X線 管電壓의 較正과 像의 標準化

강위생 최신의학사 1978 最新醫學 Vol.21 No.1

A Radiographic method for measuring the effective kilovoltages and a simplified method for standardization of roentgenographic image quality are described. The apparatus consists of a modified X ray cassette covered by a sheet of lead perforated with two rows of holes; one row is provides a reference exposure, the other row has an aluminium step wedge. The thickness of aluminium needed to give a film density which matches that of the reference exposure is called the penetration quality. The device is calibrated against a constant potential generator for which the kV values are accurately calibrated by the linear attenuation coefficiency of effective energy. For determining the effective kV of a machine, the beam is attenuated and hardened at source by means of a filter of 15cm of paraffin wax, corresponding approximately to the filteration provided by an abdomen. For standardization of roentgenographic image quality, the concept of penetration quality is employed and it may be utilized for roentgenographic technique specification in place of kVp.

입자가속기 도입과 응용 - 의학과 가속기

강위생,Gang, Wi-Saeng 한국과학기술단체총연합회 1984 과학과 기술 Vol.17 No.8

유암수술후 방사선치료시 $^{60}Co\;\gamma$선과 전자선 조사야 접합부 선량분포에 관한 연구

강위생,허승재,하성환,Kang, Wee-Saing,Huh, Seung-Jae,Ha, Sung-Whan 대한방사선종양학회 1984 Radiation Oncology Journal Vol.2 No.1

Postoperative radiotherapy of breast cancer makes it possible to reduce loco-regional recurrence of breast cancer. The treatment technique, which can reduce the low-dose region at the junction and lung, is required. To produce proper dose distribution of internal mammary chain and chest wall, authors tried to find the method to expose $^{60}Co\;\gamma-ray$ on internal mammary region and 7MeV electron on chest wall. Exposure time of $^{60}Co\;\gamma$ and monitor unit of 9MeV were selected so that dose of $^{60}Co$ at 4cm depth was the same as that of 7Mev electron at $80\%$ dose depth. The position and direction of electron beam were changed for $^{60}Co$ beam: $0^{\circ},\;5^{\circ}$ for 0cm seperation; $0^{\circ},\;5^{\circ},\;10^{\circ}$ for 0.5cm seperation; $5^{\circ},\;10^{\circ},\;15^{\circ}$ for 1cm seperation. The results are as followings. 1. When the seperation of two fields was increased, dose on the axis of $^{60}Co$ beam was increased and dose at the junction region decreased while the volume of lung to be exposed to high dose and hot spot size were irregularly changed. 2. The dose distribution in the target volume of internal mammary and chest wall was most ideal when the seperation of two fields was $0\~0.5cm$ and the direction of electron beam was parallel to $^{60}Co$ beam.

$^{60}Co\;\gamma$선과 10MV X선의 조사면 밖의 선량분포에 관한 연구

강위생,허승재,하성환,Kang, Wee-Saing,Huh, Seung-Jae,Ha, Sung-Whan 대한방사선종양학회 1984 Radiation Oncology Journal Vol.2 No.2

The peripheral dose, defined as the dose outside therapeutic photon fields, which is responsible for the functional damage of the critical organs, fetus, and radiation. induced carcinogenesis, has been investigated for $^{60}Co\;\gamma$ ray and 10 MV Xray. It was measured by silicon diode controlled by semiautomated water phantom without any shielding or with lead plate of HVL thickness put horizontally or vertically to shield stray radiations. Authors could obtain following results. 1. The peripheral dose was larger than $0.7\%$ of central axis maximum dose even at 20cm distance from field margin. That is clinically significant, so it should be reduced. 2. Even for square fields of 10 MV Xray, radial peripheral dose distribution did not coincide with transverse distribution, because of the position of collimator jaws. 3. Between surface and $d_m$, the peripheral dose distributions show a pattern of the dose distribution of electron beams and the maximum doss was approximately proportional to the length of a side of square field. 4. The peripheral doses depended on radiation quality, field size, distance from field margin and depth in water. Distance from field margin was the most important factor. 5. Except for near surface, the peripheral dose from phantom was approximately equal to that from therapy unit. 6. To reduce the surface dose outside fields, therapist should shield stray radiations from therapy unit by lead plate of at least one HVL for 10 MV X-ray and by bolus equivalent to tissue of 0.5cm thickness for $^{60}Co$. 7. To reduce the dose at depth deeper than $d_m$, it is desirable to shield stray radiations from therapy unit by lead.

