• Radiation Oncology Journal
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• 제2권2호
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• pp.271-280
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• 1984

The peripheral dose, defined as the dose outside therapeutic photon fields, which is responsible for the functional damage of the critical organs, fetus, and radiation. induced carcinogenesis, has been investigated for $^{60}Co\;\gamma$ ray and 10 MV Xray. It was measured by silicon diode controlled by semiautomated water phantom without any shielding or with lead plate of HVL thickness put horizontally or vertically to shield stray radiations. Authors could obtain following results. 1. The peripheral dose was larger than $0.7\%$ of central axis maximum dose even at 20cm distance from field margin. That is clinically significant, so it should be reduced. 2. Even for square fields of 10 MV Xray, radial peripheral dose distribution did not coincide with transverse distribution, because of the position of collimator jaws. 3. Between surface and $d_m$, the peripheral dose distributions show a pattern of the dose distribution of electron beams and the maximum doss was approximately proportional to the length of a side of square field. 4. The peripheral doses depended on radiation quality, field size, distance from field margin and depth in water. Distance from field margin was the most important factor. 5. Except for near surface, the peripheral dose from phantom was approximately equal to that from therapy unit. 6. To reduce the surface dose outside fields, therapist should shield stray radiations from therapy unit by lead plate of at least one HVL for 10 MV X-ray and by bolus equivalent to tissue of 0.5cm thickness for $^{60}Co$. 7. To reduce the dose at depth deeper than $d_m$, it is desirable to shield stray radiations from therapy unit by lead.

• 한국의학물리학회지:의학물리
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• 제29권2호
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• pp.53-58
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• 2018

This paper evaluates patient-specific quality assurance (PSQA) in the treatment of small and multiple tumors by the CyberKnife system with fixed collimators, using an ion chamber and EBT3 films. We selected 49 patients with single or multiple brain tumors, and the treatment plans include one to four targets with total volumes ranging from 0.12 cc to 3.74 cc. All PSQA deliveries were performed with a stereotactic dose verification phantom. The A16 microchamber (Standard Imaging, WI, USA) and Gafchromic EBT3 film (Ashland ISP Advanced Materials, NJ, USA) were inserted into the phantom to measure the point dose of the target and the dose distribution, respectively. The film was scanned 1 hr after irradiation by a film digitizer scanner and analyzed using RIT software (Radiological Imaging Technology, CO, USA). The acceptance criteria was <5% for the point dose measurement and >90% gamma passing rate using 3%/3 mm and relative dose difference, respectively. The point dose errors between the calculated and measured dose by the ion chamber were in the range of -17.5% to 8.03%. The mean point dose differences for 5 mm, 7.5 mm, and 10 mm fixed cone size was -11.1%, -4.1%, and -1.5%, respectively. The mean gamma passing rates for all cases was 96.1%. Although the maximum dose distribution of multiple targets was not shown in the film, gamma distribution showed that dose verification for multiple tumors can be performed. The use of the microchamber and EBT3 film made it possible to verify the dosimetric and mechanical accuracy of small and multiple targets. In particular, the correction factors should be applied to small fixed collimators less than 10 mm.

• 한국의학물리학회:학술대회논문집
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• 한국의학물리학회 2002년도 Proceedings
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• pp.248-251
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• 2002

The intensity modulated radiation therapy (IMRT) with a multileaf collimator (MLC) requires the conversion of a radiation fluence map into a leaf sequence file that controls the movement of the MLC during radiation treatment of patients. Patient dose verification is clinically one of the most important parts in the treatment delivery of the radiation therapy. The three dimensional (3D) reconstruction of dose distribution delivered to the target helps to verify patient dose and to determine the physical characteristics of beams used in IMRT. A new method is presented for the pretreatment dosimetric verification of two dimensional distributions of photon intensity by means of Beam Intensity Scanner System (BISS) as a radiation detector with a custom-made software for dose calculation of fluorescence signals from scintillator. The scintillator is used to produce fluorescence from the irradiation of 6MV photons on a Varian Clinac 21EX. The BISS reproduces 3D- relative dose distribution from the digitized fluoroscopic signals obtained by digital video camera-based scintillator(DVCS) device in the IMRT. For the intensity modulated beams (IMBs), the calculations of absorbed dose are performed in absolute beam fluence profiles which are used for calculation of the patient dose distribution. The 3D-dose profiles of the IMBs with the BISS were demonstrated by relative measurements of photon beams and shown good agreement with radiographic film. The mechanical and dosimetric properties of the collimating of dynamic and/or step MLC system alter the generated intensity. This is mostly due to leaf transmission, leaf penumbra and geometry of leaves. The variations of output according to the multileaf opening during the irradiation need to be accounted for as well. These phenomena result in a fluence distribution that can be substantially different from the initial and calculative intensity modulation and therefore, should be taken into account by the treatment planning for accurate dose calculations delivered to the target volume in IMRT.

