2.Optimization of Image Tracking Algorithm Used in 4D Radiation Therapy.
Jongin PARK ; Eunhyuk SHIN ; Youngyih HAN ; Heechul PARK ; Jaiki LEE ; Doo Ho CHOI
Korean Journal of Medical Physics 2012;23(1):8-14
In order to develop a Patient respiratory management system includinga biofeedback function for4-dimentional radiation therapy, this study investigated anoptimal tracking algorithmfor moving target using IR (Infra-red) camera as well as commercial camera. A tracking system was developed by LabVIEW 2010. Motion phantom images were acquired using a camera (IR or commercial). After image process were conducted to convert acquired image to binary image by applying a threshold values, several edge enhance methods such as Sobel, Prewitt, Differentiation, Sigma, Gradient, Roberts, were applied. The targetpattern was defined in the images, and acquired image from a moving targetwas tracked by matching pre-defined tracking pattern. During the matching of imagee, thecoordinateof tracking point was recorded. In order to assess the performance of tracking algorithm, the value of score which represents theaccuracy of pattern matching was defined. To compare the algorithm objectively, we repeat experiments 3 times for 5 minuts for each algorithm. Average valueand standard deviations (SD) of score were automatically calculatedsaved as ASCII format. Score of threshold only was 706, and standard deviation was 84. The value of average and SD for other algorithms which combined edge detection method and thresholdwere 794, 64 in Sobel, 770, 101 in Differentiation, 754, 85 in Gradient, 763, 75 in Prewitt, 777, 93 in Roberts, and 822, 62 in Sigma, respectively. According to score analysis, the most efficient tracking algorithm is the Sigma method. Therefore, 4-dimentional radiation threapy is expected tobemore efficient if threshold and Sigma edge detection method are used together in target tracking.
Biofeedback, Psychology
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Humans
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Track and Field
3.Gamma-ray irradiation stimulates the expression of caveolin-1 and GFAP in rat spinal cord: a study of immunoblot and immunohistochemistry.
Meejung AHN ; Heechul KIM ; Jeong Tae KIM ; Jeeyoung LEE ; Jin Won HYUN ; Jae Woo PARK ; Taekyun SHIN
Journal of Veterinary Science 2006;7(4):309-314
We studied the expression of caveolin-1 in the spinal cords of rats using 60Co gamma-ray irradiation (single dose of 8 Gray (Gy)) in order to determine the possible involvement of caveolin-1 in the tissues of the central nervous system after irradiation. Spinal cords sampled at days 1, 4, and 9 post-irradiation (PI) (n = 5 per each time point) were analyzed by Western blot and immunohistochemistry. Western blot analysis showed that the expression of caveolin-1 was significantly increased at day 1 PI (p < 0.05), and returned to the level of normal control rats on days 4 and 9 PI. Immunohistochemistry showed that caveolin-1 immunoreactivity was enhanced in some glial cells, vascular endothelial cells, and neurons in the spinal cords. The increased expression of glial fibrillary acidic protein (GFAP), a marker for an astroglial reaction, was consistent with that of caveolin-1. In addition, caveolin-1 was co-localized in hypertrophied GFAP-positive astrocytes. Taking all these facts into consideration, we postulate that irradiation induces the increased expression of caveolin-1 in cells of the central nervous system, and that its increased expression in astrocytes may contribute to hypertrophy of astrocytes in the spinal cord after irradiation. The precise role of caveolin-1 in the spinal cords should be studied further.
Animals
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Astrocytes/metabolism/radiation effects
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Blotting, Western
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Caveolin 1/*biosynthesis
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Gamma Rays
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Glial Fibrillary Acidic Protein/*biosynthesis
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Immunohistochemistry
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Male
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Rats
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Rats, Sprague-Dawley
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Spinal Cord/cytology/*metabolism/*radiation effects
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Whole-Body Irradiation
4.Increased phosphorylation of caveolin-1 in the spinal cord of irradiated rats.
Heechul KIM ; Changjong MOON ; Jeongtae KIM ; Meejung AHN ; Jin Won HYUN ; Jae Woo PARK ; Sung Ho KIM ; Seungjoon KIM ; Taekyun SHIN
Journal of Veterinary Science 2007;8(4):323-327
Phosphorylation of caveolin-1 occurs during cell activation by various stimuli. In this study, the involvement of caveolin-1 in an irradiation injured spinal cord was examined by analyzing the phosphorylation of caveolin-1 in the spinal cord of rats after irradiation with a single dose of 15 Gray from a (60)Co gamma-ray source at 24 h post-irradiation (PI). A Western blot analysis showed that the phosphorylated form of caveolin-1 (p-caveolin-1) was expressed constitutively in the normal spinal cords and was significantly higher in the spinal cord of irradiated rats at 24 h PI. The increased expression of ED1, which is a marker of activated microglia/macrophages, was matched with that of p-caveolin-1. In the irradiated spinal cords, there was a higher level of p-caveolin-1 immunoreactivity in the isolectin B4-positive microglial, ependymal, and vascular endothelial cells, in which p-caveolin-1 was weakly and constitutively expressed in the normal control spinal cords. These results suggest that total body irradiation induces activation of microglial cells in the spinal cord through the phosphorylation of caveolin-1.
