Acute Response to Co-60 Total Body Irradiation (TBI) With 600 cGy at 3 Different Does Rates in the Mice

강철훈,김성규,신세원,김명세,Kang Cheol Hoon,Kum Sung Kyu,Shin Sei One,Kim Myung Se The Korean Society for Radiation Oncology 1990 Radiation Oncology Journal Vol.8 No.2

영남대학교 의과대학 치료방사선과학교실에서는 코발트-60원격치료기를 이용하여 80마리의 ICR 백서를 대상으로 서로다른 세가지 선량율로 600 cGy 단일조사를 시행한뒤 9주일동안 체중 및 말초혈액소견의 변화를 추적조사한 결과 다음과 같은 성적을 얻었다. 1. 체중변화는 선량율에 상관없이 조사 1주일부터 감소하여 6-7주일부터 치료전의 체중까지 회복 되었다. 2. 혈색소의 변화는 전 추적조사기간에 걸쳐 변화가 없었다. 3. 말초 혈액내의 백혈구의 총수는 조사 1주일부터 3주일까지 형태학적 구분이 안되는 수개의 세포만이 인지되었고 4주일부터 호중구의 회복이 임파구에 비해서 현저하였으며 8-9주일부터 조사전의 상태로 완전 회복되었다. 이상의 결과를 토대로 보다 다양한 실험을 거친후 저선량율 전신조사의 가장 큰 단점인 장시간의 조사로 인한 기계의 무리와 환자 위치고정의 해결을 위하여 분당 선량율을 15 cGy까지 올릴 수 있으리라 기대된다. The acute effects of variable dos rates to total body irradiation (TBI) were investigaed with 600 cGy of single exposure in the mice as a preclinical model. Total 80 mice (ICR) were used. Twenty of which sewed as controls, receiving no irradiation. All irradiated mice showed a universal decline in their weight and white blood cell count. The degree of weight loss and leukopenia were similar at 3 different dos rate but slightly prominent with 15 cGy/minute group. The degree of recovery among the groups showed no dose rate dependence. Our results suggest that TBI with 15 cGy/mimute may be applicable for clinical therapy with careful evaluation of patient's condition.

강내 조사를 이용한 비인강암 치험2예

강철훈,신세원,김성규,김명세 영남대학교 의과대학 1990 Yeungnam University Journal of Medicine Vol.7 No.1

저자들은 비인강암의 포괄적인 방사선 치료의 일부로서 외부 방사선 치료에 뒤이은 고선량율 강내조사를 시행하여 부작용이나 합병증없이 종양의 완전관해를 얻었기에 문헌고찰과 함께 보고하는 바이다. The primary treatment modality of malignant tumors of the nasopharynx is radiation therapy owing to its inaccessibility to surgical intervention. Over the last two decades there were many changes in techniques of delivery, which include the use of higher doses of radiotherapy, the use of wide radiation field, including the elective radiation of the whole neck, the combined use of brachy-and teletherapy, and the use of split-course therapy. In spite of these advances local and regional recurrences remain the major cause of death. As a boost therapy after external irradiation, high-dose-rate intracavitary irradiation using remote control afterloading system(RALS) was used in two patients. Our results were satisfactory, however, this procedure should only be performed by those who have developed enough expertise in the use of intracavitary techniques for the treatment of nasopharyngeal cancer and have a supportive team including a physicist, dosimetrist, nurse, and trained technologist.

단순 흉부 X-선 사진상 폐암 소견에 대한 방사선 치료의 효과

강철훈(Cheol Hoon Kang),신세원(Sei One Shin),김명세( Myung Se Kim) 대한방사선종양학회 1989 Radiation Oncology Journal Vol.7 No.2

From April 1986 to Dec. 1988, fifty one patients with carcinoma of lung were treated by radiation therapy in Department of Therapeutic Radiology, Yeungnam University Hospial. Of the 51 patients, 31(61%) were squamous cell ca, 8(15.7%) were small cell ca, and remained 4(7.9%) were other cell types. Total radiation dose was average 64 Gy(60~75 Gy) for group A and 45 Gy(40~59 Gy) for group B. The mass regression and the response of airway obstruction to radiation therapy was established on the basis of follow up chest X-ray. The mass regression above 50% of total volume was noted in 23 patients (74.2%) among 31 patients and the difference between two groups was not seen. In squamous cell ca, however, the mass regression rate (above 50% of total volume) was 83.3% (10/12) in group A compared to 50% (3/6) in group B (p<0.05). The alleviation of airway obstruction was noted as follows. In group A, CR 42.9%, PR 35.7%, no response 21.4% and in group B, CR 55.6%, PR 33.3%, no response 11.1%. But, in squamous cell ca, responsiveness is higher than group B. The study indicates that the importance of higher radiation dose in the management of primary tumor mass and airway obstruction caused by lung cancer especially squamous cell ca. So, meticulous treatment planning and multimodality combination therapy without increasing side effect or complication is recommended in management of inoperable bronchogenic carcinoma.

