• Journal of Korean Neurosurgical Society
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• 제61권3호
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• pp.386-392
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• 2018

Radiation therapy is highly effective for the management of pediatric malignant central nervous system (CNS) tumors including embryonal tumors. With the increment of long-term survivors from malignant CNS tumors, the radiation-related toxicities have become a major concern and we need to improve the treatment strategies to reduce the late complications without compromising the treatment outcomes. One of such strategies is to reduce the radiation dose to craniospinal axis or radiation volume and to avoid or defer radiation therapy until after the age of three. Another strategy is using particle beam therapy such as proton beams instead of photon beams. Proton beams have distinct physiologic advantages over photon beams and greater precision in radiation delivery to the tumor while preserving the surrounding healthy tissues. In this review, I provide the treatment principles of pediatric CNS embryonal tumors and the strategic improvements of radiation therapy to reduce treatment-related late toxicities, and finally introduce the increasing availability of proton beam therapy for pediatric CNS embryonal tumors compared with photon beam therapy.

• 한국의학물리학회지:의학물리
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• 제9권1호
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• pp.29-35
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• 1998

There has been necessity of an air free ionization chamber using the gold-crystal-aluminium plates, henceforth called the crystal chamber. The crystal chamber formed of parallel plates is very small in size and has more response for absorbed dose of therapeutic radiation beams. The gold plate on the crystal facing the photon and electron beam acts as an intensifier of signals and crystal plate as an ionization medium respectively. Both the copper guard ring and the aluminum collecting electrode are connected to an electrometer. Using high energy photon (6, 15 MV) and electron (9, 12, 15, 18 MeV) beams, the responses of the crystal chamber are evaluated against a PTW Farmer-type chamber at a field size of 10${\times}$10cm$^2$ and 100 cm SSD. The responses of crystal chamber for therapeutic radiation electron and photon beams are greater in magnitude by several order than Farmer. The crystal chamber has good linearity without correction factor C$\_$t,p/ with respect to the signals, a reading reproduction with good accuracy and precision less than 0.5%, and has other useful functions in measuring radiation beams.

• Journal of Radiation Protection and Research
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• 제5권1호
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• pp.7-10
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• 1980

With the conceptual definition of the quotient(${\beta}$) of absorbed dose and the collision part of kerma for photon beams, the procedure of computing ${\beta}$ is briefly described. A series of calculations of ${\beta}$ was carried out for photons of 0.4, 0.5, 1 and 2 MeV in polystyrene, carbon, air and aluminum. Resultant values are tabulated and evaluated.

• 한국의학물리학회지:의학물리
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• 제31권2호
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• pp.20-28
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• 2020

Purpose: The objective of this study is to perform Postal dosimetry audits for medical linear accelerators in radiation therapy institutions using glass dosimeters and Gafchromic film reading systems and postal dosimetry audit procedures, and to evaluate radiation therapy doses and mechanical accuracy in medical institutions. Methods: Photon output measured and analyzed using a standard phantom for measuring photon output dose using a glass dosimeter for medical linear accelerators. Mechanical accuracy was measured and analyzed using software for film measurement. Results: Measurement and analysis of photon beam output dose using a standard phantom glass dosimeter for photon beam output dose measurement was completed. All tolerance doses were within 5%. Mechanical accuracy measurement and analysis using a standard phantom for verifying the mechanical accuracy of linear accelerator (LINAC) using a Gafchromic film were completed, and all results were shown within tolerances (2 mm or less). Conclusions: In this study, Postal dosimetry audits were performed on the output dose and mechanical accuracy of photon beams (207 beams) for 106 LINACs from 48 institutions. As a result of corrective action and re-execution, it was confirmed that all engines met the acceptable standard within 2 mm in the linear accelerator.

