• Radiation Oncology Journal
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• v.26 no.4
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• pp.280-288
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• 2008

Purpose: To identify the inter-fractional shift pattern and to assess an adequate treatment margin in the radiotherapy of a liver tumor using mega-voltage computed tomography (MVCT) of a tomotherapy unit. Materials and Methods: Twenty-six patients were treated for liver tumors by tomotherapy from April 2006 to August 2007. The MVCT images of each patient were analyzed from the $1^{st}$ to the $10^{th}$ fraction for the assessment of the daily liver shift by four groups based on Couinard's proposal. Daily setup errors were corrected by bony landmarks as a prerequisite. Subsequently, the anterior-, posterior-, right-, and left shifts of the liver edges were measured by maximum linear discrepancies between the kilo-voltage computed tomography (KVCT) image and MVCT image. All data were set in the 2-dimensional right angle coordinate system of the transverse section of each patient's body. Results: The liver boundary shift had different patterns for each group. In group II (segment 2, 3, and 4), the anterior mean shift was $2.80{\pm}1.73\;mm$ outwards, while the left mean shift was $2.23{\pm}1.37\;mm$ inwards. In group IV (segment 7 and 8), the anterior-, posterior-, right-, and left mean shifts were $0.15{\pm}3.93\;mm$ inwards, $3.15{\pm}6.58\;mm$ inwards, $0.60{\pm}3.58\;mm$ inwards, and $4.50{\pm}5.35\;mm$ inwards, respectively. The reduced volume in group II after MVCT reassessment might be a consequence of stomach toxicity. Conclusion: Inter-fractional liver shifts of each group based on Couinard's proposal were somewhat systematic despite certain variations observed in each patient. The geometrical deformation of the liver by respiratory movement can cause shrinkage in the left margins of liver. We recommend a more sophisticated approach in free-breathing mode when irradiating the left lobe of liver in order to avoid stomach toxicity.

• The Journal of Korean Academy of Prosthodontics
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• v.59 no.4
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• pp.395-404
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• 2021

Purpose. The purpose of present study was to evaluate the effect of changing structural stability of wax disc on the fit of prosthesis when the milling proceeded in order. Materials and methods. Prepared maxillary left first molar was used to fabricate a Ni-Cr alloy reference model. This was scanned to design crown and then wax pattern was milled, invested and cast to fabricate prosthesis. The wax patterns located in a row centrally within a single wax disc were set into a total of five groups ranging from WM1 group that was first milled to WM5 group that was last milled and the number of each group was set as 10. Silicone replica technique was used to measure the marginal gap, axial internal gap, line angle internal gap, occlusal internal gap. Data was evaluated with one-way ANOVA with significance level set at α = .05 and then Tukey HSD test was conducted for post analysis. Results. Marginal gap measured in each group, it was 40.41 ± 2.15 ㎛ in WM1 group, 40.44 ± 2.23 ㎛ in WM2 group, 39.96 ± 2.25 ㎛ in WM3 group, 39.96 ± 2.48 ㎛ in WM4 group, and 40.57 ± 2.53 ㎛ in WM5 group. No significant difference was found between groups. The significant difference between the groups was also not found in the axial internal gap, line angle internal gap, and occlusal internal gap. Conclusion. Internal and marginal fit of single crown to the sequential order of milling processing in the single machinable wax disc did not seem to be affected by the sequence.

• Journal of the Korean Society of Marine Environment & Safety
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• v.27 no.5
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• pp.594-604
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• 2021

To evaluate the causes of beach erosion in Sinji-Myeongsasimni Beach, external forces, such as tides, tidal currents, and waves, were observed seasonally from March 2019 to March 2020, and the surface sediments were analyzed for this period. In addition, the shoreline positions and beach elevations were regularly surveyed with a VRS GPS and fixed-wing drone. From these field data, the speed of the tidal currents was noted to be insufficient, but the waves were observed to af ect the deformation of the beach. As the beach is open to the southern direction, waves of heights over 1 m were received in the S-SE direction during the spring, summer, and fall seasons. Large waves with heights over 2 m were observed during typhoons in summer and fall. Because of the absence of typhoons for the previous two years from July 2018, the beach area over datum level (DL) as of July 2018 was greater by 30,138m² compared with that of March 2019, and the beach area as of March 2020 decreased by 61,210m² compared with that of March 2019 because of four typhoon attacks after July 2018. The beach volume as of March 2019 decreased by 5.4% compared with that of July 2018 owing to two typhoons, and the beach volume as of September 2019 decreased by 7.3% because of two typhoons during the observation year. However, the volume recovered slightly by about 3% during fall and winter, when there were no high waves. According to the sediment transport vectors by GSTA, the sediments were weakly influxed from small streams located at the center of the beach; the movement vectors were not noticeable at the west beach site, but the westward sediment transport under the water and seaward vectors from the foreshore beach were prominently observed at the east beach site. These patterns of westward sediment vectors could be explained by the angle between the annual mean incident wave direction and beach opening direction. This angle was inclined 24° counterclockwise with the west-east direction. Therefore, the westward wave-induced currents developed strongly during the large-wave seasons. Hence, the sand content is high in the west-side beach but the east-side beach has been eroded seriously, where the pebbles are exposed and sand dune has decreased because of the lack of sand sources except for the soiled dunes. Therefore, it is proposed that efforts for creating new sediment sources, such as beach nourishment and reducing wave heights via submerged breakwaters, be undertaken for the eastside of the beach.