• Title/Summary/Keyword: Treatment-planning system

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Pre- and Post-Treatment Imaging of Primary Central Nervous System Tumors in the Molecular and Genetic Era

  • Sung Soo Ahn;Soonmee Cha
    • Korean Journal of Radiology
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    • v.22 no.11
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    • pp.1858-1874
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    • 2021
  • Recent advances in the molecular and genetic characterization of central nervous system (CNS) tumors have ushered in a new era of tumor classification, diagnosis, and prognostic assessment. In this emerging and rapidly evolving molecular genetic era, imaging plays a critical role in the preoperative diagnosis and surgical planning, molecular marker prediction, targeted treatment planning, and post-therapy assessment of CNS tumors. This review provides an overview of the current imaging methods relevant to the molecular genetic classification of CNS tumors. Specifically, we focused on 1) the correlates between imaging features and specific molecular genetic markers and 2) the post-therapy imaging used for therapeutic assessment.

QA of a stereotactic radiosurgery system for clinical application (정위방사선수술 시스템의 임상 적용을 위한 QA)

  • 조병철;오도훈;배훈식
    • Progress in Medical Physics
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    • v.10 no.2
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    • pp.89-94
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    • 1999
  • We developed a sterotactic radiosurgery system which is comprised of 1) collimators with small circular aperture, 2) an angiographic target localizer, 3) a target localizer used for alignment of planned target position with isocenter of treatment machine, and 4) a treatment planning system named LinaPel. In this study, we performed a series of treatment simulations to specify and analyze geometrical errors contained our in-house radiosurgery system. As results, 1) using Geometrical Phantom(Radionics,USA), the accuracy of target localization by LinaPel was determined as Avg. =(equation omitted) the accuracy of mechanical isocenter was found out to be 0.6 $\pm$ 0.2 mm, 3) the positional difference of target localization which determined by CT and angiography was 0.8 mm, and their size difference was 1.5 mm, and 4) the positional error during whole treatment was found out to be 0.9 $\pm$ 0.3 mm. With these results, we concluded that our in-house radiosurgery system can be used clinically. However, these range of accuracies need periodical quality assurance strongly.

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Development and Evaluation of Quality Assurance Worksheet for the Radiation Treatment Planning System (방사선치료계획 시스템의 정도관리 절차서 개발 및 유용성 평가)

  • Cho Kwang Hwan;Choi Jinho;Shin Dong Oh;Kwon Soo Il;Choi Doo Ho;Kim Yong Ho;Lee Sang Hoon
    • Progress in Medical Physics
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    • v.15 no.4
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    • pp.186-191
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    • 2004
  • The periodic Quality Assurance (QA) of each radiation treatment related equipments is important one, but quality assurance of the radiation treatment planning system (RTPS) is still not sufficient rather than other related equipments in clinics. Therefore, this study will present and test the periodic QA program to compare, evaluation the efficiency of the treatment planning systems. This QA program is divided to terms for the input, output devices and dosimetric data and categorized to the weekly, monthly, yearly and non-periodically with respect to the job time, frequency of error, priority of importance. CT images of the water equivalent solid phantom with a heterogeneity condition are input into the RTPS to proceed the test. The actual measurement data are obtained by using the ion chamber for the 6 MV, 10 MV photon beam, then compared a calculation data with a measurement data to evaluate the accuracy of the RTPS. Most of results for the accuracy of geometry and beam data are agreed within the error criteria which is recommended from the various advanced country and related societies. This result can be applied to the periodic QA program to improve the treatment outcome as a proper model in Korea and used to evaluate the accuracy of the RTPS.