Acute Response to Co-60 Total Body Irradiation (TBI) With 600 cGy at 3 Different Does Rates in the Mice

Cheol Hoon Kang(강철훈),Sung Kyu Kum(김성규),Sei One Shin(신세원),Myung Se Kim(김명세) 대한방사선종양학회 1990 Radiation Oncology Journal Vol.8 No.2

영남대학교 의과대학 치료방사선과학교실에서는 코발트-60원격치료기를 이용하여 80마리의 ICR 백서를 대상으로 서로다른 세가지 선량율로 600cGy 단일조사를 시행한뒤 9주일동안 체중 및 말초혈액소견의 변화를 추적조사한 결과 다음과 같은 성적을 얻었다. 1. 체중변화는 선량율에 상관없이 조사 1주일부터 감소하여 6-7주일부터 치료전의 체중까지 회복되었다. 2. 혈액소의 변화는 전 추적조사기간에 걸쳐서 변화가 없었다. 3. 말초 혈액내의 백혈구의 총수는 조사 1주일부터 3주일까지 형태학적 구분이 안되는 수개의 세포만이 인지되었고 4주일부터 호중구의 회복이 임파구에 비해서 현저하였으며 8-9주일부터 조사전의 상태로 완전 회복되었다. 이상의 결과를 토대로 보다 다양한 실험을 거친후 저선량율 전신조사의 가장 큰 단점인 장시간의 조사로 인한 기계의 무리와 환자 위치고정의 해결을 위하여 분당 선량율을 15 cGy까지 올릴 수 있으리라 기대된다. The Acute effects of variable dos rates to total body irradiation (TBI) were investigated with 600cGy of single exposure in the mice as a preclinical model. Total 80 mice (ICR) were used. Twenty of which served as controls, receiving no irradiation. All irradiated mice showed a universal decline in their weight and white blood cell count. The degree of weight loss and leukopenia were similar at 3 different dos rate but slightly prominent with 15 cGy/minute group. The degree of recovery among the groups showed no dose rate dependence. our results suggest that TBI with 15 cGy/minute may be applicable for clinical therapy with careful evaluation of patient's condition.

IORT in Gastric Cancer

Myung Se Kim(김명세) , Cheol Hoon Kang(강철훈) , Sung Kyu Kim(김성규) , Sun Kyo Song(송선교) , Koing Bo Kwan(권굉보) ,Heung Dae Kim(김홍대) 대한방사선종양학회 1991 Radiation Oncology Journal Vol.9 No.1

영남대학병원에서는 1988년 6월 15일부터 1990년 9월 15일까지 절제가능한 국소 진행된 위암 환자중 원격 전이를 확인할 수 없었던 환자 총 28명을 prospective randomized protocol에 의한 치료를 계획하였다. 28명중, 개복후 절제가 불가능했던 환자 3명과 stage la로 판명된 환자 1명을 제외한 24명에서 외과적 근치절제수술후 1500 cGy를 9MeV의 전자선을 이용하여 1회에 조사하였다. 외부 방사선 치료는 수술후 4주 이내에 시작하여 하루 180 cGy 주 5회 치료법으로 4300~4500 cGy를 조사하였다. 항암요법은 protocol에 의하여 5-FU, Mitomycin-C, Adriamycin, Uraful을 여러 가지 조합으로 투여하였다. 3개월에서 31개월 간의 추적기간 중에 방사선 조사와 관계되는 심한 부작용은 보고되지 않았다. 짧은 추적 기간이므로 생존율을 산출할 수 없겠으나 수술중 방사선치료, 외부방사선치료와 여러 가지 항암제를 병합 투여하였음에도 불구하고 심한 부작용이 발견되지 않았을 뿐 아니라 현재까지 국소재발이 한 예에서도 발견되지 않았음으로 수술중 방사선 치료의 국소 재발 억제 및 방지의 효과가 확실시되며 계속되는 추적검사에서도 좋은 생존율이 기대된다. Total 28 patients with resectable, locally advanced gastric cancer were entered in our prospective randomized study from June 15, 1988 to Sep, 15, 1990 in Yeungnam University Hospital. This study consisted of curative resection, IORT, external irradiation and combination of chamotherapy. Twenty-four of 28 patients were treated with single dose of 1500 cGy with 9 MeV election intraoperatively. External irradiation of 4300~4500 cGy with 180 cGy per fraction, 5 days per week was started within 4th weeks of postoperative days. Various chemotherapy with or without external irradiation were added for reducing hematogenous and/or peritoneal dissemina-tion and determination of complication of each arm. Duration of follow up was 4~31 months. No serious complication related with radiation were reported compare to resection and chemother-apy only group. Although out follow up period is too short to draw any conclusion, IORT appears to improve local control, hopely further survival. Continuous follow up should be needed for evaluation of real therapeutic gain such as complication vs. improved survival.

