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Sample records for 3d cone-beam ct

  1. 3D analytic cone-beam reconstruction for multiaxial CT acquisitions.

    Science.gov (United States)

    Yin, Zhye; De Man, Bruno; Pack, Jed

    2009-01-01

    A conventional 3rd generation Computed Tomography (CT) system with a single circular source trajectory is limited in terms of longitudinal scan coverage since extending the scan coverage beyond 40 mm results in significant cone-beam artifacts. A multiaxial CT acquisition is achieved by combining multiple sequential 3rd generation axial scans or by performing a single axial multisource CT scan with multiple longitudinally offset sources. Data from multiple axial scans or multiple sources provide complementary information. For full-scan acquisitions, we present a window-based 3D analytic cone-beam reconstruction algorithm by tessellating data from neighboring axial datasets. We also show that multi-axial CT acquisition can extend the axial scan coverage while minimizing cone-beam artifacts. For half-scan acquisitions, one cannot take advantage of conjugate rays. We propose a cone-angle dependent weighting approach to combine multi-axial half-scan data. We compute the relative contribution from each axial dataset to each voxel based on the X-ray beam collimation, the respective cone-angles, and the spacing between the axial scans. We present numerical experiments to demonstrate that the proposed techniques successfully reduce cone-beam artifacts at very large volumetric coverage.

  2. GPU-Based 3D Cone-Beam CT Image Reconstruction for Large Data Volume

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    Xing Zhao

    2009-01-01

    Full Text Available Currently, 3D cone-beam CT image reconstruction speed is still a severe limitation for clinical application. The computational power of modern graphics processing units (GPUs has been harnessed to provide impressive acceleration of 3D volume image reconstruction. For extra large data volume exceeding the physical graphic memory of GPU, a straightforward compromise is to divide data volume into blocks. Different from the conventional Octree partition method, a new partition scheme is proposed in this paper. This method divides both projection data and reconstructed image volume into subsets according to geometric symmetries in circular cone-beam projection layout, and a fast reconstruction for large data volume can be implemented by packing the subsets of projection data into the RGBA channels of GPU, performing the reconstruction chunk by chunk and combining the individual results in the end. The method is evaluated by reconstructing 3D images from computer-simulation data and real micro-CT data. Our results indicate that the GPU implementation can maintain original precision and speed up the reconstruction process by 110–120 times for circular cone-beam scan, as compared to traditional CPU implementation.

  3. Automatic Calibration Method of Voxel Size for Cone-beam 3D-CT Scanning System

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    Yang, Min; Liu, Yipeng; Men, Fanyong; Li, Xingdong; Liu, Wenli; Wei, Dongbo

    2013-01-01

    For cone-beam three-dimensional computed tomography (3D-CT) scanning system, voxel size is an important indicator to guarantee the accuracy of data analysis and feature measurement based on 3D-CT images. Meanwhile, the voxel size changes with the movement of the rotary table along X-ray direction. In order to realize the automatic calibration of the voxel size, a new easily-implemented method is proposed. According to this method, several projections of a spherical phantom are captured at different imaging positions and the corresponding voxel size values are calculated by non-linear least square fitting. Through these interpolation values, a linear equation is obtained, which reflects the relationship between the rotary table displacement distance from its nominal zero position and the voxel size. Finally, the linear equation is imported into the calibration module of the 3D-CT scanning system, and when the rotary table is moving along X-ray direction, the accurate value of the voxel size is dynamically expo...

  4. Self-calibration of cone-beam CT geometry using 3D-2D image registration

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    Ouadah, S.; Stayman, J. W.; Gang, G. J.; Ehtiati, T.; Siewerdsen, J. H.

    2016-04-01

    Robotic C-arms are capable of complex orbits that can increase field of view, reduce artifacts, improve image quality, and/or reduce dose; however, it can be challenging to obtain accurate, reproducible geometric calibration required for image reconstruction for such complex orbits. This work presents a method for geometric calibration for an arbitrary source-detector orbit by registering 2D projection data to a previously acquired 3D image. It also yields a method by which calibration of simple circular orbits can be improved. The registration uses a normalized gradient information similarity metric and the covariance matrix adaptation-evolution strategy optimizer for robustness against local minima and changes in image content. The resulting transformation provides a ‘self-calibration’ of system geometry. The algorithm was tested in phantom studies using both a cone-beam CT (CBCT) test-bench and a robotic C-arm (Artis Zeego, Siemens Healthcare) for circular and non-circular orbits. Self-calibration performance was evaluated in terms of the full-width at half-maximum (FWHM) of the point spread function in CBCT reconstructions, the reprojection error (RPE) of steel ball bearings placed on each phantom, and the overall quality and presence of artifacts in CBCT images. In all cases, self-calibration improved the FWHM—e.g. on the CBCT bench, FWHM  =  0.86 mm for conventional calibration compared to 0.65 mm for self-calibration (p  <  0.001). Similar improvements were measured in RPE—e.g. on the robotic C-arm, RPE  =  0.73 mm for conventional calibration compared to 0.55 mm for self-calibration (p  <  0.001). Visible improvement was evident in CBCT reconstructions using self-calibration, particularly about high-contrast, high-frequency objects (e.g. temporal bone air cells and a surgical needle). The results indicate that self-calibration can improve even upon systems with presumably accurate geometric calibration and is

  5. How accurate are the fusion of cone-beam CT and 3-D stereophotographic images?

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    Yasas S N Jayaratne

    Full Text Available BACKGROUND: Cone-beam Computed Tomography (CBCT and stereophotography are two of the latest imaging modalities available for three-dimensional (3-D visualization of craniofacial structures. However, CBCT provides only limited information on surface texture. This can be overcome by combining the bone images derived from CBCT with 3-D photographs. The objectives of this study were 1 to evaluate the feasibility of integrating 3-D Photos and CBCT images 2 to assess degree of error that may occur during the above processes and 3 to identify facial regions that would be most appropriate for 3-D image registration. METHODOLOGY: CBCT scans and stereophotographic images from 29 patients were used for this study. Two 3-D images corresponding to the skin and bone were extracted from the CBCT data. The 3-D photo was superimposed on the CBCT skin image using relatively immobile areas of the face as a reference. 3-D colour maps were used to assess the accuracy of superimposition were distance differences between the CBCT and 3-D photo were recorded as the signed average and the Root Mean Square (RMS error. PRINCIPAL FINDINGS: The signed average and RMS of the distance differences between the registered surfaces were -0.018 (±0.129 mm and 0.739 (±0.239 mm respectively. The most errors were found in areas surrounding the lips and the eyes, while minimal errors were noted in the forehead, root of the nose and zygoma. CONCLUSIONS: CBCT and 3-D photographic data can be successfully fused with minimal errors. When compared to RMS, the signed average was found to under-represent the registration error. The virtual 3-D composite craniofacial models permit concurrent assessment of bone and soft tissues during diagnosis and treatment planning.

  6. Use of cone-beam CT and live 3-D needle guidance to facilitate percutaneous nephrostomy and nephrolithotripsy access in children and adolescents

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    Hawkins, C.M. [Emory University School of Medicine, Department of Radiology and Imaging Sciences, Atlanta, GA (United States); Kukreja, Kamlesh [Texas Children' s Hospital, Department of Radiology, Houston, TX (United States); Singewald, Timothy; Johnson, Neil D.; Racadio, John M. [Cincinnati Children' s Hospital Medical Center, Department of Radiology, Cincinnati, OH (United States); Minevich, Eugene; Reddy, Pramod [Cincinnati Children' s Hospital Medical Center, Department of Urology, Cincinnati, OH (United States)

    2016-04-15

    Gaining access into non-dilated renal collecting systems for percutaneous nephrolithotripsy, particularly in patients with prohibitive body habitus and/or scoliosis, is often challenging using conventional techniques. To evaluate the feasibility of cone-beam CT for percutaneous nephrostomy placement for subsequent percutaneous nephrolithotripsy in children and adolescents. A retrospective review of percutaneous nephrostomy revealed use of cone-beam CT and 3-D guidance in 12 percutaneous nephrostomy procedures for 9 patients between 2006 and 2015. All cone-beam CT-guided percutaneous nephrostomies were for pre-lithotripsy access and all 12 were placed in non-dilated collecting systems. Technical success was 100%. There were no complications. Cone-beam CT with 3-D guidance is a technically feasible technique for percutaneous nephrostomy in children and adolescents, specifically for nephrolithotripsy access in non-dilated collecting systems. (orig.)

  7. Analysis of bite marks in foodstuffs by computer tomography (cone beam CT)--3D reconstruction.

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    Marques, Jeidson; Musse, Jamilly; Caetano, Catarina; Corte-Real, Francisco; Corte-Real, Ana Teresa

    2013-12-01

    The use of three-dimensional (3D) analysis of forensic evidence is highlighted in comparison with traditional methods. This three-dimensional analysis is based on the registration of the surface from a bitten object. The authors propose to use Cone Beam Computed Tomography (CBCT), which is used in dental practice, in order to study the surface and interior of bitten objects and dental casts of suspects. In this study, CBCT is applied to the analysis of bite marks in foodstuffs, which may be found in a forensic case scenario. 6 different types of foodstuffs were used: chocolate, cheese, apple, chewing gum, pizza and tart (flaky pastry and custard). The food was bitten into and dental casts of the possible suspects were made. The dental casts and bitten objects were registered using an x-ray source and the CBCT equipment iCAT® (Pennsylvania, EUA). The software InVivo5® (Anatomage Inc, EUA) was used to visualize and analyze the tomographic slices and 3D reconstructions of the objects. For each material an estimate of its density was assessed by two methods: HU values and specific gravity. All the used materials were successfully reconstructed as good quality 3D images. The relative densities of the materials in study were compared. Amongst the foodstuffs, the chocolate had the highest density (median value 100.5 HU and 1,36 g/cm(3)), while the pizza showed to have the lowest (median value -775 HU and 0,39 g/cm(3)), on both scales. Through tomographic slices and three-dimensional reconstructions it was possible to perform the metric analysis of the bite marks in all the foodstuffs, except for the pizza. These measurements could also be obtained from the dental casts. The depth of the bite mark was also successfully determined in all the foodstuffs except for the pizza. Cone Beam Computed Tomography has the potential to become an important tool for forensic sciences, namely for the registration and analysis of bite marks in foodstuffs that may be found in a crime

  8. A proposed method for accurate 3D analysis of cochlear implant migration using fusion of cone beam CT

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    Guido eDees

    2016-01-01

    Full Text Available IntroductionThe goal of this investigation was to compare fusion of sequential cone beam CT volumes to the gold standard (fiducial registration in order to be able to analyze clinical CI migration with high accuracy in three dimensions. Materials and MethodsPaired time-lapsed cone beam CT volumes were performed on five human cadaver temporal bones and one human subject. These volumes were fused using 3D Slicer 4 and BRAINSFit software. Using a gold standard fiducial technique, the accuracy, robustness and performance time of the fusion process were assessed.Results This proposed fusion protocol achieves a sub voxel mean Euclidean distance of 0.05 millimeter in human cadaver temporal bones and 0.16 millimeter when applied to the described in vivo human synthetic data set in over 95% of all fusions. Performance times are less than two minutes.ConclusionHere a new and validated method based on existing techniques is described which could be used to accurately quantify migration of cochlear implant electrodes.

  9. High-quality 3D correction of ring and radiant artifacts in flat panel detector-based cone beam volume CT imaging.

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    Anas, Emran Mohammad Abu; Kim, Jae Gon; Lee, Soo Yeol; Hasan, Md Kamrul

    2011-10-07

    The use of an x-ray flat panel detector is increasingly becoming popular in 3D cone beam volume CT machines. Due to the deficient semiconductor array manufacturing process, the cone beam projection data are often corrupted by different types of abnormalities, which cause severe ring and radiant artifacts in a cone beam reconstruction image, and as a result, the diagnostic image quality is degraded. In this paper, a novel technique is presented for the correction of error in the 2D cone beam projections due to abnormalities often observed in 2D x-ray flat panel detectors. Template images are derived from the responses of the detector pixels using their statistical properties and then an effective non-causal derivative-based detection algorithm in 2D space is presented for the detection of defective and mis-calibrated detector elements separately. An image inpainting-based 3D correction scheme is proposed for the estimation of responses of defective detector elements, and the responses of the mis-calibrated detector elements are corrected using the normalization technique. For real-time implementation, a simplification of the proposed off-line method is also suggested. Finally, the proposed algorithms are tested using different real cone beam volume CT images and the experimental results demonstrate that the proposed methods can effectively remove ring and radiant artifacts from cone beam volume CT images compared to other reported techniques in the literature.

  10. Twin robotic x-ray system for 2D radiographic and 3D cone-beam CT imaging

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    Fieselmann, Andreas; Steinbrener, Jan; Jerebko, Anna K.; Voigt, Johannes M.; Scholz, Rosemarie; Ritschl, Ludwig; Mertelmeier, Thomas

    2016-03-01

    In this work, we provide an initial characterization of a novel twin robotic X-ray system. This system is equipped with two motor-driven telescopic arms carrying X-ray tube and flat-panel detector, respectively. 2D radiographs and fluoroscopic image sequences can be obtained from different viewing angles. Projection data for 3D cone-beam CT reconstruction can be acquired during simultaneous movement of the arms along dedicated scanning trajectories. We provide an initial evaluation of the 3D image quality based on phantom scans and clinical images. Furthermore, initial evaluation of patient dose is conducted. The results show that the system delivers high image quality for a range of medical applications. In particular, high spatial resolution enables adequate visualization of bone structures. This system allows 3D X-ray scanning of patients in standing and weight-bearing position. It could enable new 2D/3D imaging workflows in musculoskeletal imaging and improve diagnosis of musculoskeletal disorders.

  11. A comparative evaluation of Cone Beam Computed Tomography (CBCT) and Multi-Slice CT (MSCT). Part II: On 3D model accuracy

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    Liang, X.; Lambrichts, I.; Sun, Y.; Denis, K.; Hassan, B.; Li, L.; Pauwels, R.; Jacobs, R.

    2010-01-01

    Aim: The study aim was to compare the geometric accuracy of three-dimensional (3D) surface model reconstructions between five Cone Beam Computed Tomography (CBCT) scanners and one Multi-Slice CT (MSCT) system. Materials and methods: A dry human mandible was scanned with five CBCT systems (NewTom 3G,

  12. A cone-beam CT based technique to augment the 3D virtual skull model with a detailed dental surface.

    NARCIS (Netherlands)

    Swennen, G.R.; Mommaerts, M.Y.; Abeloos, J.V.S.; Clercq, C. De; Lamoral, P.; Neyt, N.; Casselman, J.W.; Schutyser, F.A.C.

    2009-01-01

    Cone-beam computed tomography (CBCT) is used for maxillofacial imaging. 3D virtual planning of orthognathic and facial orthomorphic surgery requires detailed visualisation of the interocclusal relationship. This study aimed to introduce and evaluate the use of a double CBCT scan procedure with a mod

  13. Development of an advanced 3D cone beam tomographic system

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    Sire, Pascal; Rizo, Philippe; Martin, M.; Grangeat, Pierre; Morisseau, P.

    Due to its high spatial resolution, the 3D X-ray cone-beam tomograph (CT) maximizes understanding of test object microstructure. In order for the present X-ray CT NDT system to control ceramics and ceramic-matrix composites, its spatial resolution must exceed 50 microns. Attention is given to two experimental data reconstructions that have been conducted to illustrate system capabilities.

  14. A cone-beam CT based technique to augment the 3D virtual skull model with a detailed dental surface.

    Science.gov (United States)

    Swennen, G R J; Mommaerts, M Y; Abeloos, J; De Clercq, C; Lamoral, P; Neyt, N; Casselman, J; Schutyser, F

    2009-01-01

    Cone-beam computed tomography (CBCT) is used for maxillofacial imaging. 3D virtual planning of orthognathic and facial orthomorphic surgery requires detailed visualisation of the interocclusal relationship. This study aimed to introduce and evaluate the use of a double CBCT scan procedure with a modified wax bite wafer to augment the 3D virtual skull model with a detailed dental surface. The impressions of the dental arches and the wax bite wafer were scanned for ten patient separately using a high resolution standardized CBCT scanning protocol. Surface-based rigid registration using ICP (iterative closest points) was used to fit the virtual models on the wax bite wafer. Automatic rigid point-based registration of the wax bite wafer on the patient scan was performed to implement the digital virtual dental arches into the patient's skull model. Probability error histograms showed errors of wax bite wafer to set-up a 3D virtual augmented model of the skull with detailed dental surface.

  15. Imagens em 2D e 3D geradas pela TC Cone-Beam e radiografias convencionais: qual a mais confiável? 2D / 3D Cone-Beam CT images or conventional radiography: which is more reliable?

    Directory of Open Access Journals (Sweden)

    Carolina Perez Couceiro

    2010-10-01

    Full Text Available OBJETIVO: comparar a confiabilidade de identificação dos pontos visualizados sobre radiografias cefalométricas convencionais e sobre imagens geradas pela Tomografia Computadorizada Cone-Beam em 2D e 3D. MÉTODOS: o material constou de imagens obtidas através do tomógrafo computadorizado Cone-Beam, em norma lateral, em 2D e 3D, impressas em papel fotográfico; e radiografias cefalométricas laterais, realizadas na mesma clínica radiológica e no mesmo dia, de dois pacientes pertencentes aos arquivos do Curso de Especialização em Ortodontia da Faculdade de Odontologia da Universidade Federal Fluminense (UFF. Dez alunos do Curso de Especialização em Ortodontia da UFF identificaram pontos de referência sobre papel de acetato transparente e foram feitas medições das seguintes variáveis cefalométricas: ANB, FMIA, IMPA, FMA, ângulo interincisal, 1-NA (mm e ¯1-NB (mm. Em seguida, foram calculadas médias aritméticas, desvios-padrão e coeficientes de variância de cada variável para os dois pacientes. RESULTADOS E CONCLUSÃO: os valores das medições realizadas a partir de imagens em 3D apresentaram menor dispersão, sugerindo que essas imagens são mais confiáveis quanto à identificação de alguns pontos cefalométricos. Entretanto, como as imagens em 3D impressas utilizadas no presente estudo não permitiram a visualização de pontos intracranianos, torna-se necessário que softwares específicos sejam elaborados para que esse tipo de exame possa se tornar rotineiro na clínica ortodôntica.OBJECTIVE: To compare the reliability of two different methods used for viewing and identifying cephalometric landmarks, i.e., (a using conventional cephalometric radiographs, and (b using 2D and 3D images generated by Cone-Beam Computed Tomography. METHODS: The material consisted of lateral view 2D and 3D images obtained by Cone-Beam Computed Tomography printed on photo paper, and lateral cephalometric radiographs, taken in the same

  16. Comparative evaluation of a novel 3D segmentation algorithm on in-treatment radiotherapy cone beam CT images

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    Price, Gareth; Moore, Chris

    2007-03-01

    Image segmentation and delineation is at the heart of modern radiotherapy, where the aim is to deliver as high a radiation dose as possible to a cancerous target whilst sparing the surrounding healthy tissues. This, of course, requires that a radiation oncologist dictates both where the tumour and any nearby critical organs are located. As well as in treatment planning, delineation is of vital importance in image guided radiotherapy (IGRT): organ motion studies demand that features across image databases are accurately segmented, whilst if on-line adaptive IGRT is to become a reality, speedy and correct target identification is a necessity. Recently, much work has been put into the development of automatic and semi-automatic segmentation tools, often using prior knowledge to constrain some grey level, or derivative thereof, interrogation algorithm. It is hoped that such techniques can be applied to organ at risk and tumour segmentation in radiotherapy. In this work, however, we make the assumption that grey levels do not necessarily determine a tumour's extent, especially in CT where the attenuation coefficient can often vary little between cancerous and normal tissue. In this context we present an algorithm that generates a discontinuity free delineation surface driven by user placed, evidence based support points. In regions of sparse user supplied information, prior knowledge, in the form of a statistical shape model, provides guidance. A small case study is used to illustrate the method. Multiple observers (between 3 and 7) used both the presented tool and a commercial manual contouring package to delineate the bladder on a serially imaged (10 cone beam CT volumes ) prostate patient. A previously presented shape analysis technique is used to quantitatively compare the observer variability.

  17. A comparative evaluation of Cone Beam Computed Tomography (CBCT) and Multi-Slice CT (MSCT). Part II: On 3D model accuracy

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    Liang Xin, E-mail: Xin.Liang@med.kuleuven.b [Oral Imaging Centre, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium); College of Stomatology, Dalian Medical University (China); Lambrichts, Ivo, E-mail: Ivo.Lambrichts@uhasselt.b [Department of Basic Medical Sciences, Histology and Electron Microscopy, Faculty of Medicine, University of Hasselt, Diepenbeek (Belgium); Sun Yi, E-mail: Sunyihello@hotmail.co [Oral Imaging Centre, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium); Denis, Kathleen, E-mail: kathleen.denis@groept.b [Department of Industrial Sciences and Techology-Engineering (IWT), XIOS Hogeschool Limburg, Hasselt (Belgium); Hassan, Bassam, E-mail: b.hassan@acta.n [Department of Oral Radiology, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam (Netherlands); Li Limin, E-mail: Limin.Li@uz.kuleuven.b [Department of Paediatric Dentistry and Special Dental Care, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium); Pauwels, Ruben, E-mail: Ruben.Pauwels@med.kuleuven.b [Oral Imaging Centre, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium); Jacobs, Reinhilde, E-mail: Reinhilde.Jacobs@uz.kuleuven.b [Oral Imaging Centre, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium)

    2010-08-15

    Aim: The study aim was to compare the geometric accuracy of three-dimensional (3D) surface model reconstructions between five Cone Beam Computed Tomography (CBCT) scanners and one Multi-Slice CT (MSCT) system. Materials and methods: A dry human mandible was scanned with five CBCT systems (NewTom 3G, Accuitomo 3D, i-CAT, Galileos, Scanora 3D) and one MSCT scanner (Somatom Sensation 16). A 3D surface bone model was created from the six systems. The reference (gold standard) 3D model was obtained with a high resolution laser surface scanner. The 3D models from the five systems were compared with the gold standard using a point-based rigid registration algorithm. Results: The mean deviation from the gold standard for MSCT was 0.137 mm and for CBCT were 0.282, 0.225, 0.165, 0.386 and 0.206 mm for the i-CAT, Accuitomo, NewTom, Scanora and Galileos, respectively. Conclusion: The results show that the accuracy of CBCT 3D surface model reconstructions is somewhat lower but acceptable comparing to MSCT from the gold standard.

  18. 3D cone-beam CT guidance, a novel technique in renal biopsy - results in 41 patients with suspected renal masses

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    Braak, Sicco J.; Heesewijk, Johannes P.M. van; Strijen, Marco J.L. van [St Antonius Hospital, Department of Radiology, PO Box 2500, Nieuwegein (Netherlands); Melick, Harm H.E. van; Onaca, Mircea G. [St Antonius Hospital, Department of Urology, Nieuwegein (Netherlands)

    2012-11-15

    To determine whether 3D cone-beam computed tomography (CBCT) guidance allows safe and accurate biopsy of suspected small renal masses (SRM), especially in hard-to-reach anatomical locations. CBCT guidance was used to perform 41 stereotactic biopsy procedures of lesions that were inaccessible for ultrasound guidance or CT guidance. In CBCT guidance, a 3D-volume data set is acquired by rotating a C-arm flat-panel detector angiosystem around the patient. In the data set, a needle trajectory is determined and, after co-registration, a fusion image is created from fluoroscopy and a slice from the data set, enabling the needle to be positioned in real time. Of the 41 lesions, 22 were malignant, 17 were benign, and 2 were nondiagnostic. The two nondiagnostic lesions proved to be renal cell carcinoma. There was no growth during follow-up imaging of the benign lesions (mean 29 months). This resulted in a sensitivity, specificity, PPV, NPV, and accuracy of 91.7, 100, 100, 89.5, and 95.1%, respectively. Mean dose-area product value was 44.0 Gy.cm{sup 2} (range 16.5-126.5). There was one minor bleeding complication. With CBCT guidance, safe and accurate biopsy of a suspected SRM is feasible, especially in hard-to-reach locations of the kidney. (orig.)

  19. Cone-beam CT-guidance in Interventional Radiology

    NARCIS (Netherlands)

    Braak, S.J.

    2012-01-01

    OBJECTIVE. CBCT-guidance (CBCT-guidance) is a new stereotactic technique for needle interventions, combining 3D soft-tissue cone-beam CT, needle planningsoftware, and real-time fluoroscopy. Our objective was to evaluate the use, feasibility and outcome of this technique. To determine the effectiv

  20. Cone beam CT, wat moet ik ermee?

    NARCIS (Netherlands)

    R. Hoogeveen

    2013-01-01

    De cone beam-ct-scan (cbct-scan) maakt een opmars in de tandheelkunde vanwege de toegevoegde waarde van de derde dimensie in de diagnostiek. Deze extra informatie wordt verkregen ten koste van een hogere stralenbelasting en een daarmee gepaard gaand hoger risico voor de patiënt. Om de clinicus te he

  1. Fusion of cone-beam CT and 3D photographic images for soft tissue simulation in maxillofacial surgery

    Science.gov (United States)

    Chung, Soyoung; Kim, Joojin; Hong, Helen

    2016-03-01

    During maxillofacial surgery, prediction of the facial outcome after surgery is main concern for both surgeons and patients. However, registration of the facial CBCT images and 3D photographic images has some difficulties that regions around the eyes and mouth are affected by facial expressions or the registration speed is low due to their dense clouds of points on surfaces. Therefore, we propose a framework for the fusion of facial CBCT images and 3D photos with skin segmentation and two-stage surface registration. Our method is composed of three major steps. First, to obtain a CBCT skin surface for the registration with 3D photographic surface, skin is automatically segmented from CBCT images and the skin surface is generated by surface modeling. Second, to roughly align the scale and the orientation of the CBCT skin surface and 3D photographic surface, point-based registration with four corresponding landmarks which are located around the mouth is performed. Finally, to merge the CBCT skin surface and 3D photographic surface, Gaussian-weight-based surface registration is performed within narrow-band of 3D photographic surface.

  2. Cone beam CT for dental and maxillofacial imaging: dose matters

    OpenAIRE

    Pauwels, Ruben

    2015-01-01

    The widespread use of cone-beam CT (CBCT) in dentistry has led to increasing concern regarding justification and optimisation of CBCT exposures. When used as a substitute to multidetector CT (MDCT), CBCT can lead to significant dose reduction; however, low-dose protocols of current-generation MDCTs show that there is an overlap between CBCT and MDCT doses. More importantly, although the 3D information provided by CBCT can often lead to improved diagnosis and treatment compared with 2D radiogr...

  3. Effect of light source instability on uniformity of 3D reconstructions from a cone beam optical CT scanner.

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    Begg, J; Taylor, M L; Holloway, L; Kron, T; Franich, R D

    2014-12-01

    Temporally varying light intensity during acquisition of projection images in an optical CT scanner can potentially be misinterpreted as physical properties of the sample. This work investigated the impact of LED light source intensity instability on measured attenuation coefficients. Different scenarios were investigated by conducting one or both of the reference and data scans in a 'cold' scanner, where the light source intensity had not yet stabilised. Uniform samples were scanned to assess the impact on measured uniformity. The orange (590 nm) light source decreased in intensity by 29 % over the first 2 h, while the red (633 nm) decreased by 9 %. The rates of change of intensity at 2 h were 0.1 and 0.03 % respectively over a 5 min period-corresponding to the scan duration. The normalisation function of the reconstruction software does not fully account for the intensity differences and discrepancies remain. Attenuation coefficient inaccuracies of up to 8 % were observed for data reconstructed from projection images acquired with a cold scanner. Increased noise was observed for most cases where one or both of the scans was acquired without sufficient warm-up. The decrease in accuracy and increase in noise were most apparent for data reconstructed from reference and data scans acquired with a cold scanner on different days.

  4. 3D Cone Beam Volumetric Tomography Dedicated to Maxillofacial Radiology

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    Masoud Varshosaz

    2009-01-01

    Full Text Available   "nThe 3D cone beam volume/computed tomography (CBVT/CBCT has been designed for imaging the hard tissues of the maxillofacial region, although it has been used in some era of medical imaging for many years. CBVT is capable of providing a sub-millimeter resolution with the short scanning time of mostly less than 20 seconds and radiation dosages reportedly up to 15 times lower than those of spiral CT scans. In less than a decade, CBVT has revolutionized oral and maxillofacial radiology and is known as the “Standard of Care”. Although development was initially directed towards multiplanar viewing for dental implant and orthodontic treatment planning, secondary applications in other areas continue to expand such as maxillo-facial trauma, temporomandibular joint disorders, sinuse pathosis and upper airway evaluation. The intent of this presentation is to provide an overview of CBVT technology, advantages and disadvantages compared to the other modalities such as 2D images and medical CT and examples of justified cases in the oral & maxillofacial region.   

  5. Novel utilization of 3D technology and the hybrid operating theatre: Peri-operative assessment of posterior sterno-clavicular dislocation using cone beam CT

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    Crowhurst, James A; Campbell, Douglas; Whitby, Mark; Pathmanathan, Pavthrun

    2013-01-01

    A patient with a medial and posterior dislocation of the right sterno-clavicular (SC) joint and displacement of the trachea and brachiocephalic artery by the medial head of the clavicle underwent general anaesthetic in the operating theatre for an open reduction procedure. The surgeon initially attempted a closed reduction, but this required imaging to check SC alignment. The patient was transferred to an adjacent hybrid operating theatre for imaging. Cone beam computed tomography (CBCT) was performed, which successfully demonstrated a significant reduction in the dislocation of the SC joint. The trachea and brachiocephalic artery were no longer compressed or displaced. This case study demonstrates an alternative to the patient being transferred to the medical imaging department for multi-slice CT. It also describes a novel use of the hybrid operating theatre and its CBCT capabilities. PMID:26229610

  6. Novel utilization of 3D technology and the hybrid operating theatre: Peri-operative assessment of posterior sterno-clavicular dislocation using cone beam CT

    Energy Technology Data Exchange (ETDEWEB)

    Crowhurst, James A; Campbell, Douglas; Whitby, Mark; Pathmanathan, Pavthrun [The Prince Charles Hospital, Rode Road, Chermside, Queensland (Australia)

    2013-06-15

    A patient with a medial and posterior dislocation of the right sterno-clavicular (SC) joint and displacement of the trachea and brachiocephalic artery by the medial head of the clavicle underwent general anaesthetic in the operating theatre for an open reduction procedure. The surgeon initially attempted a closed reduction, but this required imaging to check SC alignment. The patient was transferred to an adjacent hybrid operating theatre for imaging. Cone beam computed tomography (CBCT) was performed, which successfully demonstrated a significant reduction in the dislocation of the SC joint. The trachea and brachiocephalic artery were no longer compressed or displaced. This case study demonstrates an alternative to the patient being transferred to the medical imaging department for multi-slice CT. It also describes a novel use of the hybrid operating theatre and its CBCT capabilities.

  7. Influence of Head Motion on the Accuracy of 3D Reconstruction with Cone-Beam CT: Landmark Identification Errors in Maxillofacial Surface Model

    Science.gov (United States)

    Song, Jin-Myoung; Cho, Jin-Hyoung

    2016-01-01

    Purpose The purpose of this study was to investigate the influence of head motion on the accuracy of three-dimensional (3D) reconstruction with cone-beam computed tomography (CBCT) scan. Materials and Methods Fifteen dry skulls were incorporated into a motion controller which simulated four types of head motion during CBCT scan: 2 horizontal rotations (to the right/to the left) and 2 vertical rotations (upward/downward). Each movement was triggered to occur at the start of the scan for 1 second by remote control. Four maxillofacial surface models with head motion and one control surface model without motion were obtained for each skull. Nine landmarks were identified on the five maxillofacial surface models for each skull, and landmark identification errors were compared between the control model and each of the models with head motion. Results Rendered surface models with head motion were similar to the control model in appearance; however, the landmark identification errors showed larger values in models with head motion than in the control. In particular, the Porion in the horizontal rotation models presented statistically significant differences (P CBCT scan might cause landmark identification errors on the 3D surface model in relation to the direction of the scanner rotation. Clinicians should take this into consideration to prevent patient movement during CBCT scan, particularly horizontal movement. PMID:27065238

  8. Influence of Head Motion on the Accuracy of 3D Reconstruction with Cone-Beam CT: Landmark Identification Errors in Maxillofacial Surface Model.

    Directory of Open Access Journals (Sweden)

    Kyung-Min Lee

    Full Text Available The purpose of this study was to investigate the influence of head motion on the accuracy of three-dimensional (3D reconstruction with cone-beam computed tomography (CBCT scan.Fifteen dry skulls were incorporated into a motion controller which simulated four types of head motion during CBCT scan: 2 horizontal rotations (to the right/to the left and 2 vertical rotations (upward/downward. Each movement was triggered to occur at the start of the scan for 1 second by remote control. Four maxillofacial surface models with head motion and one control surface model without motion were obtained for each skull. Nine landmarks were identified on the five maxillofacial surface models for each skull, and landmark identification errors were compared between the control model and each of the models with head motion.Rendered surface models with head motion were similar to the control model in appearance; however, the landmark identification errors showed larger values in models with head motion than in the control. In particular, the Porion in the horizontal rotation models presented statistically significant differences (P < .05. Statistically significant difference in the errors between the right and left side landmark was present in the left side rotation which was opposite direction to the scanner rotation (P < .05.Patient movement during CBCT scan might cause landmark identification errors on the 3D surface model in relation to the direction of the scanner rotation. Clinicians should take this into consideration to prevent patient movement during CBCT scan, particularly horizontal movement.

  9. Using cone-beam CT as a low-dose 3D imaging technique for the extremities: initial experience in 50 subjects

    Energy Technology Data Exchange (ETDEWEB)

    Huang, Ambrose J.; Chang, Connie Y.; Palmer, William E. [Massachusetts General Hospital, Department of Radiology, Division of Musculoskeletal Imaging and Intervention, Boston, MA (United States); Thomas, Bijoy J. [Universal College of Medical Sciences, Department of Radiology, Bhairahawa (Nepal); MacMahon, Peter J. [Mater Misericordiae University Hospital, Department of Radiology, Dublin 7 (Ireland)

    2015-06-01

    To prospectively evaluate a dedicated extremity cone-beam CT (CBCT) scanner in cases with and without orthopedic hardware by (1) comparing its imaging duration and image quality to those of radiography and multidetector CT (MDCT) and (2) comparing its radiation dose to that of MDCT. Written informed consent was obtained for all subjects for this IRB-approved, HIPAA-compliant study. Fifty subjects with (1) fracture of small bones, (2) suspected intraarticular fracture, (3) fracture at the site of complex anatomy, or (4) a surgical site difficult to assess with radiography alone were recruited and scanned on an extremity CBCT scanner prior to FDA approval. Same-day radiographs were performed in all subjects. Some subjects also underwent MDCT within 1 month of CBCT. Imaging duration and image quality were compared between CBCT and radiographs. Imaging duration, effective radiation dose, and image quality were compared between CBCT and MDCT. Fifty-one CBCT scans were performed in 50 subjects. Average imaging duration was shorter for CBCT than radiographs (4.5 min vs. 6.6 min, P = 0.001, n = 51) and MDCT (7.6 min vs. 10.9 min, P = 0.01, n = 7). Average estimated effective radiation dose was less for CBCT than MDCT (0.04 mSv vs. 0.13 mSv, P = 0.02, n = 7). CBCT images yielded more diagnostic information than radiographs in 23/51 cases and more diagnostic information than MDCT in 1/7 cases, although radiographs were superior for detecting hardware complications. CBCT performs high-resolution imaging of the extremities using less imaging time than radiographs and MDCT and lower radiation dose than MDCT. (orig.)

  10. 3D curved multiplanar cone beam CT reconstruction for intracochlear position assessment of straight electrodes array. A temporal bone and clinical study.

    Science.gov (United States)

    De Seta, D; Mancini, P; Russo, F Y; Torres, R; Mosnier, I; Bensimon, J L; De Seta, E; Heymann, D; Sterkers, O; Bernardeschi, D; Nguyen, Y

    2016-12-01

    A retrospective review of post-op cone beam CT (CBCT) of 8 adult patients and 14 fresh temporal bones that underwent cochlear implantation with straight flexible electrodes array was performed to determine if the position of a long and flexible electrodes array within the cochlear scalae could be reliably assessed with CBCT. An oto-radiologist and two otologists examined the images and assessed the electrodes position. The temporal bone specimens underwent histological analysis for confirm the exact position. The position of the electrodes was rated as scala tympani, scala vestibule, or intermediate position for the electrodes at 180°, 360° and for the apical electrode. In the patient group, for the electrodes at 180° all observers agreed for scala tympani position except for 1 evaluation, while a discrepancy in 3 patients both for the 360° and for the apical electrode assessment were found. In five temporal bones the evaluations were in discrepancy for the 180° electrode, while at 360° a disagreement between raters on the scalar positioning was seen in six temporal bones. A higher discrepancy between was found in assessment of the scalar position of the apical electrode (average pairwise agreement 45.4%, Fleiss k = 0.13). A good concordance was found between the histological results and the consensus between raters for the electrodes in the basal turn, while low agreement (Cohen's k 0.31, pairwise agreement 50%) was found in the identification of the apical electrode position confirming the difficulty to correct identify the electrode position in the second cochlear turn in temporal bones. In conclusion, CBCT is a reliable radiologic exam to correctly evaluate the position of a lateral wall flexible array in implanted patients using the proposed imaging reconstruction method, while some artefacts impede exact evaluation of the position of the apical electrode in temporal bone and other radiological techniques should be preferred in ex vivo studies.

  11. MTF characterization in 2D and 3D for a high resolution, large field of view flat panel imager for cone beam CT

    Science.gov (United States)

    Shah, Jainil; Mann, Steve D.; Tornai, Martin P.; Richmond, Michelle; Zentai, George

    2014-03-01

    The 2D and 3D modulation transfer functions (MTFs) of a custom made, large 40x30cm2 area, 600- micron CsI-TFT based flat panel imager having 127-micron pixellation, along with the micro-fiber scintillator structure, were characterized in detail using various techniques. The larger area detector yields a reconstructed FOV of 25cm diameter with an 80cm SID in CT mode. The MTFs were determined with 1x1 (intrinsic) binning. The 2D MTFs were determined using a 50.8 micron tungsten wire and a solid lead edge, and the 3D MTF was measured using a custom made phantom consisting of three nearly orthogonal 50.8 micron tungsten wires suspended in an acrylic cubic frame. The 2D projection data was reconstructed using an iterative OSC algorithm using 16 subsets and 5 iterations. As additional verification of the resolution, along with scatter, the Catphan® phantom was also imaged and reconstructed with identical parameters. The measured 2D MTF was ~4% using the wire technique and ~1% using the edge technique at the 3.94 lp/mm Nyquist cut-off frequency. The average 3D MTF measured along the wires was ~8% at the Nyquist. At 50% MTF, the resolutions were 1.2 and 2.1 lp/mm in 2D and 3D, respectively. In the Catphan® phantom, the 1.7 lp/mm bars were easily observed. Lastly, the 3D MTF measured on the three wires has an observed 5.9% RMSD, indicating that the resolution of the imaging system is uniform and spatially independent. This high performance detector is integrated into a dedicated breast SPECT-CT imaging system.

  12. Auto calibration of a cone-beam-CT

    Energy Technology Data Exchange (ETDEWEB)

    Gross, Daniel; Heil, Ulrich; Schulze, Ralf; Schoemer, Elmar; Schwanecke, Ulrich [Department of Design, Computer Science and Media, RheinMain University of Applied Sciences, 65195 Wiesbaden, Germany and Institute of Computer Science, Johannes Gutenberg University Mainz, 55128 Mainz (Germany); Department of Oral Surgery (and Oral Radiology), University Medical Center of the Johannes Gutenberg University Mainz, 55131 Mainz (Germany); Institute of Computer Science, Johannes Gutenberg University Mainz, 55128 Mainz (Germany); Department of Design, Computer Science and Media, RheinMain University of Applied Sciences, 65195 Wiesbaden (Germany)

    2012-10-15

    Purpose: This paper introduces a novel autocalibration method for cone-beam-CTs (CBCT) or flat-panel CTs, assuming a perfect rotation. The method is based on ellipse-fitting. Autocalibration refers to accurate recovery of the geometric alignment of a CBCT device from projection images alone, without any manual measurements. Methods: The authors use test objects containing small arbitrarily positioned radio-opaque markers. No information regarding the relative positions of the markers is used. In practice, the authors use three to eight metal ball bearings (diameter of 1 mm), e.g., positioned roughly in a vertical line such that their projection image curves on the detector preferably form large ellipses over the circular orbit. From this ellipse-to-curve mapping and also from its inversion the authors derive an explicit formula. Nonlinear optimization based on this mapping enables them to determine the six relevant parameters of the system up to the device rotation angle, which is sufficient to define the geometry of a CBCT-machine assuming a perfect rotational movement. These parameters also include out-of-plane rotations. The authors evaluate their method by simulation based on data used in two similar approaches [L. Smekal, M. Kachelriess, S. E, and K. Wa, 'Geometric misalignment and calibration in cone-beam tomography,' Med. Phys. 31(12), 3242-3266 (2004); K. Yang, A. L. C. Kwan, D. F. Miller, and J. M. Boone, 'A geometric calibration method for cone beam CT systems,' Med. Phys. 33(6), 1695-1706 (2006)]. This allows a direct comparison of accuracy. Furthermore, the authors present real-world 3D reconstructions of a dry human spine segment and an electronic device. The reconstructions were computed from projections taken with a commercial dental CBCT device having two different focus-to-detector distances that were both calibrated with their method. The authors compare their reconstruction with a reconstruction computed by the manufacturer of

  13. CT thermometry for cone-beam CT guided ablation

    Science.gov (United States)

    DeStefano, Zachary; Abi-Jaoudeh, Nadine; Li, Ming; Wood, Bradford J.; Summers, Ronald M.; Yao, Jianhua

    2016-03-01

    Monitoring temperature during a cone-beam CT (CBCT) guided ablation procedure is important for prevention of over-treatment and under-treatment. In order to accomplish ideal temperature monitoring, a thermometry map must be generated. Previously, this was attempted using CBCT scans of a pig shoulder undergoing ablation.1 We are extending this work by using CBCT scans of real patients and incorporating more processing steps. We register the scans before comparing them due to the movement and deformation of organs. We then automatically locate the needle tip and the ablation zone. We employ a robust change metric due to image noise and artifacts. This change metric takes windows around each pixel and uses an equation inspired by Time Delay Analysis to calculate the error between windows with the assumption that there is an ideal spatial offset. Once the change map is generated, we correlate change data with measured temperature data at the key points in the region. This allows us to transform our change map into a thermal map. This thermal map is then able to provide an estimate as to the size and temperature of the ablation zone. We evaluated our procedure on a data set of 12 patients who had a total of 24 ablation procedures performed. We were able to generate reasonable thermal maps with varying degrees of accuracy. The average error ranged from 2.7 to 16.2 degrees Celsius. In addition to providing estimates of the size of the ablation zone for surgical guidance, 3D visualizations of the ablation zone and needle are also produced.

  14. X-ray cone beam CT system calibration

    Science.gov (United States)

    Sire, Pascal; Rizo, Philippe; Martin, M.

    1993-12-01

    Recently x-ray cone beam computed tomography (CT) has become of interest for nondestructive testing (NDT) of advanced materials. Such a technique takes advantage of the cone beam geometry, to reduce the acquisition time and increase the resolution. Performances of CT systems rely mainly on geometric precision and measurement quality. Inaccurate geometry or incorrect data produce artifacts and blurring which limit the spatial resolution. A precise geometric calibration procedure is required and some corrections must be applied to the raw attenuation data in order to obtain accurate measurements. An x-ray cone beam CT system has been developed at the LETI. This machine was designed to control small parts limited to a few centimeters, with a high spatial resolution close to 30 microns. This paper introduces the machine setup and describes the calibration computing resources involved in the system. Then, we discuss the performances on experimental data.

  15. Self-calibration of cone-beam CT geometry using 3D-2D image registration: development and application to tasked-based imaging with a robotic C-arm

    Science.gov (United States)

    Ouadah, S.; Stayman, J. W.; Gang, G.; Uneri, A.; Ehtiati, T.; Siewerdsen, J. H.

    2015-03-01

    Purpose: Robotic C-arm systems are capable of general noncircular orbits whose trajectories can be driven by the particular imaging task. However obtaining accurate calibrations for reconstruction in such geometries can be a challenging problem. This work proposes a method to perform a unique geometric calibration of an arbitrary C-arm orbit by registering 2D projections to a previously acquired 3D image to determine the transformation parameters representing the system geometry. Methods: Experiments involved a cone-beam CT (CBCT) bench system, a robotic C-arm, and three phantoms. A robust 3D-2D registration process was used to compute the 9 degree of freedom (DOF) transformation between each projection and an existing 3D image by maximizing normalized gradient information with a digitally reconstructed radiograph (DRR) of the 3D volume. The quality of the resulting "self-calibration" was evaluated in terms of the agreement with an established calibration method using a BB phantom as well as image quality in the resulting CBCT reconstruction. Results: The self-calibration yielded CBCT images without significant difference in spatial resolution from the standard ("true") calibration methods (p-value >0.05 for all three phantoms), and the differences between CBCT images reconstructed using the "self" and "true" calibration methods were on the order of 10-3 mm-1. Maximum error in magnification was 3.2%, and back-projection ray placement was within 0.5 mm. Conclusion: The proposed geometric "self" calibration provides a means for 3D imaging on general noncircular orbits in CBCT systems for which a geometric calibration is either not available or not reproducible. The method forms the basis of advanced "task-based" 3D imaging methods now in development for robotic C-arms.

  16. Dynamic cone beam CT angiography of carotid and cerebral arteries using canine model

    Energy Technology Data Exchange (ETDEWEB)

    Cai Weixing; Zhao Binghui; Conover, David; Liu Jiangkun; Ning Ruola [Department of Imaging Sciences, University of Rochester, 601 Elmwood Avenue, Rochester, New York 14642 (United States); Department of Radiology, Shanghai 6th People' s Hospital, 600 Yishan Road, Xuhui, Shanghai (China); Koning Corporation, Lennox Tech Enterprise Center, 150 Lucius Gordon Drive Suite 112, West Henrietta, New York 14586 (United States); Department of Imaging Sciences, University of Rochester, 601 Elmwood Avenue, Rochester, New York 14642 (United States); Department of Imaging Sciences, University of Rochester, 601 Elmwood Avenue, Rochester, New York 14642 (United States) and Koning Corporation, Lennox Tech Enterprise Center, 150 Lucius Gordon Drive Suite 112, West Henrietta, New York 14586 (United States)

    2012-01-15

    Purpose: This research is designed to develop and evaluate a flat-panel detector-based dynamic cone beam CT system for dynamic angiography imaging, which is able to provide both dynamic functional information and dynamic anatomic information from one multirevolution cone beam CT scan. Methods: A dynamic cone beam CT scan acquired projections over four revolutions within a time window of 40 s after contrast agent injection through a femoral vein to cover the entire wash-in and wash-out phases. A dynamic cone beam CT reconstruction algorithm was utilized and a novel recovery method was developed to correct the time-enhancement curve of contrast flow. From the same data set, both projection-based subtraction and reconstruction-based subtraction approaches were utilized and compared to remove the background tissues and visualize the 3D vascular structure to provide the dynamic anatomic information. Results: Through computer simulations, the new recovery algorithm for dynamic time-enhancement curves was optimized and showed excellent accuracy to recover the actual contrast flow. Canine model experiments also indicated that the recovered time-enhancement curves from dynamic cone beam CT imaging agreed well with that of an IV-digital subtraction angiography (DSA) study. The dynamic vascular structures reconstructed using both projection-based subtraction and reconstruction-based subtraction were almost identical as the differences between them were comparable to the background noise level. At the enhancement peak, all the major carotid and cerebral arteries and the Circle of Willis could be clearly observed. Conclusions: The proposed dynamic cone beam CT approach can accurately recover the actual contrast flow, and dynamic anatomic imaging can be obtained with high isotropic 3D resolution. This approach is promising for diagnosis and treatment planning of vascular diseases and strokes.

  17. Cone beam CT for dental and maxillofacial imaging: dose matters.

    Science.gov (United States)

    Pauwels, Ruben

    2015-07-01

    The widespread use of cone-beam CT (CBCT) in dentistry has led to increasing concern regarding justification and optimisation of CBCT exposures. When used as a substitute to multidetector CT (MDCT), CBCT can lead to significant dose reduction; however, low-dose protocols of current-generation MDCTs show that there is an overlap between CBCT and MDCT doses. More importantly, although the 3D information provided by CBCT can often lead to improved diagnosis and treatment compared with 2D radiographs, a routine or excessive use of CBCT would lead to a substantial increase of the collective patient dose. The potential use of CBCT for paediatric patients (e.g. developmental disorders, trauma and orthodontic treatment planning) further increases concern regarding its proper application. This paper provides an overview of justification and optimisation issues in dental and maxillofacial CBCT. The radiation dose in CBCT will be briefly reviewed. The European Commission's Evidence Based Guidelines prepared by the SEDENTEXCT Project Consortium will be summarised, and (in)appropriate use of CBCT will be illustrated for various dental applications.

  18. Evaluation of the OSC-TV iterative reconstruction algorithm for cone-beam optical CT

    Energy Technology Data Exchange (ETDEWEB)

    Matenine, Dmitri, E-mail: dmitri.matenine.1@ulaval.ca; Mascolo-Fortin, Julia, E-mail: julia.mascolo-fortin.1@ulaval.ca [Département de physique, de génie physique et d’optique, Université Laval, Québec, Québec G1V 0A6 (Canada); Goussard, Yves, E-mail: yves.goussard@polymtl.ca [Département de génie électrique/Institut de génie biomédical, École Polytechnique de Montréal, C.P. 6079, succ. Centre-ville, Montréal, Québec H3C 3A7 (Canada); Després, Philippe, E-mail: philippe.despres@phy.ulaval.ca [Département de physique, de génie physique et d’optique and Centre de recherche sur le cancer, Université Laval, Québec, Québec G1V 0A6, Canada and Département de radio-oncologie and Centre de recherche du CHU de Québec, Québec, Québec G1R 2J6 (Canada)

    2015-11-15

    Purpose: The present work evaluates an iterative reconstruction approach, namely, the ordered subsets convex (OSC) algorithm with regularization via total variation (TV) minimization in the field of cone-beam optical computed tomography (optical CT). One of the uses of optical CT is gel-based 3D dosimetry for radiation therapy, where it is employed to map dose distributions in radiosensitive gels. Model-based iterative reconstruction may improve optical CT image quality and contribute to a wider use of optical CT in clinical gel dosimetry. Methods: This algorithm was evaluated using experimental data acquired by a cone-beam optical CT system, as well as complementary numerical simulations. A fast GPU implementation of OSC-TV was used to achieve reconstruction times comparable to those of conventional filtered backprojection. Images obtained via OSC-TV were compared with the corresponding filtered backprojections. Spatial resolution and uniformity phantoms were scanned and respective reconstructions were subject to evaluation of the modulation transfer function, image uniformity, and accuracy. The artifacts due to refraction and total signal loss from opaque objects were also studied. Results: The cone-beam optical CT data reconstructions showed that OSC-TV outperforms filtered backprojection in terms of image quality, thanks to a model-based simulation of the photon attenuation process. It was shown to significantly improve the image spatial resolution and reduce image noise. The accuracy of the estimation of linear attenuation coefficients remained similar to that obtained via filtered backprojection. Certain image artifacts due to opaque objects were reduced. Nevertheless, the common artifact due to the gel container walls could not be eliminated. Conclusions: The use of iterative reconstruction improves cone-beam optical CT image quality in many ways. The comparisons between OSC-TV and filtered backprojection presented in this paper demonstrate that OSC-TV can

  19. Cone beam CT in radiology; DVT in der Radiologie

    Energy Technology Data Exchange (ETDEWEB)

    Dammann, Florian [ALB FILS KLINIKEN GmbH, Klinik am Eichert, Goeppingen (Germany). Inst. fuer Radiologie

    2013-06-15

    Cone beam computed tomography (CBCT) is a cross-sectional X-ray modality using an imaging system with cone-beam geometry. Unlike CT, the data set is acquired in a single circulation of a C-arm shaped tube-detector unit. Image characteristics vs. exposure dose ratio is similar to conventional CT, but varies widely depending on the CBVT device and the selected settings, and is limited to low dose/high noise applications. Up to now, only few data is available to estimate the clinical value of CBCT. Nevertheless, the use of CBCT is increasing drastically in the recent years, especially in the dental and ENT diagnostic field. For this reason the European Commission recently published guidelines concerning the clinical application of CBCT. These guidelines, as well as clinically relevant technical features of CBCT and examples of the most frequent dental applications are presented in the following article. (orig.)

  20. Practical limitations of cone-beam computed tomography in 3D cephalometry%Practical limitations of cone-beam computed tomography in3D cephalometry

    Institute of Scientific and Technical Information of China (English)

    Janalt Damstra; Zacharias Fourie; Yijin Ren

    2011-01-01

    3D cone beam computed tomography (CBCT) images offer a unique and new appreciation of the anatomical structures and underlying anomalies not possible with conventional radiographs.However,in almost all aspects of CBCT imaging,from utilization to application,inherent limitations and pitfalls exist.Importantly,these inherent limitations and pitfalls have practical implications which need to be addressed before the potential of this technology can be fully realized.The purpose of this review was to explore the current limitations and pitfalls associated with CBCT imaging to allow for better and more accurate understanding of the possibilities this imaging modality could offer,particularly pertaining to 3D cephalometry.

  1. Practical limitations of cone-beam computed tomography in 3D cephalometry

    NARCIS (Netherlands)

    Damstra, Janalt; Fourie, Zacharias; Ren, Yijin

    2011-01-01

    3D cone beam computed tomography (CBCT) images offer a unique and new appreciation of the anatomical structures and underlying anomalies not possible with conventional radiographs. However, in almost all aspects of CBCT imaging, from utilization to application, inherent limitations and pitfalls exis

  2. Diagnostic Applications of Cone-Beam CT for Periodontal Diseases

    OpenAIRE

    AlJehani, Yousef A.

    2014-01-01

    Objectives. This paper aims to review the diagnostic application of cone beam computed tomography (CBCT) in the field of periodontology. Data. Original articles that reported on the use of CBCT for periodontal disease diagnosis were included. Sources. MEDLINE (1990 to January 2014), PubMed (using medical subject headings), and Google Scholar were searched using the following terms in different combinations: “CBCT,” “volumetric CT,” “periodontal disease ,” and “periodontitis.” This was supplem...

  3. Marker-free lung tumor trajectory estimation from a cone beam CT sinogram

    Science.gov (United States)

    Hugo, Geoffrey D.; Liang, Jian; Yan, Di

    2010-05-01

    An algorithm was developed to estimate the 3D lung tumor position using the projection data forming a cone beam CT sinogram and a template registration method. A pre-existing respiration-correlated CT image was used to generate templates of the target, which were then registered to the individual cone beam CT projections, and estimates of the target position were made for each projection. The registration search region was constrained based on knowledge of the mean tumor position during the cone beam CT scan acquisition. Several template registration algorithms were compared, including correlation coefficient and robust methods such as block correlation, robust correlation coefficient and robust gradient correlation. Robust registration metrics were found to be less sensitive to occlusions such as overlying tissue and the treatment couch. The mean accuracy of the position estimation was 1.4 mm in phantom with a robust registration algorithm. In two research subjects with peripheral tumors, the mean position and mean target excursion were estimated to within 2.0 mm compared to the results obtained with a '4D' registration of 4D image volumes.

  4. 3D Quantification of Mandibular Asymmetry through Cone Beam Computed Tomography

    Science.gov (United States)

    Cevidanes, Lucia H.S.; Alhadidi, Abeer; Paniagua, Beatriz; Styner, Martin; Ludlow, John; Mol, Andre; Turvey, Timothy; Proffit, William R.; Rossouw, Paul Emile

    2011-01-01

    Objective To determine if 3D shape analysis precisely diagnoses right and left differences in asymmetry patients Study Design Cone-beam CT data was acquired pretreatment from 20 patients with mandibular asymmetry. 3D shape analysis was used to localize and quantify the extent of virtually simulated asymmetry. Two approaches were used: (1) mirroring on the midsagittal plane determined from landmarks and (2) mirroring on an arbitrary plane, then registering on the cranial base of the original image. The validation presented in this study used simulated data and has been applied to three clinical cases. Results For mirroring on the midsagittal plane there was a >99% probability that the difference between measured and simulated asymmetry was less than 0.5 mm. For mirroring with cranial base registration, there was a >84% probability of differences less than 0.5 mm. Conclusions Mandibular asymmetry can be precisely quantified with both mirroring methods. Cranial base registration has the potential to be used for patients with trauma situations or when key landmarks are unreliable or absent. PMID:21497527

  5. Dose calculation based on Cone Beam CT images

    DEFF Research Database (Denmark)

    Slot Thing, Rune

    , several other factors contributing to the image quality degradation, and while one should, theoretically, be able to obtain CT-like image quality from CBCT scans, clinical image quality is often very far from this ideal realisation. The present thesis describes the investigation of potential image quality...... improvements in clinical CBCT imaging achieved through post-processing of the clinical image data. A Monte Carlo model was established to predict patient specific scattered radiation in CBCT imaging, based on anatomical information from the planning CT scan. This allowed the time consuming Monte Carlo......Cone beam CT (CBCT) imaging is frequently used in modern radiotherapy to ensure the proper positioning of the patient prior to each treatment fraction. With the increasing use of CBCT imaging for image guidance, interest has grown in exploring the potential use of these 3– or 4–D medical images...

  6. Enhancement of breast calcification visualization and detection using a modified PG method in Cone Beam Breast CT.

    Science.gov (United States)

    Liu, Jiangkun; Ning, Ruola; Cai, Weixing; Benitez, Ricardo Betancourt

    2012-01-01

    Cone Beam Breast CT is a promising diagnostic modality in breast imaging. Its isotropic 3D spatial resolution enhances the characterization of micro-calcifications in breasts that might not be easily distinguishable in mammography. However, due to dose level considerations, it is beneficial to further enhance the visualization of calcifications in Cone Beam Breast CT images that might be masked by noise. In this work, the Papoulis-Gerchberg method was modified and implemented in Cone Beam Breast CT images to improve the visualization and detectability of calcifications. First, the PG method was modified and applied to the projections acquired during the scanning process; its effects on the reconstructed images were analyzed by measuring the Modulation Transfer Function and the Noise Power Spectrum. Second, Cone Beam Breast CT images acquired at different dose levels were pre-processed using this technique to enhance the visualization of calcification. Finally, a computer-aided diagnostic algorithm was utilized to evaluate the efficacy of this method to improve calcification detectability. The results demonstrated that this technique can effectively improve image quality by improving the Modulation Transfer Function with a minor increase in noise level. Consequently, the visualization and detectability of calcifications were improved in Cone Beam Breast CT images. This technique was also proved to be useful in reducing the x-ray dose without degrading visualization and detectability of calcifications.

  7. 三维锥形束CT用于人牙咬痕认定的有效性比较研究%Effectiveness Assessment of 3-D Cone Beam CT Used in Human Bite Marks Identification

    Institute of Scientific and Technical Information of China (English)

    吴砚; 陈新民; 沈韵; 余锦豪; 唐莹; 张以鸣; 朱磊; 徐远志

    2013-01-01

    The present study was aimed to use the 3-D cone beam CT (CBCT) as a new method in human bite marks identification which was carried out in experimental pigskin to assess its effectiveness in our laboratory. Bite marks were digital photographed according to American Board of Forensic Odontology (ABFO) guidelines. In this study, the data of the suspect's dental casts were collected by scanning in two ways: one was after plate scanning, in which the comparison overlays were generated by Adobe Photoshop8. 0 softwares the other was by CBCT, which generated comparison overlays automatically. The bite marks were blind identified with the two kinds of data of the suspect's dental casts respectively. ROC curve was used to analyze the sensitivity, specificity, and 95% confidence interval. The results showed that CBCT method got a larger area under the ROC curve: 0. 784 (SE=0. 074, 95% CI=0. 639-0. 929), and got a very high specificity (specificity 98. 7%, 95% CI=94. 5%-99. 8%). Thus, this study illustrates that the CBCT used in bite mark identification is an effective and accurate tool and has stronger ability to exclude suspects compared with the conventional method, but the comparison process needs further study to enhance its effectiveness in bite mark identification.%将三维锥形束CT(CBCT)用于人牙咬痕的认定,并通过猪皮载体上的实验咬痕开展其有效性分析.咬痕按照美国法医牙科协会(ABFO)指导原则进行数码拍照.嫌疑人牙模采用两种方法扫描采集数据:第一种是扫描仪扫描,再由常规方法Adobe Photoshop8.0软件生成比较overlay;第二种是使用CBCT三维扫描自动生成比较o-verlay.本研究将咬痕的数码相片分别与两种方法采集的牙模数据进行盲法比较认定,评定使用ROC曲线来分析灵敏度、特异度,并计算95%可信区间.结果显示CBCT法获得较大的ROC曲线下面积:0.784(SE=0.074,95%CI=0.639伍0.929);获得相当高的特异度(特异度98.7%,95

  8. 3D algebraic iterative reconstruction for cone-beam x-ray differential phase-contrast computed tomography.

    Science.gov (United States)

    Fu, Jian; Hu, Xinhua; Velroyen, Astrid; Bech, Martin; Jiang, Ming; Pfeiffer, Franz

    2015-01-01

    Due to the potential of compact imaging systems with magnified spatial resolution and contrast, cone-beam x-ray differential phase-contrast computed tomography (DPC-CT) has attracted significant interest. The current proposed FDK reconstruction algorithm with the Hilbert imaginary filter will induce severe cone-beam artifacts when the cone-beam angle becomes large. In this paper, we propose an algebraic iterative reconstruction (AIR) method for cone-beam DPC-CT and report its experiment results. This approach considers the reconstruction process as the optimization of a discrete representation of the object function to satisfy a system of equations that describes the cone-beam DPC-CT imaging modality. Unlike the conventional iterative algorithms for absorption-based CT, it involves the derivative operation to the forward projections of the reconstructed intermediate image to take into account the differential nature of the DPC projections. This method is based on the algebraic reconstruction technique, reconstructs the image ray by ray, and is expected to provide better derivative estimates in iterations. This work comprises a numerical study of the algorithm and its experimental verification using a dataset measured with a three-grating interferometer and a mini-focus x-ray tube source. It is shown that the proposed method can reduce the cone-beam artifacts and performs better than FDK under large cone-beam angles. This algorithm is of interest for future cone-beam DPC-CT applications.

  9. 锥束CT系统的3D Shepp-Logan体模仿真及其投影数据重建%The simulation and projection data reconstruction on 3D Shepp-Logan phantom for cone-beam CT system

    Institute of Scientific and Technical Information of China (English)

    曹涵; 胡战利; 方方; 胡信菊

    2014-01-01

    In order to verify the performance of cone-beam CT imaging algorithm, 3D Shepp-Logan phantom produced by For-tran is presented as the reference model for algorithm performance verification, and introduces the parameter of 3D Shepp-Logan phantom and programming method detailedly. Then, we put it in the projection process directly and get the projection data. Fin-ally, simulation experiments of 3D medical image reconstruction are carried out by the projection data. After experimental veri-fication, it is shown that the performance of the algorithms verifying through 3D Shepp-Logan phantom produced by Fortran is accurate and feasible.%为了验证锥束CT成像算法的性能,提出了使用Fortran语言编写的3D Shepp-Logan体模作为算法性能验证的参考模型,并详细介绍了3D Shepp-Logan体模的参数设置及编程方法。然后,直接加入到正投影程序中得到投影数据。最后,利用得到的投影数据进行了三维医学图像重建的仿真实验。经过实验验证,表明了使用Fortran语言编写的3D Shepp-Logan体模来验证算法性能是准确可行的。

  10. Dynamic cone beam CT angiography of carotid and cerebral arteries using canine model

    OpenAIRE

    Cai, Weixing; zhao,binghui; Conover, David; Liu, Jiangkun; Ning, Ruola

    2012-01-01

    Purpose: This research is designed to develop and evaluate a flat-panel detector-based dynamic cone beam CT system for dynamic angiography imaging, which is able to provide both dynamic functional information and dynamic anatomic information from one multirevolution cone beam CT scan.

  11. Image quality of a cone beam O-arm 3D imaging system

    Science.gov (United States)

    Zhang, Jie; Weir, Victor; Lin, Jingying; Hsiung, Hsiang; Ritenour, E. Russell

    2009-02-01

    The O-arm is a cone beam imaging system designed primarily to support orthopedic surgery and is also used for image-guided and vascular surgery. Using a gantry that can be opened or closed, the O-arm can function as a 2-dimensional (2D) fluoroscopy device or collect 3-dimensional (3D) volumetric imaging data like a CT system. Clinical applications of the O-arm in spine surgical procedures, assessment of pedicle screw position, and kyphoplasty procedures show that the O-arm 3D mode provides enhanced imaging information compared to radiographs or fluoroscopy alone. In this study, the image quality of an O-arm system was quantitatively evaluated. A 20 cm diameter CATPHAN 424 phantom was scanned using the pre-programmed head protocols: small/medium (120 kVp, 100 mAs), large (120 kVp, 128 mAs), and extra-large (120 kVp, 160 mAs) in 3D mode. High resolution reconstruction mode (512×512×0.83 mm) was used to reconstruct images for the analysis of low and high contrast resolution, and noise power spectrum. MTF was measured using the point spread function. The results show that the O-arm image is uniform but with a noise pattern which cannot be removed by simply increasing the mAs. The high contrast resolution of the O-arm system was approximately 9 lp/cm. The system has a 10% MTF at 0.45 mm. The low-contrast resolution cannot be decided due to the noise pattern. For surgery where locations of a structure are emphasized over a survey of all image details, the image quality of the O-arm is well accepted clinically.

  12. Extracting respiratory signals from thoracic cone beam CT projections

    CERN Document Server

    Yan, Hao; Yin, Wotao; Pan, Tinsu; Ahmad, Moiz; Mou, Xuanqin; Cervino, Laura; Jia, Xun; Jiang, Steve B

    2012-01-01

    Patient respiratory signal associated with the cone beam CT (CBCT) projections is important for lung cancer radiotherapy. In contrast to monitoring an external surrogate of respiration, such signal can be extracted directly from the CBCT projections. In this paper, we propose a novel local principle component analysis (LPCA) method to extract the respiratory signal by distinguishing the respiration motion-induced content change from the gantry rotation-induced content change in the CBCT projections. The LPCA method is evaluated by comparing with three state-of-the-art projection-based methods, namely, the Amsterdam Shroud (AS) method, the intensity analysis (IA) method, and the Fourier-transform based phase analysis (FT-p) method. The clinical CBCT projection data of eight patients, acquired under various clinical scenarios, were used to investigate the performance of each method. We found that the proposed LPCA method has demonstrated the best overall performance for cases tested and thus is a promising tech...

  13. Diagnostic Applications of Cone-Beam CT for Periodontal Diseases

    Directory of Open Access Journals (Sweden)

    Yousef A. AlJehani

    2014-01-01

    Full Text Available Objectives. This paper aims to review the diagnostic application of cone beam computed tomography (CBCT in the field of periodontology. Data. Original articles that reported on the use of CBCT for periodontal disease diagnosis were included. Sources. MEDLINE (1990 to January 2014, PubMed (using medical subject headings, and Google Scholar were searched using the following terms in different combinations: “CBCT,” “volumetric CT,” “periodontal disease ,” and “periodontitis.” This was supplemented by hand-searching in peer-reviewed journals and cross-referenced with the articles accessed. Conclusions. Bony defects, caters, and furcation involvements seem to be better depicted on CBCT, whereas bone quality and periodontal ligament space scored better on conventional intraoral radiography. CBCT does not offer a significant advantage over conventional radiography for assessing the periodontal bone levels.

