In recent years, by making digitally reconstructed radiographs (DRR) from helical CT images in the position check of an irradiation field, the verification performed by DRR, lineacgraphy (LG), or an electronic portal imaging device (EPID) has become possible. We examined the optimal parameters of single-slice helical scanning in DRR image construction and the usefulness of DRR replaced with the simulation film. We performed a section sensitivity profile at the Z-axis (SSPz) as evaluation of a physical characteristic of helical CT equipment and the form of image of DRR, fixed quantity evaluation of imaging distortion, and visual verification of images. It was determined that DRR was influenced by the partial volume effect depending on slice thickness and pitch, such that this influence occurred when slice thickness and pitch were large. Between a simulation film and DRR reconstructed using imaging parameters with a slice thickness of 3 mm, pitch of 1.0, and reconstruction slice thickness of 3 mm, coincidence was not complete. However, the distortion of DRR was small and the difference was not statistically; thus it was considered to be useful. In conclusion, we consider that DRR reconstructed using the parameters of single-slice helical scanning is useful for clinical evaluation in radiotherapy planning.
[1]
Suresh Senan,et al.
Procedures for high precision setup verification and correction of lung cancer patients using CT-simulation and digitally reconstructed radiographs (DRR).
,
2003,
International journal of radiation oncology, biology, physics.
[2]
J. Palta,et al.
Comprehensive QA for radiation oncology: report of AAPM Radiation Therapy Committee Task Group 40.
,
1994,
Medical physics.
[3]
C Yang,et al.
Use of digitally reconstructed radiographs in radiotherapy treatment planning and verification.
,
2000,
Australasian radiology.
[4]
J C Stroom,et al.
Inclusion of geometrical uncertainties in radiotherapy treatment planning by means of coverage probability.
,
1999,
International journal of radiation oncology, biology, physics.