• 제목/요약/키워드: individual dose

검색결과 349건 처리시간 0.031초

18F-FDG Whole Body PET/CT 수검자의 거리별 선량 변화에 따른 방사선 작업종사자의 유효선량 고찰: 환자 고유특성 및 응대시간 측면 (The Consideration of nuclear medicine technologist's occupational dose from patient who are undergoing 18F-FDG Whole body PET/CT : Aspect of specific characteristic of patient and contact time with patient)

  • 김성환;류재광;고현수
    • 핵의학기술
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    • 제22권1호
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    • pp.67-75
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    • 2018
  • 방사선 안전에 대한 관심과 염려가 전 세계적으로 점차 증가되고 있는 가운데, 의료 실무 현장에 종사하는 방사선 작업종사자의 외부피폭 관리 또한 중요한 이슈로 부각되고 있다. 특히, $^{18}F-FDG$WholeBodyPET/CT검사의 경우 높은 에너지의 방사성동위원소를 사용하므로 검사자의 피폭선량 저감화에 더욱 관심을 기울여야 한다. 따라서, 본 연구는 $^{18}F-FDG$ Whole Body PET/CT 수검자의 거리 별 외부선량률을 측정 및 분석하고, 방사선 작업종사자의 업무 행위 별 누적선량을 확인하여 피폭선량 저감화에 도움이 되는 주요한 요소를 알아보고자 한다. $^{18}F-FDG$WholeBody PET/CT검사를 받은 106명의 환자를 대상으로 검사 종료($75.4{\pm}3.3min$) 후 가슴을 기준 0, 10, 30, 50, 100 cm 거리에서 외부선량률을 측정하였다. 환자측면에서 외부선량률에 영향을 줄 수 있는 개별적 요인을 분석하기 위해 성별, 연령, BMI, 금식시간, 당뇨병 유무, 약물 투여정보, 크레아틴 수치 정보를 수집하였다. 수집된 정보의 통계분석은 ANOVA 분석 및 T-test를 시행하였다. 방사선 작업종사자 측면에서 피폭선량에 영향을 줄 수 있는 요인을 분석하기 위해 주사 업무를 하는 3명의 직원($T_1$, $T_2$, $T_3$)과 스캔 업무를 하는 3명의 직원($T_4$, $T_5$, $T_6$)에 각각 Personal pocket dosimeter를 착용시켜 업무시간 동안 누적된 선량을 기록하였다. 또한 방사선 작업종사자 별 응대시간을 측정하여 분석하였다. 각 거리 별 외부선량은 $246.9{\pm}37.6$, $129.9{\pm}16.7$, $61.2{\pm}9.1$, $34.4{\pm}5.9$, $13.1{\pm}2.4{\mu}Sv/hr$로 산출되었다. 환자측면에서, 근거리에서 성별, BMI, 선량, 크레아틴 수치에 의해 유의미한 차이가 있었지만, 거리가 증가할수록 그 차이는 감소하였다. 그 중 크레아틴 수치의 경우 100 cm에서 집단 간 통계적으로 유의한 차이를 보이지 않는 특징이 있었다. 환자 1명으로부터 받은 선량은 주사 업무를 하는 직원($T_1$, $T_2$, $T_3$)의 경우 0.70, 1.09, $0.55{\mu}Sv/person$이었고, 스캔($T_4$, $T_5$, $T_6$)의 경우 1.25, 0.82, $1.23{\mu}Sv/person$이었다. 응대시간이 상대적으로 적은 $T_4$직원의 경우 $T_3$, $T_5$보다 34% 낮은 누적선량을 확인할 수 있었다. 이를 토대로 환자와의 적정거리 유지와 응대시간 감소가 누적선량에 크게 작용함을 알 수 있었다. 위와 같은 점을 고려했을 때, 환자의 충분한 수분 섭취 및 배뇨, 방사선 작업종사자와 환자 간 적정거리유지(최소 100 cm이상) 및 응대시간 감소를 위해 노력해야 할 것이고, 환자의 video tracking system과 장비의 원격조정 등을 통해 피폭선량 저감화를 위해 노력해야 한다.