  14. Iodine contrast cone beam CT imaging of breast cancer

    Science.gov (United States)

    Partain, Larry; Prionas, Stavros; Seppi, Edward; Virshup, Gary; Roos, Gerhard; Sutherland, Robert; Boone, John

    2007-03-01

    An iodine contrast agent, in conjunction with an X-ray cone beam CT imaging system, was used to clearly image three, biopsy verified, cancer lesions in two patients. The lesions were approximately in the 10 mm to 6 mm diameter range. Additional regions were also enhanced with approximate dimensions down to 1 mm or less in diameter. A flat panel detector, with 194 μm pixels in 2 x 2 binning mode, was used to obtain 500 projection images at 30 fps with an 80 kVp X-ray system operating at 112 mAs, for an 8-9 mGy dose - equivalent to two view mammography for these women. The patients were positioned prone, while the gantry rotated in the horizontal plane around the uncompressed, pendant breasts. This gantry rotated 360 degrees during the patient's 16.6 sec breath hold. A volume of 100 cc of 320 mg/ml iodine-contrast was power injected at 4 cc/sec, via catheter into the arm vein of the patient. The resulting 512 x 512 x 300 cone beam CT data set of Feldkamp reconstructed ~(0.3 mm) 3 voxels were analyzed. An interval of voxel contrast values, characteristic of the regions with iodine contrast enhancement, were used with surface rendering to clearly identify up to a total of 13 highlighted volumes. This included the three largest lesions, that were previously biopsied and confirmed to be malignant. The other ten highlighted regions, of smaller diameters, are likely areas of increased contrast trapping unrelated to cancer angiogenesis. However the technique itself is capable of resolving lesions that small.

  15. Study of effective dose of various protocols in equipment cone beam CT

    Energy Technology Data Exchange (ETDEWEB)

    Soares, M. R.; Maia, A. F. [Universidade Federale de Sergipe, Departamento de Fisica, Cidade Universitaria Prof. Jose Aloisio de Campos, Marechal Rondon s/n, Jardim Rosa Elze, 49-100000 Sao Cristovao, Sergipe (Brazil); Batista, W. O. [Instituto Federal da Bahia, Rua Emidio dos Santos s/n, Barbalho, Salvador, 40301015 Bahia (Brazil); Caldas, L. V. E.; Lara, P. A., E-mail: mrs2206@gmail.com [Instituto de Pesquisas Energeticas e Nucleares / CNEN, Av. Lineu Prestes 2242, Cidade Universitaria, 05508-000 Sao Paulo (Brazil)

    2014-08-15

    Currently the cone beam computed tomography is widely used in various procedures of dental radiology. Although the doses values associated with the procedures of cone beam CT are low compared to typical values associated with dental radiology procedure in multi slices CT. However can be high compared to typical values of other techniques commonly used in dental radiology. The present scenario is a very wide range of designs of equipment and, consequently, lack of uniformity in all parameters associated with x-ray generation and geometry. In this context, this study aimed to evaluate and calculate the absorbed dose in organs and tissues relevant and estimate effective dose for different protocols with different geometries of exposure in five cone beam CT equipment. For this, a female Alderson anthropomorphic phantom, manufactured by Radiology Support Devices was used. The phantom was irradiated with 26 dosimeters LiF: Mg, Ti (TLD-100), inserted in organs and tissues along the layers forming the head and neck of the phantom. The equipment used, in this present assessment, was: i-CAT Classical, Kodak 9000 3D, Gendex GXCB 500, Sirona Orthophos X G 3D and Planmeca Pro Max 3D. The effective doses were be determined by the ICRP 103 weighting factors. The values were between 7.0 and 111.5 micro Sv, confirming the broad dose range expected due to the diversity of equipment and protocols used in each equipment. The values of effective dose per Fov size were: between 7 and 51.2 micro Sv for located Fov; between 17.6 and 52.0 micro Sv for medium Fov; and between 11.5 and 43.1 micro Sv to large Fov (maxillofacial). In obtaining the effective dose the measurements highlighted a relevance contribution of dose absorbed by the remaining organs (36%), Salivary glands (30%), thyroid (12%) and bone marrow (12%). (Author)

  16. [Upper airway's 3D analysis of patients with obstructive sleep apnea using tomographic cone beam].

    Science.gov (United States)

    Bruwier, A; Poirrier, A L; Limme, M; Poirrier, R

    2014-12-01

    The progress of medical imaging over the last decades has led to a better understanding of the upper airway structure in sleep-disordered patients. The Obstructive Sleep Apnea Syndrome (OSA) is attributed to a functional narrowing of the upper airway, particularly of the oropharynx, during sleep. This narrowing is multifactorial. We have shown that in 60% cases, the maxilla (nasal pyramid) seems too narrow. A mandible retroposition may also play a dominant role in 30% of the cases. Both scenarios can be combined. Cone Beam Computed Tomography (CBCT) is a new medical imaging technique that permits to visualize the upper airway with less ionizing radiation than the conventional scanner. To date, only five authors have performed an upper airway's 3D analysis of sleep apnea patients with cone beam. A better understanding of the affected segment of the upper airway should help refine treatment options.

  17. Automated volume of interest delineation and rendering of cone beam CT images in interventional cardiology

    Science.gov (United States)

    Lorenz, Cristian; Schäfer, Dirk; Eshuis, Peter; Carroll, John; Grass, Michael

    2012-02-01

    Interventional C-arm systems allow the efficient acquisition of 3D cone beam CT images. They can be used for intervention planning, navigation, and outcome assessment. We present a fast and completely automated volume of interest (VOI) delineation for cardiac interventions, covering the whole visceral cavity including mediastinum and lungs but leaving out rib-cage and spine. The problem is addressed in a model based approach. The procedure has been evaluated on 22 patient cases and achieves an average surface error below 2mm. The method is able to cope with varying image intensities, varying truncations due to the limited reconstruction volume, and partially with heavy metal and motion artifacts.

  18. A new cone-beam computed tomography system for dental applications with innovative 3D software

    Energy Technology Data Exchange (ETDEWEB)

    Pasini, Alessandro; Bianconi, D.; Rossi, A. [University of Bologna, Department of Physics, Bologna (Italy); NECTAR Imaging srl Imola (Italy); Casali, F. [University of Bologna, Department of Physics, Bologna (Italy); Bontempi, M. [CEFLA Dental Group Imola (Italy)

    2007-02-15

    Objective Cone beam computed tomography (CBCT) is an important image technique for oral surgery (dentoalveolar surgery and dental implantology) and maxillofacial applications. This technique requires compact sized scanners with a relatively low radiation dosage, which makes them suitable for imaging of the craniofacial region. This article aims to present the concept and the preliminary findings obtained with the prototype of a new CBCT scanner with dedicated 3D software, specifically designed for dental imaging. Methods The prototype implements an X-ray tube with a nominal focal spot of 0.5 mm operating at 70-100 kVp and 1-4 mA. The detector is a 6 in. image intensifier coupled with a digital CCD camera. Dosimetry was performed on a RANDO anthropomorphic phantom using Beryllium Oxide thermo-luminescent dosimeters positioned in the phantom in the following site: eyes, thyroid, skin (lips, cheeks, back of the neck), brain, mandible, maxilla and parotid glands. Doses were measured using four configurations, changing the field-of-view (4'' and 6'') and acquisition time (10 and 20 s) of the CBCT. Acquisitions were performed with different parameters regarding the x-ray tube, pixel size and acquisition geometries to evaluate image quality in relation to modulation transfer function (MTF), noise and geometric accuracy. Results The prototype was able to acquire a complete maxillofacial scan in 10-15 s. The CT reconstruction algorithm delivered images that were judged to have high quality, allowing for precise volume rendering. The radiation dose was determined to be 1-1.5 times that of the dose applied during conventional dental panoramic studies. Conclusion Preliminary studies using the CBCT prototype indicate that this device provides images with acceptable diagnostic content at a relatively low radiation dosage, if compared to systems currently available on the market. (orig.)

  19. Reduction of Cone-Beam CT scan time without compromising the accuracy of the image registration in IGRT

    DEFF Research Database (Denmark)

    Westberg, Jonas; Jensen, Henrik R; Bertelsen, Anders;

    2010-01-01

    In modern radiotherapy accelerators are equipped with 3D cone-beam CT (CBCT) which is used to verify patient position before treatment. The verification is based on an image registration between the CBCT acquired just before treatment and the CT scan made for the treatment planning. The purpose...... of this study is to minimise the scan time of the CBCT without compromising the accuracy of the image registration in IGRT....

  20. Dynamic bowtie filter for cone-beam/multi-slice CT.

    Directory of Open Access Journals (Sweden)

    Fenglin Liu

    Full Text Available A pre-patient attenuator ("bowtie filter" or "bowtie" is used to modulate an incoming x-ray beam as a function of the angle of the x-ray with respect to a patient to balance the photon flux on a detector array. While the current dynamic bowtie design is focused on fan-beam geometry, in this study we propose a methodology for dynamic bowtie design in multi-slice/cone-beam geometry. The proposed 3D dynamic bowtie is an extension of the 2D prior art. The 3D bowtie consists of a highly attenuating bowtie (HB filled in with heavy liquid and a weakly attenuating bowtie (WB immersed in the liquid of the HB. The HB targets a balanced flux distribution on a detector array when no object is in the field of view (FOV. The WB compensates for an object in the FOV, and hence is a scaled-down version of the object. The WB is rotated and translated in synchrony with the source rotation and patient translation so that the overall flux balance is maintained on the detector array. First, the mathematical models of different scanning modes are established for an elliptical water phantom. Then, a numerical simulation study is performed to compare the performance of the scanning modes in the cases of the water phantom and a patient cross-section without any bowtie and with a dynamic bowtie. The dynamic bowtie can equalize the numbers of detected photons in the case of the water phantom. In practical cases, the dynamic bowtie can effectively reduce the dynamic range of detected signals inside the FOV. Furthermore, the WB can be individualized using a 3D printing technique as the gold standard. We have extended the dynamic bowtie concept from 2D to 3D by using highly attenuating liquid and moving a scale-reduced negative copy of an object being scanned. Our methodology can be applied to reduce radiation dose and facilitate photon-counting detection.

  1. Ring artifacts removal via spatial sparse representation in cone beam CT

    Science.gov (United States)

    Li, Zhongyuan; Li, Guang; Sun, Yi; Luo, Shouhua

    2016-03-01

    This paper is about the ring artifacts removal method in cone beam CT. Cone beam CT images often suffer from disturbance of ring artifacts which caused by the non-uniform responses of the elements in detectors. Conventional ring artifacts removal methods focus on the correlation of the elements and the ring artifacts' structural characteristics in either sinogram domain or cross-section image. The challenge in the conventional methods is how to distinguish the artifacts from the intrinsic structures; hence they often give rise to the blurred image results due to over processing. In this paper, we investigate the characteristics of the ring artifacts in spatial space, different from the continuous essence of 3D texture feature of the scanned objects, the ring artifacts are displayed discontinuously in spatial space, specifically along z-axis. Thus we can easily recognize the ring artifacts in spatial space than in cross-section. As a result, we choose dictionary representation for ring artifacts removal due to its high sensitivity to structural information. We verified our theory both in spatial space and coronal-section, the experimental results demonstrate that our methods can remove the artifacts efficiently while maintaining image details.

  2. Identification of dental root canals and their medial line from micro-CT and cone-beam CT records

    Directory of Open Access Journals (Sweden)

    Benyó Balázs

    2012-10-01

    Full Text Available Abstract Background Shape of the dental root canal is highly patient specific. Automated identification methods of the medial line of dental root canals and the reproduction of their 3D shape can be beneficial for planning endodontic interventions as severely curved root canals or multi-rooted teeth may pose treatment challenges. Accurate shape information of the root canals may also be used by manufacturers of endodontic instruments in order to make more efficient clinical tools. Method Novel image processing procedures dedicated to the automated detection of the medial axis of the root canal from dental micro-CT and cone-beam CT records are developed. For micro-CT, the 3D model of the root canal is built up from several hundred parallel cross sections, using image enhancement, histogram based fuzzy c-means clustering, center point detection in the segmented slice, three dimensional inner surface reconstruction, and potential field driven curve skeleton extraction in three dimensions. Cone-beam CT records are processed with image enhancement filters and fuzzy chain based regional segmentation, followed by the reconstruction of the root canal surface and detecting its skeleton via a mesh contraction algorithm. Results The proposed medial line identification and root canal detection algorithms are validated on clinical data sets. 25 micro-CT and 36 cone-beam-CT records are used in the validation procedure. The overall success rate of the automatic dental root canal identification was about 92% in both procedures. The algorithms proved to be accurate enough for endodontic therapy planning. Conclusions Accurate medial line identification and shape detection algorithms of dental root canal have been developed. Different procedures are defined for micro-CT and cone-beam CT records. The automated execution of the subsequent processing steps allows easy application of the algorithms in the dental care. The output data of the image processing procedures

  3. Upper airway alterations/abnormalities in a case series of obstructive sleep apnea patients identified with cone-beam CT

    Energy Technology Data Exchange (ETDEWEB)

    Shigeta, Y.; Shintaku, W.H.; Clark, G.T. [Orofacial Pain/Oral Medicine Center, Div. of Diagnostic Sciences, School of Dentistry, Univ. of Southern California, Los Angeles, CA (United States); Enciso, R. [Div. of Craniofacial Sciences and Therapeutics, School of Dentistry, Univ. of Southern California, Los Angeles, CA (United States); Ogawa, T. [Dept. of Fixed Prosthodontic Dentistry, Tsurumi Univ., School of Dental Medicine, Tsurumi (Japan)

    2007-06-15

    There are many factors that influence the configuration of the upper airway and may contribute to the development of obstructive sleep apnea (OSA). This paper presents a series of 12 consecutive OSA cases where various upper airway alteration/abnormalities were identified using 3D anatomic reconstructions generated from cone-beam CT (CBCT) images. Some cases exhibited more than one type of abnormality and below we describe each of the six types identified with CBCT in this case series. (orig.)

  4. Superposição automatizada de modelos tomográficos tridimensionais em cirurgia ortognática Superimposition of 3D cone-beam CT models in orthognathic surgery

    Directory of Open Access Journals (Sweden)

    Alexandre Trindade Simões da Motta

    2010-04-01

    Full Text Available INTRODUÇÃO: as limitações na avaliação quantitativa e qualitativa de deslocamentos cirúrgicos pelos métodos bidimensionais podem ser superadas através de tomografias volumétricas e ferramentas de imagens tridimensionais. OBJETIVOS: a metodologia descrita neste trabalho permite avaliar as mudanças nas posições de côndilos, ramos, mento, maxila e da dentição após a cirurgia ortognática através de tomografias computadorizadas de feixe cônico (Cone Beam Computed Tomography, CBCT antes e após o procedimento cirúrgico. MÉTODOS: são construídos modelos 3D que possibilitam superposições tendo a base do crânio pré-cirúrgica como referência, utilizando-se um método automático que identifica e compara a escala de cinza dos voxels de duas estruturas tridimensionais, eliminando a necessidade do operador marcar os pontos anatômicos. Então, as distâncias entre as superfícies anatômicas são computadas, no mesmo indivíduo, entre as duas fases. A avaliação das direções de deslocamento das estruturas é determinada visualmente pelos métodos de mapas coloridos e de semitransparências. CONCLUSÕES: conclui-se que a metodologia apresentada, que utiliza softwares de domínio público, mostra vantagens na avaliação longitudinal de pacientes ortocirúrgicos, quando comparada aos métodos radiográficos convencionais, uma vez que as imagens geradas não apresentam magnificações ou sobreposições de estruturas e a maioria dos passos são automatizados, o que torna os procedimentos de mensuração mais precisos, além de disponibilizar uma maior quantidade de informações ao clínico ou pesquisador.INTRODUCTION: Limitations of 2D quantitative and qualitative evaluation of surgical displacements can be overcome by CBCT and three-dimensional imaging tools. OBJECTIVES: The method described in this study allows the assessment of changes in the condyles, rami, chin, maxilla and dentition by the comparison of CBCT scans before

  5. Evaluation of positioning errors of the patient using cone beam CT megavoltage; Evaluacion de errores de posicionamiento del paciente mediante Cone Beam CT de megavoltaje

    Energy Technology Data Exchange (ETDEWEB)

    Garcia Ruiz-Zorrilla, J.; Fernandez Leton, J. P.; Zucca Aparicio, D.; Perez Moreno, J. M.; Minambres Moro, A.

    2013-07-01

    Image-guided radiation therapy allows you to assess and fix the positioning of the patient in the treatment unit, thus reducing the uncertainties due to the positioning of the patient. This work assesses errors systematic and errors of randomness from the corrections made to a series of patients of different diseases through a protocol off line of cone beam CT (CBCT) megavoltage. (Author)

  6. Segmentation process significantly influences the accuracy of 3D surface models derived from cone beam computed tomography

    NARCIS (Netherlands)

    Fourie, Zacharias; Damstra, Janalt; Schepers, Rutger H; Gerrits, Pieter; Ren, Yijin

    2012-01-01

    AIMS: To assess the accuracy of surface models derived from 3D cone beam computed tomography (CBCT) with two different segmentation protocols. MATERIALS AND METHODS: Seven fresh-frozen cadaver heads were used. There was no conflict of interests in this study. CBCT scans were made of the heads and 3D

  7. The influence of the segmentation process on 3D measurements from cone beam computed tomography-derived surface models

    NARCIS (Netherlands)

    Engelbrecht, Willem P.; Fourie, Zacharias; Damstra, Janalt; Gerrits, Peter O.; Ren, Yijin

    2013-01-01

    To compare the accuracy of linear and angular measurements between cephalometric and anatomic landmarks on surface models derived from 3D cone beam computed tomography (CBCT) with two different segmentation protocols was the aim of this study. CBCT scans were made of cadaver heads and 3D surface mod

  8. 基于3D-CT、4D-CT和锥形束CT定义的非小细胞肺癌内靶区比较%Comparison of internal target volumes defined on three-dimensional CT, four-dimensional CT and cone-beam CT images of non-small-cell lung cancer

    Institute of Scientific and Technical Information of China (English)

    李奉祥; 李建彬; 马志芳; 张英杰; 邢军; 戚焕鹏; 尚东平; 余宁莎

    2014-01-01

    Objective To compare positional and volumetric differences between internal target volumes defined on three-dimensional CT (3D-CT),four-dimensional CT (4D-CT) and cone-beam CT (CBCT) images of non-small-cell lung cancer.Methods Thirty-one patients with NSCLC sequentially underwent 3D-CT and 4D-CT simulation scans of the thorax during free breathing.A 3D conformal treatment plan was created based on 3D-CT.The CBCT images were obtained in the first fraction and registered to the planning CT using the bony anatomy registration.All target volumes were contoured with the same protocol by a radiation oncologist.GTVs were contoured based on 3D-CT,maximum intensity projection (MIP) of 4D-CT and CBCT.CTV3D,ITVMIPand ITVCBCTWere defined with a margin of 7 mm accounting for microscopic disease.ITV10mm and ITV5 mm were defined based on CTV3D.ITV10 mm with a margin of 5 mm in LR,AP directions and 10 mm in CC direction,while ITV5 mm with an isotropic internal margin (IM) of 5 mm.The differences in the position,size,Dice's similarity coefficient (DSC) and inclusion relation of different volumes were compared.Results The median size ratio of ITV10 mm,ITV5mm,ITVMIPto ITVCBCTwere 2.33,1.88,1.03 respectively for tumors in the upper lobe and 2.13,1.76,1.10 respectively for tumors in the middle-lower lobe.The median DSC of ITVMIP and ITVCBCT(0.83) was greater than that of ITV10 mm and ITVcBcT (0.6) and ITV5 mm and ITVCBCT (0.66) for all patients (Z =-4.86,-4.86,P < 0.05).The median percentages of ITVCBCT not included in ITV10 mm,ITV5 mm,ITVMIPwere 0.10%,1.63% and 15.21% respectively,while the median percentage of ITV10mm,ITV5mm,ITVMIP,not included in ITVCBCT were 57.08%,48.89% and 20.04%,respectively.The median percentage of ITVCBCT not included in ITV5 mm was 1.24% for tumors in the upper lobe and 5.8% for tumors in the middle-lower lobe.Conclusions The individual ITV based on 4D-CT can't encompass the ITV based on CBCT effectively.The use of the ITV derived from 4

  9. Iodized oil uptake assessment with cone-beam CT in chemoembolization of small hepatocellular carcinomas

    Institute of Scientific and Technical Information of China (English)

    Ung Bae Jeon; Jun Woo Lee; Ki Seok Choo; Chang Won Kim; Suk Kim; Tae Hong Lee; Yeon Joo Jeong; Dae Hwan Kang

    2009-01-01

    AIM: To evaluate the utility of assessing iodized oil uptake with cone-beam computed tomography (CT) in transarterial chemoembolization (TACE) for small hepatocellular carcinoma (HCC). METHODS: Cone-beam CT provided by a biplane flatpanel detector angiography suite was performed on eighteen patients (sixteen men and two women; 41-76 years; mean age, 58.9 years) directly after TACE for small HCC (26 nodules under 30 mm; mean diameter, 11.9 mm; range, 5-28 mm). The pre-procedural locations of the tumors were evaluated using triphasic multi-detector row helical computed tomography (MDCT). The tumor locations on MDCT and the iodized oil uptake by the tumors were analyzed on cone-beam CT and on spot image directly after the procedures. RESULTS: All lesions on preprocedural MDCT were detected using iodized oil uptake in the lesions on conebeam CT (sensitivity 100%, 26/26). Spot image depicted iodized oil uptake in 22 of the lesions (sensitivity 85%). The degree of iodized oil uptake was overestimated (9%, 2/22) or underestimated (14%, 3/22) on spot image in five nodules compared with that of cone-beam CT. CONCLUSION: Cone-beam CT is a useful and convenient tool for assessing the iodized oil uptake of small hepatic tumors (< 3 cm) directly after TACE.

  10. Benign Prostatic Hyperplasia: Cone-Beam CT in Conjunction with DSA for Identifying Prostatic Arterial Anatomy.

    Science.gov (United States)

    Wang, Mao Qiang; Duan, Feng; Yuan, Kai; Zhang, Guo Dong; Yan, Jieyu; Wang, Yan

    2017-01-01

    Purpose To describe findings in prostatic arteries (PAs) at digital subtraction angiography (DSA) and cone-beam computed tomography (CT) that allow identification of benign prostatic hyperplasia and to determine the value added with the use of cone-beam CT. Materials and Methods This retrospective single-institution study was approved by the institutional review board, and the requirement for written informed consent was waived. From February 2009 to December 2014, a total of 148 patients (mean age ± standard deviation, 70.5 years ± 14.5) underwent DSA of the internal iliac arteries and cone-beam CT with a flat-detector angiographic system before they underwent prostate artery embolization. Both the DSA and cone-beam CT images were evaluated by two interventional radiologists to determine the number of independent PAs and their origins and anastomoses with adjacent arteries. The exact McNemar test was used to compare the detection rate of the PAs and the anastomoses with DSA and with cone-beam CT. Results The PA anatomy was evaluated successfully by means of cone-beam CT in conjunction with DSA in all patients. Of the 296 pelvic sides, 274 (92.6%) had only one PA. The most frequent PA origin was the common gluteal-pudendal trunk with the superior vesicular artery in 118 (37.1%), followed by the anterior division of the internal iliac artery in 99 (31.1%), and the internal pudendal artery in 77 (24.2%) pelvic sides. In 67 (22.6%) pelvic sides, anastomoses to adjacent arteries were documented. The numbers of PA origins and anastomoses, respectively, that could be identified were significantly higher with cone-beam CT (301 of 318 [94.7%] and 65 of 67 [97.0%]) than with DSA (237 [74.5%] and 39 [58.2%], P Cone-beam CT provided essential information that was not available with DSA in 90 of 148 (60.8%) patients. Conclusion Cone-beam CT is a useful adjunctive technique to DSA for identification of the PA anatomy and provides information to help treatment planning during

  11. Cone beam CT in orthodontics: the current picture.

    Science.gov (United States)

    Makdissi, Jimmy

    2013-03-01

    The introduction of cone beam computed tomography (CBCT) technology to dentistry and orthodontics revolutionized the diagnosis, treatment and monitoring of orthodontic patients. This review article discusses the use of CBCT in diagnosis and treatment planning in orthodontics. The steps required to install and operate a CBCT facility within the orthodontic practice as well as the challenges are highlighted. The available guidelines in relation to the clinical applications of CBCT in orthodontics are explored.

  12. Comparison of flat-panel detector and image-intensifier detector for cone-beam CT.

    Science.gov (United States)

    Baba, Rika; Konno, Yasutaka; Ueda, Ken; Ikeda, Shigeyuki

    2002-01-01

    We evaluated a flat-panel detector (FPD) (scintillator screen and a-Si photo-sensor array) for use in a cone-beam computed tomography (CT) detector and compared it with an image-intensifier detector (IID). The FPD cone-beam CT system has a higher spatial resolution than the IID system. At equal pixel sizes, the standard deviation of noise intensity of the FPD system is equal to that of the IID system. However, the circuit noise of the FPD must be reduced, especially at low doses. Our evaluations show that the FPD system has a strong potential for use as a cone-beam CT detector because of high-spatial resolution.

  13. Cone beam CT findings of retromolar canals: Report of cases and literature review

    Energy Technology Data Exchange (ETDEWEB)

    Han, Sang Sun [Dept. of Dental Hygiene, Eulji University, Seongnam (Korea, Republic of); Park, Chang Seo [Dept. of Oral and Maxillofacial Radiology, College of Dentistry, Yonsei University, Seoul (Korea, Republic of)

    2013-12-15

    A retromolar canal is an anatomical variation in the mandible. As it includes the neurovascular bundle, local anesthetic insufficiency can occur, and an injury of the retromolar canal during dental surgery in the mandible may result in excessive bleeding, paresthesia, and traumatic neuroma. Using imaging analysis software, we evaluated the cone-beam computed tomography (CT) images of two Korean patients who presented with retromolar canals. Retromolar canals were detectable on the sagittal and cross-sectional images of cone-beam CT, but not on the panoramic radiographs of the patients. Therefore, the clinician should pay particular attention to the identification of retromolar canals by preoperative radiographic examination, and additional cone beam CT scanning would be recommended.

  14. Modulation transfer function determination using the edge technique for cone-beam micro-CT

    Science.gov (United States)

    Rong, Junyan; Liu, Wenlei; Gao, Peng; Liao, Qimei; Lu, Hongbing

    2016-03-01

    Evaluating spatial resolution is an essential work for cone-beam computed tomography (CBCT) manufacturers, prototype designers or equipment users. To investigate the cross-sectional spatial resolution for different transaxial slices with CBCT, the slanted edge technique with a 3D slanted edge phantom are proposed and implemented on a prototype cone-beam micro-CT. Three transaxial slices with different cone angles are under investigation. An over-sampled edge response function (ERF) is firstly generated from the intensity of the slightly tiled air to plastic edge in each row of the transaxial reconstruction image. Then the oversampled ESF is binned and smoothed. The derivative of the binned and smoothed ERF gives the line spread function (LSF). At last the presampled modulation transfer function (MTF) is calculated by taking the modulus of the Fourier transform of the LSF. The spatial resolution is quantified with the spatial frequencies at 10% MTF level and full-width-half-maximum (FWHM) value. The spatial frequencies at 10% of MTFs are 3.1+/-0.08mm-1, 3.0+/-0.05mm-1, and 3.2+/-0.04mm-1 for the three transaxial slices at cone angles of 3.8°, 0°, and -3.8° respectively. The corresponding FWHMs are 252.8μm, 261.7μm and 253.6μm. Results indicate that cross-sectional spatial resolution has no much differences when transaxial slices being 3.8° away from z=0 plane for the prototype conebeam micro-CT.

  15. Cone-Beam Computed Tomography (CBCT) Versus CT in Lung Ablation Procedure: Which is Faster?

    Energy Technology Data Exchange (ETDEWEB)

    Cazzato, Roberto Luigi, E-mail: r.cazzato@unicampus.it; Battistuzzi, Jean-Benoit, E-mail: j.battistuzzi@bordeaux.unicancer.fr; Catena, Vittorio, E-mail: vittoriocatena@gmail.com [Institut Bergonié, Department of Radiology (France); Grasso, Rosario Francesco, E-mail: r.grasso@unicampus.it; Zobel, Bruno Beomonte, E-mail: b.zobel@unicampus.it [Università Campus Bio-Medico di Roma, Department of Radiology and Diagnostic Imaging (Italy); Schena, Emiliano, E-mail: e.schena@unicampus.it [Università Campus Bio-Medico di Roma, Unit of Measurements and Biomedical Instrumentations, Biomedical Engineering Laboratory (Italy); Buy, Xavier, E-mail: x.buy@bordeaux.unicancer.fr; Palussiere, Jean, E-mail: j.palussiere@bordeaux.unicancer.fr [Institut Bergonié, Department of Radiology (France)

    2015-10-15

    AimTo compare cone-beam CT (CBCT) versus computed tomography (CT) guidance in terms of time needed to target and place the radiofrequency ablation (RFA) electrode on lung tumours.Materials and MethodsPatients at our institution who received CBCT- or CT-guided RFA for primary or metastatic lung tumours were retrospectively included. Time required to target and place the RFA electrode within the lesion was registered and compared across the two groups. Lesions were stratified into three groups according to their size (<10, 10–20, >20 mm). Occurrences of electrode repositioning, repositioning time, RFA complications, and local recurrence after RFA were also reported.ResultsForty tumours (22 under CT, 18 under CBCT guidance) were treated in 27 patients (19 male, 8 female, median age 67.25 ± 9.13 years). Thirty RFA sessions (16 under CBCT and 14 under CT guidance) were performed. Multivariable linear regression analysis showed that CBCT was faster than CT to target and place the electrode within the tumour independently from its size (β = −9.45, t = −3.09, p = 0.004). Electrode repositioning was required in 10/22 (45.4 %) tumours under CT guidance and 5/18 (27.8 %) tumours under CBCT guidance. Pneumothoraces occurred in 6/14 (42.8 %) sessions under CT guidance and in 6/16 (37.5 %) sessions under CBCT guidance. Two recurrences were noted for tumours receiving CBCT-guided RFA (2/17, 11.7 %) and three after CT-guided RFA (3/19, 15.8 %).ConclusionCBCT with live 3D needle guidance is a useful technique for percutaneous lung ablation. Despite lesion size, CBCT allows faster lung RFA than CT.

  16. Protocol of image guided off-line using cone beam CT megavoltage; Protocolo de imagen guiada off-line mediante Cone Beam CT de megavoltaje

    Energy Technology Data Exchange (ETDEWEB)

    Garcia Ruiz-Zorrilla, J.; Fernandez Leton, J. P.; Perez Moreno, J. M.; Zucca Aparicio, D.; Minambres Moro, A.

    2013-07-01

    The goal of image guided protocols offline is to reduce systematic errors in positioning of the patient in the treatment unit, being more important than the random errors, since the systematic have one contribution in the margin of the CTV to the PTV. This paper proposes a protocol for image guided offline with the different actions to take with their threshold values evaluated previously by anatomic location in a sample of 474 patients and 4821Cone beam Megavoltaje CT (CBCT). (Author)

  17. A comparative evaluation of Cone Beam Computed Tomography (CBCT) and Multi-Slice CT (MSCT) Part I. On subjective image quality

    NARCIS (Netherlands)

    Liang, X.; Jacobs, R.; Hassan, B.; Li, L.M.; Pauwels, R.; Corpas, L.; Souza, P.C.; Martens, W.; Alonso, A.; Lambrichts, I.

    2010-01-01

    Aims: To compare image quality and visibility of anatomical structures in the mandible between five Cone Beam Computed Tomography (CBCT) scanners and one Multi-Slice CT (MSCT) system. Materials and methods: One dry mandible was scanned with five CBCT scanners (Accuitomo 3D, i-CAT, NewTom 3G, Galileo

  18. Investigation of respiration induced intra- and inter-fractional tumour motion using a standard Cone Beam CT

    DEFF Research Database (Denmark)

    Gottlieb, Karina Lindberg; Hansen, Christian R; Hansen, Olfred;

    2010-01-01

    To investigate whether a standard Cone beam CT (CBCT) scan can be used to determined the intra- and inter-fractional tumour motion for lung tumours that have infiltrated the mediastinum.......To investigate whether a standard Cone beam CT (CBCT) scan can be used to determined the intra- and inter-fractional tumour motion for lung tumours that have infiltrated the mediastinum....

  19. Detectability of hepatic tumors during 3D post-processed ultrafast cone-beam computed tomography

    Science.gov (United States)

    Paul, Jijo; Vogl, Thomas J.; Chacko, Annamma

    2015-10-01

    To evaluate hepatic tumor detection using ultrafast cone-beam computed tomography (UCBCT) cross-sectional and 3D post-processed image datasets. 657 patients were examined using UCBCT during hepatic transarterial chemoembolization (TACE), and data were collected retrospectively from January 2012 to September 2014. Tumor detectability, diagnostic ability, detection accuracy and sensitivity were examined for different hepatic tumors using UCBCT cross-sectional, perfusion blood volume (PBV) and UCBCT-MRI (magnetic resonance imaging) fused image datasets. Appropriate statistical tests were used to compare collected sample data. Fused image data showed the significantly higher (all P  color display. Fused image data produced 100% tumor sensitivity due to the simultaneous availability of MRI and UCBCT information during tumor diagnosis. Fused image data produced excellent hepatic tumor sensitivity, detectability and diagnostic ability compared to other datasets assessed. Fused image data is extremely reliable and useful compared to UCBCT cross-sectional or PBV image datasets to depict hepatic tumors during TACE. Partial anatomical visualization on cross-sectional images was compensated by fused image data during tumor diagnosis.

  20. Point spread function modeling and images restoration for cone-beam CT

    CERN Document Server

    Zhang, Hua; Shi, Yikai; Xu, Zhe

    2014-01-01

    X-ray cone-beam computed tomography (CT) has the notable features such as high efficiency and precision, and is widely used in the fields of medical imaging and industrial non-destructive testing, but the inherent imaging degradation reduces the quality of CT images. Aimed at the problems of projection images degradation and restoration in cone-beam CT, a point spread function (PSF) modeling method is proposed firstly. The general PSF model of cone-beam CT is established, and based on it, the PSF under arbitrary scanning conditions can be calculated directly for projection images restoration without the additional measurement, which greatly improved the application convenience of cone-beam CT. Secondly, a projection images restoration algorithm based on pre-filtering and pre-segmentation is proposed, which can make the edge contours in projection images and slice images clearer after restoration, and control the noise in the equivalent level to the original images. Finally, the experiments verified the feasib...

  1. Effect of anatomical backgrounds on detectability in volumetric cone beam CT images

    Science.gov (United States)

    Han, Minah; Park, Subok; Baek, Jongduk

    2016-03-01

    As anatomical noise is often a dominating factor affecting signal detection in medical imaging, we investigate the effects of anatomical backgrounds on signal detection in volumetric cone beam CT images. Signal detection performances are compared between transverse and longitudinal planes with either uniform or anatomical backgrounds. Sphere objects with diameters of 1mm, 5mm, 8mm, and 11mm are used as the signals. Three-dimensional (3D) anatomical backgrounds are generated using an anatomical noise power spectrum, 1/fβ, with β=3, equivalent to mammographic background [1]. The mean voxel value of the 3D anatomical backgrounds is used as an attenuation coefficient of the uniform background. Noisy projection data are acquired by the forward projection of the uniform and anatomical 3D backgrounds with/without sphere lesions and by the addition of quantum noise. Then, images are reconstructed by an FDK algorithm [2]. For each signal size, signal detection performances in transverse and longitudinal planes are measured by calculating the task SNR of a channelized Hotelling observer with Laguerre-Gauss channels. In the uniform background case, transverse planes yield higher task SNR values for all sphere diameters but 1mm. In the anatomical background case, longitudinal planes yield higher task SNR values for all signal diameters. The results indicate that it is beneficial to use longitudinal planes to detect spherical signals in anatomical backgrounds.

  2. Comparison of percutaneous radiologic gastrostomy by using cone beam CT and endoscopic gastrostomy

    Energy Technology Data Exchange (ETDEWEB)

    Jung, Hyun Nyeong; Han, Young Min; Jin, Gong Yong; Choi, Eun Jeong; Song, Ji Soo [Chonbuk National University Hospital and Medical School, Jeonju (Korea, Republic of)

    2014-01-15

    To compare the effectiveness of percutaneous radiologic gastrostomy (PRG) by using cone beam CT and percutaneous endoscopic gastrostomy (PEG). This study retrospectively reviewed 129 patients who underwent PRG (n = 53) and PEG (n = 76) over a 2-years period. The C-arm cone beam CT images were obtained from all PRG patients before the procedure in order to decide the safest accessing routes. The parameters including technical success rates, complication rates and tube migration rates were all analyzed according to statistical methods. The success rate of tube placement was higher in PRG than in PEG (100% to 93%, p = 0.08). Minor complications occurred in 5 patients of the PRG group (10%; 5/53, 3 wound infection, 2 blood oozing), and occurred in 6 patients of PEG group (7.9%; 6/76, 5 wound infection, 1 esophageal ulcer). Major complications occurred only in 5 patients of PEG group (6.6%; 5/76, 1 panperitonitis, 4 buried bumper syndrome). There were no statistical differences of minor and major complication rates in the two groups (respectively, p = 0.759, p = 0.078). Tube migration rate was lower in PRG than PEG group (7.5% vs. 38.2%, p < 0.005). PRG using cone beam CT is the effective and safe method, the cone beam CT provides the safest accessing route during gastrostomy. Less tube migration occurs in the PRG than in PEG.

  3. Segmentation of the mandibular canal in cone-beam CT data

    NARCIS (Netherlands)

    Kroon, Dirk-Jan

    2011-01-01

    Accurate information about the location of the mandibular canal is essential in case of dental implant surgery. The goal of our research is to find an automatic method which can segment the mandibular canal in Cone-beam CT (CBCT). Mandibular canal segmentation methods in literature using a priori

  4. Time-resolved cardiac cone beam CT using an interventional C-arm system

    NARCIS (Netherlands)

    Schomberg, H.

    2012-01-01

    It is both desirable and challenging to make interventional C-arm systems fit for cardiac cone beam CT. A number of methods towards thisgoal have been proposed, some of which even attempt to generate 4Dimages of the beating heart. A promising candidate of this type, proposed earlier by this author,

  5. State-of-the-art on cone beam CT imaging for preoperative planning of implant placement.

    NARCIS (Netherlands)

    Guerrero, M.E.; Jacobs, R.; Loubele, M.; Schutyser, F.A.C.; Suetens, P.; Steenberghe, D van

    2006-01-01

    Orofacial diagnostic imaging has grown dramatically in recent years. As the use of endosseous implants has revolutionized oral rehabilitation, a specialized technique has become available for the preoperative planning of oral implant placement: cone beam computed tomography (CT). This imaging techno

  6. The Relationships of the Maxillary Sinus With the Superior Alveolar Nerves and Vessels as Demonstrated by Cone-Beam CT Combined With μ-CT and Histological Analyses.

    Science.gov (United States)

    Kasahara, Norio; Morita, Wataru; Tanaka, Ray; Hayashi, Takafumi; Kenmotsu, Shinichi; Ohshima, Hayato

    2016-05-01

    There are no available detailed data on the three-dimensional courses of the human superior alveolar nerves and vessels. This study aimed to clarify the relationships of the maxillary sinus with the superior alveolar nerves and vessels using cone-beam computed tomography (CT) combined with μ-CT and histological analyses. Digital imaging and communication in medicine data obtained from the scanned heads/maxillae of cadavers used for undergraduate/postgraduate dissection practice and skulls using cone-beam CT were reconstructed into three-dimensional (3D) images using software. The 3D images were compared with μ-CT images and histological sections. Cone-beam CT clarified the relationships of the maxillary sinus with the superior alveolar canals/grooves. The main anterior superior alveolar canal/groove ran anteriorly through the upper part of the sinus and terminated at the bottom of the nasal cavity near the piriform aperture. The main middle alveolar canal ran downward from the upper part of the sinus to ultimately join the anterior one. The main posterior alveolar canal ran through the lateral lower part of the sinus and communicated with the anterior one. Histological analyses demonstrated the existence of nerves and vessels in these canals/grooves, and the quantities of these structures varied across each canal/groove. Furthermore, the superior dental nerve plexus exhibited a network that was located horizontally to the occlusal plane, although these nerve plexuses appeared to be the vertical network that is described in most textbooks. In conclusion, cone-beam CT is suggested to be a useful method for clarifying the superior alveolar canals/grooves including the nerves and vessels.

  7. Volume-of-change cone-beam CT for image-guided surgery

    Science.gov (United States)

    Lee, Junghoon; Webster Stayman, J.; Otake, Yoshito; Schafer, Sebastian; Zbijewski, Wojciech; Khanna, A. Jay; Prince, Jerry L.; Siewerdsen, Jeffrey H.

    2012-08-01

    C-arm cone-beam CT (CBCT) can provide intraoperative 3D imaging capability for surgical guidance, but workflow and radiation dose are the significant barriers to broad utilization. One main reason is that each 3D image acquisition requires a complete scan with a full radiation dose to present a completely new 3D image every time. In this paper, we propose to utilize patient-specific CT or CBCT as prior knowledge to accurately reconstruct the aspects of the region that have changed by the surgical procedure from only a sparse set of x-rays. The proposed methods consist of a 3D-2D registration between the prior volume and a sparse set of intraoperative x-rays, creating digitally reconstructed radiographs (DRRs) from the registered prior volume, computing difference images by subtracting DRRs from the intraoperative x-rays, a penalized likelihood reconstruction of the volume of change (VOC) from the difference images, and finally a fusion of VOC reconstruction with the prior volume to visualize the entire surgical field. When the surgical changes are local and relatively small, the VOC reconstruction involves only a small volume size and a small number of projections, allowing less computation and lower radiation dose than is needed to reconstruct the entire surgical field. We applied this approach to sacroplasty phantom data obtained from a CBCT test bench and vertebroplasty data with a fresh cadaver acquired from a C-arm CBCT system with a flat-panel detector. The VOCs were reconstructed from a varying number of images (10-66 images) and compared to the CBCT ground truth using four different metrics (mean squared error, correlation coefficient, structural similarity index and perceptual difference model). The results show promising reconstruction quality with structural similarity to the ground truth close to 1 even when only 15-20 images were used, allowing dose reduction by the factor of 10-20.

  8. Observer Reliability of Three-Dimensional Cephalometric Landmark Identification on Cone-Beam CT

    Science.gov (United States)

    de Oliveira, Ana Emilia F.; Cevidanes, Lucia Helena S.; Phillips, Ceib; Motta, Alexandre; Burke, Brandon; Tyndall, Donald

    2009-01-01

    Objective To evaluate reliability in 3D landmark identification using Cone-Beam CT. Study Design Twelve pre-surgery CBCTs were randomly selected from 159 orthognathic surgery patients. Three observers independently repeated three times the identification of 30 landmarks in the sagittal, coronal, and axial slices. A mixed effects ANOVA model estimated the Intraclass Correlations (ICC) and assessed systematic bias. Results The ICC was >0.9 for 86% of intra-observer assessments and 66% of inter-observer assessments. Only 1% of intra-observer and 3% of inter-observer coefficients were <0.45. The systematic difference among observers was greater in X and Z than in Y dimensions, but the maximum mean difference was quite small. Conclusion Overall, the intra- and inter-observer reliability was excellent. 3D landmark identification using CBCT can offer consistent and reproducible data, if a protocol for operator training and calibration is followed. This is particularly important for landmarks not easily specified in all three planes of space. PMID:18718796

  9. Cone-beam CT in diagnosis of scaphoid fractures

    Energy Technology Data Exchange (ETDEWEB)

    Edlund, Rolf; Lapidus, Gunilla; Baecklund, Jenny [Capio St Goeran' s Hospital, Department of Radiology, Stockholm (Sweden); Skorpil, Mikael [Karolinska University Hospital, Department of Radiology, Stockholm (Sweden); Karolinska Institutet, Department of Molecular Medicine and Surgery, Stockholm (Sweden)

    2016-02-15

    This prospective study investigated the sensitivity of cone beam computed tomography (CBCT), a low dose technique recently made available for extremity examinations, in detecting scaphoid fractures. Magnetic resonance imaging (MRI) was used as gold standard for scaphoid fractures. A total of 95 patients with a clinically suspected scaphoid fracture were examined with radiography and CBCT in the acute setting. A negative CBCT exam was followed by an MRI within 2 weeks. When a scaphoid fracture was detected on MRI a new CBCT was performed. Radiography depicted seven scaphoid fractures, all of which were also seen with CBCT. CBCT detected another four scaphoid fractures. With MRI another five scaphoid fractures were identified that were not seen with radiography or with CBCT. These were also not visible on the reexamination CBCT. Sensitivity for radiography was 44, 95 % confidence interval 21-69 %, and for CBCT 69 %, 95 % confidence interval 41-88 % (p = 0.12). Several non-scaphoid fractures in the carpal region were identified, radiography and CBCT depicted 7 and 34, respectively (p < 0.0001). CBCT is a superior alternative to radiography, entailing more accurate diagnoses of carpal region fractures, and thereby requiring fewer follow-up MRI examinations. However, CBCT cannot be used to exclude scaphoid fractures, since MRI identified additional occult scaphoid fractures. (orig.)

  10. 3D localization of electrophysiology catheters from a single x-ray cone-beam projection

    Energy Technology Data Exchange (ETDEWEB)

    Robert, Normand, E-mail: normand.robert@sri.utoronto.ca; Polack, George G.; Sethi, Benu; Rowlands, John A. [Physical Sciences, Sunnybrook Research Institute, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5 (Canada); Crystal, Eugene [Division of Cardiology, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5 (Canada)

    2015-10-15

    Purpose: X-ray images allow the visualization of percutaneous devices such as catheters in real time but inherently lack depth information. The provision of 3D localization of these devices from cone beam x-ray projections would be advantageous for interventions such as electrophysiology (EP), whereby the operator needs to return a device to the same anatomical locations during the procedure. A method to achieve real-time 3D single view localization (SVL) of an object of known geometry from a single x-ray image is presented. SVL exploits the change in the magnification of an object as its distance from the x-ray source is varied. The x-ray projection of an object of interest is compared to a synthetic x-ray projection of a model of said object as its pose is varied. Methods: SVL was tested with a 3 mm spherical marker and an electrophysiology catheter. The effect of x-ray acquisition parameters on SVL was investigated. An independent reference localization method was developed to compare results when imaging a catheter translated via a computer controlled three-axes stage. SVL was also performed on clinical fluoroscopy image sequences. A commercial navigation system was used in some clinical image sequences for comparison. Results: SVL estimates exhibited little change as x-ray acquisition parameters were varied. The reproducibility of catheter position estimates in phantoms denoted by the standard deviations, (σ{sub x}, σ{sub y}, σ{sub z}) = (0.099 mm,  0.093 mm,  2.2 mm), where x and y are parallel to the detector plane and z is the distance from the x-ray source. Position estimates (x, y, z) exhibited a 4% systematic error (underestimation) when compared to the reference method. The authors demonstrated that EP catheters can be tracked in clinical fluoroscopic images. Conclusions: It has been shown that EP catheters can be localized in real time in phantoms and clinical images at fluoroscopic exposure rates. Further work is required to characterize

  11. Actively triggered 4d cone-beam CT acquisition

    Energy Technology Data Exchange (ETDEWEB)

    Fast, Martin F.; Wisotzky, Eric [German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, D-69120 Heidelberg (Germany); Oelfke, Uwe; Nill, Simeon [Joint Department of Physics, The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, Downs Road, Sutton, Surrey SM2 5PT (United Kingdom)

    2013-09-15

    Purpose: 4d cone-beam computed tomography (CBCT) scans are usually reconstructed by extracting the motion information from the 2d projections or an external surrogate signal, and binning the individual projections into multiple respiratory phases. In this “after-the-fact” binning approach, however, projections are unevenly distributed over respiratory phases resulting in inefficient utilization of imaging dose. To avoid excess dose in certain respiratory phases, and poor image quality due to a lack of projections in others, the authors have developed a novel 4d CBCT acquisition framework which actively triggers 2d projections based on the forward-predicted position of the tumor.Methods: The forward-prediction of the tumor position was independently established using either (i) an electromagnetic (EM) tracking system based on implanted EM-transponders which act as a surrogate for the tumor position, or (ii) an external motion sensor measuring the chest-wall displacement and correlating this external motion to the phase-shifted diaphragm motion derived from the acquired images. In order to avoid EM-induced artifacts in the imaging detector, the authors devised a simple but effective “Faraday” shielding cage. The authors demonstrated the feasibility of their acquisition strategy by scanning an anthropomorphic lung phantom moving on 1d or 2d sinusoidal trajectories.Results: With both tumor position devices, the authors were able to acquire 4d CBCTs free of motion blurring. For scans based on the EM tracking system, reconstruction artifacts stemming from the presence of the EM-array and the EM-transponders were greatly reduced using newly developed correction algorithms. By tuning the imaging frequency independently for each respiratory phase prior to acquisition, it was possible to harmonize the number of projections over respiratory phases. Depending on the breathing period (3.5 or 5 s) and the gantry rotation time (4 or 5 min), between ∼90 and 145

  12. Task-driven image acquisition and reconstruction in cone-beam CT.

    Science.gov (United States)

    Gang, Grace J; Stayman, J Webster; Ehtiati, Tina; Siewerdsen, Jeffrey H

    2015-04-21

    This work introduces a task-driven imaging framework that incorporates a mathematical definition of the imaging task, a model of the imaging system, and a patient-specific anatomical model to prospectively design image acquisition and reconstruction techniques to optimize task performance. The framework is applied to joint optimization of tube current modulation, view-dependent reconstruction kernel, and orbital tilt in cone-beam CT. The system model considers a cone-beam CT system incorporating a flat-panel detector and 3D filtered backprojection and accurately describes the spatially varying noise and resolution over a wide range of imaging parameters in the presence of a realistic anatomical model. Task-based detectability index (d') is incorporated as the objective function in a task-driven optimization of image acquisition and reconstruction techniques. The orbital tilt was optimized through an exhaustive search across tilt angles ranging ± 30°. For each tilt angle, the view-dependent tube current and reconstruction kernel (i.e. the modulation profiles) that maximized detectability were identified via an alternating optimization. The task-driven approach was compared with conventional unmodulated and automatic exposure control (AEC) strategies for a variety of imaging tasks and anthropomorphic phantoms. The task-driven strategy outperformed the unmodulated and AEC cases for all tasks. For example, d' for a sphere detection task in a head phantom was improved by 30% compared to the unmodulated case by using smoother kernels for noisy views and distributing mAs across less noisy views (at fixed total mAs) in a manner that was beneficial to task performance. Similarly for detection of a line-pair pattern, the task-driven approach increased d' by 80% compared to no modulation by means of view-dependent mA and kernel selection that yields modulation transfer function and noise-power spectrum optimal to the task. Optimization of orbital tilt identified the tilt

  13. Implementation of the FDK algorithm for cone-beam CT on the cell broadband engine architecture

    Science.gov (United States)

    Scherl, Holger; Koerner, Mario; Hofmann, Hannes; Eckert, Wieland; Kowarschik, Markus; Hornegger, Joachim

    2007-03-01

    In most of today's commercially available cone-beam CT scanners, the well known FDK method is used for solving the 3D reconstruction task. The computational complexity of this algorithm prohibits its use for many medical applications without hardware acceleration. The brand-new Cell Broadband Engine Architecture (CBEA) with its high level of parallelism is a cost-efficient processor for performing the FDK reconstruction according to the medical requirements. The programming scheme, however, is quite different to any standard personal computer hardware. In this paper, we present an innovative implementation of the most time-consuming parts of the FDK algorithm: filtering and back-projection. We also explain the required transformations to parallelize the algorithm for the CBEA. Our software framework allows to compute the filtering and back-projection in parallel, making it possible to do an on-the-fly-reconstruction. The achieved results demonstrate that a complete FDK reconstruction is computed with the CBEA in less than seven seconds for a standard clinical scenario. Given the fact that scan times are usually much higher, we conclude that reconstruction is finished right after the end of data acquisition. This enables us to present the reconstructed volume to the physician in real-time, immediately after the last projection image has been acquired by the scanning device.

  14. Segmentation of cone-beam CT using a hidden Markov random field with informative priors

    Science.gov (United States)

    Moores, M.; Hargrave, C.; Harden, F.; Mengersen, K.

    2014-03-01

    Cone-beam computed tomography (CBCT) has enormous potential to improve the accuracy of treatment delivery in image-guided radiotherapy (IGRT). To assist radiotherapists in interpreting these images, we use a Bayesian statistical model to label each voxel according to its tissue type. The rich sources of prior information in IGRT are incorporated into a hidden Markov random field model of the 3D image lattice. Tissue densities in the reference CT scan are estimated using inverse regression and then rescaled to approximate the corresponding CBCT intensity values. The treatment planning contours are combined with published studies of physiological variability to produce a spatial prior distribution for changes in the size, shape and position of the tumour volume and organs at risk. The voxel labels are estimated using iterated conditional modes. The accuracy of the method has been evaluated using 27 CBCT scans of an electron density phantom. The mean voxel-wise misclassification rate was 6.2%, with Dice similarity coefficient of 0.73 for liver, muscle, breast and adipose tissue. By incorporating prior information, we are able to successfully segment CBCT images. This could be a viable approach for automated, online image analysis in radiotherapy.

  15. Scatter correction, intermediate view estimation and dose characterization in megavoltage cone-beam CT imaging

    Science.gov (United States)

    Sramek, Benjamin Koerner

    The ability to deliver conformal dose distributions in radiation therapy through intensity modulation and the potential for tumor dose escalation to improve treatment outcome has necessitated an increase in localization accuracy of inter- and intra-fractional patient geometry. Megavoltage cone-beam CT imaging using the treatment beam and onboard electronic portal imaging device is one option currently being studied for implementation in image-guided radiation therapy. However, routine clinical use is predicated upon continued improvements in image quality and patient dose delivered during acquisition. The formal statement of hypothesis for this investigation was that the conformity of planned to delivered dose distributions in image-guided radiation therapy could be further enhanced through the application of kilovoltage scatter correction and intermediate view estimation techniques to megavoltage cone-beam CT imaging, and that normalized dose measurements could be acquired and inter-compared between multiple imaging geometries. The specific aims of this investigation were to: (1) incorporate the Feldkamp, Davis and Kress filtered backprojection algorithm into a program to reconstruct a voxelized linear attenuation coefficient dataset from a set of acquired megavoltage cone-beam CT projections, (2) characterize the effects on megavoltage cone-beam CT image quality resulting from the application of Intermediate View Interpolation and Intermediate View Reprojection techniques to limited-projection datasets, (3) incorporate the Scatter and Primary Estimation from Collimator Shadows (SPECS) algorithm into megavoltage cone-beam CT image reconstruction and determine the set of SPECS parameters which maximize image quality and quantitative accuracy, and (4) evaluate the normalized axial dose distributions received during megavoltage cone-beam CT image acquisition using radiochromic film and thermoluminescent dosimeter measurements in anthropomorphic pelvic and head and

  16. MR cone-beam CT fusion image overlay for fluoroscopically guided percutaneous biopsies in pediatric patients.

    Science.gov (United States)

    Thakor, Avnesh S; Patel, Premal A; Gu, Richard; Rea, Vanessa; Amaral, Joao; Connolly, Bairbre L

    2016-03-01

    Lesions only visible on magnetic resonance (MR) imaging cannot easily be targeted for image-guided biopsy using ultrasound or X-rays but instead require MR guidance with MR-compatible needles and long procedure times (acquisition of multiple MR sequences). We developed an alternative method for performing these difficult biopsies in a standard interventional suite, by fusing MR with cone-beam CT images. The MR cone-beam CT fusion image is then used as an overlay to guide a biopsy needle to the target area under live fluoroscopic guidance. Advantages of this technique include (i) the ability for it to be performed in a conventional interventional suite, (ii) three-dimensional planning of the needle trajectory using cross-sectional imaging, (iii) real-time fluoroscopic guidance for needle trajectory correction and (iv) targeting within heterogeneous lesions based on MR signal characteristics to maximize the potential biopsy yield.

  17. 3D weighting in cone beam image reconstruction algorithms: ray-driven vs. pixel-driven.

    Science.gov (United States)

    Tang, Xiangyang; Nilsen, Roy A; Smolin, Alex; Lifland, Ilya; Samsonov, Dmitry; Taha, Basel

    2008-01-01

    A 3D weighting scheme have been proposed previously to reconstruct images at both helical and axial scans in stat-of-the-art volumetric CT scanners for diagnostic imaging. Such a 3D weighting can be implemented in the manner of either ray-driven or pixel-drive, depending on the available computation resources. An experimental study is conducted in this paper to evaluate the difference between the ray-driven and pixel-driven implementations of the 3D weighting from the perspective of image quality, while their computational complexity is analyzed theoretically. Computer simulated data and several phantoms, such as the helical body phantom and humanoid chest phantom, are employed in the experimental study, showing that both the ray-driven and pixel-driven 3D weighting provides superior image quality for diagnostic imaging in clinical applications. With the availability of image reconstruction engine at increasing computational power, it is believed that the pixel-driven 3D weighting will be dominantly employed in state-of-the-art volumetric CT scanners over clinical applications.

  18. X-Ray Scatter Correction on Soft Tissue Images for Portable Cone Beam CT

    OpenAIRE

    Sorapong Aootaphao; Saowapak S. Thongvigitmanee; Jartuwat Rajruangrabin; Chalinee Thanasupsombat; Tanapon Srivongsa; Pairash Thajchayapong

    2016-01-01

    Soft tissue images from portable cone beam computed tomography (CBCT) scanners can be used for diagnosis and detection of tumor, cancer, intracerebral hemorrhage, and so forth. Due to large field of view, X-ray scattering which is the main cause of artifacts degrades image quality, such as cupping artifacts, CT number inaccuracy, and low contrast, especially on soft tissue images. In this work, we propose the X-ray scatter correction method for improving soft tissue images. The X-ray scatter ...

  19. The effect of cone beam CT (CBCT) on therapeutic decision-making in endodontics

    OpenAIRE

    Mota de Almeida, F J; Knutsson, K.; Flygare, Lennart

    2014-01-01

    Objectives: The aim was to assess to what extent cone beam CT (CBCT) used in accordance with current European Commission guidelines in a normal clinical setting has an impact on therapeutic decisions in a population referred for endodontic problems. Methods: The study includes data of consecutively examined patients collected from October 2011 to December 2012. From 2 different endodontic specialist clinics, 57 patients were referred for a CBCT examination using criteria in accordance with cu...

  20. Three-dimensional anisotropic adaptive filtering of projection data for noise reduction in cone beam CT

    Energy Technology Data Exchange (ETDEWEB)

    Maier, Andreas; Wigstroem, Lars; Hofmann, Hannes G.; Hornegger, Joachim; Zhu Lei; Strobel, Norbert; Fahrig, Rebecca [Department of Radiology, Stanford University, Stanford, California 94305 (United States); Department of Radiology, Stanford University, Stanford, California 94305 (United States) and Center for Medical Image Science and Visualization, Linkoeping University, Linkoeping (Sweden); Pattern Recognition Laboratory, Department of Computer Science, Friedrich-Alexander University of Erlangen-Nuremberg, 91054, Erlangen (Germany); Nuclear and Radiological Engineering and Medical Physics Programs, George W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, Georgia 30332 (United States); Siemens AG Healthcare, Forchheim 91301 (Germany); Department of Radiology, Stanford University, Stanford, California 94305 (United States)

    2011-11-15

    .9-fold speed-up of the processing (from 1336 to 150 s). Conclusions: Adaptive anisotropic filtering has the potential to substantially improve image quality and/or reduce the radiation dose required for obtaining 3D image data using cone beam CT.

  1. Commissioning kilovoltage cone-beam CT beams in a radiation therapy treatment planning system.

    Science.gov (United States)

    Alaei, Parham; Spezi, Emiliano

    2012-11-08

    The feasibility of accounting of the dose from kilovoltage cone-beam CT in treatment planning has been discussed previously for a single cone-beam CT (CBCT) beam from one manufacturer. Modeling the beams and computing the dose from the full set of beams produced by a kilovoltage cone-beam CT system requires extensive beam data collection and verification, and is the purpose of this work. The beams generated by Elekta X-ray volume imaging (XVI) kilovoltage CBCT (kV CBCT) system for various cassettes and filters have been modeled in the Philips Pinnacle treatment planning system (TPS) and used to compute dose to stack and anthropomorphic phantoms. The results were then compared to measurements made using thermoluminescent dosimeters (TLDs) and Monte Carlo (MC) simulations. The agreement between modeled and measured depth-dose and cross profiles is within 2% at depths beyond 1 cm for depth-dose curves, and for regions within the beam (excluding penumbra) for cross profiles. The agreements between TPS-calculated doses, TLD measurements, and Monte Carlo simulations are generally within 5% in the stack phantom and 10% in the anthropomorphic phantom, with larger variations observed for some of the measurement/calculation points. Dose computation using modeled beams is reasonably accurate, except for regions that include bony anatomy. Inclusion of this dose in treatment plans can lead to more accurate dose prediction, especially when the doses to organs at risk are of importance.

  2. Design and development of C-arm based cone-beam CT for image-guided interventions: initial results

    Science.gov (United States)

    Chen, Guang-Hong; Zambelli, Joseph; Nett, Brian E.; Supanich, Mark; Riddell, Cyril; Belanger, Barry; Mistretta, Charles A.

    2006-03-01

    X-ray cone-beam computed tomography (CBCT) is of importance in image-guided intervention (IGI) and image-guided radiation therapy (IGRT). In this paper, we present a cone-beam CT data acquisition system using a GE INNOVA 4100 (GE Healthcare Technologies, Waukesha, Wisconsin) clinical system. This new cone-beam data acquisition mode was developed for research purposes without interfering with any clinical function of the system. It provides us a basic imaging pipeline for more advanced cone-beam data acquisition methods. It also provides us a platform to study and overcome the limiting factors such as cone-beam artifacts and limiting low contrast resolution in current C-arm based cone-beam CT systems. A geometrical calibration method was developed to experimentally determine parameters of the scanning geometry to correct the image reconstruction for geometric non-idealities. Extensive phantom studies and some small animal studies have been conducted to evaluate the performance of our cone-beam CT data acquisition system.

  3. WE-D-9A-02: Automated Landmark-Guided CT to Cone-Beam CT Deformable Image Registration

    Energy Technology Data Exchange (ETDEWEB)

    Kearney, V; Gu, X; Chen, S; Jiang, L; Liu, H; Chiu, T; Yordy, J; Nedzi, L; Mao, W [UT Southwestern Medical Center, Dallas, TX (United States)

    2014-06-15

    Purpose: The anatomical changes that occur between the simulation CT and daily cone-beam CT (CBCT) are investigated using an automated landmark-guided deformable image registration (LDIR) algorithm with simultaneous intensity correction. LDIR was designed to be accurate in the presence of tissue intensity mismatch and heavy noise contamination. Method: An auto-landmark generation algorithm was used in conjunction with a local small volume (LSV) gradient matching search engine to map corresponding landmarks between the CBCT and planning CT. The LSVs offsets were used to perform an initial deformation, generate landmarks, and correct local intensity mismatch. The landmarks act as stabilizing controlpoints in the Demons objective function. The accuracy of the LDIR algorithm was evaluated on one synthetic case with ground truth and data of ten head and neck cancer patients. The deformation vector field (DVF) accuracy was accessed using a synthetic case. The Root mean square error of the 3D canny edge (RMSECE), mutual information (MI), and feature similarity index metric (FSIM) were used to access the accuracy of LDIR on the patient data. The quality of the corresponding deformed contours was verified by an attending physician. Results: The resulting 90 percentile DVF error for the synthetic case was within 5.63mm for the original demons algorithm, 2.84mm for intensity correction alone, 2.45mm using controlpoints without intensity correction, and 1.48 mm for the LDIR algorithm. For the five patients the mean RMSECE of the original CT, Demons deformed CT, intensity corrected Demons CT, control-point stabilized deformed CT, and LDIR CT was 0.24, 0.26, 0.20, 0.20, and 0.16 respectively. Conclusion: LDIR is accurate in the presence of multimodal intensity mismatch and CBCT noise contamination. Since LDIR is GPU based it can be implemented with minimal additional strain on clinical resources. This project has been supported by a CPRIT individual investigator award RP11032.

  4. A comparative evaluation of Cone Beam Computed Tomography (CBCT) and Multi-Slice CT (MSCT)

    Energy Technology Data Exchange (ETDEWEB)

    Liang Xin, E-mail: Xin.Liang@med.kuleuven.b [Oral Imaging Centre, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium); College of Stomatology, Dalian Medical University (China); Jacobs, Reinhilde, E-mail: Reinhilde.Jacobs@uz.kuleuven.b [Oral Imaging Centre, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium); Hassan, Bassam, E-mail: b.hassan@acta.n [Department of Oral Radiology, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam (Netherlands); Li Limin, E-mail: Limin.Li@uz.kuleuven.b [Department of Paediatric Dentistry and Special Dental Care, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium); Pauwels, Ruben, E-mail: Ruben.Pauwels@med.kuleuven.b [Oral Imaging Centre, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium); Corpas, Livia, E-mail: LiviaCorpas@gmail.co [Oral Imaging Centre, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium); Souza, Paulo Couto, E-mail: Paulo.CoutoSouza@med.kuleuven.b [Oral Imaging Centre, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium); Martens, Wendy, E-mail: wendy.martens@uhasselt.b [Department of Basic Medical Sciences, Faculty of Medicine, University of Hasselt, Diepenbeek (Belgium); Shahbazian, Maryam, E-mail: Maryam.Shahbazian@student.kuleuven.b [Oral Imaging Centre, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium); Alonso, Arie, E-mail: ariel.alonso@uhasselt.b [Department of Biostatistics and Statistical Bioinformatics, Universiteit Hasselt (Belgium)

    2010-08-15

    Aims: To compare image quality and visibility of anatomical structures in the mandible between five Cone Beam Computed Tomography (CBCT) scanners and one Multi-Slice CT (MSCT) system. Materials and methods: One dry mandible was scanned with five CBCT scanners (Accuitomo 3D, i-CAT, NewTom 3G, Galileos, Scanora 3D) and one MSCT system (Somatom Sensation 16) using 13 different scan protocols. Visibility of 11 anatomical structures and overall image noise were compared between CBCT and MSCT. Five independent observers reviewed the CBCT and the MSCT images in the three orthographic planes (axial, sagittal and coronal) and assessed image quality on a five-point scale. Results: Significant differences were found in the visibility of the different anatomical structures and image noise level between MSCT and CBCT and among the five CBCT systems (p = 0.0001). Delicate structures such as trabecular bone and periodontal ligament were significantly less visible and more variable among the systems in comparison with other anatomical structures (p = 0.0001). Visibility of relatively large structures such as mandibular canal and mental foramen was satisfactory for all devices. The Accuitomo system was superior to MSCT and all other CBCT systems in depicting anatomical structures while MSCT was superior to all other CBCT systems in terms of reduced image noise. Conclusions: CBCT image quality is comparable or even superior to MSCT even though some variability exists among the different CBCT systems in depicting delicate structures. Considering the low radiation dose and high-resolution imaging, CBCT could be beneficial for dentomaxillofacial radiology.

