• 대한방사선치료학회지
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• 제11권1호
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• pp.73-78
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• 1999

In general, the patients of the head and neck cancer are treated with 4MV photon beam up to prescribed dose, but spinal cord should be excluded in the treatment field. When its absorbed dose is limited at the tolerance dose. In case of the patients who has the positive posterior neck nodes need a boost electron beam treatment to the prescribed dose. In that case, the anatomical structure of the neck and the physical structure of the standard electron cone interrupt to allow proper access to the disease site. Therefore, we extended treatment SSD for the remove of the those hindrances. In this study, we evaluated the dosimetric variation of the standard electron cone for the extended SSD, from 100cm to 120cm, 5 cm increment, and compare to the custom-made electron cone. As a result, the $\%$ depth dose, the point of maximum dose and the range of maximum were changed within the $2\%$. The penumbra width was increased from 1.0cm to 2.0cm. However, the dosimetric characteristics of the custom-made electron cone was very similar to that of the 100cm SSD standard electron cone and due to its characteristic of physical structure, patients didn't need re-positioning after photon beam treatment, therefore accurate treatment was possible, we conclude that the custom-made electron cone was very useful for the clinical practice.

• 대한방사선치료학회지
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• 제14권1호
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• pp.175-186
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• 2002

The purpose of this study is directly measure and evaluate about absorbed dose change according to nominal energy and electron cone or medical accelerator on isodose curve, percentage depth dose, contaminated X-ray, inhomogeneous tissue, oblique surface and irradiation on intracavitary that electron beam with high energy distributed in tissue, and it settled standard data of hish energy electron beam treatment, and offer to exactly data for new dote distribution modeling study based on experimental resuls and theory. Electron beam with hish energy of $6{\sim}20$ MeV is used that generated from medical linear accelerator (Clinac 2100C/D, Varian) for the experiment, andwater phantom and Farmer chamber md Markus chamber und for absorbe d dose measurement of electron beam, and standard absorbed dose is calculated by standard measurements of International Atomic Energy Agency(IAEA) TRS 277. Dose analyzer (700i dose distribution analyzer, Wellhofer), film (X-OmatV, Kodak), external cone, intracavitary cone, cork, animal compact bone and air were used for don distribution measurement. As the results of absorbed dose ratio increased while irradiation field was increased, it appeared maximum at some irradiation field size and decreased though irradiation field size was more increased, and it decreased greatly while energy of electron beam was increased, and scattered dose on wall of electron cone was the cause. In percentage depth dose curve of electron beam, Effective depth dose(R80) for nominal energy of 6, 9, 12, 16 and 20 MeV are 1.85, 2.93, 4.07, 5.37 and 6.53 cm respectively, which seems to be one third of electron beam energy (MeV). Contaminated X-ray was generated from interaction between electron beam with high energy and material, and it was about $0.3{\sim}2.3\%$ of maximum dose and increased with increasing energy. Change of depth dose ratio of electron beam was compared with theory by Monte Carlo simulation, and calculation and measured value by Pencil beam model reciprocally, and percentage depth dose and measured value by Pencil beam were agreed almost, however, there were a little lack on build up area and error increased in pendulum and multi treatment since there was no contaminated X-ray part. Percentage depth dose calculated by Monte Carlo simulation appeared to be less from all part except maximum dose area from the curve. The change of percentage depth dose by inhomogeneous tissue, maximum range after penetration the 1 cm bone was moved 1 cm toward to surface then polystyrene phantom. In case of 1 cm and 2 cm cork, it was moved 0.5 cm and 1 cm toward to depth, respectively. In case of air, practical range was extended toward depth without energy loss. Irradiation on intracavitary is using straight and beveled type cones of 2.5, 3.0, 3.5 $cm{\phi}$, and maximum and effective $80\%$ dose depth increases while electron beam energy and size of electron cone increase. In case of contaminated X-ray, as the energy increase, straight type cones were more highly appeared then beveled type. The output factor of intracavitary small field electron cone was $15{\sim}86\%$ of standard external electron cone($15{\times}15cm^2$) and straight type was slightly higher then beveled type.

• 한국의학물리학회지:의학물리
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• 제1권1호
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• pp.109-122
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• 1990

전자선 치료에 있어서 조사면을 부분적으로 차폐할 수 있는 차폐체 제작 방법을 제시하였다. Lipowitz 합금으로 만든 차폐체는 표준 Siemens cone에 적합하며, 조사면의 평탄도는 차폐체에 의한 영향을 거의 받지 않았다. 그러나 개방 조사면에 대한 차폐 조사면의 비가 0.7 이상이면 차폐체에 의한 선량의 차이가 있음을 알았다. Biggs 등이 제안한 Cone ratio는 차폐 조사면의 Cone ratio curve가 개방조사면의 Cone ratio를 따르지 않기 때문에 본 연구에서는 Cone ratio를 Cone factor와 Insert ratio로 나누어 차폐 조사면에 대한 선량 변화를 넓게 측정하였다.