• 한국의학물리학회:학술대회논문집
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• 한국의학물리학회 2002년도 Proceedings
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• pp.61-64
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• 2002

As intensity modulated radiation therapy compared with conventional radiation therapy, tumor target dose increased and normal tissues and critical organs dose reduced. In brain tumor, treatment planning of intensity modulated radiation therapy was practiced in 4MV, 6MV, 15MV X-ray energy. In these X-ray energy, was considered the dose distribution and dose volume histogram. As 4MV X-ray compared with 6MV and 15MV, maximum dose of right optic-nerve increased 10.1 %, 8.4%. Right eye increased 5.2%, 2.7%. And left optic-nerve, left eye, optic chiasm and brainstem incrased 1.7% - 5.2%. Even though maximum dose of PTV and these critical organs show different from 1.7% - 10.1% according to X-ray energies, these are a piont dose. Therefore in brain tumor, treatment planning of intensity modulated radiation therapy in 9 treatment field showed no relation with energy dependency.

• Nuclear Engineering and Technology
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• 제42권6호
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• pp.670-679
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• 2010

In this paper, a new approach using a pixel-based correction method was developed to fix the non-uniform responses of flat-bed type scanners used for radiochromic film dosimetry. In order to validate the method's performance, two cases were tested: the first consisted of simple dose distributions delivered by a single port; the second was a complicated dose distribution composed of multiple beams. In the case of the simple individual dose condition, ten different doses, from 8.3 cGy to 307.1 cGy, were measured, horizontal profiles were analyzed using the pixel-based correcton method and compared with results measured by an ionization chamber and results corrected using the existing correction method. A complicated inverse pyramid dose distribution was made by piling up four different field shapes, which were measured with GAFCHROMIC$^{(R)}$EBT film and compared with the Monte Carlo calculation; as well as the dose distribution corrected using a conventional method. The results showed that a pixel-based correction method reduced dose difference from the reference measurement down to 1% in the flat dose distribution region or 2 mm in a steep dose gradient region compared to the reference data, which were ionization chamber measurement data for simple cases and the MC computed data for the complicated case, with an exception for very low doses of less than about 10 cGy in the simple case. Therefore, the pixel-based scanner correction method is expected to enhance the accuracy of GAFCHROMIC$^{(R)}$EBT film dosimetry, which is a widely used tool for two-dimensional dosimetry.

• Journal of Radiation Protection and Research
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• 제47권2호
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• pp.86-92
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• 2022

Background: The present study investigated the radiation dose distribution of balloon kyphoplasty (BKP) among surgeons and medical staff, and this is the first research to observe such exposure in Japan. Materials and Methods: The study subjects were an orthopedic surgeon (n = 1) and surgical staff (n = 9) who intervened in BKP surgery performed at the National Hospital Organization Disaster Medical Center (Tokyo, Japan) between March 2019 and October 2019. Only disposable protective gloves (0.022 mmPb equivalent thickness or less) and trunk protectors were used, and no protective glasses or thyroid drapes were used. Results and Discussion: The surgery time per vertebral body was 36.2 minutes, and the fluoroscopic time was 6.8 minutes. The average exposure dose per vertebral body was 1.46 mSv for the finger (70 ㎛ dose equivalent), 0.24 mSv for the lens of the eye (3 mm dose equivalent), 0.11 mSv for the neck (10 mm dose equivalent), and 0.03 mSv for the chest (10 mm dose equivalent) under the protective suit.The estimated cumulative radiation exposure dose of 23 cases of BKP was calculated to be 50.37 mSv for the fingers, 8.27 mSv for the lens, 3.91 mSv for the neck, and 1.15 mSv for the chest. Conclusion: It is important to know the exposure dose of orthopedic surgeons, implement measures for exposure reduction, and verify the safety of daily use of radiation during surgery and examination.