  5. Reconstruction-plane-dependent weighted FDK algorithm for cone beam volumetric CT

    Science.gov (United States)

    Tang, Xiangyang; Hsieh, Jiang

    2005-04-01

    The original FDK algorithm has been extensively employed in medical and industrial imaging applications. With an increased cone angle, cone beam (CB) artifacts in images reconstructed by the original FDK algorithm deteriorate, since the circular trajectory does not satisfy the so-called data sufficiency condition (DSC). A few "circular plus" trajectories have been proposed in the past to reduce CB artifacts by meeting the DSC. However, the circular trajectory has distinct advantages over other scanning trajectories in practical CT imaging, such as cardiac, vascular and perfusion applications. In addition to looking into the DSC, another insight into the CB artifacts of the original FDK algorithm is the inconsistency between conjugate rays that are 180° apart in view angle. The inconsistence between conjugate rays is pixel dependent, i.e., it varies dramatically over pixels within the image plane to be reconstructed. However, the original FDK algorithm treats all conjugate rays equally, resulting in CB artifacts that can be avoided if appropriate view weighting strategy is exercised. In this paper, a modified FDK algorithm is proposed, along with an experimental evaluation and verification, in which the helical body phantom and a humanoid head phantom scanned by a volumetric CT (64 x 0.625 mm) are utilized. Without extra trajectories supplemental to the circular trajectory, the modified FDK algorithm applies reconstruction-plane-dependent view weighting on projection data before 3D backprojection, which reduces the inconsistency between conjugate rays by suppressing the contribution of one of the conjugate rays with a larger cone angle. Both computer-simulated and real phantom studies show that, up to a moderate cone angle, the CB artifacts can be substantially suppressed by the modified FDK algorithm, while advantages of the original FDK algorithm, such as the filtered backprojection algorithm structure, 1D ramp filtering, and data manipulation efficiency, can be

  6. CT to Cone-beam CT Deformable Registration With Simultaneous Intensity Correction

    CERN Document Server

    Zhen, Xin; Yan, Hao; Zhou, Linghong; Jia, Xun; Jiang, Steve B

    2012-01-01

    Computed tomography (CT) to cone-beam computed tomography (CBCT) deformable image registration (DIR) is a crucial step in adaptive radiation therapy. Current intensity-based registration algorithms, such as demons, may fail in the context of CT-CBCT DIR because of inconsistent intensities between the two modalities. In this paper, we propose a variant of demons, called Deformation with Intensity Simultaneously Corrected (DISC), to deal with CT-CBCT DIR. DISC distinguishes itself from the original demons algorithm by performing an adaptive intensity correction step on the CBCT image at every iteration step of the demons registration. Specifically, the intensity correction of a voxel in CBCT is achieved by matching the first and the second moments of the voxel intensities inside a patch around the voxel with those on the CT image. It is expected that such a strategy can remove artifacts in the CBCT image, as well as ensuring the intensity consistency between the two modalities. DISC is implemented on computer g...

  7. Reduction of beam hardening artifacts in cone-beam CT imaging via SMART-RECON algorithm

    Science.gov (United States)

    Li, Yinsheng; Garrett, John; Chen, Guang-Hong

    2016-03-01

    When an automatic exposure control is introduced in C-arm cone beam CT data acquisition, the spectral inconsistencies between acquired projection data are exacerbated. As a result, conventional water/bone correction schemes are not as effective as in conventional diagnostic x-ray CT acquisitions with a fixed tube potential. In this paper, a new method was proposed to reconstruct several images with different degrees of spectral consistency and thus different levels of beam hardening artifacts. The new method relies neither on prior knowledge of the x-ray beam spectrum nor on prior compositional information of the imaging object. Numerical simulations were used to validate the algorithm.

  8. Percutaneous Bone Biopsies: Comparison between Flat-Panel Cone-Beam CT and CT-Scan Guidance

    Energy Technology Data Exchange (ETDEWEB)

    Tselikas, Lambros, E-mail: lambros.tselikas@gmail.com; Joskin, Julien, E-mail: j.joskin@gmail.com [Gustave Roussy, Interventional Radiology Department (France); Roquet, Florian, E-mail: florianroquet@hotmail.com [Gustave Roussy, Biostatistics Department (France); Farouil, Geoffroy, E-mail: g.farouil@gmail.com [Gustave Roussy, Interventional Radiology Department (France); Dreuil, Serge, E-mail: serge.dreuil@gustaveroussy.fr [Gustave Roussy, Medical Physics Department (France); Hakimé, Antoine, E-mail: thakime@yahoo.com; Teriitehau, Christophe, E-mail: cteriitehau@me.com [Gustave Roussy, Interventional Radiology Department (France); Auperin, Anne, E-mail: anne.auperin@gustaveroussy.fr [Gustave Roussy, Biostatistics Department (France); Baere, Thierry de, E-mail: thierry.debaere@gustaveroussy.fr; Deschamps, Frederic, E-mail: frederic.deschamps@gustaveroussy.fr [Gustave Roussy, Interventional Radiology Department (France)

    2015-02-15

    PurposeThis study was designed to compare the accuracy of targeting and the radiation dose of bone biopsies performed either under fluoroscopic guidance using a cone-beam CT with real-time 3D image fusion software (FP-CBCT-guidance) or under conventional computed tomography guidance (CT-guidance).MethodsSixty-eight consecutive patients with a bone lesion were prospectively included. The bone biopsies were scheduled under FP-CBCT-guidance or under CT-guidance according to operating room availability. Thirty-four patients underwent a bone biopsy under FP-CBCT and 34 under CT-guidance. We prospectively compared the two guidance modalities for their technical success, accuracy, puncture time, and pathological success rate. Patient and physician radiation doses also were compared.ResultsAll biopsies were technically successful, with both guidance modalities. Accuracy was significantly better using FP-CBCT-guidance (3 and 5 mm respectively: p = 0.003). There was no significant difference in puncture time (32 and 31 min respectively, p = 0.51) nor in pathological results (88 and 88 % of pathological success respectively, p = 1). Patient radiation doses were significantly lower with FP-CBCT (45 vs. 136 mSv, p < 0.0001). The percentage of operators who received a dose higher than 0.001 mSv (dosimeter detection dose threshold) was lower with FP-CBCT than CT-guidance (27 vs. 59 %, p = 0.01).ConclusionsFP-CBCT-guidance for bone biopsy is accurate and reduces patient and operator radiation doses compared with CT-guidance.

  9. Linearity of patient positioning detection. A phantom study of skin markers, cone beam computed tomography, and 3D ultrasound

    Energy Technology Data Exchange (ETDEWEB)

    Ballhausen, Hendrik; Hieber, Sheila; Li, Minglun; Belka, Claus; Reiner, Michael [University Hospital of LMU, Department of Radiation Oncology, Munich (Germany); Parodi, Katia [Ludwig-Maximilian-University, Department of Experimental Physics - Medical Physics, Munich (Germany)

    2015-05-01

    Three-dimensional ultrasound (3D-US) is a modality complementary to kilovoltage cone beam computed tomography (kV-CBCT) and skin markers for patient positioning detection. This study compares the linearity of evaluations based on measurements using a modern 3D-US system (Elekta Clarity {sup registered}; Elekta, Stockholm, Sweden), a kV-CBCT system (Elekta iView {sup registered}), and skin markers. An investigator deliberately displaced a multimodal phantom by up to ± 30 mm along different axes. The following data points were acquired: 27 along the lateral axis, 29 along the longitudinal axis, 27 along the vertical axis, and 27 along the space diagonal. At each of these 110 positions, the displacements according to skin' markers were recorded and scans were performed using both 3D-US and kV-CBCT. Shifts were detected by matching bony anatomy or soft tissue density to a reference planning CT in the case of kV-CBCT and for 3D-US, by matching ultrasound volume data to a reference planning volume. A consensus value was calculated from the average of the four modalities. With respect to this consensus value, the linearity (offset and regression coefficient, i.e., slope), average offset, systematic error, and random error of all four modalities were calculated for each axis. Linearity was similar for all four modalities, with regression coefficients between 0.994 and 1.012, and all offsets below 1 mm. The systematic errors of skin markers and 3D-US were higher than for kV-CBCT, but random errors were similar. In particular, 3D-US demonstrated an average offset of 0.36 mm to the right, 0.08 mm inferiorly, and 0.15 mm anteriorly; the systematic error was 0.36 mm laterally, 0.35 mm longitudinally, and 0.22 mm vertically; the random error was 0.15 mm laterally, 0.30 mm longitudinally, and 0.12 mm vertically. A total of 109 out of 110 (99 %) 3D-US measurements were within 1 mm of the consensus value on either axis. The linearity of 3D-US was no worse than that of skin

  10. Deformable registration of CT and cone-beam CT with local intensity matching

    Science.gov (United States)

    Park, Seyoun; Plishker, William; Quon, Harry; Wong, John; Shekhar, Raj; Lee, Junghoon

    2017-02-01

    Cone-beam CT (CBCT) is a widely used intra-operative imaging modality in image-guided radiotherapy and surgery. A short scan followed by a filtered-backprojection is typically used for CBCT reconstruction. While data on the mid-plane (plane of source-detector rotation) is complete, off-mid-planes undergo different information deficiency and the computed reconstructions are approximate. This causes different reconstruction artifacts at off-mid-planes depending on slice locations, and therefore impedes accurate registration between CT and CBCT. In this paper, we propose a method to accurately register CT and CBCT by iteratively matching local CT and CBCT intensities. We correct CBCT intensities by matching local intensity histograms slice by slice in conjunction with intensity-based deformable registration. The correction-registration steps are repeated in an alternating way until the result image converges. We integrate the intensity matching into three different deformable registration methods, B-spline, demons, and optical flow that are widely used for CT-CBCT registration. All three registration methods were implemented on a graphics processing unit for efficient parallel computation. We tested the proposed methods on twenty five head and neck cancer cases and compared the performance with state-of-the-art registration methods. Normalized cross correlation (NCC), structural similarity index (SSIM), and target registration error (TRE) were computed to evaluate the registration performance. Our method produced overall NCC of 0.96, SSIM of 0.94, and TRE of 2.26 → 2.27 mm, outperforming existing methods by 9%, 12%, and 27%, respectively. Experimental results also show that our method performs consistently and is more accurate than existing algorithms, and also computationally efficient.

  11. Trabecular bone structure parameters from 3D image processing of clinical multi-slice and cone-beam computed tomography data

    Energy Technology Data Exchange (ETDEWEB)

    Klintstroem, Eva; Smedby, Oerjan [Linkoeping University, Center for Medical Image Science and Visualization (CMIV), Linkoeping (Sweden); UHL County Council of Oestergoetland, Department of Radiology, Linkoeping (Sweden); Linkoeping University, Department of Medical and Health Sciences (IMH)/Radiology, Linkoeping (Sweden); Moreno, Rodrigo [Linkoeping University, Center for Medical Image Science and Visualization (CMIV), Linkoeping (Sweden); Linkoeping University, Department of Medical and Health Sciences (IMH)/Radiology, Linkoeping (Sweden); Brismar, Torkel B. [KUS Huddinge, Department of Clinical Science, Intervention and Technology at Karolinska Institutet and Department of Radiology, Stockholm (Sweden)

    2014-02-15

    Bone strength depends on both mineral content and bone structure. The aim of this in vitro study was to develop a method of quantitatively assessing trabecular bone structure by applying three-dimensional image processing to data acquired with multi-slice and cone-beam computed tomography using micro-computed tomography as a reference. Fifteen bone samples from the radius were examined. After segmentation, quantitative measures of bone volume, trabecular thickness, trabecular separation, trabecular number, trabecular nodes, and trabecular termini were obtained. The clinical machines overestimated bone volume and trabecular thickness and underestimated trabecular nodes and number, but cone-beam CT to a lesser extent. Parameters obtained from cone beam CT were strongly correlated with μCT, with correlation coefficients between 0.93 and 0.98 for all parameters except trabecular termini. The high correlation between cone-beam CT and micro-CT suggest the possibility of quantifying and monitoring changes of trabecular bone microarchitecture in vivo using cone beam CT. (orig.)

  12. Direct aneurysm sac catheterization and embolization of an enlarging internal iliac aneurysm using cone-beam CT

    Science.gov (United States)

    Merchant, Monish; Shah, Rohan; Resnick, Scott

    2015-01-01

    Since cone-beam computed tomography (CT) has been adapted for use with a C-arm system it has brought volumetric CT capabilities in the interventional suite. Although cone-beam CT image resolution is far inferior to that generated by traditional CT scanners, the system offers the ability to place an access needle into position under tomographic guidance and use the access to immediately begin a fluoroscopic procedure without moving the patient. We describe a case of a “jailed” enlarging internal iliac artery aneurysm secondary to abdominal aortic aneurysm repair, in which direct percutaneous puncture of the internal iliac artery aneurysm sac was performed under cone-beam CT guidance. PMID:25858522

  13. Deformable registration of CT and cone-beam CT by local CBCT intensity correction

    Science.gov (United States)

    Park, Seyoun; Plishker, William; Shekhar, Raj; Quon, Harry; Wong, John; Lee, Junghoon

    2015-03-01

    In this paper, we propose a method to accurately register CT to cone-beam CT (CBCT) by iteratively correcting local CBCT intensity. CBCT is a widely used intra-operative imaging modality in image-guided radiotherapy and surgery. A short scan followed by a filtered-backprojection is typically used for CBCT reconstruction. While data on the mid-plane (plane of source-detector rotation) is complete, off-mid-planes undergo different information deficiency and the computed reconstructions are approximate. This causes different reconstruction artifacts at off-mid-planes depending on slice locations, and therefore impedes accurate registration between CT and CBCT. To address this issue, we correct CBCT intensities by matching local intensity histograms slice by slice in conjunction with intensity-based deformable registration. This correction-registration step is repeated until the result image converges. We tested the proposed method on eight head-and-neck cancer cases and compared its performance with state-of-the-art registration methods, Bspline, demons, and optical flow, which are widely used for CT-CBCT registration. Normalized mutual-information (NMI), normalized cross-correlation (NCC), and structural similarity (SSIM) were computed as similarity measures for the performance evaluation. Our method produced overall NMI of 0.59, NCC of 0.96, and SSIM of 0.93, outperforming existing methods by 3.6%, 2.4%, and 2.8% in terms of NMI, NCC, and SSIM scores, respectively. Experimental results show that our method is more consistent and roust than existing algorithms, and also computationally efficient with faster convergence.

  14. TU-EF-207-05: Dedicated Cone-beam Breast CT

    Energy Technology Data Exchange (ETDEWEB)

    Vedantham, S. [Univ. of Massachusetts Medical School (United States)

    2015-06-15

    mode due to lower photon fluence per projection. This may require fast-frame acquisition and symmetric or asymmetric pixel binning in some systems. Recent studies investigated the performance of increased conversion layer thickness for contrast-enhanced imaging of the breast in dual-energy acquisition mode. In other direct conversion detectors operating in the avalanche mode, sensitivities close to the single photon response are also explored for mammography and breast tomosynthesis. The potential advantages and challenges of this approach are described. Dedicated breast CT brings x-ray imaging of the breast to true tomographic 3D imaging. It can eliminate the tissue superposition problem and does not require physical compression of the breast. Using cone beam geometry and a flat-panel detector, several hundred projections are acquired and reconstructed to near isotropic voxels. Multiplanar reconstruction facilitates viewing the breast volume in any desired orientation. Ongoing clinical studies, the current state-of-the art, and research to advance the technology are described. Learning Objectives: To understand the ongoing developments in x-ray imaging of the breast To understand the approaches and applications of spectral mammography To understand the potential advantages of distributed x-ray source arrays for digital breast tomosynthesis To understand the ongoing developments in detector technology for digital mammography and breast tomosynthesis To understand the current state-of-the-art for dedicated cone-beam breast CT and research to advance the technology. Research collaboration with Koning Corporation.

  15. Demons deformable registration of CT and cone-beam CT using an iterative intensity matching approach

    Energy Technology Data Exchange (ETDEWEB)

    Nithiananthan, Sajendra; Schafer, Sebastian; Uneri, Ali [Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland 21205 (United States); and others

    2011-04-15

    Purpose: A method of intensity-based deformable registration of CT and cone-beam CT (CBCT) images is described, in which intensity correction occurs simultaneously within the iterative registration process. The method preserves the speed and simplicity of the popular Demons algorithm while providing robustness and accuracy in the presence of large mismatch between CT and CBCT voxel values (''intensity''). Methods: A variant of the Demons algorithm was developed in which an estimate of the relationship between CT and CBCT intensity values for specific materials in the image is computed at each iteration based on the set of currently overlapping voxels. This tissue-specific intensity correction is then used to estimate the registration output for that iteration and the process is repeated. The robustness of the method was tested in CBCT images of a cadaveric head exhibiting a broad range of simulated intensity variations associated with x-ray scatter, object truncation, and/or errors in the reconstruction algorithm. The accuracy of CT-CBCT registration was also measured in six real cases, exhibiting deformations ranging from simple to complex during surgery or radiotherapy guided by a CBCT-capable C-arm or linear accelerator, respectively. Results: The iterative intensity matching approach was robust against all levels of intensity variation examined, including spatially varying errors in voxel value of a factor of 2 or more, as can be encountered in cases of high x-ray scatter. Registration accuracy without intensity matching degraded severely with increasing magnitude of intensity error and introduced image distortion. A single histogram match performed prior to registration alleviated some of these effects but was also prone to image distortion and was quantifiably less robust and accurate than the iterative approach. Within the six case registration accuracy study, iterative intensity matching Demons reduced mean TRE to (2.5{+-}2.8) mm

  16. Cone beam CT for diagnosis and treatment planning in trauma cases.

    Science.gov (United States)

    Palomo, Leena; Palomo, J Martin

    2009-10-01

    Three-dimensional imaging offers many advantages in making diagnoses and planning treatment. This article focuses on cone beam CT (CBCT) for making diagnoses and planning treatment in trauma-related cases. CBCT equipment is smaller and less expensive than traditional medical CT equipment and is tailored to address challenges specific to the dentoalveolar environment. Like medical CT, CBCT offers a three-dimensional view that conventional two-dimensional dental radiography fails to provide. CBCT combines the strengths of medical CT with those of conventional dental radiography to accommodate unique diagnostic and treatment-planning applications that have particular utility in dentoalveolar trauma cases. CBCT is useful, for example, in identifying tooth fractures relative to surrounding alveolar bone, in determining alveolar fracture location and morphology, in analyzing ridge-defect height and width, and in imaging temporomandibular joints. Treatment-planning applications include those involving extraction of fractured teeth, placement of implants, exposure of impacted teeth, and analyses of airways.

  17. 3D Nondestructive Visualization and Evaluation of TRISO Particles Distribution in HTGR Fuel Pebbles Using Cone-Beam Computed Tomography

    Directory of Open Access Journals (Sweden)

    Gongyi Yu

    2017-01-01

    Full Text Available A nonuniform distribution of tristructural isotropic (TRISO particles within a high-temperature gas-cooled reactor (HTGR pebble may lead to excessive thermal gradients and nonuniform thermal expansion during operation. If the particles are closely clustered, local hotspots may form, leading to excessive stresses on particle layers and an increased probability of particle failure. Although X-ray digital radiography (DR is currently used to evaluate the TRISO distributions in pebbles, X-ray DR projection images are two-dimensional in nature, which would potentially miss some details for 3D evaluation. This paper proposes a method of 3D visualization and evaluation of the TRISO distribution in HTGR pebbles using cone-beam computed tomography (CBCT: first, a pebble is scanned on our high-resolution CBCT, and 2D cross-sectional images are reconstructed; secondly, all cross-sectional images are restructured to form the 3D model of the pebble; then, volume rendering is applied to segment and display the TRISO particles in 3D for visualization and distribution evaluation. For method validation, several pebbles were scanned and the 3D distributions of the TRISO particles within the pebbles were produced. Experiment results show that the proposed method provides more 3D than DR, which will facilitate pebble fabrication research and production quality control.

  18. Deformable image registration for cone-beam CT guided transoral robotic base-of-tongue surgery

    Science.gov (United States)

    Reaungamornrat, S.; Liu, W. P.; Wang, A. S.; Otake, Y.; Nithiananthan, S.; Uneri, A.; Schafer, S.; Tryggestad, E.; Richmon, J.; Sorger, J. M.; Siewerdsen, J. H.; Taylor, R. H.

    2013-07-01

    Transoral robotic surgery (TORS) offers a minimally invasive approach to resection of base-of-tongue tumors. However, precise localization of the surgical target and adjacent critical structures can be challenged by the highly deformed intraoperative setup. We propose a deformable registration method using intraoperative cone-beam computed tomography (CBCT) to accurately align preoperative CT or MR images with the intraoperative scene. The registration method combines a Gaussian mixture (GM) model followed by a variation of the Demons algorithm. First, following segmentation of the volume of interest (i.e. volume of the tongue extending to the hyoid), a GM model is applied to surface point clouds for rigid initialization (GM rigid) followed by nonrigid deformation (GM nonrigid). Second, the registration is refined using the Demons algorithm applied to distance map transforms of the (GM-registered) preoperative image and intraoperative CBCT. Performance was evaluated in repeat cadaver studies (25 image pairs) in terms of target registration error (TRE), entropy correlation coefficient (ECC) and normalized pointwise mutual information (NPMI). Retraction of the tongue in the TORS operative setup induced gross deformation >30 mm. The mean TRE following the GM rigid, GM nonrigid and Demons steps was 4.6, 2.1 and 1.7 mm, respectively. The respective ECC was 0.57, 0.70 and 0.73, and NPMI was 0.46, 0.57 and 0.60. Registration accuracy was best across the superior aspect of the tongue and in proximity to the hyoid (by virtue of GM registration of surface points on these structures). The Demons step refined registration primarily in deeper portions of the tongue further from the surface and hyoid bone. Since the method does not use image intensities directly, it is suitable to multi-modality registration of preoperative CT or MR with intraoperative CBCT. Extending the 3D image registration to the fusion of image and planning data in stereo-endoscopic video is anticipated to

  19. Linac-integrated 4D cone beam CT: first experimental results

    Science.gov (United States)

    Dietrich, Lars; Jetter, Siri; Tücking, Thomas; Nill, Simeon; Oelfke, Uwe

    2006-06-01

    A new online imaging approach, linac-integrated cone beam CT (CBCT), has been developed over the past few years. It has the advantage that a patient can be examined in their treatment position directly before or during a radiotherapy treatment. Unfortunately, respiratory organ motion, one of the largest intrafractional organ motions, often leads to artefacts in the reconstructed 3D images. One way to take this into account is to register the breathing phase during image acquisition for a phase-correlated image reconstruction. Therefore, the main focus of this work is to present a system which has the potential to investigate the correlation between internal (movement of the diaphragm) and external (data of a respiratory gating system) information about breathing phase and amplitude using an inline CBCT scanner. This also includes a feasibility study about using the acquired information for a respiratory-correlated 4D CBCT reconstruction. First, a moving lung phantom was used to develop and to specify the required methods which are based on an image reconstruction using only projections belonging to a certain moving phase. For that purpose, the corresponding phase has to be detected for each projection. In the case of the phantom, an electrical signal allows one to track the movement in real time. The number of projections available for the image reconstruction depends on the breathing phase and the size of the position range from which projections should be used for the reconstruction. The narrower this range is, the better the inner structures can be located, but also the noise of the images increases due to the limited number of projections. This correlation has also been analysed. In a second step, the methods were clinically applied using data sets of patients with lung tumours. In this case, the breathing phase was detected by an external gating system (AZ-733V, Anzai Medical Co.) based on a pressure sensor attached to the patient's abdominal region with a

  20. Geometric Parameters Estimation and Calibration in Cone-Beam Micro-CT

    Directory of Open Access Journals (Sweden)

    Jintao Zhao

    2015-09-01

    Full Text Available The quality of Computed Tomography (CT images crucially depends on the precise knowledge of the scanner geometry. Therefore, it is necessary to estimate and calibrate the misalignments before image acquisition. In this paper, a Two-Piece-Ball (TPB phantom is used to estimate a set of parameters that describe the geometry of a cone-beam CT system. Only multiple projections of the TPB phantom at one position are required, which can avoid the rotation errors when acquiring multi-angle projections. Also, a corresponding algorithm is derived. The performance of the method is evaluated through simulation and experimental data. The results demonstrated that the proposed method is valid and easy to implement. Furthermore, the experimental results from the Micro-CT system demonstrate the ability to reduce artifacts and improve image quality through geometric parameter calibration.

  1. TU-AB-204-00: Advances in Cone-Beam CT and Emerging Applications

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2015-06-15

    This symposium highlights advanced cone-beam CT (CBCT) technologies in four areas of emerging application in diagnostic imaging and image-guided interventions. Each area includes research that extends the spatial, temporal, and/or contrast resolution characteristics of CBCT beyond conventional limits through advances in scanner technology, acquisition protocols, and 3D image reconstruction techniques. Dr. G. Chen (University of Wisconsin) will present on the topic: Advances in C-arm CBCT for Brain Perfusion Imaging. Stroke is a leading cause of death and disability, and a fraction of people having an acute ischemic stroke are suitable candidates for endovascular therapy. Critical factors that affect both the likelihood of successful revascularization and good clinical outcome are: 1) the time between stroke onset and revascularization; and 2) the ability to distinguish patients who have a small volume of irreversibly injured brain (ischemic core) and a large volume of ischemic but salvageable brain (penumbra) from patients with a large ischemic core and little or no penumbra. Therefore, “time is brain” in the care of the stroke patients. C-arm CBCT systems widely available in angiography suites have the potential to generate non-contrast-enhanced CBCT images to exclude the presence of hemorrhage, time-resolved CBCT angiography to evaluate the site of occlusion and collaterals, and CBCT perfusion parametric images to assess the extent of the ischemic core and penumbra, thereby fulfilling the imaging requirements of a “one-stop-shop” in the angiography suite to reduce the time between onset and revascularization therapy. The challenges and opportunities to advance CBCT technology to fully enable the one-stop-shop C-arm CBCT platform for brain imaging will be discussed. Dr. R. Fahrig (Stanford University) will present on the topic: Advances in C-arm CBCT for Cardiac Interventions. With the goal of providing functional information during cardiac interventions

  2. Dose cone-beam CT alter treatment plans? Comparison of preoperative implant planning using panoramic versus cone-beam CT images

    Energy Technology Data Exchange (ETDEWEB)

    Guerrero, Maria Eugenia; Jacobs, Reinhilde [Dept. of Oral and Maxillofacial Surgery, University Hospitals, Leuven (Belgium); Norge, Jorge; Castro, Carmen [Master of Periodontology, Universidad San Martin de Porres, Lima (Peru)

    2014-06-15

    The present study was performed to compare the planning of implant placement based on panoramic radiography (PAN) and cone-beam computed tomography (CBCT) images, and to study the impact of the image dataset on the treatment planning. One hundred five partially edentulous patients (77 males, 28 females, mean age: 46 years, range: 26-67 years) seeking oral implant rehabilitation were referred for presurgical imaging. Imaging consisted of PAN and CBCT imaging. Four observers planned implant treatment based on the two-dimensional (2D) image datasets and at least one month later on the three-dimensional (3D) image dataset. Apart from presurgical diagnostic and dimensional measurement tasks, the observers needed to indicate the surgical confidence levels and assess the image quality in relation to the presurgical needs. All observers confirmed that both imaging modalities (PAN and CBCT) gave similar values when planning implant diameter. Also, the results showed no differences between both imaging modalities for the length of implants with an anterior location. However, significant differences were found in the length of implants with a posterior location. For implant dimensions, longer lengths of the implants were planned with PAN, as confirmed by two observers. CBCT provided images with improved scores for subjective image quality and surgical confidence levels. Within the limitations of this study, there was a trend toward PAN-based preoperative planning of implant placement leading towards the use of longer implants within the posterior jaw bone.

  3. Development of a fully 3D system model in iterative expectation-maximization reconstruction for cone-beam SPECT

    Science.gov (United States)

    Ye, Hongwei; Vogelsang, Levon; Feiglin, David H.; Lipson, Edward D.; Krol, Andrzej

    2008-03-01

    In order to improve reconstructed image quality for cone-beam collimator SPECT, we have developed and implemented a fully 3D reconstruction, using an ordered subsets expectation maximization (OSEM) algorithm, along with a volumetric system model - cone-volume system model (CVSM), a modified attenuation compensation, and a 3D depth- and angle-dependent resolution and sensitivity correction. SPECT data were acquired in a 128×128 matrix, in 120 views with a single circular orbit. Two sets of numerical Defrise phantoms were used to simulate CBC SPECT scans, and low noise and scatter-free projection datasets were obtained using the SimSET Monte Carlo package. The reconstructed images, obtained using OSEM with a line-length system model (LLSM) and a 3D Gaussian post-filter, and OSEM with FVSM and a 3D Gaussian post-filter were quantitatively studied. Overall improvement in the image quality has been observed, including better transaxial resolution, higher contrast-to-noise ratio between hot and cold disks, and better accuracy and lower bias in OSEM-CVSM, compared with OSEM-LLSM.

  4. Self-calibration of cone-beam CT geometry using 3D–2D image registration

    Science.gov (United States)

    Ouadah, S; Stayman, J W; Gang, G J; Ehtiati, T; Siewerdsen, J H

    2016-01-01

    Robotic C-arms are capable of complex orbits that can increase field of view, reduce artifacts, improve image quality, and/or reduce dose; however, it can be challenging to obtain accurate, reproducible geometric calibration required for image reconstruction for such complex orbits. This work presents a method for geometric calibration for an arbitrary source-detector orbit by registering 2D projection data to a previously acquired 3D image. It also yields a method by which calibration of simple circular orbits can be improved. The registration uses a normalized gradient information similarity metric and the covariance matrix adaptation-evolution strategy optimizer for robustness against local minima and changes in image content. The resulting transformation provides a ‘self-calibration’ of system geometry. The algorithm was tested in phantom studies using both a cone-beam CT (CBCT) test-bench and a robotic C-arm (Artis Zeego, Siemens Healthcare) for circular and non-circular orbits. Self-calibration performance was evaluated in terms of the full-width at half-maximum (FWHM) of the point spread function in CBCT reconstructions, the reprojection error (RPE) of steel ball bearings placed on each phantom, and the overall quality and presence of artifacts in CBCT images. In all cases, self-calibration improved the FWHM—e.g. on the CBCT bench, FWHM = 0.86 mm for conventional calibration compared to 0.65 mm for self-calibration (p < 0.001). Similar improvements were measured in RPE—e.g. on the robotic C-arm, RPE = 0.73 mm for conventional calibration compared to 0.55 mm for self-calibration (p < 0.001). Visible improvement was evident in CBCT reconstructions using self-calibration, particularly about high-contrast, high-frequency objects (e.g. temporal bone air cells and a surgical needle). The results indicate that self-calibration can improve even upon systems with presumably accurate geometric calibration and is applicable to situations where conventional

  5. Investigation of saddle trajectories for cardiac CT imaging in cone-beam geometry

    Energy Technology Data Exchange (ETDEWEB)

    Pack, Jed D [Department of Radiology, University of Utah, Salt Lake City, UT 84112 (United States); Noo, Frederic [Department of Radiology, University of Utah, Salt Lake City, UT 84112 (United States); Kudo, H [Department of Computer Science, Graduate School of Systems and Information Engineering, University of Tsukuba (Japan)

    2004-06-07

    This paper investigates cone-beam tomography for a wide class of x-ray source trajectories called saddles. In particular, a mathematical analysis of the number of intersections between a saddle and an arbitrary plane is given. This analysis demonstrates that axially truncated cone-beam projections acquired along a saddle can be used for exact reconstruction at any point in a large volume. The reconstruction can be achieved either using a new algorithm presented herein or using a formula recently introduced by Katsevich (2003 Int. J. Math. Math. Sci. 21 1305-21). The shape of the reconstructed volume and the properties of saddles make saddles attractive for cardiac imaging. Three examples of saddles are presented with a discussion of implementation on devices similar to modern C-arm systems and multislice CT scanners. Reconstruction with one of these saddles has been tested using computer-simulated data, with and without truncation. The imaged phantom for the truncated data is a FORBILD head phantom (representing the heart) that has been modified and embedded inside the FORBILD thorax phantom. The non-truncated data were generated by excluding the thorax. The reconstructed images demonstrate the accuracy of the mathematical results.

  6. Differences between panoramic and Cone Beam-CT in the surgical evaluation of lower third molars

    Science.gov (United States)

    Rodriguez y Baena, Ruggero; Beltrami, Riccardo; Tagliabo, Angelo; Rizzo, Silvana

    2017-01-01

    Background The aim of this study was to evaluate the ability to identify the contiguity between the root of the mandibular third molar and the mandibular canal (MC) in panoramic radiographs compared with Cone Beam-CT. Material and Methods Panoramic radiographs of 326 third molars and CBCT radiographs of 86 cases indicated for surgery and considered at risk were evaluated. The following signs were assessed in panoramic radiographs as risk factors: radiolucent band, loss of MC border, change in MC direction, MC narrowing, root narrowing, root deviation, bifid apex, superimposition, and contact between the root third molar and the MC. Results Radiographic signs associated with absence of MC cortical bone are: radiolucent band, loss of MC border, change in MC direction, and superimposition. The number of risk factors was significantly increased with an increasing depth of inclusion. CBCT revealed a significant association between the absence of MC cortical bone and a lingual or interradicular position of the MC. Conclusions In cases in which panoramic radiographs do not exclude contiguity between the MC and tooth, careful assessment the signs and risks on CBCT radiographs is indicated for proper identification of the relationships between anatomic structures. Key words:Panoramic radiography, Cone-Beam computed tomography, third molar, mandibular nerve. PMID:28210446

  7. Moving metal artifact reduction in cone-beam CT scans with implanted cylindrical gold markers

    Energy Technology Data Exchange (ETDEWEB)

    Toftegaard, Jakob, E-mail: jaktofte@rm.dk; Fledelius, Walther; Worm, Esben S.; Poulsen, Per R. [Department of Oncology, Aarhus University Hospital, Aarhus 8000 (Denmark); Seghers, Dieter; Huber, Michael; Brehm, Marcus [Varian Medical Systems, Imaging Laboratory GmbH, Baden-Daettwil 5405 (Switzerland); Elstrøm, Ulrik V. [Department of Medical Physics, Aarhus University Hospital, Aarhus 8000 (Denmark)

    2014-12-15

    Purpose: Implanted gold markers for image-guided radiotherapy lead to streaking artifacts in cone-beam CT (CBCT) scans. Several methods for metal artifact reduction (MAR) have been published, but they all fail in scans with large motion. Here the authors propose and investigate a method for automatic moving metal artifact reduction (MMAR) in CBCT scans with cylindrical gold markers. Methods: The MMAR CBCT reconstruction method has six steps. (1) Automatic segmentation of the cylindrical markers in the CBCT projections. (2) Removal of each marker in the projections by replacing the pixels within a masked area with interpolated values. (3) Reconstruction of a marker-free CBCT volume from the manipulated CBCT projections. (4) Reconstruction of a standard CBCT volume with metal artifacts from the original CBCT projections. (5) Estimation of the three-dimensional (3D) trajectory during CBCT acquisition for each marker based on the segmentation in Step 1, and identification of the smallest ellipsoidal volume that encompasses 95% of the visited 3D positions. (6) Generation of the final MMAR CBCT reconstruction from the marker-free CBCT volume of Step 3 by replacing the voxels in the 95% ellipsoid with the corresponding voxels of the standard CBCT volume of Step 4. The MMAR reconstruction was performed retrospectively using a half-fan CBCT scan for 29 consecutive stereotactic body radiation therapy patients with 2–3 gold markers implanted in the liver. The metal artifacts of the MMAR reconstructions were scored and compared with a standard MAR reconstruction by counting the streaks and by calculating the standard deviation of the Hounsfield units in a region around each marker. Results: The markers were found with the same autosegmentation settings in 27 CBCT scans, while two scans needed slightly changed settings to find all markers automatically in Step 1 of the MMAR method. MMAR resulted in 15 scans with no streaking artifacts, 11 scans with 1–4 streaks, and 3 scans

  8. Cone Beam CT vs. Fan Beam CT: A Comparison of Image Quality and Dose Delivered Between Two Differing CT Imaging Modalities.

    Science.gov (United States)

    Lechuga, Lawrence; Weidlich, Georg A

    2016-09-12

    A comparison of image quality and dose delivered between two differing computed tomography (CT) imaging modalities-fan beam and cone beam-was performed. A literature review of quantitative analyses for various image quality aspects such as uniformity, signal-to-noise ratio, artifact presence, spatial resolution, modulation transfer function (MTF), and low contrast resolution was generated. With these aspects quantified, cone beam computed tomography (CBCT) shows a superior spatial resolution to that of fan beam, while fan beam shows a greater ability to produce clear and anatomically correct images with better soft tissue differentiation. The results indicate that fan beam CT produces superior images to that of on-board imaging (OBI) cone beam CT systems, while providing a considerably less dose to the patient.

  9. Role of C-arm cone-beam CT in chemoembolization for hepatocellular carcinoma

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hyo Cheol [Dept. of Radiology, Seoul National University College of Medicine, Institute of Radiation Medicine, Seoul (Korea, Republic of)

    2015-02-15

    With the advent of C-arm cone-beam computed tomography (CBCT), minimally-invasive procedures in the angiography suite made a new leap beyond the limitations of 2-dimensional (D) angiography alone. C-arm CBCT can help interventional radiologists in several ways with the treatment of hepatocellular carcinoma (HCC); visualization of small tumors and tumor-feeding arteries, identification of occult lesion and 3D configuration of tortuous hepatic arteries, assurance of completeness of chemoembolization, suggestion of presence of extrahepatic collateral arteries supplying HCCs, and prevention of nontarget embolization. With more improvements in the technology, C-arm CBCT may be essential in all kinds of interventional procedures in the near future.

  10. A Model-Based Scatter Artifacts Correction for Cone Beam CT

    CERN Document Server

    Zhao, Wei; Zhu, Jun; Wang, Luyao; Xing, Lei

    2016-01-01

    The purpose of this work is to provide a fast and accurate scatter artifacts correction algorithm for cone beam CT (CBCT) imaging. The method starts with an estimation of coarse scatter profiles for a set of CBCT data in either image domain or projection domain. A denoising algorithm designed specifically for Poisson signals is then applied to derive the final scatter distribution. Qualitative and quantitative evaluations using thorax and abdomen phantoms with Monte Carlo (MC) simulations, experimental Catphan phantom data, and in vivo human data acquired for a clinical image guided radiation therapy were performed. Results show that the proposed algorithm can significantly reduce scatter artifacts and recover the correct HU in either projection domain or image domain. For the MC thorax phantom study, four components segmentation yield the best results, while the results of three components segmentation are still acceptable. For the Catphan phantom data, the mean value over all pixels in the residual image is...

  11. Simulation of Cone Beam CT System Based on Monte Carlo Method

    CERN Document Server

    Wang, Yu; Cao, Ruifen; Hu, Liqin; Li, Bingbing

    2014-01-01

    Adaptive Radiation Therapy (ART) was developed based on Image-guided Radiation Therapy (IGRT) and it is the trend of photon radiation therapy. To get a better use of Cone Beam CT (CBCT) images for ART, the CBCT system model was established based on Monte Carlo program and validated against the measurement. The BEAMnrc program was adopted to the KV x-ray tube. Both IOURCE-13 and ISOURCE-24 were chosen to simulate the path of beam particles. The measured Percentage Depth Dose (PDD) and lateral dose profiles under 1cm water were compared with the dose calculated by DOSXYZnrc program. The calculated PDD was better than 1% within the depth of 10cm. More than 85% points of calculated lateral dose profiles was within 2%. The correct CBCT system model helps to improve CBCT image quality for dose verification in ART and assess the CBCT image concomitant dose risk.

  12. Limited-angle reverse helical cone-beam CT for pipeline with low rank decomposition

    Science.gov (United States)

    Wu, Dong; Zeng, Li

    2014-10-01

    In this paper, tomographic imaging of pipeline in service by cone-beam computed tomography (CBCT) is studied. With the developed scanning strategy and image model, the quality of reconstructed image is improved. First, a limited-angle reverse helical scanning strategy based on C-arm computed tomography (C-arm CT) is developed for the projection data acquisition of pipeline in service. Then, an image model which considering the resemblance among slices of pipeline is developed. Finally, split Bregman method based algorithm is implemented in solving the model aforementioned. Preliminary results of simulation experiments show that the projection data acquisition strategy and reconstruction method are efficient and feasible, and our method is superior to Feldkamp-Davis-Kress (FDK) algorithm and simultaneous algebraic reconstruction technique (SART).

  13. Calculating tumor trajectory and dose-of-the-day using cone-beam CT projections

    CERN Document Server

    Jones, Bernard L; Miften, Moyed

    2015-01-01

    Purpose: Cone-beam CT (CBCT) projection images provide anatomical data in real-time over several respiratory cycles, forming a comprehensive picture of tumor movement. We developed and validated a method which uses these projections to determine the trajectory of and dose to highly mobile tumors during each fraction of treatment. Methods: CBCT images of a respiration phantom were acquired, the trajectory of which mimicked a lung tumor with high amplitude (up to 2.5 cm) and hysteresis. A template-matching algorithm was used to identify the location of a steel BB in each CBCT projection, and a Gaussian probability density function for the absolute BB position was calculated which best fit the observed trajectory of the BB in the imager geometry. Two modifications of the trajectory reconstruction were investigated: first, using respiratory phase information to refine the trajectory estimation (Phase), and second, using the Monte Carlo (MC) method to sample the estimated Gaussian tumor position distribution. Resu...

  14. Scattering correction based on regularization de-convolution for Cone-Beam CT

    CERN Document Server

    Xie, Shi-peng

    2016-01-01

    In Cone-Beam CT (CBCT) imaging systems, the scattering phenomenon has a significant impact on the reconstructed image and is a long-lasting research topic on CBCT. In this paper, we propose a simple, novel and fast approach for mitigating scatter artifacts and increasing the image contrast in CBCT, belonging to the category of convolution-based method in which the projected data is de-convolved with a convolution kernel. A key step in this method is how to determine the convolution kernel. Compared with existing methods, the estimation of convolution kernel is based on bi-l1-l2-norm regularization imposed on both the intermediate the known scatter contaminated projection images and the convolution kernel. Our approach can reduce the scatter artifacts from 12.930 to 2.133.

  15. Fast Scatter Artifacts Correction for Cone-Beam CT without System Modification and Repeat Scan

    CERN Document Server

    Zhao, Wei; Wang, Luyao

    2015-01-01

    We provide a fast and accurate scatter artifacts correction algorithm for cone beam CT (CBCT) imaging. The method starts with an estimation of coarse scatter profile for a set of CBCT images. A total-variation denoising algorithm designed specifically for Poisson signal is then applied to derive the final scatter distribution. Qualitatively and quantitatively evaluations using Monte Carlo (MC) simulations, experimental CBCT phantom data, and \\emph{in vivo} human data acquired for a clinical image guided radiation therapy were performed. Results show that the proposed algorithm can significantly reduce scatter artifacts and recover the correct HU within either projection domain or image domain. Further test shows the method is robust with respect to segmentation procedure.

  16. A dual centre study of setup accuracy for thoracic patients based on Cone-Beam CT data

    DEFF Research Database (Denmark)

    Nielsen, Tine B; Hansen, Vibeke N; Westberg, Jonas;

    2011-01-01

    BACKGROUND AND PURPOSE: To compare setup uncertainties at two different institutions by using identical imaging and analysis techniques for thoracic patients with different fixation equipments. METHODS AND MATERIALS: Patient registration results from Cone-Beam CT (CBCT) scans of 174 patients were...

  17. Influence of object location in different FOVs on trabecular bone microstructure measurements of human mandible: a cone beam CT study

    NARCIS (Netherlands)

    Ibrahim, N.; Parsa, A.; Hassan, B.; van der Stelt, P.; Aartman, I.H.A.; Nambiar, P.

    2014-01-01

    The aim of this study was to assess the influence of different object locations in different fields of view (FOVs) of two cone beam CT (CBCT) systems on trabecular bone microstructure measurements of a human mandible. A block of dry human mandible was scanned at five different locations (centre, lef

  18. Radiation dose response of normal lung assessed by Cone Beam CT - a potential tool for biologically adaptive radiation therapy

    DEFF Research Database (Denmark)

    Bertelsen, Anders; Schytte, Tine; Bentzen, Søren M;

    2011-01-01

    Density changes of healthy lung tissue during radiotherapy as observed by Cone Beam CT (CBCT) might be an early indicator of patient specific lung toxicity. This study investigates the time course of CBCT density changes and tests for a possible correlation with locally delivered dose....

  19. High-dose-rate prostate brachytherapy based on registered transrectal ultrasound and in-room cone-beam CT images

    NARCIS (Netherlands)

    Even, Aniek J.G.; Nuver, Tonnis T.; Westendorp, Hendrik; Hoekstra, Carel J.; Slump, C.H.; Minken, Andre W.

    2014-01-01

    Purpose To present a high-dose-rate (HDR) brachytherapy procedure for prostate cancer using transrectal ultrasound (TRUS) to contour the regions of interest and registered in-room cone-beam CT (CBCT) images for needle reconstruction. To characterize the registration uncertainties between the two ima

  20. Comparative evaluation of the accuracy of linear measurements between cone beam computed tomography and 3D microtomography

    Directory of Open Access Journals (Sweden)

    Francesca Mangione

    2013-09-01

    Full Text Available OBJECTIVE: The aim of this study was to evaluate the influence of artifacts on the accuracy of linear measurements estimated with a common cone beam computed tomography (CBCT system used in dental clinical practice, by comparing it with microCT system as standard reference. MATERIALS AND METHODS: Ten bovine bone cylindrical samples containing one implant each, able to provide both points of reference and image quality degradation, have been scanned by CBCT and microCT systems. Thanks to the software of the two systems, for each cylindrical sample, two diameters taken at different levels, by using implants different points as references, have been measured. Results have been analyzed by ANOVA and a significant statistically difference has been found. RESULTS AND DISCUSSION: Due to the obtained results, in this work it is possible to say that the measurements made with the two different instruments are still not statistically comparable, although in some samples were obtained similar performances and therefore not statistically significant. CONCLUSION: With the improvement of the hardware and software of CBCT systems, in the near future the two instruments will be able to provide similar performances.

  1. Multimode C-arm fluoroscopy, tomosynthesis, and cone-beam CT for image-guided interventions: from proof of principle to patient protocols

    Science.gov (United States)

    Siewerdsen, J. H.; Daly, M. J.; Bachar, G.; Moseley, D. J.; Bootsma, G.; Brock, K. K.; Ansell, S.; Wilson, G. A.; Chhabra, S.; Jaffray, D. A.; Irish, J. C.

    2007-03-01

    High-performance intraoperative imaging is essential to an ever-expanding scope of therapeutic procedures ranging from tumor surgery to interventional radiology. The need for precise visualization of bony and soft-tissue structures with minimal obstruction to the therapy setup presents challenges and opportunities in the development of novel imaging technologies specifically for image-guided procedures. Over the past ~5 years, a mobile C-arm has been modified in collaboration with Siemens Medical Solutions for 3D imaging. Based upon a Siemens PowerMobil, the device includes: a flat-panel detector (Varian PaxScan 4030CB); a motorized orbit; a system for geometric calibration; integration with real-time tracking and navigation (NDI Polaris); and a computer control system for multi-mode fluoroscopy, tomosynthesis, and cone-beam CT. Investigation of 3D imaging performance (noise-equivalent quanta), image quality (human observer studies), and image artifacts (scatter, truncation, and cone-beam artifacts) has driven the development of imaging techniques appropriate to a host of image-guided interventions. Multi-mode functionality presents a valuable spectrum of acquisition techniques: i.) fluoroscopy for real-time 2D guidance; ii.) limited-angle tomosynthesis for fast 3D imaging (e.g., ~10 sec acquisition of coronal slices containing the surgical target); and iii.) fully 3D cone-beam CT (e.g., ~30-60 sec acquisition providing bony and soft-tissue visualization across the field of view). Phantom and cadaver studies clearly indicate the potential for improved surgical performance - up to a factor of 2 increase in challenging surgical target excisions. The C-arm system is currently being deployed in patient protocols ranging from brachytherapy to chest, breast, spine, and head and neck surgery.

  2. Robust methods for automatic image-to-world registration in cone-beam CT interventional guidance

    Energy Technology Data Exchange (ETDEWEB)

    Dang, H.; Otake, Y.; Schafer, S.; Stayman, J. W.; Kleinszig, G.; Siewerdsen, J. H. [Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland 21202 (United States); Siemens Healthcare XP Division, Erlangen 91052 (Germany); Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland 21202 (United States)

    2012-10-15

    Purpose: Real-time surgical navigation relies on accurate image-to-world registration to align the coordinate systems of the image and patient. Conventional manual registration can present a workflow bottleneck and is prone to manual error and intraoperator variability. This work reports alternative means of automatic image-to-world registration, each method involving an automatic registration marker (ARM) used in conjunction with C-arm cone-beam CT (CBCT). The first involves a Known-Model registration method in which the ARM is a predefined tool, and the second is a Free-Form method in which the ARM is freely configurable. Methods: Studies were performed using a prototype C-arm for CBCT and a surgical tracking system. A simple ARM was designed with markers comprising a tungsten sphere within infrared reflectors to permit detection of markers in both x-ray projections and by an infrared tracker. The Known-Model method exercised a predefined specification of the ARM in combination with 3D-2D registration to estimate the transformation that yields the optimal match between forward projection of the ARM and the measured projection images. The Free-Form method localizes markers individually in projection data by a robust Hough transform approach extended from previous work, backprojected to 3D image coordinates based on C-arm geometric calibration. Image-domain point sets were transformed to world coordinates by rigid-body point-based registration. The robustness and registration accuracy of each method was tested in comparison to manual registration across a range of body sites (head, thorax, and abdomen) of interest in CBCT-guided surgery, including cases with interventional tools in the radiographic scene. Results: The automatic methods exhibited similar target registration error (TRE) and were comparable or superior to manual registration for placement of the ARM within {approx}200 mm of C-arm isocenter. Marker localization in projection data was robust across all

  3. Ultrafast cone-beam CT scatter correction with GPU-based Monte Carlo simulation

    Directory of Open Access Journals (Sweden)

    Yuan Xu

    2014-03-01

    Full Text Available Purpose: Scatter artifacts severely degrade image quality of cone-beam CT (CBCT. We present an ultrafast scatter correction framework by using GPU-based Monte Carlo (MC simulation and prior patient CT image, aiming at automatically finish the whole process including both scatter correction and reconstruction within 30 seconds.Methods: The method consists of six steps: 1 FDK reconstruction using raw projection data; 2 Rigid Registration of planning CT to the FDK results; 3 MC scatter calculation at sparse view angles using the planning CT; 4 Interpolation of the calculated scatter signals to other angles; 5 Removal of scatter from the raw projections; 6 FDK reconstruction using the scatter-corrected projections. In addition to using GPU to accelerate MC photon simulations, we also use a small number of photons and a down-sampled CT image in simulation to further reduce computation time. A novel denoising algorithm is used to eliminate MC noise from the simulated scatter images caused by low photon numbers. The method is validated on one simulated head-and-neck case with 364 projection angles.Results: We have examined variation of the scatter signal among projection angles using Fourier analysis. It is found that scatter images at 31 angles are sufficient to restore those at all angles with < 0.1% error. For the simulated patient case with a resolution of 512 × 512 × 100, we simulated 5 × 106 photons per angle. The total computation time is 20.52 seconds on a Nvidia GTX Titan GPU, and the time at each step is 2.53, 0.64, 14.78, 0.13, 0.19, and 2.25 seconds, respectively. The scatter-induced shading/cupping artifacts are substantially reduced, and the average HU error of a region-of-interest is reduced from 75.9 to 19.0 HU.Conclusion: A practical ultrafast MC-based CBCT scatter correction scheme is developed. It accomplished the whole procedure of scatter correction and reconstruction within 30 seconds.----------------------------Cite this

  4. Cone-beam CT with a flat-panel detector: From image science to image-guided surgery

    Energy Technology Data Exchange (ETDEWEB)

    Siewerdsen, Jeffrey H., E-mail: jeff.siewerdsen@jhu.edu [Department of Biomedical Engineering, Johns Hopkins University, Traylor Building, Room 718, 720 Rutland Avenue, Baltimore, MD 21205 (United States)

    2011-08-21

    The development of large-area flat-panel X-ray detectors (FPDs) has spurred investigation in a spectrum of advanced medical imaging applications, including tomosynthesis and cone-beam CT (CBCT). Recent research has extended image quality metrics and theoretical models to such applications, providing a quantitative foundation for the assessment of imaging performance as well as a general framework for the design, optimization, and translation of such technologies to new applications. For example, cascaded systems models of the Fourier domain metrics, such as noise-equivalent quanta (NEQ), have been extended to these modalities to describe the propagation of signal and noise through the image acquisition and reconstruction chain and to quantify the factors that govern spatial resolution, image noise, and detectability. Moreover, such models have demonstrated basic agreement with human observer performance for a broad range of imaging conditions and imaging tasks. These developments in image science have formed a foundation for the knowledgeable development and translation of CBCT to new applications in image-guided interventions-for example, CBCT implemented on a mobile surgical C-arm for intraoperative 3D imaging. The ability to acquire high-quality 3D images on demand during surgical intervention overcomes conventional limitations of surgical guidance in the context of preoperative images alone. A prototype mobile C-arm developed in academic-industry partnership demonstrates CBCT with low radiation dose, sub-mm spatial resolution, and soft-tissue visibility potentially approaching that of diagnostic CT. Integration of the 3D imaging system with real-time tracking, deformable registration, endoscopic video, and 3D visualization offers a promising addition to the surgical arsenal in interventions ranging from head-and-neck/skull base surgery to spine, orthopaedic, thoracic, and abdominal surgeries. Cadaver studies show the potential for significant boosts in surgical

  5. Cone-beam CT with a flat-panel detector: From image science to image-guided surgery

    Science.gov (United States)

    Siewerdsen, Jeffrey H.

    2011-08-01

    The development of large-area flat-panel X-ray detectors (FPDs) has spurred investigation in a spectrum of advanced medical imaging applications, including tomosynthesis and cone-beam CT (CBCT). Recent research has extended image quality metrics and theoretical models to such applications, providing a quantitative foundation for the assessment of imaging performance as well as a general framework for the design, optimization, and translation of such technologies to new applications. For example, cascaded systems models of the Fourier domain metrics, such as noise-equivalent quanta (NEQ), have been extended to these modalities to describe the propagation of signal and noise through the image acquisition and reconstruction chain and to quantify the factors that govern spatial resolution, image noise, and detectability. Moreover, such models have demonstrated basic agreement with human observer performance for a broad range of imaging conditions and imaging tasks. These developments in image science have formed a foundation for the knowledgeable development and translation of CBCT to new applications in image-guided interventions—for example, CBCT implemented on a mobile surgical C-arm for intraoperative 3D imaging. The ability to acquire high-quality 3D images on demand during surgical intervention overcomes conventional limitations of surgical guidance in the context of preoperative images alone. A prototype mobile C-arm developed in academic-industry partnership demonstrates CBCT with low radiation dose, sub-mm spatial resolution, and soft-tissue visibility potentially approaching that of diagnostic CT. Integration of the 3D imaging system with real-time tracking, deformable registration, endoscopic video, and 3D visualization offers a promising addition to the surgical arsenal in interventions ranging from head-and-neck/skull base surgery to spine, orthopaedic, thoracic, and abdominal surgeries. Cadaver studies show the potential for significant boosts in

  6. SU-E-J-43: Deformed Planning CT as An Electron Density Substitute for Cone-Beam CT

    Energy Technology Data Exchange (ETDEWEB)

    Mishra, K [Cleveland State University, Cleveland, OH (United States); Godley, A [Cleveland Clinic, Cleveland, OH (United States)

    2014-06-01

    Purpose: To confirm that deforming the planning CT to the daily Cone-Beam CTs (CBCT) can provide suitable electron density for adaptive planning. We quantify the dosimetric difference between plans calculated on deformed planning CTs (DPCT) and daily CT-on-rails images (CTOR). CTOR is used as a test of the method as CTOR already contains accurate electron density to compare against. Methods: Five prostate only IMRT patients, each with five CTOR images, were selected and re-planned on Panther (Prowess Inc.) with a uniform 5 mm PTV expansion, prescribed 78 Gy. The planning CT was deformed to match each CTOR using ABAS (Elekta Inc.). Contours were drawn on the CTOR, and copied to the DPCT. The original treatment plan was copied to both the CTOR and DPCT, keeping the center of the prostate as the isocenter. The plans were then calculated using the collapsed cone heterogeneous dose engine of Prowess and typical DVH planning parameters used to compare them. Results: Each DPCT was visually compared to its CTOR with no differences observed. The agreement of the copied CTOR contours with the DPCT anatomy further demonstrated the deformation accuracy. The plans calculated using CTOR and DPCT were compared. Over the 25 plan pairs, the average difference between them for prostate D100, D98 and D95 were 0.5%, 0.2%, and 0.2%; PTV D98, D95 and mean dose: 0.3%, 0.2% and 0.3%; bladder V70, V60 and mean dose: 1.1%, 0.7%, and 0.2%; and rectum mean dose: 0.3%. (D100 is the dose covering 100% of the target; V70 is the volume of the organ receiving 70 Gy). Conclusion: We observe negligible difference between the dose calculated on the DPCT and the CTOR, implying that deformed planning CTs are a suitable substitute for electron density. The method can now be applied to CBCTs. Research version of Panther provided by Prowess Inc. Research version of ABAS provided by Elekta Inc.

  7. Radiologic study of the healing process of the extracted socket of beagle dogs using cone beam CT

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Bong Won; Lee, Won; Lee, Byung Do [Department of Oral and Maxillofacial Radiology, School of Dentistry, Wonkwang University, Iksan (Korea, Republic of); Kim, De Sok [Department of Electrical Engineering, Korea Advanced Institute of Science and Technology, Daejeon (Korea, Republic of)

    2009-03-15

    To longitudinally observe the healing process of extracted socket and the alterations of the residual ridge in healthy adult dogs using cone beam CT (CBCT). The mandibular premolars of two beagle dogs were removed and the extraction sites were covered with the gingival tissue. CBCTs (3D X-ray CT scanner, Alphard vega, Asahi Co.) were taken at baseline and at 1 week interval for 12 weeks. Radiographic density of extracted wounds was measured on normalized images with a custom-made image analysis program. The amount of alveolar crestal resorption after the teeth extraction was measured with a reformatted three-dimensional image using CBCT. Bony healing pattern of extracted wound of each group was also longitudinally observed and analyzed. Dimensional changes occurred during the first 6 weeks following the extraction of dogs' mandibular premolars. The reduction of the height of residual ridge was more pronounced at the buccal than at the lingual aspect of the extraction socket. Radiographic density of extracted wounds increased by week 4, but the change in density stabilized after week 6. New bone formation was observed at the floor and the peripheral side of extracted socket from week 1. The entrance of extracted socket was sealed by a hard-tissue bridge at week 5. The healing process of extracted wound involved a series of events including new bone formation and residual ridge resorption.

  8. Reproducibility of mandibular third molar assessment comparing two cone beam CT units in a matched pairs design.

    Science.gov (United States)

    Matzen, L H; Hintze, H; Spin-Neto, R; Wenzel, A

    2013-01-01

    The aim of this study was to evaluate the reproducibility of the third molar assessment, comparing five observers and two cone beam CT (CBCT) units. 28 patients, each with two impacted mandibular third molars, were included. Each patient was randomly examined with a Scanora(®) 3D (Soredex, Helsinki, Finland) CBCT unit in one mandibular third molar region and with a Cranex(®) 3D (Soredex) CBCT unit in the other region. Five observers with varying CBCT experience assessed all third molars and recorded the following variables: number and morphology of the roots, relation to the mandibular canal in two directions, shape of the canal and whether there was a direct contact between the roots of the molar and the mandibular canal. The radiographic assessments were compared pairwise among all observers for all variables. Wilcoxon's signed-rank test was used to test the differences in observer accordance percentages among the recorded variables in the images from the two units, and kappa statistics expressed interobserver reproducibility. The mean percentages for observer accordance ranged from 65.4 to 92.9 for Scanora 3D and 60.3 to 94.8 for Cranex 3D. There was no significant difference between the observer accordance in the two CBCT units (p > 0.05), except for assessing root flex in the mesiodistal direction, for which the observer accordance was higher for Scanora 3D (p third molar assessment. Observer variation existed, and experienced radiologists demonstrated the highest interobserver reproducibility for canal-related variables.

  9. A comparative study for spatial resolution and subjective image characteristics of a multi-slice CT and a cone-beam CT for dental use

    Energy Technology Data Exchange (ETDEWEB)

    Watanabe, Hiroshi, E-mail: hiro.orad@tmd.ac.jp [Oral and Maxillofacial Radiology, Division of Oral Restitution, Graduate School, Tokyo Medical and Dental University, 5-45 Yushima 1-chome, Bunkyo-ku, Tokyo 1138549 (Japan); Honda, Eiichi [Oral and Maxillofacial Radiology, Division of Oral Health Sciences, The University of Tokushima Graduate School (Japan); Tetsumura, Akemi; Kurabayashi, Tohru [Oral and Maxillofacial Radiology, Division of Oral Restitution, Graduate School, Tokyo Medical and Dental University, 5-45 Yushima 1-chome, Bunkyo-ku, Tokyo 1138549 (Japan)

    2011-03-15

    Purpose: Multi-slice CT (MSCT) and cone-beam CT (CBCT) are widely used in dental practice. This study compared the spatial resolution of these CT systems to elucidate which CT modalities should be selected for various clinical cases. Materials and methods: As MSCT and CBCT apparatuses, Somatom Sensation 64 and 3D Accuitomo instruments, respectively, were used. As an objective evaluation of spatial resolution of these CT systems, modulation transfer function (MTF) analysis was performed employing an over-sampling method. The results of MTF analysis were confirmed with a line-pair test using CATPHAN. As a subjective evaluation, a microstructure visualization ability study was performed using a Jcl:SD rat and a head CT phantom. Results: MTF analysis showed that for the in-plane direction, the z-axis ultrahigh resolution mode (zUHR) of the Sensation 64 and 3D Accuitomo instruments had higher spatial resolutions than the conventional mode (64x) of the Sensation 64, but for the longitudinal direction, the 3D Accuitomo had clearly higher spatial resolution than either mode of the Sensation 64. A line-pair test study and microstructure visualization ability studies confirmed the results for MTF analysis. However, images of the rat and the CT phantom revealed that the 3D Accuitomo demonstrated the failure to visualize the soft tissues along with aliasing and beam-hardening artifacts, which were not observed in the Sensation 64. Conclusions: This study successfully applied spatial resolution analysis using MSCT and CBCT systems in a comparative manner. These findings could help in deciding which CT modality should be selected for various clinical cases.

  10. X-Ray Scatter Correction on Soft Tissue Images for Portable Cone Beam CT

    Directory of Open Access Journals (Sweden)

    Sorapong Aootaphao

    2016-01-01

    Full Text Available Soft tissue images from portable cone beam computed tomography (CBCT scanners can be used for diagnosis and detection of tumor, cancer, intracerebral hemorrhage, and so forth. Due to large field of view, X-ray scattering which is the main cause of artifacts degrades image quality, such as cupping artifacts, CT number inaccuracy, and low contrast, especially on soft tissue images. In this work, we propose the X-ray scatter correction method for improving soft tissue images. The X-ray scatter correction scheme to estimate X-ray scatter signals is based on the deconvolution technique using the maximum likelihood estimation maximization (MLEM method. The scatter kernels are obtained by simulating the PMMA sheet on the Monte Carlo simulation (MCS software. In the experiment, we used the QRM phantom to quantitatively compare with fan-beam CT (FBCT data in terms of CT number values, contrast to noise ratio, cupping artifacts, and low contrast detectability. Moreover, the PH3 angiography phantom was also used to mimic human soft tissues in the brain. The reconstructed images with our proposed scatter correction show significant improvement on image quality. Thus the proposed scatter correction technique has high potential to detect soft tissues in the brain.

  11. Beam hardening correction for a cone-beam CT system and its effect on spatial resolution

    Institute of Scientific and Technical Information of China (English)

    ZHAO Wei; WEI Long; YU Zhong-Qiang; FU Guo-Tao; SUN Cui-Li; WANG Yan-Fang; WEI Cun-Feng; CAO Da-Quan; QUE Jie-Min; TANG Xiao; SHI Rong-Jian

    2011-01-01

    In this paper,we present a beam hardening correction (BHC) method in three-dimension space for a cone-beam computed tomography (CBCT) system in a mono-material case and investigate its effect on the spatial resolution.Due to the polychromatic character of the X-ray spectrum used,cupping and streak artifacts called beam hardening artifacts arise in the reconstructed CT images,causing reduced image quality.In addition,enhanced edges are introduced in the reconstructed CT images because of the beam hardening effect.The spatial resolution of the CBCT system is calculated from the edge response function (ERF) on different planes in space.Thus,in the CT images with beam hardening artifacts,enhanced ERFs will be extracted to calculate the modulation transfer function (MTF),obtaining a better spatial resolution that deviates from the real value.Reasonable spatial resolution can be obtained after reducing the artifacts.The 10% MTF value and the full width at half maximum (FWHM) of the point spread function with and without BHC are presented.

  12. 3D Prior Image Constrained Projection Completion for X-ray CT Metal Artifact Reduction

    NARCIS (Netherlands)

    Mehranian, Abolfazl; Ay, Mohammad Reza; Rahmim, Arman; Zaidi, Habib

    2013-01-01

    The presence of metallic implants in the body of patients undergoing X-ray computed tomography (CT) examinations often results insevere streaking artifacts that degrade image quality. In this work, we propose a new metal artifact reduction (MAR) algorithm for 2D fan-beam and 3D cone-beam CT based on

  13. Comparative evaluation of cone-beam CT equipment with micro-CT in the visualization of root canal system

    Directory of Open Access Journals (Sweden)

    Bence Tamas Szabo

    2012-01-01

    Full Text Available The aim of this study was to compare three different cone-beam CT (CBCT instruments used in dental clinical practice with micro-CT as gold standard. Three female monkeys’ (Macaca fascicularis skulls were selected and scanned by the tested CBCT-s. The most apical visible root canal level on the CBCT images was used as reference level (RL. After the image acquisition by CBCT-s dental jaw sections were scanned by micro-CT at a resolution of 17 μm. Out of the left second and third molars 25 root canals were selected and analysed by three observers at RL and following cross sectional parameters were determined: area of the lumen, major and minor diameters, aspect ratio and mean thickness. Results suggest that only high resolution CBCT instruments allow dentists detecting the full length of the root canal.