• Journal of Radiation Protection and Research
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• 제24권4호
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• pp.195-203
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• 1999

고 에너지 광자선 소조사면에 대한 선량 특성은 조사면내의 급격한 선량 변화와 측면 전자 평형상태하의 측정이 어려우므로 정확하게 파악하기 어렵다. 다이아몬드 검출기를 이용하여 광자선 에너지 4, 6, 그리고 10 MeV에 대한 소조사면의 선량특성을 측정하였고 그 값들을 작은 용적의 원통형과 평행평판형 이온함의 선량특성과 비교하였다. 다이아몬드 검출기와 원통형 이온함을 이용하여 의료용 선형가속기에서 방출되는 광자선 에너지 6 MeV X-선, 10 MeV X-선에 대한 소조사면($1{\times}1,\;1.5{\times}1.5,\;2{\times}2,\;3{\times}3,\;4{\times}4\;cm^2$)에 대하여 심부선량백분율, 측면 선량분포를 측정하였다. 또한 다이아몬드 검출기, 원통형 이온함 및 평행평판형 이온함을 이용하여 광자선 에너지 4 MeV X-선, 6 MeV X-선 및 10 MeV X-선으로 소조사면의 크기를 $1{\times}1\;cm^2$에서 $0.5\;cm^2$간격으로 $4{\times}4\;cm^2$까지 변화하면서 출력계수를 측정하였다. 세 가지 측정기에 대한 출력계수를 비교한 결과 광자선 에너지 4 MeV X-선은 조사면의 크기 $2{\times}2\;cm^2$, 6 MeV X-선은 $2.5{\times}2.5\;cm^2$ 그리고 10 MeV X-선은 $3{\times}3\;cm^2$이상에서 출력계수가 $\pm$1.2% 내외로 잘 일치하였으나 원통형과 평행평판형 이온함에 대한 출력계수는 조사면의 크기가 작아질수록 다이아몬드의 검출기와 비교하여 낮게 평가되었는데 이는 원통형과 평행평판형 이온함의 측면전자평형상태가 이루어지지 않아 낮게 평가되었다. 광자선 에너지 6 MeV X-선과 10 MeV X-선에 대한 심부선량백분율은 다이아몬드 검출기와 원통형 이온함이 조사면의 크기 $3{\times}3\;cm^2$까지 $\pm$1.5% 내외로 잘 일치하였으나 조사면의 크기가 작고 깊이가 깊어짐에 따라 다이아몬드의 심부선량백분율이 크게 평가되었다. 측면 선량분포는 원통형 이온함의 반음영의 크기가 측정된 소조사면에 대하여 다이아몬드 검출기보다 크게 나타났다. 측면 선량분포는 다이아몬드 검출기가 상대적으로 이온함에 비해 민감 용적이 작고 높은 분해능을 가지므로 반음영이 작은 것으로 사료된다. 따라서 고 에너지 광자선 소조사면에 대한 선량 측정시 검출기의 민감 용적이 작고 분해능이 우수하며 물과 등가인 다이아몬드 검출기는 이온함에 비해 상대적으로 우수한 것으로 생각된다.

• 대한방사선기술학회지:방사선기술과학
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• 제19권1호
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• pp.81-87
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• 1996

When high energy photon beam is incident upon an air cavity interface the effect of ionization build-up observed. This phenomenon is resulting from the surface layers of the lesions are significant deficiency of electrons reaching the layers because of the replacement of solid scattering material by the air cavity, that is lack of electronic equilibrium. Measurement have been made in an acrylic phantom with a parallel plate chamber and high energy Photon beams, CO-60, 4MV, 6MV and 10MV X-rays have been investigated. The result of our study show that a significant effect was measured and was determined to be very dependent on field size, air cavity dimension and photon energy. The reductions were much larger for 10MV beam, underdosage at the interface was 12, 12.2, 16.9 and 20.6% for the CO-60, 4 MV, 6MV and 10MV, respectively. It was found that this non-equilibrium effect at the interface is more severe for the higher energy beams than that of lower energy beams and the larger cavity dimensions it is, the larger beam reductions we have. This problem is of clinical concern when lesions such as carcinoma beyond air cavities are irradiated, such as larynx, glottic and the patients with maxillectomy and ethmoidectomy and so forth.