• Nuclear Engineering and Technology
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• 제12권3호
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• pp.171-179
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• 1980

중성자 및 감마선에 대한 선량율 환산인자(flux-to-dose-rate conversion factors)를 최대흡수선량 개념을 근거로 하여 계산하였다. 중성자 및 감자선에 대한 선량율 군산인자는 에너지 범위가 각각 2.5$\times$$10^{-8}$ 20MeV 및 0.01-15MeV에 대하여 계산하였다. 이제까지 선량율 환산인자는 단일에너지에 대한 값이 였었는데 본 연구에서는 유사인체조직 (phantom)내에서 방사선의 에너지 분포가 직선적이 아니라고 가정하여 계산되었다. 특히 DLC-23, DLC-27, DLC-31 등 핵정수 자료의 각 근에 적합한 선량율 환산인자를 결정하였다는 점이 특색이다. 결과적으로 ANSI N666에 있는 값과 본 연구에서 계산된 값이 잘 일치된다는 것을 확인하였고, 본 결과는 어떤 방사선장에서도 중성자나 감마선 선량율 분포를 계산하는데 이용될 수 있고, 방사선 차폐해석, 방사선방어, radiation dosimetry 등에 필요한 값이 될 것이다.

• Journal of Radiation Protection and Research
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• 제30권4호
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• pp.175-183
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• 2005

2002년 기준으로 국내 52733명의 방사선 작업종사자에 대해 5개 대분류와 28개의 세분류 카테고리로 나눈 직업군별 연간 피폭선량의 분포를 분석하였다. 진단용 X선 분야(치과용 포함) 종사자의 선량 통계는 식품의약품안전청이 제공하였으며 기타 종사자의 선량자료는 한국방사성동위원소협회가 제공하였다. 직업군에 따른 선량준위별, 연령별 성별 종사자수와 연간 평균선량을 분석한 결과 거의 80% 정도의 종사자들이 연간 1.2mSv 이하로 피폭하는 것으로 나타났다. 방사선작업 종사자의 총 집단선량은 66.4man-Sv로 나타났고 평균 선량은 1.26mSv였다. 직업군별로는 체내 핵의학 분야와 비 파괴검사 분야 종사자가 다른 분야에 비해 평균선량이 현저히 높게 나타났다. 진단용 X선 분야 종사자에게서 연간 20mSv 이상 피폭자 수가 상당하여 이에 대한 추가 분석이 필요한 것으로 나타났다. 16기의 원자력발전소 작업종사자 중에는 20mSv를 초과하는 종사자가 한명도 없는 것으로 나타났다. 연령별로 30대 종사자 수가 가장 많았고 20대 종사자의 선량이 상대적으로 높았다. 여성이 전체 작업종사자의 20%정도를 차지하고 있었으며 평균 피폭선량은 남성의 반 정도인 것으로 나타났다.

• Journal of Radiation Protection and Research
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• 제26권3호
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• pp.183-190
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• 2001

The activity concentration of primordial radionuclides i.e., $^{238}U$ series, $^{232}Th$ series and $^{40}K$, in soil samples collected from Udagamandalam environment, have been measured by employing NaI (Tl) Gamma ray Spectrometer. The absorbed gamma dose rate has also been simultaneously measured by using both Environmental Radiation Dosimeter at each soil sampling location (ambient gamma dose) as well as from the gamma dose derived from the activity concentration of the primordial radionuclides. The results of activity concentration of each radio nuclides in soil, absorbed dose rate in air due to soil activity and possible cosmic radiation at each location along with human effective dose equivalent for Udagamandalam environment are presented and discussed.

• 한국방사선학회논문지
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• 제9권2호
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• pp.109-115
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• 2015

전산화단층촬영장치(computed tomography, CT)을 이용한 검사의 경우 방사선량의 분포가 일반 X선 장치와 차이가 있고 검사로 인한 방사선 피폭이 많은 것으로 알려져 있다. 그러나 검사 결과의 정확성에 대한 신뢰도가 높아 그 이용도는 계속적으로 증가하고 있다. 이와 같은 상황을 고려하여 기존에 발표된 자료를 바탕으로 CT장치, CT검사에서 방사선량, 진단참고준위 그리고 검사 시 방사선량 감소 방안에 대해 알아보았다.