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A Study of Usefulness for Megavoltage Computed Tomography on the Radiation Treatment Planning (메가볼트 에너지 전산화 단층 촬영을 이용한 치료계획의 유용성 연구)

  • Cho, Jeong-Hee;Kim, Joo-Ho;Khang, Hyun-Soo;Lee, Jong-Seok;Yoo, Beong-Gyu
    • Journal of radiological science and technology
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    • v.33 no.4
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    • pp.369-378
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    • 2010
  • The purpose of this study was to investigate image differences between KVCT vs MVCT depending on a high densities metal included in the phantom and to analyze the r values for the purpose of the dose differences between each methods. We verified the possibilities for clinical indications that using MVCT is available for the radiation therapy treatment planning. Cheese phantom was used to get a density table for each CT and CT sinogram data was transferred to radiation planning computer through DICOM_RT. Using this data, the treatment dose plan has been calculated in RTP system. We compared the differences of r values between calculated and measured values, and then applied this data to the real patient's treatment planning. The contrast of MVCT image was superior to KVCT. In KVCT, each pixel which has more than 3.0 of density was difficult to be differentiated, but in MVCT, more than 5.0 density of pixels were distinguished clearly. With the normal phantom, the percentage of the case which has less than 1($r\leq1$, acceptable criteria) of gamma value, was 94.92% for KVCT and 93.87% for MVCT. But with the cheese phantom, which has high density plug, the percentage was 88.25% for KVCT and 93.77% for MVCT respectively. MVCT has many advantages than KVCT. Especially, when the patient has high density metal, such as total hip arthroplasty, MVCT is more efficient to define the anatomical structure around the high density implants without any artifacts. MVCT helps to calculate the treatment dose more accurately.

A Study on the Architectural Planning of Spatial Configuration and Area Composition for Regional Trauma Center in Korea (국내 권역외상센터의 공간구성 및 면적구성에 대한 건축계획적 연구)

  • Park, Suroh;Park, Jaeseung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.23 no.3
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    • pp.81-90
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    • 2017
  • Purpose: The regional trauma center should be a trauma treatment center equipped with facilities, equipment, and manpower capable of providing optimal treatment such as emergency surgery to a severely traumatized patient upon arrival at the hospital. In order to establish a medical system for effective severe diseases, it is necessary to prepare architectural planning guidelines for the regional trauma centers. Methods:: Analyze the spatial configuration, and the area composition of the regional trauma center, And to provide basic data for building a more efficient regional trauma center. The spatial composition analysis divides the space into initial care, resuscitation, patient area, nursing area, diagnostic test, staff training, staff support, public, and analyzes the area and interconnection of each space. Results: The area that must be included in the regional trauma center is the resuscitation area, the patient area, the diagnostic examination area, architectural planning should be designed to enhance the interconnection of the areas. IIn addition, a regional trauma center should be planned as a separate from the existing facility so that it can be installed and operated independently. Implications: A regional trauma center should be built as a stand alone operation and the space should be planned as a more efficient route.

Development of Progressive Die CAD/CAM System for Manufacturing Lead Frame, Semiconductor (반도체 리드 프레임 제조를 위한 프로그레시브 금형의 CAD/CAM 시스템 개발)

  • Choi, J.-C.;Kim, B.-M.;Kim, C.;Kim, J.-H.;Kim, C.-B.
    • Journal of the Korean Society for Precision Engineering
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    • v.16 no.12
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    • pp.230-238
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    • 1999
  • This paper describes a research work of developing computer-aided design of lead frame, semiconductor, with blanking operation which is very precise for progressive working. Approach to the system is based on the knowledge-based rules. Knowledge for the system is formulated from plasticity theories, experimental results and the empirical knowledge of field experts. This system has been written in AutoLISP on the AutoCAD using a personal computer and in I-DEAS Drafting Programming Language on the I-DEAS Master Series Drafting with Workstation, HP9000/715(64) and tool kit on the ESPRIT. Transference of data among AutoCAD, I-DEAS Master Series Drafting, and ESPRIT is accomplished by DXF(drawing exchange format) and IGES(initial graphics exchange specification) methods. This system is composed of six modules, which are input and shape treatment, production feasibility check, strip-layout, die-layout, modelling, and post-processor modules. The system can design process planning and Die design considering several factors and generate NC data automatically according to drawings of die-layout module. As forming process of high precision product and die design system using 2-D geometry recognition are integrated with technology of process planning, die design, and CAE analysis, standardization of die part in die design and process planning of high pression product for semiconductor lead frame is possible to set. Results carried out in each module will provide efficiencies to the designer and the manufacturer of lead frame, semiconductor.