  14. A One-Step Cone-Beam CT-Enabled Planning-to-Treatment Model for Palliative Radiotherapy-From Development to Implementation

    Energy Technology Data Exchange (ETDEWEB)

    Wong, Rebecca K.S., E-mail: rebecca.wong@rmp.uhn.on.ca [Radiation Medicine Program, Princess Margaret Hospital, Toronto, Ontario (Canada); Department of Radiation Oncology, University of Toronto, Toronto, Ontario (Canada); Letourneau, Daniel; Varma, Anita [Radiation Medicine Program, Princess Margaret Hospital, Toronto, Ontario (Canada); Department of Radiation Oncology, University of Toronto, Toronto, Ontario (Canada); Bissonnette, Jean Pierre; Fitzpatrick, David; Grabarz, Daniel; Elder, Christine [Radiation Medicine Program, Princess Margaret Hospital, Toronto, Ontario (Canada); Martin, Melanie; Bezjak, Andrea [Radiation Medicine Program, Princess Margaret Hospital, Toronto, Ontario (Canada); Department of Radiation Oncology, University of Toronto, Toronto, Ontario (Canada); Panzarella, Tony [Department of Biostatistics, Princess Margaret Hospital, Toronto, Ontario (Canada); Gospodarowicz, Mary [Radiation Medicine Program, Princess Margaret Hospital, Toronto, Ontario (Canada); Department of Radiation Oncology, University of Toronto, Toronto, Ontario (Canada); Jaffray, David A. [Radiation Medicine Program, Princess Margaret Hospital, Toronto, Ontario (Canada); Department of Radiation Oncology, University of Toronto, Toronto, Ontario (Canada); Department of Medical Biophysics, University of Toronto, Toronto, Ontario (Canada)

    2012-11-01

    Purpose: To develop a cone-beam computed tomography (CT)-enabled one-step simulation-to-treatment process for the treatment of bone metastases. Methods and Materials: A three-phase prospective study was conducted. Patients requiring palliative radiotherapy to the spine, mediastinum, or abdomen/pelvis suitable for treatment with simple beam geometry ({<=}2 beams) were accrued. Phase A established the accuracy of cone-beam CT images for the purpose of gross tumor target volume (GTV) definition. Phase B evaluated the feasibility of implementing the cone-beam CT-enabled planning process at the treatment unit. Phase C evaluated the online cone-beam CT-enabled process for the planning and treatment of patients requiring radiotherapy for bone metastases. Results: Eighty-four patients participated in this study. Phase A (n = 9) established the adequacy of cone-beam CT images for target definition. Phase B (n = 45) established the quality of treatment plans to be adequate for clinical implementation for bone metastases. When the process was applied clinically in bone metastases (Phase C), the degree of overlap between planning computed tomography (PCT) and cone-beam CT for GTV and between PCT and cone-beam CT for treatment field was 82% {+-} 11% and 97% {+-} 4%, respectively. The oncologist's decision to accept the plan under a time-pressured environment remained of high quality, with the cone-beam CT-generated treatment plan delivering at least 90% of the prescribed dose to 100% {+-} 0% of the cone-beam CT planning target volume (PTV). With the assumption that the PCT PTV is the gold-standard target, the cone-beam CT-generated treatment plan delivered at least 90% and at least 95% of dose to 98% {+-} 2% and 97% {+-} 5% of the PCT PTV, respectively. The mean time for the online planning and treatment process was 32.7 {+-} 4.0 minutes. Patient satisfaction was high, with a trend for superior satisfaction with the cone-beam CT-enabled process. Conclusions: The cone-beam

  15. Dedicated scanner for laboratory investigations on cone-beam CT/SPECT imaging of the breast

    Energy Technology Data Exchange (ETDEWEB)

    Mettivier, Giovanni, E-mail: mettivier@na.infn.i [Dipartimento di Scienze Fisiche, Universita di Napoli Federico II, I-80126 Napoli (Italy); Istituto Nazionale di Fisica Nucleare, Sezione di Napoli, I-80126 Napoli (Italy); Russo, Paolo, E-mail: russo@na.infn.i [Dipartimento di Scienze Fisiche, Universita di Napoli Federico II, I-80126 Napoli (Italy); Istituto Nazionale di Fisica Nucleare, Sezione di Napoli, I-80126 Napoli (Italy); Cesarelli, Mario; Ospizio, Roberto [Dipartimento di Ingegneria Biomedica, Elettronica e delle Telecomunicazioni, Universita di Napoli Federico II, I-80125 Napoli (Italy); Passeggio, Giuseppe; Roscilli, Lorenzo; Pontoriere, Giuseppe; Rocco, Raffaele [Istituto Nazionale di Fisica Nucleare, Sezione di Napoli, I-80126 Napoli (Italy)

    2011-02-11

    We describe the design, realization and basic tests of a prototype Cone-Beam Breast Computed Tomography (CBBCT) scanner, combined with a SPECT head consisting of a compact pinhole gamma camera based on a photon counting CdTe hybrid pixel detector. The instrument features a 40 {mu}m focal spot X-ray tube, a 50 {mu}m pitch flat panel detector and a 1-mm-thick, 55 {mu}m pitch CdTe pixel detector. Preliminary imaging tests of the separate CT and gamma-ray units are presented showing a resolution in CT of 3.2 mm{sup -1} at a radial distance of 50 mm from the rotation axis and that the 5 and 8 mm hot masses ({sup 99m}Tc labeled with a 15:1 activity ratio with respect to the background) can be detected in planar gamma-ray imaging with a contrast-to-noise ratio of about 4.

  16. Axial 3D region of interest reconstruction using weighted cone beam BPF/DBPF algorithm cascaded with adequately oriented orthogonal butterfly filtering

    Science.gov (United States)

    Tang, Shaojie; Tang, Xiangyang

    2016-03-01

    Axial cone beam (CB) computed tomography (CT) reconstruction is still the most desirable in clinical applications. As the potential candidates with analytic form for the task, the back projection-filtration (BPF) and the derivative backprojection filtered (DBPF) algorithms, in which Hilbert filtering is the common algorithmic feature, are originally derived for exact helical and axial reconstruction from CB and fan beam projection data, respectively. These two algorithms have been heuristically extended for axial CB reconstruction via adoption of virtual PI-line segments. Unfortunately, however, streak artifacts are induced along the Hilbert filtering direction, since these algorithms are no longer accurate on the virtual PI-line segments. We have proposed to cascade the extended BPF/DBPF algorithm with orthogonal butterfly filtering for image reconstruction (namely axial CB-BPP/DBPF cascaded with orthogonal butterfly filtering), in which the orientation-specific artifacts caused by post-BP Hilbert transform can be eliminated, at a possible expense of losing the BPF/DBPF's capability of dealing with projection data truncation. Our preliminary results have shown that this is not the case in practice. Hence, in this work, we carry out an algorithmic analysis and experimental study to investigate the performance of the axial CB-BPP/DBPF cascaded with adequately oriented orthogonal butterfly filtering for three-dimensional (3D) reconstruction in region of interest (ROI).

  17. Analytic image reconstruction from partial data for a single-scan cone-beam CT with scatter correction

    Energy Technology Data Exchange (ETDEWEB)

    Min, Jonghwan; Pua, Rizza; Cho, Seungryong, E-mail: scho@kaist.ac.kr [Department of Nuclear and Quantum Engineering, Korea Advanced Institute of Science and Technology (KAIST), 291 Daehak-ro, Yuseong-gu, Daejeon 305-701 (Korea, Republic of); Kim, Insoo; Han, Bumsoo [EB Tech, Co., Ltd., 550 Yongsan-dong, Yuseong-gu, Daejeon 305-500 (Korea, Republic of)

    2015-11-15

    Purpose: A beam-blocker composed of multiple strips is a useful gadget for scatter correction and/or for dose reduction in cone-beam CT (CBCT). However, the use of such a beam-blocker would yield cone-beam data that can be challenging for accurate image reconstruction from a single scan in the filtered-backprojection framework. The focus of the work was to develop an analytic image reconstruction method for CBCT that can be directly applied to partially blocked cone-beam data in conjunction with the scatter correction. Methods: The authors developed a rebinned backprojection-filteration (BPF) algorithm for reconstructing images from the partially blocked cone-beam data in a circular scan. The authors also proposed a beam-blocking geometry considering data redundancy such that an efficient scatter estimate can be acquired and sufficient data for BPF image reconstruction can be secured at the same time from a single scan without using any blocker motion. Additionally, scatter correction method and noise reduction scheme have been developed. The authors have performed both simulation and experimental studies to validate the rebinned BPF algorithm for image reconstruction from partially blocked cone-beam data. Quantitative evaluations of the reconstructed image quality were performed in the experimental studies. Results: The simulation study revealed that the developed reconstruction algorithm successfully reconstructs the images from the partial cone-beam data. In the experimental study, the proposed method effectively corrected for the scatter in each projection and reconstructed scatter-corrected images from a single scan. Reduction of cupping artifacts and an enhancement of the image contrast have been demonstrated. The image contrast has increased by a factor of about 2, and the image accuracy in terms of root-mean-square-error with respect to the fan-beam CT image has increased by more than 30%. Conclusions: The authors have successfully demonstrated that the

  18. 锥形束 CT 融合三维面像评估正颌术后软硬组织的变化%Feasibility of integrating 3D photos and cone-beam computed tomography images used to evaluate changes of soft and hard tissue after orthognathic surgery

    Institute of Scientific and Technical Information of China (English)

    王哲; 朱榴宁; 周琳; 伊彪

    2016-01-01

    目的:探讨锥形束 CT(cone-beam computed tomography,CBCT)融合三维面像用于研究牙颌面畸形患者正颌术后软硬组织变化的可行性,并应用此方法初步测量各软硬组织标志点手术前后的位置变化。方法:选取10例牙颌面畸形患者,分别于术前(T0)和术后3个月(T1)拍摄大视野 CBCT 和三维面像。利用 MIMICS 和 Geomagic Studio 软件对图像进行处理分析,将 CBCT 进行阈值分割并与三维面像融合,生成新的三维立体模型,探讨该方法可行性。使用3D 色谱分析(3D color map)和测量平均距离对 CBCT 与三维面像配准过程的误差进行定性和定量分析。通过 CBCT 骨组织配准,将新生成的手术前后三维模型置于同一空间坐标系,测量各标志点[鼻尖点(prona-sale,Prn )、鼻下点(subnasale,Sn)、上唇突点(labrale superior,Ls)、前鼻棘点(anterior nasal spine,ANS)、上齿槽座点(subspinale,A)、上中切牙点(upper incisor edge,UIE)]手术前后位置变化。结果:CBCT 融合三维面像用于研究正颌术后软硬组织变化具有可行性,配准误差在0.3 mm 以内,通过3D 色谱分析直观看到,面部区域配准良好。正颌术后唇部各标志点(Ls、ANS、A、UIE)位置差异有统计学意义(P <0.05),而鼻部标志点(Prn、Sn)位置差异无统计学意义(P >0.1)。结论:CBCT 融合三维面像作为一种新方法可以用于临床研究正颌术后软硬组织变化,具有较高的精确度和可重复性。正颌术后唇部软硬组织标志点位置明显变化,而鼻部标志点位置受正颌手术影响较小。%Objective:To evaluate the feasibility of integrating 3D photos and cone-beam computed tomography (CBCT)images and to assess the degree of error that may occur during the above process,and to analyze soft and hard tissue changes after orthognathic surgery using this new method

  19. Hounsfield unit recovery in clinical cone beam CT images of the thorax acquired for image guided radiation therapy

    DEFF Research Database (Denmark)

    Thing, Rune Slot; Bernchou, Uffe; Mainegra-Hing, Ernesto;

    2016-01-01

    A comprehensive artefact correction method for clinical cone beam CT (CBCT) images acquired for image guided radiation therapy (IGRT) on a commercial system is presented. The method is demonstrated to reduce artefacts and recover CT-like Hounsfield units (HU) in reconstructed CBCT images of five......-correspondence with the planning CT images, and total volume HU error. Artefacts are reduced and CT-like HUs are recovered in the artefact corrected CBCT images. Visual inspection confirms that artefacts are indeed suppressed by the proposed method, and the HU root mean square difference between reconstructed CBCTs...

  20. A surgical navigation system for non-contact diffuse optical tomography and intraoperative cone-beam CT

    Science.gov (United States)

    Daly, Michael J.; Muhanna, Nidal; Chan, Harley; Wilson, Brian C.; Irish, Jonathan C.; Jaffray, David A.

    2014-02-01

    A freehand, non-contact diffuse optical tomography (DOT) system has been developed for multimodal imaging with intraoperative cone-beam CT (CBCT) during minimally-invasive cancer surgery. The DOT system is configured for near-infrared fluorescence imaging with indocyanine green (ICG) using a collimated 780 nm laser diode and a nearinfrared CCD camera (PCO Pixelfly USB). Depending on the intended surgical application, the camera is coupled to either a rigid 10 mm diameter endoscope (Karl Storz) or a 25 mm focal length lens (Edmund Optics). A prototype flatpanel CBCT C-Arm (Siemens Healthcare) acquires low-dose 3D images with sub-mm spatial resolution. A 3D mesh is extracted from CBCT for finite-element DOT implementation in NIRFAST (Dartmouth College), with the capability for soft/hard imaging priors (e.g., segmented lymph nodes). A stereoscopic optical camera (NDI Polaris) provides real-time 6D localization of reflective spheres mounted to the laser and camera. Camera calibration combined with tracking data is used to estimate intrinsic (focal length, principal point, non-linear distortion) and extrinsic (translation, rotation) lens parameters. Source/detector boundary data is computed from the tracked laser/camera positions using radiometry models. Target registration errors (TRE) between real and projected boundary points are ~1-2 mm for typical acquisition geometries. Pre-clinical studies using tissue phantoms are presented to characterize 3D imaging performance. This translational research system is under investigation for clinical applications in head-and-neck surgery including oral cavity tumour resection, lymph node mapping, and free-flap perforator assessment.

  1. Cone-beam micro-CT system based on LabVIEW software.

    Science.gov (United States)

    Ionita, Ciprian N; Hoffmann, Keneth R; Bednarek, Daniel R; Chityala, Ravishankar; Rudin, Stephen

    2008-09-01

    Construction of a cone-beam computed tomography (CBCT) system for laboratory research usually requires integration of different software and hardware components. As a result, building and operating such a complex system require the expertise of researchers with significantly different backgrounds. Additionally, writing flexible code to control the hardware components of a CBCT system combined with designing a friendly graphical user interface (GUI) can be cumbersome and time consuming. An intuitive and flexible program structure, as well as the program GUI for CBCT acquisition, is presented in this note. The program was developed in National Instrument's Laboratory Virtual Instrumentation Engineering Workbench (LabVIEW) graphical language and is designed to control a custom-built CBCT system but has been also used in a standard angiographic suite. The hardware components are commercially available to researchers and are in general provided with software drivers which are LabVIEW compatible. The program structure was designed as a sequential chain. Each step in the chain takes care of one or two hardware commands at a time; the execution of the sequence can be modified according to the CBCT system design. We have scanned and reconstructed over 200 specimens using this interface and present three examples which cover different areas of interest encountered in laboratory research. The resulting 3D data are rendered using a commercial workstation. The program described in this paper is available for use or improvement by other researchers.

  2. A Comparison of the Amounts of Artifacts Produced by Five Cements in Cone-Beam CT

    Directory of Open Access Journals (Sweden)

    Moshfeghi

    2016-02-01

    Full Text Available Background Bidimensional radiographic methods, including periapical, occlusal, panoramic, and cephalometric radiographs, are widely used in dentistry. However, the superimposition of adjacent structures and consequent loss of anatomic details may occur. Objectives The purpose of this study is to evaluate the artifacts produced by different cements with different densities using cone-beam computed tomography (CBCT. Materials and Methods Samples of five cements with different densities including glass ionomers (or GI, from ChemFil Rock and Fuji IX, mineral trioxide aggregates (MTA, zinc oxide eugenol (ZOE, TempBond and a control sample (polyester were scanned by CBCT device and analyzed using OnDemand 3D application software. The amount of artifacts was measured by ∆ gray scale value (∆GSV, which was achieved by subtracting the gray level of the samples from the control group. Results According to the mean GSV of the five different materials, the majority of artifacts produced were as follows: TempBond > ZOE > MTA > GI (ChemFil Dentsply > GI (GC, Fuji ΙX. Conclusions The type of materials can influence the obtained GSV. Different materials cause various amounts of artifacts due to differences in density and atomic number.

  3. Automatic delineation of body contours on cone-beam CT images using a delineation booster

    Science.gov (United States)

    Stippel, G.; van Rooijen, D. C.; Crezee, J.; Bel, A.

    2012-07-01

    In radiotherapy, cone-beam computerized tomography (CBCT) scans are used for position correction for various tumour sites. At the start of the treatment, a CT scan that serves as input for a treatment planning is acquired. A CBCT scan is made prior to the irradiation of the tumour. Because there might be significant interfractional tumour movement, online recalculation of the dose improves decision making on how to proceed. A prerequisite for such recalculation is an accurately delineated body contour. In this note, we present an automatic delineation method for the body contour in the unprocessed CBCT scans, that employs a novel delineation boosting technique. The main idea of this technique is to construct an accurate delineation by combining the strength of several edge detectors in an innovative way. Quantitative validation reveals that the algorithm performs comparably with the manual delineations of two trained observers. Furthermore, because of the generic nature of the delineation boosting procedure, the algorithm can easily be extended with additional edge detectors to further increase the accuracy. Finally, the processing time of one scan when delineated manually is 3 h, and the total processing time is 24 min for one scan if the algorithm is used in its present form. Current investigation includes the conversion of the Matlab algorithm to C++ and the development of a visual tool to quickly detect which automatically delineated slices need manual correction. From this we expect further speeding up of the process, allowing online computation.

  4. Prostate image-guided radiotherapy by megavolt cone-beam CT

    Energy Technology Data Exchange (ETDEWEB)

    Zucca, Sergio; Carau, Barbara; Solla, Ignazio; Garibaldi, Elisabetta; Farace, Paolo; Lay, Giancarlo; Meleddu, Gianfranco; Gabriele, Pietro [Regional Oncological Hospital, Cagliari (Italy). Dept. of Radiooncology

    2011-08-15

    To test megavolt cone-beam CT (MV-CBCT) in order to evaluate setup errors in prostate radiotherapy. The setup of 9 patients was verified weekly by electronic portal imaging (EPI) and MV-CBCT, both performed in the same treatment session. EPI were compared with digitally reconstructed radiographies (DRRs). MV-CBCTs were matched to simulation CTs by manual registration based on bone markers (BMR), by manual registration based on soft tissues (STR) - rectum, bladder, and seminal vesicles - and by automatic registration (AR) performed by a mutual information algorithm. Shifts were evaluated along the three main axes: anteroposterior (AP), craniocaudal (CC), and laterolateral (LL). Finally, in 4 additional patients showing intraprostatic calcifications, the calcification mismatch error was used to evaluate the three MV-CBCT matching methods. A total of 50 pairs of orthogonal EPIs and 50 MV-CBCTs were analyzed. Assuming an overall tolerance of 2 mm, no significant differences were observed comparing EPI vs BMR in any axis. A significant difference (p < 0.001) was observed along the AP axis comparing EPI vs AR and EPI vs STR. On the calcification data set (22 measures), the calcification mismatch along the AP direction was significantly lower (p < 0.05) after STR than after BMR or AR. Bone markers were not an effective surrogate of the target position and significant differences were observed comparing EPI or BMR vs STR, supporting the assessment of soft tissue position by MVCBs to verify and correct patient setup in prostate radiotherapy. (orig.)

  5. Clinical Implementation Of Megavoltage Cone Beam CT As Part Of An IGRT Program

    Science.gov (United States)

    Gonzalez, Albin; Bauer, Lisa; Kinney, Vicki; Crooks, Cheryl

    2008-03-01

    Knowing where the tumor is at all times during treatment is the next challenge in the field of radiation therapy. This issue has become more important because with treatments such as Intensity Modulated Radiation Therapy (IMRT), healthy tissue is spared by using very tight margins around the tumor. These tight margins leave very small room for patient setup errors. The use of an imaging modality in the treatment room as a way to localize the tumor for patient set up is generally known as "Image Guided Radiation Therapy" or IGRT. This article deals with a form of IGRT known as Megavoltage Cone Beam Computed Tomography (MCBCT) using a Siemens Oncor linear accelerator currently in use at Firelands Regional Medical Center. With MCBCT, we are capable of acquiring CT images right before the treatment of the patient and then use this information to position the patient tumor according to the treatment plan. This article presents the steps followed in order to clinically implement this system, as well as some of the quality assurance tests suggested by the manufacturer and some tests developed in house

  6. Three-dimensional focus of attention for iterative cone-beam micro-CT reconstruction

    Energy Technology Data Exchange (ETDEWEB)

    Benson, T M; Gregor, J [Department of Computer Science, University of Tennessee, Knoxville, Tennessee 37996-3450 (United States)

    2006-09-21

    Three-dimensional iterative reconstruction of high-resolution, circular orbit cone-beam x-ray CT data is often considered impractical due to the demand for vast amounts of computer cycles and associated memory. In this paper, we show that the computational burden can be reduced by limiting the reconstruction to a small, well-defined portion of the image volume. We first discuss using the support region defined by the set of voxels covered by all of the projection views. We then present a data-driven preprocessing technique called focus of attention that heuristically separates both image and projection data into object and background before reconstruction, thereby further reducing the reconstruction region of interest. We present experimental results for both methods based on mouse data and a parallelized implementation of the SIRT algorithm. The computational savings associated with the support region are substantial. However, the results for focus of attention are even more impressive in that only about one quarter of the computer cycles and memory are needed compared with reconstruction of the entire image volume. The image quality is not compromised by either method.

  7. Cone beam CT evaluation of patient set-up accuracy as a QA tool

    DEFF Research Database (Denmark)

    Nielsen, Morten; Bertelsen, Anders; Westberg, Jonas;

    2009-01-01

    and methods. Eighty four cancer patients have been cone beam CT scanned at treatment sessions 1, 2, 3, 10 and 20. Translational and rotational errors are analyzed. Results and conclusions. For the first three treatment sessions the mean translational error in the AP direction is 1 mm; this indicates a small...... error in the calibration of coronal isocentric laser. The observed SD of the systematic error in each direction is 1 mm if a correction is made after the third fraction with an action limit of 4 mm. The SD of the random errors of the patient group is approximately 1 mm in each direction. The rotational...... errors have a vanishing mean and a systematic error of 0.5 1.2 degrees and a random error of 0.40.7 degrees. The uncertainties from the first three treatment sessions (disregarding rotations) lead to a margin of 4 mm from ITV to PTV for Head-and-Neck patients (all directions) and Thorax patients (AP...

  8. An experimental cone-beam micro-CT system for small animal imaging

    Science.gov (United States)

    Zhu, Shouping; Tian, Jie; Yan, Guorui; Qin, Chenghu; Liu, Junting

    2009-02-01

    An experimental cone-beam Micro-CT system for small animal imaging is presented in the paper. The system is designed to obtain high-resolution anatomic information and will be integrated with our bioluminescence tomography system. A flat panel X-ray detector (CMOS technology with a column CsI scintillator plate, 50 micron pixel size, 120 mm × 120 mm photodiode area) and a micro-focus X-ray source (13 to 40 μm of focal spot size) are used in the system. The object (mouse or rat) is placed on a three-degree (two translations and one rotation) programming stage and could be located to an accurate position in front of the detector. The large field of view (FOV) of the system allows us to acquire the whole body imaging of a normal mouse in one scanning which usually takes about 6 to 15 minutes. Raw data from X-ray detector show spatial variation caused by dark image offset, pixel gain and defective pixels, therefore data pre-processing is needed before reconstruction. Geometry calibrations are also used to reduce the artifacts caused by geometric misalignment. In order to accelerate FDK filtered backprojection method, we develop a reconstruction software using GPU hardware in our system. System spacial resolution and image uniformity and voxel noise have been assessed and mouse reconstruction images are illuminated in the paper. Experiment results show that this system is suitable for small animal imaging.

  9. Clinical usefulness of c-arm cone-beam CT inpercutaneous drainage of inaccessible abscess

    Energy Technology Data Exchange (ETDEWEB)

    So, Young Ho; Choi, Young Ho; Woo, Hyun Sik; Moon, Min Hoan; Sung, Chang Kyu [Dept. of Radiology, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul (Korea, Republic of); Hur, Bo Yun [Dept. of Radiology, National Cancer Center, Goyang (Korea, Republic of)

    2015-08-15

    The objective of this study was to evaluate the usefulness of C-arm cone-beam CT (CBCT) in drainage of inaccessible abscesses. To identify the trajectory of the needle or guide wire, CBCT was performed on 21 patients having an inaccessible abscess. CBCT was repeated until proper targeting of the abscess was achieved, before the insertion of a large bore catheter. The etiology, location of the abscess, causes of inaccessibility, radiation dose, technical and clinical success rates of drainage, and any complications confronted, were evaluated. A total of 29 CBCTs were performed for 21 abscesses. Postoperative and non-postoperative abscesses were 9 (42.9%) and 12 (57.1%) in number, respectively. Direct puncture was performed in 18 cases. In 3 cases, the surgical drain or the fistula opening was used as an access route. The causes of inaccessibility were narrow safe window due to adjacent or overlying organs (n = 9), irregularly dispersed abscess (n = 7), deep location with poor sonographic visualization (n = 4), and remote location of the abscess from surgical drain (n = 1). Technical and clinical successes were 95.5% and 100%, respectively. Cumulative air kerma and dose-area product were 21.62 ± 5.41 mGy and 9179.87 ± 2337.70 mGycm2, respectively. There were no procedure related complications. CBCT is a useful technique for identifying the needle and guide wire during drainage of inaccessible abscess.

  10. Pseudo super-resolution for improved calcification characterization for cone beam breast CT (CBBCT)

    Science.gov (United States)

    Liu, Jiangkun; Ning, Ruola; Cai, Weixing

    2010-04-01

    Cone Beam Breast CT imaging (CBBCT) is a promising tool for diagnosis of breast tumors and calcifications. However, as the sizes of calcifications in early stages are very small, it is not easy to distinguish them from background tissues because of the relatively high noise level. Therefore, it is necessary to enhance the visualization of calcifications for accurate detection. In this work, the Papoulis-Gerchberg (PG) method was introduced and modified to improve calcification characterization. PG method is an iterative algorithm of signal extrapolation and has been demonstrated to be very effective in image restoration like super-resolution (SR) and inpainting. The projection images were zoomed by bicubic interpolation method, then the modified PG method were applied to improve the image quality. The reconstruction from processed projection images showed that this approach can effectively improve the image quality by improving the Modulation Transfer Function (MTF) with a limited increase in noise level. As a result, the detectability of calcifications was improved in CBBCT images.

  11. A Method to Improve Electron Density Measurement of Cone-Beam CT Using Dual Energy Technique

    Directory of Open Access Journals (Sweden)

    Kuo Men

    2015-01-01

    Full Text Available Purpose. To develop a dual energy imaging method to improve the accuracy of electron density measurement with a cone-beam CT (CBCT device. Materials and Methods. The imaging system is the XVI CBCT system on Elekta Synergy linac. Projection data were acquired with the high and low energy X-ray, respectively, to set up a basis material decomposition model. Virtual phantom simulation and phantoms experiments were carried out for quantitative evaluation of the method. Phantoms were also scanned twice with the high and low energy X-ray, respectively. The data were decomposed into projections of the two basis material coefficients according to the model set up earlier. The two sets of decomposed projections were used to reconstruct CBCT images of the basis material coefficients. Then, the images of electron densities were calculated with these CBCT images. Results. The difference between the calculated and theoretical values was within 2% and the correlation coefficient of them was about 1.0. The dual energy imaging method obtained more accurate electron density values and reduced the beam hardening artifacts obviously. Conclusion. A novel dual energy CBCT imaging method to calculate the electron densities was developed. It can acquire more accurate values and provide a platform potentially for dose calculation.

  12. A GPU Tool for Efficient, Accurate, and Realistic Simulation of Cone Beam CT Projections

    CERN Document Server

    Jia, Xun; Cervino, Laura; Folkerts, Michael; Jiang, Steve B

    2012-01-01

    Simulation of x-ray projection images plays an important role in cone beam CT (CBCT) related research projects. A projection image contains primary signal, scatter signal, and noise. It is computationally demanding to perform accurate and realistic computations for all of these components. In this work, we develop a package on GPU, called gDRR, for the accurate and efficient computations of x-ray projection images in CBCT under clinically realistic conditions. The primary signal is computed by a tri-linear ray-tracing algorithm. A Monte Carlo (MC) simulation is then performed, yielding the primary signal and the scatter signal, both with noise. A denoising process is applied to obtain a smooth scatter signal. The noise component is then obtained by combining the difference between the MC primary and the ray-tracing primary signals, and the difference between the MC simulated scatter and the denoised scatter signals. Finally, a calibration step converts the calculated noise signal into a realistic one by scali...

  13. GPU-based Iterative Cone Beam CT Reconstruction Using Tight Frame Regularization

    CERN Document Server

    Jia, Xun; Lou, Yifei; Jiang, Steve B

    2010-01-01

    X-ray imaging dose from serial cone-beam CT (CBCT) scans raises a clinical concern in most image guided radiation therapy procedures. It is the goal of this paper to develop a fast GPU-based algorithm to reconstruct high quality CBCT images from undersampled and noisy projection data so as to lower the imaging dose. For this purpose, we have developed an iterative tight frame (TF) based CBCT reconstruction algorithm. A condition that a real CBCT image has a sparse representation under a TF basis is imposed in the iteration process as regularization to the solution. To speed up the computation, a multi-grid method is employed. Our GPU implementation has achieved high computational efficiency and a CBCT image of resolution 512x512x70 can be reconstructed in about ~139 sec. We have tested our algorithm on a digital NCAT phantom and a physical Catphan phantom. It is found that our TF-based algorithm leads to much higher CBCT quality than those obtained from a conventional FDK algorithm in the context of undersamp...

  14. GPU-based Cone Beam CT Reconstruction via Total Variation Regularization

    CERN Document Server

    Jia, Xun; Lewis, John; Li, Ruijiang; Gu, Xuejun; Men, Chunhua; Jiang, Steve B

    2010-01-01

    Cone-beam CT (CBCT) reconstruction is of central importance in image guided radiation therapy due to its broad applications in many clinical contexts. However, the high image dose in CBCT scans is a clinical concern, especially when it is used repeatedly for patient setup purposes before each radiotherapy treatment fraction. A desire for lower imaging does has motivated a vast amount of interest in the CBCT reconstruction based on a small number of X-ray projections. Recently, advances in image processing and compressed sensing have led to tremendous success in recovering signals based on extremely low sampling rates, laying the mathematical foundation for reconstructing CBCT from few projections. In this paper, we present our recent development on a GPU-based iterative algorithm for the highly under-sampled CBCT reconstruction problem. We considered an energy functional consisting of a data fidelity term and a regularization term of a total variation norm. In order to solve our model, we developed a modified...

  15. An investigation into factors affecting electron density calibration for a megavoltage cone-beam CT system.

    Science.gov (United States)

    Hughes, Jessica; Holloway, Lois C; Quinn, Alexandra; Fielding, Andrew

    2012-09-06

    There is a growing interest in the use of megavoltage cone-beam computed tomography (MV CBCT) data for radiotherapy treatment planning. To calculate accurate dose distributions, knowledge of the electron density (ED) of the tissues being irradiated is required. In the case of MV CBCT, it is necessary to determine a calibration-relating CT number to ED, utilizing the photon beam produced for MV CBCT. A number of different parameters can affect this calibration. This study was undertaken on the Siemens MV CBCT system, MVision, to evaluate the effect of the following parameters on the reconstructed CT pixel value to ED calibration: the number of monitor units (MUs) used (5, 8, 15 and 60 MUs), the image reconstruction filter (head and neck, and pelvis), reconstruction matrix size (256 by 256 and 512 by 512), and the addition of extra solid water surrounding the ED phantom. A Gammex electron density CT phantom containing EDs from 0.292 to 1.707 was imaged under each of these conditions. The linear relationship between MV CBCT pixel value and ED was demonstrated for all MU settings and over the range of EDs. Changes in MU number did not dramatically alter the MV CBCT ED calibration. The use of different reconstruction filters was found to affect the MV CBCT ED calibration, as was the addition of solid water surrounding the phantom. Dose distributions from treatment plans calculated with simulated image data from a 15 MU head and neck reconstruction filter MV CBCT image and a MV CBCT ED calibration curve from the image data parameters and a 15 MU pelvis reconstruction filter showed small and clinically insignificant differences. Thus, the use of a single MV CBCT ED calibration curve is unlikely to result in any clinical differences. However, to ensure minimal uncertainties in dose reporting, MV CBCT ED calibration measurements could be carried out using parameter-specific calibration measurements.

  16. Theoretical aspects of implementation of kilovoltage cone-beam CT onboard linear accelerator for image-guided radiotherapy.

    Science.gov (United States)

    Rodríguez Cordón, Marta; Ferrer Albiach, Carlos

    2009-08-01

    The main objective of image-guided radiation therapy (IGRT) equipment is to reduce and correct inherent errors in external radiotherapy processes. At the present time, there are different IGRT systems available, but here we will refer exclusively to the kilovoltage cone-beam CT onboard linear accelerator (CBkVCT) and the different aspects that, from a clinical point of view, should be taken into consideration before the implementation of this equipment.

  17. WE-FG-207A-03: Low-Dose Cone-Beam Breast CT: Physics and Technology Development.

    Science.gov (United States)

    Boone, J

    2016-06-01

    dedicated breast CT. The development of large-area flat-panel detectors with field-of-view sufficient to image the entire breast in each projection enabled development of flat-panel cone-beam breast CT. More recently, the availability of complimentary metal-oxide semiconductor (CMOS) detectors with lower system noise and finer pixel pitch, combined with the development of x-ray tubes with focal spot dimensions similar to mammography systems, has shown improved spatial resolution and could improve visualization of microcalcifications. These technological developments promise clinical translation of low-dose cone-beam breast CT. Dedicated photon-counting breast CT (pcBCT) systems represent a novel detector design, which provide high spatial resolution (∼ 100µm) and low mean glandular dose (MGD). The CdTe-based direct conversion detector technology was previously evaluated and confirmed by simulations and basic experiments on laboratory setups [Kalender et al., Eur Radiol 22: 1-8, 2012]. Measurements of dose, technical image quality parameters, and surgical specimens on a pcBCT scanner have been completed. Comparative evaluation of surgical specimens showed that pcBCT outperformed mammography and digital breast tomosynthesis with respect to 3D spatial resolution, detectability of calcifications, and soft tissue delineation. Major barriers to widespread clinical use of BCT relate to radiation dose, imaging of microcalcifications, and adequate coverage of breast tissue near the chest wall. Adequate chest wall coverage is also technically challenging but recent progress in x-ray tube, detector and table design now enables full breast coverage in the majority of patients. At this time, BCT has been deemed to be suitable for diagnostic imaging but not yet for screening. The mean glandular dose (MGD) from BCT has been reported to be between 5.7 to 27.8 mGy, and this range is comparable to, and within the range of, the MGD of 2.6 to 31.6 mGy in diagnostic mammography. In

  18. Daily fraction dose recalculation based on rigid registration using Cone Beam CT

    Directory of Open Access Journals (Sweden)

    Courtney Bosse

    2014-03-01

    Full Text Available Purpose: To calculate the daily fraction dose for CBCT recalculations based on rigid registration and compare it to the planned CT doses.Methods: For this study, 30 patients that were previously treated (10 SBRT lung, 10 prostate and 10 abdomen were considered. The daily CBCT images were imported into the Pinnacle treatment planning system from Mosaic. Pinnacle was used to re-contour the regions of interest (ROI for the specific CBCT by copying the contours from the original CT plan, planned by the prescribing physician, onto each daily CBCT and then manually reshaping contours to match the ROIs. A new plan is then created with the re-contoured CBCT as primary image in order to calculate the daily dose delivered to each ROI. The DVH values are then exported into Excel and overlaid onto the original CT DVH to produce a graph.Results: For the SBRT lung patients, we found that there were small daily volume changes in the lungs, trachea and esophagus. For almost all regions of interest we found that the dose received each day was less than the predicted dose of the planned CT while the PTV dose was relatively the same each day. The results for the prostate patients were similar, showing slight differences in the DVH values for different days in the rectum and bladder but similar PTV.Conclusion: By comparing daily fraction dose between the re-contoured CBCT images and the original planned CT show that PTV coverage for both prostate and SBRT, it has been shown that for PTV coverage, a planned CT is adequate. However, there are differences between the dose for the organs surrounding the PTV. The dose difference is less than the planned in most instances.-----------------------Cite this article as: Bosse C, Tuohy R, Mavroidis P, Shi Z, Crownover R, Gutierrez A, Papanikolaou N, Stathakis S. Daily fraction dose recalculation based on rigid registration using Cone Beam CT. Int J Cancer Ther Oncol 2014; 2(2:020217. DOI: 10.14319/ijcto.0202.17

  19. Clinical use of cone beam CT in impacted maxillary tooth extraction and artifistulation%锥形束CT定位埋伏牙的临床应用

    Institute of Scientific and Technical Information of China (English)

    董辉; 冯春丽; 孙蕾; 祁森荣; 夏登胜

    2011-01-01

    目的 探讨锥形束CT影像和三维重建技术在辅助埋伏牙拔除和正畸开窗牙牵引术中的作用.方法 选择53颗常规曲面断层片难以确定埋伏牙空间位置的患者进行锥形束CT扫描,其中对5例复杂埋伏牙的CT图像进行三维重建.45例埋伏牙依据CT图像选择不同手术入路行拔牙术,8例埋伏牙采用颌骨开窗牵引术.结果 螺旋CT影像对正确选择埋伏牙拔除的手术入路具有良好的指导作用;CT三维重建图像能清楚地显示埋伏牙的牙体形态、唇腭向位置以及和邻牙的关系,正确指导手术开窗牵引的入路和开窗牵引装置的固定.结论 锥形束CT和三维重建技术在显示埋伏牙的位置和牙体形态上明显优于传统的曲面断层和根尖片.%Objective To evaluate the value of cone beam CT and three-dimensional reconstruction in impacted maxillary tooth extraction and artifistulation. Methods Fifty-three patients with impacted maxillary teeth were included and examined by cone beam CT, and 3D reconstruction was conducted in five of them . Results The cone beam CT images clearly denmonstrated the location of the teeth and provided help in the impacted tooth extraction. The threedimensional reconstruction technique guided and simplified the procedure of artifistulation. Conclusion Cone beam CT has more advantages in assistance of impacted tooth extraction and artifistulation in orthodontics compared with traditional panoramic radiography.

  20. Cone Beam CT vs. Fan Beam CT: A Comparison of Image Quality and Dose Delivered Between Two Differing CT Imaging Modalities

    Science.gov (United States)

    Weidlich, Georg A.

    2016-01-01

    A comparison of image quality and dose delivered between two differing computed tomography (CT) imaging modalities—fan beam and cone beam—was performed. A literature review of quantitative analyses for various image quality aspects such as uniformity, signal-to-noise ratio, artifact presence, spatial resolution, modulation transfer function (MTF), and low contrast resolution was generated. With these aspects quantified, cone beam computed tomography (CBCT) shows a superior spatial resolution to that of fan beam, while fan beam shows a greater ability to produce clear and anatomically correct images with better soft tissue differentiation. The results indicate that fan beam CT produces superior images to that of on-board imaging (OBI) cone beam CT systems, while providing a considerably less dose to the patient. PMID:27752404

  1. Regularization design for high-quality cone-beam CT of intracranial hemorrhage using statistical reconstruction

    Science.gov (United States)

    Dang, H.; Stayman, J. W.; Xu, J.; Sisniega, A.; Zbijewski, W.; Wang, X.; Foos, D. H.; Aygun, N.; Koliatsos, V. E.; Siewerdsen, J. H.

    2016-03-01

    Intracranial hemorrhage (ICH) is associated with pathologies such as hemorrhagic stroke and traumatic brain injury. Multi-detector CT is the current front-line imaging modality for detecting ICH (fresh blood contrast 40-80 HU, down to 1 mm). Flat-panel detector (FPD) cone-beam CT (CBCT) offers a potential alternative with a smaller scanner footprint, greater portability, and lower cost potentially well suited to deployment at the point of care outside standard diagnostic radiology and emergency room settings. Previous studies have suggested reliable detection of ICH down to 3 mm in CBCT using high-fidelity artifact correction and penalized weighted least-squared (PWLS) image reconstruction with a post-artifact-correction noise model. However, ICH reconstructed by traditional image regularization exhibits nonuniform spatial resolution and noise due to interaction between the statistical weights and regularization, which potentially degrades the detectability of ICH. In this work, we propose three regularization methods designed to overcome these challenges. The first two compute spatially varying certainty for uniform spatial resolution and noise, respectively. The third computes spatially varying regularization strength to achieve uniform "detectability," combining both spatial resolution and noise in a manner analogous to a delta-function detection task. Experiments were conducted on a CBCT test-bench, and image quality was evaluated for simulated ICH in different regions of an anthropomorphic head. The first two methods improved the uniformity in spatial resolution and noise compared to traditional regularization. The third exhibited the highest uniformity in detectability among all methods and best overall image quality. The proposed regularization provides a valuable means to achieve uniform image quality in CBCT of ICH and is being incorporated in a CBCT prototype for ICH imaging.

  2. Five-dimensional motion compensation for respiratory and cardiac motion with cone-beam CT of the thorax region

    Science.gov (United States)

    Sauppe, Sebastian; Hahn, Andreas; Brehm, Marcus; Paysan, Pascal; Seghers, Dieter; Kachelrieß, Marc

    2016-03-01

    We propose an adapted method of our previously published five-dimensional (5D) motion compensation (MoCo) algorithm1, developed for micro-CT imaging of small animals, to provide for the first time motion artifact-free 5D cone-beam CT (CBCT) images from a conventional flat detector-based CBCT scan of clinical patients. Image quality of retrospectively respiratory- and cardiac-gated volumes from flat detector CBCT scans is deteriorated by severe sparse projection artifacts. These artifacts further complicate motion estimation, as it is required for MoCo image reconstruction. For high quality 5D CBCT images at the same x-ray dose and the same number of projections as todays 3D CBCT we developed a double MoCo approach based on motion vector fields (MVFs) for respiratory and cardiac motion. In a first step our already published four-dimensional (4D) artifact-specific cyclic motion-compensation (acMoCo) approach is applied to compensate for the respiratory patient motion. With this information a cyclic phase-gated deformable heart registration algorithm is applied to the respiratory motion-compensated 4D CBCT data, thus resulting in cardiac MVFs. We apply these MVFs on double-gated images and thereby respiratory and cardiac motion-compensated 5D CBCT images are obtained. Our 5D MoCo approach processing patient data acquired with the TrueBeam 4D CBCT system (Varian Medical Systems). Our double MoCo approach turned out to be very efficient and removed nearly all streak artifacts due to making use of 100% of the projection data for each reconstructed frame. The 5D MoCo patient data show fine details and no motion blurring, even in regions close to the heart where motion is fastest.

  3. A new method to determine the projected coordinate origin of a cone-beam CT system using elliptical projection

    Institute of Scientific and Technical Information of China (English)

    YANG Min; JIN Xu-Ling; LI Bao-Lei

    2010-01-01

    In order to determine the projected coordinate origin in the cone-beam CT scanning system with respect to the Feldkamp-Davis-Kress(FDK)algorithm,we propose a simple yet feasible method to accurately measure the projected coordinate origin.This method was established on the basis of the theory that the projection of a spherical object in the cone-beam field is an ellipse.We first utilized image processing and the least square estimation method to get each major axis of the elliptical Digital Radiography(DR)projections of a group of spherical objects.Then we determined the intersection point of the group of major axis by solving an over-determined equation set that was composed by the major axis equations of all the elliptical projections.Based on the experimental results,this new method was proved to be easy to implement in practical scanning systems with high accuracy and anti-noise capability.

  4. Motion and positional error correction for cone beam 3D-reconstruction with mobile C-arms.

    Science.gov (United States)

    Bodensteiner, C; Darolti, C; Schumacher, H; Matthäus, L; Schweikard, A

    2007-01-01

    CT-images acquired by mobile C-arm devices can contain artefacts caused by positioning errors. We propose a data driven method based on iterative 3D-reconstruction and 2D/3D-registration to correct projection data inconsistencies. With a 2D/3D-registration algorithm, transformations are computed to align the acquired projection images to a previously reconstructed volume. In an iterative procedure, the reconstruction algorithm uses the results of the registration step. This algorithm also reduces small motion artefacts within 3D-reconstructions. Experiments with simulated projections from real patient data show the feasibility of the proposed method. In addition, experiments with real projection data acquired with an experimental robotised C-arm device have been performed with promising results.

  5. Fully automatic segmentation of arbitrarily shaped fiducial markers in cone-beam CT projections

    Science.gov (United States)

    Bertholet, J.; Wan, H.; Toftegaard, J.; Schmidt, M. L.; Chotard, F.; Parikh, P. J.; Poulsen, P. R.

    2017-02-01

    Radio-opaque fiducial markers of different shapes are often implanted in or near abdominal or thoracic tumors to act as surrogates for the tumor position during radiotherapy. They can be used for real-time treatment adaptation, but this requires a robust, automatic segmentation method able to handle arbitrarily shaped markers in a rotational imaging geometry such as cone-beam computed tomography (CBCT) projection images and intra-treatment images. In this study, we propose a fully automatic dynamic programming (DP) assisted template-based (TB) segmentation method. Based on an initial DP segmentation, the DPTB algorithm generates and uses a 3D marker model to create 2D templates at any projection angle. The 2D templates are used to segment the marker position as the position with highest normalized cross-correlation in a search area centered at the DP segmented position. The accuracy of the DP algorithm and the new DPTB algorithm was quantified as the 2D segmentation error (pixels) compared to a manual ground truth segmentation for 97 markers in the projection images of CBCT scans of 40 patients. Also the fraction of wrong segmentations, defined as 2D errors larger than 5 pixels, was calculated. The mean 2D segmentation error of DP was reduced from 4.1 pixels to 3.0 pixels by DPTB, while the fraction of wrong segmentations was reduced from 17.4% to 6.8%. DPTB allowed rejection of uncertain segmentations as deemed by a low normalized cross-correlation coefficient and contrast-to-noise ratio. For a rejection rate of 9.97%, the sensitivity in detecting wrong segmentations was 67% and the specificity was 94%. The accepted segmentations had a mean segmentation error of 1.8 pixels and 2.5% wrong segmentations.

  6. Optical cone beam tomography of Cherenkov-mediated signals for fast 3D dosimetry of x-ray photon beams in water

    Energy Technology Data Exchange (ETDEWEB)

    Glaser, Adam K., E-mail: Adam.K.Glaser@dartmouth.edu, E-mail: Brian.W.Pogue@dartmouth.edu; Andreozzi, Jacqueline M. [Thayer School of Engineering, Dartmouth College, Hanover, New Hampshire 03755 (United States); Zhang, Rongxiao [Department of Physics and Astronomy, Dartmouth College, Hanover, New Hampshire 03755 (United States); Pogue, Brian W., E-mail: Adam.K.Glaser@dartmouth.edu, E-mail: Brian.W.Pogue@dartmouth.edu [Thayer School of Engineering and Department of Physics and Astronomy, Dartmouth College, Hanover, New Hampshire 03755 (United States); Gladstone, David J. [Norris Cotton Cancer Center, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire 03766 (United States)

    2015-07-15

    Purpose: To test the use of a three-dimensional (3D) optical cone beam computed tomography reconstruction algorithm, for estimation of the imparted 3D dose distribution from megavoltage photon beams in a water tank for quality assurance, by imaging the induced Cherenkov-excited fluorescence (CEF). Methods: An intensified charge-coupled device coupled to a standard nontelecentric camera lens was used to tomographically acquire two-dimensional (2D) projection images of CEF from a complex multileaf collimator (MLC) shaped 6 MV linear accelerator x-ray photon beam operating at a dose rate of 600 MU/min. The resulting projections were used to reconstruct the 3D CEF light distribution, a potential surrogate of imparted dose, using a Feldkamp–Davis–Kress cone beam back reconstruction algorithm. Finally, the reconstructed light distributions were compared to the expected dose values from one-dimensional diode scans, 2D film measurements, and the 3D distribution generated from the clinical Varian ECLIPSE treatment planning system using a gamma index analysis. A Monte Carlo derived correction was applied to the Cherenkov reconstructions to account for beam hardening artifacts. Results: 3D light volumes were successfully reconstructed over a 400 × 400 × 350 mm{sup 3} volume at a resolution of 1 mm. The Cherenkov reconstructions showed agreement with all comparative methods and were also able to recover both inter- and intra-MLC leaf leakage. Based upon a 3%/3 mm criterion, the experimental Cherenkov light measurements showed an 83%–99% pass fraction depending on the chosen threshold dose. Conclusions: The results from this study demonstrate the use of optical cone beam computed tomography using CEF for the profiling of the imparted dose distribution from large area megavoltage photon beams in water.

  7. Analysis of axial spatial resolution in a variable resolution x-ray cone beam CT (VRX-CBCT) system

    Science.gov (United States)

    Dahi, Bahram; Keyes, Gary S.; Rendon, David A.; DiBianca, Frank A.

    2008-03-01

    The Variable Resolution X-ray (VRX) technique has been successfully used in a Cone-Beam CT (CBCT) system to increase the spatial resolution of CT images in the transverse plane. This was achieved by tilting the Flat Panel Detector (FPD) to smaller vrx y angles in a VRX Cone Beam CT (VRX-CBCT) system. In this paper, the effect on the axial spatial resolution of CT images created by the VRX-CBCT system is examined at different vrx x angles, where vrx x is the tilting angle of the FPD about its x-axis. An amorphous silicon FPD with a CsI scintillator is coupled with a micro-focus x-ray tube to form a CBCT. The FPD is installed on a rotating frame that allows rotation of up to 90° about x and y axes of the FPD. There is no rotation about the z-axis (i.e. normal to the imaging surface). Tilting the FPD about its x-axis (i.e. decreasing the vrx x angle) reduces both the width of the line-spread function and the sampling distance by a factor of sin vrx x, thereby increasing the theoretical detector pre-sampling spatial resolution proportionately. This results in thinner CT slices that in turn help increase the axial spatial resolution of the CT images. An in-house phantom is used to measure the MTF of the reconstructed CT images at different vrx x angles.

  8. Validation of a deformable image registration technique for cone beam CT-based dose verification

    Energy Technology Data Exchange (ETDEWEB)

    Moteabbed, M., E-mail: mmoteabbed@partners.org; Sharp, G. C.; Wang, Y.; Trofimov, A.; Efstathiou, J. A.; Lu, H.-M. [Massachusetts General Hospital, Boston, Massachusetts 02114 and Harvard Medical School, Boston, Massachusetts 02115 (United States)

    2015-01-15

    Purpose: As radiation therapy evolves toward more adaptive techniques, image guidance plays an increasingly important role, not only in patient setup but also in monitoring the delivered dose and adapting the treatment to patient changes. This study aimed to validate a method for evaluation of delivered intensity modulated radiotherapy (IMRT) dose based on multimodal deformable image registration (DIR) for prostate treatments. Methods: A pelvic phantom was scanned with CT and cone-beam computed tomography (CBCT). Both images were digitally deformed using two realistic patient-based deformation fields. The original CT was then registered to the deformed CBCT resulting in a secondary deformed CT. The registration quality was assessed as the ability of the DIR method to recover the artificially induced deformations. The primary and secondary deformed CT images as well as vector fields were compared to evaluate the efficacy of the registration method and it’s suitability to be used for dose calculation. PLASTIMATCH, a free and open source software was used for deformable image registration. A B-spline algorithm with optimized parameters was used to achieve the best registration quality. Geometric image evaluation was performed through voxel-based Hounsfield unit (HU) and vector field comparison. For dosimetric evaluation, IMRT treatment plans were created and optimized on the original CT image and recomputed on the two warped images to be compared. The dose volume histograms were compared for the warped structures that were identical in both warped images. This procedure was repeated for the phantom with full, half full, and empty bladder. Results: The results indicated mean HU differences of up to 120 between registered and ground-truth deformed CT images. However, when the CBCT intensities were calibrated using a region of interest (ROI)-based calibration curve, these differences were reduced by up to 60%. Similarly, the mean differences in average vector field

  9. Automatic intrinsic cardiac and respiratory gating from cone-beam CT scans of the thorax region

    Science.gov (United States)

    Hahn, Andreas; Sauppe, Sebastian; Lell, Michael; Kachelrieß, Marc

    2016-03-01

    We present a new algorithm that allows for raw data-based automated cardiac and respiratory intrinsic gating in cone-beam CT scans. It can be summarized in three steps: First, a median filter is applied to an initially reconstructed volume. The forward projection of this volume contains less motion information and is subtracted from the original projections. This results in new raw data that contain only moving and not static anatomy like bones, that would otherwise impede the cardiac or respiratory signal acquisition. All further steps are applied to these modified raw data. Second, the raw data are cropped to a region of interest (ROI). The ROI in the raw data is determined by the forward projection of a binary volume of interest (VOI) that includes the diaphragm for respiratory gating and most of the edge of the heart for cardiac gating. Third, the mean gray value in this ROI is calculated for every projection and the respiratory/cardiac signal is acquired using a bandpass filter. Steps two and three are carried out simultaneously for 64 or 1440 overlapping VOI inside the body for the respiratory or cardiac signal respectively. The signals acquired from each ROI are compared and the most consistent one is chosen as the desired cardiac or respiratory motion signal. Consistency is assessed by the standard deviation of the time between two maxima. The robustness and efficiency of the method is evaluated using simulated and measured patient data by computing the standard deviation of the mean signal difference between the ground truth and the intrinsic signal.

  10. Comparison measurements of DQE for two flat panel detectors: fluoroscopic detector vs. cone beam CT detector

    Science.gov (United States)

    Betancourt Benítez, Ricardo; Ning, Ruola; Conover, David

    2006-03-01

    The physical performance of two flat panel detectors (FPD) has been evaluated using a standard x-ray beam quality set by IEC, namely RQA5. The FPDs evaluated in this study are based on an amorphous silicon photodiode array that is coupled to a thallium-doped Cesium Iodide scintillator and to a thin film transistor (TFT) array. One detector is the PaxScan 2520 that is designed for fluoro imaging, and has a small dynamic range and a large image lag. The other detector is the PaxScan 4030CB that is designed for cone beam CT, and has a large dynamic range (>16-bit), a reduced image lag and many imaging modes. Varian Medical Systems manufactured both detectors. The linearity of the FPDs was investigated by using an ionization chamber and aluminum filtration in order to obtain the beam quality. Since the FPDs are used in fluoroscopic mode, image lag of the FPD was measured in order to investigate its effect on this study, especially its effect on DQE. The spatial resolution of the FPDs was determined by obtaining the pre-sampling modulation transfer function for each detector. A sharp edge was used in accordance to IEC 62220-1. Next, the Normalized Noise Power Spectrum (NNPS) was calculated for various exposures levels at RQA5 radiation quality. Finally, the DQE of each FPD was obtained with a modified version of the international standard set by IEC 62220-1. The results show that the physical performance in DQE and MTF of the PaxScan 4030CB is superior to that of PaxScan2520.

  11. Library-based scatter correction for dedicated cone beam breast CT: a feasibility study

    Science.gov (United States)

    Shi, Linxi; Vedantham, Srinivasan; Karellas, Andrew; Zhu, Lei

    2016-04-01

    Purpose: Scatter errors are detrimental to cone-beam breast CT (CBBCT) accuracy and obscure the visibility of calcifications and soft-tissue lesions. In this work, we propose practical yet effective scatter correction for CBBCT using a library-based method and investigate its feasibility via small-group patient studies. Method: Based on a simplified breast model with varying breast sizes, we generate a scatter library using Monte-Carlo (MC) simulation. Breasts are approximated as semi-ellipsoids with homogeneous glandular/adipose tissue mixture. On each patient CBBCT projection dataset, an initial estimate of scatter distribution is selected from the pre-computed scatter library by measuring the corresponding breast size on raw projections and the glandular fraction on a first-pass CBBCT reconstruction. Then the selected scatter distribution is modified by estimating the spatial translation of the breast between MC simulation and the clinical scan. Scatter correction is finally performed by subtracting the estimated scatter from raw projections. Results: On two sets of clinical patient CBBCT data with different breast sizes, the proposed method effectively reduces cupping artifact and improves the image contrast by an average factor of 2, with an efficient processing time of 200ms per conebeam projection. Conclusion: Compared with existing scatter correction approaches on CBBCT, the proposed library-based method is clinically advantageous in that it requires no additional scans or hardware modifications. As the MC simulations are pre-computed, our method achieves a high computational efficiency on each patient dataset. The library-based method has shown great promise as a practical tool for effective scatter correction on clinical CBBCT.

  12. SU-E-I-11: A New Cone-Beam CT System for Bedside Head Imaging

    Energy Technology Data Exchange (ETDEWEB)

    Sun, H; Zeng, W; Xu, P; Wang, Z; Xing, X; Sun, M [Suzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Sciences, Jiangsu (China)

    2015-06-15

    Purpose: To design and develop a new mobile cone-beam CT (CBCT) system for head imaging with good soft-tissue visibility, to be used bedside in ICU and neurosurgery department to monitor treatment and operation outcome in brain patients. Methods: The imaging chain consists of a 30cmx25cm amorphous silicon flat panel detector and a pulsed, stationary anode monoblock x-ray source of 100kVp at a maximal tube current of 10mA. The detector and source are supported on motorized mechanisms to provide detector lateral shift and source angular tilt, enabling a centered digital radiographic imaging mode and half-fan CBCT, while maximizing the use of the x-ray field and keep the source to detector distance short. A focused linear anti-scatter grid is mounted on the detector, and commercial software with scatter and other corrective algorithms is used for data processing and image reconstruction. The gantry rotates around a horizontal axis, and is able to adjust its height for different patient table positions. Cables are routed through a custom protective sleeve over a large bore with an in-plane twister band, facilitating single 360-degree rotation without a slip-ring at a speed up to 5 seconds per rotation. A UPS provides about 10 minutes of operation off the battery when unplugged. The gantry is on locked casters, whose brake is control by two push handles on both sides for easy reposition. The entire system is designed to have a light weight and a compact size for excellent maneuverability. Results: System design is complete and main imaging components are tested. Initial results will be presented and discussed later in the presentation. Conclusion: A new mobile CBCT system for head imaging is being developed. With its compact size, a large bore, and quality design, it is expected to be a useful imaging tool for bedside uses. The work is supported by a grant from Chinese Academy of Sciences.

  13. Image-based motion compensation for high-resolution extremities cone-beam CT

    Science.gov (United States)

    Sisniega, A.; Stayman, J. W.; Cao, Q.; Yorkston, J.; Siewerdsen, J. H.; Zbijewski, W.

    2016-03-01

    Purpose: Cone-beam CT (CBCT) of the extremities provides high spatial resolution, but its quantitative accuracy may be challenged by involuntary sub-mm patient motion that cannot be eliminated with simple means of external immobilization. We investigate a two-step iterative motion compensation based on a multi-component metric of image sharpness. Methods: Motion is considered with respect to locally rigid motion within a particular region of interest, and the method supports application to multiple locally rigid regions. Motion is estimated by maximizing a cost function with three components: a gradient metric encouraging image sharpness, an entropy term that favors high contrast and penalizes streaks, and a penalty term encouraging smooth motion. Motion compensation involved initial coarse estimation of gross motion followed by estimation of fine-scale displacements using high resolution reconstructions. The method was evaluated in simulations with synthetic motion (1-4 mm) applied to a wrist volume obtained on a CMOS-based CBCT testbench. Structural similarity index (SSIM) quantified the agreement between motion-compensated and static data. The algorithm was also tested on a motion contaminated patient scan from dedicated extremities CBCT. Results: Excellent correction was achieved for the investigated range of displacements, indicated by good visual agreement with the static data. 10-15% improvement in SSIM was attained for 2-4 mm motions. The compensation was robust against increasing motion (4% decrease in SSIM across the investigated range, compared to 14% with no compensation). Consistent performance was achieved across a range of noise levels. Significant mitigation of artifacts was shown in patient data. Conclusion: The results indicate feasibility of image-based motion correction in extremities CBCT without the need for a priori motion models, external trackers, or fiducials.

  14. Antiscatter grids in mobile C-arm cone-beam CT: Effect on image quality and dose

    Energy Technology Data Exchange (ETDEWEB)

    Schafer, S.; Stayman, J.W.; Zbijewski, W.; Schmidgunst, C.; Kleinszig, G.; Siewerdsen, J.H. [Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland 21202 (United States); Siemens Healthcare XP Division, Erlangen, Bavaria 91052 (Germany); Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland 21202 (United States) and Department of Computer Science, Johns Hopkins University, Baltimore, Maryland 21218 (United States)

    2012-01-15

    Purpose: X-ray scatter is a major detriment to image quality in cone-beam CT (CBCT). Existing geometries exhibit strong differences in scatter susceptibility with more compact geometries, e.g., dental or musculoskeletal, benefiting from antiscatter grids, whereas in more extended geometries, e.g., IGRT, grid use carries tradeoffs in image quality per unit dose. This work assesses the tradeoffs in dose and image quality for grids applied in the context of low-dose CBCT on a mobile C-arm for image-guided surgery. Methods: Studies were performed on a mobile C-arm equipped with a flat-panel detector for high-quality CBCT. Antiscatter grids of grid ratio (GR) 6:1-12:1, 40 lp/cm, were tested in ''body'' surgery, i.e., spine, using protocols for bone and soft-tissue visibility in the thoracic and abdominal spine. Studies focused on grid orientation, CT number accuracy, image noise, and contrast-to-noise ratio (CNR) in quantitative phantoms at constant dose. Results: There was no effect of grid orientation on possible gridline artifacts, given accurate angle-dependent gain calibration. Incorrect calibration was found to result in gridline shadows in the projection data that imparted high-frequency artifacts in 3D reconstructions. Increasing GR reduced errors in CT number from 31%, thorax, and 37%, abdomen, for gridless operation to 2% and 10%, respectively, with a 12:1 grid, while image noise increased by up to 70%. The CNR of high-contrast objects was largely unaffected by grids, but low-contrast soft-tissues suffered reduction in CNR, 2%-65%, across the investigated GR at constant dose. Conclusions: While grids improved CT number accuracy, soft-tissue CNR was reduced due to attenuation of primary radiation. CNR could be restored by increasing dose by factors of {approx}1.6-2.5 depending on GR, e.g., increase from 4.6 mGy for the thorax and 12.5 mGy for the abdomen without antiscatter grids to approximately 12 mGy and 30 mGy, respectively, with a high

  15. Deformable image registration with local rigidity constraints for cone-beam CT-guided spine surgery.

    Science.gov (United States)

    Reaungamornrat, S; Wang, A S; Uneri, A; Otake, Y; Khanna, A J; Siewerdsen, J H

    2014-07-21

    Image-guided spine surgery (IGSS) is associated with reduced co-morbidity and improved surgical outcome. However, precise localization of target anatomy and adjacent nerves and vessels relative to planning information (e.g., device trajectories) can be challenged by anatomical deformation. Rigid registration alone fails to account for deformation associated with changes in spine curvature, and conventional deformable registration fails to account for rigidity of the vertebrae, causing unrealistic distortions in the registered image that can confound high-precision surgery. We developed and evaluated a deformable registration method capable of preserving rigidity of bones while resolving the deformation of surrounding soft tissue. The method aligns preoperative CT to intraoperative cone-beam CT (CBCT) using free-form deformation (FFD) with constraints on rigid body motion imposed according to a simple intensity threshold of bone intensities. The constraints enforced three properties of a rigid transformation-namely, constraints on affinity (AC), orthogonality (OC), and properness (PC). The method also incorporated an injectivity constraint (IC) to preserve topology. Physical experiments involving phantoms, an ovine spine, and a human cadaver as well as digital simulations were performed to evaluate the sensitivity to registration parameters, preservation of rigid body morphology, and overall registration accuracy of constrained FFD in comparison to conventional unconstrained FFD (uFFD) and Demons registration. FFD with orthogonality and injectivity constraints (denoted FFD+OC+IC) demonstrated improved performance compared to uFFD and Demons. Affinity and properness constraints offered little or no additional improvement. The FFD+OC+IC method preserved rigid body morphology at near-ideal values of zero dilatation (D = 0.05, compared to 0.39 and 0.56 for uFFD and Demons, respectively) and shear (S = 0.08, compared to 0.36 and 0.44 for uFFD and Demons, respectively

  16. Deformable image registration with local rigidity constraints for cone-beam CT-guided spine surgery

    Science.gov (United States)

    Reaungamornrat, S.; Wang, A. S.; Uneri, A.; Otake, Y.; Khanna, A. J.; Siewerdsen, J. H.

    2014-07-01

    Image-guided spine surgery (IGSS) is associated with reduced co-morbidity and improved surgical outcome. However, precise localization of target anatomy and adjacent nerves and vessels relative to planning information (e.g., device trajectories) can be challenged by anatomical deformation. Rigid registration alone fails to account for deformation associated with changes in spine curvature, and conventional deformable registration fails to account for rigidity of the vertebrae, causing unrealistic distortions in the registered image that can confound high-precision surgery. We developed and evaluated a deformable registration method capable of preserving rigidity of bones while resolving the deformation of surrounding soft tissue. The method aligns preoperative CT to intraoperative cone-beam CT (CBCT) using free-form deformation (FFD) with constraints on rigid body motion imposed according to a simple intensity threshold of bone intensities. The constraints enforced three properties of a rigid transformation—namely, constraints on affinity (AC), orthogonality (OC), and properness (PC). The method also incorporated an injectivity constraint (IC) to preserve topology. Physical experiments involving phantoms, an ovine spine, and a human cadaver as well as digital simulations were performed to evaluate the sensitivity to registration parameters, preservation of rigid body morphology, and overall registration accuracy of constrained FFD in comparison to conventional unconstrained FFD (uFFD) and Demons registration. FFD with orthogonality and injectivity constraints (denoted FFD+OC+IC) demonstrated improved performance compared to uFFD and Demons. Affinity and properness constraints offered little or no additional improvement. The FFD+OC+IC method preserved rigid body morphology at near-ideal values of zero dilatation ({ D} = 0.05, compared to 0.39 and 0.56 for uFFD and Demons, respectively) and shear ({ S} = 0.08, compared to 0.36 and 0.44 for uFFD and Demons

  17. Self-calibration of a cone-beam micro-CT system

    Energy Technology Data Exchange (ETDEWEB)

    Patel, V.; Chityala, R. N.; Hoffmann, K. R.; Ionita, C. N.; Bednarek, D. R.; Rudin, S. [Toshiba Stroke Research Center, Department of Physics, State University of New York at Buffalo, Buffalo, New York 14214 (United States); The Supercomputing Institute for Advanced Computational Research, University of Minnesota at Twin Cities, Minneapolis, Minnesota 55455 (United States); Toshiba Stroke Research Center, Department of Neurosurgery, Department of Physics, Department of Physiology and Biophysics, Department of Mechanical and Aerospace Engineering, and Department of Computer Science and Engineering, State University of New York at Buffalo, Buffalo, New York 14214 (United States); Toshiba Stroke Research Center, Department of Neurosurgery, State University of New York at Buffalo, Buffalo, New York 14214 (United States); Toshiba Stroke Research Center, Department of Radiology, Department of Neurosurgery, Department of Physics, and Department of Physiology and Biophysics, State University of New York at Buffalo, Buffalo, New York 14214 (United States); Toshiba Stroke Research Center, Department of Radiology, Department of Neurosurgery, Department of Physiology and Biophysics, Department of Mechanical and Aerospace Engineering, and Department of Electrical Engineering, State University of New York at Buffalo, Buffalo, New York 14214 (United States)

    2009-01-15

    Use of cone-beam computed tomography (CBCT) is becoming more frequent. For proper reconstruction, the geometry of the CBCT systems must be known. While the system can be designed to reduce errors in the geometry, calibration measurements must still be performed and corrections applied. Investigators have proposed techniques using calibration objects for system calibration. In this study, the authors present methods to calibrate a rotary-stage CB micro-CT (CB{mu}CT) system using only the images acquired of the object to be reconstructed, i.e., without the use of calibration objects. Projection images are acquired using a CB{mu}CT system constructed in the authors' laboratories. Dark- and flat-field corrections are performed. Exposure variations are detected and quantified using analysis of image regions with an unobstructed view of the x-ray source. Translations that occur during the acquisition in the horizontal direction are detected, quantified, and corrected based on sinogram analysis. The axis of rotation is determined using registration of antiposed projection images. These techniques were evaluated using data obtained with calibration objects and phantoms. The physical geometric axis of rotation is determined and aligned with the rotational axis (assumed to be the center of the detector plane) used in the reconstruction process. The parameters describing this axis agree to within 0.1 mm and 0.3 deg with those determined using other techniques. Blurring due to residual calibration errors has a point-spread function in the reconstructed planes with a full-width-at-half-maximum of less than 125 {mu}m in a tangential direction and essentially zero in the radial direction for the rotating object. The authors have used this approach on over 100 acquisitions over the past 2 years and have regularly obtained high-quality reconstructions, i.e., without artifacts and no detectable blurring of the reconstructed objects. This self-calibrating approach not only

  18. ASSESSMENT OF EFFECTIVE DOSE FROM CONE BEAM CT IMAGING IN SPECT/CT EXAMINATION IN COMPARISON WITH OTHER MODALITIES.

    Science.gov (United States)

    Tonkopi, Elena; Ross, Andrew A

    2016-12-01

    The aim of this study was to assess radiation dose from the cone beam computed tomography (CBCT) component of single photon emission tomography/computed tomography (SPECT/CT) examinations and to compare it with the radiopharmaceutical related dose as well as dose from multidetector computed tomography (MDCT). Effective dose (ED) from computed tomography (CT) was estimated using dose-length product values and anatomy-specific conversion factors. The contribution from the SPECT component was evaluated using ED per unit administered activity for the radiopharmaceuticals listed in the International Commission on Radiological Protection Publications 80 and 106. With the exception of cardiac studies (0.11 mSv), the CBCT dose (3.96-6.04 mSv) was similar to that from the radiopharmaceutical accounting for 29-56 % of the total ED from the examination. In comparison with MDCT examinations, the CBCT dose was 48 and 42 % lower for abdomen/pelvis and chest/abdomen/pelvis scans, respectively, while in the chest the CBCT scan resulted in higher dose (23 %). Radiation dose from the CT component should be taken into consideration when evaluating total SPECT/CT patient dose.

