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2018 ; 19
(1
): 174-183
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Investigation of the radiation dose from cone-beam CT for image-guided
radiotherapy: A comparison of methodologies
#MMPMID29265684
Buckley JG
; Wilkinson D
; Malaroda A
; Metcalfe P
J Appl Clin Med Phys
2018[Jan]; 19
(1
): 174-183
PMID29265684
show ga
Four methodologies were evaluated for quantifying kilovoltage cone-beam computed
tomography (CBCT) dose: the Cone-Beam Dose Index (CBDI), IAEA Report 5
recommended methodology (IAEA), the AAPM Task Group 111 methodology (TG111), and
the current dose metric; the Computed Tomography Dose Index (CTDI) on two
commercial Varian cone-beam CT imaging systems; the Clinac iX On-Board Imager
(OBI); and the TrueBeam X-ray Imaging system (XI). The TG111 methodology measured
the highest overall dose (21.199 ± 0.035 mGy OBI and 22.420 ± 0.002 XI for pelvis
imaging) due to the full scatter of the TG111 phantom and was within 5% of CTDI
measurements taken using a full scatter TG111 phantom and 30-cm film strips. CBDI
measured the second highest overall dose, within 10% of the TG111, with IAEA
measuring the third highest dose. For head CBCT protocols, CBDI measured the
highest dose, followed by IAEA. The CTDI method measured lowest across all scan
modes highlighting its limitations for CBCT dosimetry. The XI imaging system
delivered lower doses for head and thorax scan modes and similar doses to the OBI
system for pelvis scan modes due to additional beam hardening filtration in the
XI system. The TG111 method measured the highest dose in the center of a CBCT
scan during image guidance procedures; however, CBDI provided a good
approximation to TG111 with existing CTDI equipment and may be more applicable
clinically.