전립선암 치료를 위한 세기조절 양성자 로버스트 치료계획

박수연,김종식,박주영,박원,주상규,Park, Su Yeon,Kim, Jong Sik,Park, Ju Young,Park, Won,Ju, Sang Gyu 대한방사선치료학회 2013 대한방사선치료학회지 Vol.25 No.1

목 적: 양성자선의 유효비정 변화와 환자 자세의 재현성을 고려한 로버스트(robust-IMPT) 세기조절양성치료와 플레인 세기조절양성자치료(plain-IMPT) 계획과 광자선 세기조절방사선치료(photon-IMRT, step & shoot) 계획의 선량분포 특성을 비교, 분석하고자 한다. 대상 및 방법: 다섯 명의 전립선암 환자를 대상으로 표적에 70 Gy를 조사하도록 photon-IMRT (7문, step & shoot)와 plain-IMPT (2문, 4문, 7문) 및 robust-IMPT (유효 비정 오차 ${\pm}5%$ & 환자 자세 오차 0.5 cm 적용) 치료계획을 수립했다. 세 가지 치료계획으로 얻은 선량 분포 비교를 위해 PTV에 대한 선량조형지수(Conformity Index, CI), 선량균등지수(Homogeneity Index, HI) 및 최대선량, 최소선량, 평균선량과 OAR에 대한 선량-체적을 평가했다. 결 과: 모든 환자에 대해 photon-IMRT, plain-IMPT, robust-IMPT에서 PTV의 평균 최대선량은 각각 76.75 Gy (109.6%), 71.92 Gy (102.7%), 72.09 Gy (103%)였으며, 평균 최소선량은 68.21 Gy (97.4%), 68.89 Gy (98.42%), 68.13 Gy (98.13%)였으며, 전체 평균선량은 각각 71.02 Gy (101.4%), 71.32 Gy (100.4%), 70.75 Gy (101%)였다. PTV에 대한 CI 및 HI 값은 plain-IMPT가 photon-IMRT와 robust-IMPT에 비하여 1.02, 1.00으로 가장 낮았다. 또한, 정상장기에 있어 plain-IMPT가 photon-IMRT에 비하여 대부분 낮은 선량 분포를 보였으며, robust-IMPT 적용 시 정상 장기에 대한 선량 분포가 다소 변동의 폭은 있었지만 photon-IMRT에 비하여 대체로 낮은 선량 분포를 보였다. 결 론: 전립선암의 IMPT 치료 시 정확한 유효비정의 오차와 환자 자세 재현성오차를 고려한 robust-IMPT를 적용한다면 plain-IMPT의 선량학적 불확도를 줄이고 photon-IMRT에 비해 효과적인 치료를 제공할 수 있을 것이다. Purpose: The aim of this study is to evaluate the dosimetric properties of robust planning strategy for plain intensity-modulated proton therapy (IMPT) taking into account of the uncertainties of effective proton range and set up error as compared to photon intensity-modulated radiation therapy (photon-IMRT) in prostate cancer treatment. Materials and Methods: The photon-IMRT (7 beams, step & shoot), plain-IMPT (2, 4, and 7 portals), and robust- IMPT plans, which was recalculated the plain-IMPT based on the uncertainties of range error (${\pm}5%$) and set up error (0.5 cm), were evaluated for five prostate cancer patients prescribed by 70 Gy/35 fractions. To quantitatively evaluate the dose distributions, several parameters such as maximum dose, minimum dose, mean dose, conformity index (CI), and homogeneity index (HI) for PTV as well as dose-volume index of VxGy for OARs were calculated from dose-volume histograms. Results: Robust-IMPT showed superior dose distributios in the PTV and OARs as compared to plain-IMPT and photon-IMRT. Like plain-IMPT, robust-IMPT were resulted in dose fluctuation around OARs, while better homogeneity and conformity in PTVs and lower mean dose in OARs as compared to photon-IMRT. Conclusion: In consideration with the effective range correction and set up movement using robustness in IMPT plan, the dosimetric uncertainties from plain-IMPT could substantially reduce and suggest more effective solutions than photon-IMRT in prostate cancer treatment.