  19. C-arm based cone-beam CT using a two-concentric-arc source trajectory: system evaluation

    Science.gov (United States)

    Zambelli, Joseph; Zhuang, Tingliang; Nett, Brian E.; Riddell, Cyril; Belanger, Barry; Chen, Guang-Hong

    2008-03-01

    The current x-ray source trajectory for C-arm based cone-beam CT is a single arc. Reconstruction from data acquired with this trajectory yields cone-beam artifacts for regions other than the central slice. In this work we present the preliminary evaluation of reconstruction from a source trajectory of two concentric arcs using a flat-panel detector equipped C-arm gantry (GE Healthcare Innova 4100 system, Waukesha, Wisconsin). The reconstruction method employed is a summation of FDK-type reconstructions from the two individual arcs. For the angle between arcs studied here, 30°, this method offers a significant reduction in the visibility of cone-beam artifacts, with the additional advantages of simplicity and ease of implementation due to the fact that it is a direct extension of the reconstruction method currently implemented on commercial systems. Reconstructed images from data acquired from the two arc trajectory are compared to those reconstructed from a single arc trajectory and evaluated in terms of spatial resolution, low contrast resolution, noise, and artifact level.

  20. High-fidelity artifact correction for cone-beam CT imaging of the brain

    Science.gov (United States)

    Sisniega, A.; Zbijewski, W.; Xu, J.; Dang, H.; Stayman, J. W.; Yorkston, J.; Aygun, N.; Koliatsos, V.; Siewerdsen, J. H.

    2015-02-01

    CT is the frontline imaging modality for diagnosis of acute traumatic brain injury (TBI), involving the detection of fresh blood in the brain (contrast of 30-50 HU, detail size down to 1 mm) in a non-contrast-enhanced exam. A dedicated point-of-care imaging system based on cone-beam CT (CBCT) could benefit early detection of TBI and improve direction to appropriate therapy. However, flat-panel detector (FPD) CBCT is challenged by artifacts that degrade contrast resolution and limit application in soft-tissue imaging. We present and evaluate a fairly comprehensive framework for artifact correction to enable soft-tissue brain imaging with FPD CBCT. The framework includes a fast Monte Carlo (MC)-based scatter estimation method complemented by corrections for detector lag, veiling glare, and beam hardening. The fast MC scatter estimation combines GPU acceleration, variance reduction, and simulation with a low number of photon histories and reduced number of projection angles (sparse MC) augmented by kernel de-noising to yield a runtime of ~4 min per scan. Scatter correction is combined with two-pass beam hardening correction. Detector lag correction is based on temporal deconvolution of the measured lag response function. The effects of detector veiling glare are reduced by deconvolution of the glare response function representing the long range tails of the detector point-spread function. The performance of the correction framework is quantified in experiments using a realistic head phantom on a testbench for FPD CBCT. Uncorrected reconstructions were non-diagnostic for soft-tissue imaging tasks in the brain. After processing with the artifact correction framework, image uniformity was substantially improved, and artifacts were reduced to a level that enabled visualization of ~3 mm simulated bleeds throughout the brain. Non-uniformity (cupping) was reduced by a factor of 5, and contrast of simulated bleeds was improved from ~7 to 49.7 HU, in good agreement

  1. Stereotactic radiosurgery for intradural spine tumors using cone-beam CT image guidance.

    Science.gov (United States)

    Monserrate, Andrés; Zussman, Benjamin; Ozpinar, Alp; Niranjan, Ajay; Flickinger, John C; Gerszten, Peter C

    2017-01-01

    OBJECTIVE Cone-beam CT (CBCT) image guidance technology has been widely adopted for spine radiosurgery delivery. There is relatively little experience with spine radiosurgery for intradural tumors using CBCT image guidance. This study prospectively evaluated a series of intradural spine tumors treated with radiosurgery. Patient setup accuracy for spine radiosurgery delivery using CBCT image guidance for intradural spine tumors was determined. METHODS Eighty-two patients with intradural tumors were treated and prospectively evaluated. The positioning deviations of the spine radiosurgery treatments in patients were recorded. Radiosurgery was delivered using a linear accelerator with a beam modulator and CBCT image guidance combined with a robotic couch that allows positioning correction in 3 translational and 3 rotational directions. To measure patient movement, 3 quality assurance CBCTs were performed and recorded in 30 patients: before, halfway, and after the radiosurgery treatment. The positioning data and fused images of planning CT and CBCT from the treatments were analyzed to determine intrafraction patient movements. From each of 3 CBCTs, 3 translational and 3 rotational coordinates were obtained. RESULTS The radiosurgery procedure was successfully completed for all patients. Lesion locations included cervical (22), thoracic (17), lumbar (38), and sacral (5). Tumor histologies included schwannoma (27), neurofibromas (18), meningioma (16), hemangioblastoma (8), and ependymoma (5). The mean prescription dose was 17 Gy (range 12-27 Gy) delivered in 1-3 fractions. At the halfway point of the radiation, the translational variations and standard deviations were 0.4 ± 0.5, 0.5 ± 0.8, and 0.4 ± 0.5 mm in the lateral (x), longitudinal (y), and anteroposterior (z) directions, respectively. Similarly, the variations immediately after treatment were 0.5 ± 0.4, 0.5 ± 0.6, and 0.6 ± 0.5 mm along x, y, and z directions, respectively. The mean rotational angles were 0

  2. Comparison of cone-beam CT-guided and CT fluoroscopy-guided transthoracic needle biopsy of lung nodules

    Energy Technology Data Exchange (ETDEWEB)

    Rotolo, Nicola; Imperatori, Andrea; Arlant, Veronica; Dominioni, Lorenzo [Insubria University, Center for Thoracic Surgery, Varese (Italy); Floridi, Chiara; Fontana, Federico; Ierardi, Anna Maria; Mangini, Monica; De Marchi, Giuseppe; Fugazzola, Carlo; Carrafiello, Gianpaolo [Insubria University, Radiology Department, Varese (Italy); Novario, Raffaele [Insubria University, Medical Physics Department, Varese (Italy)

    2016-02-15

    To compare the diagnostic performance of cone-beam CT (CBCT)-guided and CT fluoroscopy (fluoro-CT)-guided technique for transthoracic needle biopsy (TNB) of lung nodules. The hospital records of 319 consecutive patients undergoing 324 TNBs of lung nodules in a single radiology unit in 2009-2013 were retrospectively evaluated. The newly introduced CBCT technology was used to biopsy 123 nodules; 201 nodules were biopsied by conventional fluoro-CT-guided technique. We assessed the performance of the two biopsy systems for diagnosis of malignancy and the radiation exposure. Nodules biopsied by CBCT-guided and by fluoro-CT-guided technique had similar characteristics: size, 20 ± 6.5 mm (mean ± standard deviation) vs. 20 ± 6.8 mm (p = 0.845); depth from pleura, 15 ± 15 mm vs. 15 ± 16 mm (p = 0.595); malignant, 60 % vs. 66 % (p = 0.378). After a learning period, the newly introduced CBCT-guided biopsy system and the conventional fluoro-CT-guided system showed similar sensitivity (95 % and 92 %), specificity (100 % and 100 %), accuracy for diagnosis of malignancy (96 % and 94 %), and delivered non-significantly different median effective doses [11.1 mSv (95 % CI 8.9-16.0) vs. 14.5 mSv (95 % CI 9.5-18.1); p = 0.330]. The CBCT-guided and fluoro-CT-guided systems for lung nodule biopsy are similar in terms of diagnostic performance and effective dose, and may be alternatively used to optimize the available technological resources. (orig.)

  3. Diagnostic accuracy of cone-beam CT in the assessment of mandibular invasion of lower gingival carcinoma: Comparison with conventional panoramic radiography

    Energy Technology Data Exchange (ETDEWEB)

    Momin, Mohammad A. [Oral and Maxillofacial Radiology, Graduate School, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo 113-8549 (Japan)], E-mail: momin.orad@tmd.ac.jp; Okochi, Kiyoshi [Oral and Maxillofacial Radiology, Graduate School, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo 113-8549 (Japan)], E-mail: kiyoshi.orad@tmd.ac.jp; Watanabe, Hiroshi [Oral and Maxillofacial Radiology, Graduate School, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo 113-8549 (Japan)], E-mail: hiro.orad@tmd.ac.jp; Imaizumi, Akiko [Oral and Maxillofacial Radiology, Graduate School, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo 113-8549 (Japan)], E-mail: ima.orad@tmd.ac.jp; Omura, Ken [Oral Surgery, Graduate School, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo 113-8549 (Japan)], E-mail: omura.osur@tmd.ac.jp; Amagasa, Teruo [Maxillofacial Surgery, Graduate School, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo 113-8549 (Japan)], E-mail: t-amagasa.mfs@tmd.ac.jp; Okada, Norihiko [Diagnostic Oral Pathology, Graduate School, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo 113-8549 (Japan)], E-mail: nokd.opth@tmd.ac.jp; Ohbayashi, Naoto [Oral and Maxillofacial Radiology, Graduate School, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo 113-8549 (Japan)], E-mail: nao.orad@tmd.ac.jp; Kurabayashi, Tohru [Oral and Maxillofacial Radiology, Graduate School, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo 113-8549 (Japan)], E-mail: kura.orad@tmd.ac.jp

    2009-10-15

    Purpose: To evaluate the diagnostic accuracy of cone-beam CT in assessing mandibular invasion by lower gingival carcinoma and compare it with that of panoramic radiography. Patients and methods: Fifty patients with squamous cell carcinoma of the lower gingiva who were examined by both panoramic radiography and cone-beam CT before surgery were included in this study. Five radiologists used a 6-point rating scale to independently evaluate cone-beam CT and panoramic images for the presence or absence of alveolar bone and mandibular canal involvement by tumor. Using the histopathogical findings as the gold standard, we calculated and compared the area under the receiver operating characteristic curve (Az value) and the sensitivity and specificity of the two imaging modalities. Results: In evaluations of both alveolar bone and mandibular canal involvement, the mean Az value for cone-beam CT (0.918 and 0.977, respectively) was significantly higher than that for panoramic radiography (0.793 and 0.872, respectively). The mean sensitivity for cone-beam CT (89% and 99%, respectively) was significantly higher than that for panoramic radiography (73% and 56%, respectively). There was no significant difference in the mean specificity. While cone-beam CT could provide high-resolution three-dimensional images, the image quality around the alveolar crest was often hampered by severe dental artifacts and image noise, resulting in difficulties in detecting subtle alveolar invasion. Conclusion: Cone-beam CT was significantly superior to panoramic radiography in evaluating mandibular invasion by lower gingival carcinoma. Its diagnostic value in detecting subtle alveolar invasion, however, may be limited by severe dental artifacts and image noise.

  4. TH-A-18C-02: An Electrostatic Model for Assessment of Joint Space Morphology in Cone-Beam CT

    Energy Technology Data Exchange (ETDEWEB)

    Cao, Q; Thawait, G; Gang, G; Zbijewski, W; Riegel, T; Demehri, S; Siewerdsen, J [Johns Hopkins University, Baltimore, MD (United States)

    2014-06-15

    Purpose: High-resolution cone-beam CT (CBCT) of the extremities presents a potentially valuable basis for image-based biomarkers of arthritis, trauma, and risk of injury. We present a new method for 3D joint space analysis that exploits the high isotropic spatial resolution of CBCT and is sensitive to small changes in disease-related morphology. Methods: The approach uses an “electrostatic” model in which joint surfaces (e.g., distal femur and proximal tibia) are labeled as charge densities between which the electric field is solved by approximation to the Laplace equation. The method yields a unique solution determined by the field lines across the “capacitor” and is hypothesized to be more sensitive than conventional (Sharp) scores and immune to degeneracies that limit simple distance-along-axis or closest-point analysis. The algorithm was validated in CBCT phantom images and applied in two clinical scenarios: osteoarthritis (OA, change in loadbearing tibiofemoral joint space); and assessment of injury risk (correlation of 3D joint space to tibial slope). Results: Joint space maps computed from the electrostatic model were accurate to within the voxel size (0.26 mm). The method highlighted subtle regions of morphological change that would likely be missed by conventional scalar metrics. Regions of subtle cartilage erosion were well quantified, and the method confidently discriminated OA and non-OA cohorts. 3D joint space maps correlated well with tibial slope and provide a new basis for principal component analysis of loadbearing injury risk. Runtime was less than 5 min (235×235×121 voxel subvolume in Matlab). Conclusion: A new method for joint space assessment was reported as a possible image-based biomarker of subtle articular change. The algorithm yields accurate quantitation of the joint in a manner that is robust against operator and patient setup variation. The method shows promising initial results in ongoing trials of CBCT in osteoarthritis

  5. Improved compressed sensing-based cone-beam CT reconstruction using adaptive prior image constraints

    Science.gov (United States)

    Lee, Ho; Xing, Lei; Davidi, Ran; Li, Ruijiang; Qian, Jianguo; Lee, Rena

    2012-04-01

    Volumetric cone-beam CT (CBCT) images are acquired repeatedly during a course of radiation therapy and a natural question to ask is whether CBCT images obtained earlier in the process can be utilized as prior knowledge to reduce patient imaging dose in subsequent scans. The purpose of this work is to develop an adaptive prior image constrained compressed sensing (APICCS) method to solve this problem. Reconstructed images using full projections are taken on the first day of radiation therapy treatment and are used as prior images. The subsequent scans are acquired using a protocol of sparse projections. In the proposed APICCS algorithm, the prior images are utilized as an initial guess and are incorporated into the objective function in the compressed sensing (CS)-based iterative reconstruction process. Furthermore, the prior information is employed to detect any possible mismatched regions between the prior and current images for improved reconstruction. For this purpose, the prior images and the reconstructed images are classified into three anatomical regions: air, soft tissue and bone. Mismatched regions are identified by local differences of the corresponding groups in the two classified sets of images. A distance transformation is then introduced to convert the information into an adaptive voxel-dependent relaxation map. In constructing the relaxation map, the matched regions (unchanged anatomy) between the prior and current images are assigned with smaller weight values, which are translated into less influence on the CS iterative reconstruction process. On the other hand, the mismatched regions (changed anatomy) are associated with larger values and the regions are updated more by the new projection data, thus avoiding any possible adverse effects of prior images. The APICCS approach was systematically assessed by using patient data acquired under standard and low-dose protocols for qualitative and quantitative comparisons. The APICCS method provides an

  6. Dose and scatter characteristics of a novel cone beam CT system for musculoskeletal extremities

    Science.gov (United States)

    Zbijewski, W.; Sisniega, A.; Vaquero, J. J.; Muhit, A.; Packard, N.; Senn, R.; Yang, D.; Yorkston, J.; Carrino, J. A.; Siewerdsen, J. H.

    2012-03-01

    A novel cone-beam CT (CBCT) system has been developed with promising capabilities for musculoskeletal imaging (e.g., weight-bearing extremities and combined radiographic / volumetric imaging). The prototype system demonstrates diagnostic-quality imaging performance, while the compact geometry and short scan orbit raise new considerations for scatter management and dose characterization that challenge conventional methods. The compact geometry leads to elevated, heterogeneous x-ray scatter distributions - even for small anatomical sites (e.g., knee or wrist), and the short scan orbit results in a non-uniform dose distribution. These complex dose and scatter distributions were investigated via experimental measurements and GPU-accelerated Monte Carlo (MC) simulation. The combination provided a powerful basis for characterizing dose distributions in patient-specific anatomy, investigating the benefits of an antiscatter grid, and examining distinct contributions of coherent and incoherent scatter in artifact correction. Measurements with a 16 cm CTDI phantom show that the dose from the short-scan orbit (0.09 mGy/mAs at isocenter) varies from 0.16 to 0.05 mGy/mAs at various locations on the periphery (all obtained at 80 kVp). MC estimation agreed with dose measurements within 10-15%. Dose distribution in patient-specific anatomy was computed with MC, confirming such heterogeneity and highlighting the elevated energy deposition in bone (factor of ~5-10) compared to soft-tissue. Scatter-to-primary ratio (SPR) up to ~1.5-2 was evident in some regions of the knee. A 10:1 antiscatter grid was found earlier to result in significant improvement in soft-tissue imaging performance without increase in dose. The results of MC simulations elucidated the mechanism behind scatter reduction in the presence of a grid. A ~3-fold reduction in average SPR was found in the MC simulations; however, a linear grid was found to impart additional heterogeneity in the scatter distribution

  7. SU-E-I-59: Image Quality and Dose Measurement for Partial Cone-Beam CT

    Energy Technology Data Exchange (ETDEWEB)

    Abouei, E; Ford, N [University of British Columbia, Vancouver, BC (Canada)

    2014-06-01

    Purpose: To characterize performance of cone beam CT (CBCT) used in dentistry investigating quantitatively the image quality and radiation dose during dental CBCT over different settings for partial rotation of the x-ray tube. Methods: Image quality and dose measurements were done on a variable field of view (FOV) dental CBCT (Carestream 9300). X-ray parameters for clinical settings were adjustable for 2–10 mA, 60–90 kVp, and two optional voxel size values, but time was fixed for each FOV. Image quality was assessed by scanning cylindrical poly-methyl methacrylate (PMMA) image quality phantom (SEDENTEXCT IQ), and then the images were analyzed using ImageJ to calculate image quality parameters such as noise, uniformity, and contrast to noise ratio (CNR). A protocol proposed by SEDENTEXCT, dose index 1 (DI1), was applied to dose measurements obtained using a thimble ionization chamber and cylindrical PMMA dose index phantom (SEDENTEXCT DI). Dose distributions were obtained using Gafchromic film. The phantoms were positioned in the FOV to imitate a clinical positioning. Results: The image noise was 6–12.5% which, when normalized to the difference of mean voxel value of PMMA and air, was comparable between different FOVs. Uniformity was 93.5ß 99.7% across the images. CNR was 1.7–4.2 and 6.3–14.3 for LDPE and Aluminum, respectively. Dose distributions were symmetric about the rotation angle's bisector. For large and medium FOVs at 4 mA and 80–90 kVp, DI1 values were in the range of 1.26–3.23 mGy. DI1 values were between 1.01–1.93 mGy for small FOV (5×5 cm{sup 2}) at 4–5 mA and 75–84 kVp. Conclusion: Noise decreased by increasing kVp, and the CNR increased for each FOV. When FOV size increased, image noise increased and CNR decreased. DI1 values were increased by increasing tube current (mA), tube voltage (kVp), and/or FOV. Funding for this project from NSERC Discovery grant, UBC Faculty of Dentistry Research Equipment Grant and UBC Faculty of

  8. Multiresolution iterative reconstruction in high-resolution extremity cone-beam CT

    Science.gov (United States)

    Cao, Qian; Zbijewski, Wojciech; Sisniega, Alejandro; Yorkston, John; Siewerdsen, Jeffrey H.; Webster Stayman, J.

    2016-10-01

    Application of model-based iterative reconstruction (MBIR) to high resolution cone-beam CT (CBCT) is computationally challenging because of the very fine discretization (voxel size  <100 µm) of the reconstructed volume. Moreover, standard MBIR techniques require that the complete transaxial support for the acquired projections is reconstructed, thus precluding acceleration by restricting the reconstruction to a region-of-interest. To reduce the computational burden of high resolution MBIR, we propose a multiresolution penalized-weighted least squares (PWLS) algorithm, where the volume is parameterized as a union of fine and coarse voxel grids as well as selective binning of detector pixels. We introduce a penalty function designed to regularize across the boundaries between the two grids. The algorithm was evaluated in simulation studies emulating an extremity CBCT system and in a physical study on a test-bench. Artifacts arising from the mismatched discretization of the fine and coarse sub-volumes were investigated. The fine grid region was parameterized using 0.15 mm voxels and the voxel size in the coarse grid region was varied by changing a downsampling factor. No significant artifacts were found in either of the regions for downsampling factors of up to 4×. For a typical extremities CBCT volume size, this downsampling corresponds to an acceleration of the reconstruction that is more than five times faster than a brute force solution that applies fine voxel parameterization to the entire volume. For certain configurations of the coarse and fine grid regions, in particular when the boundary between the regions does not cross high attenuation gradients, downsampling factors as high as 10×  can be used without introducing artifacts, yielding a ~50×  speedup in PWLS. The proposed multiresolution algorithm significantly reduces the computational burden of high resolution iterative CBCT reconstruction and can be extended to other applications of

  9. Delayed-Phase Cone-Beam CT Improves Detectability of Intrahepatic Cholangiocarcinoma During Conventional Transarterial Chemoembolization

    Energy Technology Data Exchange (ETDEWEB)

    Schernthaner, Ruediger Egbert [The Johns Hopkins Hospital, Russell H. Morgan Department of Radiology and Radiological Science, Division of Vascular and Interventional Radiology (United States); Lin, MingDe [Philips Research North America, Ultrasound and Interventions (United States); Duran, Rafael; Chapiro, Julius; Wang, Zhijun; Geschwind, Jean-François, E-mail: jfg@jhmi.edu [The Johns Hopkins Hospital, Russell H. Morgan Department of Radiology and Radiological Science, Division of Vascular and Interventional Radiology (United States)

    2015-08-15

    PurposeTo evaluate the detectability of intrahepatic cholangiocarcinoma (ICC) on dual-phase cone-beam CT (DPCBCT) during conventional transarterial chemoembolization (cTACE) compared to that of digital subtraction angiography (DSA) with respect to pre-procedure contrast-enhanced magnetic resonance imaging (CE-MRI) of the liver.MethodsThis retrospective study included 17 consecutive patients (10 male, mean age 64) with ICC who underwent pre-procedure CE-MRI of the liver, and DSA and DPCBCT (early-arterial phase (EAP) and delayed-arterial phase (DAP)) just before cTACE. The visibility of each ICC lesion was graded by two radiologists on a three-rank scale (complete, partial, and none) on DPCBCT and DSA images, and then compared to pre-procedure CE-MRI.ResultsOf 61 ICC lesions, only 45.9 % were depicted by DSA, whereas EAP- and DAP-CBCT yielded a significantly higher detectability rate of 73.8 % and 93.4 %, respectively (p < 0.01). Out of the 33 lesions missed on DSA, 18 (54.5 %) and 30 (90.9 %) were revealed on EAP- and DAP-CBCT images, respectively. DSA depicted only one lesion that was missed by DPCBCT due to streak artifacts caused by a prosthetic mitral valve. DAP-CBCT identified significantly more lesions than EAP-CBCT (p < 0.01). Conversely, EAP-CBCT did not detect lesions missed by DAP-CBCT. For complete lesion visibility, DAP-CBCT yielded significantly higher detectability (78.7 %) compared to EAP (31.1 %) and DSA (21.3 %) (p < 0.01).ConclusionDPCBCT, and especially the DAP-CBCT, significantly improved the detectability of ICC lesions during cTACE compared to DSA. We recommend the routine use of DAP-CBCT in patients with ICC for per-procedure detectability and treatment planning in the setting of TACE.

  10. Predicting factors for conversion from fluoroscopy guided Percutaneous transthoracic needle biopsy to cone-beam CT guided Percutaneous transthoracic needle biopsy

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Kang Ji; Han, Young Min; Jin, Gong Yong; Song, Ji Soo [Chonbuk National Univ., Jeonju (Korea, Republic of)

    2015-10-15

    To evaluate the predicting factors for conversion from fluoroscopy guided percutaneous transthoracic needle biopsy (PTNB) to cone-beam CT guided PTNB. From January 2011 to December 2012, we retrospectively identified 38 patients who underwent cone-beam CT guided PTNB with solid pulmonary lesions, and 76 patients who underwent fluoroscopy guided PTNB were matched to the patients who underwent cone-beam CT guided PTNB for age, sex, and lesion location. We evaluated predicting factors such as, long-axis diameter, short-axis diameter, anterior-posterior diameter, and CT attenuation value of the solid pulmonary lesion affecting conversion from fluoroscopy guided PTNB to cone-beam CT guided PTNB. Pearson χ{sup 2} test, Fisher exact test, and independent t test were used in statistical analyses; in addition, we also used receiver operating characteristics curve to find the proper cut-off values affecting the conversion to cone-beam CT guided PTNB. Short-axis, long-axis, anterior-posterior diameter and CT attenuation value of the solid pulmonary lesion in patients who underwent fluoroscopy guided PTNB were 2.70 ± 1.57 cm, 3.40 ± 1.92 cm, 3.06 ± 1.81 cm, and 35.67 ± 15.70 Hounsfield unit (HU), respectively. Short-axis, long-axis, anterior-posterior diameter and CT attenuation value of the solid pulmonary lesion in patients who underwent cone-beam CT guided PTNB were 1.60 ± 1.30 cm, 2.20 ± 1.45 cm, 1.91 ± 1.99 cm, and 18.32 ± 23.11 HU, respectively. Short-axis, long-axis, anterior-posterior diameter, and CT attenuation value showed a significantly different mean value between the 2 groups (p = 0.001, p < 0.001, p = 0.003, p < 0.001, respectively). Odd ratios of CT attenuation value and short-axis diameter of the solid pulmonary lesion were 0.952 and 0.618, respectively. Proper cut-off values affecting the conversion to cone-beam CT guided PTNB were 1.65 cm (sensitivity 68.4%, specificity 71.1%) in short-axis diameter and 29.50 HU (sensitivity 65.8%, specificity 65

  11. Improved Scatter Correction in X-Ray Cone Beam CT with Moving Beam Stop Array Using Johns' Equation

    CERN Document Server

    Yan, Hao; Tang, Shaojie; Xu, Qiong

    2014-01-01

    In this paper, an improved scatter correction with moving beam stop array (BSA) for x-ray cone beam (CB) CT is proposed. Firstly, correlation between neighboring CB views is deduced based on John's Equation. Then, correlation-based algorithm is presented to complement the incomplete views by using the redundancy (over-determined information) in CB projections. Finally, combining the algorithm with scatter correction method using moving BSA, where part of primary radiation is blocked and incomplete projections are acquired, an improved correction method is proposed. Effectiveness and robustness is validated by Monte Carlo (MC) simulation with EGSnrc on humanoid phantom.

  12. 锥形束 CT 在正畸牙颌模型分析中的应用%Application of cone beam CT in orthodontic model analysis

    Institute of Scientific and Technical Information of China (English)

    李娜; 宋锦瞞; 李丽华; 宴燕; 陈定根

    2016-01-01

    Objective:To discuss the accuracy of Cone Beam CT in the measurement of dental and jaw model.Methods:30 dental casts were fetched from orthodontic patients with malocclusion deformity in preliminary diagnosis.The plaster models were de-manded to see the teeth and their adjacent teeth clearly.Then all the models were scanned by cone beam CT to reformat the three-di-mensional images.The results of the 3D image were measured and compared with the results from the conventional Manual measure-ment.Results:There was no statistical difference between two methods(P >0.05).The CCC of CBCT measurement and manual meas-urement are in good consistency between 0.883 and 0.999.Conclusion:The 3D digital model of CBCT can be viewed to distinguish point,nest and edge ridge clearly,which can help the operator to identify reliable points.And in a certain degree,it can replace the traditional manual measurement.However,the radiation resistance of the gypsum and the thickness of plaster model may have an effect on the digital imaging.Further research is needed.%目的:探讨锥形束 CT(cone beam CT,CBCT)数字化牙颌模型测量的精确性。方法:对30例正畸初诊患者制取上下颌牙颌阴模一副灌制成阳模,制做成研究模型。对完成的石膏模型要求牙齿完整,牙列清晰,并用锥形束 CT 将所有石膏模型进行扫描,重建石膏模型三维图形,对数字化牙颌模型进行测量,将其结果与传统手工测量结果进行比较。采用配对 t 检验,计算一致性相关系数(concordance correlation coefficient,CCC)及绘制散点图来评价两种方法的一致性。结果:两种测量方法的数据无统计学意义(P >0.05),CBCT 测量和手工测量的 CCC 在0.883~0.999之间一致性均非常好。结论:CBCT 三维重建所得的数字化模型清晰,能分辨出明确的尖、窝和边缘嵴,使操作者的辨认选点可靠。在一定程度上可取代传统手工测量,但

  13. Performance evaluation of the backprojection filtered (BPF) algorithm in circular fan-beam and cone-beam CT

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    In this article we introduce an exact backprojecfion filtered (BPF) type reconstruction algorithm for cone-beam scans based on Zou and Pan's work. The algorithm can reconstruct images using only the projection data passing through the parallel PI-line segments in reduced scans. Computer simulations and practical experiments are carried out to evaluate this algorithm. The BPF algorithm has a higher computational efficiency than the famous FDK algorithm. The BPF algorithm is evaluated using the practical CT projection data on a 450 keV X-ray CT system with a flat-panel detector (FPD). From the practical experiments, we get the spatial resolution of this CT system. The algorithm could achieve the spatial resolution of 2.4 lp/mm and satisfies the practical applications in industrial CT inspection.

  14. Evaluation of patient dose using a virtual CT scanner: Applications to 4DCT simulation and Kilovoltage cone-beam imaging

    Science.gov (United States)

    DeMarco, J. J.; McNitt-Gray, M. F.; Cagnon, C. H.; Angel, E.; Agazaryan, N.; Zankl, M.

    2008-02-01

    This work evaluates the effects of patient size on radiation dose from simulation imaging studies such as four-dimensional computed tomography (4DCT) and kilovoltage cone-beam computed tomography (kV-CBCT). 4DCT studies are scans that include temporal information, frequently incorporating highly over-sampled imaging series necessary for retrospective sorting as a function of respiratory phase. This type of imaging study can result in a significant dose increase to the patient due to the slower table speed as compared with a conventional axial or helical scan protocol. Kilovoltage cone-beam imaging is a relatively new imaging technique that requires an on-board kilovoltage x-ray tube and a flat-panel detector. Instead of porting individual reference fields, the kV tube and flat-panel detector are rotated about the patient producing a cone-beam CT data set (kV-CBCT). To perform these investigations, we used Monte Carlo simulation methods with detailed models of adult patients and virtual source models of multidetector computed tomography (MDCT) scanners. The GSF family of three-dimensional, voxelized patient models, were implemented as input files using the Monte Carlo code MCNPX. The adult patient models represent a range of patient sizes and have all radiosensitive organs previously identified and segmented. Simulated 4DCT scans of each voxelized patient model were performed using a multi-detector CT source model that includes scanner specific spectra, bow-tie filtration, and helical source path. Standard MCNPX tally functions were applied to each model to estimate absolute organ dose based upon an air-kerma normalization measurement for nominal scanner operating parameters.

  15. Physical performance and image optimization of megavoltage cone-beam CT

    Energy Technology Data Exchange (ETDEWEB)

    Morin, Olivier; Aubry, Jean-Francois; Aubin, Michele; Chen, Josephine; Descovich, Martina; Hashemi, Ali-Bani; Pouliot, Jean [Department of Radiation Oncology, Helen Diller Comprehensive Cancer Center, University of California San Francisco, San Francisco, California 94143 and UCSF/UC Berkeley Joint Graduate Group in Bioengineering, San Francisco, California 94158 (United States); Department of Radiation Oncology, Helen Diller Comprehensive Cancer Center, University of California San Francisco, San Francisco, California 94143 (United States); Siemens Oncology Care Systems, Concord, California 94520 (United States); Department of Radiation Oncology, Helen Diller Comprehensive Cancer Center, University of California San Francisco, San Francisco, California 94143 and UCSF/UC Berkeley Joint Graduate Group in Bioengineering, San Francisco, California 94158 (United States)

    2009-04-15

    Megavoltage cone-beam CT (MVCBCT) is the most recent addition to the in-room CT systems developed for image-guided radiation therapy. The first generation MVCBCT system consists of a 6 MV treatment x-ray beam produced by a conventional linear accelerator equipped with a flat panel amorphous silicon detector. The objective of this study was to evaluate the physical performance of MVCBCT in order to optimize the system acquisition and reconstruction parameters for image quality. MVCBCT acquisitions were performed with the clinical system but images were reconstructed and analyzed with a separate research workstation. The geometrical stability and the positioning accuracy of the system were evaluated by comparing geometrical calibrations routinely performed over a period of 12 months. The beam output and detector intensity stability during MVCBCT acquisition were also evaluated by analyzing in-air acquisitions acquired at different exposure levels. Several system parameters were varied to quantify their impact on image quality including the exposure (2.7, 4.5, 9.0, 18.0, and 54.0 MU), the craniocaudal imaging length (2, 5, 15, and 27.4 cm), the voxel size (0.5, 1, and 2 mm), the slice thickness (1, 3, and 5 mm), and the phantom size. For the reconstruction algorithm, the study investigated the effect of binning, averaging and diffusion filtering of raw projections as well as three different projection filters. A head-sized water cylinder was used to measure and improve the uniformity of MVCBCT images. Inserts of different electron densities were placed in a water cylinder to measure the contrast-to-noise ratio (CNR). The spatial resolution was obtained by measuring the point-spread function of the system using an iterative edge blurring technique. Our results showed that the geometric stability and accuracy of MVCBCT were better than 1 mm over a period of 12 months. Beam intensity variations per projection of up to 35.4% were observed for a 2.7 MU MVCBCT acquisition

  16. An Approximate Cone Beam Reconstruction Algorithm for Gantry-Tilted CT Using Tangential Filtering

    Directory of Open Access Journals (Sweden)

    Ming Yan

    2006-01-01

    Full Text Available FDK algorithm is a well-known 3D (three-dimensional approximate algorithm for CT (computed tomography image reconstruction and is also known to suffer from considerable artifacts when the scanning cone angle is large. Recently, it has been improved by performing the ramp filtering along the tangential direction of the X-ray source helix for dealing with the large cone angle problem. In this paper, we present an FDK-type approximate reconstruction algorithm for gantry-tilted CT imaging. The proposed method improves the image reconstruction by filtering the projection data along a proper direction which is determined by CT parameters and gantry-tilted angle. As a result, the proposed algorithm for gantry-tilted CT reconstruction can provide more scanning flexibilities in clinical CT scanning and is efficient in computation. The performance of the proposed algorithm is evaluated with turbell clock phantom and thorax phantom and compared with FDK algorithm and a popular 2D (two-dimensional approximate algorithm. The results show that the proposed algorithm can achieve better image quality for gantry-tilted CT image reconstruction.

  17. Fast kilovoltage/megavoltage (kVMV) breathhold cone-beam CT for image-guided radiotherapy of lung cancer

    Science.gov (United States)

    Wertz, Hansjoerg; Stsepankou, Dzmitry; Blessing, Manuel; Rossi, Michael; Knox, Chris; Brown, Kevin; Gros, Uwe; Boda-Heggemann, Judit; Walter, Cornelia; Hesser, Juergen; Lohr, Frank; Wenz, Frederik

    2010-08-01

    Long image acquisition times of 60-120 s for cone-beam CT (CBCT) limit the number of patients with lung cancer who can undergo volume image guidance under breathhold. We developed a low-dose dual-energy kilovoltage-megavoltage-cone-beam CT (kVMV-CBCT) based on a clinical treatment unit reducing imaging time to dose. Single MV-projections, reconstructed MV-CBCT images and images of simultaneous 90° kV- and 90° MV-CBCT (180° kVMV-CBCT) were acquired with different parameters. Image quality and imaging dose were evaluated and compared to kV-imaging. Hardware-based kVMV synchronization resulted in artifact-free projections. A combined 180° kVMV-CBCT scan with a total MV-dose of 5 monitor units was acquired in 15 s and with sufficient image quality. The resolution was 5-6 line pairs cm-1 (Catphan phantom). The combined kVMV-scan dose was equivalent to a kV-radiation scan dose of ~33 mGy. kVMV-CBCT based on a standard linac is promising and can provide ultra-fast online volume image guidance with low imaging dose and sufficient image quality for fast and accurate patient positioning for patients with lung cancer under breathhold.

  18. An autopsy case of otogenic intracranial abscess and meningitis with Bezold's abscess: evaluation of inflammatory bone destruction by postmortem cone-beam CT.

    Science.gov (United States)

    Kanawaku, Yoshimasa; Yanase, Takeshi; Hayashi, Kino; Harada, Kazuki; Kanetake, Jun; Fukunaga, Tatsushige

    2013-11-01

    The deceased was an unidentified young male found unconscious on a walkway. On autopsy, outer and inner fistulae of the left temporal bone, subcutaneous abscess in the left side of the neck and head, and an intracranial abscess were noted. A portion of the left temporal bone was removed and scanned by cone-beam computed tomography (CT) (normally used for dentistry applications) to evaluate the lesion. The cone-beam CT image revealed roughening of the bone wall and hypolucency of the mastoid air cells, consistent with an inflammatory bone lesion. According to autopsy and imaging findings, the cause of death was diagnosed as intracranial abscess with Bezold's abscess secondary to left mastoiditis as a complication of otitis media. Although determining the histopathology of bone specimens is time-consuming and costly work, we believe that use of cone-beam CT for hard tissue specimens can be useful in forensic practice.

  19. Four-dimensional cone beam CT reconstruction and enhancement using a temporal nonlocal means method

    Energy Technology Data Exchange (ETDEWEB)

    Jia Xun; Tian Zhen; Lou Yifei; Sonke, Jan-Jakob; Jiang, Steve B. [Center for Advanced Radiotherapy Technologies and Department of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, California 92037 (United States); School of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, Georgia 30318 (United States); Department of Radiation Oncology, Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Plesmanlaan 121, 1066 CX Amsterdam (Netherlands); Center for Advanced Radiotherapy Technologies and Department of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, California 92037 (United States)

    2012-09-15

    Purpose: Four-dimensional cone beam computed tomography (4D-CBCT) has been developed to provide respiratory phase-resolved volumetric imaging in image guided radiation therapy. Conventionally, it is reconstructed by first sorting the x-ray projections into multiple respiratory phase bins according to a breathing signal extracted either from the projection images or some external surrogates, and then reconstructing a 3D CBCT image in each phase bin independently using FDK algorithm. This method requires adequate number of projections for each phase, which can be achieved using a low gantry rotation or multiple gantry rotations. Inadequate number of projections in each phase bin results in low quality 4D-CBCT images with obvious streaking artifacts. 4D-CBCT images at different breathing phases share a lot of redundant information, because they represent the same anatomy captured at slightly different temporal points. Taking this redundancy along the temporal dimension into account can in principle facilitate the reconstruction in the situation of inadequate number of projection images. In this work, the authors propose two novel 4D-CBCT algorithms: an iterative reconstruction algorithm and an enhancement algorithm, utilizing a temporal nonlocal means (TNLM) method. Methods: The authors define a TNLM energy term for a given set of 4D-CBCT images. Minimization of this term favors those 4D-CBCT images such that any anatomical features at one spatial point at one phase can be found in a nearby spatial point at neighboring phases. 4D-CBCT reconstruction is achieved by minimizing a total energy containing a data fidelity term and the TNLM energy term. As for the image enhancement, 4D-CBCT images generated by the FDK algorithm are enhanced by minimizing the TNLM function while keeping the enhanced images close to the FDK results. A forward-backward splitting algorithm and a Gauss-Jacobi iteration method are employed to solve the problems. The algorithms implementation on

  20. Radiobiologically optimized couch shift: A new localization paradigm using cone-beam CT for prostate radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Huang, Yimei, E-mail: yhuang2@hfhs.org; Gardner, Stephen J.; Wen, Ning; Zhao, Bo; Gordon, James; Brown, Stephen; Chetty, Indrin J. [Department of Radiation Oncology, Henry Ford Health System, 2799 W Grand Boulevard, Detroit, Michigan 48202 (United States)

    2015-10-15

    Purpose: To present a novel positioning strategy which optimizes radiation delivery by utilizing radiobiological response knowledge and evaluate its use during prostate external beam radiotherapy. Methods: Five patients with low or intermediate risk prostate cancer were evaluated retrospectively in this IRB-approved study. For each patient, a VMAT plan with one 358° arc was generated on the planning CT (PCT) to deliver 78 Gy in 39 fractions. Five representative pretreatment cone beam CTs (CBCT) were selected for each patient. The CBCT images were registered to PCT by a human observer, which consisted of an initial automated registration with three degrees-of-freedom, followed by manual adjustment for agreement at the prostate/rectal wall interface. To determine the optimal treatment position for each CBCT, a search was performed centering on the observer-matched position (OM-position) utilizing a score function based on radiobiological and dosimetric indices (EUD{sub prostate}, D99{sub prostate}, NTCP{sub rectum}, and NTCP{sub bladder}) for the prostate, rectum, and bladder. We termed the optimal treatment position the radiobiologically optimized couch shift position (ROCS-position). Results: The dosimetric indices, averaged over the five patients’ treatment plans, were (mean ± SD) 79.5 ± 0.3 Gy (EUD{sub prostate}), 78.2 ± 0.4 Gy (D99{sub prostate}), 11.1% ± 2.7% (NTCP{sub rectum}), and 46.9% ± 7.6% (NTCP{sub bladder}). The corresponding values from CBCT at the OM-positions were 79.5 ± 0.6 Gy (EUD{sub prostate}), 77.8 ± 0.7 Gy (D99{sub prostate}), 12.1% ± 5.6% (NTCP{sub rectum}), and 51.6% ± 15.2% (NTCP{sub bladder}), respectively. In comparison, from CBCT at the ROCS-positions, the dosimetric indices were 79.5 ± 0.6 Gy (EUD{sub prostate}), 77.3 ± 0.6 Gy (D99{sub prostate}), 8.0% ± 3.3% (NTCP{sub rectum}), and 46.9% ± 15.7% (NTCP{sub bladder}). Excessive NTCP{sub rectum} was observed on Patient 5 (19.5% ± 6.6%) corresponding to localization at OM

  1. A statistical approach to motion compensated cone-beam

    DEFF Research Database (Denmark)

    Lyksborg, Mark; Hansen, Mads Fogtmann; Larsen, Rasmus

    One of the problems arising in radiotherapy planning is the quality of CT planning data. In the following attention is giving to the cone-beam scanning geometry where reconstruction of a 3D volume based on 2D projections, using the classic Feldkamp-Davis-Kress (FDK) algorithm requires a large...

  2. Increasing Cone-beam projection usage by temporal fitting

    DEFF Research Database (Denmark)

    Lyksborg, Mark; Hansen, Mads Fogtmann; Larsen, Rasmus

    2010-01-01

    A Cone-beam CT system can be used to image the lung region. The system records 2D projections which will allow 3D reconstruction however a reconstruction based on all projections will lead to a blurred reconstruction in regions were respiratory motion occur. To avoid this the projections are typi...

  3. A Statistical Approach to Motion Compensated Cone Beam Reconstruction

    DEFF Research Database (Denmark)

    Lyksborg, Mark; Hansen, Mads Fogtmann; Larsen, Rasmus

    2010-01-01

    One of the problems arising in radiotherapy planning is the quality of CT planning data. In the following attention is giving to the cone-beam scanning geometry where reconstruction of a 3D volume based on 2D projections, using the classic Feldkamp-Davis-Kress (FDK) algorithm requires a large...

  4. A service for monitoring the quality of intraoperative cone beam CT images

    Directory of Open Access Journals (Sweden)

    Heckel Frank

    2016-09-01

    Full Text Available In recent years, operating rooms (ORs have transformed into integrated operating rooms, where devices are able to communicate, exchange data, or even steer and control each other. However, image data processing is commonly done by dedicated workstations for specific clinical use-cases. In this paper, we propose a concept for a dynamic service component for image data processing on the example of automatic image quality assessment (AQUA of intraoperative cone beam computed tomography (CBCT images. The service is build using the Open Surgical Communication Protocol (OSCP and the standard for Digital Imaging and Communications in Medicine (DICOM. We have validated the proposed concept in an integrated demonstrator OR.

  5. A three-dimensional weighted cone beam filtered backprojection (CB-FBP) algorithm for image reconstruction in volumetric CT under a circular source trajectory

    Science.gov (United States)

    Tang, Xiangyang; Hsieh, Jiang; Hagiwara, Akira; Nilsen, Roy A.; Thibault, Jean-Baptiste; Drapkin, Evgeny

    2005-08-01

    The original FDK algorithm proposed for cone beam (CB) image reconstruction under a circular source trajectory has been extensively employed in medical and industrial imaging applications. With increasing cone angle, CB artefacts in images reconstructed by the original FDK algorithm deteriorate, since the circular trajectory does not satisfy the so-called data sufficiency condition (DSC). A few 'circular plus' trajectories have been proposed in the past to help the original FDK algorithm to reduce CB artefacts by meeting the DSC. However, the circular trajectory has distinct advantages over other scanning trajectories in practical CT imaging, such as head imaging, breast imaging, cardiac, vascular and perfusion applications. In addition to looking into the DSC, another insight into the CB artefacts existing in the original FDK algorithm is the inconsistency between conjugate rays that are 180° apart in view angle (namely conjugate ray inconsistency). The conjugate ray inconsistency is pixel dependent, varying dramatically over pixels within the image plane to be reconstructed. However, the original FDK algorithm treats all conjugate rays equally, resulting in CB artefacts that can be avoided if appropriate weighting strategies are exercised. Along with an experimental evaluation and verification, a three-dimensional (3D) weighted axial cone beam filtered backprojection (CB-FBP) algorithm is proposed in this paper for image reconstruction in volumetric CT under a circular source trajectory. Without extra trajectories supplemental to the circular trajectory, the proposed algorithm applies 3D weighting on projection data before 3D backprojection to reduce conjugate ray inconsistency by suppressing the contribution from one of the conjugate rays with a larger cone angle. Furthermore, the 3D weighting is dependent on the distance between the reconstruction plane and the central plane determined by the circular trajectory. The proposed 3D weighted axial CB-FBP algorithm

  6. A dedicated cone-beam CT system for musculoskeletal extremities imaging: Design, optimization, and initial performance characterization

    Energy Technology Data Exchange (ETDEWEB)

    Zbijewski, W.; De Jean, P.; Prakash, P.; Ding, Y.; Stayman, J. W.; Packard, N.; Senn, R.; Yang, D.; Yorkston, J.; Machado, A.; Carrino, J. A.; Siewerdsen, J. H. [Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland 21205 (United States); Carestream Health, Rochester, New York 14615 (United States); The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University, Baltimore, Maryland 21287 (United States); Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland 21205 (United States)

    2011-08-15

    Purpose: This paper reports on the design and initial imaging performance of a dedicated cone-beam CT (CBCT) system for musculoskeletal (MSK) extremities. The system complements conventional CT and MR and offers a variety of potential clinical and logistical advantages that are likely to be of benefit to diagnosis, treatment planning, and assessment of therapy response in MSK radiology, orthopaedic surgery, and rheumatology. Methods: The scanner design incorporated a host of clinical requirements (e.g., ability to scan the weight-bearing knee in a natural stance) and was guided by theoretical and experimental analysis of image quality and dose. Such criteria identified the following basic scanner components and system configuration: a flat-panel detector (FPD, Varian 3030+, 0.194 mm pixels); and a low-power, fixed anode x-ray source with 0.5 mm focal spot (SourceRay XRS-125-7K-P, 0.875 kW) mounted on a retractable C-arm allowing for two scanning orientations with the capability for side entry, viz. a standing configuration for imaging of weight-bearing lower extremities and a sitting configuration for imaging of tensioned upper extremity and unloaded lower extremity. Theoretical modeling employed cascaded systems analysis of modulation transfer function (MTF) and detective quantum efficiency (DQE) computed as a function of system geometry, kVp and filtration, dose, source power, etc. Physical experimentation utilized an imaging bench simulating the scanner geometry for verification of theoretical results and investigation of other factors, such as antiscatter grid selection and 3D image quality in phantom and cadaver, including qualitative comparison to conventional CT. Results: Theoretical modeling and benchtop experimentation confirmed the basic suitability of the FPD and x-ray source mentioned above. Clinical requirements combined with analysis of MTF and DQE yielded the following system geometry: a {approx}55 cm source-to-detector distance; 1.3 magnification; a

  7. Investigation of the accuracy of MV radiation isocentre calculations in the Elekta cone-beam CT software XVI

    DEFF Research Database (Denmark)

    Zimmermann, S. J.; Rowshanfarzad, P.; Ebert, M. A.

    2015-01-01

    ) and the radiation field centre (RFC) is calculated. A software package was developed for accurate calculation of the linac isocentre position. This requires precise determination of the position of the ball bearing and the RFC. Results: Data were acquired for 6 MV, 18 MV and flattening filter free (FFF) 6 MV FFF...... radiation isocentre prior to routine use of the cone-beam CT system. The isocentre determination method used in the XVI software is not available to users. The aim of this work is to perform an independent evaluation of the Elekta XVI 4.5 software for isocentre verification with focus on the robustness...... iView GT software. Two images were acquired at each cardinal gantry angle (-180o, -90o , 0o, 90o) at two opposing collimator angles. The images were exported to the conebeam CT software XVI 4.5 where the difference between the ball bearing position in the XYZ-room coordinates (IEC61217...

  8. SU-E-J-92: On-Line Cone Beam CT Based Planning for Emergency and Palliative Radiation Therapy

    Energy Technology Data Exchange (ETDEWEB)

    Held, M; Morin, O; Pouliot, J [UC San Francisco, San Francisco, CA (United States)

    2014-06-01

    Purpose: To evaluate and develop the feasibility of on-line cone beam CT based planning for emergency and palliative radiotherapy treatments. Methods: Subsequent to phantom studies, a case library of 28 clinical megavoltage cone beam CT (MVCBCT) was built to assess dose-planning accuracies on MVCBCT for all anatomical sites. A simple emergency treatment plan was created on the MVCBCT and copied to its reference CT. The agreement between the dose distributions of each image pair was evaluated by the mean dose difference of the dose volume and the gamma index of the central 2D axial plane. An array of popular urgent and palliative cases was also evaluated for imaging component clearance and field-of-view. Results: The treatment cases were categorized into four groups (head and neck, thorax/spine, pelvis and extremities). Dose distributions for head and neck treatments were predicted accurately in all cases with a gamma index of >95% for 2% and 2 mm criteria. Thoracic spine treatments had a gamma index as low as 60% indicating a need for better uniformity correction and tissue density calibration. Small anatomy changes between CT and MVCBCT could contribute to local errors. Pelvis and sacral spine treatment cases had a gamma index between 90% and 98% for 3%/3 mm criteria. The limited FOV became an issue for large pelvis patients. Imaging clearance was difficult for cases where the tumor was positioned far off midline. Conclusion: The MVCBCT based dose planning and delivery approach is feasible in many treatment cases. Dose distributions for head and neck patients are unrestrictedly predictable. Some FOV restrictions apply to other treatment sites. Lung tissue is most challenging for accurate dose calculations given the current imaging filters and corrections. Additional clinical cases for extremities need to be included in the study to assess the full range of site-specific planning accuracies. This work is supported by Siemens.

  9. Augmented reality and cone beam CT guidance for transoral robotic surgery.

    Science.gov (United States)

    Liu, Wen P; Richmon, Jeremy D; Sorger, Jonathan M; Azizian, Mahdi; Taylor, Russell H

    2015-09-01

    In transoral robotic surgery preoperative image data do not reflect large deformations of the operative workspace from perioperative setup. To address this challenge, in this study we explore image guidance with cone beam computed tomographic angiography to guide the dissection of critical vascular landmarks and resection of base-of-tongue neoplasms with adequate margins for transoral robotic surgery. We identify critical vascular landmarks from perioperative c-arm imaging to augment the stereoscopic view of a da Vinci si robot in addition to incorporating visual feedback from relative tool positions. Experiments resecting base-of-tongue mock tumors were conducted on a series of ex vivo and in vivo animal models comparing the proposed workflow for video augmentation to standard non-augmented practice and alternative, fluoroscopy-based image guidance. Accurate identification of registered augmented critical anatomy during controlled arterial dissection and en bloc mock tumor resection was possible with the augmented reality system. The proposed image-guided robotic system also achieved improved resection ratios of mock tumor margins (1.00) when compared to control scenarios (0.0) and alternative methods of image guidance (0.58). The experimental results show the feasibility of the proposed workflow and advantages of cone beam computed tomography image guidance through video augmentation of the primary stereo endoscopy as compared to control and alternative navigation methods.

  10. Robust scatter correction method for cone-beam CT using an interlacing-slit plate

    CERN Document Server

    Huang, Kuidong; Zhang, Dinghua; Zhang, Hua; Shi, Wenlong

    2015-01-01

    Cone-beam computed tomography (CBCT) has been widely used in medical imaging and industrial nondestructive testing, but the presence of scattered radiation will cause significant reduction of image quality. In this article, a robust scatter correction method for CBCT using an interlacing-slit plate (ISP) is carried out for convenient practice. Firstly, a Gaussian filtering method is proposed to compensate the missing data of the inner scatter image, and simultaneously avoid too-large values of calculated inner scatter and smooth the inner scatter field. Secondly, an interlacing-slit scan without detector gain correction is carried out to enhance the practicality and convenience of the scatter correction method. Finally, a denoising step for scatter-corrected projection images is added in the process flow to control the noise amplification. The experimental results show that the improved method can not only make the scatter correction more robust and convenient, but also achieve a good quality of scatter-corre...

  11. Artefacts in Cone Beam CT Mimicking an Extrapalatal Canal of Root-Filled Maxillary Molar.

    Science.gov (United States)

    Camilo, Carla Cristina; Brito-Júnior, Manoel; Faria-E-Silva, André Luis; Quintino, Alex Carvalho; de Paula, Adrianne Freire; Cruz-Filho, Antônio Miranda; Sousa-Neto, Manoel Damião

    2013-01-01

    Despite the advantages of cone-beam computed tomography (CBCT), the images provided by this diagnostic tool can produce artifacts and compromise accurate diagnostic assessment. This paper describes an endodontic treatment of a maxillary molar where CBCT images suggested the presence of a nonexistent third root canal in the palatal root. An endodontic treatment was performed in a first maxillary molar with palatal canals, and the tooth was restored with a cast metal crown. The patient returned four years later presenting with a discomfort in chewing, which was reduced after occlusal adjustment. CBCT was prescribed to verify additional diagnostic information. Axial scans on coronal, middle, and apical palatal root sections showed images similar to a third root canal. However, sagittal scans demonstrated that these images were artifacts caused by root canal fillings. A careful interpretation of CBCT images in root-filled teeth must be done to avoid mistakes in treatment.

  12. In-treatment 4D cone-beam CT with image-based respiratory phase recognition.

    Science.gov (United States)

    Kida, Satoshi; Masutani, Yoshitaka; Yamashita, Hideomi; Imae, Toshikazu; Matsuura, Taeko; Saotome, Naoya; Ohtomo, Kuni; Nakagawa, Keiichi; Haga, Akihiro

    2012-07-01

    The use of respiration-correlated cone-beam computed tomography (4D-CBCT) appears to be crucial for implementing precise radiation therapy of lung cancer patients. The reconstruction of 4D-CBCT images requires a respiratory phase. In this paper, we propose a novel method based on an image-based phase recognition technique using normalized cross correlation (NCC). We constructed the respiratory phase by searching for a region in an adjacent projection that achieves the maximum correlation with a region in a reference projection along the cranio-caudal direction. The data on 12 lung cancer patients acquired just prior to treatment and on 3 lung cancer patients acquired during volumetric modulated arc therapy treatment were analyzed in the search for the effective area of cone-beam projection images for performing NCC with 12 combinations of registration area and segment size. The evaluation was done by a "recognition rate" defined as the ratio of the number of peak inhales detected with our method to that detected by eye (manual tracking). The average recognition rate of peak inhale with the most efficient area in the present method was 96.4%. The present method was feasible even when the diaphragm was outside the field of view. With the most efficient area, we reconstructed in-treatment 4D-CBCT by dividing the breathing signal into four phase bins; peak exhale, peak inhale, and two intermediate phases. With in-treatment 4D-CBCT images, it was possible to identify the tumor position and the tumor size in moments of inspiration and expiration, in contrast to in-treatment CBCT reconstructed with all projections.

  13. CBCT在口腔正畸领域的应用%The Applications of Cone Beam CT in Orthodontics

    Institute of Scientific and Technical Information of China (English)

    牛茜楠; 冯雪

    2012-01-01

    The comprehensive use of cone beam CT in orthodontics is reviewed in this article, such as mini-implant, impacted teeth, TMJ, and airway volume. At the meantime, the advantages of CBCT are discussed, compared with traditional 2-dimensional image technology.%CBCT作为一种新兴辅助诊断技术,近年来广泛应用于口腔领域,本文对CBCT在口腔正畸学领域的多方面应用进行了综合阐述,包括微种植钉、阻生牙、颞下颌关节、气道和软组织分析等,同时通过与传统影像技术的对比,进一步展示了CBCT的独特优势.

  14. Investigation of the accuracy of MV radiation isocentre calculations in the Elekta cone-beam CT software XVI

    DEFF Research Database (Denmark)

    Lynggaard Riis, Hans; Moltke, Lars N; Zimmermann, S. J.

    2016-01-01

    at cardinal angles of the gantry using the electronic portal imaging device (EPID). Eight Elekta linacs with three different types of multileaf collimators (MLCs) were included in the test. The influence of MLC orientation, x-ray energy, and phantom modifications were examined. The acquired images were......Accurate determination of the megavoltage (MV) radiation isocentre of a linear accelerator (linac) is an important task in radiotherapy. The localization of the MV radiation isocentre is crucial for correct calibration of the in-room lasers and the cone-beam CT scanner used for patient positioning...... analysed using the Elekta x-ray volume imaging (XVI) software and in-house developed (IHD) MATLAB code. Results from the two different software were compared. A discrepancy in the longitudinal direction of the isocentre localization was found averaging 0.23 mm up to a maximum of 0.75 mm. The MLC...

  15. Cone beam breast CT with a high pitch (75 μm), thick (500 μm) scintillator CMOS flat panel detector: Visibility of simulated microcalcifications

    OpenAIRE

    2013-01-01

    Purpose: To measure and investigate the improvement of microcalcification (MC) visibility in cone beam breast CT with a high pitch (75 μm), thick (500 μm) scintillator CMOS/CsI flat panel detector (Dexela 2923, Perkin Elmer).

  16. Accurate IMRT fluence verification for prostate cancer patients using 'in-vivo' measured EPID images and in-room acquired kilovoltage cone-beam CT scans

    NARCIS (Netherlands)

    A.S.A.M. Ali (Ali Sid Ahmed M.); M.L.P. Dirkx (Maarten); R.M. Cools (Ruud); B.J.M. Heijmen (Ben)

    2013-01-01

    textabstractBackground: To investigate for prostate cancer patients the comparison of 'in-vivo' measured portal dose images (PDIs) with predictions based on a kilovoltage cone-beam CT scan (CBCT), acquired during the same treatment fraction, as an alternative for pre-treatment verification. For eval

  17. SU-D-207-01: Markerless Respiratory Motion Tracking with Contrast Enhanced Thoracic Cone Beam CT Projections

    Energy Technology Data Exchange (ETDEWEB)

    Chao, M; Yuan, Y; Rosenzweig, K; Lo, Y [The Mount Sinai Medical Center, New York, NY (United States); Brousmiche, S [Ion Beam Application, Louvain-la-neuve (Belgium)

    2015-06-15

    Purpose: To develop a novel technique to enhance the image contrast of clinical cone beam CT projections and extract respiratory signals based on anatomical motion using the modified Amsterdam Shroud (AS) method to benefit image guided radiation therapy. Methods: Thoracic cone beam CT projections acquired prior to treatment were preprocessed to increase their contrast for better respiratory signal extraction. Air intensity on raw images was firstly estimated and then applied to correct the projections to generate new attenuation images that were subsequently improved with deeper anatomy feature enhancement through taking logarithm operation, derivative along superior-inferior direction, respectively. All pixels on individual post-processed two dimensional images were horizontally summed to one column and all projections were combined side by side to create an AS image from which patient’s respiratory signal was extracted. The impact of gantry rotation on the breathing signal rendering was also investigated. Ten projection image sets from five lung cancer patients acquired with the Varian Onboard Imager on 21iX Clinac (Varian Medical Systems, Palo Alto, CA) were employed to assess the proposed technique. Results: Application of the air correction on raw projections showed that more than an order of magnitude of contrast enhancement was achievable. The typical contrast on the raw projections is around 0.02 while that on attenuation images could greater than 0.5. Clear and stable breathing signal can be reliably extracted from the new images while the uncorrected projection sets failed to yield clear signals most of the time. Conclusion: Anatomy feature plays a key role in yielding breathing signal from the projection images using the AS technique. The air correction process facilitated the contrast enhancement significantly and attenuation images thus obtained provides a practical solution to obtaining markerless breathing motion tracking.

  18. Fast kilovoltage/megavoltage (kVMV) breathhold cone-beam CT for image-guided radiotherapy of lung cancer

    Energy Technology Data Exchange (ETDEWEB)

    Wertz, Hansjoerg; Stsepankou, Dzmitry; Blessing, Manuel; Boda-Heggemann, Judit; Hesser, Juergen; Lohr, Frank; Wenz, Frederik [Department of Radiation Oncology, University Medical Center Mannheim, University of Heidelberg, Mannheim (Germany); Rossi, Michael; Gros, Uwe [Elekta Ltd, Hamburg (Germany); Knox, Chris; Brown, Kevin [Elekta Ltd, Crawley (United Kingdom); Walter, Cornelia, E-mail: hansjoerg.wertz@umm.d [Department of Radiation Oncology, Marienhospital Stuttgart (Germany)

    2010-08-07

    Long image acquisition times of 60-120 s for cone-beam CT (CBCT) limit the number of patients with lung cancer who can undergo volume image guidance under breathhold. We developed a low-dose dual-energy kilovoltage-megavoltage-cone-beam CT (kVMV-CBCT) based on a clinical treatment unit reducing imaging time to {<=}15 s. Simultaneous kVMV-imaging was achieved by dedicated synchronization hardware controlling the output of the linear accelerator (linac) based on detector panel readout signals, preventing imaging artifacts from interference of the linac's MV-irradiation and panel readouts. Optimization was performed to minimize the imaging dose. Single MV-projections, reconstructed MV-CBCT images and images of simultaneous 90{sup 0} kV- and 90{sup 0} MV-CBCT (180{sup 0} kVMV-CBCT) were acquired with different parameters. Image quality and imaging dose were evaluated and compared to kV-imaging. Hardware-based kVMV synchronization resulted in artifact-free projections. A combined 180{sup 0} kVMV-CBCT scan with a total MV-dose of 5 monitor units was acquired in 15 s and with sufficient image quality. The resolution was 5-6 line pairs cm{sup -1} (Catphan phantom). The combined kVMV-scan dose was equivalent to a kV-radiation scan dose of {approx}33 mGy. kVMV-CBCT based on a standard linac is promising and can provide ultra-fast online volume image guidance with low imaging dose and sufficient image quality for fast and accurate patient positioning for patients with lung cancer under breathhold.

  19. Hounsfield unit recovery in clinical cone beam CT images of the thorax acquired for image guided radiation therapy

    Science.gov (United States)

    Slot Thing, Rune; Bernchou, Uffe; Mainegra-Hing, Ernesto; Hansen, Olfred; Brink, Carsten

    2016-08-01

    A comprehensive artefact correction method for clinical cone beam CT (CBCT) images acquired for image guided radiation therapy (IGRT) on a commercial system is presented. The method is demonstrated to reduce artefacts and recover CT-like Hounsfield units (HU) in reconstructed CBCT images of five lung cancer patients. Projection image based artefact corrections of image lag, detector scatter, body scatter and beam hardening are described and applied to CBCT images of five lung cancer patients. Image quality is evaluated through visual appearance of the reconstructed images, HU-correspondence with the planning CT images, and total volume HU error. Artefacts are reduced and CT-like HUs are recovered in the artefact corrected CBCT images. Visual inspection confirms that artefacts are indeed suppressed by the proposed method, and the HU root mean square difference between reconstructed CBCTs and the reference CT images are reduced by 31% when using the artefact corrections compared to the standard clinical CBCT reconstruction. A versatile artefact correction method for clinical CBCT images acquired for IGRT has been developed. HU values are recovered in the corrected CBCT images. The proposed method relies on post processing of clinical projection images, and does not require patient specific optimisation. It is thus a powerful tool for image quality improvement of large numbers of CBCT images.

  20. Assessment of bone segmentation quality of cone-beam CT versus multislice spiral CT: a pilot study.

    NARCIS (Netherlands)

    Loubele, M.; Maes, F.; Schutyser, F.A.C.; Marchal, G.; Jacobs, R.; Suetens, P.

    2006-01-01

    OBJECTIVES: The objective of this study was to quantitatively assess the quality of jawbone models generated from cone beam computed tomography (CBCT) by comparison with similar models obtained from multislice spiral computed tomography (MSCT). MATERIAL AND METHODS: Three case studies were performed

  1. 锥形束CT在埋伏牙拔除中的临床应用%Clinical use of cone beam CT in extraction of impacted tooth

    Institute of Scientific and Technical Information of China (English)

    陈井鑫; 邓伟; 王鸿; 符良斌; 甘成文

    2012-01-01

    目的:评价锥形束CT (CBCT)在颌骨埋伏牙诊断和治疗中的临床价值.方法:对常规口腔全景片和咬合片不能清楚定位的埋伏牙20例患者进行锥形束CT扫描获得高分辨率影像,并使用专用软件“i-View”进行任意断面的观察.结果:本组共23颗埋伏牙被精确定位,并根据“i-View”软件分析最佳手术入路后均顺利拔除埋伏牙.结论:锥形束CT是检查埋伏牙准确有效的方法,在埋伏牙拔除的方案制定中有重要的指导价值.%Objective To investigate the value of diagnosisand treatment of the impacted teeth in jaw bones by Cone-beam CT. Methods Cone-beam CT was applied to localize impacted teeth in jaw bones in 20 cases that can not be localized exactly by Oral panoramic and occlusal film.And we observeany section by"i-View"software. Results Cone-beam CT was applied tolocalizeexactly in 23 cases of impacted teeth in jaw bones. The impacted teeth in jaw bones were successfully removed. Conclusion Cone-beam CT is aneffective method to check impacted teeth. Cone-beam CT has an important guiding valuein removing impacted teeth.

