skip to main content
OSTI.GOV title logo U.S. Department of Energy
Office of Scientific and Technical Information

Title: An organ and effective dose study of XVI and OBI cone‐beam CT systems

Journal Article · · Journal of Applied Clinical Medical Physics
 [1];  [2];  [2];  [3];  [1]
  1. Department of Nuclear and Radiological Engineering University of Florida Gainesville FL
  2. Department of Radiation Oncology Mayo Clinic Jacksonville FL
  3. Department of Radiation Oncology University of Florida Gainesville FL USA

The main purpose of this work was to quantify patient organ doses from the two kilovoltage cone beam computed tomography (CBCT) systems currently available on medical linear accelerators, namely the X‐ray Volumetric Imager (XVI, Elekta Oncology Systems) and the On‐Board Imager (OBI, Varian Medical Systems). Organ dose measurements were performed using a fiber‐optic coupled (FOC) dosimetry system along with an adult male anthropomorphic phantom for three different clinically relevant scan sites: head, chest, and pelvis. The FOC dosimeter was previously characterized at diagnostic energies by Hyer et al. [Med Phys 2009;36(5):1711–16] and a total uncertainty of approximately 4% was found for in‐phantom dose measurements. All scans were performed using current manufacturer‐installed clinical protocols and appropriate bow‐tie filters. A comparison of image quality between these manufacturer‐installed protocols was also performed using a Catphan 440 image quality phantom. Results indicated that for the XVI, the dose to the lens of the eye (1.07 mGy) was highest in a head scan, thyroid dose (19.24 mGy) was highest in a chest scan, and gonad dose (29 mGy) was highest in a pelvis scan. For the OBI, brain dose (3.01 mGy) was highest in a head scan, breast dose (5.34 mGy) was highest in a chest scan, and gonad dose (34.61 mGy) was highest in a pelvis scan. Image quality measurements demonstrated that the OBI provided superior image quality for all protocols, with both better spatial resolution and low‐contrast detectability. The measured organ doses were also used to calculate a reference male effective dose to allow further comparison of the two machines and imaging protocols. The head, chest, and pelvis scans yielded effective doses of 0.04, 7.15, and 3.73 mSv for the XVI, and 0.12, 1.82, and 4.34 mSv for the OBI, respectively. PACS number: 87.57.uq

Research Organization:
Univ. of Florida, Gainesville, FL (United States)
Sponsoring Organization:
USDOE Office of Nuclear Energy (NE); Center for Disease Control (CDC)
Grant/Contract Number:
#DE‐GF07‐05ID14700; FG07-05ID14700
OSTI ID:
1524489
Alternate ID(s):
OSTI ID: 1904837
Journal Information:
Journal of Applied Clinical Medical Physics, Journal Name: Journal of Applied Clinical Medical Physics Vol. 11 Journal Issue: 2; ISSN 1526-9914
Publisher:
Wiley Blackwell (John Wiley & Sons)Copyright Statement
Country of Publication:
United States
Language:
English
Citation Metrics:
Cited by: 45 works
Citation information provided by
Web of Science

References (24)

Characterization of a water-equivalent fiber-optic coupled dosimeter for use in diagnostic radiology: Characterization of water-equivalent fiber-optic coupled dosimeter journal April 2009
Phantom and in-vivo measurements of dose exposure by image-guided radiotherapy (IGRT): MV portal images vs. kV portal images vs. cone-beam CT journal December 2007
Emergent Technologies for 3-Dimensional Image-Guided Radiation Delivery journal July 2005
Patient dose from kilovoltage cone beam computed tomography imaging in radiation therapy: Patient dose from kilovoltage cone beam CT journal May 2006
Dose delivered from Varian's CBCT to patients receiving IMRT for prostate cancer journal April 2007
AAPM protocol for 40-300 kV x-ray beam dosimetry in radiotherapy and radiobiology journal June 2001
Assessment of patient organ doses and effective doses using the VIP-Man adult male phantom for selected cone-beam CT imaging procedures during image guided radiation therapy journal July 2008
Estimation of organ and effective doses resulting from cone beam CT imaging for radiotherapy treatment planning journal July 2009
Radiation-induced light in optical fibers and plastic scintillators: application to brachytherapy dosimetry journal June 1996
Organ and effective dose evaluation in diagnostic radiology based on in-phantom dose measurements with novel photodiode-dosemeters journal January 2006
Hybrid computational phantoms of the 15-year male and female adolescent: Applications to CT organ dosimetry for patients of variable morphometry: Hybrid computational phantoms of the 15-year adolescent journal May 2008
A dose comparison study between XVI ® and OBI ® CBCT systems : Dose comparison between XVI and OBI journal January 2008
Construction of anthropomorphic phantoms for use in dosimetry studies journal June 2009
Radiation Dose From Cone Beam Computed Tomography for Image-Guided Radiation Therapy journal January 2008
Evaluation of exposure dose to patients undergoing catheter ablation procedures—a phantom study journal May 2008
Comparison of radiation doses between cone beam CT and multi detector CT: TLD measurements journal October 2008
Cone-beam CT for radiotherapy applications journal November 1995
A feasibility study for image guided radiotherapy using low dose, high speed, cone beam X-ray volumetric imaging journal October 2005
Hybrid computational phantoms of the male and female newborn patient: NURBS-based whole-body models journal May 2007
Gated fiber-optic-coupled detector for in vivo real-time radiation dosimetry journal January 2004
Influence of the stem effect on radioluminescence signals from optical fibre Al2O3:C dosemeters journal June 2006
Comparison of peripheral dose from image-guided radiation therapy (IGRT) using kV cone beam CT to intensity-modulated radiation therapy (IMRT) journal December 2008
Imaging doses from the Elekta Synergy X-ray cone beam CT system journal June 2007
A multi-platform approach to image guided radiation therapy (IGRT) journal March 2006