면역세포(免疫細胞) 및 종양세포(腫瘍細胞)에 미치는 가미십기산(加味十奇散)의 효과(效果)

박수연,김종한,최정화,이명진,Park, Su-Yeon,Kim, Jong-Han,Choi, Jung-Hwa,Lee, Myung-Jin 대한한방안이비인후피부과학회 2006 한방안이비인후피부과학회지 Vol.19 No.1

Objective : Gamisibgi-San was a drug that treated carbuncle and cellulitis. So, the purpose of this Study was to investigate effects of Gamisibgi-San on the anti-cancer and proliferation of immunocytes. Materials and Method : We used Gamisibgi-San extract(GMSGS) with freeze-dried, 8wks-old male mice and cancer cell lines(L1210, S-180) for this Study. The cytotoxicity and proliferation of cells wat tested using a colorimetric tetrazoliun assay(MIT assay). Results and Conclusion : The results of this Study were obtained as follow ; 1. GMSGS was significantly showed cytotoxicity on the L1210 cell lines and S-180 cell lines. 2. GMSGS was significantly increased in the proliferation of thymocytes and splenocytes in vitro. 3. GMSGS was significantly decreased in the proliferation of L1210 cells in L1210 cells transplanted mice. 4. GMSGS was significantly decreased in the Weight of Sarcoma in S-180 cells transplanted mice. 5. GMSGS was significantly increased in the Period of Survive in S-180 cells transplanted mice. The present author thought that GMSGS had action of anti-cancer by becoming immunocytes activity(proliferation of thymocytes and splenocytes).

변형기체포장에 의한 어묵의 저장성 향상 및 유통기한 연장

박수연,안덕순,강준수,이동선,Park, Su Yeon,An, Duck Soon,Kang, Jun Soo,Lee, Dong Sun 한국포장학회 2017 한국포장학회지 Vol.23 No.2

반찬이나 간식으로 이용되는 소비성이 높은 튀김어묵에 대해서 진공, 60% $N_2/40%$ $CO_2$, 100% $N_2$ 및 100% $CO_2$의 변형기체포장조건을 사용하여 저장성 향상과 유통기한 연장을 얻을 수 있는 가능성을 검토하였다. $5^{\circ}C$, $10^{\circ}C$, $15^{\circ}C$의 온도 조건에서 저장하면서 품질변화를 측정한 결과 주요 품질열화요소로서 호기성 세균 증식임이 인지되었다. 호기성 세균수 성장을 Huang의 수학적 모델을 통하여 표현하고, 포장 및 저장온도조건에 따른 모델 parameter를 구하였고, 이를 사용하여 한계 미생물 수준에 도달하는 기간으로서 포장 및 온도 조건에 따른 저장유통기한을 설정하여 제시하였다. Arrhenius 방정식으로 표현된 미생물 성장의 온도의존성에서는 유도기의 역수에 대해서 활성화 에너지 139.4 kJ/mol, 성장속도에 대한 활성화 에너지는 41.8 kJ/mol로 얻어졌다. 변형기체포장의 효과에서, $10^{\circ}C$에서 100% 이산화탄소 포장이 호기성 세균 증식을 효과적으로 억제하여 함기포장에 비하여 약 2배의 유통기한을 확보하여 저장성을 향상시킬 수 있었다. 고이산화탄소 상태에서 저온의 온도 조건을 활용하여 저장유통기한을 연장할 수 있을 것으로 확인되었다. Modified atmosphere packaging (MAP) of vacuum, 60% $N_2/40%$ $CO_2$, 100% $N_2$ and 100% $CO_2$ were examined to preserve fried fish cakes and extend their shelf life. When product packages in air were stored at 5, 10, and $15^{\circ}C$ with measurement in quality attributes, aerobic bacterial growth was found to be primary quality factor to determine the shelf life of the product. Huang's model was adopted to obtain the parameters for use in shelf life determination for a variety of packaging and storage conditions. Temperature dependence expressed in Arrhenius equation showed activation energies of 139.4 and 41.8 kJ/mol for inverse of lag time and growth rate of the microbial spoilage, respectively. MAP of 100% $CO_2$ could double the product shelf life at $10^{\circ}C$ compared to air package. High $CO_2$ concentration MAP at low temperature was found to be effective to prolong the shelf life.

