Evaluation of Artifacts and Distortions of Titanium Applicators on 3.0-Tesla MRI: Feasibility of Titanium Applicators in MRI-Guided Brachytherapy for Gynecological Cancer
- Department of Radiation Oncology, University of Iowa, Iowa City, IA (United States)
Purpose: The aim of this study was to characterize the levels of artifacts and distortions of titanium applicators on 3.0-Tesla magnetic resonance imaging (MRI). Methods and Materials: Fletcher-Suit-Delclos-style tandem and ovoids (T and O) and tandem and ring applicator (T and R) were examined. The quality assurance (QA) phantoms for each applicator were designed and filled with copper sulphate solution (1.5 g/l). The artifacts were quantified with the registration of corresponding computed tomography (CT) images. A favorable MR sequence was searched in terms of artifacts. Using the sequence, the artifacts were determined. The geometric distortions induced by the applicators were quantified through each registration of CT and MRI without applicators. The artifacts of T and O were also evaluated on in vivo MRI datasets of 5 patients. Results: T1-weighted MRI with 1-mm slice thickness was found as a favorable MR sequence. Applying the sequence, the artifacts at the tandem tip of T and O and T and R were determined as 1.5 {+-} 0.5 mm in a superior direction in phantom studies. In the ovoids of T and O, we found artifacts less than 1.5 {+-} 0.5 mm. The artifacts of a T and O tandem in vivo were found as less than 2.6 {+-} 1.3 mm on T1-weighted MRI, whereas less than 6.9 {+-} 3.4 mm on T2-weighted MRI. No more than 1.2 {+-} 0.6 mm (3.0 {+-} 1.5 mm) of distortions, due to a titanium applicator, were measured on T1-weighted MRI (T2-). Conclusion: In 3.0-Tesla MRI, we found the artifact widths at the tip of tandem were less than 1.5 {+-} 0.5 mm for both T and O and T and R when using T1-weighted MRI in phantom studies. However, exclusive 3.0-Tesla MRI-guided brachytherapy planning with a titanium applicator should be cautiously implemented.
- OSTI ID:
- 21587591
- Journal Information:
- International Journal of Radiation Oncology, Biology and Physics, Vol. 80, Issue 3; Other Information: DOI: 10.1016/j.ijrobp.2010.07.1981; PII: S0360-3016(10)02955-X; Copyright (c) 2011 Elsevier Science B.V., Amsterdam, The Netherlands, All rights reserved.; Country of input: International Atomic Energy Agency (IAEA); ISSN 0360-3016
- Country of Publication:
- United States
- Language:
- English
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BRACHYTHERAPY
CAT SCANNING
COPPER SULFATES
NEOPLASMS
NMR IMAGING
PHANTOMS
QUALITY ASSURANCE
TITANIUM
COMPUTERIZED TOMOGRAPHY
COPPER COMPOUNDS
DIAGNOSTIC TECHNIQUES
DISEASES
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MEDICINE
METALS
MOCKUP
NUCLEAR MEDICINE
OXYGEN COMPOUNDS
RADIOLOGY
RADIOTHERAPY
STRUCTURAL MODELS
SULFATES
SULFUR COMPOUNDS
THERAPY
TOMOGRAPHY
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