostics, an orthopantomogram(OPT) permits to measure the vertical and mesiodistal dimension of available bone at the desired implant site with the help of suitable radioopaque references. Based on the clinical investigation of the dentition and the edentulous sites, information upon the width of the implant site can be obtained and documented in the dental scheme. Both findings permit together systematic primary planning for endosteal implants. Purpose of Study. Contents of the present article are the representation of a semiquantitative classification of available bone with the aim to simplify the primary phase of a systematic implant planning. Results. Thus the ASCIi- system permits a clear protocol of bone findings for the implant case with all information available during the primary appointment for treatment planning as a basis of further diagnostic and therapeutic measures. Conclusion. With the ASCIi system, important parameters such as alveolar height and sub-crestal alveolar width can be documented systematically, easily and time saving in the dental scheme as a basis for exact treatment planning.

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A Study on the Architectural Planning of traditional herbal medicine distribution supporting facilities (한약재유통지원시설의 건축계획에 관한 연구)

  • Bae, Joa-Sup;Oh, Jong-Hee;Kang, Won-Pil
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.14 no.2
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    • pp.53-64
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    • 2008
  • This study is the architectural planning of 5 distribution supporting facilities for traditional herbal medicine cultivated in the rural areas. The main function of the facility consists of storage, pre-treatment/processing, loading/unloading and the assistant function consists of inspection, office, exhibition/sale, technical equipment etc. The planning shows the modular plan and the section plan of the storage space reflecting the shape and size of storage container, the action radius of carrier and the possibilities of space lease. The total floor area of the storage is 3,192$m^2$ consisting of 27 space. The total floor area of the pre-treatment/processing is 1,488$m^2$ consisting of 7 space. The total floor area of the loading/unloading is 329$m^2$ consisting of 4 space. The total floor area of each facility storage is 8,284$m^2$ including of public space 2,170$m^2$. Also this planning shows the preliminary design, "fundamental model design" for 5 rural government BTL project. Therefore, this result of planning will be the guidelines of the RFP(Request For Proposal) for the private sector company interested in this BTL project.

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Radiotherapy Treatment Planning using Computed Tomography in Breast Cancer (유방암에서 CT planning를 이용한 치료계획)

  • 김성규;신세원;김명세
    • Progress in Medical Physics
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    • v.3 no.2
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    • pp.59-65
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    • 1992
  • Carcimoma of the breast are first frequency malignancy in women in the world. third frequency in Korea. Radiation therapy in breast cancer were treated through opposed tangential fields with photon beam or electron beam. Density within the field and thickness to tumor are very importent factors determining dose distribution in radiation therapy of electron beam. Radiotherapy traetment planning using computed tomography in Breast cancer are able to ideal dose distribution. Authors concluded as following. 6MeV energy of electron beam propered below 1.5cm in chest wall's thickness or internal mammary lymphnode's depth. 9MeV energy of electron beam from 1.5cm to 2.0cm. 12 MeV energy of electron beam from 2.0cm to 2.5cm.

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Interdisciplinary treatment of Class III malocclusion using mini-implant: problem-oriented orthodontic treatment (Mini-implant를 이용한 III급 부정교합 환자의 협진 치료: 문제중심의 교정치료)

  • Im, Dong-Hyuk;Kim, Young-Shin;Cho, Min-Ah;Kim, Ki-Sung;Yang, Sung-Eun
    • The korean journal of orthodontics
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    • v.37 no.4
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    • pp.305-314
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    • 2007
  • Interdisciplinary treatment of Class III malocclusion with congenital missing of unilateral maxillary canine and anterior crossbite is discussed focusing on a problem-oriented treatment planning, treatment progress, and treatment result. Maxillary mini-implant provided anchorage for distalization of the maxillary right porsterior dentition. Mandibular mini-implants were used to distalize the whole mandibular dentition. Total treatment time was 17 months to achieve a successful treatment goal. Stable occlusion was maintained after 12 months of retention.

The Determination of Optimum Beam Position and Size in Radiation Treatment (방사선치료시 최적의 빔 위치와 크기 결정)

  • 박정훈;서태석;최보영;이형구;신경섭
    • Progress in Medical Physics
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    • v.11 no.1
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    • pp.49-57
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    • 2000
  • New method about the dose optimization problem in radiation treatment was researched. Since all conditions are more complex and there are more relevant variables, the solution of three-dimensional treatment planning is much more complicate than that of current two-dimensional one. There(ore, in this study, as a method to solve three-dimensional dose optimization problem, the considered variables was minized and researched by reducing the domain that solutions can exist and pre-determining the important beam parameters. First, the dangerous beam range that passes critical organ was found by coordinate transformation between linear accelerator coordinate and patient coordinate. And the beam size and rotation angle for rectangular collimator that conform tumor at arbitrary beam position was also determined. As a result, the available beam position could be reduced and the dependency on beam size and rotation angle, that is very important parameter in treatment planning, totally removed. Therefore, the resultant combinations of relevant variables could be greatly reduced and the dose optimization by objective function can be done with minimum variables. From the above results, the dose optimization problem was solved for the two-dimensional radiation treatment planning useful in clinic. The objective function was made by combination of dose gradient, critical organ dose and dose homogeniety. And the optimum variables were determined by applying step search method to objective function. From the dose distributions by optimum variables, the merit of new dose optimization method was verified and it can be implemented on commercial radiation treatment planning system with further research.

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