• Radiation Oncology Journal
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• 제34권3호
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• pp.193-201
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• 2016

Purpose: To assess the clinical outcomes of radiotherapy (RT) using two-dimensional (2D) and three-dimensional conformal RT (3D-CRT) for patients with gastric mucosa-associated lymphoid tissue (MALT) lymphoma to evaluate the effectiveness of involved field RT with moderate-dose and to evaluate the benefit of 3D-CRT comparing with 2D-RT. Materials and Methods: Between July 2003 and March 2015, 33 patients with stage IE and IIE gastric MALT lymphoma received RT were analyzed. Of 33 patients, 17 patients (51.5%) were Helicobacter pylori (HP) negative and 16 patients (48.5%) were HP positive but refractory to HP eradication (HPE). The 2D-RT (n = 14) and 3D-CRT (n = 19) were performed and total dose was 30.6 Gy/17 fractions. Of 11 patients who RT planning data were available, dose-volumetric parameters between 2D-RT and 3D-CRT plans was compared. Results: All patients reached complete remission (CR) eventually and median time to CR was 3 months (range, 1 to 15 months). No local relapse occurred and one patient died with second primary malignancy. Tumor response, survival, and toxicity were not significantly different between 2D-RT and 3D-CRT (p > 0.05, each). In analysis for dose-volumetric parameters, $D_{max}$ and CI for PTV were significantly lower in 3D-CRT plans than 2D-RT plans (p < 0.05, each) and $D_{mean}$ and V15 for right kidney and $D_{mean}$ for left kidney were significantly lower in 3D-CRT than 2D-RT (p < 0.05, each). Conclusion: Our data suggested that involved field RT with moderate-dose for gastric MALT lymphoma could be promising and 3D-CRT could be considered to improve the target coverage and reduce radiation dose to the both kidneys.

• Asian Pacific Journal of Cancer Prevention
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• 제14권5호
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• pp.2717-2722
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• 2013

Background: The objective of this research is the computed axial tomography (CT) imaging grading of radiation induced pneumonitis (RP) and its correlation with clinical and radiotherapeutic parameters. Materials and Methods: The chest CT films of 20 patients with non-small cell lung cancer who have undergone threedimensional conformal radiation therapy were reviewed. The proposed CT grading of RP is supported on solely radiological diagnosis criteria and distinguishes five grades. The manifestation of RP was also correlated with any positive pre-existing chronic obstructive pulmonary disease (COPD) history, smoking history, the FEV1 value, and the dosimetric variable V20. Results: The CT grading of RP was as follows: 3 patients (15%) presented with ground glass opacity (grade 1), 9 patients (45%) were classified as grade 2, 7 patients (35%) presented with focal consolidation, with or without elements of fibrosis (grade 3), and only one patient (5%) presented with opacity with accompanying atelectasis and loss of pulmonary volume (grade 4). Both univariate and multivariate analysis revealed as prognostic factors for the radiological grading of RP the reduction of FEV1 and the V20 (P=0.026 and P=0.003, respectively). There was also a significant (P<0.001) correlation of radiological grading of RP with FEV1 and V20 (spearman rho 0.92 and 0.93, respectively). Conclusions: The high correlation of the proposed radiological grading with the FEV1 and the V20 is giving a satisfactory clinical validity. Although the proposed grading scale seems relevant to clinical practice, further studies are needed for the confirmation of its validity and reliability.

• 한국재료학회지
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• 제11권1호
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• pp.20-26
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• 2001

(hfac)Cu(1, 5-DMCOD)(1, 1, 1, 5, 5, 5-Hexafluoro-2, 4-pentanedionato Cu(I) 1, 5-dimethyl-cyclooctadine) 전구체와 He 운반기체를 이용하여 MOCVD(Metal Organic Chemical Vapor Deposition) 방법으로 Cu 박막을 형성하였으며, He 운반기체와 함께 $H_2$ gas 및 H(hfac) Ligand의 첨가가 Cu 박막 형성에 미치는 영향에 대하여 조사하였다. He운반기체만을 사용한 경우, Cu 박막의 증착율은 기판온도 180~$230^{\circ}C$에서 20~$125{\AA}/min$ 정도로 낮은 값을 보였으며, 특히 기판온도 $190^{\circ}C$에서는 매우 얇은 두께 ($700{\AA}$)이면서 낮은 비저항($2.8{\mu}{\Omega}cm$)을 갖는 Cu 박막이 형성됨을 알 수 있었다 He 운반기체와 함께 환원가스(H$_2$) 및 화학첨가제 (H (hfac) ligand)의 첨가 실험에서는 낮은 기판온도 ($180~190^{\circ}C$) 구간에서 현저하게 증착율이 증가하였으며 얇은 두께 (~$500{\AA}$)의 Cu 박막이 낮은 비저항(3.6~$2.86{\mu}{\Omega}cm$)을 갖는 것으로 나타났다. 또한 얇은 두께의 MOCVD Cu박막들의 표면 반사도(reflectance)는 $300^{\circ}C$에서 열처리한 sputter Cu의 반사도에 근접하는 우수한 surface morphology를 보였다 결국, (hfac)Cu(1,6-DMCOD) 전구체를 이용하여 얻어진 MOCVD Cu박막은 얇은 두께에서 낮은 비저항을 갖는 우수한 막질을 보였으며, Electrochemical deposition공정에서 conformal seed layer로써의 적용이 가능할 것으로 기대된다.

