방사선 전신 조사 치료시 정확한 환자자세 및 조사야 재현을 위한 방법

권영호,이병구,황웅구,김유현,KWEON YOUNG-HO,LEE BYOUNG-GOO,WHANG WOONG-KU,KIM YOU-HYUN 대한방사선치료학회 1995 大韓放射線治療技術學會誌 Vol.7 No.1

방사선 전신조사는 일반적인 방사선 치료와는 달리 환자의 몸 전체를 포함할 수 있는 큰 조사야와 확장된 SAD가 요구되어지기 때문에 치료실이 충분히 커야 하고 전신에 균등한 선량을 주기 위해서는 환자 체표면 윤곽의 불규칙성과 조직 불균질성을 보완해 줄 수 있는 보상체가 필요하며 피부선량을 높여주기 위해서는 적절한 두께의 방사선 산란체를 사용하여야 한다. 또한 치료장치 및 사용 에너지, 총선량, 선량률, 선량분할, 환자의 자세, 정상적인 조직과 장기의 차폐 등도 방사선 전신조사를 위한 중요한 인자들로 알려져 있다. 그리고 방사선 전신조사 치료방법은 환자치료를 위한 준비시간과 실제 치료시간이 길기 때문에 일상 치료환자 일정에 지장을 초래할 수도 있으며 연속되는 치료기간 동안 치료조사야의 정확한 재현이 무엇보다 중요한 것으로 사료된다. 본원에서는 환자의 자세를 굴곡좌위로 함으로써 짧은 거리에서도 환자를 조사야내에 충분히 포함시켰고, 납 보상체를 제작하여 조직결손 부위를 보상하여 전신에 균등한 선량을 줄 수 있었으며 폐 차폐물을 제작하여 폐의 선량을 조절하였다. 치료계획시 환자의 음영을 치료실 벽면에 그려넣음으로써 조사야 재현시 도움이 되도록 하였으며 치료시간을 단축할 수 있었다. Total body irradiation (TBI) requires large radiation field and extended source to axis distance (SAD), therefore in needs large size treatment room and it needs compensators which components. Appropriate thickness beam spoiler should be used to raise skin dose. Treatment machine, photon energy, total dose, dose rate, dose fractionation, patient position, shield of normal tissues and organs were known to important parameters for TBI. TBI disturbes regular daily treatment schedule and significantly overloads Radiation on oncology departments and during the treatment session it requires accurate reproduction of radiation field and patient position. We were enable to TBI in small size treatment room and short SAD with parallel opposing lateral fields technique and achieved homogenious whole body dose distribution using pb compensators and controled lung dose by lung shield blocks. Drawing a patient shadow on the wall, we could shortened set up time and possible to accurate reproduction of radiation field and patient position.

조사야 확인용 film을 이용한 자궁 경부암 환자의 조사야 정확성 연구

정희영,권영호,정덕양,황웅구,김유현,Jung Hee-Young,Kweon Young-Ho,Jeong Deok-Yang,Whang Woong-Ku,Kim You-Hyun 대한방사선치료학회 1995 大韓放射線治療技術學會誌 Vol.7 No.1

1. Purpose : 30 patients with uterine cervical cancer who had been treated at Department of radiation Oncology of Korea university Hospital from June, 1, 1994. to December. 31, 1994. were analyzed to the radiation field accuracy using verification films. 2. Methods and Materials : 30 patients were divided by 6 groups, 5 patients respectively : Group (1) : Standard physique, supine not-fixed Group (2) : Standard physique, supine fixed Group (3) : Obesity physique, supine, not-fixed Group (4) : Obesity physique, supine, not-fixed Group (5) : Obesity physique, prone, not-fixed Group (6) : Obesity physique, prone, fixed All groups were taken verification fimls during the whole treatment period, and it compared with simulation films and portal fimls, 3. Results : This results suggest that all patients should be immovilized and especially obesity physique patients should be treated by prone position in order to reduce radiation field discrepancy. In addition, this results should help to prescribe appropriate safty margins for patients simulation.

4MV X-선을 이용한 조직보상체 두께비 연구 및 응용

김영범,정희영,권영호,김유현,Kim Young-Bum,Jung Hee-Young,Kweon Young-Ho,Kim You-Hyun 대한방사선치료학회 1996 大韓放射線治療技術學會誌 Vol.8 No.1

A radiation beam incident on irregular or sloping surface produces an inhomogeneity of absorbed dose. The use of a tissue compensator can partially correct this dose inhomogeneity. The tissue compensator should be made based on experimentally measured thickness ratio. The thickness ratio depends on beam energy, distance from the tissue compensator to the surface of patient, field size, treatment depth, tissue deficit and other factors. In this study, the thickness ratio was measured for various field size of $5cm{\times}5cm,\;10cm{\times}10cm,\;15cm{\times}15cm,\;20cm{\times}20cm$ for 4MV X-ray beams. The distance to the compensator from the X-ray target was fixed, 49cm, and measurement depth was 3, 5, 7, 9 cm. For each measurement depth, the tissue deficit was changed from 0 to(measurement depth-1)cm by 1cm increment. As a result, thickness ratio was decreased according to field size and tissue deficit was increased. Use of a representative thickness ratio for tissue compensator, there was $10\%$ difference of absorbed dose but use of a experimentally measured thickness ratio for tissue compensator, there was $2\%$ difference of absorbed dose. Therefore, it can be concluded that the tissue compensator made by experimentally measured thickness ratio can produce good distribution with acceptable inhomogeneity and such tissue compensator can be effectively applied to clinical radiotherapy.

