• 제목/요약/키워드: radiation error

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영남대학교병원의 환자안전을 위한 정도관리의 기초자료 분석 (Basic Data Analysis of the Quality Control for Patient Safety in Department of Radiation Oncologyat Yeungnam University Hospital)

  • 오세안;김성규;예지원;강민규;이준하;이레나
    • 한국의학물리학회지:의학물리
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    • 제26권2호
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    • pp.112-117
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    • 2015
  • 미국의학물리학회(AAPM) TG-100 위원회에서 제시하고 있는 가이드 라인에 준하여 환자 안전에 대한 정도관리를 수립하기 위하여 영남대학교병원 방사선종양학과에서 환자를 치료하는 중에 발생한 오류들을 중심으로 오류 유형을 분석하여, 환자중심의 방사선치료를 시행할 때 환자 안전을 위한 정도관리의 가이드 라인을 정립하고자 한다. 방사선종양학과에서 방사선 치료를 하는데 있어서 일으킬 수 있는 오류들을 분석하여 오류를 일으키는 빈도와 오류가 일어날 때 환자 에게 미치는 심각성과 오류가 일어났을 때 감지하지 못하고 지나치는 확률을 점수로 평가하고자 한다. 오류를 일으킬 수 있는 곳으로는 CT 모의치료실, 치료계획실, 치료실로 나누어 조사하였다. CT 모의치료실에서는 고정기구 사용의 오류가 위험중요지수의 값이 60으로 가장 높았고, 모의치료 정보입력의 오류가 6으로 가장 낮게 나타났다. 치료계획실에서는 선량계산 모델 선택의 오류가 위험중요지수의 값이 168로 가장 높았고, 환자의 치료 시작일 오류가 36으로 가장 낮게 나타났다. 치료실에서는 테이블 Bar 오류가 위험중요지수의 값이 252으로 가장 높았고, 체중변화 오류가 190을 나타내었으며, 배게 오류가 24로 가장 낮게 나타났다.

청주지역의 기상요소와 일사량과의 상관관계 분석 (Analysis of Relationship Between Meteorological Parameters and Solar Radiation at Cheongju)

  • 백신철;신형섭;박종화
    • 한국관개배수논문집
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    • 제19권1호
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    • pp.87-96
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    • 2012
  • Information of local solar radiation is essential for many field, including water resources management, crop yield estimation, crop growth model, solar energy systems and irrigation and drainage design. Unfortunately, solar radiation measurements are not easily available due to the cost and maintenance and calibration requirements of the measuring equipment and station. Therefore, it is important to elaborate methods to estimate the solar radiation based on readily available meteorological data. In this study, two empirical equations are employed to estimate daily solar radiation using Cheongju Regional Meteorological Office data. Two scenarios are considered: (a) sunshine duration data are available for a given location, or (b) only daily cloudiness index records exist. Simple linear regression with daily sunshine duration and cloudiness index as the dependent variable accounted for 91% and 80%, respectively of the variation of solar radiation(H) at 2011. Daily global solar radiation is highly correlated with sunshine duration. In order to indicate the performance of the models, the statistical test methods of the mean bias error(MBE), root mean square error(RMSE) and correlation coefficient(r) are used. Sunshine duration and cloudiness index can be easily and reliably measured and data are widely available.

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증발량 산정을 위한 입사태양복사식 비교 (Comparison of incoming solar radiation equations for evaporation estimation)

  • 임창수
    • 농업과학연구
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    • 제38권1호
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    • pp.129-143
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    • 2011
  • In this study, to select the incoming solar radiation equation which is most suitable for the estimation of Penman evaporation, 12 incoming solar radiation equations were selected. The Penman evaporation rates were estimated using 12 selected incoming solar radiation equations, and the estimated Penman evaporation rates were compared with measured pan evaporation rates. The monthly average daily meteorological data measured from 17 meteorological stations (춘천, 강능, 서울, 인천, 수원, 서산, 청주, 대전, 추풍령, 포항, 대구, 전주, 광주, 부산, 목포, 제주, 진주) were used for this study. To evaluate the reliability of estimated evaporation rates, mean absolute bias error(MABE), root mean square error(RMSE), mean percentage error(MPE) and Nash-Sutcliffe equation were applied. The study results indicate that to estimate pan evaporation using Penman evaporation equation, incoming solar radiation equation using meteorological data such as precipitation, minimum air temperature, sunshine duration, possible duration of sunshine, and extraterrestrial radiation are most suitable for 11 study stations out of 17 study stations.