전자선의 조사면과 선량분포

강위생 대한영상의학회 1980 대한영상의학회지 Vol.16 No.2

The authors concerns some relations between the field size and dose distribution of electron beams. The doses of electron beams are measured by either an ion chamber with an electrometer or by film for dosimetry. We anlayzes quailtatively some relations ; the energy of incident electron beams and depths of maximum dose, field sizes of electron beams and depth of maximum dose, field size and scatter factor , electron energy and scatter factor, collimator sharp and scatter factor, electron energy and surface dose, field size and surface dose, field size and central axis depth dose, and field size and practical range. He meets with some results, They are that the field size of electron beam has influence on the depth of maximum dose, scatter factor, surface dose and central axis depth dose , scatter factor depends on the field size and energy of electron beam , and the shape of the collimato , and the depth of maximum dose and the surfaces dose depend on the energy of electron beam, but the practical range of electron beam is independent of field size.

광자선 소조사면의 선량 측정에 관한 연구

강위생,하성환,박찬일 한국의학물리학회 1994 의학물리 Vol.5 No.2

선형가속기에 의한 뇌정위적 방사선수술에 적용되는 원형 소조사변의 선량분포를 측정하기 위해 측정기 선정 이유와 선축 결정, 자체 제작한 소형 물 팬톰에 의한 선량분포 측정시 고려해야 할 점에 대해 논의하고, 치료계획에 필요한 자료인 Clinac-18의 10MV X-선의 TMR, OAR, 조사면 계수와 같은 선량분포 측정결과를 보고하고자 한다. 뇌정위적 방사선수술에 권고되고 있는 조사면 크기가 3cm 이하의 작은 조사면에 대한 선량 분포를 측정하기 위해서는 크기나 감도에 있어서 적합한 p-형 실리콘(Si) 검출기가 선량에 대한 선형성과 선량율 독립성이 적합한지 측정에 의해 판단하였다. 크기와 형태가 같은 아크릴 통을 두 개 제작하여 호스로 연결하여 하나는 물 팬톰으로 이용하고 다른 하나는 높이를 조절하여 측정기의 깊이를 조절하였다. 측정할 위치에서 직각 방향의 측방선량분포를 측정하여 선축의 위치를 찾았다. SAD 100cm 위치에서 조사면 크기 10, 20, 30, 40mm 네 개 콘에 대하여 TMR을 측정하였으며, 일정한 선원-측정기간 거리(SCD)에서 최대선량점깊이(d$_{max}$) 및 6, 10, 15cm 깊이에서 OAR을 측정하여 비교하였다. 조사면 계수는 MU당 SAD, d$_{max}$에서 콘에 대한 선량으로 실리콘 검출기로 측정하였다. 실리콘 검출기는 선량에 대한 선형성이 거의 완벽하였으며 감도는 선량율이 증가함에 따라 감소하였다. 낮은 선량율 때문에 조사면 밖의 선량을 약간 과대평가할 수 있을지라도 100MU/min 이상의 선량율에 대해서는 일정하였다. 직각 방향의 측방선량분포 측정에 의하여 선축을 찾는 방식은 간편하였다. 1cm 두께의 아크릴 판을 보조 물통 아래에 삽입ㆍ제거하는 방식으로 측정기의 깊이 조절도 간편하면서 정확하였다. 측정에 의한 TMR, OAR, 조사면 계수는 충분히 정확하여 뇌정위적 방사선수술의 치료계획에 이용할 수 있었으며, OAR은 조사면 범위 내에서는 깊이에 거의 무관하였다. 실리콘 검출기는 소조사면 선량분포 측정에 적합하였으며 직각 방향의 측방선량분포의 측정으로 0.05mm까지 정확히 선축을 찾을 수 있었고, 보조 물통과 아크릴 판을 이용하여 측정기의 깊이를 조절하는 것이 용이하였다. TMR, OAR, 조사면계수의 측정치는 뇌정위적 방사선수술의 치료 계획에 이용할 수 있을 정도로 정확하였으며, OAR은 하나의 깊이에서 측정해도 충분할 것이라고 사료된다. Purpose : The purposes are to discuss the reason to measure dose distributions of circular small fields for stereotactic radiosurgery based on medical linear accelerator, finding of beam axis, and considering points on dosimetry using home-made small water phantom, and to report dosimetric results of 10MV X-ray of Clinac-18, like as TMR, OAR and field size factor required for treatment planning. Method and material : Dose-response linearity and dose-rate dependence of a p-type silicon (Si) diode, of which size and sensitivity are proper for small field dosimetry, are determined by means of measurement. Two water tanks being same in shape and size, with internal dimension, 30${\times}$30${\times}$30cm$^3$ were home-made with acrylic plates and connected by a hose. One of them a used as a water phantom and the other as a device to control depth of the Si detector in the phantom. Two orthogonal dose profiles at a specified depth were used to determine beam axis. TMR's of 4 circular cones, 10, 20, 30 and 40mm at 100cm SAD were measured, and OAR's of them were measured at 4 depths, d$\sub$max/, 6, 10, 15cm at 100cm SCD. Field size factor (FSF) defined by the ratio of D$\sub$max/ of a given cone at SAD to MU were also measured. Result : The dose-response linearity of the Si detector was almost perfect. Its sensitivity decreased with increasing dose rate but stable for high dose rate like as 100MU/min and higher even though dose out of field could be a little bit overestimated because of low dose rate. Method determining beam axis by two orthogonal profiles was simple and gave 0.05mm accuracy. Adjustment of depth of the detector in a water phantom by insertion and remove of some acryl pates under an auxiliary water tank was also simple and accurate. TMR, OAR and FSF measured by Si detector were sufficiently accurate for application to treatment planning of linac-based stereotactic radiosurgery. OAR in field was nearly independent of depth. Conclusion : The Si detector was appropriate for dosimetry of small circular fields for linac-based stereotactic radiosurgery. The beam axis could be determined by two orthogonal dose profiles. The adjustment of depth of the detector in water was possible by addition or removal of some acryl plates under the auxiliary water tank and simple. TMR, OAR and FSF were accurate enough to apply to stereotactic radiosurgery planning. OAR data at one depth are sufficient for radiosurgery planning.

