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10.1002/acm2.12293

http://scihub22266oqcxt.onion/10.1002/acm2.12293
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suck abstract from ncbi


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pmid29479821
      J+Appl+Clin+Med+Phys 2018 ; 19 (2 ): 249-257
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  • Patient-specific calibration of cone-beam computed tomography data sets for radiotherapy dose calculations and treatment plan assessment #MMPMID29479821
  • MacFarlane M ; Wong D ; Hoover DA ; Wong E ; Johnson C ; Battista JJ ; Chen JZ
  • J Appl Clin Med Phys 2018[Mar]; 19 (2 ): 249-257 PMID29479821 show ga
  • PURPOSE: In this work, we propose a new method of calibrating cone beam computed tomography (CBCT) data sets for radiotherapy dose calculation and plan assessment. The motivation for this patient-specific calibration (PSC) method is to develop an efficient, robust, and accurate CBCT calibration process that is less susceptible to deformable image registration (DIR) errors. METHODS: Instead of mapping the CT numbers voxel-by-voxel with traditional DIR calibration methods, the PSC methods generates correlation plots between deformably registered planning CT and CBCT voxel values, for each image slice. A linear calibration curve specific to each slice is then obtained by least-squares fitting, and applied to the CBCT slice's voxel values. This allows each CBCT slice to be corrected using DIR without altering the patient geometry through regional DIR errors. A retrospective study was performed on 15 head-and-neck cancer patients, each having routine CBCTs and a middle-of-treatment re-planning CT (reCT). The original treatment plan was re-calculated on the patient's reCT image set (serving as the gold standard) as well as the image sets produced by voxel-to-voxel DIR, density-overriding, and the new PSC calibration methods. Dose accuracy of each calibration method was compared to the reference reCT data set using common dose-volume metrics and 3D gamma analysis. A phantom study was also performed to assess the accuracy of the DIR and PSC CBCT calibration methods compared with planning CT. RESULTS: Compared with the gold standard using reCT, the average dose metric differences were ? 1.1% for all three methods (PSC: -0.3%; DIR: -0.7%; density-override: -1.1%). The average gamma pass rates with thresholds 3%, 3 mm were also similar among the three techniques (PSC: 95.0%; DIR: 96.1%; density-override: 94.4%). CONCLUSIONS: An automated patient-specific calibration method was developed which yielded strong dosimetric agreement with the results obtained using a re-planning CT for head-and-neck patients.
  • |*Algorithms [MESH]
  • |*Phantoms, Imaging [MESH]
  • |Calibration [MESH]
  • |Cone-Beam Computed Tomography/methods/*standards [MESH]
  • |Head and Neck Neoplasms/*radiotherapy [MESH]
  • |Humans [MESH]
  • |Image Processing, Computer-Assisted/methods [MESH]
  • |Prognosis [MESH]
  • |Radiotherapy Dosage [MESH]
  • |Radiotherapy Planning, Computer-Assisted/*methods [MESH]
  • |Radiotherapy, Intensity-Modulated/*methods [MESH]


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