Mechanical Check용 Spherical Device의 제작 및 특성 평가

이병구,김건오,권영호,Lee, Byung-Koo,Kim, Gun-Oh,Kweon, Young-Ho 대한방사선치료학회 2007 대한방사선치료학회지 Vol.19 No.1

Purpose: Digital medical image commenced with an introduction of PACS has become more popular today in the radiation diagnosis and medical treatment and made great progress, in particular, for medical testing field, whereas it has made slow progress for radiation therapy area. In order to accommodate the current trend of digital from analog, a spherical type mechanical check device (SMCD) that is form of spherical differing from the existing form of flat or cube has been designed and tested its practicability to replace the part in mechanical check with digital image from QA operation. Materials and Methods: If the distance maintains constant between source(target) and image detector with constant distance to the center of spherical type mechanical check device(SMCD), the size will be shown as a constant image at all times regardless of its direction exposed. For the test, two accurate hemispheres are made and put together which results in a sphere of the equilateral circle. Results: It enables a variety of implementation of the existing mechanical check using digital image as follows: congruity level of radiation field and light field, size accuracy of radiation field and collimation field, gantry rotation isocenter check, collimation rotation isocenter check, room laser accuracy check, collimation rotation angle check, couch rotation angle check, and more. Conclusion: It has proved its practicability in checking isocenter congruity level as real time at the time of simultaneous rotation between gantry and couch that is applied to the non-coplanar field, which had been hard to apply as a device formed of existing flat or cube.

이물질에 대한 ECT Bobbin Probe 검출 감도

정희성(Hee-Sung Jung),권영호(Young-Ho Kweon),이동하(Dong-Ha Lee),신욱조(Wook-Jo Shin),임찬기(Chan-Ki Yim) 한국비파괴검사학회 2016 한국비파괴검사학회지 Vol.36 No.4

증기발생기 2차측(관판 상단 및 관 지지판)에 잔류하는 이물질은 전열관에 마모를 야기하여 누설을 발생시킬 가능성이 있으며, 마모는 전열관 재료의 부식 특성과는 별개로 이물질의 재료, 형태, 크기 등에 따라 큰 영향을 받는다. 관판 상단 및 관 지지판 부위의 이물질 여부는 원격육안검사(FOSAR) 방법과 와전류탐상검사(ECT)를 통해 확인하고 있다. 증기발생기 2차측의 잔류 이물질은 그 재질이나 전열관과의 접촉상태 등에 따라 검출하는데 제한성이 나타난다. 따라서, 본 연구에서는 다양한 형태와 재료의 이물질을 관판 상단에서 수직 및 수평한 방향으로 이동시켰을 때, 이물질에 대한 보빈신호의 검출 감도를 측정하기 위해 데이터를 수집하고 분석하였다. Residual foreign objects at the secondary side (top of the tubesheet and tube support plates) of a steam generator are likely to cause a leak by causing wear in the tube. The extent of wear is significantly affected by the material, shape, and size of the foreign object, and the corrosion properties of the tube. The presence of foreign objects at the top of the tubesheet and tube support plates has been identified using remote visual inspection methods such as the foreign object search and retrieval and eddy current test (ECT). The detection of the residual foreign object at the secondary side of a steam generator has limitations that depend on the material properties and the condition of contact with the tube. In this study, which is vertical and horizontal from the upper tubesheet, the corresponding bobbin ECT signals were collected and analyzed to measure its ability to detect foreign objects.

와전류검사 Cross Talk 신호를 이용한 증기발생기 전열관 2차측 이물질의 원주방향 위치 측정

정희성(Hee-Sung Jung),권영호(Young-Ho Kweon),백용성(Yong-Sung Baek),김세중(Se-Jung Kim) 한국비파괴검사학회 2022 한국비파괴검사학회 춘계학술대회 초록집 Vol.2022 No.5

복합층에서 나타나는 투과형 펄스와전류 신호의 특성

최동명(Dong-Myung Choi),신영길(Young-Kil Shin),권영호(Young-Ho Kweon) 대한전기학회 2008 대한전기학회 학술대회 논문집 Vol.2008 No.4

복합층에서 나타나는 투과형 펄스와전류(Pulsed Eddy Current; PEC) 탐상신호를 수치해석 방법을 사용하여 예측하고 분석하였다. 공기층이 없는 복합층에서 Ti-6Al-4V의 두께가 변하는 경우에는 Life-off를 변화시켰을 때 나타나는 펄스와전류 신호특성과 LOI(Lift-off Intersection)가 형성되는 것을 관찰할 수 있었고, Aluminum의 두께가 변하는 경우에는 Aluminum만의 두께변화 시 발생하던 신호특성이 났다. 공기층이 있는 복합층에서는 Lift-off를 변화시켰을 때 나타나는 신호특성과 LOI가 형성되었고, 공기층이 증가하면 피크 값이 감소하는 것을 볼 수 있었다.