방사선검사 시 의료방사선 안전성에 대한 인식도 조사 (Research of Awareness for Medical Radiation Safety in Radiography)

  • 김규형
    • 대한방사선기술학회지:방사선기술과학
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    • 제41권3호
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    • pp.255-260
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    • 2018
  • Most patients and parents and guardians display frequent anxiety due to radiation exposure during outpatient, ward, and pediatric general radiographic examinations. This is a behavior that perceives only the harmfulness of radiation. For the recognition of medical radiation, we conduct surveys on outpatients, inpatients, and pediatric parents and guardians to identify their awareness, and then use the radiation dose promotional materials After providing accurate information on the use of radiation, the outpatient, inpatient, and pediatric parents and guardians were asked to explain the change in awareness. The questionnaire items were classified into five categories: repetitive radiation awareness for diagnosis, awareness of exposure dose, availability of exposure information, awareness of radiation risk, and awareness of health problems caused by radiation. There was a statistically significant difference in the items of recognition result of medical radiation, although there was a slight difference in the individual items in the pre and post-recognition results of providing information about the radiologists of the protector and the outpatient(p<0.05). Therefore, through the installation of these promotional materials, we will improve our awareness of medical radiation safety during general radiography surveillance in the Department of Radiology to provide better quality medical information and medical services, thereby contributing to strengthening the competitiveness of the hospital.

Risk Assessment from Heterogeneous Energy Deposition in Tissue. The Problem of Effects from Low Doses of Ionizing Radiation

  • Le, Feinendegen;J, Booz
    • 대한핵의학회지
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    • 제26권1호
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    • pp.8-13
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    • 1992
  • Low doses of ionizing radiation from external or internal sources cause heterogeneous distribution of energy deposition events in the exposed biological system. With the cell being the individual element of the tissue system, the fraction of cells hit, the dose received by the hit, and the biological response of the cell to the dose received eventually determine the effect in tissue. The hit cell may experience detriment, such as change in its DNA leading to a malignant transformation, or it may derive benefit in terms of an adaptive response such as a temporary improvement of DNA repair or temporary prevention of effects from intracellular radicals through enhanced radical detoxification. These responses are protective also to toxic substances that are generated during normal metabolism. Within a multicellular system, the probability of detriment must be weighed against the probability of benefit through adaptive responses with protection against various toxic agents including those produced by normal metabolism. Because irradiation can principally induce both, detriment and adaptive responses, one type of affected cells may not be simply summed up at the expense of cells with other types of effects, in assessing risk to tissue. An inventory of various types of effects in the blood forming system of mammals, even with large ranges of uncertainty, uncovers the possibility of benefit to the system from exposure to low doses of low LET radiation. This experimental approach may complement epidemiological data on individuals exposed to low doses of ionizing radiation and may lead to a more rational appraisal of risk.

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Whole Liver Palliative Radiotherapy for Patients with Massive Liver Metastases

  • Edyta, Wolny-Rokicka;Jakub, Lipinski;Jerzy, Wydmanski
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권15호
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    • pp.6381-6384
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    • 2015
  • Background: The purpose of this retrospectively study was to examine the effectiveness and tolerability of a radiotherapy technique for the palliation of symptomatic liver metastases. Materials and Methods: Twentyseven patients with liver metastases were enrolled and received targeted whole liver irradiation consisting of mean 1, 8 Gy in five to twelve fractions to a total mean dose 17Gy. Symptoms at baseline were hepatic pain (26 patients), lost of weight (6), lack of appetite (2), and night sweats (1). Seventeen patients (63%) had failed previous treatment with chemotherapy and/or high-dose steroids. Results: Individual symptom response rates were 100% at 4 weeks. Partial or complete global symptomatic responses were noted in 11 patients (40%) after 2 months. After 3 months, 8 patients (28%) reported loss of pain. The treatment was well tolerated with one patient (3%) experiencing grade 3 toxicity (one vomiting and one diarrhoea). Overall the median survival time was 4.9 months (range 1 - 14 months). One year survival was 39%. Conclusions: This is simple and well-tolerated treatment but to achieve good palliation effects we should carefully selected patients whose conventional treatment does not bring good analgesic control.