Animals
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Blotting, Western/veterinary
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Caveolin 1/*metabolism
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Gene Expression Regulation/*radiation effects
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Immunohistochemistry/veterinary
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Male
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Phosphorylation/radiation effects
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Rats
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Rats, Sprague-Dawley
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Spinal Cord/physiopathology/*radiation effects
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Spinal Cord Injuries/physiopathology/*veterinary
5.The radioprotective effects of the hexane and ethyl acetate extracts of Callophyllis japonica in mice that undergo whole body irradiation.
Jeongtae KIM ; Changjong MOON ; Heechul KIM ; Jinwoo JEONG ; Juyeon LEE ; Jihoon KIM ; Jin Won HYUN ; Jae Woo PARK ; Mi Yeon MOON ; Nam Ho LEE ; Sung Ho KIM ; Youngheun JEE ; Taekyun SHIN
Journal of Veterinary Science 2008;9(3):281-284
The radioprotective activity of extracts from the red seaweed Callophyllis (C.) japonica was investigated in mice that underwent whole-body exposure to gamma radiation. A methanol extract of C. japonica and its fractions [hexane, ethyl acetate (EtOAc), butanol and the remaining H(2)O] were used. Each fraction (100 mg/kg body weight) was administered intraperitoneally (i.p.) 2 times into the BALB/c mice, once at 1 and once at 24 h before exposure to 9 Gray (Gy) of gamma radiation. Pre-irradiation administration of the hexane and EtOAc fractions saved the mice, with their survival rates being greater than 80% at 30 days post-irradiation; the mice that were pretreated with the other fractions showed survival rates lower than 20% over the same time period. To examine the effect of each C. japonica fraction on the survival of intestinal and bone marrow stem cells, the number of intestinal crypts and bone marrow cells in the gamma-irradiated mice were examined. Pre-treatment of mice (i.p., 100 mg/kg body weight at 1 and 24 h before irradiation) with the hexane or EtOAc fraction prior to 6-Gy irradiation significantly protected the number of jejunal crypts and bone marrow cells at 9 days after irradiation. These findings suggest that certain extracts from C. japonica, when they are administered prior to irradiation, play an important role in the survival of irradiated mice, and this is possibly due to the extracts protecting the hematopoietic cells and intestinal stem cells against gamma irradiation.
Acetates
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Animals
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Bone Marrow Cells/drug effects/*radiation effects
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Cell Survival/drug effects
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Female
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Gamma Rays
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Hexanes
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Intestinal Mucosa/cytology/drug effects/radiation effects
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Jejunum/cytology/drug effects/radiation effects
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Mice
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Mice, Inbred BALB C
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Plant Extracts/*pharmacology
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Radiation Injuries, Experimental/prevention & control
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Radiation-Protective Agents/*pharmacology
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*Seaweed
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Whole-Body Irradiation/*veterinary
6.Clinical Application of Next-Generation Sequencing in Patients With Breast Cancer: Real-World Data
Koung Jin SUH ; Se Hyun KIM ; Yu Jung KIM ; Heechul SHIN ; Eunyoung KANG ; Eun-Kyu KIM ; Sejoon LEE ; Ji Won WOO ; Hee Young NA ; Soomin AHN ; Bum-Sup JANG ; In Ah KIM ; So Yeon PARK ; Jee Hyun KIM
Journal of Breast Cancer 2022;25(5):366-378
Purpose:
Next-generation sequencing (NGS)-based tumor panel testing has been reimbursed by the Korean government since 2017. We evaluated the use of NGS-based tumor panel testing in real-world clinical practice, focusing on molecular profiling (MP)-guided breast cancer treatment.
Methods:
A total of 137 breast cancer patients underwent NGS panel testing between December 2017 and July 2020 at Seoul National University Bundang Hospital (SNUBH).Samples from patients were profiled using an in-house SNUBH pan-cancer panel. Sixty-four patients were profiled on SNUBH Pan_Cancer v1.0, targeting 89 genes, while 73 patients were profiled on SNUBH Pan_Cancer v2.0, targeting 546 genes.
Results:
Breast cancer subtypes included hormone receptor+/human epidermal growth factor receptor 2 (HER2)− (n = 87), triple-negative (n = 44), and HER2+ (n = 6). Most patients had locally advanced or metastatic cancers (92%). Approximately 92% (126/137) of the patients had significant genomic alterations (tiers I and II), and 62% (85/137) had targetable genomic alterations. The most common targetable genomic alterations were PIK3CA (39%) and ESR1 mutations (9%), followed by ERBB2 (7%), PTEN (7%), BRCA2 (6%), and BRCA1 mutations (4%). Of the 81 patients with locally advanced/metastatic breast cancer with targetable genomic alterations, 6 (7.4%) received MP-guided treatments, including PARP inhibitor (n = 4), ERBB2-directed therapy (n = 1), and PI3K inhibitor (n = 1). Among these 6 patients, 4 participated in clinical trials, 1 underwent treatment at their own expense, and 1 received drugs through an expanded access program. The remaining 66 patients (81%) with targetable genomic alteration did not receive MP-guided treatment due to lack of matched drugs and/or clinical trials, poor performance status, and/or financial burden.
Conclusion
NGS panel testing allowed MP-guided treatment in only 4.7% (6/127) of patients with advanced breast cancer in a real-world setting. The availability of matched drugs is critical for the realistic implementation of personalized treatment.