• 대한방사선치료학회지
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• 제8권1호
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• pp.29-35
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• 1996

We are often faced with the clinical situations that is inevitably extended SSD for electron beam therapy due to anatomical restriction or applicator structure. But there are some difficulties in accurately predicting output and properties. In electron beam treatment , unlike photon beam the decrease in output for extended SSD does not follow inverse-square law accurately because of a loss of side scatter equilibrium, which is particularly significant for small cone size and low energies. The purpose of our study is to analyze the output in changing with the energy, cone size, air gap beyond the standard SSD and to compare inverse-square law factor derived from calculated effective SSD, mominal SSD with measured output factor. In addition, we have analyzed the change of PDD for several cones with different SSDs which range from 100cm to 120cm with 5cm step and with different energies(6MeV, 9MeV, 12MeV, 16MeV, 20MeV). In accordance with our study, an extended SSD produces a significant change in beam output, negligible change in depth dose which range from 100cm to 120cm SSDs. In order to deliver the more accurate dose to the neoplastic tissue, first of all we recommend inverse-square law using the table of effective SSDs with cone sizes and energies respectively or simply to create a table of extended SSD air gap correction factor. The second we need to have an insight into some change of dose distribution including PPD, penumbra caused by extended SSD for electron beam therapy.

• 한국농공학회논문집
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• 제54권4호
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• pp.137-145
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• 2012

Sand is one of the essential materials used for social infrastructure construction such as embankment, landfill and backfill. It was known that mechanical properties and shear strength of sand are closely related to relative density. Therefore it is very important to determine accurate relative density. In this study, Portable Cone Penetration Tester (PCPT) was used to estimate the relative density and the internal friction angle of sand. PCPT cone-tip resistance ($q_c$) was measured changing the relative density of the two soil samples.Standard sand (JMJ) and Busan sand (BS). Also, a direct shear test was performed to investigate relationship between relative density and internal friction angle. The size and shape of soil particles were confirmed by using Scanning Electron Microscope (SEM). As a result, the log value of $q_c$ was linearly correlated with relative density and internal friction angle. In particular, the internal friction angle of BS sample was greater than that of JMJ, which was due to difference of the shape and mean size of particles. This result shows that it is important to determine the shape and size of particles as well as relative density to define mechanical property of sand. Through this study, it can be more effectively and conveniently to investigate relative density and shear strength of sand by using PCPT in situ.

• 대한방사선치료학회지
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• 제1권1호
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• pp.63-69
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• 1985

High energy electron beams took effect for tumor radio-therapy, however, had a lot of problems in clinical application because of various conversion factors and complication of physical reactions. Therefore, we had experimentally studied the important properties of high energy electron beams from the linear accelerator, LMR-13, installed in Yonsei Cancer Center. The results of experimental studies on the problems in the 8, 10, 12 Mev electron beam therapy were reported as following. 1. On the measurements of the outputs and absorbed does, the ionization type dosimeters that had calibrated by $^{90}Sr$ standard source were suitable as under $3\%$ errors for high energy electrons to measure, but measuring doses in small field sizes and the regions of rapid fall off dose with ionization chambers were difficult. 2. The electron energy were measured precisely with energy spectrometer consisted of magnet analyzer and tele-control detector and the practical electron energy was calculated under $5\%$ errors by maximum range of high energy electron beam in the water. 3. The correcting factors of perturbated dose distributions owing to radiation field, energy and material of the treatment cone were checked and described systematically and variation of dose distributions due to inhomogeneous tissues and sloping skin surfaces were completely compensated. 4. The electron beams, using the scatters; i.e., gold, tin, copper, lead, aluminium foils, were adequately diffused and minimizing the bremsstrahlung X-ray induced by the electron energy, irradiation field size and material of scatterers, respectively. 5. Inproving of the dose distribution from the methods of pendulum, slit, grid and focusing irradiations, the therapeutic capacity with limited electron energy could be extended.

• Journal of Radiation Protection and Research
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• 제3권1호
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• pp.6-22
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• 1978

High energy electron beams took effect for tumor radio-therapy, however, had a lot of problems in clinical application because of various conversion factors and complication of physical reactions. Therefor, we had experimentally studied the important properties of high energy electron beams from the linear accelerator, LMR-13, installed in Yonsei Cancer Center. The results of experimental studies on the problems in the 8, 10, 12 Mev electron beam therapy were reported as following. 1. On the measurements of the outputs and absorbed doses, the ionization type dosimeters that had calibrated by $^{90}Sr$ standard source were suitable as under 3% errors for high energy electrons to measure, but measuring doses in small field sizes and the regions of rapid fall off dose with ionization chambers were difficult. 2. The electron energy were measured precisely with energy spectrometer consisted of magnet analyzer and tele-control detector and the practical electron energy was calculated under 5% errors by maximum range of high energy electron beam in the water. 3. The correcting factors of perturbated dose distributions owing to radiation field, energy and material of the treatment cone were checked and described systematically and variation of dose distributions due to inhomogeneous tissues and sloping skin surfaces were completely compensated. 4. The electron beams, using the scatterers; ie., gold, tin, copper, lead, aluminium foils, were adequately diffused and minimizing the bremsstrahlung X-ray induced by the electron energy, irradiation field size and material of scatterers, respectively. 5. Inproving of the dose distribution from the methods of pendulum, slit, grid and focusing irradiations, the therapeutic capacity with limited electron energy could be extended.

