1.Evaluation of the Dosimeter Volume Effect on Small-Field Dosimetry Using the Elekta Harmony Pro Linear Accelerator
Hyojun PARK ; Jin JEGAL ; Yoonsuk HUH ; Inbum LEE ; Sung Hyun LEE ; Chang Heon CHOI ; Jung-In KIM ; Seonghee KANG
Progress in Medical Physics 2024;35(4):89-97
Purpose:
This study investigated the dose perturbation according to the size of the sensitive volume in the dosimeter in small-field dosimetry.
Methods:
The dose profiles with different field sizes were measured using three different dosimeters: the CC13, Razor ion chamber, and Edge solid-state detector. Both the open and wedged beams with different field sizes were employed in the measurement. The profiles were measured in a water phantom at maximum dose depths of 5, 10, and 20 cm. The penumbra and width of the open-beam profiles were compared according to the types of the dosimeters and beam. The dose fall-off between the peak and 20% dose was evaluated for the wedged beam profiles.
Results:
In the open-beam measurement, the fall-off of the profile was steeper with the Edge detector, which has the smallest sensitive volume. Meanwhile, the dose in the out-of-field region was the smallest with the Edge detector. The widths of the penumbra were 6.10, 4.47, and 4.03 mm for the profile of the 3×3 cm 2 field measured by the CC13 chamber, Razor chamber, and Edge detector, respectively. The width of the profile was not changed even if different dosimeters were used in the measurement. The wedged beam profiles showed more clear peaks at the field edge when a smaller dosimeter was used.
Conclusions
The results demonstrate the necessity of dosimeters with a small sensitive volume for measuring a small-field beam or a steep dose gradient.
2.Hyperbaric Oxygen Therapy for the Treatment of Chronic Prostatitis/Chronic Pelvic Pain Syndrome: Case Report
Kwang Jin KIM ; Yoonsuk LEE ; Yong Sung CHA ; Tae Wook KANG ; Hyun Chul CHUNG ; Hong CHUNG ; Hyun KIM ; Jae Hung JUNG
Urogenital Tract Infection 2024;19(2):44-47
Hyperbaric oxygen therapy (HBOT) was conducted on two male patients with chronic prostatitis/chronic pelvic pain syndrome who were resistant to conventional medical therapies. Both patients underwent 20 sessions of 100% oxygen inhalation (2.0 atmosphere absolute for 90 min/day, five days/week for four weeks) in a hyperbaric chamber. The follow-up period was three months. Although the patients reported a slight improvement in the pain domain of the National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI) after HBOT, no changes were noted in the other domains of NIH-CPSI and International Prostate Symptom Score. No adverse events were encountered during or after HBOT.
3.Evaluation of the Dosimeter Volume Effect on Small-Field Dosimetry Using the Elekta Harmony Pro Linear Accelerator
Hyojun PARK ; Jin JEGAL ; Yoonsuk HUH ; Inbum LEE ; Sung Hyun LEE ; Chang Heon CHOI ; Jung-In KIM ; Seonghee KANG
Progress in Medical Physics 2024;35(4):89-97
Purpose:
This study investigated the dose perturbation according to the size of the sensitive volume in the dosimeter in small-field dosimetry.
Methods:
The dose profiles with different field sizes were measured using three different dosimeters: the CC13, Razor ion chamber, and Edge solid-state detector. Both the open and wedged beams with different field sizes were employed in the measurement. The profiles were measured in a water phantom at maximum dose depths of 5, 10, and 20 cm. The penumbra and width of the open-beam profiles were compared according to the types of the dosimeters and beam. The dose fall-off between the peak and 20% dose was evaluated for the wedged beam profiles.
Results:
In the open-beam measurement, the fall-off of the profile was steeper with the Edge detector, which has the smallest sensitive volume. Meanwhile, the dose in the out-of-field region was the smallest with the Edge detector. The widths of the penumbra were 6.10, 4.47, and 4.03 mm for the profile of the 3×3 cm 2 field measured by the CC13 chamber, Razor chamber, and Edge detector, respectively. The width of the profile was not changed even if different dosimeters were used in the measurement. The wedged beam profiles showed more clear peaks at the field edge when a smaller dosimeter was used.
Conclusions
The results demonstrate the necessity of dosimeters with a small sensitive volume for measuring a small-field beam or a steep dose gradient.
