• 한국의학물리학회지:의학물리
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• 제11권1호
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• pp.49-57
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• 2000

방사선 치료에 따른 방사선량 최적화 문제를 풀기 위한 새로운 방법이 제시되었다. 기존의 2차원 치료계획과는 달리 3차원 문제에서는 모든 조건이 훨씬 복잡하고 관련된 변수도 많아지기 때문에 문제를 해결하기가 쉽지 않다. 본 연구에서는 3차원 선량최적화 문제를 접근하는데 있어서, 해가 존재할 수 있는 범위를 줄여주고, 중요한 파라미터들을 미리 구해주어서 치료계획에 관련된 변수를 줄이는 방법을 연구하였다. 먼저 선형가속기와 환자좌표계사이의 좌표변환을 이용하여 두부 내의 중요기관을 피하는 빔 위치를 찾았다 그리고 임의의 빔 위치에 대해 병소를 완전히 감싸는 빔 크기와 콜리메이터 회전각을 구하였다. 그 결과 가능한 빔 위치를 줄여줄 수 있었고, 빔 크기와 회전각에 대한 의존성을 없앨 수 있었다. 따라서 고려해야할 변수의 조합이 크게 줄어들게 되었고, 목적함수를 이용한 선량최적화에 있어서 최소한의 변수로만 계산이 가능하게 되었다. 위의 결과를 이용하여 임상에 널리 쓰이는 2차원 방사선치료계획의 선량최적화 문제를 해결하였다. 선량기울기, 중요기관의 선량, 선량분포 균일도를 조합한 목적함수를 최소화하는 최적해를 step search 방법을 이용하여 구하였다. 그리고 이 최적해를 이용한 선량분포로부터 새로운 방법에 의한 선량최적화의 가능성을 확인할 수 있었고, 후속 연구를 통하여 상용 방사선 치료계획 시스템에 적용함으로써 임상에 쓰일 수 있을 것으로 사료된다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권5호
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• pp.1743-1745
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• 2015

Objective: To evaluate the efficacy and adverse effects of three dimensional conformal radiotherapy (3D-CRT) with tamoxifen in treating patients with postoperative malignant glioma. Patients and Methods: 60 patients of postoperative malignant glioma were randomly assigned into two groups, 30 patients were treated with 3D-CRT plus tamoxifen (treatment group), and the other 30 patients with 3D-CRT plus temozolomide (control group). All patients were radiated by 6MV X-ray, 2.0Gy per fraction, once daily, with a total dose (DT) of 56~60Gy. Tamoxifen was delivered at $60mg/m^2/d$, temozolomide was given at $75mg/m^2/d$. All patients were treated with concurrent radiotherapy. Results: One, 2, 3 year survival rates of treatment and control group were 63.3%, 30.0%, 23.0% and 70.0%, 33.3%, 26.7%, respectively (${\chi}^2=0.01$, 0.23, 0.09, P>0.05). The rate of thromboembolism in treatment group was 6.7%. Conclusion: Therapeutic efficacy of two groups was similar, but it was more cost-effective in treatment group, and toxicity did not increase.

• 한국전산유체공학회:학술대회논문집
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• 한국전산유체공학회 2011년 춘계학술대회논문집
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• pp.54-57
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• 2011

In this paper we present an algorithm about how to simulate two dimensional dam breaking with lattice Boltzmann method (LBM). LBM considers a typical volume element of fluid to be composed of a collection of particles that represented by a particle velocity distribution function for each fluid component at each grid point. We use the modified Lattice Boltzmann Method for incompressible fluid. This paper will represent detailed information on single phase flow which considers only the water instead of both air and water. Interface treatment and conservation of mass are the most important things in simulating free surface where the Interface is treated by mass exchange with the water region. We consider the surface tension on the interface and also bounce back boundary condition for the treatment of solid obstacles. We will compare the results of the simulation with some methods and experimental results.