Simulator의 성능관리

강위생 한국의학물리학회 1993 의학물리 Vol.4 No.1

방사선치료의 최적화를 위하여 위치결정장비로 이용되고 있는 simulator에는 gantry와 couch, 콜리메이터와 같은 기계적으로 운동하는 장치와 엑스선 발생장치, 투시용 영상증강관, 기계적 운동 장치의 위치를 알기 위한 지나 거리표시기, 각도 표시기가 포함되어 있다. 충돌에 의한 위험을 막기 위한 충돌 방지장치도 포함되어 있다. 여기에서는 정확한 시뮬레이션을 수행하기 위해 필요한 검사항목과 성능과 유지, 안전성 확보에 필요한 사항을 논의한다. 대부분의 검사항목에 대해서 검사기준을 제시하며 항목에 따라서는 검사방법을 예시한다. 이와 같이 다양하고 정밀한 장치의 성능관리업무는 전문가인 의학물리학자의 책임하여 수행되어야 한다.

Co치료장치의 선원 구동상의 문제점

강위생 대한방사선 방어학회 1986 방사선방어학회지 Vol.11 No.1

Picker C-9 ??원격치료장치에 의한 선량분포의 비대칭을 물팬톰에 의한 측정으로부터 발견하고 비대칭적인 선량분포의 원인이 선원의 비정상적인 "ON" 위치였음을 확인하였다. 선원이 비정상적인 위치에서 정지하게 된 원인이 선원을 "OFF"위치로 되돌리는 태엽의 일부 인접면이 접촉하게 되어 마찰의 발생과 증대였음을 확인하였다. 태엽에 윤활유를 쳤을 때 선량분포의 대칭성이 다소 호전되었지만 근본적인 해결책은 태엽을 교체하는 것이다. 예방대책으로는 주기적인 선량분포의 측정에 의한 확인과 보수유지계획에 의한 관리가 수행되어야 할 것이다. An asymmetry in dose profile of a ?Co teletherapy unit was found by means of water-phantom measurement. The reason of that trouble was confirmed to be the abnormal "ON" position of the source, which is resulted form the high friction between contiguous surface of the spring for driving the source to "OFF" position. Lubrication in the spring improved the mobility a little, but was not a radical repair. The radical repair was to replace the old spring by new one. Periodic maintenance for source driving system and periodic measurement of field symmetry are required for prevention of abnormal "ON" position of ?? soruce.