The MEK-1 Inhibitor, PD98059 reduces dioxin-induced CYP1A1 expression

  • Yim, Su-JIn;Suh, Jung-Ho;Park, Hyun-Sung
    • 한국응용약물학회:학술대회논문집
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    • 한국응용약물학회 2002년도 창립10주년기념 및 국립독성연구원 의약품동등성평가부서 신설기념 국재학술대회:생물학적 동등성과 의약품 개발 전략을 위한 국제심포지움
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    • pp.238-238
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    • 2002
  • We studied whether kinase pathways are involved in TCDD-induced gene expression by treating specific kinase inhibitors ncluding MEK1 inhibitor PD98059, p38 inhibitor SB202190, PI-3 kinase inhibitor Wortmannin or LY294002 or protein tyrosine kinase inhibitor Genestein and then tested the effects of individual inhibitors on TCDD-induced gene expression of cytochromelAl gene (CYPlAl). Our results show that PD98059, MEK-1 inhibitor reduces dioxin-inducible transcription of CYPlAl. p44/p42MAPK, that is phosphorylated by Mek-1, are phosphorlylated by treatment of TCDD, peaking at lnM, 30min treatments. Overexpressions of p44/p42 MAPK dominant negative mutants suppress dioxin dependent transcription of DRE-driven reporter gene in a dose-dependent manner. Our results demonstrate that p44/p42 MAPK is essential for transcriptional activity of AHR/ARNT heterodimer. We found that PD98059 dose-dependently blocks TCDD-induced DRE binding of the AHR/ARNT heterodimer, thereby it reduces TCDD-induced gene expression. Therefore, our results indicate that Mek-1/p44/p42 MAPK pathway is involved in TCDD-induced gene expression, [This study was supported by a grant from Korean Research Foundation Grant (X01529)to H. Park]

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한국인(韓國人)에 있어서의 Sulfamethizol의 Acetyl화(化)에 관한 생물약제학적(生物藥劑學的) 연구(硏究) (Studies on Biopharmaceutics for Acetylation of Sulfamethizole to Korean)

  • 강영수
    • Journal of Pharmaceutical Investigation
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    • 제5권2호
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    • pp.51-56
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    • 1975
  • In the course of the investigations on drug metabolism and drug disposition in man, it has been noted that there are often rather striking individual differences in the response to drugs and in the ability to metabolize and dispose of drugs. Some of the person-to-person differences are due to environmental factors, but some have clearly demonstrated to be genetically determined. This report determined the rate of acetylation and some constants of sulfa-methizole to korean. The results are as follows: The overall removal rate of drug from the body is 0.572(k, $hr^{-1}$) the rate constant for acetylation, 0.222($k_2$, $hr^{-1}$) the rate constant for excretion of unchanged drug, 0.350($k_3$, $hr^{-1}$) and the faction of a dose ultimately excreted in the urine as unchanged drug is 0.677. And this report determined the optimal time to make a single blood level determination after an oral dose of the drug and obtain a reasonable index of the rate of sulfamethizole metabolism. The resulting data(sulfamethizole levels at 5 hours after drug administration) clearly established bimodality even though only about 106 subjects were tested.

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Identification and Application of Biomarkers in Molecular and Genomic Epidemiologic Research

  • Lee, Kyoung-Mu;Han, So-Hee;Park, Woong-Yang;Kang, Dae-Hee
    • Journal of Preventive Medicine and Public Health
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    • 제42권6호
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    • pp.349-355
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    • 2009
  • Biomarkers are characteristic biological properties that can be detected and measured in a variety of biological matrices in the human body, including the blood and tissue, to give an indication of whether there is a threat of disease, if a disease already exists, or how such a disease may develop in an individual case. Along the continuum from exposure to clinical disease and progression, exposure, internal dose, biologically effective dose, early biological effect, altered structure and/or function, clinical disease, and disease progression can potentially be observed and quantified using biomarkers. While the traditional discovery of biomarkers has been a slow process, the advent of molecular and genomic medicine has resulted in explosive growth in the discovery of new biomarkers. In this review, issues in evaluating biomarkers will be discussed and the biomarkers of environmental exposure, early biologic effect, and susceptibility identified and validated in epidemiological studies will be summarized. The spectrum of genomic approaches currently used to identify and apply biomarkers and strategies to validate genomic biomarkers will also be discussed.

Pharmacological interactions between intrathecal pregabalin plus tianeptine or clopidogrel in a rat model of neuropathic pain

  • Lee, Hyung Gon;Kim, Yeo Ok;Choi, Jeong Il;Han, Xue Hao;Shin, Yang Un;Yoon, Myung Ha
    • The Korean Journal of Pain
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    • 제35권1호
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    • pp.59-65
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    • 2022
  • Background: There is still unmet need in treating neuropathic pain and increasing awareness regarding the use of drug combinations to increase the effectiveness of treatment and reduce adverse effects in patients with neuropathic pain. Methods: This study was performed to determine the individual and combined effects of pregabalin, tianeptine, and clopidogrel in a rat model of neuropathic pain. The model was created by ligation of the L5-L6 spinal nerve in male Sprague-Dawley rats; mechanical allodynia was confirmed using von Frey filaments. Drugs were administered to the intrathecal space and mechanical allodynia was assessed; drug interactions were estimated by isobolographic or fixed-dose analyses. Results: Intrathecal pregabalin and tianeptine increased the mechanical withdrawal threshold in a dose-dependent manner, but intrathecal clopidogrel had little effect on the mechanical withdrawal threshold. An additive effect was noted between pregabalin and tianeptine, but not between pregabalin and clopidogrel. Conclusions: These findings suggest that intrathecal coadministration of pregabalin and tianeptine effectively attenuated mechanical allodynia in the rat model of neuropathic pain. Thus, pregabalin plus tianeptine may be a valid option to enhance the efficacy of neuropathic pain treatment.

