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Original Article

Korean Journal of Medical Physics 2010; 21(4): 360-366

Published online December 25, 2010

Copyright © Korean Society of Medical Physics.

Digital Tomosynthesis for Patient Alignment System Using Half-fan Mode CBCT Projection Images

Half-fan 모드를 이용한 방사선치료환자 위치교정을 위한 디지털영상 합성영상기술에 관한 예비연구

Justin C. Park, Sung Ho Park*, Jin Sung Kim, Youngyih Han, Sang-Gyu Ju, Eunhyuk Shin, Jung Suk Shin, Hee-Chul Park, Yong Chan Ahn, Willian Y. Song

박천주ㆍ박성호*ㆍ김진성ㆍ한영이ㆍ주상규ㆍ신은혁ㆍ신정석ㆍ박희철ㆍ안용찬ㆍWilliam Y. Song

Department of Radiation Oncology, *Asan Medical Center, Samsung Medical Center, Seoul, Korea,University of California, San Diego, USA

*서울아산병원 방사선종양학과, 삼성서울병원 방사선종양학과, Department of Radiation Oncology, University of California

Abstract

To generate on-board digital tomosynthesis (DTS) for three-dimensionalimage-guided radiation therapy (IGRT) as an alternative to conventional portal imaging or on-board cone-beam computed tomography (CBCT), two clinical cases (liver and bladder) were selected to illustrate the capabilities of on-board DTS for IGRT. DTS images were generated from subsets of CBCT projection data (45, 162 projections) using half-fan mode scanning with a Feldkamp-type reconstruction algorithm. Digital tomosynthesis slices appeared similar to coincident CBCT planes and yielded substantially more anatomic information. Improved bony and soft-tissue visibility in DTS images is likely to improve target localization compared with radiographic verification techniques and might allow for daily localization of a soft-tissue target. Digital tomosynthesis might allow targeting of the treatment volume on the basis of daily localization.

KeywordsDigital Tomosynthesis, IGRT, Patient positioning, On-board Imager (OBI)

Korean Society of Medical Physics

Vol.35 No.3
September 2024

pISSN 2508-4445
eISSN 2508-4453
Formerly ISSN 1226-5829

Frequency: Quarterly

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