4.Hyperbaric Oxygen Therapy for the Treatment of Chronic Prostatitis/Chronic Pelvic Pain Syndrome: Case Report
Kwang Jin KIM ; Yoonsuk LEE ; Yong Sung CHA ; Tae Wook KANG ; Hyun Chul CHUNG ; Hong CHUNG ; Hyun KIM ; Jae Hung JUNG
Urogenital Tract Infection 2024;19(2):44-47
Hyperbaric oxygen therapy (HBOT) was conducted on two male patients with chronic prostatitis/chronic pelvic pain syndrome who were resistant to conventional medical therapies. Both patients underwent 20 sessions of 100% oxygen inhalation (2.0 atmosphere absolute for 90 min/day, five days/week for four weeks) in a hyperbaric chamber. The follow-up period was three months. Although the patients reported a slight improvement in the pain domain of the National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI) after HBOT, no changes were noted in the other domains of NIH-CPSI and International Prostate Symptom Score. No adverse events were encountered during or after HBOT.
5.Extracellular Vesicles Derived from Adipose Stem Cells Alleviate Systemic Sclerosis by Inhibiting TGF-β Pathway
Eunae KIM ; Hark Kyun KIM ; Jae Hoon SUL ; Jeongmi LEE ; Seung Hyun BAEK ; Yoonsuk CHO ; Jihoon HAN ; Junsik KIM ; Sunyoung PARK ; Jae Hyung PARK ; Yong Woo CHO ; Dong-Gyu JO
Biomolecules & Therapeutics 2024;32(4):432-441
Systemic sclerosis is an autoimmune disease characterized by inflammatory reactions and fibrosis. Myofibroblasts are considered therapeutic targets for preventing and reversing the pathogenesis of fibrosis in systemic sclerosis. Although the mechanisms that differentiate into myofibroblasts are diverse, transforming growth factor β (TGF-β) is known to be a key mediator of fibrosis in systemic sclerosis. This study investigated the effects of extracellular vesicles derived from human adipose stem cells (ASC-EVs) in an in vivo systemic sclerosis model and in vitro TGF-β1-induced dermal fibroblasts. The therapeutic effects of ASC-EVs on the in vivo systemic sclerosis model were evaluated based on dermal thickness and the number of α-smooth muscle actin (α-SMA)-expressing cells using hematoxylin and eosin staining and immunohistochemistry. Administration of ASC-EVs decreased both the dermal thickness and α-SMA expressing cell number as well as the mRNA levels of fibrotic genes, such as Acta2, Ccn2, Col1a1 and Comp. Additionally, we discovered that ASC-EVs can decrease the expression of α-SMA and CTGF and suppress the TGF-β pathway by inhibiting the activation of SMAD2 in dermal fibroblasts induced by TGF-β1. Finally, TGF-β1-induced dermal fibroblasts underwent selective death through ASC-EVs treatment. These results indicate that ASC-EVs could provide a therapeutic approach for preventing and reversing systemic sclerosis.
6.Evaluation of the Dosimeter Volume Effect on Small-Field Dosimetry Using the Elekta Harmony Pro Linear Accelerator
Hyojun PARK ; Jin JEGAL ; Yoonsuk HUH ; Inbum LEE ; Sung Hyun LEE ; Chang Heon CHOI ; Jung-In KIM ; Seonghee KANG
Progress in Medical Physics 2024;35(4):89-97
Purpose:
This study investigated the dose perturbation according to the size of the sensitive volume in the dosimeter in small-field dosimetry.
Methods:
The dose profiles with different field sizes were measured using three different dosimeters: the CC13, Razor ion chamber, and Edge solid-state detector. Both the open and wedged beams with different field sizes were employed in the measurement. The profiles were measured in a water phantom at maximum dose depths of 5, 10, and 20 cm. The penumbra and width of the open-beam profiles were compared according to the types of the dosimeters and beam. The dose fall-off between the peak and 20% dose was evaluated for the wedged beam profiles.
Results:
In the open-beam measurement, the fall-off of the profile was steeper with the Edge detector, which has the smallest sensitive volume. Meanwhile, the dose in the out-of-field region was the smallest with the Edge detector. The widths of the penumbra were 6.10, 4.47, and 4.03 mm for the profile of the 3×3 cm 2 field measured by the CC13 chamber, Razor chamber, and Edge detector, respectively. The width of the profile was not changed even if different dosimeters were used in the measurement. The wedged beam profiles showed more clear peaks at the field edge when a smaller dosimeter was used.
Conclusions
The results demonstrate the necessity of dosimeters with a small sensitive volume for measuring a small-field beam or a steep dose gradient.
7.Evaluation of the Dosimeter Volume Effect on Small-Field Dosimetry Using the Elekta Harmony Pro Linear Accelerator
Hyojun PARK ; Jin JEGAL ; Yoonsuk HUH ; Inbum LEE ; Sung Hyun LEE ; Chang Heon CHOI ; Jung-In KIM ; Seonghee KANG
Progress in Medical Physics 2024;35(4):89-97
Purpose:
This study investigated the dose perturbation according to the size of the sensitive volume in the dosimeter in small-field dosimetry.