갑상선기능저하증 환자 一例에 관한 臨床報告

박수연,김홍진,김종한,최정화,Park, Su-Yeon,Kim, Hong-Jin,Kim, Jong-Han,Choi, Jung-Hwa 대한한방안이비인후피부과학회 2001 한방안이비인후피부과학회지 Vol.14 No.2

I researched clinically one patient with Hypothyroidism who was hospitalized in DongShin Univ Shunchun Oriental Hosp. from the 4th, November, 2000 to the 13th, December, 2000. The results were obtained as follows. 1. Hypothyroidism corresponds to edema of instep (浮腫), consumption (虛勞), infantile retardation of walking (行遲), retardation in speech (語遲), inactivity of Yang-Qi(결양증). It is caused to deficiency of both Qi and blood (氣血兩虛), insufficiency of Yang of the spleen and kidneys (脾腎陽虛), decline of the fire from the vital gate (命門火衰), deficiency of yang of the heart and kidneys (心腎陽虛) 2. In internal medication, it was thought that Yi qi bu xue tang(益氣補血湯). Shao yin ren Bu zhong yi qi tang(少陰人補中益氣湯), Jia wei ta bu tang (加味大補湯) were effective. 3. In acupunture therapy, zu san li(足三里), san yin jiao(三陰交), Ren ying (人迎), Fu tu (扶突), Tian tu(天突) were used frequently and in moxibustion therapy. qi hai(氣海), zhong wan(中脘). Guan yun(關元) were used for Hypothyroidism.

취미건강-상쾌한 아침 베드민턴과 더불어 건강을

박수연,Park, Su-Yeon 한국건강관리협회 1983 건강소식 Vol.7 No.5

탁리익기탕(托裏益氣湯)이 항암(抗癌) 및 면역기능(免疫機能)에 미치는 작용(作用) 연구(硏究)

박수연,김종한,최정화,문웅아,Park, Su-Yeon,Kim, Jong-Han,Choi, Jung-Hwa,Moon, Oong-A 대한한방안이비인후피부과학회 2006 한방안이비인후피부과학회지 Vol.19 No.1

Objective : This Study was to investigate effects of Takliikgi-tang on the anti-cancer and proliferation of immunocytes, nitric oxide (NO) production of peritoneal macrophages. Methods : We used Takliikgi-tang extract (TLT) with freeze-dried, 8weeks-old male mice and cancer cell lines (L1210, Sarcoma-180) for this Study. The cytotoxicity and proliferation of cells were tested using a colorimetric tetrazoliun assay (MTT assay). Results : 1. TLT was significantly showed cytotoxicity on the L1210, 5-180 cell lines. 2. TLT was significantly increased proliferation of thymocytes in vitro. 3. TLT was significantly increased proliferation of thymocytes and splenocytes in normal mice. 4. TLT was significantly increased NO production from peritoneal macrophages in normal mice. 5. TLT was significantly decreased proliferation of L1210 cells in L1210 cells transplanted mice. 6. TLT was significantly increased proliferation of thymocytes and splenocytes by all-dosage in L1210 cells transplanted mice. 7. TLT was significantly increased NO production from peritoneal macrophages in L1210 cells transplanted mice. Conclusions : The present author thought that TLT had action of anti-cancer by becoming immunocytes activity (NO production, proliferation of thymocytes).

나선형 토모테라피 방사선치료의 환자별 품질관리를 위한 라디오크로믹 필름 및 Dosimetry Check^TM의 성능평가

박수연,채문기,임준택,권동열,김학준,정은아,김종식,Park, Su Yeon,Chae, Moon Ki,Lim, Jun Teak,Kwon, Dong Yeol,Kim, Hak Joon,Chung, Eun Ah,Kim, Jong Sik 대한방사선치료학회 2020 대한방사선치료학회지 Vol.32 No.-

