TH-D-210A-01: Exploration of Soft-Tissue Visualization at Low Dose Using Flat-Panel Imagers Incorporating Thick, Segmented Scintillators for Megavoltage Cone-Beam CT

2009 ◽  
Vol 36 (6Part28) ◽  
pp. 2818-2818
Author(s):  
Y El-Mohri ◽  
L Antonuk ◽  
Q Zhao ◽  
Y Wang ◽  
H Du ◽  
...  
2005 ◽  
Vol 32 (6Part19) ◽  
pp. 2131-2131 ◽  
Author(s):  
F Ghelmansarai ◽  
A Bani-Hashemi ◽  
J Pouliot ◽  
E Calderon ◽  
P Hernandez ◽  
...  

Author(s):  
Jean Pouliot ◽  
Ali Bani-Hashemi ◽  
Josephine Chen ◽  
Michelle Svatos ◽  
Farhad Ghelmansarai ◽  
...  

2006 ◽  
Vol 33 (6Part23) ◽  
pp. 2288-2288 ◽  
Author(s):  
G Virshup ◽  
R Suri ◽  
J Star-Lack

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P77-P78
Author(s):  
Richard A Zoumalan ◽  
Kathryn Shouyee Yung ◽  
Edwin Wang ◽  
Richard A Lebowitz ◽  
Joseph B Jacobs

Objective Flat panel cone beam CT is a relatively new technology that improves upon traditional multidetector CT scanners by generating images with greater spatial resolution at lower radiation doses. 1) Learn whether flat panel cone beam CT evaluation is an effective imaging modality for the sinuses. 2) Learn which doses of radiation provide quality evaluation of the sinuses while exposing the patient to the least amount of radiation. Methods In 2007, a panel consisting of neuroradiologists and otolaryngologists blindly reviewed images from flat panel sinus CTs (Xoran MiniCAT) of 11 live human subjects, each irradiated at all 3 different techniques (denoted as: low dose mAs=9.27, medium dose mAs = 18.41, high dose mAs=36.7) and rated the image quality of a pre-designated list of sinus anatomic structures. Techniques were compared in a pairwise manner using a Wilcoxon matched-pairs signed ranks test. Results Compared to the low dose technique CT scan, the high dose CT scan technique had significantly better image quality (P=.0029) and image noise (P=.0049). Similarly, the medium dose CT scan technique had significantly better image quality (P=.0020) and image noise (P = .0010) compared to the low dose technique. No difference in image quality and image noise existed between the medium and high dose techniques. No difference in visualization of 13 specific anatomic structures existed between any of the dose techniques. Conclusions Lower dose CT techniques achieved by flat panel cone beam CT may be an effective and safe alternative to traditional multidetector CT scanners. This imaging modality may help patients avoid unnecessary radiation to sensitive organs.


2003 ◽  
Vol 57 (2) ◽  
pp. S183-S184 ◽  
Author(s):  
J Pouliot ◽  
P Xia ◽  
M Aubin ◽  
L Verhey ◽  
A Bani-Hashemi ◽  
...  

2011 ◽  
Vol 56 (6) ◽  
pp. 1509-1527 ◽  
Author(s):  
Youcef El-Mohri ◽  
Larry E Antonuk ◽  
Qihua Zhao ◽  
Richard B Choroszucha ◽  
Hao Jiang ◽  
...  

2005 ◽  
Author(s):  
Farhad A. Ghelmansarai ◽  
Ali Bani-Hashemi ◽  
Jean Pouliot ◽  
Ed Calderon ◽  
Paco Hernandez ◽  
...  

2013 ◽  
Author(s):  
Adam S. Wang ◽  
Sebastian Schafer ◽  
J. W. Stayman ◽  
Yoshi Otake ◽  
Marc S. Sussman ◽  
...  

2007 ◽  
Vol 6 (03) ◽  
pp. 173-178 ◽  
Author(s):  
M. Broderick ◽  
G. Menezes ◽  
M. Leech ◽  
M. Coffey ◽  
R. Appleyard

AbstractAs more and more patients are planned in 3D, the need to verify their position and treatment in 3D also becomes apparent. Megavoltage (MV) and kilovoltage (KV) cone beam computed tomography (CBCT) provide 3D verification of patient position. However, the soft tissue contrast and thus the accuracy of delineation is superior with KV CT imaging. CBCT in conjunction with energy fluence maps from electronic portal imaging devices (EPIDs) could theoretically be used to verify the dose delivered. In this instance, a cross calibration between the KV CBCT and the EPID would be required which would not be necessary with MV CBCT. Adaptive planning with CBCT poses similar challenges for both KV and MV CBCT. Although KV CBCT can produce images with Hounsfield units (HUs) comparable with conventional CT in homogenous phantoms there are large discrepancies in inhomogeneous mediums. If the cupping artefact is corrected for in MV CBCT, the HU values can compare well with KV CBCT for homogenous media. However, advances need to be made to achieve a lower patient dose with MV CBCT. At present, the lower dose required for KV CBCT allows for more frequent imaging and better image quality.


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