자기포화를 이용한 강자성체의 와전류검사장비 개발

성제중(Je-Joong Sung),신용훈(Young-Hoon Shin),엄태건(Tae-Gun Um),강석철(Seok-Chul Kang),권영호(Young-Ho Kweon),서동만(Dong-Man Suh) 한국비파괴검사학회 2003 한국비파괴검사학회지 Vol.23 No.4

Mechanical Check용 Spherical device의 제작 및 특성 평가

이병구(Byung-Koo Lee),양대식(Dae-Sik Yang),권영호(Young-Ho Kweon),한동균(Dong-Kyoon Han),고신관(Shin-Gwan Ko) 대한방사선과학회(구 대한방사선기술학회) 2007 방사선기술과학 Vol.30 No.2

  PACS의 도입에 발맞추어 시작된 digital 의료영상은 현재 방사선 진단 및 치료 영역에서 일반화되었으며 특히 진단영역에서는 눈부신 발전을 거듭하고 있다. 치료영역에서의 digital image 구현은 상대적으로 느린 성장과정을 거쳐 오늘에 이르고 있다.<BR>  본 논문은 이러한 analog에서 digital로 변화하는 흐름을 인식하여 정도관리(Quality Assurance) 업무 중 mechanical check 부분을 digital image base 업무로 대체하여 수행하고, 기존의 육면체 또는 사각형틀의 개념을 탈피한 구형(球形)의 Spherical mechanical check device(SMCD) 고안하여 그 실용성을 실험하였다.<BR>  Source(target)에서 image detecter 간의 거리가 항상 일정하고, Spherical mechanical check device(SMCD)의 중심까지 거리가 일정하다면 어느 방향에서 SMCD를 exposure하더라도 그 크기는 항상 일정하게 영상으로 표현 될 것이다. 이를 위해 정확한 반구(半球)를 2개 정밀 제작하여 그것을 합쳤을 때 정원(正圓)의 구(球)가 되도록 하였다. 이를 이용하여 radiation field와 light field의 일치도, radiation field 크기의 정확도(5×5, 10×10, 15×15㎝), Collimator field 크기의 정확도(5×5, 10×10, 15×15㎝), Gantry rotation isocenter check, Collimator rotation isocenter check, Room laser accuracy check, Collimator rotation angle check와 Couch rotation angle check 등 기존의 mechanical check를 digital image를 이용하여 실행할 수 있었으며, 기존의 Flat 또는 정육면체 형태의 mechanical check device로는 쉽게 하기 힘든 non-coplanar field에 적용되는 Gantry와 Couch가 동시에 rotation되었을 때 그 isocenter의 일치도를 real time으로 확인할 수 있었다.   Digital medical image commenced with an introduction of PACS has become more popular today in the radiation diagnosis and radiation treatment and made great progress, in particular, for medical testing field, whereas it has made slow progress for radiation treatment field.<BR>  In order to accommodate the current trend of digital from analog, a spherical mechanical check device (SMCD) that is the form of spherical differing from the existing form of flat or cube has been designed and tested its practicability to replace the part in mechanical check with digital image from QA operation. <BR>  If the distance maintains constance between source(target) and image detector with constant distance to the center of spherical mechanical check device(SMCD), the size will be shown as a constant image at all times regardless of its direction exposed. For the test, two accurate hemispheres are made and put together which results in a sphere of the equilateral circle.<BR>  It enables a variety of implementation of the existing mechanical check using digital image as follows: congruity level of radiation field and light field, size accuracy of radiation field and collimation field, gantry rotation isocenter check, collimation rotation isocenter check, room laser accuracy check, collimation rotation angle check, couch rotation angle check, and more. In addition, it has proved its practicability in checking isocenter congruity level as real time at the time of simultaneous rotation between gantry and couch that is applied to the non-coplanar field, which had been hard to apply as a device formed of existing flat or cube.

증기발생기 전열관 와전류탐상 데이터의 노이즈 측정

정희성(Hee-Sung Jung),장지은(Ji-Eun Jang),장관섭(Kwan-Seob Jang),권영호(Young-Ho Kweon),이동하(Dong-Ha Lee) 대한용접·접합학회 2017 대한용접학회 특별강연 및 학술발표대회 개요집 Vol.2017 No.11