  2. Quantification of dental prostheses on cone-beam CT images by the Taguchi method.

    Science.gov (United States)

    Kuo, Rong-Fu; Fang, Kwang-Ming; Ty, Wong; Hu, Chia Yu

    2016-01-08

    The gray values accuracy of dental cone-beam computed tomography (CBCT) is affected by dental metal prostheses. The distortion of dental CBCT gray values could lead to inaccuracies of orthodontic and implant treatment. The aim of this study was to quantify the effect of scanning parameters and dental metal prostheses on the accuracy of dental cone-beam computed tomography (CBCT) gray values using the Taguchi method. Eight dental model casts of an upper jaw including prostheses, and a ninth prosthesis-free dental model cast, were scanned by two dental CBCT devices. The mean gray value of the selected circular regions of interest (ROIs) were measured using dental CBCT images of eight dental model casts and were compared with those measured from CBCT images of the prosthesis-free dental model cast. For each image set, four consecutive slices of gingiva were selected. The seven factors (CBCTs, occlusal plane canting, implant connection, prosthesis position, coping material, coping thickness, and types of dental restoration) were used to evaluate scanning parameter and dental prostheses effects. Statistical methods of signal to noise ratio (S/N) and analysis of variance (ANOVA) with 95% confidence were applied to quantify the effects of scanning parameters and dental prostheses on dental CBCT gray values accuracy. For ROIs surrounding dental prostheses, the accuracy of CBCT gray values were affected primarily by implant connection (42%), followed by type of restoration (29%), prostheses position (19%), coping material (4%), and coping thickness (4%). For a single crown prosthesis (without support of implants) placed in dental model casts, gray value differences for ROIs 1-9 were below 12% and gray value differences for ROIs 13-18 away from pros-theses were below 10%. We found the gray value differences set to be between 7% and 8% for regions next to a single implant-supported titanium prosthesis, and between 46% and 59% for regions between double implant

  3. A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results

    Energy Technology Data Exchange (ETDEWEB)

    Mozzo, P. [Dept. of Medical Physics, University Hospital, Verona (Italy); Procacci, C.; Tacconi, A.; Tinazzi Martini, P.; Bergamo Andreis, I.A. [Dept. of Radiology, University Hospital, Verona (Italy)

    1998-12-01

    The objective of this paper is to present a new type of volumetric CT which uses the cone-beam technique instead of traditional fan-beam technique. The machine is dedicated to the dento-maxillo-facial imaging, particularly for planning in the field of implantology. The main characteristics of the unit are presented with reference to the technical parameters as well as the software performance. Images obtained are reported as various 2D sections of a volume reconstruction. Also, measurements of the geometric accuracy and the radiation dose absorbed by the patient are obtained using specific phantoms. Absorbed dose is compared with that given off by spiral CT. Geometric accuracy, evaluated with reference to various reconstruction modalities and different spatial orientations, is 0.8-1 % for width measurements and 2.2 % for height measurements. Radiation dose absorbed during the scan shows different profiles in central and peripheral axes. As regards the maximum value of the central profile, dose from the new unit is approximately one sixth that of traditional spiral CT. The new system appears to be very promising in dento-maxillo-facial imaging and, due to the good ratio between performance and low cost, together with low radiation dose, very interesting in view of large-scale use of the CT technique in such diagnostic applications. (orig.) With 10 figs., 3 tabs., 15 refs.

  4. Breathing Motion Analysis Based on Cone Beam CT Images%基于Cone Beam CT图像的呼吸运动分析

    Institute of Scientific and Technical Information of China (English)

    白相志; 周付根

    2008-01-01

    呼吸运动是有一定规律性的运动,传统呼吸运动模型用公式描述,不能准确反映不同病人的特点或同一病人不同时期的特点,无法满足实时准确分析的需要.为此,我们提出了一种通过跟踪病人自由呼吸状态下所采集的Cone Beam CT图像序列中的横隔膜的运动来建立病人呼吸运动模型的方法.该方法建立的模型与传统的呼吸运动理论模型非常相似,证明了它是可行且有效的,同时该方法更能实时准确地反映病人的呼吸运动规律,具有很高的临床实用价值.

  5. Segmentation of large periapical lesions toward dental computer-aided diagnosis in cone-beam CT scans

    Science.gov (United States)

    Rysavy, Steven; Flores, Arturo; Enciso, Reyes; Okada, Kazunori

    2008-03-01

    This paper presents an experimental study for assessing the applicability of general-purpose 3D segmentation algorithms for analyzing dental periapical lesions in cone-beam computed tomography (CBCT) scans. In the field of Endodontics, clinical studies have been unable to determine if a periapical granuloma can heal with non-surgical methods. Addressing this issue, Simon et al. recently proposed a diagnostic technique which non-invasively classifies target lesions using CBCT. Manual segmentation exploited in their study, however, is too time consuming and unreliable for real world adoption. On the other hand, many technically advanced algorithms have been proposed to address segmentation problems in various biomedical and non-biomedical contexts, but they have not yet been applied to the field of dentistry. Presented in this paper is a novel application of such segmentation algorithms to the clinically-significant dental problem. This study evaluates three state-of-the-art graph-based algorithms: a normalized cut algorithm based on a generalized eigen-value problem, a graph cut algorithm implementing energy minimization techniques, and a random walks algorithm derived from discrete electrical potential theory. In this paper, we extend the original 2D formulation of the above algorithms to segment 3D images directly and apply the resulting algorithms to the dental CBCT images. We experimentally evaluate quality of the segmentation results for 3D CBCT images, as well as their 2D cross sections. The benefits and pitfalls of each algorithm are highlighted.

  6. Image-based compensation for involuntary motion in weight-bearing C-arm cone-beam CT scanning of knees

    Science.gov (United States)

    Unberath, Mathias; Choi, Jang-Hwan; Berger, Martin; Maier, Andreas; Fahrig, Rebecca

    2015-03-01

    We previously introduced four fiducial marker-based strategies to compensate for involuntary knee-joint motion during weight-bearing C-arm CT scanning of the lower body. 2D methods showed significant reduction of motion- related artifacts, but 3D methods worked best. However, previous methods led to increased examination times and patient discomfort caused by the marker attachment process. Moreover, sub-optimal marker placement may lead to decreased marker detectability and therefore unstable motion estimates. In order to reduce overall patient discomfort, we developed a new image-based 2D projection shifting method. A C-arm cone-beam CT system was used to acquire projection images of five healthy volunteers at various flexion angles. Projection matrices for the horizontal scanning trajectory were calibrated using the Siemens standard PDS-2 phantom. The initial reconstruction was forward projected using maximum-intensity projections (MIP), yielding an estimate of a static scan. This estimate was then used to obtain the 2D projection shifts via registration. For the scan with the most motion, the proposed method reproduced the marker-based results with a mean error of 2.90 mm +/- 1.43 mm (compared to a mean error of 4.10 mm +/- 3.03 mm in the uncorrected case). Bone contour surrounding modeling clay layer was improved. The proposed method is a first step towards automatic image-based, marker-free motion-compensation.

  7. Direct comparison of conventional radiography and cone-beam CT in small bone and joint trauma

    Energy Technology Data Exchange (ETDEWEB)

    Smet, E. de [Antwerp University Hospital, Department of Radiology, Edegem (Belgium); Praeter, G. de [Sint-Maartenziekenhuis, Department of Radiology, Duffel (Belgium); Verstraete, K.L.A. [Ghent University Hospital, Department of Radiology, Ghent (Belgium); Wouters, K. [Antwerp University Hospital, Department of Scientific Coordination and Biostatistics, Edegem (Belgium); Beuckeleer, Luc de [GZA Sint-Augustinus, Department of Radiology, Wilrijk (Belgium); Vanhoenacker, F.M.H.M. [Antwerp University Hospital, Department of Radiology, Edegem (Belgium); Sint-Maartenziekenhuis, Department of Radiology, Duffel (Belgium); Ghent University Hospital, Department of Radiology, Ghent (Belgium)

    2015-08-15

    To compare the diagnostic value of cone-beam computed tomography (CBCT) and conventional radiography (CR) after acute small bone or joint trauma. Between March 2013 and January 2014, 231 patients with recent small bone or joint trauma underwent CR and subsequent CBCT. CR and CBCT examinations were independently assessed by two readers, blinded to the result of the other modality. The total number of fractures as well as the number of complex fractures were compared, and inter- and intraobserver agreement for CBCT was calculated. In addition, radiation doses and evaluation times for both modalities were noted and statistically compared. Fracture detection on CBCT increased by 35 % and 37 % for reader 1 and reader 2, respectively, and identification of complex fractures increased by 236 % and 185 %. Interobserver agreement for CBCT was almost perfect, as was intraobserver agreement for reader 1. The intraobserver agreement for reader 2 was substantial. Radiation doses and evaluation time were significantly higher for CBCT. CBCT detects significantly more small bone and joint fractures, in particular complex fractures, than CR. In the majority of cases, the clinical implication of the additionally detected fractures is limited, but in some patients (e.g., fracture-dislocations), the management is significantly influenced by these findings. As the radiation dose for CBCT substantially exceeds that of CR, we suggest adhering to CR as the first-line examination after small bone and joint trauma and keeping CBCT for patients with clinical-radiographic discordance or suspected complex fractures in need of further (preoperative) assessment. (orig.)

  8. Determination of size-specific exposure settings in dental cone-beam CT

    Energy Technology Data Exchange (ETDEWEB)

    Pauwels, Ruben [Chulalongkorn University, Department of Radiology, Faculty of Dentistry, Patumwan, Bangkok (Thailand); University of Leuven, OMFS-IMPATH Research Group, Department of Imaging and Pathology, Biomedical Sciences Group, Leuven (Belgium); Jacobs, Reinhilde [University of Leuven, OMFS-IMPATH Research Group, Department of Imaging and Pathology, Biomedical Sciences Group, Leuven (Belgium); Bogaerts, Ria [University of Leuven, Laboratory of Experimental Radiotherapy, Department of Oncology, Biomedical Sciences Group, Leuven (Belgium); Bosmans, Hilde [University of Leuven, Medical Physics and Quality Assessment, Department of Imaging and Pathology, Biomedical Sciences Group, Leuven (Belgium); Panmekiate, Soontra [Chulalongkorn University, Department of Radiology, Faculty of Dentistry, Patumwan, Bangkok (Thailand)

    2017-01-15

    To estimate the possible reduction of tube output as a function of head size in dental cone-beam computed tomography (CBCT). A 16 cm PMMA phantom, containing a central and six peripheral columns filled with PMMA, was used to represent an average adult male head. The phantom was scanned using CBCT, with 0-6 peripheral columns having been removed in order to simulate varying head sizes. For five kV settings (70-90 kV), the mAs required to reach a predetermined image noise level was determined, and corresponding radiation doses were derived. Results were expressed as a function of head size, age, and gender, based on growth reference charts. The use of 90 kV consistently resulted in the largest relative dose reduction. A potential mAs reduction ranging from 7 % to 50 % was seen for the different simulated head sizes, showing an exponential relation between head size and mAs. An optimized exposure protocol based on head circumference or age/gender is proposed. A considerable dose reduction, through reduction of the mAs rather than the kV, is possible for small-sized patients in CBCT, including children and females. Size-specific exposure protocols should be clinically implemented. (orig.)

  9. Cone-beam CT analysis of patients with obstructive sleep apnea compared to normal controls

    Energy Technology Data Exchange (ETDEWEB)

    Buchanan, Allison; Kalathingal Sajitha; De Rossi, Scott [Dept. of Oral Health and Diagnostic Sciences, Dental College of Georgia, Augusta University, Augusta (United States); Cohen, Ruben [Park Avenue Oral and Facial Surgery, New York (United States); Loony, Stephen [Dept. of Biostatistics and Epidemiology, Augusta University Medical College of Georgia, Augusta (United States)

    2016-03-15

    To evaluate the upper airway dimensions of obstructive sleep apnea (OSA) and control subjects using a cone-beam computed tomography (CBCT) unit commonly applied in clinical practice in order to assess airway dimensions in the same fashion as that routinely employed in a clinical setting. This was a retrospective analysis utilizing existing CBCT scans to evaluate the dimensions of the upper airway in OSA and control subjects. The CBCT data of sixteen OSA and sixteen control subjects were compared. The average area, average volume, total volume, and total length of the upper airway were computed. Width and anterior-posterior (AP) measurements were obtained on the smallest axial slice. OSA subjects had a significantly smaller average airway area, average airway volume, total airway volume, and mean airway width. OSA subjects had a significantly larger airway length measurement. The mean A-P distance was not significantly different between groups. OSA subjects have a smaller upper airway compared to controls with the exception of airway length. The lack of a significant difference in the mean A-P distance may indicate that patient position during imaging (upright vs. supine) can affect this measurement. Comparison of this study with a future prospective study design will allow for validation of these results.

  10. Occurrence of maxillary sinus abnormalities detected by cone beam CT in asymptomatic patients

    Directory of Open Access Journals (Sweden)

    Rege Inara Carneiro

    2012-08-01

    Full Text Available Abstract Background Although cone beam computed tomography (CBCT images of the maxillofacial region allow the inspection of the entire volume of the maxillary sinus (MS, identifying anatomic variations and abnormalities in the image volume, this is frequently neglected by oral radiologists when interpreting images of areas at a distance from the dentoalveolar region, such as the full anatomical aspect of the MS. The aim of this study was to investigate maxillary sinus abnormalities in asymptomatic patients by using CBCT. Methods 1113 CBCT were evaluated by two examiners and identification of abnormalities, the presence of periapical lesions and proximity to the lower sinus wall were recorded. Data were analyzed using descriptive statistics, chi-square tests and Kappa statistics. Results Abnormalities were diagnosed in 68.2% of cases (kappa = 0.83. There was a significant difference between genders (p Conclusions Abnormalities in maxillary sinus emphasizes how important it is for the dentomaxillofacial radiologist to undertake an interpretation of the whole volume of CBCT images.

  11. Robust scatter correction method for cone-beam CT using an interlacing-slit plate

    Science.gov (United States)

    Huang, Kui-Dong; Xu, Zhe; Zhang, Ding-Hua; Zhang, Hua; Shi, Wen-Long

    2016-06-01

    Cone-beam computed tomography (CBCT) has been widely used in medical imaging and industrial nondestructive testing, but the presence of scattered radiation will cause significant reduction of image quality. In this article, a robust scatter correction method for CBCT using an interlacing-slit plate (ISP) is carried out for convenient practice. Firstly, a Gaussian filtering method is proposed to compensate the missing data of the inner scatter image, and simultaneously avoid too-large values of calculated inner scatter and smooth the inner scatter field. Secondly, an interlacing-slit scan without detector gain correction is carried out to enhance the practicality and convenience of the scatter correction method. Finally, a denoising step for scatter-corrected projection images is added in the process flow to control the noise amplification The experimental results show that the improved method can not only make the scatter correction more robust and convenient, but also achieve a good quality of scatter-corrected slice images. Supported by National Science and Technology Major Project of the Ministry of Industry and Information Technology of China (2012ZX04007021), Aeronautical Science Fund of China (2014ZE53059), and Fundamental Research Funds for Central Universities of China (3102014KYJD022)

  12. Modeling and design of a cone-beam CT head scanner using task-based imaging performance optimization

    Science.gov (United States)

    Xu, J.; Sisniega, A.; Zbijewski, W.; Dang, H.; Stayman, J. W.; Wang, X.; Foos, D. H.; Aygun, N.; Koliatsos, V. E.; Siewerdsen, J. H.

    2016-04-01

    Detection of acute intracranial hemorrhage (ICH) is important for diagnosis and treatment of traumatic brain injury, stroke, postoperative bleeding, and other head and neck injuries. This paper details the design and development of a cone-beam CT (CBCT) system developed specifically for the detection of low-contrast ICH in a form suitable for application at the point of care. Recognizing such a low-contrast imaging task to be a major challenge in CBCT, the system design began with a rigorous analysis of task-based detectability including critical aspects of system geometry, hardware configuration, and artifact correction. The imaging performance model described the three-dimensional (3D) noise-equivalent quanta using a cascaded systems model that included the effects of scatter, scatter correction, hardware considerations of complementary metal-oxide semiconductor (CMOS) and flat-panel detectors (FPDs), and digitization bit depth. The performance was analyzed with respect to a low-contrast (40-80 HU), medium-frequency task representing acute ICH detection. The task-based detectability index was computed using a non-prewhitening observer model. The optimization was performed with respect to four major design considerations: (1) system geometry (including source-to-detector distance (SDD) and source-to-axis distance (SAD)); (2) factors related to the x-ray source (including focal spot size, kVp, dose, and tube power); (3) scatter correction and selection of an antiscatter grid; and (4) x-ray detector configuration (including pixel size, additive electronics noise, field of view (FOV), and frame rate, including both CMOS and a-Si:H FPDs). Optimal design choices were also considered with respect to practical constraints and available hardware components. The model was verified in comparison to measurements on a CBCT imaging bench as a function of the numerous design parameters mentioned above. An extended geometry (SAD  =  750 mm, SDD  =  1100

  13. Robust breathing signal extraction from cone beam CT projections based on adaptive and global optimization techniques

    Science.gov (United States)

    Chao, Ming; Wei, Jie; Li, Tianfang; Yuan, Yading; Rosenzweig, Kenneth E.; Lo, Yeh-Chi

    2016-04-01

    We present a study of extracting respiratory signals from cone beam computed tomography (CBCT) projections within the framework of the Amsterdam Shroud (AS) technique. Acquired prior to the radiotherapy treatment, CBCT projections were preprocessed for contrast enhancement by converting the original intensity images to attenuation images with which the AS image was created. An adaptive robust z-normalization filtering was applied to further augment the weak oscillating structures locally. From the enhanced AS image, the respiratory signal was extracted using a two-step optimization approach to effectively reveal the large-scale regularity of the breathing signals. CBCT projection images from five patients acquired with the Varian Onboard Imager on the Clinac iX System Linear Accelerator (Varian Medical Systems, Palo Alto, CA) were employed to assess the proposed technique. Stable breathing signals can be reliably extracted using the proposed algorithm. Reference waveforms obtained using an air bellows belt (Philips Medical Systems, Cleveland, OH) were exported and compared to those with the AS based signals. The average errors for the enrolled patients between the estimated breath per minute (bpm) and the reference waveform bpm can be as low as  -0.07 with the standard deviation 1.58. The new algorithm outperformed the original AS technique for all patients by 8.5% to 30%. The impact of gantry rotation on the breathing signal was assessed with data acquired with a Quasar phantom (Modus Medical Devices Inc., London, Canada) and found to be minimal on the signal frequency. The new technique developed in this work will provide a practical solution to rendering markerless breathing signal using the CBCT projections for thoracic and abdominal patients.

  14. Noninvasive differential diagnosis of dental periapical lesions in cone-beam CT scans

    Energy Technology Data Exchange (ETDEWEB)

    Okada, Kazunori, E-mail: kazokada@sfsu.edu [Department of Computer Science, San Francisco State University, San Francisco, California 94132 (United States); Rysavy, Steven [Biomedical and Health Informatics Program, University of Washington, Seattle, Washington 98195 (United States); Flores, Arturo [Computer Science and Engineering, University of California, San Diego, California 92093 (United States); Linguraru, Marius George [Sheikh Zayed Institute for Pediatric Surgical Innovation, Children’s National Medical Center, Washington, DC 20010 and Departments of Radiology and Pediatrics, George Washington University, Washington, DC 20037 (United States)

    2015-04-15

    Purpose: This paper proposes a novel application of computer-aided diagnosis (CAD) to an everyday clinical dental challenge: the noninvasive differential diagnosis of periapical lesions between periapical cysts and granulomas. A histological biopsy is the most reliable method currently available for this differential diagnosis; however, this invasive procedure prevents the lesions from healing noninvasively despite a report that they may heal without surgical treatment. A CAD using cone-beam computed tomography (CBCT) offers an alternative noninvasive diagnostic tool which helps to avoid potentially unnecessary surgery and to investigate the unknown healing process and rate for the lesions. Methods: The proposed semiautomatic solution combines graph-based random walks segmentation with machine learning-based boosted classifiers and offers a robust clinical tool with minimal user interaction. As part of this CAD framework, the authors provide two novel technical contributions: (1) probabilistic extension of the random walks segmentation with likelihood ratio test and (2) LDA-AdaBoost: a new integration of weighted linear discriminant analysis to AdaBoost. Results: A dataset of 28 CBCT scans is used to validate the approach and compare it with other popular segmentation and classification methods. The results show the effectiveness of the proposed method with 94.1% correct classification rate and an improvement of the performance by comparison with the Simon’s state-of-the-art method by 17.6%. The authors also compare classification performances with two independent ground-truth sets from the histopathology and CBCT diagnoses provided by endodontic experts. Conclusions: Experimental results of the authors show that the proposed CAD system behaves in clearer agreement with the CBCT ground-truth than with histopathology, supporting the Simon’s conjecture that CBCT diagnosis can be as accurate as histopathology for differentiating the periapical lesions.

  15. Development and validation of two phantoms for quality control in cone-beam CT

    Energy Technology Data Exchange (ETDEWEB)

    Gomes B, W. O., E-mail: wilsonottobatista@gmail.com [Instituto Federal da Bahia, Rua Emidio dos Santos s/n, Barbalho 40301-015, Salvador de Bahia (Brazil)

    2016-10-15

    The cone beam computed tomography (CBCT) was introduced into the market in the late 90 s and being a relatively new technology, also no well-established quality control protocols. There are currently projects to standardize the use of CBCT. The SEDENTEXCT project was created with the goal of developing guidelines for CBCT, including the development of a phantom for quality control it is proposed. This study aimed at the development and validation of the models of phantom: CQ{sub I}FBA{sub 0}1 e CQ{sub I}FBA{sub 0}2, the first filled with water and the second fully with solid structure in PMMA. Both models allow, otherwise the European phantom - SEDENTEXCT, its use in various models of CBCT, independent of the size of the field of view. The two phantoms used to evaluate seven parameters of quality control are: intensity or average value of pixels of five different plastics, signal to noise ratio, resolution, low contrast, spatial resolution, the accuracy of distances on the z axis, the geometric distortion and image uniformity. The spatial resolution is a critical parameter that differs significantly from the other types of scan, and in these two phantom can be evaluated by two different methods: MTF obtained by Fourier transformation of the function LSF (line spread function) and/or by analysis visual image to a pattern of bars up to 16 pl/cm. Validation was performed in three models CBCT: Kodak 9000, i-CAT Classical and Orthophos XG 3-dimensional. All imaging protocols were characterized dosimetric ally with solid state sensors to correlate with the perfect operation. These models were selected by different manufacturers have different characteristics as FOV, maximum voltage, slice thickness and patient positioning mode. The two of phantom models were viable and also showed compliance with the specifications and data available in the literature. We conclude the feasibility of the two phantom models, and model option will be linked to the practicality positioning

  16. Assessment of protocols in cone beam CT with symmetric and asymmetric beam using effective dose and P{sub ka}

    Energy Technology Data Exchange (ETDEWEB)

    Batista, W. O.; Linhares de O, M. V. [Instituto Federal da Bahia, Rua Emidio dos Santos s/n, Barbalho, Salvador, 40301015 Bahia (Brazil); Soares, M. R.; Maia, A. F. [Universidade Federal de Sergipe, Departamento de Fisica, Cidade Universitaria Prof. Jose Aloisio de Campos, Marechal Rondon s/n, Jardim Rosa Elze, 49-100000 Sao Cristovao, Sergipe (Brazil); Caldas, L. V. E., E-mail: wilsonottobatista@gmail.com [Instituto de Pesquisas Energeticas e Nucleares / CNEN, Av. Lineu Prestes 2242, Cidade Universitaria, 05508-000 Sao Paulo (Brazil)

    2014-08-15

    The cone beam CT is an emerging technology in dental radiology with significant differences the point of view of design technology between the various manufacturers on the world market. This study aims to evaluate and compare protocols with similar purposes in a cone beam CT scanner using TLDs and air kerma - area product (P{sub ka}) as kerma index. Measurements were performed on two protocols used to obtain the image the maxilla-mandible in equipment Gendex GXCB 500: Protocol [GX1] extended diameter and asymmetric beam (14 cm x 8.5 cm - maxilla / mandible) and protocol [GX2] symmetrical beam (8.5 cm x 8.5 cm - maxillary / mandible). Was used LiF dosimeters (TLD 100) inserted into a female anthropomorphic phantom manufactured by Radiology Support Devices. For all protocols evaluated the value of P{sub ka} using a meter Diamentor E2 and PTW system Radcal Rapidose. The results obtained for Effective Dose / P{sub ka} these measurements were separated by protocol image. Protocol [GX1]: 44.5 μSv/478 mGy cm{sup 2}; protocol [GX2]: 54.8 μSv/507 mGy cm{sup 2}. These values indicate that the relationship between the diameter of the image acquired in the protocol [GX1] and the diameter of the image in the protocol [GX2] is equal to 1.65, the Effective Dose for the first protocol has lower value at 18%. P{sub ka} values reveal very similar results between the two protocols, although, common sense leads to the interpretation that imaging protocols with field of view (Fov) of large diameters imply high values of effective dose when compared to small diameters. However, in this particular case, this is not true due to the asymmetrical beam technology. Conclude that for the cases where the scanner uses asymmetric beam to obtain images with large diameters that cover the entire face there are advantages from the point of view of reducing the exposure of patients with respect to the use of symmetrical beam and / or to Fov images with a smaller diameter. (Author)

  17. Comparison of internal target volumes defined on 3-dimensional, 4-dimensonal, and cone-beam CT images of non-small-cell lung cancer

    Directory of Open Access Journals (Sweden)

    Li F

    2016-11-01

    Full Text Available Fengxiang Li,1 Jianbin Li,1 Zhifang Ma,1 Yingjie Zhang,1 Jun Xing,1 Huanpeng Qi,1 Dongping Shang21Department of Radiation Oncology, 2Department of Big Bore CT Room, Shandong Cancer Hospital Affiliated to Shandong University, Shandong Academy of Medical Sciences, Jinan, Shandong, People’s Republic of ChinaPurpose: The purpose of this study was to compare the positional and volumetric differences of internal target volumes defined on three-dimensional computed tomography (3DCT, four-dimensional CT (4DCT, and cone-beam CT (CBCT images of non-small-cell lung cancer (NSCLC. Materials and methods: Thirty-one patients with NSCLC sequentially underwent 3DCT and 4DCT simulation scans of the thorax during free breathing. The first CBCT was performed and registered to the planning CT using the bony anatomy registration during radiotherapy. The gross tumor volumes were contoured on the basis of 3DCT, maximum intensity projection (MIP of 4DCT, and CBCT. CTV3D (clinical target volume, internal target volumes, ITVMIP and ITVCBCT, were defined with a 7 mm margin accounting for microscopic disease. ITV10 mm and ITV5 mm were defined on the basis of CTV3D: ITV10 mm with a 5 mm margin in left–right (LR, anterior–posterior (AP directions and 10 mm in cranial–caudal (CC direction; ITV5 mm with an isotropic internal margin (IM of 5 mm. The differences in the position, size, Dice’s similarity coefficient (DSC and inclusion relation of different volumes were evaluated.Results: The median size ratios of ITV10 mm, ITV5 mm, and ITVMIP to ITVCBCT were 2.33, 1.88, and 1.03, respectively, for tumors in the upper lobe and 2.13, 1.76, and 1.1, respectively, for tumors in the middle-lower lobe. The median DSCs of ITV10 mm, ITV5 mm, ITVMIP, and ITVCBCT were 0.6, 0.66, and 0.83 for all patients. The median percentages of ITVCBCT not included in ITV10 mm, ITV5 mm, and ITVMIP were 0.1%, 1.63%, and 15.21%, respectively, while the median percentages of ITV10 mm, ITV5 mm

  18. Initial experience of percutaneous transthoracic needle biopsy of lung nodules using C-arm cone-beam CT systems

    Energy Technology Data Exchange (ETDEWEB)

    Jin, Kwang Nam; Goo, Jin Mo; Lee, Hyun Ju; Lee, Youkyung; Kim, Jung Im; Choi, So Young; Kim, Hyo-Cheol [Seoul National University College of Medicine, Department of Radiology, Seoul (Korea); Seoul National University Medical Research Center, Institute of Radiation Medicine, Seoul (Korea); Park, Chang Min [Seoul National University Hospital, Department of Radiology, Seoul (Korea); Seoul National University College of Medicine, Department of Radiology, Seoul (Korea); Seoul National University Medical Research Center, Institute of Radiation Medicine, Seoul (Korea)

    2010-09-15

    To describe our initial experience with percutaneous transthoracic biopsy (PCNB) of lung nodules using C-arm cone-beam CT (CBCT). Seventy-one consecutive patients with lung nodules of 30 mm or smaller underwent CBCT-guided PCNB using a coaxial cutting needle. We evaluated the procedure time, coaxial introducer dwell time, the numbers of pleural passages, coaxial introducer repositionings and CT acquisitions, as well as the technical success rate and radiation doses. Diagnostic accuracy, sensitivity, specificity and incidence of complications were also evaluated. PCNB was performed for 71 nodules: 63 solid, 6 part-solid and 2 ground-glass nodules. The procedure time, coaxial introducer dwell time, numbers of pleural passages, coaxial introducer repositionings and CT acquisitions were 17.9 {+-} 5.9 min, 8.7 {+-} 3.8 min, 1.1 {+-} 0.4, 0.2 {+-} 0.5 and 2.9 {+-} 0.7, respectively. The technical success rate was 100% and the radiation dose was 272 {+-} 116 mGy. Thirty-six nodules (50.7%) were diagnosed as malignant, 25 (35.2%) as benign and 10 (14.1%) as indeterminate. Diagnostic accuracy, sensitivity, specificity and incidence of complications were 98.4%, 97%, 100% and 38%, respectively. Complications included pneumothorax in 18 patients (25.4%), haemoptysis in 10 (14.1%) and chest pain in one (1.4%). Under CBCT guidance, PCNB of lung nodules can be performed accurately, providing both real-time fluoroscopic guidance and CT imaging capabilities. (orig.)

  19. Integration of PET-CT and cone-beam CT for image-guided radiotherapy with high image quality and registration accuracy

    Science.gov (United States)

    Wu, T.-H.; Liang, C.-H.; Wu, J.-K.; Lien, C.-Y.; Yang, B.-H.; Huang, Y.-H.; Lee, J. J. S.

    2009-07-01

    Hybrid positron emission tomography-computed tomography (PET-CT) system enhances better differentiation of tissue uptake of 18F-fluorodeoxyglucose (18F-FDG) and provides much more diagnostic value in the non-small-cell lung cancer and nasopharyngeal carcinoma (NPC). In PET-CT, high quality CT images not only offer diagnostic value on anatomic delineation of the tissues but also shorten the acquisition time for attenuation correction (AC) compared with PET-alone imaging. The linear accelerators equipped with the X-ray cone-beam computed tomography (CBCT) imaging system for image-guided radiotherapy (IGRT) provides excellent verification on position setup error. The purposes of our study were to optimize the CT acquisition protocols of PET-CT and to integrate the PET-CT and CBCT for IGRT. The CT imaging parameters were modified in PET-CT for increasing the image quality in order to enhance the diagnostic value on tumour delineation. Reproducibility and registration accuracy via bone co-registration algorithm between the PET-CT and CBCT were evaluated by using a head phantom to simulate a head and neck treatment condition. Dose measurement in computed tomography dose index (CTDI) was also estimated. Optimization of the CT acquisition protocols of PET-CT was feasible in this study. Co-registration accuracy between CBCT and PET-CT on axial and helical modes was in the range of 1.06 to 2.08 and 0.99 to 2.05 mm, respectively. In our result, it revealed that the accuracy of the co-registration with CBCT on helical mode was more accurate than that on axial mode. Radiation doses in CTDI were 4.76 to 18.5 mGy and 4.83 to 18.79 mGy on axial and helical modes, respectively. Registration between PET-CT and CBCT is a state-of-the-art registration technology which could provide much information on diagnosis and accurate tumour contouring on radiotherapy while implementing radiotherapy procedures. This novelty technology of PET-CT and cone-beam CT integration for IGRT may have a

  20. Integration of PET-CT and cone-beam CT for image-guided radiotherapy with high image quality and registration accuracy

    Energy Technology Data Exchange (ETDEWEB)

    Wu, T-H [Department of Medical Imaging and Radiological Sciences, Chung Shan Medical University, No. 110, Sec.1, Jianguo N.Rd, Taichung City 40201, Taiwan (China); Liang, C-H [Agfa Healthcare Systems Taiwan Co., Ltd., 6F, 237 Sung Chiang Road, Taipei, 104 Taiwan (China); Wu, J-K [Division of Radiation Oncology, Department of Oncology, and Cancer Research Center, National Taiwan University Hospital, No.7 Chung San South Road, Taipei, 104 Taiwan (China); Lien, C-Y [Institute of Biomedical Engineering, National Yang Ming University, No. 155, Sec.2, Linong Street, Taipei, 112 Taiwan (China); Yang, B-H; Lee, J J S [Department of Biomedical Imaging and Radiological Sciences, National Yang Ming University, No. 155, Sec.2, Linong Street, Taipei, 112 Taiwan (China); Huang, Y-H [Department of Medical Imaing and Radiological Sciences, I-Shou University, No. 8, Yida Rd., Yanchao Township, Kaohsiung County 82445, Taiwan (China)], E-mail: jslee@ym.edu.tw

    2009-07-15

    Hybrid positron emission tomography-computed tomography (PET-CT) system enhances better differentiation of tissue uptake of {sup 18}F-fluorodeoxyglucose ({sup 18}F-FDG) and provides much more diagnostic value in the non-small-cell lung cancer and nasopharyngeal carcinoma (NPC). In PET-CT, high quality CT images not only offer diagnostic value on anatomic delineation of the tissues but also shorten the acquisition time for attenuation correction (AC) compared with PET-alone imaging. The linear accelerators equipped with the X-ray cone-beam computed tomography (CBCT) imaging system for image-guided radiotherapy (IGRT) provides excellent verification on position setup error. The purposes of our study were to optimize the CT acquisition protocols of PET-CT and to integrate the PET-CT and CBCT for IGRT. The CT imaging parameters were modified in PET-CT for increasing the image quality in order to enhance the diagnostic value on tumour delineation. Reproducibility and registration accuracy via bone co-registration algorithm between the PET-CT and CBCT were evaluated by using a head phantom to simulate a head and neck treatment condition. Dose measurement in computed tomography dose index (CTDI) was also estimated. Optimization of the CT acquisition protocols of PET-CT was feasible in this study. Co-registration accuracy between CBCT and PET-CT on axial and helical modes was in the range of 1.06 to 2.08 and 0.99 to 2.05 mm, respectively. In our result, it revealed that the accuracy of the co-registration with CBCT on helical mode was more accurate than that on axial mode. Radiation doses in CTDI were 4.76 to 18.5 mGy and 4.83 to 18.79 mGy on axial and helical modes, respectively. Registration between PET-CT and CBCT is a state-of-the-art registration technology which could provide much information on diagnosis and accurate tumour contouring on radiotherapy while implementing radiotherapy procedures. This novelty technology of PET-CT and cone-beam CT integration for IGRT

  1. High-resolution helical cone-beam micro-CT with theoretically-exact reconstruction from experimental data

    Energy Technology Data Exchange (ETDEWEB)

    Varslot, T.; Kingston, A.; Myers, G.; Sheppard, A. [Department of Applied Mathematics, Research School of Physics and Engineering, The Australian National University, Canberra, ACT 0200 (Australia)

    2011-10-15

    conventional circular scan micro-CT. Conclusions: Autofocus-corrected, theoretically-exact cone-beam reconstruction is a viable option for reducing acquisition time in high-resolution micro-CT imaging. It also opens up the possibility of efficiently imaging long objects.

  2. A fast GPU-based approach to branchless distance-driven projection and back-projection in cone beam CT

    Science.gov (United States)

    Schlifske, Daniel; Medeiros, Henry

    2016-03-01

    Modern CT image reconstruction algorithms rely on projection and back-projection operations to refine an image estimate in iterative image reconstruction. A widely-used state-of-the-art technique is distance-driven projection and back-projection. While the distance-driven technique yields superior image quality in iterative algorithms, it is a computationally demanding process. This has a detrimental effect on the relevance of the algorithms in clinical settings. A few methods have been proposed for enhancing the distance-driven technique in order to take advantage of modern computer hardware. This paper explores a two-dimensional extension of the branchless method proposed by Samit Basu and Bruno De Man. The extension of the branchless method is named "pre-integration" because it achieves a significant performance boost by integrating the data before the projection and back-projection operations. It was written with Nvidia's CUDA platform and carefully designed for massively parallel GPUs. The performance and the image quality of the pre-integration method were analyzed. Both projection and back-projection are significantly faster with preintegration. The image quality was analyzed using cone beam image reconstruction algorithms within Jeffrey Fessler's Image Reconstruction Toolbox. Images produced from regularized, iterative image reconstruction algorithms using the pre-integration method show no significant impact to image quality.

  3. Intraoperative cone-beam CT for correction of periaxial malrotation of the femoral shaft: a surface-matching approach.

    Science.gov (United States)

    Khoury, Amal; Whyne, Cari M; Daly, Michael; Moseley, Douglas; Bootsma, Greg; Skrinskas, Tomas; Siewerdsen, Jeffrey; Jaffray, David

    2007-04-01

    Limb length, alignment and rotation can be difficult to determine in femoral shaft fractures. Shaft axis rotation is particularly difficult to assess intraoperatively. Femoral malpositioning can cause deformity, pain and secondary degenerative joint damage. The aim of this study is to develop an intraoperative method based on cone-beam computed tomography (CBCT) to guide alignment of femoral shaft fractures. We hypothesize that bone surface matching can predict malrotation even with severe comminution. A cadaveric femur was imaged at 16 femoral periaxial malrotations (-51.2 degrees to 60.1 degrees). The images were processed resulting in an unwrapped bone surface plot consisting of a pattern of ridges and valleys. Fracture gaps were simulated by removing midline CT slices. The gaps were reconstituted by extrapolating the existing proximal and distal fragments to the midline of the fracture. The two bone surfaces were then shifted to align bony features. Periaxial malrotation was accurately assessed using surface matching (r2 = 0.99, slope 1.0). The largest mean error was 2.20 degrees and the average difference between repeated measurements was 0.49 degrees. CBCT can provide intraoperative high-resolution images with a large field of view. This quality of imaging enables surface matching algorithms to be utilized even with large areas of comminution.

  4. GPU-based Fast Cone Beam CT Reconstruction from Undersampled and Noisy Projection Data via Total Variation

    CERN Document Server

    Jia, Xun; Li, Ruijiang; Song, William Y; Jiang, Steve B

    2010-01-01

    Cone-beam CT (CBCT) plays an important role in image guided radiation therapy (IGRT). However, the large radiation dose from serial CBCT scans in most IGRT procedures raises a clinical concern, especially for pediatric patients who are essentially excluded from receiving IGRT for this reason. To lower the imaging dose, we have developed a fast GPU-based CBCT reconstruction algorithm. The CBCT is reconstructed by minimizing an energy functional consisting of a data fidelity term and a total variation regularization term. We developed a GPU-friendly version of the forward-backward splitting algorithm to solve this model. Multi-grid technique is also employed. It is found that 20~40 x-ray projections are sufficient to reconstruct images with satisfactory quality for IGRT. The reconstruction time ranges from 77 to 130 sec on a NVIDIA Tesla C1060 GPU card, depending on the number of projections used, which is estimated about 100 times faster than similar iterative reconstruction approaches. Moreover, phantom studi...

  5. 4D cone beam CT-based dose assessment for SBRT lung cancer treatment

    Science.gov (United States)

    Cai, Weixing; Dhou, Salam; Cifter, Fulya; Myronakis, Marios; Hurwitz, Martina H.; Williams, Christopher L.; Berbeco, Ross I.; Seco, Joao; Lewis, John H.

    2016-01-01

    The purpose of this research is to develop a 4DCBCT-based dose assessment method for calculating actual delivered dose for patients with significant respiratory motion or anatomical changes during the course of SBRT. To address the limitation of 4DCT-based dose assessment, we propose to calculate the delivered dose using time-varying (‘fluoroscopic’) 3D patient images generated from a 4DCBCT-based motion model. The method includes four steps: (1) before each treatment, 4DCBCT data is acquired with the patient in treatment position, based on which a patient-specific motion model is created using a principal components analysis algorithm. (2) During treatment, 2D time-varying kV projection images are continuously acquired, from which time-varying ‘fluoroscopic’ 3D images of the patient are reconstructed using the motion model. (3) Lateral truncation artifacts are corrected using planning 4DCT images. (4) The 3D dose distribution is computed for each timepoint in the set of 3D fluoroscopic images, from which the total effective 3D delivered dose is calculated by accumulating deformed dose distributions. This approach is validated using six modified XCAT phantoms with lung tumors and different respiratory motions derived from patient data. The estimated doses are compared to that calculated using ground-truth XCAT phantoms. For each XCAT phantom, the calculated delivered tumor dose values generally follow the same trend as that of the ground truth and at most timepoints the difference is less than 5%. For the overall delivered dose, the normalized error of calculated 3D dose distribution is generally less than 3% and the tumor D95 error is less than 1.5%. XCAT phantom studies indicate the potential of the proposed method to accurately estimate 3D tumor dose distributions for SBRT lung treatment based on 4DCBCT imaging and motion modeling. Further research is necessary to investigate its performance for clinical patient data.

  6. Intraoperative imaging for patient safety and QA: detection of intracranial hemorrhage using C-arm cone-beam CT

    Science.gov (United States)

    Schafer, Sebastian; Wang, Adam; Otake, Yoshito; Stayman, J. W.; Zbijewski, Wojciech; Kleinszig, Gerhard; Xia, Xuewei; Gallia, Gary L.; Siewerdsen, Jeffrey H.

    2013-03-01

    Intraoperative imaging could improve patient safety and quality assurance (QA) via the detection of subtle complications that might otherwise only be found hours after surgery. Such capability could therefore reduce morbidity and the need for additional intervention. Among the severe adverse events that could be more quickly detected by high-quality intraoperative imaging is acute intracranial hemorrhage (ICH), conventionally assessed using post-operative CT. A mobile C-arm capable of high-quality cone-beam CT (CBCT) in combination with advanced image reconstruction techniques is reported as a means of detecting ICH in the operating room. The system employs an isocentric C-arm with a flat-panel detector in dual gain mode, correction of x-ray scatter and beam-hardening, and a penalized likelihood (PL) iterative reconstruction method. Performance in ICH detection was investigated using a quantitative phantom focusing on (non-contrast-enhanced) blood-brain contrast, an anthropomorphic head phantom, and a porcine model with injection of fresh blood bolus. The visibility of ICH was characterized in terms of contrast-to-noise ratio (CNR) and qualitative evaluation of images by a neurosurgeon. Across a range of size and contrast of the ICH as well as radiation dose from the CBCT scan, the CNR was found to increase from ~2.2-3.7 for conventional filtered backprojection (FBP) to ~3.9-5.4 for PL at equivalent spatial resolution. The porcine model demonstrated superior ICH detectability for PL. The results support the role of high-quality mobile C-arm CBCT employing advanced reconstruction algorithms for detecting subtle complications in the operating room at lower radiation dose and lower cost than intraoperative CT scanners and/or fixedroom C-arms. Such capability could present a potentially valuable aid to patient safety and QA.

  7. Assessment of image quality in soft tissue and bone visualization tasks for a dedicated extremity cone-beam CT system

    Energy Technology Data Exchange (ETDEWEB)

    Demehri, S. [Johns Hopkins University, The Russell H. Morgan Department of Radiology and Radiological Science, Baltimore, MD (United States); Johns Hopkins Outpatient Center, JHOC 5168, Musculoskeletal Radiology, Baltimore, MD (United States); Muhit, A.; Zbijewski, W.; Stayman, J.W. [Johns Hopkins University, Department of Biomedical Engineering, Baltimore, MD (United States); Yorkston, J.; Packard, N.; Senn, R.; Yang, D.; Foos, D. [Carestream Health, Rochester, NY (United States); Thawait, G.K.; Fayad, L.M.; Chhabra, A.; Carrino, J.A. [Johns Hopkins University, The Russell H. Morgan Department of Radiology and Radiological Science, Baltimore, MD (United States); Siewerdsen, J.H. [Johns Hopkins University, The Russell H. Morgan Department of Radiology and Radiological Science, Baltimore, MD (United States); Johns Hopkins University, Department of Biomedical Engineering, Baltimore, MD (United States)

    2015-06-01

    To assess visualization tasks using cone-beam CT (CBCT) compared to multi-detector CT (MDCT) for musculoskeletal extremity imaging. Ten cadaveric hands and ten knees were examined using a dedicated CBCT prototype and a clinical multi-detector CT using nominal protocols (80kVp-108mAs for CBCT; 120kVp- 300mAs for MDCT). Soft tissue and bone visualization tasks were assessed by four radiologists using five-point satisfaction (for CBCT and MDCT individually) and five-point preference (side-by-side CBCT versus MDCT image quality comparison) rating tests. Ratings were analyzed using Kruskal-Wallis and Wilcoxon signed-rank tests, and observer agreement was assessed using the Kappa-statistic. Knee CBCT images were rated ''excellent'' or ''good'' (median scores 5 and 4) for ''bone'' and ''soft tissue'' visualization tasks. Hand CBCT images were rated ''excellent'' or ''adequate'' (median scores 5 and 3) for ''bone'' and ''soft tissue'' visualization tasks. Preference tests rated CBCT equivalent or superior to MDCT for bone visualization and favoured the MDCT for soft tissue visualization tasks. Intraobserver agreement for CBCT satisfaction tests was fair to almost perfect (κ ∝ 0.26-0.92), and interobserver agreement was fair to moderate (κ ∝ 0.27-0.54). CBCT provided excellent image quality for bone visualization and adequate image quality for soft tissue visualization tasks. (orig.)

  8. 锥形束CT对牛牙症诊断价值的探讨%Application of cone beam CT in the diagnosis of taurodontism

    Institute of Scientific and Technical Information of China (English)

    衡士超; 程勇; 李波; 肖丽珍

    2013-01-01

    One case of laurodonlism with tooth inlernal resorplion and root fraclure was diagnosed by cone beam CT( CBCT) . The cases is reporled and the significance of CBCT in the diagnosis of laurodonlism is disscused.%用锥形束CT辅助诊断牛牙症根折伴牙内吸收1例,锥形束CT对该症的诊断和治疗方面有重要指导意义.

  9. Comparative study of two flat-panel x-ray detectors applied to small-animal imaging cone-beam micro-CT

    OpenAIRE

    2008-01-01

    Proceeding of: 2008 IEEE Nuclear Science Symposium Conference Record (NSS '08), Dresden, Germany, 19-25 Oct. 2008 This work compares two different X-ray flat-panel detectors for its use in high-speed, cone-beam CT applied to small-animal imaging. The main differences between these two devices are the scintillators and the achievable frame rate. Both devices have been tested in terms of system linearity, sensitivity, resolution, stability and noise properties, taking into account the dif...

  10. Cone-beam CT技术及其在口腔正畸学中的应用进展%Current advance in application of cone-beam CT in orthodontics

    Institute of Scientific and Technical Information of China (English)

    王婷; 厉松

    2011-01-01

    在正畸的诊断治疗过程中,cone-beam CT已广泛应用于口腔界的各个领域,本文旨在对cone-beamCT的原理、特点及其在口腔正畸领域中的应用进行综述,以期增加正畸医师对于Cone-beam CT的理解.

  11. Cone beam breast CT with multiplanar and three dimensional visualization in differentiating breast masses compared with mammography

    Energy Technology Data Exchange (ETDEWEB)

    Zhao, Binghui [Department of Radiology, Shanghai Tenth People' s Hospital, Tongji University, Shanghai 200072 (China); Zhang, Xiaohua [Department of Electrical and Computer Engineering, University of Rochester, Rochester, NY 14627 (United States); Cai, Weixing [Department of Imaging Sciences, University of Rochester Medical Center, Rochester, NY 14642 (United States); Conover, David [Koning Corporation, West Henrietta, NY 14586 (United States); Ning, Ruola, E-mail: ruola_ning@urmc.rochester.edu [Department of Imaging Sciences, University of Rochester Medical Center, Rochester, NY 14642 (United States)

    2015-01-15

    Objective: This pilot study was to evaluate cone beam breast computed tomography (CBBCT) with multiplanar and three dimensional (3D) visualization in differentiating breast masses in comparison with two-view mammograms. Methods: Sixty-five consecutive female patients (67 breasts) were scanned by CBBCT after conventional two-view mammography (Hologic, Motarget, compression factor 0.8). For CBBCT imaging, three hundred (1024 × 768 × 16 b) two-dimensional (2D) projection images were acquired by rotating the x-ray tube and a flat panel detector (FPD) 360 degree around one breast. Three-dimensional CBBCT images were reconstructed from the 2D projections. Visage CS 3.0 and Amira 5.2.2 were used to visualize reconstructed CBBCT images. Results: Eighty-five breast masses in this study were evaluated and categorized under the breast imaging reporting and data system (BI-RADS) according to plain CBBCT images and two-view mammograms, respectively, prior to biopsy. BI-RADS category of each breast was compared with biopsy histopathology. The results showed that CBBCT with multiplanar and 3D visualization would be helpful to identify the margin and characteristics of breast masses. The category variance ratios for CBBCT under the BI-RADS were 23.5% for malignant tumors (MTs) and 27.3% for benign lesions in comparison with pathology, which were evidently closer to the histopathology results than those of two-view mammograms, p value <0.01. With the receiver operating characteristic (ROC) curve analysis, the area under the curve (AUC) of CBBCT was 0.911, larger than that (AUC 0.827) of two-view mammograms, p value <0.01. Conclusion: CBBCT will be a distinctive noninvasive technology in differentiating and categorizing breast masses under BI-RADS. CBBCT may be considerably more effective to identify breast masses, especially some small, uncertain or multifocal masses than conventional two-view mammography.

  12. Implant planning and placement using optical scanning and cone beam CT technology

    NARCIS (Netherlands)

    J.M. van der Zel

    2008-01-01

    There is a growing interest in minimally invasive implant therapy as a standard prosthodontic treatment, providing complete restoration of occlusal function. A new treatment method (CADDIMA), which combines both computerized tomographic (CT) and optical laser-scan data for planning and design of sur

  13. Cone-beam CT with a flat-panel detector on a mobile C-arm: preclinical investigation in image-guided surgery of the head and neck

    Science.gov (United States)

    Siewerdsen, J. H.; Chan, Y.; Rafferty, M. A.; Moseley, D. J.; Jaffray, D. A.; Irish, J. C.

    2005-04-01

    A promising imaging platform for combined low-dose fluoroscopy and cone-beam CT (CBCT) guidance of interventional procedures has been developed in our laboratory. Based on a mobile isocentric C-arm (Siemens PowerMobil) incorporating a high-performance flat-panel detector (Varian PaxScan 4030CB), the system demonstrates sub-mm 3D spatial resolution and soft-tissue visibility with field of view sufficient for head and body sites. For pre-clinical studies in head neck tumor surgery, we hypothesize that the 3D intraoperative information provided by CBCT permits precise, aggressive techniques with improved avoidance of critical structures. The objectives include: 1) quantify improvement in surgical performance achieved with CBCT guidance compared to open and endoscopic techniques; and 2) investigate specific, challenging surgical tasks under CBCT guidance. Investigations proceed from an idealized phantom model to cadaveric specimens. A novel surgical performance evaluation method based on statistical decision theory is applied to excision and avoidance tasks. Analogous to receiver operating characteristic (ROC) analysis in medical imaging, the method quantifies surgical performance in terms of Lesion-Excised (True-Positve), Lesion-Remaining (False-Negative), Normal-Excised (False-Positive), and Normal-Remaining (True-Negative) fractions. Conservative and aggressive excision and avoidance tasks are executed in 12 cadaveric specimens with and without CBCT guidance, including: dissection through dura, preservation of posterior lamina, ethmoid air cells removal, exposure of peri-orbita, and excision of infiltrated bone in the skull base (clivus). Intraoperative CBCT data was found to dramatically improve surgical performance and confidence in the execution of such tasks. Pre-clinical investigation of this platform in head and neck surgery, as well as spinal, trauma, biopsy, and other nonvascular procedures, is discussed.

  14. Computed tomography from photon statistics to modern cone-beam CT

    CERN Document Server

    Buzug, T M

    2008-01-01

    Tis book provides an overview of X-ray technology, the historic developmental milestones of modern CT systems, and gives a comprehensive insight into the main reconstruction methods used in computed tomography. Te basis of reconstr- tion is, undoubtedly, mathematics. However, the beauty of computed tomography cannot be understood without a detailed knowledge of X-ray generation, photon- matter interaction, X-ray detection, photon statistics, as well as fundamental signal processing concepts and dedicated measurement systems. Terefore, the reader will ?nd a number of references to these basic d

  15. [Metal artefact on head and neck cone-beam CT images].

    Science.gov (United States)

    Kovacs, Miklós; Fejérdy, Pál; Dobó, Nagy Csaba

    2008-10-01

    There are only a few factors, where the properties of the CBCT is inferior compared to conventional CT. One of these properties is the low contrast resolution, which has an importance in the discrimination of different soft tissues. Another difference is the image quality degrading effect by metal objects. This latter factor has much higher importance in head and neck region CBCT application. The metal artifact is closely related to other types of artifacts, like beam-hardening and x-ray photon scattering artifacts. In some of the cases, metal artifacts can be avoided by the proper adjustment of the scanning parameters, but sometimes the problem overgrows the possibilities. The current pre- and post-processing algorithms used for the correction of different artifacts can improve the image quality, but these algorithms are not the ultimate solution to the problem. The introduction of iterative reconstruction algorithms into the CBCT market will effectively reduce the most CT artifacts, however, the spread of this algorithms are set back because of the insufficient computational power of today's PCs. Another advantage of the use of iterative algorithms is that the patient dose could be significantly reduced.

  16. A practical cone-beam CT scatter correction method with optimized Monte Carlo simulations for image-guided radiation therapy.

    Science.gov (United States)

    Xu, Yuan; Bai, Ti; Yan, Hao; Ouyang, Luo; Pompos, Arnold; Wang, Jing; Zhou, Linghong; Jiang, Steve B; Jia, Xun

    2015-05-07

    Cone-beam CT (CBCT) has become the standard image guidance tool for patient setup in image-guided radiation therapy. However, due to its large illumination field, scattered photons severely degrade its image quality. While kernel-based scatter correction methods have been used routinely in the clinic, it is still desirable to develop Monte Carlo (MC) simulation-based methods due to their accuracy. However, the high computational burden of the MC method has prevented routine clinical application. This paper reports our recent development of a practical method of MC-based scatter estimation and removal for CBCT. In contrast with conventional MC approaches that estimate scatter signals using a scatter-contaminated CBCT image, our method used a planning CT image for MC simulation, which has the advantages of accurate image intensity and absence of image truncation. In our method, the planning CT was first rigidly registered with the CBCT. Scatter signals were then estimated via MC simulation. After scatter signals were removed from the raw CBCT projections, a corrected CBCT image was reconstructed. The entire workflow was implemented on a GPU platform for high computational efficiency. Strategies such as projection denoising, CT image downsampling, and interpolation along the angular direction were employed to further enhance the calculation speed. We studied the impact of key parameters in the workflow on the resulting accuracy and efficiency, based on which the optimal parameter values were determined. Our method was evaluated in numerical simulation, phantom, and real patient cases. In the simulation cases, our method reduced mean HU errors from 44 to 3 HU and from 78 to 9 HU in the full-fan and the half-fan cases, respectively. In both the phantom and the patient cases, image artifacts caused by scatter, such as ring artifacts around the bowtie area, were reduced. With all the techniques employed, we achieved computation time of less than 30 s including the

  17. 4D cone-beam CT imaging for guidance in radiation therapy: setup verification by use of implanted fiducial markers

    Science.gov (United States)

    Jin, Peng; van Wieringen, Niek; Hulshof, Maarten C. C. M.; Bel, Arjan; Alderliesten, Tanja

    2016-03-01

    The use of 4D cone-beam computed tomography (CBCT) and fiducial markers for guidance during radiation therapy of mobile tumors is challenging due to the trade-off between image quality, imaging dose, and scanning time. We aimed to investigate the visibility of markers and the feasibility of marker-based 4D registration and manual respiration-induced marker motion quantification for different CBCT acquisition settings. A dynamic thorax phantom and a patient with implanted gold markers were included. For both the phantom and patient, the peak-to-peak amplitude of marker motion in the cranial-caudal direction ranged from 5.3 to 14.0 mm, which did not affect the marker visibility and the associated marker-based registration feasibility. While using a medium field of view (FOV) and the same total imaging dose as is applied for 3D CBCT scanning in our clinic, it was feasible to attain an improved marker visibility by reducing the imaging dose per projection and increasing the number of projection images. For a small FOV with a shorter rotation arc but similar total imaging dose, streak artifacts were reduced due to using a smaller sampling angle. Additionally, the use of a small FOV allowed reducing total imaging dose and scanning time (~2.5 min) without losing the marker visibility. In conclusion, by using 4D CBCT with identical or lower imaging dose and a reduced gantry speed, it is feasible to attain sufficient marker visibility for marker-based 4D setup verification. Moreover, regardless of the settings, manual marker motion quantification can achieve a high accuracy with the error <1.2 mm.

  18. Cone-beam CT-guided radiotherapy in the management of lung cancer. Diagnostic and therapeutic value

    Energy Technology Data Exchange (ETDEWEB)

    Elsayad, Khaled; Kriz, Jan; Reinartz, Gabriele; Scobioala, Sergiu; Ernst, Iris; Haverkamp, Uwe; Eich, Hans Theodor [University Hospital of Muenster, Department of Radiation Oncology, Muenster (Germany)

    2016-02-15

    Recent studies have demonstrated an increase in the necessity of adaptive planning over the course of lung cancer radiation therapy (RT) treatment. In this study, we evaluated intrathoracic changes detected by cone-beam CT (CBCT) in lung cancer patients during RT. A total of 71 lung cancer patients treated with fractionated CBCT-guided RT were evaluated. Intrathoracic changes and plan adaptation priority (AP) scores were compared between small cell lung cancer (SCLC, n = 13) and non-small cell lung cancer (NSCLC, n = 58) patients. The median cumulative radiation dose administered was 54 Gy (range 30-72 Gy) and the median fraction dose was 1.8 Gy (range 1.8-3.0 Gy). All patients were subjected to a CBCT scan at least weekly (range 1-5/week). We observed intrathoracic changes in 83 % of the patients over the course of RT [58 % (41/71) regression, 17 % (12/71) progression, 20 % (14/71) atelectasis, 25 % (18/71) pleural effusion, 13 % (9/71) infiltrative changes, and 10 % (7/71) anatomical shift]. Nearly half, 45 % (32/71), of the patients had one intrathoracic soft tissue change, 22.5 % (16/71) had two, and three or more changes were observed in 15.5 % (11/71) of the patients. Plan modifications were performed in 60 % (43/71) of the patients. Visual volume reduction did correlate with the number of CBCT scans acquired (r = 0.313, p = 0.046) and with the timing of chemotherapy administration (r = 0.385, p = 0.013). Weekly CBCT monitoring provides an adaptation advantage in patients with lung cancer. In this study, the monitoring allowed for plan adaptations due to tumor volume changes and to other anatomical changes. (orig.) [German] Neuere Studien haben eine zunehmende Notwendigkeit der adaptiven Bestrahlungsplanung im Verlauf der Bestrahlungsserie bei Patienten mit Lungenkrebs nachgewiesen. In der vorliegenden Studie haben wir intrathorakale Aenderungen mittels Cone-beam-CT (CBCT) bei Lungenkrebspatienten waehrend der Radiotherapie (RT) analysiert. Analysiert wurden

  19. SU-D-207-06: Clinical Validations of Shading Correction for Cone-Beam CT Using Planning CT as a Prior

    Energy Technology Data Exchange (ETDEWEB)

    Tsui, T; Zhu, L [Georgia Institute of Technology, Atlanta, GA (Georgia); Wei, J [Landauer Medical Physics, Newnan, GA (United States)

    2015-06-15

    Purpose: Current cone-beam CT (CBCT) images contain severe shading artifacts mainly due to scatter, hindering their quantitative use in current radiation therapy. We have previously proposed an effective shading correction method for CBCT using planning CT (pCT) as prior knowledge. In this work, we investigate the method robustness via statistical analyses on studies of a large patient group and compare the performance with that of a state-of-the-art method implemented on the current commercial radiation therapy machine -- the Varian Truebeam system. Methods: Since radiotherapy patients routinely undergo multiple-detector CT (MDCT) scans in the planning procedure, we use the high-quality pCT as “free” prior knowledge for CBCT image improvement. The CBCT image with no correction is first spatially registered with the pCT. Primary CBCT projections are estimated via forward projections of the registered image. The low frequency errors in the projections, which stem from mainly scatter, are estimated by filtering the difference between original line integral and the estimated scatter projections. The corrected CBCT image is then reconstructed from the scatter corrected projections. The proposed method is evaluated on 40 cancer patients. Results: On all patient images, we compare errors on CT number, spatial non-uniformity (SNU) and image contrast, using pCT as the ground truth. T-tests show that our algorithm improves over the Varian method on CBCT accuracies of CT number and SNU with 90% confident. The average CT number error is reduced from 54.8 HU on the Varian method to 40.9 HU, and the SNU error is reduced from 7.7% to 3.8%. There is no obvious improvement on image contrast. Conclusion: Large-group patient studies show that the proposed pCT-based algorithm outperforms the Varian method of the Truebeam system on CBCT shading correction, by providing CBCT images with higher CT number accuracy and greater image uniformity.

  20. Dose and detectability for a cone-beam C-arm CT system revisited

    Energy Technology Data Exchange (ETDEWEB)

    Ganguly, Arundhuti; Yoon, Sungwon; Fahrig, Rebecca [Department of Radiology, Lucas MRS Center, Stanford University, 1201 Welch Road, Palo Alto, California 94305 (United States)

    2010-05-15

    Purpose: The authors had previously published measurements of the detectability of disk-shaped contrast objects in images obtained from a C-arm CT system. A simple approach based on Rose's criterion was used to scale the date, assuming the threshold for the smallest diameter detected should be inversely proportional to (dose){sup 1/2}. A more detailed analysis based on recent theoretical modeling of C-arm CT images is presented in this work. Methods: The signal and noise propagations in a C-arm based CT system have been formulated by other authors using cascaded systems analysis. They established a relationship between detectability and the noise equivalent quanta. Based on this model, the authors obtained a relation between x-ray dose and the diameter of the smallest disks detected. A closed form solution was established by assuming no rebinning and no resampling of data, with low additive noise and using a ramp filter. For the case when no such assumptions were made, a numerically calculated solution using previously reported imaging and reconstruction parameters was obtained. The detection probabilities for a range of dose and kVp values had been measured previously. These probabilities were normalized to a single dose of 56.6 mGy using the Rose-criteria-based relation to obtain a universal curve. Normalizations based on the new numerically calculated relationship were compared to the measured results. Results: The theoretical and numerical calculations have similar results and predict the detected diameter size to be inversely proportional to (dose){sup 1/3} and (dose){sup 1/2.8}, respectively. The normalized experimental curves and the associated universal plot using the new relation were not significantly different from those obtained using the Rose-criterion-based normalization. Conclusions: From numerical simulations, the authors found that the diameter of detected disks depends inversely on the cube root of the dose. For observer studies for disks

  1. Investigation of the accuracy of MV radiation isocentre calculations in the Elekta cone-beam CT software XVI

    Science.gov (United States)

    Riis, Hans L.; Moltke, Lars N.; Zimmermann, Sune J.; Ebert, Martin A.; Rowshanfarzad, Pejman

    2016-06-01

    Accurate determination of the megavoltage (MV) radiation isocentre of a linear accelerator (linac) is an important task in radiotherapy. The localization of the MV radiation isocentre is crucial for correct calibration of the in-room lasers and the cone-beam CT scanner used for patient positioning prior to treatment. Linac manufacturers offer tools for MV radiation isocentre localization. As a user, there is no access to the documentation for the underlying method and calculation algorithm used in the commercial software. The idea of this work was to evaluate the accuracy of the software tool for MV radiation isocentre calculation as delivered by Elekta using independent software. The image acquisition was based on the scheme designed by the manufacturer. Eight MV images were acquired in each series of a ball-bearing (BB) phantom attached to the treatment couch. The images were recorded at cardinal angles of the gantry using the electronic portal imaging device (EPID). Eight Elekta linacs with three different types of multileaf collimators (MLCs) were included in the test. The influence of MLC orientation, x-ray energy, and phantom modifications were examined. The acquired images were analysed using the Elekta x-ray volume imaging (XVI) software and in-house developed (IHD) MATLAB code. Results from the two different software were compared. A discrepancy in the longitudinal direction of the isocentre localization was found averaging 0.23 mm up to a maximum of 0.75 mm. The MLC orientation or the phantom asymmetry in the longitudinal direction do not appear to cause the discrepancy. The main cause of the differences could not be clearly identified. However, it is our opinion that the commercial software delivered by the linac manufacturer should be improved to reach better stability and precise results in the MV radiation isocentre calculations.

  2. Investigation of the accuracy of MV radiation isocentre calculations in the Elekta cone-beam CT software XVI.

    Science.gov (United States)

    Riis, Hans L; Moltke, Lars N; Zimmermann, Sune J; Ebert, Martin A; Rowshanfarzad, Pejman

    2016-06-07

    Accurate determination of the megavoltage (MV) radiation isocentre of a linear accelerator (linac) is an important task in radiotherapy. The localization of the MV radiation isocentre is crucial for correct calibration of the in-room lasers and the cone-beam CT scanner used for patient positioning prior to treatment. Linac manufacturers offer tools for MV radiation isocentre localization. As a user, there is no access to the documentation for the underlying method and calculation algorithm used in the commercial software. The idea of this work was to evaluate the accuracy of the software tool for MV radiation isocentre calculation as delivered by Elekta using independent software. The image acquisition was based on the scheme designed by the manufacturer. Eight MV images were acquired in each series of a ball-bearing (BB) phantom attached to the treatment couch. The images were recorded at cardinal angles of the gantry using the electronic portal imaging device (EPID). Eight Elekta linacs with three different types of multileaf collimators (MLCs) were included in the test. The influence of MLC orientation, x-ray energy, and phantom modifications were examined. The acquired images were analysed using the Elekta x-ray volume imaging (XVI) software and in-house developed (IHD) MATLAB code. Results from the two different software were compared. A discrepancy in the longitudinal direction of the isocentre localization was found averaging 0.23 mm up to a maximum of 0.75 mm. The MLC orientation or the phantom asymmetry in the longitudinal direction do not appear to cause the discrepancy. The main cause of the differences could not be clearly identified. However, it is our opinion that the commercial software delivered by the linac manufacturer should be improved to reach better stability and precise results in the MV radiation isocentre calculations.

  3. Investigation of cone-beam CT image quality trade-off for image-guided radiation therapy

    Science.gov (United States)

    Bian, Junguo; Sharp, Gregory C.; Park, Yang-Kyun; Ouyang, Jinsong; Bortfeld, Thomas; El Fakhri, Georges

    2016-05-01

    It is well-known that projections acquired over an angular range slightly over 180° (so-called short scan) are sufficient for fan-beam reconstruction. However, due to practical imaging conditions (projection data and reconstruction image discretization, physical factors, and data noise), the short-scan reconstructions may have different appearances and properties from the full-scan (scans over 360°) reconstructions. Nevertheless, short-scan configurations have been used in applications such as cone-beam CT (CBCT) for head-neck-cancer image-guided radiation therapy (IGRT) that only requires a small field of view due to the potential reduced imaging time and dose. In this work, we studied the image quality trade-off for full, short, and full/short scan configurations with both conventional filtered-backprojection (FBP) reconstruction and iterative reconstruction algorithms based on total-variation (TV) minimization for head-neck-cancer IGRT. Anthropomorphic and Catphan phantoms were scanned at different exposure levels with a clinical scanner used in IGRT. Both visualization- and numerical-metric-based evaluation studies were performed. The results indicate that the optimal exposure level and number of views are in the middle range for both FBP and TV-based iterative algorithms and the optimization is object-dependent and task-dependent. The optimal view numbers decrease with the total exposure levels for both FBP and TV-based algorithms. The results also indicate there are slight differences between FBP and TV-based iterative algorithms for the image quality trade-off: FBP seems to be more in favor of larger number of views while the TV-based algorithm is more robust to different data conditions (number of views and exposure levels) than the FBP algorithm. The studies can provide a general guideline for image-quality optimization for CBCT used in IGRT and other applications.

  4. Multi-resolution statistical image reconstruction for mitigation of truncation effects: application to cone-beam CT of the head

    Science.gov (United States)

    Dang, Hao; Webster Stayman, J.; Sisniega, Alejandro; Zbijewski, Wojciech; Xu, Jennifer; Wang, Xiaohui; Foos, David H.; Aygun, Nafi; Koliatsos, Vassilis E.; Siewerdsen, Jeffrey H.