전자파와 인체세포의 생리

강위생 한국전자파학회 1997 전자파기술 Vol.8 No.2

방사선 진행방향을 이용한 원격치료장치의 기계적 정확성 평가방법

강위생 한국의학물리학회 1996 의학물리 Vol.7 No.1

목적 : 별모양무늬를 이용하여 원격 방사선치료기의 회전축의 정확성을 평가할 때 방사선의 진행방향을 고려해야 하는 이론적 근거와 방법을 개발하고, 방사선의 진행방향이 기록되지 않는 경우 길이 방향의 비대칭 조사면을 이용하여 흉내내는 방법을 개발하는 것이다. 방법 : 갠트리 회전축의 기계적 정확성을 평가하기 위해 방사선의 진행방향을 고려하였다. 좁은 조사면에 의해 별모양무늬를 만들어 회전축이라고 어림되는 교점에서 l0cm 떨어진 위치의 측방선량분포를 필름농도계로 측정하여 선축의 좌표를 구하고 하나의 선축에 있는 한 쌍의 좌표를 이용하여 선축의 식을 구한다. 선축과 일치하는 방사선 진행방향의 단위벡터 equation omitted를 구하고 가정된 회전축의 좌표에서 각 선축으로 향하는 벡터 equation omitted와 equation omitted의 벡터곱 equation omitted$\times$equation omitted을 구하여 평균을 취하고 평균에 대한 벡터곱의 최소자승법을 적용하여 회전축의 좌표를 구한다. 그 때 벡터곱의 최대치의 절대값이 구하는 회전축의 정확도이다. 방사선의 진행방향을 고려할 수 없는 콜리메이터와 치료대에 대해서는 진행방향에 대응하는 것으로 긴 방향이 비대칭인 조사면을 이용하였다. 결과 : 동일한 별모양 무늬에 대해 방사선의 진행방향을 고려할 때 회전축의 기계적 정확성이 진행방향을 무시할 때와 다르게 평가되었다. 결론 : 별모양 무늬를 이용하여 원격치료기의 기계적 정확성을 평가할 때는 방사선의 진행방향을 고려하거나 흉내내어 정량적으로 평가해야 한다. Purpose: The purposes of this paper are to develop a theoretical basis that the beam directions should be considered when the mechanical accuracy of teletherapy machine is evaluated by the star pattern test, to develop methods using asymmetric field in length to simulate beam direction for the case that beam direction does not appear on film. Method: In evaluating mechanical rotational accuracy of the gantry of teletherapy unit by the star pattern test, the direction of radiation beams was considered. A star pattern using some narrow beams was made. Density profiles at 10cm far from estimated gantry axis on the star pattern were measured using an optical densitometer. On each profile, one coordimate of a beam axis was determined. A pair of coordinates on a beam axis form an equation of the axis. Assume that a unit vector equation omitted is with same direction as radiation beam and a vector equation omitted is a vector directing to the beam axis from the estimated gantry axis. Then, a vector product equation omitted ${\times}$ equation omitted is an area vector of which the absolute value is equal to the distance from the estimated gantry axis to the beam axis. The coordinate of gantry axis was obtained by using least-square method for the area vectors relative to the average of whole area vectors. For the axis, the maximum of absolute value of area vectors would be an accuracy of the gantry rotation axis. For the evaluation of mechanical accuracies of collimator and couch axes for which beam direction could not be depicted on a star pattern test film, narrow beams asymmetric in field length was used to simulate beam direction. Result: For a star test pattern to evaluate the mechanical accuracy of rotational axes of a telectherapy machine, the result considering beam direction was different from that ignoring beam direction. For the evaluation of mechanical accuracies of collimator and couch axes by means of a star pattern test, narrow asymmetric beams could simulate beam direction. Conclusion: When a star pattern test is used to evaluate the mechanical accuracy of a teletherapy unit, beam direction must be considered or simulated, and quantitatively evaluated.