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Title: SU-E-J-19: An Intra-Institutional Study of Cone-Beam CT Dose for Image-Guided Radiation Therapy

Abstract

Purpose: To determine the variability of Cone-Beam CT Dose Index (CB-CTDI) across multiple on-board imaging (OBI) systems within a single institution, and compare this to manufacturer provided data. Methods: The CB-CTDI was measured on three Trilogy and three TrueBeam Varian OBI systems, for six different clinically used scan protocols. Measurements were taken using a 10 cm long CT ionization chamber in either a 16 cm (head-simulating) or 32 cm (body-simulating) diameter, acrylic, cylindrical, 15 cm long CTDI phantom. We assessed the variation in CB-CTDI between the OBI systems and compared our measured values to the data provided by the manufacturer. Results: The standard error in the CB-CTDI measured for all protocols was found to be within ±2% and ±5% of the mean for TrueBeam and Trilogy, respectively. For all head scan protocols, the measured TrueBeam values were lower than the manufacturer’s reported values, with a maximum difference of 13.9% and an average difference of 11%. For the body scan protocols, the TrueBeam measured values were 3% and 13% greater than the manufacturer’s reported values for two out of three protocols, and 38% lower than reported for the third protocol. In total, 7/18 CB-CTDI measurements fell within the manufacturers specified rangemore » (±10%). Across all scans the Truebeam machines were found to have a lower CB-CTDI than Trilogy, particularly the head scan protocols, which show decreases of up to 30% . Conclusion: The intra-institutional variation of CB-CTDI was found to be clinically acceptable at less than 5%. For the TrueBeam OBI system, over half of the measured scans failed to fall with in the manufactured quoted range of 10%, however, all measured values were within 15% of the manufacturer’s reported values. For accurate assessment and reporting of imaging dose to radiotherapy patients, our results indicate a need for standardization in CB-CTDI measurement technique.« less

Authors:
 [1];  [2]; ; ;  [1]
  1. Washington University School of Medicine, Saint Louis, MO (United States)
  2. (United States)
Publication Date:
OSTI Identifier:
22494047
Resource Type:
Journal Article
Resource Relation:
Journal Name: Medical Physics; Journal Volume: 42; Journal Issue: 6; Other Information: (c) 2015 American Association of Physicists in Medicine; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
60 APPLIED LIFE SCIENCES; BIOMEDICAL RADIOGRAPHY; COMPUTERIZED TOMOGRAPHY; CYLINDRICAL CONFIGURATION; HEAD; IMAGES; IONIZATION CHAMBERS; PHANTOMS; RADIATION DOSES; RADIOTHERAPY

Citation Formats

Knutson, N, Present Address: Mount Sinai Roosevelt Hospital, New York, NY, Rankine, L, Reilly, M, and Li, H. SU-E-J-19: An Intra-Institutional Study of Cone-Beam CT Dose for Image-Guided Radiation Therapy. United States: N. p., 2015. Web. doi:10.1118/1.4924106.
Knutson, N, Present Address: Mount Sinai Roosevelt Hospital, New York, NY, Rankine, L, Reilly, M, & Li, H. SU-E-J-19: An Intra-Institutional Study of Cone-Beam CT Dose for Image-Guided Radiation Therapy. United States. doi:10.1118/1.4924106.
Knutson, N, Present Address: Mount Sinai Roosevelt Hospital, New York, NY, Rankine, L, Reilly, M, and Li, H. Mon . "SU-E-J-19: An Intra-Institutional Study of Cone-Beam CT Dose for Image-Guided Radiation Therapy". United States. doi:10.1118/1.4924106.
@article{osti_22494047,
title = {SU-E-J-19: An Intra-Institutional Study of Cone-Beam CT Dose for Image-Guided Radiation Therapy},
author = {Knutson, N and Present Address: Mount Sinai Roosevelt Hospital, New York, NY and Rankine, L and Reilly, M and Li, H},
abstractNote = {Purpose: To determine the variability of Cone-Beam CT Dose Index (CB-CTDI) across multiple on-board imaging (OBI) systems within a single institution, and compare this to manufacturer provided data. Methods: The CB-CTDI was measured on three Trilogy and three TrueBeam Varian OBI systems, for six different clinically used scan protocols. Measurements were taken using a 10 cm long CT ionization chamber in either a 16 cm (head-simulating) or 32 cm (body-simulating) diameter, acrylic, cylindrical, 15 cm long CTDI phantom. We assessed the variation in CB-CTDI between the OBI systems and compared our measured values to the data provided by the manufacturer. Results: The standard error in the CB-CTDI measured for all protocols was found to be within ±2% and ±5% of the mean for TrueBeam and Trilogy, respectively. For all head scan protocols, the measured TrueBeam values were lower than the manufacturer’s reported values, with a maximum difference of 13.9% and an average difference of 11%. For the body scan protocols, the TrueBeam measured values were 3% and 13% greater than the manufacturer’s reported values for two out of three protocols, and 38% lower than reported for the third protocol. In total, 7/18 CB-CTDI measurements fell within the manufacturers specified range (±10%). Across all scans the Truebeam machines were found to have a lower CB-CTDI than Trilogy, particularly the head scan protocols, which show decreases of up to 30% . Conclusion: The intra-institutional variation of CB-CTDI was found to be clinically acceptable at less than 5%. For the TrueBeam OBI system, over half of the measured scans failed to fall with in the manufactured quoted range of 10%, however, all measured values were within 15% of the manufacturer’s reported values. For accurate assessment and reporting of imaging dose to radiotherapy patients, our results indicate a need for standardization in CB-CTDI measurement technique.},
doi = {10.1118/1.4924106},
journal = {Medical Physics},
number = 6,
volume = 42,
place = {United States},
year = {Mon Jun 15 00:00:00 EDT 2015},
month = {Mon Jun 15 00:00:00 EDT 2015}
}