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뇌경막 동정맥루를 동반한 장기간 지속된 외상성 경동맥-해면정맥동루 - 증례보고 -
박경범,박인성,김준수,김기정,황수현,김은상,정진명,한종우,김재형,Park, Kyung Bum,Park, In Sung,Kim, Joon Soo,Kim, Ki Jeong,Hwang, Soo Hyun,Kim, Eun-Sang,Jung, Jin-Myung,Han, Jong Woo,Kim, Jae Hyung 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.1
Traumatic carotid-cavernous fistula is a rare complication of moderate to severe head injury. For the treatment of carotid-cavernous fistula, detachable balloon occlusion is the best method of choice. A 26 year old male patient was hurt with a left periorbital penetrating injury 20 years ago, and then left side exophthalmos, bruit and right hemiparesis developed 10 years later. We experienced the very rare case of direct carotidcavernous fistula with cavernous dural arteriovenous fistula. Brain MRIs and cerebral angiograms revealed that direct carotid-cavernous fistula was accompanied by cavernous dural arteriovenous fistula due to longstanding venous hypertension and development of collateral circulation. Detachable balloon occlusion and surgical internal carotid artery ligation were not enough to occlude fistular flow, so cavernous dural arteriovenous fistula embolization was necessary. The authors present a case of long-standing traumatic carotid-cavernous fistula with cavernous dural arteriovenous fistula, with review of the literature.
폐전이를 보인 경-흉추 이행부 악성 신경초종 1례 - 증 례 보 고 -
박경범,황수현,김준수,김기정,박인성,김은상,정진명,한종우,Park, Kyung Bum,Hwang, Soo Hyun,Kim, Joon Soo,Kim, Ki Jeong,Park, In Sung,Kim, Eun-Sang,Jung, Jin-Myung,Han, Jong Woo 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.11
Acase of malignant schwannoma in the cervico-thoracic region with lung metastasis is presented. The patient was 55-year-old man presented with right arm weakness. Magnetic resonance image demonstrated lobulated enhancing soft tissue masses in spinal canal, neural foramen and right paraspinal space at C7-T1 level compressing the dural sac and spinal cord. Subtotal removal was performed and histological diagnosis of malignant schwannoma was made. Reoperation due to recurrence was done but subsequent metastasis to lung was observed.
압전 캔틸레버 구조와 차량하중 전달방법에 따른 도로용 에너지 하베스터의 설계 및 평가
김창일,김경범,정영훈,이영진,조정호,백종후,강인석,이무용,최범진,박신서,조영봉,남산,Kim, Chang-Il,Kim, Kyung-Bum,Jeong, Young-Hun,Lee, Young-Jin,Cho, Jeong-Ho,Paik, Jong-Hoo,Kang, In-Seok,Lee, Moo-Yong,Choi, Beom-Jin,Park, Shin-Seo,Cho, 한국전기전자재료학회 2012 전기전자재료학회논문지 Vol.25 No.10
A road energy harvester was designed and fabricated to convert mechanical energy from the vehicle load to electrical energy. The road energy harvester is composed of 16 piezoelectric cantilevers. We fabricated prototypes using a vehicle load transfer mechanism. Applying a vehicle load transfer mechanism rather than directly installing energy harvesters under roads decreases the area of road construction and allows more energy harvesters to be installed on the side of the road. The power generation amount with respect to the vehicular velocity change was assessed by installing the vehicle load transfer mechanism form and underground form. The energy harvester installed in the underground form generated power of 4.52 mJ at the vehicular velocity of 50 km/h. Also, power generation of the energy harvester installed in the vehicle load transfer mechanism form was 48.65 mJ at the vehicular velocity of 50 km/h.