Method of Identifying Dynamic Multileaf Collimator Irradiation that is Highly Sensitive to a Systematic MLC Calibration Error

  • Zygmanski, P.;Kung, J.H.
    • 한국의학물리학회:학술대회논문집
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    • 한국의학물리학회 2002년도 Proceedings
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    • pp.74-82
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    • 2002
  • In Intensity Modulated Radiotherapy (IMRT), radiation is delivered in a multiple of Multileaf Collimator (MLC) subfields. A subfield with a small leaf-to-leaf opening is highly sensitive to a leaf-positional error. We introduce a method of identifying and rejecting IMRT plans that are highly sensitive to a systematic MLC gap error (sensitivity to possible random leaf-positional errors is not addressed here). There are two sources of a systematic MLC gap error: Centerline Mechanical Offset (CMO) and, in the case of a rounded end MLC, Radiation Field Offset (RFO). In IMRT planning system, using an incorrect value of RFO introduces a systematic error ΔRFO that results in all leaf-to-leaf gaps that are either too large or too small by (2ㆍΔRFO), whereas assuming that CMO is zero introduces systematic error ΔCMO that results in all gaps that are too large by ΔCMO = CMO. We introduce a concept of the Average Leaf Pair Opening (ALPO) that can be calculated from a dynamic MLC delivery file. We derive an analytic formula for a fractional average fluence error resulting from a systematic gap error of Δ$\chi$ and show that it is inversely proportional to ALPO; explicitly it is equal to, (equation omitted) in which $\varepsilon$ is generally of the order of 1 mm and Δx=2ㆍΔRFO+CMO. This analytic relationship is verified with independent numerical calculations.

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좌측 유방에 대한 용적 변조 회전 방사선 치료 시 자세 오차로 인한 피부 선량 (Comparison of dose-variation in skin due to Set-up error in case of radiation therapy for left breast using Volumetric Modulated Arc Therapy(VMAT))

  • 권용재;박령황;김세영;정동민;백종걸;조정희
    • 대한방사선치료학회지
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    • 제33권
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    • pp.55-62
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    • 2021
  • 목 적: 방사선 피부염은 유방암 방사선 치료로 인해 발생하는 가장 흔한 부작용 중 하나로 본 연구는 자세오차에 따른 피부선량 차이를 분석하여 방사선 치료 부작용을 줄이고자 한다. 대상 및 방법 : 3D 프린터를 이용하여 유방 모형을 제작하고, 그것을 팬텀에 적용하였으며, 컴퓨터단층촬영을 통해 영상을 획득하였다. 처방선량의 95%가 들어가는 치료계획용적이 체적의 95%이상이 될 수 있도록, Dmax가 처방선량의 107%넘지 않게 치료계획하였다. 자세오차는 X축, Y축, Z축으로 ±1mm/±3mm/±5mm를 동일하게 적용하여 비교평가하였다. 결 과 : 자세오차 시 피부선량의 변동성은 처방선량 대비 약 106%에서 약 123%였으며 가장 큰 피부선량의 증가는 X축의 바깥쪽(lateral) 방향 5mm 자세오차에서 49.24 Gy였다. 처방선량 대비 107%이상의 영역은 skin lateral에서 6.87 cc로 가장 넓게 나타났다. 결 론 : 좌측 유방암 용적 변조 회전 방사선 치료 시 자세오차가 일어났을 경우 X축의 바깥쪽 방향에서 처방선량 대비 가장 큰 피부선량의 차이가 나타났다. 이를 통해 치료실 CBCT 정합 시 치료받는 쪽 유방의 Y축, Z축을 정합하는 것도 물론 중요하지만 X축을 정합하는데 더 노력한다면 치료 간 피부선량의 변동성을 더 줄이기 위한 효과적인 방법으로 사료된다.

Comparison of Target Localization Error between Conventional and Spiral CT in Stereotactic Radiosurgery

  • Kim, Jong-Sik;Ju, Sang-Kyu;Park, Young-Hwan
    • 대한방사선치료학회지
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    • 제12권1호
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    • pp.20-25
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    • 2000
  • The accuracy of the target localization was evaluated by conventional and spiral CT in stereotactic radiosurgerv. Conventional and spiral CT images were obtained with geometrical phantom, which was designed to produce exact three-dimensional coordinates of several objects within 0.1mm error range. Geometrical phantom was attached by BRW headframe, intermediate head ring, and CT localizer. Twentv-seven slices of conventional CT image were scanned at 3 mm slice thickness. Spiral CT images were scanned at 3 mm slice thickness from the pitch value 1 to 3, and twenty-seven slices of image were obtained per each the pitch value. These CT images were transferred to a treatment planning system(X-knife, Radionics) by ethernet, Three-dimensional coordinates of these images measured from the treatment planning system were compared to known values of geometrical phantom. The mean localization error of the target localization of conventional CT was 1.4mm. In case of spiral CT, the error of the target localization was within 1.6mm from the pitch value 1 to 1.3, but was more than 30mm above the pitch value 1.5. In conclusion, as the localization error of spiral CT was increased in high pitch value compared to conventional CT, the application of spiral CT will be with caution in stereotactic radiosurgery.