• 한국콘텐츠학회논문지
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• 제9권12호
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• pp.742-749
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• 2009

최근의 방사선치료용 선형가속기에 부착된 진단용 kV 에너지 영역의 X선 선원과 아모퍼스 실리콘(a-Si)의 검출기로 구성된 온보드영상장치(OBI)를 이용하여 콘빔 전산화단층촬영 영상(CBCT)획득이 가능하다. CBCT영상을 이용하여 치료계획을 세우게 되면 치료실에서 CT영상 촬영이 가능해짐으로써 고식적 치료환자들의 부담이 많이 감소될 수 있고 더 나아가 선량을 재계산하여 치료과정 중 치료계획 재수립도 가능하다. 본 연구에서는 CBCT를 이용한 치료계획과 기존의 모의치료용 CT를 이용한 치료계획을 비교 연구 함으로서 CBCT영상만으로 광자선 선량계산이 정확한지를 평가하고 임상에서 고식적방사선치료를 목적으로 하는 환자들을 대상으로 온라인 방사선치료계획의 가능성을 연구하였다. 선량계산에 필요한 CT수와 밀도간의 상호관계 확인을 위하여 Catphan 600 팬텀을 이용하여 교정곡선을 산출하였고 팬텀과 환자들의 모의 치료용 CT영상과 CBCT영상을 획득하여 치료계획 및 선량계산 된 결과를 비교하였다. CBCT 영상을 이용한 치료계획에서의 MU차이는 중심점에 100cGy 처방하였을 때 Phantom에서의 경우 3~4MU로 약 2.7%, 환자에서의 경우 1~3MU로 약 2.5% 이하로 차이가 났다. 팬텀과 환자에서의 Monitor unit(MU)차이는 2.7%, 2.5% 이내였으나, CBCT영상의 경우 검출기의 크기의 제약 및 환자의 불수의적인 움직임에 의하여 전자밀도가 큰 물질에서 산란선과 artifact의 발생이 크게 증가한다. 따라서 뇌 및 폐 영역의 치료계획시 선량의 오차가 더 커질 수 있어 이에 대한 주의가 요구된다. 치료시작 전 CBCT 영상을 획득하여 환자의 자세와 내부 장기의 위치를 보정하고 선량을 재계산하여 치료계획을 재수립하는 적응방사선치료(ART)를 시행하기 위해서는 산란선과 움직임에 의한 artifact의 감소방안이 마련되어야 할 것으로 사료된다.

• 한국콘텐츠학회:학술대회논문집
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• 한국콘텐츠학회 2009년도 춘계 종합학술대회 논문집
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• pp.1159-1166
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• 2009

최근의 방사선치료용 선형가속기에 부착된 진단용 kV 에너지 영역의 X선 선원과 아모퍼스 실리콘(a-Si)의 검출기로 구성된 온보드영상장치(OBI)를 이용하여 콘빔 전산화단층촬영 영상(CBCT)획득이 가능하다. CBCT영상을 이용하여 치료계획을 세우게 되면 치료실에서 CT영상 촬영이 가능해짐으로써 고식적 치료 환자들의 부담이 많이 감소 될 수 있고 더 나아가 선량을 재계산하여 치료과정 중 치료계획 재수립도 가능하다. 본 연구에서는 CBCT를 이용한 치료계획과 기존의 모의치료용 CT를 이용한 치료계획을 비교 연구 함으로서 CBCT영상만으로 광자선 선량계산이 정확한지를 평가하고 임상에서 고식적방사선치료를 목적으로 하는 환자들을 대상으로 온라인 방사선치료계획의 가능성을 연구하였다. 선량계산에 필요한 CT수와 밀도간의 상호관계 확인을 위하여 Catphan 600 팬텀을 이용하여 교정곡선을 산출하였고 팬텀과 환자들의 모의치료용 CT영상과 CBCT영상을 획득하여 치료계획 및 선량계산 된 결과를 비교하였다. CBCT 영상을 이용한 치료계획에서의 MU차이는 중심점에 100cGy 처방하였을 때 Phantom에서의 경우 3~4MU로 약 2.7%, 환자에서의 경우 1~3MU로 약 2.5% 이하로 차이가 났다. 팬텀과 환자에서의 Monitor unit(MU)차이는 2.7%, 2.5% 이내였으나, CBCT영상의 경우 검출기의 크기의 제약 및 환자의 불수의적인 움직임에 의하여 전자밀도가 큰 물질에서 산란선과 artifact의 발생이 크게 증가한다. 따라서 뇌 및 폐 영역의 치료계획시 선량의 오차가 더 커질 수 있어 이에 대한 주의가 요구된다. 치료시작 전 CBCT 영상을 획득하여 환자의 자세와 내부 장기의 위치를 보정하고 선량을 재계산하여 치료 계획을 재수립하는 적응방사선치료(ART)를 시행하기 위해서는 산란선과 움직임에 의한 artifact의 감소방안이 마련되어야 할 것으로 사료된다.