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Research on Medical Environmental Changes due to the Introduction of ERP(Enterprise Resource Planning) (ERP(Enterprise Resource Planning) 도입에 따른 의료 환경 변화에 대한 연구)

  • Kim, Sun-Chil;Park, Myeong-Hwan
    • Korean Journal of Digital Imaging in Medicine
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    • v.6 no.1
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    • pp.19-23
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    • 2003
  • In recent years, many computer systems that are used for patient diagnostic and treatment purpose s are being introduced within hospitals. Therefore, being in a position to manage the hospital entirely, efforts to integrate their own unique system into one have started. A system values humans and creates the surrounding atmosphere into one which maximizes the abilities of individuals. For this, a scientific integration management operation system is required. The type of system that is demanded due to this requirement is an ERP(Enterprise Resource Planning) system. Lately, even the hospital industry is beginning to show interest in efficient administrative methods. To deliver more predominant medical services, hospitals are trying to introduce scientific administrative methods, whose superiority were proven in enterprises, to the operation system of the hospital organization. ERP values humans over systems, and within a superior system, emphasizes the efficiency of the organization. This sort of process does not just evaluate and manage the working abilities of individuals, but provides an advanced working environment that increases the abilities of members within the organization by fold. Therefore, this research estimates through questionnaires and introductive cases how the introduction of ERP may change the work of customers within hospitals such as the radiologic technology department, and how it may also change the environment of medical services, thus striving to create a radiologic technology department that will not fall behind the times.

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Resources Evaluation System for Rural Planning Purposes(III) - Rating Tabulation for Rural Resources Evaluation Items- (농촌계획지원용 지역자원펑가시스템 구축(III) - 농촌자원평가를 위한 평가등급기준 설정 -)

  • Choe, Su-Myeong;Han, Gyeong-Su;Hwang, Han-Cheol
    • Journal of Korean Society of Rural Planning
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    • v.4 no.1
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    • pp.75-85
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    • 1998
  • This study, a sub-one of comprehensive research works titled under "Rural Resources Evaluation System", tried to propose a rational methodology for development of rating tabulation on evaluation items. Firstly, the database system for handling of original/processed data of each evaluation items was constructed, being mainly focussed on the possibilities of data acquisition and statistical treatment. The rating tabulation system developed in the study has the formalized evaluation classes as 2 or 5 for convenience/simplification of analysis works. For each evaluation item in lower step of the goal system, 5 types of rating technique were arranged, which were based on statistical analysis using mean and standard deviation values(Type I), its existence or not(Type II), relative significance of its holding volume(Type III), synthesized weighting scale of its quality and quantity(Type IV), and the others(Type V). And, standardized 4-steps procedure for rating tabulation was proposed. Finally, the rating tabulation system developed in the study was applied to each evaluation item of goal system, from which the numerically-valued ranking criteria was obtained.

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Clinical Implementation of a Virtual-Micro MLC for Smoothing MLC Field Edge (다엽콜리메이터에 의한 조사경계면에서의 요동현상을 완화시켜주는 가상미세다엽콜리메이터의 임상 적용)

  • Cho Byung-Chul;Park Hee-Chul;Bae Hoonsik
    • Progress in Medical Physics
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    • v.15 no.3
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    • pp.167-172
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    • 2004
  • A Siemens HD-270 MLC$^{TM}$, a virtual-micro MLC, allows to the application of a smooth field edge method due to the finite leaf-width of MLC. This technique was implemented into a Pinnacle planning system in order to evaluate the dose distributions during the planning stage. The necessary dosimetric aspects, such as undulation and effective penumbra, were investigated with variations in the resolutions of a virtual-micro MLC and field edge angle. The positional accuracy of the couch movement was also assessed for clinical implementation. The overhead time for planning and treatment was confirmed as negligible.e.

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