Kwon, Dong Yeol;Kim, Jin Man;Chae, Moon Ki;Park, Tae Yang;Seo, Sung Gook;Kim, Jong Sik
The Journal of Korean Society for Radiation Therapy
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v.31
no.2
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pp.13-24
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2019
Purpose: CT scan range is insufficient for various reasons in head and neck Tomotherapy®. To solve that problem, Re-CT simulation is good because CT scan range affects accurate dose calculations, but there are problems such as increased exposure dose, inconvenience, and a change in treatment schedule. We would like to evaluate the minimum CT scan range required by changing the plan setup parameter of the existing CT scan range. Materials and methods: CT Simulator(Discovery CT590 RT, GE, USA) and In House Head & Neck Phantom are used, CT image was acquired by increasing the image range from 0.25cm to 3.0cm at the end of the target. The target and normal organs were registered in the Head & Neck Phantom and the treatment plan was designed using ACCURAY Precision®. Prescription doses are Daily 2.2Gy, 27 Fxs, Total Dose 59.4Gy. Target is designed to 95%~107% of prescription dose and normal organ dose is designed according to SMC Protocol. Under the same treatment plan conditions, Treatment plans were designed by using five methods(Fixed-1cm, Fixed-2.5cm, Fixed-5cm, Dynamic-2.5cm Dynamic-5cm) and two pitches(0.43, 0.287). The accuracy of dose delivery for each treatment plan was analyzed by using EBT3 film and RIT(Complete Version 6.7, RIT, USA). Results: The accurate treatment plan that satisfying the prescribed dose of Target and the tolerance dose in normal organs(SMC Protocol) require scan range of at least 0.25cm for Fixed-1cm, 0.75cm for Fixed-2.5cm, 1cm for Dynamic-2.5cm, and 1.75cm for Fixed-5cm and Dynamic-5cm. As a result of AnalysisAnalysis by RIT. The accuracy of dose delivery was less than 3% error in the treatment plan that satisfied the SMC Protocol. Conclusion: In case of insufficient CT scan range in head and neck Tomotherapy®, It was possible to make an accurate treatment plan by adjusting the FW among the setup parameter. If the parameter recommended by this author is applied according to CT scan range and is decide whether to re-CT or not, the efficiency of the task and the exposure dose of the patient are reduced.
Even though the wedge factor was defined by ICRU, RTPS uses other definition different from the wedge factor to consider the wedge effect to correct dose. Because the factors with different concept are defined in a very different way, replacement of different factor could make severe error of dose and is unacceptable because their values are very different from each other. Radiotherapy machine installed in department includes physical wedges and function of dynamic wedge by upper jaws, and Eclipse and Pinnacle$^{3}$ such as RTPS are used. The wedge factors, relative wedge output factors and wedge field output factors of physical wedges and dynamic wedges were measured by an ionization chamber in water phantom. They are analyzed and compared in according to wedge position, field size, wedge angle, X-ray quality, measurement condition. Wedge factor, relative wedge output factors and wedge field output factors of dynamic wedges comparing physical wedges have an effect of several factors. Main factors effecting to the factors of dynamic wedges were field size and wedge angle. Beam quality of X-ray introduces a few effect to the factors. Because the factors related to wedge and defined with different concepts are different from each other, to reduce dose error it should be input by values proper to RTPS.
Form the pure Maxwellian distribution(kT= 1.42MeV), the effects upon calibration factors of encapsulating a $^{252}Cf$ spontaneous fission neutron source were investigated to establish a standard neutron field in the Secondary Standard Dosimetry Laboratory at Korea Atomic Energy Research Institute(KAERI). A Monte Carlo code MCNP was used in simulating the encapsulation SR-Cf-100 and SR-Cf-1273 to be real conditions. The anisotropy(FI) and fluence-to-dose equivalents conversion factors$(H/{\Phi})$ were evaluated and compared with other results. As the results, the FI was determined to be 1.061 at ${\theta}=90^{\circ}$ with ${\pm}0.2%$ statistical error and the $(H/{\Phi})$ was evaluated to be $333.9 [pSv\;cm^2]\;with\;{\pm}0.5%$ statistical error, which is lower by 1.8% than that recommended by the ISO 8529. This means physically that the neutron spectrum of the unmoderated $^{252}Cf$ source in KAERI is a little more softened than that by the ISO.
