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        Postoperative chemoradiotherapy in high risk locally advanced gastric cancer

        Sanghyuk Song,Eui Kyu Chie,Kyubo Kim,Hyuk-Joon Lee,Han-Kwang Yang,Sae-Won Han,Do-Youn Oh,Seock-Ah Im,Yung-Jue Bang,Sung W. Ha 대한방사선종양학회 2012 Radiation Oncology Journal Vol.30 No.3

        Purpose: To evaluate treatment outcome of patients with high risk locally advanced gastric cancer after postoperative chemoradiotherapy. Materials and Methods: Between May 2003 and May 2012, thirteen patients who underwent postoperative chemoradiotherapy for gastric cancer with resection margin involvement or adjacent structure invasion were retrospectively analyzed. Concurrent chemotherapy was administered in 10 patients. Median dose of radiation was 50.4 Gy (range, 45 to 55.8 Gy). Results: The median follow-up duration for surviving patients was 48 months (range, 5 to 108 months). The 5-year overall survival rate was 42% and the 5-year disease-free survival rate was 28%. Major pattern of failure was peritoneal seeding with 46%. Loco-regional recurrence was reported in only one patient. Grade 2 or higher gastrointestinal toxicity occurred in 54% of the patients. However, there was only one patient with higher than grade 3 toxicity. Conclusion: Despite reported suggested role of adjuvant radiotherapy with combination chemotherapy in gastric cancer, only very small portion of the patients underwent the treatment. Results from this study show that postoperative chemoradiotherapy provided excellent locoregional control with acceptable and manageable treatment related toxicity in patients with high risk locally advanced gastric cancer. Thus, postoperative chemoradiotherapy may improve treatment result in terms of locoregional control in these high risk patients. However, as these findings are based on small series, validation with larger cohort is suggested.

      • SCOPUSKCI등재

        Postoperative chemoradiotherapy in high risk locally advanced gastric cancer

        Song, Sanghyuk,Chie, Eui Kyu,Kim, Kyubo,Lee, Hyuk-Joon,Yang, Han-Kwang,Han, Sae-Won,Oh, Do-Youn,Im, Seock-Ah,Bang, Yung-Jue,Ha, Sung W. The Korean Society for Radiation Oncology 2012 Radiation Oncology Journal Vol.30 No.4

        Purpose: To evaluate treatment outcome of patients with high risk locally advanced gastric cancer after postoperative chemoradiotherapy. Materials and Methods: Between May 2003 and May 2012, thirteen patients who underwent postoperative chemoradiotherapy for gastric cancer with resection margin involvement or adjacent structure invasion were retrospectively analyzed. Concurrent chemotherapy was administered in 10 patients. Median dose of radiation was 50.4 Gy (range, 45 to 55.8 Gy). Results: The median follow-up duration for surviving patients was 48 months (range, 5 to 108 months). The 5-year overall survival rate was 42% and the 5-year disease-free survival rate was 28%. Major pattern of failure was peritoneal seeding with 46%. Locoregional recurrence was reported in only one patient. Grade 2 or higher gastrointestinal toxicity occurred in 54% of the patients. However, there was only one patient with higher than grade 3 toxicity. Conclusion: Despite reported suggested role of adjuvant radiotherapy with combination chemotherapy in gastric cancer, only very small portion of the patients underwent the treatment. Results from this study show that postoperative chemoradiotherapy provided excellent locoregional control with acceptable and manageable treatment related toxicity in patients with high risk locally advanced gastric cancer. Thus, postoperative chemoradiotherapy may improve treatment result in terms of locoregional control in these high risk patients. However, as these findings are based on small series, validation with larger cohort is suggested.

      • KCI등재

        3D 공간정보를 활용한 터널 설계 자동화 기술 개발 및 적용 사례 : 남해 서면-여수 신덕 국도 건설공사 BIM기반 설계를 중심으로

        조은지,김우진,김광염,정재호,방상혁,Eunji Jo,Woojin Kim,Kwangyeom Kim,Jaeho Jung,Sanghyuk Bang 한국암반공학회 2023 터널과지하공간 Vol.33 No.4

        The government continues to announce measures to revitalize smart construction technology based on BIM for productivity innovation in the construction industry. In the design phase, the goal is design automation and optimization by converging BIM Data and other advanced technologies. Accordingly, in the basic design of the Namhae Seomyeon-Yeosu Sindeok National Road Construction Project, a domestic undersea tunnel project, BIM-based design was carried out by developing tunnel design automation technology using 3D spatial information according to the tunnel design process. In order to derive the optimal alignment, more than 10,000 alignment cases were generated in 36hr using the generative design technique and a quantitative evaluation of the objective functions defined by the designer was performed. AI-based ground classification and 3D Geo Model were established to evaluate the economic feasibility and stability of the optimal alignment. AI-based ground classification has improved its precision by performing about 30 types of ground classification per borehole, and in the case of the 3D Geo Model, its utilization can be expected in that it can accumulate ground data added during construction. In the case of 3D blasting design, the optimal charge weight was derived in 5 minutes by reviewing all security objects on the project range on Dynamo, and the design result was visualized in 3D space for intuitive and convenient construction management so that it could be used directly during construction.

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