• Restorative Dentistry and Endodontics
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• 제40권2호
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• pp.161-165
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• 2015

Three-dimensional (3D) reconstruction of cone-beam computed tomography (CBCT) scans appears to be a valuable method for assessing pulp canal configuration. The aim of this report is to describe endodontic treatment of a mandibular second premolar with aberrant pulp canal morphology detected by CBCT and confirmed by 3D modeling. An accessory canal was suspected during endodontic treatment of the mandibular left second premolar in a 21 year old woman with a chief complaint of pulsating pain. Axial cross-sectional CBCT scans revealed that the pulp canal divided into mesiobuccal, lingual, and buccal canals in the middle third and ended as four separate foramina. 3D modeling confirmed the anomalous configuration of the fused root with a deep lingual groove. Endodontic treatment of the tooth was completed in two appointments. The root canals were obturated using lateral compaction of gutta-percha and root canal sealer. The tooth remained asymptomatic and did not develop periapical pathology until 12 months postoperatively. CBCT and 3D modeling enable preoperative evaluation of aberrant root canal systems and facilitate endodontic treatment.

• 한국의학물리학회지:의학물리
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• 제11권2호
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• pp.147-155
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• 2000

Patient dose verification is one of the most important parts in quality assurance of the treatment delivery for radiation therapy. The dose distributions may be meaningfully improved by modulating two dimensional intensity profile of the individual high energy radiation beams In this study, a new method is presented for the pre-treatment dosimetric verification of these two dimensional distributions of beam intensity by means of a charge coupled device video camera-based fluoroscopic device (henceforth called as CCD-VCFD) as a radiation detecter with a custom-made software for dose calculation from fluorescence signals. This system of dosimeter (CCD-VCFD) could reproduce three dimensional (3D) relative dose distribution from the digitized fluoroscopic signals for small (1.0$\times$1.0 cm$^2$ square, ø 1.0 cm circular ) and large (30$\times$30cm$^2$) field sizes used in intensity modulated radiation therapy (IMRT). For the small beam sizes of photon and electron, the calculations are performed In absolute beam fluence profiles which are usually used for calculation of the patient dose distribution. The good linearity with respect to the absorbed dose, independence of dose rate, and three dimensional profiles of small beams using the CCD-VCFD were demonstrated by relative measurements in high energy Photon (15 MV) and electron (9 MeV) beams. These measurements of beam profiles with CCD-VCFD show good agreement with those with other dosimeters such as utramicro-cylindrical (UC) ionization chamber and radiographic film. The study of the radiation dosimetric technique using CCD-VCFD may provide a fast and accurate pre-treatment verification tool for the small beam used in stereotactic radiosurgery (SRS) and can be used for verification of dose distribution from dynamic multi-leaf collimation system (DMLC).

• 대한치과교정학회지
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• 제20권1호
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• pp.183-195
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• 1990

The purposes of present study were to identify possible relationships between post-treatment changes and post-retention changes. The patient's models were composed of 58 samples, and were classified non-extraction group (30 samples) and extraction group (28 samples). For each sample the first models were taken prior to the start of treatment, the second models just after the end of treatment, and the third models two years after. The results were as follows: 1. In the cases of non-extraction group, increases were in intermolar width of maxilla, interbicuspid width of maxilla and arch perimeter of mandible during treatment period, but decreases were in the same measurements during post-retention period. 2. In the cases of extraction group, decreases were in intermolar width of mandible, interbicuspid widths of maxilla and mandible, arch length of mandible, arch perimeters of maxilla and mandible during treatment period. 3. Significant decreases were in the irregularity index of both extraction and non-extraction group during treatment period. 4. There were significant differences of arch dimensional changes in intermolar widths of maxilla and mandible, interbicuspid widths of maxilla and mandible, arch lengths of maxilla and mandible, arch perimeters of maxilla and mandible between non-extraction and extraction group.

• 한국전산유체공학회지
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• 제1권1호
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• pp.26-34
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• 1996

The performance of the SIMPLE, SIMPLE-C and PISO algorithms for the treatment of the pressure-velocity coupling in fluid flow problems were examined by comparing the computational effort required to obtain the same level of the convergence. Example problems are circular duct and 90-degree bent square-duct. For circular duct case, laminar and turbulent flow were computed. For 90-degree bent square-duct case, laminar flow was simulated by the time-marching method as well as the iterative method. The convergence speed of the other two algorithms are not always superior to SIMPLE algorithm. SIMPLE algorithm is faster than SIMPLE-C algorithm in the simple laminar flow calculations. The application of the PISO algorithm in three dimensional general coordinates is not so effective as in two-dimensional ones. Since computational time of PISO algorithm is increased at each time step(or iterative step) in three dimension, the total convergence speed is not decreased. But PISO algorithm is stable for large time step by using time marching method,.