IORT in Gastric Cancer

김명세,강철훈,김성규,송선교,권굉보,김흥대,Kim Myung Se,Kang Cheol Hoon,Kim Sung Kyu,Song Sun Kyo,Kwan Koing Bo,Kim Heung Dae The Korean Society for Radiation Oncology 1991 Radiation Oncology Journal Vol.9 No.2

영남대학병원에서는 1988년 6월 15일부터 1990년 9월 15일까지 절제가능한 국소 진행된 위암 환자중 원격 전이를 추인할 수 없었던 환자 총 28명을 prospective randomized protocol에 의한 치료를 계획하였다. 28명중, 개복후 절제가 불가능했던 환자 3명과 stage la로 판명된 환자 1명을 제외 한 24명에서 외과적 근치절제수술후 1500cGy를 giuev의 전자선을 이용하여 1회에 조사하였다. 외부 방사선 치료는 수술후 4주 이내에 시작하여 하루 180 cGy 주 5회 치료법으로 $4300\sim4500$ cGy를 조사하였다. 항암요법은 protoco떼 의하여 5-FU, Mitomycin-C, Adriamycin, Uraful을 여러 가지 조합으로 투여하였다. 3개월에서 31개월 간의 추적기간 중에 방사선 조사와 관계되는 심한 부작용은 보고되지 않았다. 짧은 추적 기간이므로 생존율을 산출할 수 없겠으나 수술중 방사선치료, 외부방사선 치료와 여러가지 항암제를 병합 투여하였음에도 불구하고 심한 부작용이 발견되지 않았을 뿐 아니라 현재까지 국소재발이 한 예에서도 발견되지 않았음으로 수술중 방사선 치료의 국소 재발의 억제 및 방지의 효과가 확실시되며 계속되는 추적 검사에서도 좋은 생존율이 기대된다. Total 28 patients with resectable, locally advanced gastric cancer were entered in our prospective randomized study from June 15, 1988 to Sep. 15, 1990 in Yeungnam University Hospital. This study consisted of curative resection, IORT, external irradiation and combination of chemotherapy. Twenty-four of 28 patients were treated with single dose of 1500 cGy with 9 MeV election intraoperatively. External irradiation of $4300\sim4500$ cGy with 180 cGy per fraction, 5 days per week was started within 4th weeks of postoperative days. Various chemotherapy with or without external irradiation were added for reducing hematogenous and/or peritoneal dissemination and determination of complication of each arm. Duration of follow up was $4\sim31$ months. No serious complication related with radiation were reported compare to resection and chemotherapy only group. Although our follow up period is too short to draw any conclusion, IORT appears to improve local control, hopely further survival. Continuous follow up should be needed for evaluation of real therapeutic gain such as complication vs. improved survival.

건뇌양(健腦揚)과 단미(單味)들이 Hypoxia-Reoxygenation에 의해 손상받은 Mouse Neuroblastoma 2a Cells에 미치는 영향(影響)

염창섭,김종우,강철훈,황의완,Yeum, Chang-Sub,Kim, Jong-Woo,Kang, Chul-Hun,Whang, Wei-Wan 대한한방신경정신과학회 2005 동의신경정신과학회지 Vol.16 No.2

Object : This study was designed to asses the effect of Kunnuetang and herbs on Mouse neuroblastoma 2a cells damaged by hypoxia-reoxygenation. Method : Mouse neuroblastoma 2a (N2a) cells were measured by MTT assay and LDH assay after 48h hypoxia and 6h reoxygenation. Mouse neuroblastoma 2a (N2a) cells were treated by Kunnuetang, Duchang and Daejo. Result : 1. Kunnuetang, was effective on LDH assay of hypoxia and reoxygenation. 2. Duchang and Daejo were generally effective on LDH assay of hypoxia and reoxygenation. 3. In MTT assay of hypoxia Kunnuetang was not effective. Duchung and Daejo were not generally effective on MTT assay, but in certain condition Herbs were effective. 4. In MTT assay of reoxygenation Kunnuetang and Daejo were not effective. But Duchung was effective in certain condition. Conclusion : The results suggest that Kunnuetang, Duchang and Daejo may have protective effect on vascular dementia and ad patient.