The Journal of Korean Society for Radiation Therapy
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v.33
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pp.117-125
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2021
Purpose: To purpose of this study is to find the correlation of the Set-up error according to the couch rotation and suggest additional margin setting for the GTV. Target and Method: Each scenario treatment plan was created by making the frequency of non-coplanar beams different among all beams. The set-up error value was measured by using the Exact System and the dose accuracy was evaluated by creating a re-treatment plan. Results: When the couch was rotated by 30°, 45°, 60°, and 90°, the mean of the X-axis values was measured to be 0.29 mm, 0.26 mm, 0.51 mm, and 0.08 mm, respectively. The mean of the Y-axis values was measured to be 0.75 mm, 0.5mm, 0.35 mm, and 0.29 mm, respectively. The mean of the Z-axis values was measured to be 0.5 mm, 0.28 mm, 0.22 mm, and 0.1 mm, respectively. There were dose reductions of 0.1%, 3.1%, 1.9% in D99 for 1-NC VMAT, 2-NC VMAT, and 3-NC VMAT, respectively. Conclusion: When treating with 50% or more of non-coplanar beams among total beams, image verification is required. And it is considered to make the treatment plan by adding a 1.5 mm margin to the GTV.
This study aimed to propose minimized radiation doses with an optimized abdomen x-ray image, which realizes a Deep Blind Image Super-Resolution Generative adversarial network (BSRGAN) technique. Entrance surface doses (ESD) measured were collected by changing exposure conditions. In the identical exposures, abdominal images were acquired and were processed with the BSRGAN. The images reconstructed by the BSRGAN were compared to a reference image with 80 kVp and 320 mA, which was evaluated by mean squared error (MSE), peak signal-to-noise ratio (PSNR), and structural similarity index measure (SSIM). In addition, signal profile analysis was employed to validate the effect of the images reconstructed by the BSRGAN. The exposure conditions with the lowest MSE (about 0.285) were shown in 90 kVp, 125 mA and 100 kVp, 100 mA, which decreased the ESD in about 52 to 53% reduction), exhibiting PSNR = 37.694 and SSIM = 0.999. The signal intensity variations in the optimized conditions rather decreased than that of the reference image. This means that the optimized exposure conditions would obtain reasonable image quality with a substantial decrease of the radiation dose, indicating it could sufficiently reflect the concept of As Low As Reasonably Achievable (ALARA) as the principle of radiation protection.
The Journal of Korean Society for Radiation Therapy
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v.28
no.1
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pp.7-16
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2016
Purpose : This study aimed to compare and evaluate between the efficiency of two respective devices, 3D-bolus and step-bolus when the devices were used for the treatment of patients whose chest walls were required to undergo the electron beam therapy after the surgical procedure of modified radical mastectomy, MRM. Materials and Methods : The treatment plan of reverse hockey stick method, using the photon beam and electron beam, had been set for six breast cancer patients and these 6 breast cancer patients were selected to be the subjects for this study. The prescribed dose of electron beam for anterior chest wall was set to be 180 cGy per treatment and both the 3D-bolus, produced using 3D printer(CubeX, 3D systems, USA) and the self-made conventional step-bolus were used respectively. The surface dose under 3D-bolus and step-bolus was measured at 5 measurement spots of iso-center, lateral, medial, superior and inferior point, using GAFCHROMIC EBT3 film (International specialty products, USA) and the measured value of dose at 5 spots was compared and analyzed. Also the respective treatment plan was devised, considering the adoption of 3D-bolus and stepbolus and the separate treatment results were compared to each other. Results : The average surface dose was 179.17 cGy when the device of 3D-bolus was adopted and 172.02 cGy when step-bolus was adopted. The average error rate against the prescribed dose of 180 cGy was -(minus) 0.47% when the device of 3D-bolus was adopted and it was -(minus) 4.43% when step-bolus was adopted. It was turned out that the maximum error rate at the point of iso-center was 2.69%, in case of 3D-bolus adoption and it was 5,54% in case of step-bolus adoption. The maximum discrepancy in terms of treatment accuracy was revealed to be about 6% when step-bolus was adopted and to be about 3% when 3D-bolus was adopted. The difference in average target dose on chest wall between 3D-bolus treatment plan and step-bolus treatment plan was shown to be insignificant as the difference was only 0.3%. However, to mention the average prescribed dose for the part of lung and heart, that of 3D-bolus was decreased by 11% for lung and by 8% for heart, compared to that of step-bolus. Conclusion : It was confirmed through this research that the dose uniformity could be improved better through the device of 3D-bolus than through the device of step-bolus, as the device of 3D-bolus, produced in consideration of the contact condition of skin surface of chest wall, could be attached to patients' skin more nicely and the thickness of chest wall can be guaranteed more accurately by the device of 3D-bolus. It is considered that 3D-bolus device can be highly appreciated clinically because 3D-bolus reduces the dose on the adjacent organs and make the normal tissues protected, while that gives no reduction of dose on chest wall.
