The purpose of this work was to evaluate computed tomography (CT) simulators
used in radiotherapy treatment planning in Serbia, Croatia and Bosnia and
Herzegovina. A survey of quality assurance programmes of 24 CT simulators
in 16 facilities was conducted. Dedicated CT-to-ED phantom was scanned at
120 kV and 140 kV, to obtain CT-to-ED (ED- Electron Density) conversion
curves as well as CTDIvol. Thoracal phantoms were scanned in standard and
extended field of view to evaluate dosimetric effect on treatment planning
and delivery. Mean age of measured scanners was 5.5 years. The mean water HU
value was -6.5 (all scanners, all voltages) and air HU value was -997.
Extended field of view CT data differ from standard field of view and
differences between conversion curves have significant dosimetric impact.
The CTDI data showed large range of values between centers. Better QA of CT
simulators in all countries is recommended. CT-to-ED curve could be used as
default at one voltage and per manufacturer. Extended field of view imaging
can be used, but treatment planning should be avoided in the regions out of
standard field of view.