목 적: 나선형 토모테라피 방사선치료를 위한 환자별 품질관리용 라디오크로믹 필름 및 3차원 분석시스템인 Dosimetry CheckTM (DC, MathResolutions, USA)의 성능평가를 시행하였다. 대상 및 방법: 인체모형팬톰(Anderson Rando Phantom, USA)을 이용하여 위치 변이가 있는 3가지 형태의 복부 종양(130.6㎤), 복막 후면 종양(849.0㎤) 및 전 복부 전이 종양(3131.0㎤)을 모델링하였다. 조사면 고정너비(field width, FW)를 2.5-cm, 5.0-cm, 피치(pitch) 0.287, 0.43으로 하여 부위별 4개씩(plan01-plan04), 총 12개의 비교용 치료계획을 수립하였다. 이온전리함(1D)과 라디오크로믹 필름(Gafchromic EBT3, Ashland Advanced Materials, USA)을 치즈팬톰 내 삽입하는 방법(2D)과 빔 플루언스 로그정보를 이용하여 CT영상 위에 선량을 3차원으로 재구성하는 방식의 DC측정을 진행하였다. 스레드효과(thread effect)를 분석을 위해 리플(ripple) 진폭(%)를 계산하였고, 선량 분포의 패턴 분석을 위해 감마인덱스 분석(DD: 3%/DTA: 3mm, 합격 문턱 값: 95%)을 수행하였다. 결 과: 리플 진폭 측정 결과 복막 후면 종양이 평균 23.1%로 가장 높았다. 라디오크로믹 필름의 분석결과, 절대 선량 평균 1.0±0.9%, 감마인덱스분석 평균 96.4±2.2%로 95% 이상 통과하였으나 전 복부 전이 종양과 같이 넓은 부위 평가에 범위의 제한적이었다. 인체모형팬톰에 적용한 DC 분석결과 FW가 5.0-cm인 세 부위의 2D 및 3D 플랜 평균이 91.8±6.4%였다. 세 단면 및 선량 프로파일 분석을 통해 복막 후면 및 전 복부 종양 표적 전체 영역에 분석이 가능하였고, 선량-용적 히스토그램을 통한 계획 선량 대 측정의 선량 오차가 FW 및 pitch에 따라 커지는 것을 확인하였다. 결 론: DC측정방법은 별도의 측정기 없이 조사 중 측정된 빔 플루언스 로그정보만으로 3차원 환자 영상 데이터 위에 선량 오류를 구현할 수 있고 종양의 위치나 크기에 제한이 없어 크고 불규칙한 종양의 나선형 토모테라피의 치료 시 환자별 품질관리 성능이 매우 우수하며 활용도가 높을 것으로 생각한다. Purpose: The radiochromic film (Gafchromic EBT3, Ashland Advanced Materials, USA) and 3-dimensional analysis system dosimetry checkTM (DC, MathResolutions, USA) were evaluated for patient-specific quality assurance (QA) of helical tomotherapy. Materials and Methods: Depending on the tumors' positions, three types of targets, which are the abdominal tumor (130.6㎤), retroperitoneal tumor (849.0㎤), and the whole abdominal metastasis tumor (3131.0㎤) applied to the humanoid phantom (Anderson Rando Phantom, USA). We established a total of 12 comparative treatment plans by the four geometric conditions of the beam irradiation, which are the different field widths (FW) of 2.5-cm, 5.0-cm, and pitches of 0.287, 0.43. Ionization measurements (1D) with EBT3 by inserting the cheese phantom (2D) were compared to DC measurements of the 3D dose reconstruction on CT images from beam fluence log information. For the clinical feasibility evaluation of the DC, dose reconstruction has been performed using the same cheese phantom with the EBT3 method. Recalculated dose distributions revealed the dose error information during the actual irradiation on the same CT images quantitatively compared to the treatment plan. The Thread effect, which might appear in the Helical Tomotherapy, was analyzed by ripple amplitude (%). We also performed gamma index analysis (DD: 3mm/ DTA: 3%, pass threshold limit: 95%) for pattern check of the dose distribution. Results: Ripple amplitude measurement resulted in the highest average of 23.1% in the peritoneum tumor. In the radiochromic film analysis, the absolute dose was on average 0.9±0.4%, and gamma index analysis was on average 96.4±2.2% (Passing rate: >95%), which could be limited to the large target sizes such as the whole abdominal metastasis tumor. In the DC analysis with the humanoid phantom for FW of 5.0-cm, the three regions' average was 91.8±6.4% in the 2D and 3D plan. The three planes (axial, coronal, and sagittal) and dose profile could be analyzed with the entire peritoneum tumor and the whole abdominal metastasis target, with planned dose distributions. The dose errors based on the dose-volume histogram in the DC evaluations increased depending on FW and pitch. Conclusion: The DC method could implement a dose error analysis on the 3D patient image data by the measured beam fluence log information only without any dosimetry tools for patient-specific quality assurance. Also, there may be no limit to apply for the tumor location and size; therefore, the DC could be useful in patient-specific QAl during the treatment of Helical Tomotherapy of large and irregular tumors.