• Radiation Oncology Journal
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• 제37권4호
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• pp.279-285
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• 2019

Purpose: This study was conducted to compare the outcome of three-dimensional conformal radiotherapy (3D-CRT) and intensity-modulated radiotherapy (IMRT) for the postoperative treatment of biliary tract cancer. Materials and Methods: From February 2008 to June 2016, 57 patients of biliary tract cancer treated with curative surgery followed by postoperative 3D-CRT (n = 27) or IMRT (n = 30) were retrospectively enrolled. Results: Median follow-up time was 23.6 months (range, 5.2 to 97.6 months) for all patients and 38.4 months (range, 27.0 to 89.2 months) for survivors. Two-year recurrence-free survival is higher in IMRT arm than 3D-CRT arm with a marginal significance (25.9% vs. 47.4%; p = 0.088). Locoregional recurrence-free survival (64.3% vs. 81.7%; p = 0.122) and distant metastasis-free survival (40.3% vs. 55.8%; p = 0.234) at two years did not show any statistical difference between two radiation modalities. In the multivariate analysis, extrahepatic cholangiocarcinoma, poorly-differentiated histologic grade, and higher stage were significant poor prognostic factors for survival. Severe treatment-related toxicity was not significantly different between two arms. Conclusions: IMRT showed comparable results with 3D-CRT in terms of recurrence, and survival, and radiotherapy toxicity for the postoperative treatment of biliary tract cancer.

• 대한방사선치료학회지
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• 제25권1호
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• pp.69-75
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• 2013

목 적: 경기관지 근접치료에 이용되는 2차원 치료계획의 경우 환부를 확인하는 과정에서 종양의 위치 파악에 어려움이 있어 정확한 치료계획 분석이 어려울 수 있다. 이에 본 연구에서는 전산화단층모의치료기를 이용한 3차원 치료계획으로 환자의 치료계획을 비교 분석하고자 한다. 대상 및 방법: 2012년 6월 본원을 내원한 환자를 대상으로 전산화모의치료장비(Lightspeed RT, GE, USA)와 Oncentra Brachy planning system (Nucletron, Netherland)를 사용하여 3차원 치료계획을 시행하여 2차원 치료계획과 비교 분석하였다. 결 과: 분할 조사로 시행되는 경기관지 근접치료에서 매회 카테터의 위치 파악이 치료계획 상에서 확인 되었고, GTV 용적은 $3.5cm^3$, $3.3cm^3$로 확인 할 수 있었다. 또한 종양의 선량분포 파악이 용이하여 GTV에 대하여 첫 번째 치료 시 처방선량의 92%, 두 번째 치료 시 88%로 파악되어 선량전달 오차를 파악할 수 있었다. 결 론: 2차원 치료계획을 통한 근접치료의 문제점을 보완하기 위하여 치료용적과 선량분포의 정확한 파악과 분석이 가능한 3차원 치료계획으로 검증이 필요하고, 선량전달 오차를 정량적으로 파악하여 치료계획에 반영하는 과정이 필요하다고 생각된다.

• 대한치과교정학회지
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• 제50권4호
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• pp.258-267
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• 2020

Objective: This study aimed to analyze the correlation of horizontal and sagittal planes used in two-dimensional diagnosis with lip canting by using three-dimensional (3D) analysis. Methods: Fifty-two patients (25 men, 27 women; average age: 24 years) undergoing treatment for dentofacial deformity were enrolled. Computed tomography images were acquired, and digital imaging and communication in medicine files were reconstructed into a 3D virtual model wherein horizontal and sagittal craniofacial planes were measured. Subsequently, the correlations of lip canting with these horizontal and sagittal planes were investigated. Results: The mandibular symmetry plane, the occlusal plane, Camper's plane, the mandibular plane, Broadbent's plane, and the nasal axis plane were correlated with the amount of lip canting (Pearson's correlation coefficients: 0.761, 0.648, 0.556, 0.526, 0.438, and 0.406, respectively). Planes associated with the lower part of the face showed the strongest correlations; the strength of the correlations decreased in the midfacial and cranial regions. None of the planes showed statistically significant differences between patients with clinical lip canting (> 3°) and those without prominent lip canting. Conclusions: The findings of this study suggest that lip canting is strongly correlated with the mandibular symmetry plane, which includes menton deviation. This finding may have clinical implications with regard to the treatment of patients requiring correction of lip canting. Further studies are necessary for evaluating changes in lip canting after orthognathic surgery.