    2017-01-01

    A prototype cone-beam CT (CBCT) head scanner featuring model-based iterative reconstruction (MBIR) has been recently developed and demonstrated the potential for reliable detection of acute intracranial hemorrhage (ICH), which is vital to diagnosis of traumatic brain injury and hemorrhagic stroke. However, data truncation (e.g. due to the head holder) can result in artifacts that reduce image uniformity and challenge ICH detection. We propose a multi-resolution MBIR method with an extended reconstruction field of view (RFOV) to mitigate truncation effects in CBCT of the head. The image volume includes a fine voxel size in the (inner) nontruncated region and a coarse voxel size in the (outer) truncated region. This multi-resolution scheme allows extension of the RFOV to mitigate truncation effects while introducing minimal increase in computational complexity. The multi-resolution method was incorporated in a penalized weighted least-squares (PWLS) reconstruction framework previously developed for CBCT of the head. Experiments involving an anthropomorphic head phantom with truncation due to a carbon-fiber holder were shown to result in severe artifacts in conventional single-resolution PWLS, whereas extending the RFOV within the multi-resolution framework strongly reduced truncation artifacts. For the same extended RFOV, the multi-resolution approach reduced computation time compared to the single-resolution approach (viz. time reduced by 40.7%, 83.0%, and over 95% for an image volume of 6003, 8003, 10003 voxels). Algorithm parameters (e.g. regularization strength, the ratio of the fine and coarse voxel size, and RFOV size) were investigated to guide reliable parameter selection. The findings provide a promising method for truncation artifact reduction in CBCT and may be useful for other MBIR methods and applications for which truncation is a challenge.

  5. Nonlinear statistical reconstruction for flat-panel cone-beam CT with blur and correlated noise models

    Science.gov (United States)

    Tilley, Steven; Siewerdsen, Jeffrey H.; Zbijewski, Wojciech; Stayman, J. Webster

    2016-03-01

    Flat-panel cone-beam CT (FP-CBCT) is a promising imaging modality, partly due to its potential for high spatial resolution reconstructions in relatively compact scanners. Despite this potential, FP-CBCT can face difficulty resolving important fine scale structures (e.g, trabecular details in dedicated extremities scanners and microcalcifications in dedicated CBCT mammography). Model-based methods offer one opportunity to improve high-resolution performance without any hardware changes. Previous work, based on a linearized forward model, demonstrated improved performance when both system blur and spatial correlations characteristics of FP-CBCT systems are modeled. Unfortunately, the linearized model relies on a staged processing approach that complicates tuning parameter selection and can limit the finest achievable spatial resolution. In this work, we present an alternative scheme that leverages a full nonlinear forward model with both system blur and spatially correlated noise. A likelihood-based objective function is derived from this forward model and we derive an iterative optimization algorithm for its solution. The proposed approach is evaluated in simulation studies using a digital extremities phantom and resolution-noise trade-offs are quantitatively evaluated. The correlated nonlinear model outperformed both the uncorrelated nonlinear model and the staged linearized technique with up to a 86% reduction in variance at matched spatial resolution. Additionally, the nonlinear models could achieve finer spatial resolution (correlated: 0.10 mm, uncorrelated: 0.11 mm) than the linear correlated model (0.15 mm), and traditional FDK (0.40 mm). This suggests the proposed nonlinear approach may be an important tool in improving performance for high-resolution clinical applications.

  6. SU-D-207-04: GPU-Based 4D Cone-Beam CT Reconstruction Using Adaptive Meshing Method

    Energy Technology Data Exchange (ETDEWEB)

    Zhong, Z; Gu, X; Iyengar, P; Mao, W; Wang, J [UT Southwestern Medical Center, Dallas, TX (United States); Guo, X [University of Texas at Dallas, Richardson, TX (United States)

    2015-06-15

    Purpose: Due to the limited number of projections at each phase, the image quality of a four-dimensional cone-beam CT (4D-CBCT) is often degraded, which decreases the accuracy of subsequent motion modeling. One of the promising methods is the simultaneous motion estimation and image reconstruction (SMEIR) approach. The objective of this work is to enhance the computational speed of the SMEIR algorithm using adaptive feature-based tetrahedral meshing and GPU-based parallelization. Methods: The first step is to generate the tetrahedral mesh based on the features of a reference phase 4D-CBCT, so that the deformation can be well captured and accurately diffused from the mesh vertices to voxels of the image volume. After the mesh generation, the updated motion model and other phases of 4D-CBCT can be obtained by matching the 4D-CBCT projection images at each phase with the corresponding forward projections of the deformed reference phase of 4D-CBCT. The entire process of this 4D-CBCT reconstruction method is implemented on GPU, resulting in significantly increasing the computational efficiency due to its tremendous parallel computing ability. Results: A 4D XCAT digital phantom was used to test the proposed mesh-based image reconstruction algorithm. The image Result shows both bone structures and inside of the lung are well-preserved and the tumor position can be well captured. Compared to the previous voxel-based CPU implementation of SMEIR, the proposed method is about 157 times faster for reconstructing a 10 -phase 4D-CBCT with dimension 256×256×150. Conclusion: The GPU-based parallel 4D CBCT reconstruction method uses the feature-based mesh for estimating motion model and demonstrates equivalent image Result with previous voxel-based SMEIR approach, with significantly improved computational speed.

  7. Design and characterization of a dedicated cone-beam CT scanner for detection of acute intracranial hemorrhage

    Science.gov (United States)

    Xu, J.; Sisniega, A.; Zbijewski, W.; Dang, H.; Stayman, J. W.; Wang, X.; Foos, D. H.; Aygun, N.; Koliatsos, V. E.; Siewerdsen, J. H.

    2016-03-01

    Purpose: Prompt and reliable detection of intracranial hemorrhage (ICH) has substantial clinical impact in diagnosis and treatment of stroke and traumatic brain injury. This paper describes the design, development, and preliminary performance characterization of a dedicated cone-beam CT (CBCT) head scanner prototype for imaging of acute ICH. Methods: A task-based image quality model was used to analyze the detectability index as a function of system configuration, and hardware design was guided by the results of this model-based optimization. A robust artifact correction pipeline was developed using GPU-accelerated Monte Carlo (MC) scatter simulation, beam hardening corrections, detector veiling glare, and lag deconvolution. An iterative penalized weighted least-squares (PWLS) reconstruction framework with weights adjusted for artifact-corrected projections was developed. Various bowtie filters were investigated for potential dose and image quality benefits, with a MC-based tool providing estimates of spatial dose distribution. Results: The initial prototype will feature a source-detector distance of 1000 mm and source-axis distance of 550 mm, a 43x43 cm2 flat panel detector, and a 15° rotating anode x-ray source with 15 kW power and 0.6 focal spot size. Artifact correction reduced image nonuniformity by ~250 HU, and PWLS reconstruction with modified weights improved the contrast to noise ratio by 20%. Inclusion of a bowtie filter can potentially reduce dose by 50% and improve CNR by 25%. Conclusions: A dedicated CBCT system capable of imaging millimeter-scale acute ICH was designed. Preliminary findings support feasibility of point-of-care applications in TBI and stroke imaging, with clinical studies beginning on a prototype.

  8. Investigation into image quality and dose for different patient geometries with multiple cone-beam CT systems

    Energy Technology Data Exchange (ETDEWEB)

    Gardner, Stephen J., E-mail: sgardne8@hfhs.org [Department of Radiation Oncology, Henry Ford Health System, Detroit, Michigan 48202 (United States); Studenski, Matthew T. [Department of Radiation Oncology, University of Miami - Miller School of Medicine, Miami, Florida 33136 (United States); Giaddui, Tawfik; Galvin, James; Yu, Yan; Xiao, Ying [Department of Radiation Oncology, Thomas Jefferson University, Philadelphia, Pennsylvania 19107 (United States); Cui, Yunfeng [Department of Radiation Oncology, Duke University Medical Center, Durham, North Carolina 27710 (United States)

    2014-03-15

    Purpose: To provide quantitative and qualitative image quality metrics and imaging dose for modern Varian On-board Imager (OBI) (ver. 1.5) and Elekta X-ray Volume Imager (XVI) (ver. 4.5R) cone-beam computed tomography (CBCT) systems in a clinical adaptive radiation therapy environment by accounting for varying patient thickness. Methods: Image quality measurements were acquired with Catphan 504 phantom (nominal diameter and with additional 10 cm thickness) for OBI and XVI systems and compared to planning CT (pCT) (GE LightSpeed). Various clinical protocols were analyzed for the OBI and XVI systems and analyzed using image quality metrics, including spatial resolution, low contrast detectability, uniformity, and HU sensitivity. Imaging dose measurements were acquired in Wellhofer Scanditronix i'mRT phantom at nominal phantom diameter and with additional 4 cm phantom diameter using GafChromic XRQA2 film. Calibration curves were generated using previously published in-air Air Kerma calibration method. Results: The OBI system full trajectory scans exhibited very little dependence on phantom thickness for accurate HU calculation, while half-trajectory scans with full-fan filter exhibited dependence of HU calculation on phantom thickness. The contrast-to-noise ratio (CNR) for the OBI scans decreased with additional phantom thickness. The uniformity of Head protocol scan was most significantly affected with additional phantom thickness. The spatial resolution and CNR compared favorably with pCT, while the uniformity of the OBI system was slightly inferior to pCT. The OBI scan protocol dose levels for nominal phantom thickness at the central portion of the phantom were 2.61, 0.72, and 1.88 cGy, and for additional phantom thickness were 1.95, 0.48, and 1.52 cGy, for the Pelvis, Thorax, and Spotlight protocols, respectively. The XVI system scans exhibited dependence on phantom thickness for accurate HU calculation regardless of trajectory. The CNR for the XVI scans

  9. Influence of object location in cone beam computed tomography (NewTom 5G and 3D Accuitomo 170) on gray value measurements at an implant site

    NARCIS (Netherlands)

    Parsa, A.; Ibrahim, N.; Hassan, B.; van der Stelt, P.; Wismeijer, D.

    2014-01-01

    Objectives The aim of this study was to determine the gray value variation at an implant site with different object location within the selected field of view (FOV) in two cone beam computed tomography (CBCT) scanners. Methods A 1-cm-thick section from the edentulous region of a dry human mandible w

  10. Optimizing cone beam CT scatter estimation in egs_cbct for a clinical and virtual chest phantom

    DEFF Research Database (Denmark)

    Slot Thing, Rune; Mainegra-Hing, Ernesto

    2014-01-01

    PURPOSE: Cone beam computed tomography (CBCT) image quality suffers from contamination from scattered photons in the projection images. Monte Carlo simulations are a powerful tool to investigate the properties of scattered photons.egs_cbct, a recent EGSnrc user code, provides the ability...

  11. Development and validation of a measurement-based source model for kilovoltage cone-beam CT Monte Carlo dosimetry simulations

    Science.gov (United States)

    McMillan, Kyle; McNitt-Gray, Michael; Ruan, Dan

    2013-01-01

    Purpose: The purpose of this study is to adapt an equivalent source model originally developed for conventional CT Monte Carlo dose quantification to the radiation oncology context and validate its application for evaluating concomitant dose incurred by a kilovoltage (kV) cone-beam CT (CBCT) system integrated into a linear accelerator. Methods: In order to properly characterize beams from the integrated kV CBCT system, the authors have adapted a previously developed equivalent source model consisting of an equivalent spectrum module that takes into account intrinsic filtration and an equivalent filter module characterizing the added bowtie filtration. An equivalent spectrum was generated for an 80, 100, and 125 kVp beam with beam energy characterized by half-value layer measurements. An equivalent filter description was generated from bowtie profile measurements for both the full- and half-bowtie. Equivalent source models for each combination of equivalent spectrum and filter were incorporated into the Monte Carlo software package MCNPX. Monte Carlo simulations were then validated against in-phantom measurements for both the radiographic and CBCT mode of operation of the kV CBCT system. Radiographic and CBCT imaging dose was measured for a variety of protocols at various locations within a body (32 cm in diameter) and head (16 cm in diameter) CTDI phantom. The in-phantom radiographic and CBCT dose was simulated at all measurement locations and converted to absolute dose using normalization factors calculated from air scan measurements and corresponding simulations. The simulated results were compared with the physical measurements and their discrepancies were assessed quantitatively. Results: Strong agreement was observed between in-phantom simulations and measurements. For the radiographic protocols, simulations uniformly underestimated measurements by 0.54%–5.14% (mean difference = −3.07%, SD = 1.60%). For the CBCT protocols, simulations uniformly

  12. Generic method for automatic bladder segmentation on cone beam CT using a patient-specific bladder shape model

    Energy Technology Data Exchange (ETDEWEB)

    Schoot, A. J. A. J. van de, E-mail: a.j.schootvande@amc.uva.nl; Schooneveldt, G.; Wognum, S.; Stalpers, L. J. A.; Rasch, C. R. N.; Bel, A. [Department of Radiation Oncology, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam (Netherlands); Hoogeman, M. S. [Department of Radiation Oncology, Daniel den Hoed Cancer Center, Erasmus Medical Center, Groene Hilledijk 301, 3075 EA Rotterdam (Netherlands); Chai, X. [Department of Radiation Oncology, Stanford University School of Medicine, 875 Blake Wilbur Drive, Palo Alto, California 94305 (United States)

    2014-03-15

    Purpose: The aim of this study is to develop and validate a generic method for automatic bladder segmentation on cone beam computed tomography (CBCT), independent of gender and treatment position (prone or supine), using only pretreatment imaging data. Methods: Data of 20 patients, treated for tumors in the pelvic region with the entire bladder visible on CT and CBCT, were divided into four equally sized groups based on gender and treatment position. The full and empty bladder contour, that can be acquired with pretreatment CT imaging, were used to generate a patient-specific bladder shape model. This model was used to guide the segmentation process on CBCT. To obtain the bladder segmentation, the reference bladder contour was deformed iteratively by maximizing the cross-correlation between directional grey value gradients over the reference and CBCT bladder edge. To overcome incorrect segmentations caused by CBCT image artifacts, automatic adaptations were implemented. Moreover, locally incorrect segmentations could be adapted manually. After each adapted segmentation, the bladder shape model was expanded and new shape patterns were calculated for following segmentations. All available CBCTs were used to validate the segmentation algorithm. The bladder segmentations were validated by comparison with the manual delineations and the segmentation performance was quantified using the Dice similarity coefficient (DSC), surface distance error (SDE) and SD of contour-to-contour distances. Also, bladder volumes obtained by manual delineations and segmentations were compared using a Bland-Altman error analysis. Results: The mean DSC, mean SDE, and mean SD of contour-to-contour distances between segmentations and manual delineations were 0.87, 0.27 cm and 0.22 cm (female, prone), 0.85, 0.28 cm and 0.22 cm (female, supine), 0.89, 0.21 cm and 0.17 cm (male, supine) and 0.88, 0.23 cm and 0.17 cm (male, prone), respectively. Manual local adaptations improved the segmentation

  13. Evaluation of craniofacial asymmetry based on cone-beam CT image%应用锥束计算机体层摄影术评价颅颌面的不对称

    Institute of Scientific and Technical Information of China (English)

    张晓芸; 许天民

    2013-01-01

    Cone-beam CT ( CBCT) was developed for the three-dimensional (3D) imaging of the max-illofacial area and has become popular in dentistry, orthodontics, and maxillofacial surgery. The advantages of CBCT include less radiation exposure (than conventional CT) , less artifacts, and submillimeter spatial resolution. CBCT has been shown to produce accurate 3D images of the craniofacial region and a 1 -to-1 image-to-reality ratio, which has greatly reduced errors of frontal cephalometry and improved our a-bility to diagnose asymmetry. Several new analyses to diagnose asymmetries on 3D images described in recent literature were reviewed, including 3D linear and angular measurements, mirror-image analysis ( superimposition of the mirror image of the anatomically correct part of the anatomy over the deformity) , 3D cephalometric analysis based on constructing an individual coordinate system for each facial unit or element (local coordinate systems) to differentiate them from the world coordinate system ( whole head orientation) , and method of application of asymmetry indices.

  14. Architecture of a high-performance surgical guidance system based on C-arm cone-beam CT: software platform for technical integration and clinical translation

    Science.gov (United States)

    Uneri, Ali; Schafer, Sebastian; Mirota, Daniel; Nithiananthan, Sajendra; Otake, Yoshito; Reaungamornrat, Sureerat; Yoo, Jongheun; Stayman, J. Webster; Reh, Douglas; Gallia, Gary L.; Khanna, A. Jay; Hager, Gregory; Taylor, Russell H.; Kleinszig, Gerhard; Siewerdsen, Jeffrey H.

    2011-03-01

    Intraoperative imaging modalities are becoming more prevalent in recent years, and the need for integration of these modalities with surgical guidance is rising, creating new possibilities as well as challenges. In the context of such emerging technologies and new clinical applications, a software architecture for cone-beam CT (CBCT) guided surgery has been developed with emphasis on binding open-source surgical navigation libraries and integrating intraoperative CBCT with novel, application-specific registration and guidance technologies. The architecture design is focused on accelerating translation of task-specific technical development in a wide range of applications, including orthopaedic, head-and-neck, and thoracic surgeries. The surgical guidance system is interfaced with a prototype mobile C-arm for high-quality CBCT and through a modular software architecture, integration of different tools and devices consistent with surgical workflow in each of these applications is realized. Specific modules are developed according to the surgical task, such as: 3D-3D rigid or deformable registration of preoperative images, surgical planning data, and up-to-date CBCT images; 3D-2D registration of planning and image data in real-time fluoroscopy and/or digitally reconstructed radiographs (DRRs); compatibility with infrared, electromagnetic, and video-based trackers used individually or in hybrid arrangements; augmented overlay of image and planning data in endoscopic or in-room video; real-time "virtual fluoroscopy" computed from GPU-accelerated DRRs; and multi-modality image display. The platform aims to minimize offline data processing by exposing quantitative tools that analyze and communicate factors of geometric precision. The system was translated to preclinical phantom and cadaver studies for assessment of fiducial (FRE) and target registration error (TRE) showing sub-mm accuracy in targeting and video overlay within intraoperative CBCT. The work culminates in

  15. Application of cone-beam CT technology in radiation therapy%锥形束CT在放射治疗中的应用

    Institute of Scientific and Technical Information of China (English)

    王为

    2011-01-01

    影像引导下的放射治疗是近年来出现的一种治疗恶性肿瘤的新技术,而锥形束CT既是一种全新的CT成像技术,又是影像引导下放射治疗系统的关键设备.本文介绍锥形束CT的基本原理及其在放射治疗中的应用现状和研究进展情况,并对锥形束CT图像后处理技术进行综述.%Image-guided radiation therapy has become a brand-new technology for treating cancer in recent years. Conebeam CT is not only a new kind of CT imaging technology, but also the key equipment in the image-guided radiation therapy system. This article introduced the basic principle of cone-beam CT and its application and research progress in radiation therapy, as well as the cone-beam CT image processing techniques.

  16. Development and validation of a hybrid simulation technique for cone beam CT: application to an oral imaging system

    Science.gov (United States)

    Zhang, G.; Pauwels, R.; Marshall, N.; Shaheen, E.; Nuyts, J.; Jacobs, R.; Bosmans, H.

    2011-09-01

    This paper proposes a hybrid technique to simulate the complete chain of an oral cone beam computed tomography (CBCT) system for the study of both radiation dose and image quality. The model was developed around a 3D Accuitomo 170 unit (J Morita, Japan) with a tube potential range of 60-90 kV. The Monte Carlo technique was adopted to simulate the x-ray generation, filtration and collimation. Exact dimensions of the bow-tie filter were estimated iteratively using experimentally acquired flood images. Non-flat radiation fields for different exposure settings were mediated via 'phase spaces'. Primary projection images were obtained by ray tracing at discrete energies and were fused according to the two-dimensional energy modulation templates derived from the phase space. Coarse Monte Carlo simulations were performed for scatter projections and the resulting noisy images were smoothed by Richardson-Lucy fitting. Resolution and noise characteristics of the flat panel detector were included using the measured modulation transfer function (MTF) and the noise power spectrum (NPS), respectively. The Monte Carlo dose calculation was calibrated in terms of kerma free-in-air about the isocenter, using an ionization chamber, and was subsequently validated by comparison against the measured air kerma in water at various positions of a cylindrical water phantom. The resulting dose discrepancies were found <10% for most cases. Intensity profiles of the experimentally acquired and simulated projection images of the water phantom showed comparable fractional increase over the common area as changing from a small to a large field of view, suggesting that the scatter was accurately accounted. Image validation was conducted using two small phantoms and the built-in quality assurance protocol of the system. The reconstructed simulated images showed high resemblance on contrast resolution, noise appearance and artifact pattern in comparison to experimentally acquired images, with <5

  17. Tracker-on-C for cone-beam CT-guided surgery: evaluation of geometric accuracy and clinical applications

    Science.gov (United States)

    Reaungamornrat, S.; Otake, Y.; Uneri, A.; Schafer, S.; Mirota, D. J.; Nithiananthan, S.; Stayman, J. W.; Khanna, A. J.; Reh, D. D.; Gallia, G. L.; Taylor, R. H.; Siewerdsen, J. H.

    2012-02-01

    Conventional surgical tracking configurations carry a variety of limitations in line-of-sight, geometric accuracy, and mismatch with the surgeon's perspective (for video augmentation). With increasing utilization of mobile C-arms, particularly those allowing cone-beam CT (CBCT), there is opportunity to better integrate surgical trackers at bedside to address such limitations. This paper describes a tracker configuration in which the tracker is mounted directly on the Carm. To maintain registration within a dynamic coordinate system, a reference marker visible across the full C-arm rotation is implemented, and the "Tracker-on-C" configuration is shown to provide improved target registration error (TRE) over a conventional in-room setup - (0.9+/-0.4) mm vs (1.9+/-0.7) mm, respectively. The system also can generate digitally reconstructed radiographs (DRRs) from the perspective of a tracked tool ("x-ray flashlight"), the tracker, or the C-arm ("virtual fluoroscopy"), with geometric accuracy in virtual fluoroscopy of (0.4+/-0.2) mm. Using a video-based tracker, planning data and DRRs can be superimposed on the video scene from a natural perspective over the surgical field, with geometric accuracy (0.8+/-0.3) pixels for planning data overlay and (0.6+/-0.4) pixels for DRR overlay across all C-arm angles. The field-of-view of fluoroscopy or CBCT can also be overlaid on real-time video ("Virtual Field Light") to assist C-arm positioning. The fixed transformation between the x-ray image and tracker facilitated quick, accurate intraoperative registration. The workflow and precision associated with a variety of realistic surgical tasks were significantly improved using the Tracker-on-C - for example, nearly a factor of 2 reduction in time required for C-arm positioning, reduction or elimination of dose in "hunting" for a specific fluoroscopic view, and confident placement of the x-ray FOV on the surgical target. The proposed configuration streamlines the integration of C

  18. TH-A-18C-09: Ultra-Fast Monte Carlo Simulation for Cone Beam CT Imaging of Brain Trauma

    Energy Technology Data Exchange (ETDEWEB)

    Sisniega, A; Zbijewski, W; Stayman, J [Department of Biomedical Engineering, Johns Hopkins University (United States); Yorkston, J [Carestream Health (United States); Aygun, N [Department of Radiology, Johns Hopkins University (United States); Koliatsos, V [Department of Neurology, Johns Hopkins University (United States); Siewerdsen, J [Department of Biomedical Engineering, Johns Hopkins University (United States); Department of Radiology, Johns Hopkins University (United States)

    2014-06-15

    Purpose: Application of cone-beam CT (CBCT) to low-contrast soft tissue imaging, such as in detection of traumatic brain injury, is challenged by high levels of scatter. A fast, accurate scatter correction method based on Monte Carlo (MC) estimation is developed for application in high-quality CBCT imaging of acute brain injury. Methods: The correction involves MC scatter estimation executed on an NVIDIA GTX 780 GPU (MC-GPU), with baseline simulation speed of ~1e7 photons/sec. MC-GPU is accelerated by a novel, GPU-optimized implementation of variance reduction (VR) techniques (forced detection and photon splitting). The number of simulated tracks and projections is reduced for additional speed-up. Residual noise is removed and the missing scatter projections are estimated via kernel smoothing (KS) in projection plane and across gantry angles. The method is assessed using CBCT images of a head phantom presenting a realistic simulation of fresh intracranial hemorrhage (100 kVp, 180 mAs, 720 projections, source-detector distance 700 mm, source-axis distance 480 mm). Results: For a fixed run-time of ~1 sec/projection, GPU-optimized VR reduces the noise in MC-GPU scatter estimates by a factor of 4. For scatter correction, MC-GPU with VR is executed with 4-fold angular downsampling and 1e5 photons/projection, yielding 3.5 minute run-time per scan, and de-noised with optimized KS. Corrected CBCT images demonstrate uniformity improvement of 18 HU and contrast improvement of 26 HU compared to no correction, and a 52% increase in contrast-tonoise ratio in simulated hemorrhage compared to “oracle” constant fraction correction. Conclusion: Acceleration of MC-GPU achieved through GPU-optimized variance reduction and kernel smoothing yields an efficient (<5 min/scan) and accurate scatter correction that does not rely on additional hardware or simplifying assumptions about the scatter distribution. The method is undergoing implementation in a novel CBCT dedicated to brain

  19. Evaluation of detector readout gain mode and bowtie filters for cone-beam CT imaging of the head.

    Science.gov (United States)

    Xu, Jennifer; Sisniega, Alejandro; Zbijewski, Wojciech; Dang, Hao; Stayman, J Webster; Wang, Xiaohui; Foos, David H; Aygun, Nafi; Koliatsos, Vassillis E; Siewerdsen, Jeffrey H

    2016-08-21

    The effects of detector readout gain mode and bowtie filters on cone-beam CT (CBCT) image quality and dose were characterized for a new CBCT system developed for point-of-care imaging of the head, with potential application to diagnosis of traumatic brain injury, intracranial hemorrhage (ICH), and stroke. A detector performance model was extended to include the effects of detector readout gain on electronic digitization noise. The noise performance for high-gain (HG), low-gain (LG), and dual-gain (DG) detector readout was evaluated, and the benefit associated with HG mode in regions free from detector saturation was quantified. Such benefit could be realized (without detector saturation) either via DG mode or by incorporation of a bowtie filter. Therefore, three bowtie filters were investigated that varied in thickness and curvature. A polyenergetic gain correction method was developed to equalize the detector response between the flood-field and projection data in the presence of a bowtie. The effect of bowtie filters on dose, scatter-to-primary ratio, contrast, and noise was quantified in phantom studies, and results were compared to a high-speed Monte Carlo (MC) simulation to characterize x-ray scatter and dose distributions in the head. Imaging in DG mode improved the contrast-to-noise ratio (CNR) by ~15% compared to LG mode at a dose (D 0, measured at the center of a 16 cm CTDI phantom) of 19 mGy. MC dose calculations agreed with CTDI measurements and showed that bowtie filters reduce peripheral dose by as much as 50% at the same central dose. Bowtie filters were found to increase the CNR per unit square-root dose near the center of the image by ~5-20% depending on bowtie thickness, but reduced CNR in the periphery by ~10-40%. Images acquired at equal CTDIw with and without a bowtie demonstrated a 24% increase in CNR at the center of an anthropomorphic head phantom. Combining a thick bowtie filter with a short arc (180°  +  fan angle) scan centered

  20. Evaluation of detector readout gain mode and bowtie filters for cone-beam CT imaging of the head

    Science.gov (United States)

    Xu, Jennifer; Sisniega, Alejandro; Zbijewski, Wojciech; Dang, Hao; Webster Stayman, J.; Wang, Xiaohui; Foos, David H.; Aygun, Nafi; Koliatsos, Vassillis E.; Siewerdsen, Jeffrey H.

    2016-08-01

    The effects of detector readout gain mode and bowtie filters on cone-beam CT (CBCT) image quality and dose were characterized for a new CBCT system developed for point-of-care imaging of the head, with potential application to diagnosis of traumatic brain injury, intracranial hemorrhage (ICH), and stroke. A detector performance model was extended to include the effects of detector readout gain on electronic digitization noise. The noise performance for high-gain (HG), low-gain (LG), and dual-gain (DG) detector readout was evaluated, and the benefit associated with HG mode in regions free from detector saturation was quantified. Such benefit could be realized (without detector saturation) either via DG mode or by incorporation of a bowtie filter. Therefore, three bowtie filters were investigated that varied in thickness and curvature. A polyenergetic gain correction method was developed to equalize the detector response between the flood-field and projection data in the presence of a bowtie. The effect of bowtie filters on dose, scatter-to-primary ratio, contrast, and noise was quantified in phantom studies, and results were compared to a high-speed Monte Carlo (MC) simulation to characterize x-ray scatter and dose distributions in the head. Imaging in DG mode improved the contrast-to-noise ratio (CNR) by ~15% compared to LG mode at a dose (D 0, measured at the center of a 16 cm CTDI phantom) of 19 mGy. MC dose calculations agreed with CTDI measurements and showed that bowtie filters reduce peripheral dose by as much as 50% at the same central dose. Bowtie filters were found to increase the CNR per unit square-root dose near the center of the image by ~5-20% depending on bowtie thickness, but reduced CNR in the periphery by ~10-40%. Images acquired at equal CTDIw with and without a bowtie demonstrated a 24% increase in CNR at the center of an anthropomorphic head phantom. Combining a thick bowtie filter with a short arc (180°  +  fan angle) scan centered

  1. Monte Carlo investigations of megavoltage cone-beam CT using thick, segmented scintillating detectors for soft tissue visualization.

    Science.gov (United States)

    Wang, Yi; Antonuk, Larry E; El-Mohri, Youcef; Zhao, Qihua; Sawant, Amit; Du, Hong

    2008-01-01

    Megavoltage cone-beam computed tomography (MV CBCT) is a highly promising technique for providing volumetric patient position information in the radiation treatment room. Such information has the potential to greatly assist in registering the patient to the planned treatment position, helping to ensure accurate delivery of the high energy therapy beam to the tumor volume while sparing the surrounding normal tissues. Presently, CBCT systems using conventional MV active matrix flat-panel imagers (AMFPIs), which are commonly used in portal imaging, require a relatively large amount of dose to create images that are clinically useful. This is due to the fact that the phosphor screen detector employed in conventional MV AMFPIs utilizes only approximately 2% of the incident radiation (for a 6 MV x-ray spectrum). Fortunately, thick segmented scintillating detectors can overcome this limitation, and the first prototype imager has demonstrated highly promising performance for projection imaging at low doses. It is therefore of definite interest to examine the potential performance of such thick, segmented scintillating detectors for MV CBCT. In this study, Monte Carlo simulations of radiation energy deposition were used to examine reconstructed images of cylindrical CT contrast phantoms, embedded with tissue-equivalent objects. The phantoms were scanned at 6 MV using segmented detectors having various design parameters (i.e., detector thickness as well as scintillator and septal wall materials). Due to constraints imposed by the nature of this study, the size of the phantoms was limited to approximately 6 cm. For such phantoms, the simulation results suggest that a 40 mm thick, segmented CsI detector with low density septal walls can delineate electron density differences of approximately 2.3% and 1.3% at doses of 1.54 and 3.08 cGy, respectively. In addition, it was found that segmented detectors with greater thickness, higher density scintillator material, or lower density

  2. Research progress in the application of cone beam CT to periodontics%锥形束CT在牙周病学中的研究进展

    Institute of Scientific and Technical Information of China (English)

    赵海礁; 潘亚萍

    2011-01-01

    锥形束CT(cone-beam computed tomography,CBCT)是目前较有力的牙周病辅助检查方式之一.研究发现,CBCT检查可促进牙周病的诊断、治疗及预后的评价等.近年来,CBCT在牙周病学中的重要作用备受关注本文将对CBCT的成像原理及其在牙周领域中的研究进展进行简要阐述.

  3. New Developments of exact Cone-beam CT Reconstruction Algorithms%锥束CT精确重建算法研究最新进展

    Institute of Scientific and Technical Information of China (English)

    陈志强; 李亮; 康克军; 张丽

    2005-01-01

    第八届三维图像重建及核医疗学国际会议于2005年7月在美国盐湖城召开.该会议是在CT、PET及SPECT图像重建领域最负盛名的会议之一.本文主要介绍在本次会议上提出的几种最新锥束CT精确重建算法,包括MD-FBP算法、R-line算法等;还讨论了这两种精确锥束重建算法的各自优点,并对CT图像重建领域下一步的研究方向做了展望.%The international meeting on fully three-dimensional image reconstruction meeting in radiology and nuclear medicine was hold in July 2005, USA. It is one of the most famous meetings in CT, PET and SPECT image reconstruction field. This paper introduces some novel developments in PET, SPECT and CT imaging upon this meeting. According to our interest, we focus on exact cone-beam CT reconstruction including Minimum data filtered-backprojection algorithm (MD-FBP), the R-line algorithm and so on. In the end, we discuss the different advantages of the above two exact algorithms and research prospects in cone-beam reconstruction.

  4. Using corrected Cone-Beam CT image for accelerated partial breast irradiation treatment dose verification: the preliminary experience

    OpenAIRE

    Wang, Jiazhou; Hu, Weigang; Cai, Gang; Peng, Jiayuan; Pan, Ziqiang; Guo, Xiaomao; Chen, Jiayi

    2013-01-01

    Background Accurate target localization is mandatory in the accelerated partial breast irradiation (APBI) delivery. Dosimetric verification for positional error will further guarantee the accuracy of treatment delivery. The purpose of this study is to evaluate the clinical feasibility of a cone beam computer tomographic (CBCT) image correction method in APBI. Methods A CBCT image correction method was developed. First, rigid image registration was proceeded for CTs and CBCTs; second, these im...

  5. Measuring interfraction and intrafraction lung function changes during radiation therapy using four-dimensional cone beam CT ventilation imaging

    Energy Technology Data Exchange (ETDEWEB)

    Kipritidis, John, E-mail: john.kipritidis@sydney.edu.au; Keall, Paul J. [Radiation Physics Laboratory, Sydney Medical School, University of Sydney, Sydney NSW 2006 (Australia); Hugo, Geoffrey; Weiss, Elisabeth; Williamson, Jeffrey [Department of Radiation Oncology, Virginia Commonwealth University, Richmond, Virginia 23298 (United States)

    2015-03-15

    Purpose: Adaptive ventilation guided radiation therapy could minimize the irradiation of healthy lung based on repeat lung ventilation imaging (VI) during treatment. However the efficacy of adaptive ventilation guidance requires that interfraction (e.g., week-to-week), ventilation changes are not washed out by intrafraction (e.g., pre- and postfraction) changes, for example, due to patient breathing variability. The authors hypothesize that patients undergoing lung cancer radiation therapy exhibit larger interfraction ventilation changes compared to intrafraction function changes. To test this, the authors perform the first comparison of interfraction and intrafraction lung VI pairs using four-dimensional cone beam CT ventilation imaging (4D-CBCT VI), a novel technique for functional lung imaging. Methods: The authors analyzed a total of 215 4D-CBCT scans acquired for 19 locally advanced non-small cell lung cancer (LA-NSCLC) patients over 4–6 weeks of radiation therapy. This set of 215 scans was sorted into 56 interfraction pairs (including first day scans and each of treatment weeks 2, 4, and 6) and 78 intrafraction pairs (including pre/postfraction scans on the same-day), with some scans appearing in both sets. VIs were obtained from the Jacobian determinant of the transform between the 4D-CBCT end-exhale and end-inhale images after deformable image registration. All VIs were deformably registered to their corresponding planning CT and normalized to account for differences in breathing effort, thus facilitating image comparison in terms of (i) voxelwise Spearman correlations, (ii) mean image differences, and (iii) gamma pass rates for all interfraction and intrafraction VI pairs. For the side of the lung ipsilateral to the tumor, we applied two-sided t-tests to determine whether interfraction VI pairs were more different than intrafraction VI pairs. Results: The (mean ± standard deviation) Spearman correlation for interfraction VI pairs was r{sup -}{sub Inter

  6. Effect of dose reduction on image registration and image quality for cone-beam CT in radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Loutfi-Krauss, B.; Koehn, J.; Bluemer, N.; Kara, E.; Scherf, C.; Roedel, C.; Ramm, U.; Licher, J. [Universitaetsklinikum Frankfurt, Klinik fuer Strahlentherapie und Onkologie, Frankfurt am Main (Germany); Freundl, K.; Koch, T. [Sozialstiftung Bamberg - MVZ am Bruderwald, Klinik und Praxis fuer Radioonkologie und Strahlentherapie, Bamberg (Germany)

    2014-09-20

    The additional radiation exposure applied to patients undergoing cone-beam computed tomography (CBCT) for image registration in radiation therapy is of great concern. Since a decrease in CBCT dose is linked to a degradation of image quality, the consequences of dose reduction on the registration process have to be investigated. This paper examines image quality and registration of low-contrast structures on an Elekta XVI for the two treatment areas prostate and chest while gradually decreasing the mAs per frame and the number of projections per CBCT to achieve dose reduction. Ideal results for image quality were obtained for 1.6 mAs/frame and 377 projections in prostate scans and 0.63 mAs/frame and 440 projections in chest images. Lower as well as higher total mAs lead to a decrease in image quality. In spite of poor image quality, registration can be successfully performed even for lowest possible settings. The results for registration allow an extensive dose reduction in both treatment areas. Very low mAs, however, do not qualify for clinical use because subjective judgment of the registration process is impossible. Compared to default presets the use of settings for acceptable image quality already permit a decrease in exposure of about 40 % (29.0 to 16.7 mGy) in prostate scans and 60 % (18.3 to 7.7 mGy) in chest scans. (orig.) [German] Die zusaetzliche Strahlenbelastung von Patienten bei der Lagerungskontrolle mit einer Kegelstrahl-Computertomographie (CBCT) in der Strahlentherapie ist nicht zu vernachlaessigen. Die Reduzierung der Dosis durch das CBCT ist mit einer Verschlechterung der Bildqualitaet verbunden. Aus diesem Grund ist die Untersuchung der Effekte einer Dosisreduktion von grosser Bedeutung. Diese Arbeit untersucht die Bildqualitaet und Bildregistrierung in Bereichen niedrigen Kontrasts mit einem Kegelstrahl CT der Firma Elekta. Betrachtet werden die Behandlungsregionen Prostata und Thorax. Die Dosisreduktion wird durch stufenweise Verringerung der

  7. A simple method for the quality control of the isocenter of cone beam CT for Elekta Accelerator system Synery; Un metodo sencillo para el control de calidad del isocentro del sistema Cone Beam CT para un acelerador Elekta Synery

    Energy Technology Data Exchange (ETDEWEB)

    Clemente Gutierrez, F.; Perez Vara, C.; Prieto Villacorta, M.

    2013-07-01

    Techniques of image-guided radiation therapy has been spreading over the past years. Cone-beam tomography systems constitute a particular case. As any team that employs ionizing radiation in the diagnosis or treatment of patients, such a system must be seen within a guarantee program of quality according to the recommendations and regulations. In particular, between geometric proofs referred to in such a program for these systems, must be referred to the verification of the coincidence between the isocentres of the treatment unit and the team's image. This work includes the weekly procedure followed for such verification. (Author)

  8. SU-E-J-72: Dosimetric Study of Cone-Beam CT-Based Radiation Treatment Planning Using a Patient-Specific Stepwise CT-Density Table

    Energy Technology Data Exchange (ETDEWEB)

    Chen, S; Le, Q; Mutaf, Y; Yi, B; D’Souza, W [University of Maryland School of Medicine, Baltimore, MD (United States)

    2015-06-15

    Purpose: To assess dose calculation accuracy of cone-beam CT (CBCT) based treatment plans using a patient-specific stepwise CT-density conversion table in comparison to conventional CT-based treatment plans. Methods: Unlike CT-based treatment planning which use fixed CT-density table, this study used patient-specific CT-density table to minimize the errors in reconstructed mass densities due to the effects of CBCT Hounsfield unit (HU) uncertainties. The patient-specific CT-density table was a stepwise function which maps HUs to only 6 classes of materials with different mass densities: air (0.00121g/cm3), lung (0.26g/cm3), adipose (0.95g/cm3), tissue (1.05 g/cm3), cartilage/bone (1.6g/cm3), and other (3g/cm3). HU thresholds to define different materials were adjusted for each CBCT via best match with the known tissue types in these images. Dose distributions were compared between CT-based plans and CBCT-based plans (IMRT/VMAT) for four types of treatment sites: head and neck (HN), lung, pancreas, and pelvis. For dosimetric comparison, PTV mean dose in both plans were compared. A gamma analysis was also performed to directly compare dosimetry in the two plans. Results: Compared to CT-based plans, the differences for PTV mean dose were 0.1% for pelvis, 1.1% for pancreas, 1.8% for lung, and −2.5% for HN in CBCT-based plans. The gamma passing rate was 99.8% for pelvis, 99.6% for pancreas, and 99.3% for lung with 3%/3mm criteria, and 80.5% for head and neck with 5%/3mm criteria. Different dosimetry accuracy level was observed: 1% for pelvis, 3% for lung and pancreas, and 5% for head and neck. Conclusion: By converting CBCT data to 6 classes of materials for dose calculation, 3% of dose calculation accuracy can be achieved for anatomical sites studied here, except HN which had a 5% accuracy. CBCT-based treatment planning using a patient-specific stepwise CT-density table can facilitate the evaluation of dosimetry changes resulting from variation in patient anatomy.

  9. Clinical application of cone beam CT in ambush impacted tooth diagnosis and treatment%CBCT在埋伏阻生牙诊断及治疗中的临床应用

    Institute of Scientific and Technical Information of China (English)

    孔娟; 秦晓中; 任晓旭

    2013-01-01

    Objective: To investigate the value of diagnosisand treatment of the ambush impacted teeth in jaw bones by Cone beam CT. Method; Cone beam CT was applied to localize impacted teeth in jaw bones in 28 cases that can not be localized exactly by Oral panoramic and occlusal film. Preoperative Scaned for all patients with cone beam CT to get high resolution image in preoperation?and use special software for accurate positioning. Result: Cone beam CT was applied tolocalizeexactly in 28 cases of impacted teeth in jaw bones.The impacted teeth in jaw bones were successfully removed or traction to correct position. Conclusion: Cone beam CT is an effective method to check impacted teeth.Cone-beam CT has an important guiding value in removing impacted teeth.%目的:评价锥体束CT(CBCT)在埋伏牙诊断及治疗中的临床应用价值.方法:选择常规全颌曲面断层片和X线牙片不能准确定位的埋伏阻生牙28例,术前对所有患者进行CBCT扫描获得高分辨率影像,并使用专用软件进行准确定位.结果:28颗埋伏阻生牙均被精确定位,采用最佳手术入路后,均顺利拔除或成功牵引至正确位置.结论:CBCT是判断埋伏阻生牙准确位置的有效方法,在埋伏阻生牙诊断及治疗中有重要的临床应用价值.

  10. SU-C-207-03: Optimization of a Collimator-Based Sparse Sampling Technique for Low-Dose Cone-Beam CT

    Energy Technology Data Exchange (ETDEWEB)

    Lee, T; Cho, S [KAIST, Daejon (Korea, Republic of); Kim, I; Han, B [EB Tech Co., Ltd., Daejeon (Korea, Republic of)

    2015-06-15

    Purpose: In computed tomography (CT) imaging, radiation dose delivered to the patient is one of the major concerns. Sparse-view CT takes projections at sparser view angles and provides a viable option to reducing dose. However, a fast power switching of an X-ray tube, which is needed for the sparse-view sampling, can be challenging in many CT systems. We have earlier proposed a many-view under-sampling (MVUS) technique as an alternative to sparse-view CT. In this study, we investigated the effects of collimator parameters on the image quality and aimed to optimize the collimator design. Methods: We used a bench-top circular cone-beam CT system together with a CatPhan600 phantom, and took 1440 projections from a single rotation. The multi-slit collimator made of tungsten was mounted on the X-ray source for beam blocking. For image reconstruction, we used a total-variation minimization (TV) algorithm and modified the backprojection step so that only the measured data through the collimator slits are to be used in the computation. The number of slits and the reciprocation frequency have been varied and the effects of them on the image quality were investigated. We also analyzed the sampling efficiency: the sampling density and data incoherence in each case. We tested three sets of slits with their number of 6, 12 and 18, each at reciprocation frequencies of 10, 30, 50 and 70 Hz/ro. Results: Consistent results in the image quality have been produced with the sampling efficiency, and the optimum condition was found to be using 12 slits at 30 Hz/ro. As image quality indices, we used the CNR and the detectability. Conclusion: We conducted an experiment with a moving multi-slit collimator to realize a sparse-sampled cone-beam CT. Effects of collimator parameters on the image quality have been systematically investigated, and the optimum condition has been reached.

  11. X-ray flat-panel imager (FPI)-based cone-beam volume CT (CBVCT) under a circle-plus-two-arc data acquisition orbit

    Science.gov (United States)

    Tang, Xiangyang; Ning, Ruola; Yu, Rongfeng; Conover, David L.

    2001-06-01

    The potential of cone beam volume CT (CBVCT) to improve the data acquisition efficiency for volume tomographic imaging is well recognized. A novel x-ray FPI based CBVCT prototype and its preliminary performance evaluation are presented in this paper. To meet the data sufficiency condition, the CBVCT prototype employs a circle-plus-two-arc orbit accomplished by a tiltable circular gantry. A cone beam filtered back-projection (CB-FBP) algorithm is derived for this data acquisition orbit, which employs a window function in the Radon domain to exclude the redundancy between the Radon information obtained from the circular cone beam (CB) data and that from the arc CB data. The number of projection images along the circular sub-orbit and each arc sub-orbit is 512 and 43, respectively. The reconstruction exactness of the prototype x-ray FPI based CBVCT system is evaluated using a disc phantom in which seven acrylic discs are stacked at fixed intervals. Images reconstructed with this algorithm show that both the contrast and geometric distortion existing in the disc phantom images reconstructed by the Feldkamp algorithm are substantially reduced. Meanwhile, the imaging performance of the prototype, such as modulation transfer function (MTF) and low contrast resolution, are quantitatively evaluated in detail through corresponding phantom studies. Furthermore, the capability of the prototype to reconstruct an ROI within a longitudinally unbounded object is verified. The results obtained from this preliminary performance evaluation encourage an expectation of medical applications of the x-ray FPI based CBVCT under the circle-plus-two-arc data acquisition, particularly the application in image-guided interventional procedures and radiotherapy where the movement of a patient table is to be avoided.

  12. Improved image quality of cone beam CT scans for radiotherapy image guidance using fiber-interspaced antiscatter grid

    Energy Technology Data Exchange (ETDEWEB)

    Stankovic, Uros; Herk, Marcel van; Ploeger, Lennert S.; Sonke, Jan-Jakob, E-mail: j.sonke@nki.nl [Department of Radiation Oncology, The Netherlands Cancer Institute, Amsterdam 1066 CX (Netherlands)

    2014-06-15

    Purpose: Medical linear accelerator mounted cone beam CT (CBCT) scanner provides useful soft tissue contrast for purposes of image guidance in radiotherapy. The presence of extensive scattered radiation has a negative effect on soft tissue visibility and uniformity of CBCT scans. Antiscatter grids (ASG) are used in the field of diagnostic radiography to mitigate the scatter. They usually do increase the contrast of the scan, but simultaneously increase the noise. Therefore, and considering other scatter mitigation mechanisms present in a CBCT scanner, the applicability of ASGs with aluminum interspacing for a wide range of imaging conditions has been inconclusive in previous studies. In recent years, grids using fiber interspacers have appeared, providing grids with higher scatter rejection while maintaining reasonable transmission of primary radiation. The purpose of this study was to evaluate the impact of one such grid on CBCT image quality. Methods: The grid used (Philips Medical Systems) had ratio of 21:1, frequency 36 lp/cm, and nominal selectivity of 11.9. It was mounted on the kV flat panel detector of an Elekta Synergy linear accelerator and tested in a phantom and a clinical study. Due to the flex of the linac and presence of gridline artifacts an angle dependent gain correction algorithm was devised to mitigate resulting artifacts. Scan reconstruction was performed using XVI4.5 augmented with inhouse developed image lag correction and Hounsfield unit calibration. To determine the necessary parameters for Hounsfield unit calibration and software scatter correction parameters, the Catphan 600 (The Phantom Laboratory) phantom was used. Image quality parameters were evaluated using CIRS CBCT Image Quality and Electron Density Phantom (CIRS) in two different geometries: one modeling head and neck and other pelvic region. Phantoms were acquired with and without the grid and reconstructed with and without software correction which was adapted for the different

  13. Dual-energy cone-beam CT with a flat-panel detector: Effect of reconstruction algorithm on material classification

    Energy Technology Data Exchange (ETDEWEB)

    Zbijewski, W., E-mail: wzbijewski@jhu.edu; Gang, G. J.; Xu, J.; Wang, A. S.; Stayman, J. W. [Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland 21205 (United States); Taguchi, K.; Carrino, J. A. [Russell H. Morgan Department of Radiology, Johns Hopkins University, Baltimore, Maryland 21205 (United States); Siewerdsen, J. H. [Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland 21205 and Russell H. Morgan Department of Radiology, Johns Hopkins University, Baltimore, Maryland 21205 (United States)

    2014-02-15

    Purpose: Cone-beam CT (CBCT) with a flat-panel detector (FPD) is finding application in areas such as breast and musculoskeletal imaging, where dual-energy (DE) capabilities offer potential benefit. The authors investigate the accuracy of material classification in DE CBCT using filtered backprojection (FBP) and penalized likelihood (PL) reconstruction and optimize contrast-enhanced DE CBCT of the joints as a function of dose, material concentration, and detail size. Methods: Phantoms consisting of a 15 cm diameter water cylinder with solid calcium inserts (50–200 mg/ml, 3–28.4 mm diameter) and solid iodine inserts (2–10 mg/ml, 3–28.4 mm diameter), as well as a cadaveric knee with intra-articular injection of iodine were imaged on a CBCT bench with a Varian 4343 FPD. The low energy (LE) beam was 70 kVp (+0.2 mm Cu), and the high energy (HE) beam was 120 kVp (+0.2 mm Cu, +0.5 mm Ag). Total dose (LE+HE) was varied from 3.1 to 15.6 mGy with equal dose allocation. Image-based DE classification involved a nearest distance classifier in the space of LE versus HE attenuation values. Recognizing the differences in noise between LE and HE beams, the LE and HE data were differentially filtered (in FBP) or regularized (in PL). Both a quadratic (PLQ) and a total-variation penalty (PLTV) were investigated for PL. The performance of DE CBCT material discrimination was quantified in terms of voxelwise specificity, sensitivity, and accuracy. Results: Noise in the HE image was primarily responsible for classification errors within the contrast inserts, whereas noise in the LE image mainly influenced classification in the surrounding water. For inserts of diameter 28.4 mm, DE CBCT reconstructions were optimized to maximize the total combined accuracy across the range of calcium and iodine concentrations, yielding values of ∼88% for FBP and PLQ, and ∼95% for PLTV at 3.1 mGy total dose, increasing to ∼95% for FBP and PLQ, and ∼98% for PLTV at 15.6 mGy total dose. For a

  14. Combined Fluoroscopy- and CT-Guided Transthoracic Needle Biopsy Using a C-Arm Cone-Beam CT System: Comparison with Fluoroscopy-Guided Biopsy

    Energy Technology Data Exchange (ETDEWEB)

    Cheung, Joo Yeon; Kim, Yoo Kyung; Shim, Sung Shine; Lim, Soo Mee [School of Medicine, Ewha Womans University, Seoul (Korea, Republic of)

    2011-02-15

    The aim of this study was to evaluate the usefulness of combined fluoroscopy- and CT-guided transthoracic needle biopsy (FC-TNB) using a cone beam CT system in comparison to fluoroscopy-guided TNB (F-TNB). We retrospectively evaluated 74 FC-TNB cases (group A) and 97 F-TNB cases (group B) to compare their respective diagnostic accuracies according to the size and depth of the lesion, as well as complications, procedure time, and radiation dose. The sensitivity for malignancy and diagnostic accuracy for small (< 30 mm in size) and deep ({>=} 50 mm in depth) lesions were higher in group A (91% and 94%, 92% and 94%) than in group B (73% and 81%, 84% and 88%), however not statistically significant (p > 0.05). Concerning lesions {>=} 30 mm in size and < 50 mm in depth, both groups displayed similar results (group A, 91% and 92%, 80% and 87%: group B, 90% and 92%, 86% and 90%). Pneumothorax occurred 26% of the time in group A and 14% for group B. The mean procedure time and patient skin dose were significantly higher in group A (13.6 {+-} 4.0 minutes, 157.1 {+-} 76.5 mGy) than in group B (9.0 {+-} 3.5 minutes, 21.9 {+-} 15.2 mGy) (p < 0.05). Combined fluoroscopy- and CT-guided TNB allows the biopsy of small (< 30 mm) and deep lesions ({>=} 50 mm) with high diagnostic accuracy and short procedure times, whereas F-TNB is still a useful method for large and superficial lesions with a low radiation dose

  15. An Investigation into the Correlation between the Density of Alveolar Bone around Micro-screws and Their Stability with Cone-Beam CT%利用Cone-Beam CT探讨支抗微螺钉周围骨密度与其稳定性的关系

    Institute of Scientific and Technical Information of China (English)

    秦璐; 邵奕奕; 赵颖

    2013-01-01

    目的:利用Cone-Beam CT测量支抗微螺钉周围骨密度值,探讨其与微螺钉稳定性的关系.方法:选取颌骨左右对称植入微螺钉后一侧松动而另一侧稳固的7名(共18枚微螺钉)正畸患者.拍摄CBCT,所得三维影像重建后用OnDemand 3D Application软件对微螺钉骨内部分周围2 mm范围内骨密度(以Hounsfield Unit表示)进行测量,自身对照比较分析双侧对称部位所植入微螺钉周围骨密度测量值间的差异.结果:松动微螺钉与稳定微螺钉骨内部分周围2 mm范围内骨密度无统计学差异,两侧微螺钉钉尖部1/3、钉中部1/3及钉颈部1/3周围骨密度均无统计学差异.结论:微螺钉种植支抗的稳定性与其周围骨密度间未发现明显相关性.%Objective:To study the relationship between the bone mineral density around micro-screws and their stability with Cone-Beam CT.Methods:7 patients who received orthodontic treatment with micro-screw anchorage were selected in this retrospective study.All of them had micro-screws implanted into symmetric locations,one screw became flexible while the other one stable.The total number of the micro-screws in this research was 18.CBCT films were taken after micro-screw were flexible,the DICOM data were reconstructed via OnDemand 3D Application software.The density of 2mm alveolar bone outside the micro-screws was evaluated,presented in Hounsfiled Unit.The difference of alveolar bone density between the loose and stable micro-screws were analyzed with self-control design.Results:No significant difference of the alveolar bone density outside the micro-screws were detected,no matter in the whole body,the tip,middle or neck area of them.Conclusion:No significant correlation between the alveolar bone density around micro-screwsand their stability was found.

  16. Development of a new prior knowledge based image reconstruction algorithm for the cone-beam-CT in radiation therapy; Entwicklung eines neuen vorwissensbasierten Bildrekonstruktionsalgorithmus fuer die Cone-Beam-CT Bildgebung in der Strahlentherapie

    Energy Technology Data Exchange (ETDEWEB)

    Vaegler, Sven

    2016-07-08

    The treatment of cancer in radiation therapy is achievable today by techniques that enable highly conformal dose distributions and steep dose gradients. In order to avoid mistreatment, these irradiation techniques have necessitated enhanced patient localization techniques. With an integrated x-ray tube at modern linear accelerators kV-projections can be acquired over a sufficiently large angular space and can be reconstructed to a volumetric image data set from the current situation of the patient prior to irradiation. The so-called Cone-Beam-CT (CBCT) allows a precise verification of patient positioning as well as adaptive radiotherapy. The benefits of an improved patient positioning due to a daily performed CBCT's is contrary to an increased and not negligible radiation exposure of the patient. In order to decrease the radiation exposure, substantial research effort is focused on various dose reduction strategies. Prominent strategies are the decrease of the charge per projection, the reduction of the number of projections as well as the reduction of the acquisition space. Unfortunately, these acquisition schemes lead to images with degraded quality with the widely used Feldkamp-Davis-Kress image reconstruction algorithm. More sophisticated image reconstruction techniques can deal with these dose-reduction strategies without degrading the image quality. A frequently investigated method is the image reconstruction by minimizing the total variation (TV), which is also known as Compressed Sensing (CS). A Compressed Sensing-based reconstruction framework that includes prior images into the reconstruction algorithm is the Prior-Image-Constrained- Compressed-Sensing algorithm (PICCS). The images reconstructed by PICCS outperform the reconstruction results of the conventional Feldkamp-Davis-Kress algorithm (FDK) based method if only a small number of projections are available. However, a drawback of PICCS is that major deviations between prior image data sets and

  17. Reproducibility of Facial Soft Tissue Thickness Measurements Using Cone-Beam CT Images According to the Measurement Methods.

    Science.gov (United States)

    Hwang, Hyeon-Shik; Choe, Seon-Yeong; Hwang, Ji-Sup; Moon, Da-Nal; Hou, Yanan; Lee, Won-Joon; Wilkinson, Caroline

    2015-07-01

    The purpose of this study was to establish the reproducibility of facial soft tissue (ST) thickness measurements by comparing three different measurement methods applied at 32 landmarks on three-dimensional cone-beam computed tomography (CBCT) images. Two observers carried out the measurements of facial ST thickness of 20 adult subjects using CBCT scan data, and inter- and intra-observer reproducibilities were evaluated. The measurement method of "perpendicular to bone" resulted in high inter- and intra-observer reproducibility at all 32 landmarks. In contrast, the "perpendicular to skin" method and "direct" method, which measures a distance between one point on bone and the other point on skin, presented low reproducibility. The results indicate that reproducibility could be increased by identifying the landmarks on hard tissue images, rather than on ST images, and the landmark description used in this study can be used in the establishment of reliable tissue depth data using CBCT images.

  18. Multiple helical scans and the reconstruction of over FOV-sized objects in cone-beam CT

    Institute of Scientific and Technical Information of China (English)

    Han Yu; Yan Bin; Li Lei; Yu Chao-Qun; Li Jian-Xin; Bao Shang-Lian

    2012-01-01

    In cone-beam computed tomography (CBCT),there are often cases where the size of the specimen is larger than the field of view (FOV) (referred to as over FOV-sized (OFS)).To acquire the complete projection data for OFS objects,some scan modes have been developed for long objects and short but over-wide objects.However,these modes still cannot meet the requirements for both longitudinally long and transversely wide objects.In this paper,we propose a multiple helical scan mode and a corresponding reconstruction algorithm for both longitudinally long and transversely wide objects.The simulation results show that our model can deal with the problem and that the results are acceptable,while the OFS object is twice as long compared with the FOV in the same latitude.

  19. C-arm cone beam CT perfusion imaging using the SMART-RECON algorithm to improve temporal sampling density and temporal resolution

    Science.gov (United States)

    Li, Yinsheng; Niu, Kai; Li, Ke; Schafer, Sebastian; Royalty, Kevin; Strother, Charles; Chen, Guang-Hong

    2016-03-01

    In this work, a newly developed reconstruction algorithm, Synchronized MultiArtifact Reduction with Tomographic RECONstruction (SMART-RECON), was applied to C-arm cone beam CT perfusion (CBCTP) imaging. This algorithm contains a special rank regularizer, designed to reduce limited-view artifacts associated with super- short scan reconstructions. As a result, high temporal sampling and temporal resolution image reconstructions were achieved using an interventional C-arm x-ray system. The algorithm was evaluated in terms of the fidelity of the dynamic contrast update curves and the accuracy of perfusion parameters through numerical simulation studies. Results shows that, not only were the dynamic curves accurately recovered (relative root mean square error ∈ [3%, 5%] compared with [13%, 22%] for FBP), but also the noise in the final perfusion maps was dramatically reduced. Compared with filtered backprojection, SMART-RECON generated CBCTP maps with much improved capability in differentiating lesions with perfusion deficits from the surrounding healthy brain tissues.

  20. Comparison of physical quality assurance between Scanora 3D and 3D Accuitomo 80 dental CT scanners

    Directory of Open Access Journals (Sweden)

    Ahmed S. Ali

    2015-06-01

    Full Text Available Background: The use of cone beam computed tomography (CBCT in dentistry has proven to be useful in the diagnosis and treatment planning of several oral and maxillofacial diseases. The quality of the resulting image is dictated by many factors related to the patient, unit, and operator. Materials and methods: In this work, two dental CBCT units, namely Scanora 3D and 3D Accuitomo 80, were assessed and compared in terms of quantitative effective dose delivered to specific locations in a dosimetry phantom. Resolution and contrast were evaluated in only 3D Accuitomo 80 using special quality assurance phantoms. Results: Scanora 3D, with less radiation time, showed less dosing values compared to 3D Accuitomo 80 (mean 0.33 mSv, SD±0.16 vs. 0.18 mSv, SD±0.1. Using paired t-test, no significant difference was found in Accuitomo two scan sessions (p>0.05, while it was highly significant in Scanora (p>0.05. The modulation transfer function value (at 2 lp/mm, in both measurements, was found to be 4.4%. The contrast assessment of 3D Accuitomo 80 in the two measurements showed few differences, for example, the grayscale values were the same (SD=0 while the noise level was slightly different (SD=0 and 0.67, respectively. Conclusions: The radiation dose values in these two CBCT units are significantly less than those encountered in systemic CT scans. However, the dose seems to be affected more by changing the field of view rather than the voltage or amperage. The low doses were at the expense of the image quality produced, which was still acceptable. Although the spatial resolution and contrast were inferior to the medical images produced in systemic CT units, the present results recommend adopting CBCTs in maxillofacial imaging because of low radiation dose and adequate image quality.

  1. Evaluation of the effects of sagging shifts on isocenter accuracy and image quality of cone-beam CT from kV on-board imagers.

    Science.gov (United States)

    Ali, Imad; Ahmad, Salahuddin

    2009-07-17

    To investigate the effects of sagging shifts of three on-board kV imaging systems (OBI) on the isocenter positioning accuracy and image quality of cone-beam CT (CBCT). A cubical phantom having a metal marker in the center that can be aligned with the radiation isocenter was used to measure sagging shifts and their variation with gantry angle on three Varian linacs with kV on-board imaging systems. A marker-tracking algorithm was applied to detect the shadow of the metal marker and localize its center in the two-dimensional cone-beam radiographic projections. This tracking algorithm is based on finding the position of maximum cross-correlation between a region-of-interest from a template image (including the metal marker) and the projections containing the shadow of the metal marker. Sagging shifts were corrected by mapping the center of the metal marker to a reference position for all projections acquired over a full gantry rotation (0-360 degrees). The sag-corrected radiographic projections were then used to reconstruct CBCT using Feldkamp back-projection. A standard quality assurance phantom was used to evaluate the image quality of CBCT before and after sagging correction. Sagging affects both the positioning accuracy of the OBI isocenter and the CBCT image quality. For example, on one linac, the position of the marker on the cone-beam radiographic projections depends on the angular view and has maximal shifts of about 2 mm along the imager x-direction (patient's cross-plane). Sagging produces systematic shifts of the OBI isocenter as large as 1 mm posterior and 1 mm left in patient coordinates relative to the radiation isocenter. Further, it causes spatial distortion and blurring in CBCT image reconstructed from radiographic projections that are not corrected for OBI sagging. CBCT numbers vary by about 1% in full-fan scans and up to 3.5% in half-fan scans because of sagging. In order to achieve better localization accuracy in image-guided radiation therapy

  2. Quantification and Assessment of Interfraction Setup Errors Based on Cone Beam CT and Determination of Safety Margins for Radiotherapy.

    Directory of Open Access Journals (Sweden)

    Macarena Cubillos Mesías

    Full Text Available To quantify interfraction patient setup-errors for radiotherapy based on cone-beam computed tomography and suggest safety margins accordingly.Positioning vectors of pre-treatment cone-beam computed tomography for different treatment sites were collected (n = 9504. For each patient group the total average and standard deviation were calculated and the overall mean, systematic and random errors as well as safety margins were determined.The systematic (and random errors in the superior-inferior, left-right and anterior-posterior directions were: for prostate, 2.5(3.0, 2.6(3.9 and 2.9(3.9mm; for prostate bed, 1.7(2.0, 2.2(3.6 and 2.6(3.1mm; for cervix, 2.8(3.4, 2.3(4.6 and 3.2(3.9mm; for rectum, 1.6(3.1, 2.1(2.9 and 2.5(3.8mm; for anal, 1.7(3.7, 2.1(5.1 and 2.5(4.8mm; for head and neck, 1.9(2.3, 1.4(2.0 and 1.7(2.2mm; for brain, 1.0(1.5, 1.1(1.4 and 1.0(1.1mm; and for mediastinum, 3.3(4.6, 2.6(3.7 and 3.5(4.0mm. The CTV-to-PTV margins had the smallest value for brain (3.6, 3.7 and 3.3mm and the largest for mediastinum (11.5, 9.1 and 11.6mm. For pelvic treatments the means (and standard deviations were 7.3 (1.6, 8.5 (0.8 and 9.6 (0.8mm.Systematic and random setup-errors were smaller than 5mm. The largest errors were found for organs with higher motion probability. The suggested safety margins were comparable to published values in previous but often smaller studies.

  3. SU-E-P-41: Imaging Coordination of Cone Beam CT, On-Board Image Conjunction with Optical Image Guidance for SBRT Treatment with Respiratory Motion Management

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Y; Campbell, J [INTEGRIS Cancer Institute of Oklahoma, Oklahoma City, OK (United States)

    2015-06-15

    Purpose: To spare normal tissue for SBRT lung/liver patients, especially for patients with significant tumor motion, image guided respiratory motion management has been widely implemented in clinical practice. The purpose of this study was to evaluate imaging coordination of cone beam CT, on-board X-ray image conjunction with optical image guidance for SBRT treatment with motion management. Methods: Currently in our clinic a Varian Novlis Tx was utilized for treating SBRT patients implementing CBCT. A BrainLAB X-ray ExacTrac imaging system in conjunction with optical guidance was primarily used for SRS patients. CBCT and X-ray imaging system were independently calibrated with 1.0 mm tolerance. For SBRT lung/liver patients, the magnitude of tumor motion was measured based-on 4DCT and the measurement was analyzed to determine if patients would be beneficial with respiratory motion management. For patients eligible for motion management, an additional CT with breath holding would be scanned and used as primary planning CT and as reference images for Cone beam CT. During the SBRT treatment, a CBCT with pause and continuing technology would be performed with patients holding breath, which may require 3–4 partially scanned CBCT to combine as a whole CBCT depending on how long patients capable of holding breath. After patients being setup by CBCT images, the ExactTrac X-ray imaging system was implemented with patients’ on-board X-ray images compared to breath holding CT-based DRR. Results: For breath holding patients SBRT treatment, after initially localizing patients with CBCT, we then position patients with ExacTrac X-ray and optical imaging system. The observed deviations of real-time optical guided position average at 3.0, 2.5 and 1.5 mm in longitudinal, vertical and lateral respectively based on 35 treatments. Conclusion: The respiratory motion management clinical practice improved our physician confidence level to give tighter tumor margin for sparing normal

  4. Prediction of rapid maxillary expansion by assessing the maturation of the midpalatal suture on cone beam CT

    Directory of Open Access Journals (Sweden)

    Fernanda Angelieri

    Full Text Available ABSTRACT Rapid maxillary expansion (RME primarily involves the mechanical opening of the midpalatal suture of the maxillary and palatine bones. The fusion of the midpalatal suture determines the failure of RME, a common event in late adolescents and young adults. Recently, the assessment of the maturation of midpalatal suture as viewed using cone beam computed tomography (CBCT has been introduced. Five maturational stages of the midpalatal suture have been presented: Stage A = straight high-density sutural line, with no or little interdigitation; Stage B = scalloped appearance of the high-density sutural line; Stage C = two parallel, scalloped, high-density lines that lie close to each other, separated in some areas by small low-density spaces; Stage D = fusion of the palatine bone where no evidence of a suture is present; and Stage E = complete fusion that extends also anteriorly in the maxilla. At Stage C, less skeletal response would be expected than at Stages A and B, as there are many bony bridges along the suture. For patients at Stages D and E, surgically assisted RME would be necessary, as the fusion of the midpalatal suture already has occurred either partially or totally. This diagnostic method can be used to estimate the prognosis of the RME, mainly for late adolescents and young adults for whom this procedure is unpredictable clinically.