• 대한방사선치료학회지
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• 제20권2호
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• pp.115-122
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• 2008

목 적: 암 치료를 위한 방사선치료 기술은 끊임없이 발전되어 왔으며 특히, 컴퓨터와 전자기 공학의 발달과 더불어 급속하게 방사선 치료분야에서 많은 발전을 하게 되었다. 따라서 본 연구에서는 발전된 치료기술에 대한 치료 원리와 방법들을 중심으로 그 특징들을 고찰하려고 한다. 대상 및 방법: 발전된 치료기술에 관한 이론적인 고찰을 위하여 관련된 문헌조사를 실시하였으며 임상에서의 자료를 광범위하게 조사 연구하였다. 결 과: 방사선을 이용한 암에 대한 치료는 눈부신 발전을 거듭하고 있다. 과거에는 2차원적인 방법으로 방사선치료를 하였으나 현재는 3차원적인 입체조형치료, 세기변조방사선치료를 병행한 4차원적인 치료기술이 도입되었으며 이는 과거 방사선치료의 난제였던 정상조직보호와 방사선에 의한 합병증 해결을 가능하게 하였다. 결 론: 발전된 방사선치료인 3, 4차원적 현대적 치료는 방사선치료의 목적에 부합되고 있으며 정상조직의 보호가 거의 완벽하게 이루어지고 있으며 방사선을 이용한 암 치료에 대한 평가도 다시 되어야 한다고 사료된다.

• Radiation Oncology Journal
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• 제37권3호
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• pp.224-231
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• 2019

Purpose: To investigate the patterns of recurrence in patients with neuroblastoma treated with radiation therapy to the primary tumor site. Materials and Methods: We retrospectively analyzed patients with high-risk neuroblastoma managed with definitive treatment with radiation therapy to the primary tumor site between January 2003 and June 2017. These patients underwent three-dimensional conformal radiation therapy or intensity-modulated radiation therapy. A total of 14-36 Gy was delivered to the planning target volume, which included the primary tumor bed and the selected metastatic site. The disease stage was determined according to the International Neuroblastoma Staging System (INSS). We evaluated the recurrence pattern (i.e., local or systemic), progression-free survival, and overall survival. Results: A total of 40 patients with high-risk neuroblastoma were included in this study. The median patient age was 4 years (range, 1 to 11 years). Thirty patients (75%) had INSS stage 4 neuroblastoma. At the median follow-up of 58 months, there were 6 cases of local recurrence and 10 cases of systemic recurrence. Among the 6 local failure cases, 4 relapsed adjacent to the radiation field. The other 2 relapsed in the radiation field (i.e., para-aortic and retroperitoneal areas). The main sites of distant metastasis were the bone, lymph nodes, and bone marrow. The 5-year progression-free survival was 70.9% and the 5-year overall survival was 74.3%. Conclusion: Radiation therapy directed at the primary tumor site provides good local control. It seems to be adequate for disease control in patients with high-risk neuroblastoma after chemotherapy and surgical resection.