Design of Multipurpose Phantom for External Audit on Radiotherapy

  • Lim, Sangwook
    • 한국의학물리학회지:의학물리
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    • 제32권4호
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    • pp.122-129
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    • 2021
  • Purpose: This study aimed to design a multipurpose dose verification phantom for external audits to secure safe and optimal radiation therapy. Methods: In this study, we used International Atomic Energy Agency (IAEA) LiF powder thermoluminescence dosimeter (TLD), which is generally used in the therapeutic radiation dose assurance project. The newly designed multipurpose phantom (MPP) consists of a container filled with water, a TLD holder, and two water-pressing covers. The size of the phantom was designed to be sufficient (30×30×30 cm3). The water container was filled with water and pressed with the cover for normal incidence to be fixed. The surface of the MPP was devised to maintain the same distance from the source at all times, even in the case of oblique incidence regardless of the water level. The MPP was irradiated with 6, 10, and 15 MV photon beams from Varian Linear Accelerator and measured by a 1.25 cm3 ionization chamber to get the correction factors. Monte Carlo (MC) simulation was also used to compare the measurements. Results: The result obtained by MC had a relatively high uncertainty of 1% at the dosimetry point, but it showed a correction factor value of 1.3% at the 5 cm point. The energy dependence was large at 6 MV and small at 15 MV. Various dosimetric parameters for external audits can be performed within an hour. Conclusions: The results allow an objective comparison of the quality assurance (QA) of individual hospitals. Therefore, this can be employed for external audits or QA systems in radiation therapy institutions.

Temporal Change in Radiological Environments on Land after the Fukushima Daiichi Nuclear Power Plant Accident

  • Saito, Kimiaki;Mikami, Satoshi;Andoh, Masaki;Matsuda, Norihiro;Kinase, Sakae;Tsuda, Shuichi;Sato, Tetsuro;Seki, Akiyuki;Sanada, Yukihisa;Wainwright-Murakami, Haruko;Yoshimura, Kazuya;Takemiya, Hiroshi;Takahashi, Junko;Kato, Hiroaki;Onda, Yuichi
    • Journal of Radiation Protection and Research
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    • 제44권4호
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    • pp.128-148
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    • 2019
  • Massive environmental monitoring has been conducted continuously since the Fukushima Daiichi Nuclear Power accident in March of 2011 by different monitoring methods that have different features together with migration studies of radiocesium in diverse environments. These results have clarified the characteristics of radiological environments and their temporal change around the Fukushima site. At three months after the accident, multiple radionuclides including radiostrontium and plutonium were detected in many locations; and it was confirmed that radiocesium was most important from the viewpoint of long-term exposure. Radiation levels around the Fukushima site have decreased greatly over time. The decreasing trend was found to change variously according to local conditions. The air dose rates in environments related to human living have decreased faster than expected from radioactive decay by a factor of 2-3 on average; those in pure forest have decreased more closely to physical decay. The main causes of air dose rate reduction were judged to be radioactive decay, movement of radiocesium in vertical and horizontal directions, and decontamination. Land-use categories and human activities have significantly affected the reduction tendency. Difference in the air dose rate reduction trends can be explained qualitatively according to the knowledge obtained in radiocesium migration studies; whereas, the quantitative explanation for individual sites is an important future challenge. The ecological half-lives of air dose rates have been evaluated by several researchers, and a short-term half-life within 1 year was commonly observed in the studies. An empirical model for predicting air dose rate distribution was developed based on statistical analysis of an extensive car-borne survey dataset, which enabled the prediction with confidence intervals. Different types of contamination maps were integrated to better quantify the spatial data. The obtained data were used for extended studies such as for identifying the main reactor that caused the contamination of arbitrary regions and developing standard procedures for environmental measurement and sampling. Annual external exposure doses for residents who intended to return to their homes were estimated as within a few millisieverts. Different forms of environmental data and knowledge have been provided for wide spectrum of people. Diverse aspects of lessons learned from the Fukushima accident, including practical ones, must be passed on to future generations.