기초과학육성 및 연구개발활성화

김현남,김시중,강철훈,Kim, Hyeon-Nam,Kim, Si-Jung,Gang, Cheol-Hun 한국과학기술단체총연합회 1989 과학과 기술 Vol.22 No.3

광두근이 백서 중대뇌동맥 폐쇄에 의한 국소뇌허혈손상에 미치는 효과

이현삼,정혁상,강철훈,손낙원 대한한의학회 2000 대한한의학회지 Vol.21 No.2

Objective : This research was performed to investigate protective effects of Sophora subprostrata, against ischemic brain damage after a middle cerebral artery(MCA) occlusion. The effect was estimated using histological test, neurobehavioural test, and biochemical test. Methods : Rats(Sprague-Dawley) were divided into four groups: Sham operated group, MCA occluded group, Sophora subprostrata administrated group after MCA occlusion, and Normal group. The MCA was occluded by intraluminal method. Sophora subprostrata was administrated orally twice(l and 4 hours) after middle cerebral artery occlusion. The neurobeavioural test was performed at 3 hours, 6 hours, 9 hours and 24 hours after the surgery by posture reflex test and swimming behavioural test. All groups were sacrificed at 24 hours after the surgery. The brain tissue was stained with 2% triphenyl tetrazolium chioride(TTC) or 1 % cresyl violet solution, to examine effect of Sophora subprostrata on ischemic brain tissue. The blood samples were obtained from the heart of rats. Tumor necrosis factor-a level was measured from sera using Enzyme-Linked Immunoabsorbent Assay(ELISA). Results : The results showed that (1) Sophora subprostrata reduced infarct size and total infarct volume by 54.8% compared to the control group, (2) that neuronal death, which was shown by decrease in cell number and size, was attenuated significantly in the boundary area of the infarction, (3) that serum $TNF-{\alpha}$ㆍlevel was reduced significantly, and finally, there was significant recovery of motor deficit at 3 hours after MCA occluded by Swimming behavioural test. Conclusions :In conclusion, Sophora subprostrata has protective effects against ischemic brain damage at the early stage of ischemia.

사상체질유형과 ACE(angiotensin converting enzyme) 유전자 Type(polymorphism)과의 상관관계

최승훈,임용빈,이준우,김홍열,강철훈,Choi, S.H.,Yim, Y.B.,Rhee, J.W.,Kim, H.Y.,Kang, C.H. 사상체질의학회 1998 사상체질의학회지 Vol.10 No.2

Sasang Constitutional Medicine focuses on the different constitutional manifestations of the individual's nature and emotions. The nature and emotions drive the ascending and descending of Qi in the body. And this dynamics of the Qi's ascent and descent shapes the different types of structures, functions and temperaments. Although Sasang Constitutional Medicine has many advantages, its diagnosis of the constitution still depends on the doctors' own idea and has no objective identification. So many doctors in Korea have been trying to solve this problem. Recently, there are several efforts to find out the relationship between genetic information and constitution. By the way, May, 1998 there is a astonishing report about the gene which determines the human performance, that is ACE(angiotensin converting enzyme). And it suggests that the I allele was associated with improved endurance performance. ACE has three genotype including II, ID and DD. "I" means insertion and "D" means deletion. We determined the type of the Sasang constitution with QSCCII questionaire and the one's ACE genotype with PCR of the 127 people and we discovered the relationship between the constitution and the ACE genotype. The result is as follow. Among 39 people who have the II genotype, 7(18%) belong to Taeum(Taiyin), 9(23.1%) belong to Soyang(Shaoyang) and 23(59%) belong to Soeum(Shaoyin). Among 62 people who have the ID genotype, 18(29%) belong to Taeum(Taiyin), 21(33.9%) belong to Soyang(Shaoyang) and 23(37.1%) belong to Soeum(Shaoyin). Among 26 people who have DD genotype, 11(42.3%) belong to Taeum(Taiyin), 4(15.4%) belong to Soyang(Shaoyang) and 11(42.3%) belong to Soeum(Shaoyin). This data indicates that there are implicable relationship between the Sasang constitution and ACE genotype. Especially people who have II genotype have much possibility to be a Soeum(Shaoyin) person (59%) and Soyang(Shaoyang) person have less possibility to have DD genotype (15.4%). With this conclusion, we suggest further study of relationship between the Sasang constitution and ACE genotype and we think that other polymorphism can be a candidate of the partner of Sasang constitution.