• 한국진공학회:학술대회논문집
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• 한국진공학회 2012년도 제42회 동계 정기 학술대회 초록집
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• pp.377-377
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• 2012

Microprocessor technology now relies on copper for most of its electrical interconnections. Because of the high diffusivity of copper, Atomic layer deposition (ALD) $TaN_x$ is used as a diffusion barrier to prevent copper diffusion into the Si or $SiO_2$. Another problem with copper is that it has weak adhesion to most materials. Strong adhesion to copper is an essential characteristic for the new barrier layer because copper films prepared by electroplating peel off easily in the damascene process. Thus adhesion-enhancing layer of cobalt is placed between the $TaN_x$ and the copper. Because, cobalt has strong adhesion to the copper layer and possible seedless electro-plating of copper. Until now, metal film has generally been deposited by physical vapor deposition. However, one draw-back of this method is poor step coverage in applications of ultralarge-scale integration metallization technology. Metal organic chemical vapor deposition (MOCVD) is a good approach to address this problem. In addition, the MOCVD method has several advantages, such as conformal coverage, uniform deposition over large substrate areas and less substrate damage. For this reasons, cobalt films have been studied using MOCVD and various metal-organic precursors. In this study, we used $C_{12}H_{10}O_6(Co)_2$ (dicobalt hexacarbonyl tert-butylacetylene, CCTBA) as a cobalt precursor because of its high vapor pressure and volatility, a liquid state and its excellent thermal stability under normal conditions. Furthermore, the cobalt film was also deposited at various $H_2/NH_3$ gas ratio(1, 1:1,2,6,8) producing pure cobalt thin films with excellent conformality. Compared to MOCVD cobalt using $H_2$ gas as a reactant, the cobalt thin film deposited by MOCVD using $H_2$ with $NH_3$ showed a low roughness, a low resistivity, and a low carbon impurity. It was found that Co/$TaN_x$ film can achieve a low resistivity of $90{\mu}{\Omega}-cm$, a low root-mean-square roughness of 0.97 nm at a growth temperature of $150^{\circ}C$ and a low carbon impurity of 4~6% carbon concentration.

• 대한두경부종양학회지
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• 제30권2호
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• pp.62-67
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• 2014

Background and Objectives : To investigate the prognostic factors and effectiveness of radiotherapy for oropharyngeal cancer. Material and Methods : Forty seven patients in oropharyngeal cancer treated with radiotherapy between November 1989 and October 2010. Conventional radiotherapy was performed until July 2007 and conformal radiotherapy was performed since August 2007. Median age of patients was 59. Thirty five patients were males. Nine patients had operation. Patients treated with postoperative radiotherapy were delivered median 60 Gy and patients treated with definitive radiotherapy were delivered median 66 Gy. Median follow-up periods were 51 months. Results : Two year and 5 year overall survival rate was 78.7% and 59.9%. Two year and 5-year locoregional recurrence free survival rate was 82.3% and 72.9%. In subgroup of definitive radiotherapy, at univariate analysis for overall survival, lower N stage(p=0.01), lower stage(p=0.05) and well and moderate differentiation(p=0.001) were statistically significant. At univariate analysis for locoregional recurrence free survival, lower T stage(p=0.02) and better differentiation(p=0.043) were statistically significant. Treatment failure occurred in 12 patients. Locoregional recurrence(8 patients) was main pattern of failure. Conclusion : When definitive radiotherapy compared with postoperative adjuvant radiotherapy, there was no significant difference. Further studies would be needed to compare definitive radiotherapy with postoperative radiotherapy. N stage, stage and differentiation could be the prognostic factors for overall survival and T stage and differentiation could be the prognostic factors for locoregional recurrence free survival in patients treated definitive radiotherapy.

• 한국측량학회지
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• 제20권4호
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• pp.389-398
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• 2002

컴퓨터와 정보통신의 발달로 토지정보의 필요성이 날로 증가됨에 따라, 신속하고 정확하게 지적.지형정보를 갱신할 수 있는 위성측량 시스템에 많은 관심이 모아지고 있다. 지적기준점들은 1910년대 측량기술의 한계 및 6.25 동란 등으로 대부분이 망실되었으며 재설치 과정에서 많은 문제점이 발생되어, 기준점의 재 정비 및 일필지 측량 등에서 신속하고 정확한 측량 방법이 요구되고 있다. 본 연구는 지적분야에서 GPS 측량의 효율성을 높이기 위해, GPS를 지적에 적용할 경우 제기될 수 있는 제반 문제점들을 파악.분석하여 GPS 측량 방향을 제시하고, 이동측량을 지적분야에 효율적으로 적용하기 위해 GPS 이동측량 프로그램을 개발하고자 한다. 연구결과, 상시관측소와 삼각점을 기준으로 광주지역 지적기준점들의 정도를 확인할 수 있었고, 지적기술연구소의 좌표변환 프로그램을 이용하여 기존의 지적측량성과와 유사한 결과를 얻을 수 있었으나, 가우스상사이중투영 방법에 따라 기존성과와 수십cm의 차이가 날 수 있기 때문에 평면좌표로 변환시 주의가 요망됨을 알 수 있었다. 그리고, 상용프로그램과 비교하여 개발된 GPS 이동측량 프로그램의 실용성을 확인할 수 있었으며. 이는 수치지적측량과 지적도 갱신에 활용될 것으로 기대된다.

