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Title: SU-E-P-13: Quantifying the Geometric Error Due to Irregular Motion in Four-Dimensional Computed Tomography (4DCT)

Purpose: Respiratory correlated 4DCT images are generated under the assumption of a regular breathing cycle. This study evaluates the error in 4DCT-based target position estimation in the presence of irregular respiratory motion. Methods: A custom-made programmable externally-and internally-deformable lung motion phantom was placed inside the CT bore. An abdominal pressure belt was placed around the phantom to mimic clinical 4DCT acquisitio and the motion platform was programmed with a sinusoidal (±10mm, 10 cycles per minute) motion trace and 7 motion traces recorded from lung cancer patients. The same setup and motion trajectories were repeated in the linac room and kV fluoroscopic images were acquired using the on-board imager. Positions of 4 internal markers segmented from the 4DCT volumes were overlaid upon the motion trajectories derived from the fluoroscopic time series to calculate the difference between estimated (4DCT) and “actual” (kV fluoro) positions. Results: With a sinusoidal trace, absolute errors of the 4DCT estimated markers positions vary between 0.78mm and 5.4mm and RMS errors are between 0.38mm to 1.7mm. With irregular patient traces, absolute errors of the 4DCT estimated markers positions increased significantly by 100 to 200 percent, while the corresponding RMS error values have much smaller changes. Significant mismatches weremore » frequently found at peak-inhale or peak-exhale phase. Conclusion: As expected, under conditions of well-behaved, periodic sinusoidal motion, the 4DCT yielded much better estimation of marker positions. When an actual patient trace is used 4DCT-derived positions showed significant mismatches with the fluoroscopic trajectories, indicating the potential for geometric and therefore dosimetric errors in the presence of cycle-to-cycle respiratory variations.« less
Authors:
 [1]
  1. UT Southwestern Medical Center, Dallas, TX (United States)
Publication Date:
OSTI Identifier:
22486666
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; COMPUTERIZED TOMOGRAPHY; ERRORS; IMAGES; LINEAR ACCELERATORS; LUNGS; NEOPLASMS; PATIENTS; PERIODICITY; PHANTOMS