• 한국전기전자재료학회:학술대회논문집
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• 한국전기전자재료학회 2002년도 추계학술대회 논문집 Vol.15
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• pp.71-74
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• 2002

Currently small and accurate dosimeters are on the rise. In this study, the feasibility and energy dependency of the electret dosimeter that made of PET (polyethylene terephtalate) were observed by irradiating 4, 6, 15 MV photon beams from the clinical linear accelerator to develop a dosimeter for the clinical field. $10{\times}10cm$ field size of the photon beams were irradiated to the electret dosimeter where the 2.5 cm depth in the polystylene phantom from 100 cm SSD, while 300 DCV was applied to the electret dosimeter. The result showed that the absorbed dose was proportional to the charge linearly, and the volume of a dosimeter could be reduced and the signals were high enough. According to this study, it was found that the polymer electret detector could be produced as a large quantity with a small cost and showed the feasibility of a realtime measurement.

• Journal of Radiation Protection and Research
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• 제34권2호
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• pp.43-48
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• 2009

When the PDD (percentage depth dose) in the megavoltage beams is measured in the water phantom, the polarity and ion recombination effects of ionization chambers with depth in water are not usually taken into consideration. We try to investigate if those variations with depth should be taken into consideration or could be ignored for the thimble type semiflex ionization chamber (PTW $31010^{TM}$, SN 1551). According to the recommendation of IAEA TRS-398, the 4 representative depths of $d_s$, $d_{max}$, $d_{90}$ and $d_{50}$ were used for the electron beams. For the photon beams, the 4 depths were arbitrarily chosen for the photon beams, which were $d_s$, $d_{max}$, $d_{10}$ and $d_{20}$. For the high energy photon beam both polarity and ion recombination factors of the chamber with depth in water gives the good agreements within the maximum $\pm$0.2%, while the $C_{polS}$ with depth came within the maximum $\pm$ 0.4% and the $C_{IRS}$ within the maximum $\pm$0.6% in every electron beam used. This study shows that PDI (percentage depth ionization) could be a good approximation to PDD for the chamber used.

• 센서학회지
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• 제20권2호
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• pp.96-101
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• 2011

In this study, we fabricated a fiber-optic phantom dosimeter by arraying square type of plastic optical fibers in a PMMA phantom for measuring relative depth doses of therapeutic photon beams. To minimize the cross-talk between fiber-optic dosimeters, we selected appropriate septum by measuring leaked scintillating lights according to the various kinds of septa. In addition, we measured percentage depth doses of 6, 15 MV photon beams using a fiber-optic phantom dosimeter.

• 한국의학물리학회지:의학물리
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• 제6권2호
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• pp.51-60
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• 1995

고에너지 (6-15MV) 광자선속으로 치료할때 LiF(TLD-100) 결정은 solid water phantom 이나 환자의 피부 표면에서의 흡수선량을 측정하기 위해 열자극 발광 선량계(이하 NC-100)가 주로 사용된다. 통상 NC-100은 가열 과정을 여러회 반복하면 그 감도가 줄어드는 것으로 조사되었다. NC-100 위에 입사 광자선속 방향으로 올려놓은 140$\mu\textrm{m}$ 두께의 금박막(이하 GC-100)은 NC-100 과 다른 성질을 갖는다. 즉, 광자선속에서 GC-100 은 금박막에서 주로 쌍생성이 일어나고 부분적으로 Compton 산란이 일어나 많은 양전자와 음전자를 만들어 낸다. 그 결과 TLD-100 결정은 증가된 신호를 갖고(최대 100% 증가), 흡수 선량당 높은 반응도가 좋은 선형도를 갖으며, 선량물에 무관할 뿐만 아니라 Fluctuation error 도 $\pm$0.5% 미만으로 낮게 측정되었다. GC-100 은 주로 쌍생성이 일어나기 때문에 전자선보다 광자선에서 더욱 감도가 좋은것으로 나타난다. 그것은 금과같이 원자번호가 높은 매질에서 광자선에 의한 쌍생성의 확률이 큰것에 기인한다. 치료용 고에너지 광자선속에서 TLD-100 chip 위에 올려진 금박막은 TLD 의 신호를 크게 증가시키는 역할을 하는것으로 나타났다.