• 한국의학물리학회지:의학물리
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• 제13권4호
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• pp.202-208
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• 2002

본 논문에서는 표면조직에 있는 종양 치료 시 사용되고 있는 고에너지 전자선의 monitor unit을 다양한 방법에 의해 계산하여 평가 하고자 한다. 본 병원에서 6, 9, 그리고 12 MeV 전자선으로 치료한 33명의 유방암 환자가 선택되었다. 각 환자마다 모의 치료기에서 얻어진 시뮬레이션 필름에 불규칙한 모양의 전자선 블록이 제작되었다. 이러한 불규칙한 모양의 블록을 이용하여 최대선량 깊이에 100 cGy의 선량을 주기 위해 필요한 monitor unit 이 3차원 치료계획 시스템 (Pinnacle 6.0, ADAC Lab)을 사용하여 계산되었고 측정되었다. 선원과 표면 거리(SSD)가 100 cm 인 곳에서 plane parallel (PP) 이온전리함(Roos, OTW Germany) 을 사용하여 고체 물 팬텀 내에서 측정하였다. 불균등 조직에 대한 효과를 평가하기 위해 CT 데이터를 사용하였고 monitor unit을 균등조직 및 비균등조직 내에서 계산하였다. 균등조직으로 계산하기 위해 CT의 밀도를 1 g/㎤로 지정하였다. 이러한 방법에 의해 구해진 monitor unit 값들을 비교하였다. 한 지점에서 측정된 선량과 RTP에서 구해진 선량을 비교 할 때 측정된 값이 치료계획에 의해 계산된 값보다 조금 높았다. 평평한 고체 물 표면에 조사된 경우 측정된 값과 계산된 값에는 6 MeV 전자선의 경우 4%, 그리고 9 및 12 MeC 전자선의 경우 2%의 차이가 있었다. 또한 다양한 조사방향에서 CT 데이터를 사용하여 monitor unit을 계산한 경우 불균등한 조직의 밀도를 고려하여 계산된 값과 고려하지 않고 계산된 값은 모든 에너지에서 3% 이내의 차이가 있었다. 이러한 결과는 전자선을 사용하여 유방암 치료 시 조직내의 불균등한 밀도를 고려하지 않고 monitor unit을 계산해도 큰 차이가 발생하지 않는다는 것을 의미한다.

• Radiation Oncology Journal
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• 제36권2호
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• pp.103-113
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• 2018

Purpose: Anaplastic thyroid cancer (ATC) is a rare tumor with a lethal clinical course despite aggressive multimodal therapy. Intensity-modulated radiotherapy (IMRT) may achieve a good therapeutic outcome in ATC patients, and the role of IMRT should be assessed. We retrospectively reviewed outcomes for ATC treated with three-dimensional conformal radiotherapy (3D-CRT) or IMRT to determine the optimal treatment option and explore the role of radiotherapy (RT). Materials and Methods: Between December 2000 and December 2015, 41 patients with pathologically proven ATC received RT with a sufficient dose of ${\geq}40Gy$. Among them, 21 patients (51%) underwent surgery before RT. Twenty-eight patients received IMRT, and 13 received 3D-CRT. Overall survival (OS) and progression-free survival (PFS), patterns of failure, and toxicity were examined. Results: The median follow-up time for survivors was 38.0 months. The median and 1-year OS and PFS rates were 7.2 months and 29%, 4.5 months and 15%, respectively. Surgery significantly improved the prognosis (median OS: 10.7 vs. 3.9 months, p = 0.001; median PFS: 5.9 vs. 2.5 months, p = 0.007). IMRT showed significantly better PFS and OS than 3D-CRT, even in multivariate analysis (OS: hazard ratio [HR] = 0.30, p = 0.005; PFS: HR = 0.33, p = 0.005). Significantly higher radiation dose could be delivered with IMRT than 3D-CRT ($EQD2_{10}$ 66 vs. 60 Gy, p = 0.005). Only 2 patients had grade III dermatitis after IMRT. No other severe toxicity ${\geq}grade$ III occurred. Conclusion: Patients with ATC showed better prognosis through multimodal treatment. Furthermore, IMRT could achieve favorable survival rates by safely delivering higher dose than 3D-CRT.