Methods:
The dose profiles with different field sizes were measured using three different dosimeters: the CC13, Razor ion chamber, and Edge solid-state detector. Both the open and wedged beams with different field sizes were employed in the measurement. The profiles were measured in a water phantom at maximum dose depths of 5, 10, and 20 cm. The penumbra and width of the open-beam profiles were compared according to the types of the dosimeters and beam. The dose fall-off between the peak and 20% dose was evaluated for the wedged beam profiles.
Results:
In the open-beam measurement, the fall-off of the profile was steeper with the Edge detector, which has the smallest sensitive volume. Meanwhile, the dose in the out-of-field region was the smallest with the Edge detector. The widths of the penumbra were 6.10, 4.47, and 4.03 mm for the profile of the 3×3 cm 2 field measured by the CC13 chamber, Razor chamber, and Edge detector, respectively. The width of the profile was not changed even if different dosimeters were used in the measurement. The wedged beam profiles showed more clear peaks at the field edge when a smaller dosimeter was used.
Conclusions
The results demonstrate the necessity of dosimeters with a small sensitive volume for measuring a small-field beam or a steep dose gradient.
8.Hyperbaric Oxygen Therapy for the Treatment of Chronic Prostatitis/Chronic Pelvic Pain Syndrome: Case Report
Kwang Jin KIM ; Yoonsuk LEE ; Yong Sung CHA ; Tae Wook KANG ; Hyun Chul CHUNG ; Hong CHUNG ; Hyun KIM ; Jae Hung JUNG
Urogenital Tract Infection 2024;19(2):44-47
Hyperbaric oxygen therapy (HBOT) was conducted on two male patients with chronic prostatitis/chronic pelvic pain syndrome who were resistant to conventional medical therapies. Both patients underwent 20 sessions of 100% oxygen inhalation (2.0 atmosphere absolute for 90 min/day, five days/week for four weeks) in a hyperbaric chamber. The follow-up period was three months. Although the patients reported a slight improvement in the pain domain of the National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI) after HBOT, no changes were noted in the other domains of NIH-CPSI and International Prostate Symptom Score. No adverse events were encountered during or after HBOT.
9.Hyperbaric Oxygen Therapy for the Treatment of Chronic Prostatitis/Chronic Pelvic Pain Syndrome: Case Report
Kwang Jin KIM ; Yoonsuk LEE ; Yong Sung CHA ; Tae Wook KANG ; Hyun Chul CHUNG ; Hong CHUNG ; Hyun KIM ; Jae Hung JUNG
Urogenital Tract Infection 2024;19(2):44-47
Hyperbaric oxygen therapy (HBOT) was conducted on two male patients with chronic prostatitis/chronic pelvic pain syndrome who were resistant to conventional medical therapies. Both patients underwent 20 sessions of 100% oxygen inhalation (2.0 atmosphere absolute for 90 min/day, five days/week for four weeks) in a hyperbaric chamber. The follow-up period was three months. Although the patients reported a slight improvement in the pain domain of the National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI) after HBOT, no changes were noted in the other domains of NIH-CPSI and International Prostate Symptom Score. No adverse events were encountered during or after HBOT.
10.Evaluation of the Dosimeter Volume Effect on Small-Field Dosimetry Using the Elekta Harmony Pro Linear Accelerator
Hyojun PARK ; Jin JEGAL ; Yoonsuk HUH ; Inbum LEE ; Sung Hyun LEE ; Chang Heon CHOI ; Jung-In KIM ; Seonghee KANG
Progress in Medical Physics 2024;35(4):89-97
Purpose:
This study investigated the dose perturbation according to the size of the sensitive volume in the dosimeter in small-field dosimetry.
Methods:
The dose profiles with different field sizes were measured using three different dosimeters: the CC13, Razor ion chamber, and Edge solid-state detector. Both the open and wedged beams with different field sizes were employed in the measurement. The profiles were measured in a water phantom at maximum dose depths of 5, 10, and 20 cm. The penumbra and width of the open-beam profiles were compared according to the types of the dosimeters and beam. The dose fall-off between the peak and 20% dose was evaluated for the wedged beam profiles.
Results:
In the open-beam measurement, the fall-off of the profile was steeper with the Edge detector, which has the smallest sensitive volume. Meanwhile, the dose in the out-of-field region was the smallest with the Edge detector. The widths of the penumbra were 6.10, 4.47, and 4.03 mm for the profile of the 3×3 cm 2 field measured by the CC13 chamber, Razor chamber, and Edge detector, respectively. The width of the profile was not changed even if different dosimeters were used in the measurement. The wedged beam profiles showed more clear peaks at the field edge when a smaller dosimeter was used.
Conclusions
The results demonstrate the necessity of dosimeters with a small sensitive volume for measuring a small-field beam or a steep dose gradient.

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