The Journal of Korean Society for Radiation Therapy
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v.11
no.1
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pp.6-10
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1999
The field size can be beam output, therefore MonitorUnit can be varied due to field size dependence The purpose of this study is to evaluate and compare the dose variation according to exchange of collimator The measurements were perfomed with Wellhofer dosimetry system(water phantom. ion chamber. electrometer. system controller. build up cap. etc)and two types of linear accerlerator (Mevatron KD, MevatronMX) Scatter can be affected to field size dependence and scatter correction is separated into collimator and phantom components, scatter components can affect by exchanging of collimator Measurements of collimator scatter factor(Sc) was done in air with build up cap. 1)Square field (5cm2 to 40cm2) was measured 2)and then keeping the upper jaw constant at loom and varing lower jaw from 5cm to 40cm, 3)keeping the lower jaw constant at 10cm and varing upper jaw from 5cm to 40cm Measurements of total scatter factor(Scp) was done in water at Dmax as the procedure of collimator scatter factor measurements in water Dmax The total scatter factors were obtained to the following equation(Sp=Scp/Sc) The measured data is normalized to the data of reference field size($10{\times}10$), rectangular field is inverted to equivalent field to compare three field size data As the collimator setting is varied, the output was changed In conclusion, the error was obtained small but it must be eliminated if we intend to reach the common stated goal of $5\%$ overall uncertainty in dose determination
The parallel Monte Carlo electron and photon transport (PMCEPT) code [Kum and Lee, J. Korean Phys. Soc. 47, 716 (2006)] for calculating electron and photon beam doses has been developed based on the three dimensional geometry defined by computed tomography (CT) images and implemented on the Beowulf PC cluster. Understanding the limitations of Monte Carlo codes is useful in order to avoid systematic errors in simulations and to suggest further improvement of the codes. We evaluated the PMCEPT code by comparing its normalized depth doses for electron and photon beams with those of MCNP5, EGS4, DPM, and GEANT4 codes, and with measurements. The PMCEPT results agreed well with others in homogeneous and heterogeneous media within an error of $1{\sim}3%$ of the dose maximum. The computing time benchmark has also been performed for two cases, showing that the PMCEPT code was approximately twenty times faster than the MCNP5 for 20-MeV electron beams irradiated on the water phantom. For the 18-MV photon beams irradiated on the water phantom, the PMCEPT was three times faster than the GEANT4. Thus, the results suggest that the PMCEPT code is indeed appropriate for both fast and accurate simulations.
An attempt has been made to do interpretation of the fast neutron dose with two threshold detectors incorporated with the Harwell criticality locket. This method is based on the assumption that the spectral distribution of fission neutrons in criticality accidents may be governed by one spectral parameter. The surface-absorbed dose for a unit fission neutron fluence seems to be insensitive to spectral shifts of the fission neutron spectrum. The average cross-sections for the activation detectors, however, are considerably changed with the neutron spectral shape, which may lead to a large error in calculating the dose from the reaction rate if one uses a fixed value for the average cross sections regardless of the neutron spectral distribution. Besides, the doses calculated from three representative formulae for fission neutron spectra have been compared : these formulae are Watt, Cranberg at al. and Maxwellian forms. The results obtained front the Maxwellian formula show a departure from the Watt and Cranberg's, both being similarly close.
The present study examines the phosphate adsorption potential and behavior of mixture of Ground Burnt Patties (GBP), a solid waste generated from cooking fuel used in earthen stoves and Red Soil (RS), a natural substance in fixed bed column mode operation. The characterization of adsorbent was done by Proton Induced X-ray Emission (PIXE), and Proton Induced ${\gamma}$-ray Emission (PIGE) methods. The FTIR spectroscopy of spent adsorbent reveals the presence of absorbance peak at $1127cm^{-1}$ which appears due to P = O stretching, thus confirming phosphate adsorption. The effects of bed height (10, 15 and 20 cm), flow rate (2.5, 5 and 7.5 mL/min) and initial phosphate concentration (5 and 15 mg/L) on breakthrough curves were explored. Both the breakthrough and exhaustion time increased with increase in bed depth, decrease in flow rate and influent concentration. Thomas model, Yoon-Nelson model and Modified Dose Response model were used to fit the column adsorption data using nonlinear regression analysis while Bed Depth Service Time model followed linear regression analysis under different experimental condition to evaluate model parameters that are useful in scale up of the process. The values of correlation coefficient ($R^2$) and the Sum of Square Error (SSE) revealed the Modified Dose Response model as the best fitted model to the experimental data. The adsorbent mixture responded effectively to the desorption and reusability experiment. The results of this finding advocated that mixture of GBP and RS can be used as a low cost, highly efficient adsorbent for phosphate removal from aqueous solution.
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