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Quantitative Evaluation of Setup Error for Whole Body Stereotactic Radiosurgery by Image Registration Technique

  • Kim, Young-Seok;Yi, Byong-Yong;Kim, Jong-Hoon;Ahn, Seung-Do;Lee, Sang-wook;Im, Ki-Chun;Park, Eun-Kyung
    • 한국의학물리학회:학술대회논문집
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    • 한국의학물리학회 2002년도 Proceedings
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    • pp.103-105
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    • 2002
  • Whole body stereotactic radiosurgery (WBSRS) technique is believed to be useful for the metastatic lesions as well as relatively small primary tumors in the trunk. Unlike stereotactic radiosurgery to intracranial lesion, inherent limitation on immobilization of whole body makes it difficult to achieve the reliable setup reproducibility. For this reason, it is essential to develop an objective and quantitative method of evaluating setup error for WBSRS. An evaluation technique using image registration has been developed for this purpose. Point pair image registrations with WBSRS frame coordinates were performed between two sets of CT images acquired before each treatment. Positional displacements could be determined by means of volumetric planning target volume (PTV) comparison between the reference and the registered image sets. Twenty eight sets of CT images from 19 WBSRS patients treated in Asan Medical Center have been analyzed by this method for determination of setup random error of each treatment. It is objective and clinically useful to analyze setup error quantitatively by image registration technique with WBSRS frame coordinates.

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Deep Inspiration Breath Holding을 적용한 유방암 세기변조방사선치료 시 위치잡이오차 분석을 통한 선량 평가 (Dosimetric Comparison of Setup Errors in Intensity Modulated Radiation Therapy with Deep Inspiration Breath Holding in Breast Cancer Radiation Therapy)

  • 함일식;조평곤;정강교
    • 대한방사선기술학회지:방사선기술과학
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    • 제42권2호
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    • pp.137-143
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    • 2019
  • The aim of this study was analyzed the setup error of breast cancer patients in intensity modulated radiation therapy(IMRT) with deep inspiration breath holding(DIBH) and was analyzed the dose distribution due to setup error. A total of 45 breast cancer cases were performed a retrospective clinical analysis of setup error. In addition, the re-treatment planning was carried by shifting the setup error from the isocenter at the treatment. Based on this, the dose distribution of PTV and OARs was compared and analyzed. The 3D error for small breast group and medium breast group and large breast group were 3.1 mm and 3.7 mm and 4.1 mm, respectively. The difference between the groups was statistically significant(P=0.003). DVH results showed HI, CI for the PTV difference between standard treatment plan and re-treatment plan of 14.4%, 4%. The difference in $D_5$ and $V_{20}$ of the ipsilateral lung was 5.6%, 13% respectively. The difference in $D_5$ and $V_5$ of the heart of right breast cancer patients was 6.8%, 8% respectively. The difference in $D_5$, $V_{20}$ of the heart of left breast cancer patients was 7.2%, 23.5% respectively. In this study, there was a significant association between breast size and significant setup error in breast cancer patients with DIBH. In addition, it was found that the dose distribution of the PTV and OARs varied according to the setup error.

New mathematical approach to determine solar radiation for the southwestern coastline of Pakistan

  • Atteeq Razzak;Zaheer Uddin;M. Jawed Iqbal
    • Advances in Energy Research
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    • 제8권2호
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    • pp.111-123
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    • 2022
  • Solar Energy is the energy of solar radiation carried by them in the form of heat and light. It can be converted into electricity. Solar potential depends on the site's atmosphere; the solar energy distribution depends on many factors, e.g., turbidity, cloud types, pollution levels, solar altitude, etc. We estimated solar radiation with the help of the Ashrae clear-sky model for three locations in Pakistan, namely Pasni, Gwadar, and Jiwani. As these locations are close to each other as compared to the distance between the sun and earth, therefore a slight change of latitude and longitude does not make any difference in the calculation of direct beam solar radiation (BSR), diffuse solar radiation (DSR), and global solar radiation (GSR). A modified formula for declination angle is also developed and presented. We also created two different models for Ashrae constants. The values of these constants are compared with the standard Ashrae Model. A good agreement is observed when we used these constants to calculate BSR, DSR, GSR, the Root mean square error (RMSE), Mean Absolute error (MABE), Mean Absolute percent error (MAPE), and chisquare (χ2) values are in acceptance range, indicating the validity of the models.