이광호 ( Kwang Ho Lee ),박경범 ( Kyung Bum Park ),정진명 ( Jin Myung Jung ),이정희 ( Jung Hee Lee ) 대한뇌종양학회·대한신경종양학회·대한소아뇌종양학회 2011 대한뇌종양학회지 Vol.10 No.2
A 59-year-old female with a 3 month history of dysarthria was presented with confusion and depression without facial palsy. Magnetic resonance imaging (MRI) revealed a huge mass in the left middle cranial fossa. We performed a left fron-to-temporal craniotomy. Microscopic study showed that the tumor was a schwannoma. The patient suffered from facial palsy and cerebrospinal fluid (CSF) rhinorrhea during the postoperative period. Postoperative temporal bone computed tomography (CT) scans and MRI revealed a destructive process in the superior portion of the left petrous portion of the temporal bone and a tumor arising from the geniculate ganglion. A extradural middle fossa approach was employed and the mass was removed. The patient`s CSF rhinorrhea was resolved, but facial palsy of House-Brackmann grade 3 remained after surgery. Neurosurgeons should remain aware of the possibility of consider facial nerve schwannomas when treating tumors extending to the middle cranial fossa even in the absence of facial palsy.
사이버나이프를 이용한 무고정틀 두개 방사선 수술 중 발생한 환자의 치료 중 움직임 분석
강기문,채규영,정배권,하인봉,박경범,정진명,임영경,정호진,Kang, Ki Mun,Chai, Gyu Young,Jeong, Bae Gwon,Ha, In-Bong,Park, Kyung Bum,Jung, Jin-Myung,Lim, Young Kyung,Jeong, Hojin 한국의학물리학회 2012 의학물리 Vol.23 No.3
무고정틀 두개 방사선 시술은 두개 고정틀 방식에 비해 환자 친화적이며 다중 분할 치료의 적용이 용이하다는 장점을 가진다. 그러나, 환자의 움직임을 완전히 제어할 수 없기 때문에 치료 중 움직임으로 인해 시술의 정확도가 영향을 받을 수 있다. 본 연구에서는 종양 추적 방식의 무고정틀 방사선 치료를 시행 받은 환자의 실제 치료 기록을 분석하여 무고정틀 방사선 치료 시 발생할 수 있는 치료 중 환자의 움직임을 분석하였다. 사이버나이프(CyberKnife, Accuray Inc, CA)를 이용한 294회의 뇌종양 방사선 수술 기록을 분석하였으며, 이를 토대로 치료시간에 따른 치료 중 움직임의 크기를 통계적으로 제시하였다. 본 연구의 결과는 무고정틀 방사선 수술 시 고려되어야 할 치료 중 움직임에 대한 기본 지표로 활용될 수 있을 것으로 생각된다. Frameless method in brain radiosurgery has advantages relative to rigid head-frame method in terms of patient friendly and flexible application of multi-fractionation. However, it has also disadvantages and the most negative point is that it cannot control the patient motion during treatment as lowly as the level of the frame-based radiosurgery, which could affect to the treatment accuracy. In the present study, we analyzed the geometric uncertainty of the intra-fraction motion using the actual treatment records of 294-CyberKnife treatments for brain tumors. Based on the analysis, we statistically presented the magnitude of intra-fraction motion in frameless radiosurgy. The result could provide the quantitative information to determine the adequate treatment margins to compensate the intra-fraction movements.
폐암환자의 종양추적 정위방사선치료를 위한 삼차원 및 사차원 방사선치료계획의 비교
채규영(Gyu Young Chai),임영경(Young Kyung Lim),강기문(Ki Mun Kang),정배권(Bae Gwon Jeong),하인봉(In-Bong Ha),박경범(Kyung Bum Park),정진명(Jin-Myung Jung),김동욱(Dongwook Kim) 대한방사선종양학회 2010 Radiation Oncology Journal Vol.28 No.4