대학의 사회봉사: 그 실제와 우선순위

박수연,Park, Su-Yeon 한국대학교육협의회 1985 大學敎育 Vol.14 No.-

탁리화중탕(托裏和中湯)이 암세포(癌細胞) 및 면역세포(免疫細胞)에 미치는 실험적(實驗的) 효과(效果)

박수연,김종한,최정화,이준헌,Park, Su-Yeon,Kim, Jong-Han,Choi, Jung-Hwa,Lee, Jun-Hun 대한한방안이비인후피부과학회 2006 한방안이비인후피부과학회지 Vol.19 No.1

Objective : The purpose of this study was to investigate effects of Taklihwajung-Tang on the proliferation of cancer cells land immunocytes focusing around combined effects of anticarcinogen. Materials and Method : We used Taklihwajung-Tang extract(THT) with freeze-dried, 8wks-old male balb/c mice and cancer cell lines(L1210, S-180) for this study. The proliferation of cells was tested using a colorimetric tetrazoliun assay(MIT assay). Results and Conclusion : The results of this study were obtained as follow ; 1. THT was significantly showed cytotoxicity on the L1210 cell lines and S-180 cell lines. 2. THT was significantly increased in the proliferation of thymocytes and splenocytes in vitro. 3. In combined effects of THT and vincristine(0.005mg/kg), THT was significantly inhibited proliferation of S-180 cell lines compared with positive control group. 4. In combined effects of THT and vincristine(0.005mg/kg), THT was significantly decreased in the weight of sarcoma compared with positive control group. 5. In combined effects of THT and vincristine, THT was significantly inhibited the hematological side reaction compared with positive control group. The present author thought that THT had action of anti-cancer and immune-activity, and in combined effects of vincristine, THT had recoverable effects on damage by anticarcinogen.

석류피(石榴皮)와 화피(樺皮)에 관한 문헌고찰

박수연,나창수,정원철,이종철,Park, Soo-Yeon,Na, Chang-Su,Jeong, Won-Cheol,Lee, Jong-Cheol 대한한방안이비인후피부과학회 2012 한방안이비인후피부과학회지 Vol.25 No.3

Objective : The aim of this study is to find the therapeutic meaning of Pericarpium Granati and Cortex Betulae Platyphyllae in herbal medication. Methods : About the origin, the component, the processing the drug, the properties and tastes of drugs, the meridian tropism, the effects, the treating disease, the contraindication and the method of adminictration, I have researched 23 literatures and 10 disquisitions to mention the Pericarpium Granati and Cortex Betulae Platyphyllae. Result : 1. Pericarpium Granati is pericarp of mature fruit of The Pomegranate belongs to Punicaceae and Cortex Betulae Platyphyllae is bark of Betula platyphylla var. japonica (Miquel) Hara belongs to Betulaceae. 2. Pericarpium Granati consists of tannin 10.4~21.3%, lead 0.8%, resin 4.5%, mannitol 1.8%, sugar 2.7%, gum 3.2%, inulin 1.0%, musilage 0.6%, gallic acid 4.0%. Cortex Betulae Platyphyllae consists of betulin about 35%, various higher fatty acid about 35%, tannin about 7%. 3. The properties and taste of Pericarpium Granati is acid, astringency, warm, nontoxic and the meridian tropism is mainly stomach and large intestine meridian. The properties and taste of Cortex Betulae Platyphyllae is bitter, cold, nontoxic and the meridian tropism is mainly stomach meridian. 4. Pericarpium Granati has come into general use to treat roundworm, tapeworm, old diarrhea, anal prolapse, melena, metrorrhagia, leukorrhea, stomachache from worms, scabies etc. because it is effective on insecticiding, stopping diarrhea, controling hemorrhage and leukorrhea. Cortex Betulae Platyphyllae has come into general use to treat shigellosis, diarrhea, jaundice, cough, sputum, tonsillitis, pneumonia, nephritis, furuncle, prurigo, acne etc. because it is effective on cooling down heat, circulating humidity, removing phlegm, stopping cough, neutralizing poison. 5. Pericarpium Granati and Cortex Betulae Platyphyllae is useful method to external care. To use the herba, pulverize amount of property and then apply to the affected part. Conclusion : This study showed that Pericarpium Granati and Cortex Betulae Platyphyllae is useful herb to treat of skin disease and useful method to external care.