목 적: 폐암환자의 종양추적 정위방사선치료에서 삼차원 및 사차원치료계획의 선량분포 차이를 비교하였고 선량계산 알고리즘에 따른 폐의 비균질성 보정 결과에 커다란 차이가 있음을 확인하고자 하였다. 대상 및 방법: 7명의 폐암환자를 대상으로 전향적 호흡동조된 사차원 컴퓨터단층촬영 영상을 얻었다. 획득한 영상은 환자의 호흡에 대응하는 10개의 삼차원단층촬영 영상이며 이를 바탕으로 사차원치료계획이 수립되었다. 사차원 치료계획에서는 종양과 주변장기의 움직임을 고려하여 X선의 방향과 선량분포를 최적화한다. 사차원치료계획에서 최적화된 빔을 호흡의 50% 위상에 해당하는 한 개의 삼차원단층촬영 영상에 동일하게 적용하여 삼차원치료계획을 만들었다. 삼차원 및 사차원 치료계획에서 선량계산을 위하여 각각 Ray-tracing과 몬테칼로 알고리즘을 사용하였다. 수립된 4개의 치료계획에서 처방선량의 종양체적 포함률, 종양체적의 95%를 포함하는 선량인 D95, 종양의 최대선량, 그리고 척수의 최대선량을 비교하였고 종양의 위치에 대한 연관성도 함께 고찰하였다. 결 과: 몬테칼로 알고리즘을 사용한 삼차원 및 사차원 치료계획에서 종양이 폐의 하엽에 위치해 있는 경우에는 사차원치료계획에서 종양 포함률이 평균 4.4% 높았던 반면에 종양이 폐의 중엽이나 상엽에 위치해 있는 경우에는 반대로 평균 4.6% 낮았다. 또한, D95도 종양이 폐의 하엽에 위치해 있는 경우에는 사차원치료계획에서 평균 4.8% 높았던 반면에 종양이 폐의 중엽이나 상엽에 위치해 있는 경우에는 반대로 평균 1.7% 낮았다. 척수의 최대선량에 대한 비교에서도 종양과 유사한 경향이 나타났다. 치료계획의 차원과 무관하게 Ray-tracing과 몬테칼로 알고리즘 사이의 선량계산 차이는 평균 30% 정도로 몬테칼로 알고리즘을 사용하였을 때 처방선량이 포함하는 종양의 부피는 크게 줄어들었다. 결 론: 폐 종양의 삼차원 및 사차원 치료계획 사이의 차이를 종양과 척수의 선량분포를 통해 비교하였다. 두 치료계획 사이에서 planning target volume (PTV) 포함률이나 D95와 같이 종양과 관련된 선량학적 인자들의 차이 또는 척수의 최대선량 차이는 종양의 이동크기와 형태변화의 정도에 밀접하게 연관되어 있는 것으로 나타났다. 또한, 치료계획의 차원과 무관하게 몬테칼로 알고리즘을 사용하면 처방선량이 포함하는 PTV 포함률이나 D95가 크게 줄어드는 것을 확인하였다. Purpose: To compare the dose distributions between three-dimensional (3D) and four-dimensional (4D) radiation treatment plans calculated by Ray-tracing or the Monte Carlo algorithm, and to highlight the difference of dose calculation between two algorithms for lung heterogeneity correction in lung cancers. Materials and Methods: Prospectively gated 4D CTs in seven patients were obtained with a Brilliance CT64-Channel scanner along with a respiratory bellows gating device. After 4D treatment planning with the Ray Tracing algorithm in Multiplan 3.5.1, a CyberKnife stereotactic radiotherapy planning system, 3D Ray Tracing, 3D and 4D Monte Carlo dose calculations were performed under the same beam conditions (same number, directions, monitor units of beams). The 3D plan was performed in a primary CT image setting corresponding to middle phase expiration (50%). Relative dose coverage, D95 of gross tumor volume and planning target volume, maximum doses of tumor, and the spinal cord were compared for each plan, taking into consideration the tumor location. Results: According to the Monte Carlo calculations, mean tumor volume coverage of the 4D plans was 4.4% higher than the 3D plans when tumors were located in the lower lobes of the lung, but were 4.6% lower when tumors were located in the upper lobes of the lung. Similarly, the D95 of 4D plans was 4.8% higher than 3D plans when tumors were located in the lower lobes of lung, but was 1.7% lower when tumors were located in the upper lobes of lung. This tendency was also observed at the maximum dose of the spinal cord. Lastly, a 30% reduction in the PTV volume coverage was observed for the Monte Carlo calculation compared with the Ray-tracing calculation. Conclusion: 3D and 4D robotic radiotherapy treatment plans for lung cancers were compared according to a dosimetric viewpoint for a tumor and the spinal cord. The difference of tumor dose distributions between 3D and 4D treatment plans was only significant when large tumor movement and deformation was suspected. Therefore, 4D treatment planning is only necessary for large tumor motion and deformation. However, a Monte Carlo calculation is always necessary, independent of tumor motion in the lung.