  5. Prediction of rapid maxillary expansion by assessing the maturation of the midpalatal suture on cone beam CT

    Science.gov (United States)

    Angelieri, Fernanda; Franchi, Lorenzo; Cevidanes, Lucia H. S.; Bueno-Silva, Bruno; McNamara, James A.

    2016-01-01

    ABSTRACT Rapid maxillary expansion (RME) primarily involves the mechanical opening of the midpalatal suture of the maxillary and palatine bones. The fusion of the midpalatal suture determines the failure of RME, a common event in late adolescents and young adults. Recently, the assessment of the maturation of midpalatal suture as viewed using cone beam computed tomography (CBCT) has been introduced. Five maturational stages of the midpalatal suture have been presented: Stage A = straight high-density sutural line, with no or little interdigitation; Stage B = scalloped appearance of the high-density sutural line; Stage C = two parallel, scalloped, high-density lines that lie close to each other, separated in some areas by small low-density spaces; Stage D = fusion of the palatine bone where no evidence of a suture is present; and Stage E = complete fusion that extends also anteriorly in the maxilla. At Stage C, less skeletal response would be expected than at Stages A and B, as there are many bony bridges along the suture. For patients at Stages D and E, surgically assisted RME would be necessary, as the fusion of the midpalatal suture already has occurred either partially or totally. This diagnostic method can be used to estimate the prognosis of the RME, mainly for late adolescents and young adults for whom this procedure is unpredictable clinically. PMID:28125147

  6. Artifacts caused by insufficient contrast medium filling during C-arm cone-beam CT scans: a phantom study.

    Science.gov (United States)

    Terabe, Mitsuaki; Ichikawa, Hajime; Kato, Toyohiro; Koshida, Kichiro

    2014-01-01

    We investigated artifacts due to late-arriving contrast medium (CM) during C-arm cone-beam computed tomography. We scanned a phantom filled with water or with 100, 50, or 5% v/v concentrations of CM and then virtually produced CM-delayed projection data by partially replacing the projection images. Artifacts as a function of concentration, percentage of filling time, and size and position of the filling area were assessed. In addition, we used an automatic power injector with different injection delays to inject CM during the scans. A decrease in filling times caused by a lag in CM arrival during the scan resulted in a decrease in pixel values, distortion of the filling area, and appearance of streak artifacts. Even a delay of approximately 20% in CM arrival in the total scan time resulted in obvious distortion of the filling area. The distortion and streak artifacts tended to worsen at higher CM concentrations. Use of a minimum CM concentration based on the purpose of the examination and constant filling at the target region are effective for avoiding these artifacts.

  7. Four-dimensional Cone Beam CT Reconstruction and Enhancement using a Temporal Non-Local Means Method

    CERN Document Server

    Jia, Xun; Lou, Yifei; Sonke, Jan-Jakob; Jiang, Steve B

    2012-01-01

    Four-dimensional Cone Beam Computed Tomography (4D-CBCT) has been developed to provide respiratory phase resolved volumetric imaging in image guided radiation therapy (IGRT). Inadequate number of projections in each phase bin results in low quality 4D-CBCT images with obvious streaking artifacts. In this work, we propose two novel 4D-CBCT algorithms: an iterative reconstruction algorithm and an enhancement algorithm, utilizing a temporal nonlocal means (TNLM) method. We define a TNLM energy term for a given set of 4D-CBCT images. Minimization of this term favors those 4D-CBCT images such that any anatomical features at one spatial point at one phase can be found in a nearby spatial point at neighboring phases. 4D-CBCT reconstruction is achieved by minimizing a total energy containing a data fidelity term and the TNLM energy term. As for the image enhancement, 4D-CBCT images generated by the FDK algorithm are enhanced by minimizing the TNLM function while keeping the enhanced images close to the FDK results. A...

  8. SU-E-T-143: Effect of X-Ray and Cone Beam CT Reconstruction Parameters On Estimation of Bone Volume of Mice Used in Aging Research

    Energy Technology Data Exchange (ETDEWEB)

    Russ, M; Pang, M; Troen, B; Rudin, S; Ionita, C [University at Buffalo, Buffalo, NY (United States)

    2014-06-01

    Purpose: To investigate the variations in bone volume calculations in mice involved in aging research when changing cone beam micro-CT x-ray and reconstruction parameters. Methods: Mouse spines were placed on an indexed turn table that rotated 0.5° per projection and imaged by a self-built micro CT machine containing a CCD-based high-resolution x-ray detector. After the full 360° rotation data set of object images was obtained, a standard filtered back-projection cone beam reconstruction was performed. Four different kVp's between 40–70 kVp in 10kVp increments were selected. For each kVp two mAs settings were used. Each acquisition was reconstructed using two voxel sizes (12 and 25μm) and two step angles, 0.5° and 1°, respectively. A LabView program was written to determine the total bone volume contained in the mouse's total spine volume (bone plus gaps) as a measure of spine health. First, the user selected the desired 512×512 reconstruction to view the whole spine volume which was then used to select a gray-level threshold that allowed for viewing of the bone structure, then another threshold to include gaps. The program returned bone volume, bone × gap volume, and their ratio, BVF. Results: The calculated bone volume fractions were compared as a function of tube potential. Cases with 25μm slice thickness showed trials with lower kVp's had greater image contrast, which resulted in higher calculated bone volume fractions. Cases with 12μm reconstructed slice thickness were significantly noisier, and showed no clear maximum BVF. Conclusion: Using the projection images and reconstructions acquired from the micro CT, it can be shown that the micro-CT x-ray and reconstruction parameters significantly affect the total bone volume calculations. When comparing mice cohorts treated with different therapies researchers need to be aware of such details and use volumes which were acquired and processed in identical conditions.

  9. Potential of 80-kV high-resolution cone-beam CT imaging combined with an optimized protocol for neurological surgery

    Energy Technology Data Exchange (ETDEWEB)

    Kanayama, Seisaku; Hara, Takayuki [Toranomon Hospital, Department of Neurosurgery, Tokyo (Japan); Hamada, Yusuke [Toranomon Hospital, Department of Radiology, Tokyo (Japan); Matsumaru, Yuji [Toranomon Hospital, Department of Neuro-Endovascular Therapy, Tokyo (Japan)

    2014-11-05

    With the development of computed tomography (CT) and magnetic resonance imaging (MRI), the use of conventional X-ray angiography including digital subtraction angiography (DSA) for diagnosis has decreased, as it is an invasive technique with a risk of neurological complications. However, X-ray angiography imaging technologies have progressed markedly, along with the development of endovascular treatments. A newly developed angiography technique using cone-beam CT (CBCT) technology provides higher spatial resolution than conventional CT. Herein, we describe the potential of this technology for neurosurgical operations with reference to clinical cases. Two hundred twenty-five patients who received 80-kV high-resolution CBCT from July 2011 to June 2014 for preoperative examinations were included in this study. For pathognomonical cases, images were taken with suitable reconstruction modes and contrast protocols. Cases were compared with intraoperative findings or images from other modalities. We observed the following pathognomonical types: (1) imaging of the distal dural ring (DDR) and the surrounding structure for paraclinoid aneurysms, (2) imaging of thin blood vessels, and (3) imaging of both brain tumors and their surrounding anatomy. Our devised 80-kV high-resolution CBCT imaging system provided clear visualization of detailed anatomy when compared with other modalities in almost all cases. Only two cases provided poor visualization due to movement artifact. Eighty-kilovolt high-resolution CBCT has the potential to provide detailed anatomy for neurosurgical operations when utilizing suitable modes and contrast protocols. (orig.)

  10. Low-Dose and Scatter-Free Cone-Beam CT Imaging Using a Stationary Beam Blocker in a Single Scan: Phantom Studies

    Directory of Open Access Journals (Sweden)

    Xue Dong

    2013-01-01

    Full Text Available Excessive imaging dose from repeated scans and poor image quality mainly due to scatter contamination are the two bottlenecks of cone-beam CT (CBCT imaging. Compressed sensing (CS reconstruction algorithms show promises in recovering faithful signals from low-dose projection data but do not serve well the needs of accurate CBCT imaging if effective scatter correction is not in place. Scatter can be accurately measured and removed using measurement-based methods. However, these approaches are considered unpractical in the conventional FDK reconstruction, due to the inevitable primary loss for scatter measurement. We combine measurement-based scatter correction and CS-based iterative reconstruction to generate scatter-free images from low-dose projections. We distribute blocked areas on the detector where primary signals are considered redundant in a full scan. Scatter distribution is estimated by interpolating/extrapolating measured scatter samples inside blocked areas. CS-based iterative reconstruction is finally carried out on the undersampled data to obtain scatter-free and low-dose CBCT images. With only 25% of conventional full-scan dose, our method reduces the average CT number error from 250 HU to 24 HU and increases the contrast by a factor of 2.1 on Catphan 600 phantom. On an anthropomorphic head phantom, the average CT number error is reduced from 224 HU to 10 HU in the central uniform area.

  11. Over-exposure correction in knee cone-beam CT imaging with automatic exposure control using a partial low dose scan

    Science.gov (United States)

    Choi, Jang-Hwan; Muller, Kerstin; Hsieh, Scott; Maier, Andreas; Gold, Garry; Levenston, Marc; Fahrig, Rebecca

    2016-03-01

    C-arm-based cone-beam CT (CBCT) systems with flat-panel detectors are suitable for diagnostic knee imaging due to their potentially flexible selection of CT trajectories and wide volumetric beam coverage. In knee CT imaging, over-exposure artifacts can occur because of limitations in the dynamic range of the flat panel detectors present on most CBCT systems. We developed a straightforward but effective method for correction and detection of over-exposure for an Automatic Exposure Control (AEC)-enabled standard knee scan incorporating a prior low dose scan. The radiation dose associated with the low dose scan was negligible (0.0042mSv, 2.8% increase) which was enabled by partially sampling the projection images considering the geometry of the knees and lowering the dose further to be able to just see the skin-air interface. We combined the line integrals from the AEC and low dose scans after detecting over-exposed regions by comparing the line profiles of the two scans detector row-wise. The combined line integrals were reconstructed into a volumetric image using filtered back projection. We evaluated our method using in vivo human subject knee data. The proposed method effectively corrected and detected over-exposure, and thus recovered the visibility of exterior tissues (e.g., the shape and density of the patella, and the patellar tendon), incorporating a prior low dose scan with a negligible increase in radiation exposure.

  12. Simple methods to reduce patient dose in a Varian cone beam CT system for delivery verification in pelvic radiotherapy.

    Science.gov (United States)

    Roxby, P; Kron, T; Foroudi, F; Haworth, A; Fox, C; Mullen, A; Cramb, J

    2009-10-01

    Cone-beam computed tomography (CBCT) is a three-dimensional imaging modality that has recently become available on linear accelerators for radiotherapy patient position verification. It was the aim of the present study to implement simple strategies for reduction of the dose delivered in a commercial CBCT system. The dose delivered in a CBCT procedure (Varian, half-fan acquisition, 650 projections, 125 kVp) was assessed using a cylindrical Perspex phantom (diameter, 32 cm) with a calibrated Farmer type ionisation chamber. A copper filter (thickness, 0.15 mm) was introduced increasing the half value layer of the beam from 5.5 mm Al to 8 mm Al. Image quality and noise were assessed using an image quality phantom (CatPhan) while the exposure settings per projection were varied from 25 ms/80 mA to 2 ms/2 mA per projection. Using the copper filter reduced the dose to the phantom from approximately 45 mGy to 30 mGy at standard settings (centre/periphery weighting 1/3 to 2/3). Multiple CBCT images were acquired for six patients with pelvic malignancies to compare CBCTs with and without a copper filter. Although the reconstructed image is somewhat noisier with the filter, it features similar contrast in the centre of the patient and was often preferred by the radiation oncologist because of greater image uniformity. The X-ray shutters were adjusted to the minimum size required to obtain the desired image volume for a given patient diameter. The simple methods described here reduce the effective dose to patients undergoing daily CBCT and are easy to implement, and initial evidence suggests that they do not affect the ability to identify soft tissue for the purpose of treatment verification.

  13. Evaluation of technical quality and periapical health of root-filled teeth by using cone-beam CT

    Directory of Open Access Journals (Sweden)

    Bilge Gülsüm NUR

    2014-12-01

    Full Text Available Objective This study aimed to assess the quality of root fillings, coronal restorations, complications of all root-filled teeth and their association with apical periodontitis (AP detected by cone-beam computed tomography (CBCT images from an adult Turkish subpopulation. Material and Methods The sample for this study consisted of 242 patients (aging from 15 to 72 years with 522 endodontically treated teeth that were assessed for technical quality of the root canal filling and periapical status of the teeth. Additionally, the apical status of each root-filled tooth was assessed according to the gender, dental arch, tooth type and age classification, undetected canals, instrument fracture, root fracture, apical resorption, apical lesion, furcation lesion and type and quality of the coronal structure. Statistical analysis was performed using percentages and chi-square test. Results The success rate of the root canal treatment was of 54.4%. The success rates of adequate and inadequate root canal treatment were not significantly different (p>0.05. Apical periodontitis was found in 228 (45.6% teeth treated for root canals. Higher prevalence of AP was found in patients aging from 20 to 29 years [64 (27% teeth] and in anterior (canines and incisors teeth [97 (41% teeth]. Conclusions The technical quality of root canal filling performed by dental practitioners in a Turkish subpopulation was consistent with a high prevalence of AP. The probable reasons for this failure are multifactorial, and there may be a need for improved undergraduate education and postgraduate courses to improve the clinical skills of dental practitioners in endodontics.

  14. C-arm cone-beam CT virtual navigation-guided percutaneous mediastinal mass biopsy: Diagnostic accuracy and complications

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hyungjin [Seoul National University College of Medicine, Department of Radiology, Seoul (Korea, Republic of); Seoul National University Medical Research Center, Institute of Radiation Medicine, Seoul (Korea, Republic of); Aerospace Medical Group, Air Force Education and Training Command, Jinju (Korea, Republic of); Park, Chang Min; Goo, Jin Mo [Seoul National University College of Medicine, Department of Radiology, Seoul (Korea, Republic of); Seoul National University Medical Research Center, Institute of Radiation Medicine, Seoul (Korea, Republic of); Seoul National University, Cancer Research Institute, Seoul (Korea, Republic of); Lee, Sang Min [Seoul National University College of Medicine, Department of Radiology, Seoul (Korea, Republic of); Seoul National University Medical Research Center, Institute of Radiation Medicine, Seoul (Korea, Republic of)

    2015-12-15

    To assess the usefulness of C-arm cone-beam computed tomography (CBCT) virtual navigation-guided percutaneous mediastinal mass biopsy in terms of diagnostic accuracy and complication rates. Seventy-eight CBCT virtual navigation-guided percutaneous mediastinal mass biopsies were performed in 75 patients (M:F, 38:37; mean age, 48.55 ± 18.76 years). The procedural details, diagnostic sensitivity, specificity, accuracy and complication rate were investigated. Mean lesion size was 6.80 ± 3.08 cm, skin-to-target distance was 3.67 ± 1.80 cm, core needle biopsy rate was 96.2 % (75/78), needle indwelling time was 9.29 ± 4.34 min, total procedure time was 13.26 ± 5.29 min, number of biopsy specimens obtained was 3.13 ± 1.02, number of CBCTs performed was 3.03 ± 0.68, rate of lesion border discrimination from abutting mediastinal structures on CBCT was 26.9 % (21/78), technical success rate was 100 % (78/78), estimated effective dose was 5.33 ± 4.99 mSv, and the dose area product was 12,723.68 ± 10,665.74 mGy.cm{sup 2}. Among the 78 biopsies, 69 were malignant, 7 were benign and 2 were indeterminate. Diagnostic sensitivity, specificity and accuracy for the diagnosis of malignancies were 97.1 % (67/69), 100 % (7/7) and 97.4 % (74/76), respectively, with a complication rate of 3.85 % (3/78), all of which were small pneumothoraces. CBCT virtual navigation-guided biopsy is a highly accurate and safe procedure for the evaluation of mediastinal lesions. (orig.)

  15. SU-E-J-151: Dosimetric Evaluation of DIR Mapped Contours for Image Guided Adaptive Radiotherapy with 4D Cone-Beam CT

    Energy Technology Data Exchange (ETDEWEB)

    Balik, S [Cleveland Clinic Foundation, Cleveland, OH (United States); Weiss, E; Williamson, J; Hugo, G [Virginia Commonwealth University, Richmond, VA (United States); Jan, N; Zhang, L [Virginia Commonwealth University, Richmond, Virginia (United States); Roman, N [San Antonio Precision Center Ctr, San Antonio, TX (United States); Christensen, G [University of Iowa, Iowa City, IA (United States)

    2014-06-01

    Purpose: To estimate dosimetric errors resulting from using contours deformably mapped from planning CT to 4D cone beam CT (CBCT) images for image-guided adaptive radiotherapy of locally advanced non-small cell lung cancer (NSCLC). Methods: Ten locally advanced non-small cell lung cancer (NSCLC) patients underwent one planning 4D fan-beam CT (4DFBCT) and weekly 4DCBCT scans. Multiple physicians delineated the gross tumor volume (GTV) and normal structures in planning CT images and only GTV in CBCT images. Manual contours were mapped from planning CT to CBCTs using small deformation, inverse consistent linear elastic (SICLE) algorithm for two scans in each patient. Two physicians reviewed and rated the DIR-mapped (auto) and manual GTV contours as clinically acceptable (CA), clinically acceptable after minor modification (CAMM) and unacceptable (CU). Mapped normal structures were visually inspected and corrected if necessary, and used to override tissue density for dose calculation. CTV (6mm expansion of GTV) and PTV (5mm expansion of CTV) were created. VMAT plans were generated using the DIR-mapped contours to deliver 66 Gy in 33 fractions with 95% and 100% coverage (V66) to PTV and CTV, respectively. Plan evaluation for V66 was based on manual PTV and CTV contours. Results: Mean PTV V66 was 84% (range 75% – 95%) and mean CTV V66 was 97% (range 93% – 100%) for CAMM scored plans (12 plans); and was 90% (range 80% – 95%) and 99% (range 95% – 100%) for CA scored plans (7 plans). The difference in V66 between CAMM and CA was significant for PTV (p = 0.03) and approached significance for CTV (p = 0.07). Conclusion: The quality of DIR-mapped contours directly impacted the plan quality for 4DCBCT-based adaptation. Larger safety margins may be needed when planning with auto contours for IGART with 4DCBCT images. Reseach was supported by NIH P01CA116602.

  16. Discussion of Cone-beam CT-guided Radiotherapy for Breast Cancer%锥形束CT引导乳腺癌放射治疗的探讨

    Institute of Scientific and Technical Information of China (English)

    叶森林; 梁廷; 荣青碧

    2010-01-01

    目的:探讨锥形束CT(Cone-Beam CT,CBCT)在乳腺癌三维适形或调强放射治疗位置精度保证中的应用.方法:采用Varian-21EX直线加速器机载影像系统(OBI),在适形或调强放射治疗前行锥形束CT扫描,系统自动重建成断层图像,获得患者三维方向的摆位数据,直接与治疗计划CT扫描图像相匹配后得出两者间的误差数据,对误差予以校正后行精确治疗.结果:经锥形束CT扫描并校正后,左右、腹背和头脚方向的位置误差值分别由(1.7±3.25)mm、(0.9±1.27)mm、(2.1±4.31)mm下降至(0.6±1.38)mm、(0.2±0.72)mm、(0.8±1.65)mm.结论:CBCT对于乳腺癌适形或调强放射治疗的精确实施具有重要作用.

  17. Algorithm for X-ray scatter, beam-hardening, and beam profile correction in diagnostic (kilovoltage) and treatment (megavoltage) cone beam CT.

    Science.gov (United States)

    Maltz, Jonathan S; Gangadharan, Bijumon; Bose, Supratik; Hristov, Dimitre H; Faddegon, Bruce A; Paidi, Ajay; Bani-Hashemi, Ali R

    2008-12-01

    Quantitative reconstruction of cone beam X-ray computed tomography (CT) datasets requires accurate modeling of scatter, beam-hardening, beam profile, and detector response. Typically, commercial imaging systems use fast empirical corrections that are designed to reduce visible artifacts due to incomplete modeling of the image formation process. In contrast, Monte Carlo (MC) methods are much more accurate but are relatively slow. Scatter kernel superposition (SKS) methods offer a balance between accuracy and computational practicality. We show how a single SKS algorithm can be employed to correct both kilovoltage (kV) energy (diagnostic) and megavoltage (MV) energy (treatment) X-ray images. Using MC models of kV and MV imaging systems, we map intensities recorded on an amorphous silicon flat panel detector to water-equivalent thicknesses (WETs). Scattergrams are derived from acquired projection images using scatter kernels indexed by the local WET values and are then iteratively refined using a scatter magnitude bounding scheme that allows the algorithm to accommodate the very high scatter-to-primary ratios encountered in kV imaging. The algorithm recovers radiological thicknesses to within 9% of the true value at both kV and megavolt energies. Nonuniformity in CT reconstructions of homogeneous phantoms is reduced by an average of 76% over a wide range of beam energies and phantom geometries.

  18. The current status of cone beam computed tomography imaging in orthodontics

    OpenAIRE

    S. Kapila; Conley, R S; Harrell, W E

    2011-01-01

    Cone beam CT (CBCT) has become an increasingly important source of three dimensional (3D) volumetric data in clinical orthodontics since its introduction into dentistry in 1998. The purpose of this manuscript is to highlight the current understanding of, and evidence for, the clinical use of CBCT in orthodontics, and to review the findings to answer clinically relevant questions. Currently available information from studies using CBCT can be organized into five broad categories: 1, the assess...

  19. Low-contrast visualization in megavoltage cone-beam CT at one beam pulse per projection using thick segmented scintillators

    Science.gov (United States)

    El-Mohri, Youcef; Antonuk, Larry E.; Zhao, Qihua; Choroszucha, Richard B.; Wang, Yi

    2010-04-01

    Megavoltage cone-beam computed tomography (MV CBCT) using an electronic portal imaging device (EPID) is a highly promising technique for providing valuable volumetric information for image guidance in radiotherapy. However, active matrix flat-panel imagers (AMFPIs), which are the established gold standard in portal imaging, require a relatively large dose to create images that are clinically useful. This is a consequence of the inefficiency of the phosphor screens employed in conventional MV AMFPIs, which utilize only ~2% of the incident radiation at 6 MV. Fortunately, the incorporation of thick, segmented scintillators can significantly improve the performance of MV AMFPIs, leading to improved image quality for projection imaging at extremely low dose. It is therefore of interest to explore the performance of such thick scintillators for MV CBCT toward the goal of soft-tissue contrast visualization. In this study, prototype AMFPIs incorporating segmented scintillators based on CsI:Tl and BGO crystals with thicknesses ranging from ~11 to 25 mm have been constructed and evaluated. Each prototype incorporates a detector consisting of a matrix of 120 × 60 scintillator elements separated by reflective septal walls, with an element-to-element pitch of 1.016 mm, coupled to an overlying ~1 mm thick Cu plate. The prototype AMFPIs were incorporated into a bench-top CBCT system, allowing the acquisition of tomographic images of a contrast phantom using a 6 MV radiotherapy photon beam. The phantom consists of a water-equivalent (solid water) cylinder, embedded with tissue-equivalent inserts having electron densities, relative to water, varying from ~0.43 to ~1.47. Reconstructed images of the phantom were obtained down to the lowest available dose (one beam pulse per projection), corresponding to a total scan dose of ~4 cGy using 180 projections. In this article, reconstructed images, contrast, noise and contrast-to-noise ratio for the tissue-equivalent objects using the

  20. A breast-specific, negligible-dose scatter correction technique for dedicated cone-beam breast CT: a physics-based approach to improve Hounsfield Unit accuracy

    Science.gov (United States)

    Yang, Kai; Burkett, George, Jr.; Boone, John M.

    2014-11-01

    The purpose of this research was to develop a method to correct the cupping artifact caused from x-ray scattering and to achieve consistent Hounsfield Unit (HU) values of breast tissues for a dedicated breast CT (bCT) system. The use of a beam passing array (BPA) composed of parallel-holes has been previously proposed for scatter correction in various imaging applications. In this study, we first verified the efficacy and accuracy using BPA to measure the scatter signal on a cone-beam bCT system. A systematic scatter correction approach was then developed by modeling the scatter-to-primary ratio (SPR) in projection images acquired with and without BPA. To quantitatively evaluate the improved accuracy of HU values, different breast tissue-equivalent phantoms were scanned and radially averaged HU profiles through reconstructed planes were evaluated. The dependency of the correction method on object size and number of projections was studied. A simplified application of the proposed method on five clinical patient scans was performed to demonstrate efficacy. For the typical 10-18 cm breast diameters seen in the bCT application, the proposed method can effectively correct for the cupping artifact and reduce the variation of HU values of breast equivalent material from 150 to 40 HU. The measured HU values of 100% glandular tissue, 50/50 glandular/adipose tissue, and 100% adipose tissue were approximately 46, -35, and -94, respectively. It was found that only six BPA projections were necessary to accurately implement this method, and the additional dose requirement is less than 1% of the exam dose. The proposed method can effectively correct for the cupping artifact caused from x-ray scattering and retain consistent HU values of breast tissues.

  1. Comprehensive Evaluations of Cone-beam CT dose in Image-guided Radiation Therapy via GPU-based Monte Carlo simulations

    CERN Document Server

    Montanari, Davide; Silvestri, Chiara; Graves, Yan J; Yan, Hao; Cervino, Laura; Rice, Roger; Jiang, Steve B; Jia, Xun

    2013-01-01

    Cone beam CT (CBCT) has been widely used for patient setup in image guided radiation therapy (IGRT). Radiation dose from CBCT scans has become a clinical concern. The purposes of this study are 1) to commission a GPU-based Monte Carlo (MC) dose calculation package gCTD for Varian On-Board Imaging (OBI) system and test the calculation accuracy, and 2) to quantitatively evaluate CBCT dose from the OBI system in typical IGRT scan protocols. We first conducted dose measurements in a water phantom. X-ray source model parameters used in gCTD are obtained through a commissioning process. gCTD accuracy is demonstrated by comparing calculations with measurements in water and in CTDI phantoms. 25 brain cancer patients are used to study dose in a standard-dose head protocol, and 25 prostate cancer patients are used to study dose in pelvis protocol and pelvis spotlight protocol. Mean dose to each organ is calculated. Mean dose to 2% voxels that have the highest dose is also computed to quantify the maximum dose. It is fo...

  2. Rapid needle-out patient-rollover approach after cone beam CT-guided lung biopsy: effect on pneumothorax rate in 1,191 consecutive patients

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jung Im [Seoul National University College of Medicine, Department of Radiology, Jongno-gu, Seoul (Korea, Republic of); Seoul National University Medical Research Center, Institute of Radiation Medicine, Seoul (Korea, Republic of); Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Department of Radiology, Seoul (Korea, Republic of); Park, Chang Min; Goo, Jin Mo [Seoul National University College of Medicine, Department of Radiology, Jongno-gu, Seoul (Korea, Republic of); Seoul National University, Cancer Research Institute, Seoul (Korea, Republic of); Lee, Sang Min [Seoul National University College of Medicine, Department of Radiology, Jongno-gu, Seoul (Korea, Republic of)

    2015-07-15

    To investigate the effect of rapid needle-out patient-rollover approach on the incidence of pneumothorax and drainage catheter placement due to pneumothorax in C-arm Cone-beam CT (CBCT)-guided percutaneous transthoracic needle biopsy (PTNB) of lung lesions. From May 2011 to December 2012, 1227 PTNBs were performed in 1191 patients with a 17-gauge coaxial needle. 617 biopsies were performed without (conventional-group) and 610 with rapid-rollover approach (rapid-rollover-group). Overall pneumothorax rates and incidences of pneumothorax requiring drainage catheter placement were compared between two groups. There were no significant differences in overall pneumothorax rates between conventional and rapid-rollover groups (19.8 % vs. 23.1 %, p = 0.164). However, pneumothorax rate requiring drainage catheter placement was significantly lower in rapid-rollover-group (1.6 %) than conventional-group (4.2 %) (p = 0.010). Multivariate analysis revealed male, age > 60, bulla crossed, fissure crossed, pleura to target distance > 1.3 cm, emphysema along needle tract, and pleural punctures ≥ 2 were significant risk factors of pneumothorax (p < 0.05). Regarding pneumothorax requiring drainage catheter placement, fissure crossed, bulla crossed, and emphysema along needle tract were significant risk factors (p < 0.05), whereas rapid-rollover approach was an independent protective factor (p = 0.002). The rapid needle-out patient-rollover approach significantly reduced the rate of pneumothorax requiring drainage catheter placement after CBCT-guided PTNB. (orig.)

  3. Modeling shift-variant X-ray focal spot blur for high-resolution flat-panel cone-beam CT

    CERN Document Server

    Tilley, Steven; Siewerdsen, Jeffrey H; Stayman, J Webster

    2016-01-01

    Flat-panel cone-beam CT (CBCT) has been applied clinically in a number of high-resolution applications. Increasing geometric magnification can potentially improve resolution, but also increases blur due to an extended x-ray focal-spot. We present a shift-variant focal-spot blur model and incorporate it into a model-based iterative-reconstruction algorithm. We apply this algorithm to simulation and CBCT test-bench data. In a trabecular bone simulation study, we find traditional reconstruction approaches without a blur model exhibit shift-variant resolution properties that depend greatly on the acquisition protocol (e.g. short vs. full scans) and the anode angles of the rays used to reconstruct a particular region. For physical CBCT experiments focal spot blur was characterized and a spatial resolution phantom was scanned and reconstructed. In both experiments image quality using the shift-variant model was significantly improved over approaches that modeled no blur or only a shift-invariant blur, suggesting a ...

  4. New Statistical Method to Analyze Three-Dimensional Landmark Configurations Obtained with Cone-Beam CT: Basic Features and Clinical Application for Rapid Maxillary Expansion

    Energy Technology Data Exchange (ETDEWEB)

    Gamble, Jennifer; Lagravere, Manuel O.; Major, Paul W.; Heo, Giseon [University of Alberta, Edmonton (Canada)

    2012-03-15

    To describe a statistical method of three-dimensional landmark configuration data and apply it to an orthodontic data set comparing two types of rapid maxillary expansion (RME) treatments. Landmark configurations obtained from cone beam CT scans were used to represent patients in two types (please describe what were two types) of RME groups and a control group over four time points. A method using tools from persistent homology and dimensionality reduction is presented and used to identify variability between the subjects. The analysis was in agreement with previous results using conventional methods, which found significant differences between treatment groups and the control, but no distinction between the types of treatment. Additionally, it was found that second molar eruption varied considerably between the subjects, and this has not been evaluated in previous analyses. This method of analysis allows entire configurations to be considered as a whole, and does not require specific inter-landmark distances or angles to be selected. Sources of variability present themselves, without having to be individually sought after. This method is suggested as an additional tool for the analysis of landmark configuration data.

  5. Cone beam CT in the diagnosis of the dental pulp teeth of vertical root fracture treatment research%锥形束CT诊断非牙髓治疗牙齿根纵折的研究

    Institute of Scientific and Technical Information of China (English)

    杨丽; 杨岳峰

    2015-01-01

    Objective To explore the diagnosis and treatment cone beam CT in the dental pulp teeth of vertical root fracture clinical diagnosis.methods From May 2013 to May 2013 our hospital clinical diagnosis data of 26 patients with dental disease were analyzed retrospectively, compared with X-ray and cone beam CT examination results.Results This group of 30 patients with tooth, through X-ray has 21 teeth diagnosed, which has four premolars, maxillary molar mesial buccal root ifve, mandibular ifrst molar 12, there are nine should be conifrmed through the cone beam CT examination.Conclusion For the pulp teeth of vertical root fracture diagnosis treatment, cone beam CT is superior to the X-ray diagnosis effect, have important clinical practical signiifcance.%目的:探讨锥形束CT在非牙髓治疗牙齿根纵折的临床诊断情况。方法对2013年5月~2014年5月我院收治的牙病患者26例的临床诊断资料进行回顾性分析,对比X线和锥形束CT检查的结果。结果本组患者30颗牙齿中,通过X线检查有21颗牙齿得到确诊,其中前磨牙有4颗,上颌磨牙近中颊根5颗,下颌第一磨牙12颗,有9颗需要通过锥形束CT进行检查确诊。结论对于非牙髓治疗牙齿根纵折的诊断,锥形束CT诊断效果要优于X线检查,具有重要的临床实践意义。

  6. Visualization of subtle temporal bone structures. Comparison of cone beam CT and MDCT; Darstellung subtiler Schlaefenbeinstrukturen. In-vivo-Vergleich digitale Volumentomographie vs. Multidetektor-CT

    Energy Technology Data Exchange (ETDEWEB)

    Pein, M.K.; Plontke, S.K. [Universitaetsklinikum Halle (Saale), Universitaetsklinik und Poliklinik fuer HNO-Heilkunde, Kopf- und Halschirurgie, Halle (Saale) (Germany); Brandt, S.; Koesling, S. [Universitaetsklinikum Halle (Saale), Universitaetsklinik und Poliklinik fuer Diagnostische Radiologie, Halle (Saale) (Germany)

    2014-03-15

    The purpose of this study was to compare the visualization of subtle, non-pathological temporal bone structures on cone beam computed tomography (CBCT) and multi-detector computed tomography (MDCT) in vivo. Temporal bone studies of images from 38 patients archived in the picture archiving and communication system (PACS) were analyzed (slice thickness MDCT 0.6 mm and CBCT 0.125 mm) of which 23 were imaged by MDCT and 15 by CBCT using optimized standard protocols. Inclusion criteria were normal radiological findings, absence of previous surgery and anatomical variants. Images were evaluated blind by three trained observers. Using a five-point scale the visualization of ten subtle structures of the temporal bone was analyzed. Subtle middle ear structures showed a tendency to be more easily distinguishable by CBCT with significantly better visualization of the tendon of the stapedius muscle and the crura of the stapes on CBCT (p = 0.003 and p = 0.033, respectively). In contrast, inner ear components, such as the osseus spiral lamina and the modiolus tended to be better detectable on MDCT, showing significant differences for the osseous spiral lamina (p = 0.001). The interrater reliability was 0.73 (Cohen's kappa coefficient) and intraobserver reliability was 0.89. The use of CBCT and MDCT allows equivalent and excellent imaging results if optimized protocols are chosen. With both imaging techniques subtle temporal bone structures could be visualized with a similar degree of definition. In vivo differences do not seem to be as large as suggested in several previous studies. (orig.) [German] Vergleich der Identifizierbarkeit subtiler Schlaefenbeinstrukturen in der digitalen Volumentomographie (DVT) und Multidetektor-CT (MDCT) in vivo. Analysiert wurden 38 im PACS (Picture Archiving and Communication System) duennschichtig gespeicherte Schlaefenbeinuntersuchungen (23 MDCTs, Schichtdicke 0,6 mm sowie 15 DVTs, Schichtdicke 0,125 mm). Einschlusskriterium war eine

  7. Use of C-Arm Cone Beam CT During Hepatic Radioembolization : Protocol Optimization for Extrahepatic Shunting and Parenchymal Enhancement

    NARCIS (Netherlands)

    van den Hoven, Andor F.; Prince, Jip F.; de Keizer, Bart; Vonken, Evert Jan P A; Bruijnen, Rutger C G; Verkooijen, Helena M.; Lam, Marnix G E H; van den Bosch, Maurice A A J

    2016-01-01

    Purpose: To optimize a C-arm computed tomography (CT) protocol for radioembolization (RE), specifically for extrahepatic shunting and parenchymal enhancement. Materials and Methods: A prospective development study was performed per IDEAL recommendations. A literature-based protocol was applied in pa

  8. Grangeat-Type and Katsevich-Type Algorithms for Cone-Beam CT%论锥束CT扫描Grangeat-型 Katsevich-型的算法

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    锥束图象重建算法正在快速发展,并用于重要的生物医学和工业应用中.在本文中,主要讨论有效的精确的、可能用于动态研究的算法,特别是近年发展起来的Grangeat类和Katsevich类的算法.这一选择是基于CT和显微CT的定量的和功能的应用需求.2002年,Lee和 Wang提出了圆周和螺旋情形Grangeat类的半扫描锥束算法,解决了短物体重建问题. 原理是利用在Grangeat类重建公式中的Radon 空间信息,在阴影区域进行适当的数据插值,从而抑制Feldkamp类重建算法的亮度,减低伪影.在圆形和螺旋半扫描情形,首先我们确定位于不同采样冗余区域之间的边界.然后我们导出相应的加权函数以用于特征点的计算.就亮度减低伪影而论,Grangeat类半扫描重建算法优于Feldkamp类半扫描重建算法.2001年, Katsevich推导了第一个理论上精确的螺旋锥束滤波反投影型重建公式.其局限性是探测器窗口较大和待重建物体的半径较小.2002年 Katsevich改进了他的第一个公式.新的公式对病人的尺寸没有多少限制,而且相对旧公式假设了较小的探测器阵列.最近,Katsevich将他的方法推广到一般的扫描轨迹,证明了早期的两个公式是他的一般结果的特例.针对长物体的动态体成像,我们极其需要改进现有的Grangeat类和Katsevich类的算法.%Cone-beam image reconstruction algorithms are in rapid development for major biomedical and industrial applications. In this report, we primarily focus on those algorithms that allow exact and efficient reconstruction and have potential for dynamic studies, which are recently developed Grangeat-type and Katsevich-type algorithms. This preference is due to the needs for quantitative and functional CT/micro-CT applications. Last year, Lee and Wang developed Grangeat-type half-scan cone-beam algorithms in the circular and helical scanning cases to solve the short object problem. In both the

  9. Endodontic applications of cone beam computed tomography: case series and literature review

    Directory of Open Access Journals (Sweden)

    Francesc Abella

    2015-11-01

    Full Text Available Cone beam computed tomography (CBCT is a relatively new method that produces three-dimensional (3D information of the maxillofacial skeleton, including the teeth and their surrounding tissue, with a lower effective radiation dose than traditional CT scans. Specific endodontic applications for CBCT are being identified as the use of this technology becomes more common. CBCT has great potential to become a valuable tool for diagnosing and managing endodontic problems, as well as for assessing root fractures, apical periodontitis, resorptions, perforations, root canal anatomy and the nature of the alveolar bone topography around teeth. This article aims to review cone beam technology and its advantages over CT scans and conventional radiography, to illustrate current and future clinical applications in endodontic practice, and to highlight areas of further research of CBCT in endodontics. Specific case examples illustrate how treatment planning has changed with the images obtained with CBCT technology compared with only periapical radiography.

  10. SU-E-I-15: Quantitative Evaluation of Dose Distributions From Axial, Helical and Cone-Beam CT Imaging by Measurement Using a Two-Dimensional Diode-Array Detector

    Energy Technology Data Exchange (ETDEWEB)

    Chacko, M; Aldoohan, S; Sonnad, J; Ahmad, S; Ali, I [University of Oklahoma Health Science Center, Oklahoma City, OK (United States)

    2015-06-15

    Purpose: To evaluate quantitatively dose distributions from helical, axial and cone-beam CT clinical imaging techniques by measurement using a two-dimensional (2D) diode-array detector. Methods: 2D-dose distributions from selected clinical protocols used for axial, helical and cone-beam CT imaging were measured using a diode-array detector (MapCheck2). The MapCheck2 is composed from solid state diode detectors that are arranged in horizontal and vertical lines with a spacing of 10 mm. A GE-Light-Speed CT-simulator was used to acquire axial and helical CT images and a kV on-board-imager integrated with a Varian TrueBeam-STx machine was used to acquire cone-beam CT (CBCT) images. Results: The dose distributions from axial, helical and cone-beam CT were non-uniform over the region-of-interest with strong spatial and angular dependence. In axial CT, a large dose gradient was measured that decreased from lateral sides to the middle of the phantom due to large superficial dose at the side of the phantom in comparison with larger beam attenuation at the center. The dose decreased at the superior and inferior regions in comparison to the center of the phantom in axial CT. An asymmetry was found between the right-left or superior-inferior sides of the phantom which possibly to angular dependence in the dose distributions. The dose level and distribution varied from one imaging technique into another. For the pelvis technique, axial CT deposited a mean dose of 3.67 cGy, helical CT deposited a mean dose of 1.59 cGy, and CBCT deposited a mean dose of 1.62 cGy. Conclusions: MapCheck2 provides a robust tool to measure directly 2D-dose distributions for CT imaging with high spatial resolution detectors in comparison with ionization chamber that provides a single point measurement or an average dose to the phantom. The dose distributions measured with MapCheck2 consider medium heterogeneity and can represent specific patient dose.

  11. Effective dose comparison between protocols stitched and usual protocols in dental cone beam CT for complete arcade

    Energy Technology Data Exchange (ETDEWEB)

    Soares, M. R.; Maia, A. F. [Universidade Federal de Sergipe, Departamento de Fisica, Cidade Universitaria Prof. Jose Aloisio de Campos, Marechal Rondon s/n, Jardim Rosa Elze, 49-100000 Sao Cristovao, Sergipe (Brazil); Batista, W. O. G. [Instituto Federal da Bahia, Rua Emidio dos Santos s/n, Barbalho, Salvador, 40301015 Bahia (Brazil); Lara, P. A., E-mail: wilsonottobatista@gmail.com [Instituto de Pesquisas Energeticas e Nucleares / CNEN, Av. Lineu Prestes 2242, Cidade Universitaria, 05508-000 Sao Paulo (Brazil)

    2014-08-15

    To visualization a complete dental radiology dental lives together with two separate proposals: [1] protocols diameter encompassing the entire arch (single) or [2] protocol with multiple fields of view (Fov) which together encompass the entire arch (stitched Fov s). The objective of this study is to evaluate effective dose values in examination protocols for all dental arcade available in different outfits with these two options. For this, a female anthropomorphic phantom manufactured by Radiology Support Devices twenty six thermoluminescent dosimeters inserted in relevant bodies and positions was used. Irradiate the simulator in the clinical conditions. The protocols were averaged and compared: [a] 14.0 cm x 8.5 cm and [b] 8.5 cm x 8.5 cm (Gendex Tomography GXCB 500), [c] protocol stitched for jaw combination of three volumes of 5.0 cm x 3.7 cm (Kodak 9000 3D scanner) [d] protocol stitched Fov s 5.0 cm x 8.0 cm (Planmeca Pro Max 3D) and [e] single technical Fov 14 cm x 8 cm (i-CAT Classical). Our results for the effective dose were: a range between 43.1 and 111.1 micro Sv for technical single Fov and 44.5 and 236.2 for technical stitched Fov s. The protocol presented the highest estimated effective dose was [d] and showed that lowest index was registered [a]. These results demonstrate that the protocol stitched Fov generated in Kodak 9000 3D machine applied the upper dental arch has practically equal value effective dose obtained by protocol extended diameter of, [a], which evaluates in a single image upper and lower arcade. It also demonstrates that the protocol [d] gives an estimate of five times higher than the protocol [a]. Thus, we conclude that in practical terms the protocol [c] stitched Fov s, not presents dosimetric advantages over other protocols. (Author)

  12. Cone beam computed tomography use in orthodontics.

    Science.gov (United States)

    Nervina, J M

    2012-03-01

    Cone beam computed tomography (CBCT) is widely used by orthodontists to obtain three-dimensional (3-D) images of their patients. This is of value as malocclusion results from discrepancies in three planes of space. This review tracks the use of CBCT in orthodontics, from its validation as an accurate and reliable tool, to its use in diagnosing and treatment planning, and in assessing treatment outcomes in orthodontics.

  13. Metal artifact reduction and image processing of cone-beam computed tomography data for mobile C-arm CT devices

    Energy Technology Data Exchange (ETDEWEB)

    Meilinger, Manuel

    2011-07-01

    A new method to reduce artifacts (MAR), produced by high-density objects, especially metal implants (MI), in X-ray CBCT is presented. MIs located in the field of view (FOV) result in artifacts influencing clinical diagnostics and treatments. The novel method reduces metal artifacts by virtually replacing MIs by tissue objects of the same shape. This corrected data can be reconstructed with significantly reduced artifacts. After reconstruction, the segmented 3D MIs were re-inserted into the corrected 3D volume. The method was developed for mobile C-arm CBCTs, where misalignments between original 2D data and forward projections must be adjusted before correction. While doing research on MAR it became obvious that large MIs were hard to segment. Since a good segmentation is a very important prerequisite for an efficient MAR, therefore it was necessary to develop a new segmentation technique by combining two thresholding processes with a reconstruction. These techniques are applied to clinical data and the results are presented. (orig.)

  14. Mobile C-arm cone-beam CT for guidance of spine surgery: Image quality, radiation dose, and integration with interventional guidance

    Energy Technology Data Exchange (ETDEWEB)

    Schafer, S.; Nithiananthan, S.; Mirota, D. J.; Uneri, A.; Stayman, J. W.; Zbijewski, W.; Schmidgunst, C.; Kleinszig, G.; Khanna, A. J.; Siewerdsen, J. H. [Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland 21202 (United States); Department of Computer Science, Johns Hopkins University, Baltimore, Maryland 21218 (United States); Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland 21202 (United States); Siemens Healthcare XP Division, Erlangen (Germany); Department of Orthopaedic Surgery, Johns Hopkins University, Baltimore, Maryland 21239 (United States); Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland 21202 and Department of Computer Science, Johns Hopkins University, Baltimore, Maryland 21218 (United States)

    2011-08-15

    Purpose: A flat-panel detector based mobile isocentric C-arm for cone-beam CT (CBCT) has been developed to allow intraoperative 3D imaging with sub-millimeter spatial resolution and soft-tissue visibility. Image quality and radiation dose were evaluated in spinal surgery, commonly relying on lower-performance image intensifier based mobile C-arms. Scan protocols were developed for task-specific imaging at minimum dose, in-room exposure was evaluated, and integration of the imaging system with a surgical guidance system was demonstrated in preclinical studies of minimally invasive spine surgery. Methods: Radiation dose was assessed as a function of kilovolt (peak) (80-120 kVp) and milliampere second using thoracic and lumbar spine dosimetry phantoms. In-room radiation exposure was measured throughout the operating room for various CBCT scan protocols. Image quality was assessed using tissue-equivalent inserts in chest and abdomen phantoms to evaluate bone and soft-tissue contrast-to-noise ratio as a function of dose, and task-specific protocols (i.e., visualization of bone or soft-tissues) were defined. Results were applied in preclinical studies using a cadaveric torso simulating minimally invasive, transpedicular surgery. Results: Task-specific CBCT protocols identified include: thoracic bone visualization (100 kVp; 60 mAs; 1.8 mGy); lumbar bone visualization (100 kVp; 130 mAs; 3.2 mGy); thoracic soft-tissue visualization (100 kVp; 230 mAs; 4.3 mGy); and lumbar soft-tissue visualization (120 kVp; 460 mAs; 10.6 mGy) - each at (0.3 x 0.3 x 0.9 mm{sup 3}) voxel size. Alternative lower-dose, lower-resolution soft-tissue visualization protocols were identified (100 kVp; 230 mAs; 5.1 mGy) for the lumbar region at (0.3 x 0.3 x 1.5 mm{sup 3}) voxel size. Half-scan orbit of the C-arm (x-ray tube traversing under the table) was dosimetrically advantageous (prepatient attenuation) with a nonuniform dose distribution ({approx}2 x higher at the entrance side than at isocenter

  15. Use of C-Arm Cone Beam CT During Hepatic Radioembolization: Protocol Optimization for Extrahepatic Shunting and Parenchymal Enhancement

    Energy Technology Data Exchange (ETDEWEB)

    Hoven, Andor F. van den, E-mail: a.f.vandenhoven@umcutrecht.nl; Prince, Jip F.; Keizer, Bart de; Vonken, Evert-Jan P. A.; Bruijnen, Rutger C. G.; Verkooijen, Helena M.; Lam, Marnix G. E. H.; Bosch, Maurice A. A. J. van den [University Medical Center Utrecht, Department of Radiology and Nuclear Medicine (Netherlands)

    2016-01-15

    PurposeTo optimize a C-arm computed tomography (CT) protocol for radioembolization (RE), specifically for extrahepatic shunting and parenchymal enhancement.Materials and MethodsA prospective development study was performed per IDEAL recommendations. A literature-based protocol was applied in patients with unresectable and chemorefractory liver malignancies undergoing an angiography before radioembolization. Contrast and scan settings were adjusted stepwise and repeatedly reviewed in a consensus meeting. Afterwards, two independent raters analyzed all scans. A third rater evaluated the SPECT/CT scans as a reference standard for extrahepatic shunting and lack of target segment perfusion.ResultsFifty scans were obtained in 29 procedures. The first protocol, using a 6 s delay and 10 s scan, showed insufficient parenchymal enhancement. In the second protocol, the delay was determined by timing parenchymal enhancement on DSA power injection (median 8 s, range 4–10 s): enhancement improved, but breathing artifacts increased (from 0 to 27 %). Since the third protocol with a 5 s scan decremented subjective image quality, the second protocol was deemed optimal. Median CNR (range) was 1.7 (0.6–3.2), 2.2 (−1.4–4.0), and 2.1 (−0.3–3.0) for protocol 1, 2, and 3 (p = 0.80). Delineation of perfused segments was possible in 57, 73, and 44 % of scans (p = 0.13). In all C-arm CTs combined, the negative predictive value was 95 % for extrahepatic shunting and 83 % for lack of target segment perfusion.ConclusionAn optimized C-arm CT protocol was developed that can be used to detect extrahepatic shunts and non-perfusion of target segments during RE.

  16. Technical Note: Skin thickness measurements using high-resolution flat-panel cone-beam dedicated breast CT

    Energy Technology Data Exchange (ETDEWEB)

    Shi Linxi; Vedantham, Srinivasan; Karellas, Andrew [Department of Radiology, University of Massachusetts Medical School, Worcester, Massachusetts 01655 (United States); O' Connell, Avice M. [Department of Radiology, University of Rochester Medical Center, Rochester, New York 14642 (United States)

    2013-03-15

    Purpose: To determine the mean and range of location-averaged breast skin thickness using high-resolution dedicated breast CT for use in Monte Carlo-based estimation of normalized glandular dose coefficients. Methods: This study retrospectively analyzed image data from a clinical study investigating dedicated breast CT. An algorithm similar to that described by Huang et al.['The effect of skin thickness determined using breast CT on mammographic dosimetry,' Med. Phys. 35(4), 1199-1206 (2008)] was used to determine the skin thickness in 137 dedicated breast CT volumes from 136 women. The location-averaged mean breast skin thickness for each breast was estimated and the study population mean and range were determined. Pathology results were available for 132 women, and were used to investigate if the distribution of location-averaged mean breast skin thickness varied with pathology. The effect of surface fitting to account for breast curvature was also studied. Results: The study mean ({+-} interbreast SD) for breast skin thickness was 1.44 {+-} 0.25 mm (range: 0.87-2.34 mm), which was in excellent agreement with Huang et al. Based on pathology, pair-wise statistical analysis (Mann-Whitney test) indicated that at the 0.05 significance level, there were no significant difference in the location-averaged mean breast skin thickness distributions between the groups: benign vs malignant (p= 0.223), benign vs hyperplasia (p= 0.651), hyperplasia vs malignant (p= 0.229), and malignant vs nonmalignant (p= 0.172). Conclusions: Considering this study used a different clinical prototype system, and the study participants were from a different geographical location, the observed agreement between the two studies suggests that the choice of 1.45 mm thick skin layer comprising the epidermis and the dermis for breast dosimetry is appropriate. While some benign and malignant conditions could cause skin thickening, in this study cohort the location-averaged mean breast skin

  17. Achieving high-resolution soft-tissue imaging with cone-beam CT: a two-pronged approach for modulation of x-ray fluence and detector gain

    Science.gov (United States)

    Graham, S. A.; Siewerdsen, J. H.; Moseley, D. J.; Keller, H.; Shkumat, N. A.; Jaffray, D. A.

    2005-04-01

    Cone-beam computed tomography (CBCT) presents a highly promising and challenging advanced application of flat-panel detectors (FPDs). The great advantage of this adaptable technology is in the potential for sub-mm 3D spatial resolution in combination with soft-tissue detectability. While the former is achieved naturally by CBCT systems incorporating modern FPD designs (e.g., 200 - 400 um pixel pitch), the latter presents a significant challenge due to limitations in FPD dynamic range, large field of view, and elevated levels of x-ray scatter in typical CBCT configurations. We are investigating a two-pronged strategy to maximizing soft-tissue detectability in CBCT: 1) front-end solutions, including novel beam modulation designs (viz., spatially varying compensators) that alleviate detector dynamic range requirements, reduce x-ray scatter, and better distribute imaging dose in a manner suited to soft-tissue visualization throughout the field of view; and 2) back-end solutions, including implementation of an advanced FPD design (Varian PaxScan 4030CB) that features dual-gain and dynamic gain switching that effectively extends detector dynamic range to 18 bits. These strategies are explored quantitatively on CBCT imaging platforms developed in our laboratory, including a dedicated CBCT bench and a mobile isocentric C-arm (Siemens PowerMobil). Pre-clinical evaluation of improved soft-tissue visibility was carried out in phantom and patient imaging with the C-arm device. Incorporation of these strategies begin to reveal the full potential of CBCT for soft-tissue visualization, an essential step in realizing broad utility of this adaptable technology for diagnostic and image-guided procedures.

  18. Cone Beam Computed Tomography - Know its Secrets

    OpenAIRE

    Kumar, Mohan; Shanavas, Muhammad; Sidappa, Ashwin; Kiran, Madhu

    2015-01-01

    Cone-beam computed tomography (CBCT) is an advanced imaging modality that has high clinical applications in the field of dentistry. CBCT proved to be a successful investigative modality that has been used for dental and maxillofacial imaging. Radiation exposure dose from CBCT is 10 times less than from conventional CT scans during maxillofacial exposure. Furthermore, CBCT is highly accurate and can provide a three-dimensional volumetric data in axial, sagittal and coronal planes. This article...

  19. Accuracy of panoramic radiographs in determining the relationship of posterior root apices and maxillary sinus floor by Cone-Beam CT

    Directory of Open Access Journals (Sweden)

    Hoorieh Bashizadeh Fakhar

    2014-06-01

    Full Text Available   Background and Aims: It is crucial to verify the relationship between root apices and maxillary sinus floor in some surgical procedures like extraction and implant placement or in orthodontic movements like intrusion. Protrusion of roots into the sinus increases the risk of post extraction pneumatization which in turn decreases the available bone at the implant or denture sites. The aim of this study was to determine the panoramic radiology accuracy for defining the relationship between posterior root apices and the maxillary sinus floor by Cone Beam CT (CBCT.   Materials and Methods: Paired panoramic radiographs and CBCT images of 117 subjects were examined. 452 posterior maxillary roots including second premolar, first and second molar were classified by the means of the relationship with maxillary sinus floor. CBCT was used as Gold standard method, and the agreement of panoramic findings with CBCT was examined statistically. Data were analyzed using Chi-square and Multiple logistic regressions.   Results: Agreement of the panoramic and CBCT results were seen in 57.7% of all cases. Roots which had no contacts with the sinus floor (class 0 showed a high agreement of 89.5% between two imaging techniques. Roots in contact with sinus floor (class 1 showed 58.8 % and cases with root protrusion into sinus cavity (class 3, 4 showed 50% of agreement (P<0.001. Also in 36% of cases with no protrusion into the sinus cavity (class 0, 1, 2, panoramic showed protrusion. The agreement for the premolar was higher than molars (P<0.001   Conclusion: The majority of roots which their images were projected on the sinus cavity had no vertical protrusion in CBCT cuts. Considering the results, in these cases CBCT can be recommended.

  20. Patient-specific minimum-dose imaging protocols for statistical image reconstruction in C-arm cone-beam CT using correlated noise injection

    Science.gov (United States)

    Wang, A. S.; Stayman, J. W.; Otake, Y.; Khanna, A. J.; Gallia, G. L.; Siewerdsen, J. H.

    2014-03-01

    Purpose: A new method for accurately portraying the impact of low-dose imaging techniques in C-arm cone-beam CT (CBCT) is presented and validated, allowing identification of minimum-dose protocols suitable to a given imaging task on a patient-specific basis in scenarios that require repeat intraoperative scans. Method: To accurately simulate lower-dose techniques and account for object-dependent noise levels (x-ray quantum noise and detector electronics noise) and correlations (detector blur), noise of the proper magnitude and correlation was injected into the projections from an initial CBCT acquired at the beginning of a procedure. The resulting noisy projections were then reconstructed to yield low-dose preview (LDP) images that accurately depict the image quality at any level of reduced dose in both filtered backprojection and statistical image reconstruction. Validation studies were conducted on a mobile C-arm, with the noise injection method applied to images of an anthropomorphic head phantom and cadaveric torso across a range of lower-dose techniques. Results: Comparison of preview and real CBCT images across a full range of techniques demonstrated accurate noise magnitude (within ~5%) and correlation (matching noise-power spectrum, NPS). Other image quality characteristics (e.g., spatial resolution, contrast, and artifacts associated with beam hardening and scatter) were also realistically presented at all levels of dose and across reconstruction methods, including statistical reconstruction. Conclusion: Generating low-dose preview images for a broad range of protocols gives a useful method to select minimum-dose techniques that accounts for complex factors of imaging task, patient-specific anatomy, and observer preference. The ability to accurately simulate the influence of low-dose acquisition in statistical reconstruction provides an especially valuable means of identifying low-dose limits in a manner that does not rely on a model for the nonlinear

  1. Experimental validation of a Monte Carlo-based kV x-ray projection model for the Varian linac-mounted cone-beam CT imaging system

    Science.gov (United States)

    Lazos, Dimitrios; Pokhrel, Damodar; Su, Zhong; Lu, Jun; Williamson, Jeffrey F.

    2008-03-01

    Fast and accurate modeling of cone-beam CT (CBCT) x-ray projection data can improve CBCT image quality either by linearizing projection data for each patient prior to image reconstruction (thereby mitigating detector blur/lag, spectral hardening, and scatter artifacts) or indirectly by supporting rigorous comparative simulation studies of competing image reconstruction and processing algorithms. In this study, we compare Monte Carlo-computed x-ray projections with projections experimentally acquired from our Varian Trilogy CBCT imaging system for phantoms of known design. Our recently developed Monte Carlo photon-transport code, PTRAN, was used to compute primary and scatter projections for cylindrical phantom of known diameter (NA model 76-410) with and without bow-tie filter and antiscatter grid for both full- and half-fan geometries. These simulations were based upon measured 120 kVp spectra, beam profiles, and flat-panel detector (4030CB) point-spread function. Compound Poisson- process noise was simulated based upon measured beam output. Computed projections were compared to flat- and dark-field corrected 4030CB images where scatter profiles were estimated by subtracting narrow axial-from full axial width 4030CB profiles. In agreement with the literature, the difference between simulated and measured projection data is of the order of 6-8%. The measurement of the scatter profiles is affected by the long tails of the detector PSF. Higher accuracy can be achieved mainly by improving the beam modeling and correcting the non linearities induced by the detector PSF.

  2. Assessment of protocols in cone-beam CT with symmetric and asymmetric beams usingeffective dose and air kerma-area product.

    Science.gov (United States)

    Batista, Wilson Otto; Soares, Maria Rosangela; de Oliveira, Marcus V L; Maia, Ana F; Caldas, Linda V E

    2015-06-01

    This study aims to evaluate and compare protocols with similar purposes in a cone beam CT scanner using thermoluminescent dosimeter (TLD) and the air kerma-area product (PKA) as the kerma index. The measurements were performed on two protocols used to obtain an image of the maxilla-mandible using the equipment GENDEX GXCB 500: Protocol [GX1] extended diameter and asymmetric beam (14cm×8.5cm-maxilla/mandible) and protocol [GX2] symmetrical beam (8.5cm×8.5cm-maxillary/mandible). LiF dosimeters inserted into a female anthropomorphic phantom were used. For both protocols, the value of PKA was evaluated using a PTW Diamentor E2 meter and the multimeter Radcal Rapidose system. The results obtained for the effective dose/PKA were separated by protocol image. [GX1]: 44.5µSv/478mGycm(2); [GX2]: 54.8µSv/507mGycm(2). Although the ratio of the diameters (14cm/8.5cm)=1.65, the ratio of effective dose values (44.5µSv/54.8µSv)=0.81, that is, the effective dose of the protocol with extended diameter is 19% smaller. The PKA values reveal very similar results between the two protocols. For the cases where the scanner uses an asymmetric beam to obtain images with large diameters that cover the entire face, there are advantages from the point of view of reducing the exposure of patients when compared to the use of symmetrical beam and/or to FOV images with a smaller diameter.

  3. Theoretical investigation of very high quantum efficiency, segmented, crystalline detectors for low-contrast visualization in megavoltage cone-beam CT

    Science.gov (United States)

    Wang, Yi; Antonuk, Larry E.; El-Mohri, Youcef; Sawant, Amit; Zhao, Qihua; Du, Hong; Li, Yixin

    2006-03-01

    Megavoltage cone-beam computed tomography (CBCT) using active matrix flat-panel imagers (AMFPIs) is a promising candidate for providing image guidance in radiation therapy. Unfortunately, the practical clinical implementation of this technique is limited by the relatively low detective quantum efficiency (DQE) of conventional megavoltage AMFPIs. This limitation is due to the modest thickness of the phosphor screen employed to convert incident x-rays to optical photons and the trade-off that exists between phosphor thickness and spatial resolution. Recently, our group has begun pursuing the development of thick crystalline segmented scintillating detectors as x-ray converters for AMFPIs so as to circumvent this limitation. In order to examine the potential of such detectors for providing soft-tissue visualization by means of CBCT at megavoltage energies, a Monte Carlo-based method was used to simulate the acquisition of projection images of a contrast phantom. These images were used to perform CT reconstructions by means of a Feldkamp-based algorithm. In this study, various detector configurations involving CsI and BGO scintillators at thicknesses of 10 mm and 40 mm were evaluated. In addition, since the simulations only considered energy deposition, and did not include optical phenomena, both segmented and non-segmented (continuous) detector configurations were evaluated. For the segmented CsI detectors, septal wall materials with densities lower, equivalent and higher than that of the scintillator were considered. Performance was quantified in terms of the contrast-to-noise ratio obtained for lowcontrast, soft-tissue-equivalent objects (i.e., liver, brain, and breast) embedded in the phantom. The results obtained from these early studies suggest that such segmented converters can provide visualization of soft-tissue contrast in tomographic images at clinically practical doses. It is anticipated that the realization of optimized segmented detector designs will lead

  4. Model-based iterative reconstruction for flat-panel cone-beam CT with focal spot blur, detector blur, and correlated noise

    Science.gov (United States)

    Tilley, Steven, II; Siewerdsen, Jeffrey H.; Webster Stayman, J.

    2016-01-01

    While model-based reconstruction methods have been successfully applied to flat-panel cone-beam CT (FP-CBCT) systems, typical implementations ignore both spatial correlations in the projection data as well as system blurs due to the detector and focal spot in the x-ray source. In this work, we develop a forward model for flat-panel-based systems that includes blur and noise correlation associated with finite focal spot size and an indirect detector (e.g. scintillator). This forward model is used to develop a staged reconstruction framework where projection data are deconvolved and log-transformed, followed by a generalized least-squares reconstruction that utilizes a non-diagonal statistical weighting to account for the correlation that arises from the acquisition and data processing chain. We investigate the performance of this novel reconstruction approach in both simulated data and in CBCT test-bench data. In comparison to traditional filtered backprojection and model-based methods that ignore noise correlation, the proposed approach yields a superior noise-resolution tradeoff. For example, for a system with 0.34 mm FWHM scintillator blur and 0.70 FWHM focal spot blur, using the correlated noise model instead of an uncorrelated noise model increased resolution by 42% (with variance matched at 6.9  ×  10-8 mm-2). While this advantage holds across a wide range of systems with differing blur characteristics, the improvements are greatest for systems where source blur is larger than detector blur.

  5. Dosimetry of a cone beam CT device for oral and maxillofacial radiology using Monte Carlo techniques and ICRP adult reference computational phantoms

    Science.gov (United States)

    Morant, JJ; Salvadó, M; Hernández-Girón, I; Casanovas, R; Ortega, R; Calzado, A

    2013-01-01

    Objectives: The aim of this study was to calculate organ and effective doses for a range of available protocols in a particular cone beam CT (CBCT) scanner dedicated to dentistry and to derive effective dose conversion factors. Methods: Monte Carlo simulations were used to calculate organ and effective doses using the International Commission on Radiological Protection voxel adult male and female reference phantoms (AM and AF) in an i-CAT CBCT. Nine different fields of view (FOVs) were simulated considering full- and half-rotation modes, and also a high-resolution acquisition for a particular protocol. Dose–area product (DAP) was measured. Results: Dose to organs varied for the different FOVs, usually being higher in the AF phantom. For 360°, effective doses were in the range of 25–66 μSv, and 46 μSv for full head. Higher contributions to the effective dose corresponded to the remainder (31%; 27–36 range), salivary glands (23%; 20–29%), thyroid (13%; 8–17%), red bone marrow (10%; 9–11%) and oesophagus (7%; 4–10%). The high-resolution protocol doubled the standard resolution doses. DAP values were between 181 mGy cm2 and 556 mGy cm2 for 360°. For 180° protocols, dose to organs, effective dose and DAP were approximately 40% lower. A conversion factor (DAP to effective dose) of 0.130 ± 0.006 μSv mGy−1 cm−2 was derived for all the protocols, excluding full head. A wide variation in dose to eye lens and thyroid was found when shifting the FOV in the AF phantom. Conclusions: Organ and effective doses varied according to field size, acquisition angle and positioning of the beam relative to radiosensitive organs. Good positive correlation between calculated effective dose and measured DAP was found. PMID:22933532

  6. Validation of a technique for estimating organ doses for kilovoltage cone-beam CT of the prostate using the PCXMC 2.0 patient dose calculator.

    Science.gov (United States)

    Wood, T J; Moore, C S; Saunderson, J R; Beavis, A W

    2015-03-01

    The use of cone beam CT in common radiotherapy treatments is increasing with the growth of image guided radiotherapy. Whilst the benefits that this technology offers are clear, such as improved patient positioning prior to treatment, it is always important to consider the implications of such intensive imaging regimes on the patient, especially when considering the fundamental radiation protection requirements for justification and optimisation.The purpose of this study was to develop a technique that uses readily available dose calculation software (PCXMC 2.0) to estimate the organ and effective doses that result from these types of examination in prostate treatments on the Varian OBI system. It has been shown that by separating these types of examinations into 28 different projections, with a range of x-ray beam qualities, it is possible to reproduce the complex geometry that is used on these imaging systems in PCXMC i.e. asymmetric radiation field with a half bowtie filter rotating 360° around the patient.This new technique has been validated with thermo-luminescent dosimeter measurements in the Rando anthropomorphic phantom, and has been shown to give excellent agreement with this established method (R(2) = 0.995). This technique will prove to be valuable to radiotherapy departments that are looking to optimise their CBCT imaging protocols as it allows a rapid evaluation of the impact of any changes on patient dose. It also serves to further highlight the levels of dose that these types of patient are subject to when having daily CBCT scans as part of the treatment, which further reinforces the need for optimisation of both patient dose and image quality on these systems.

  7. C-arm cone-beam CT combined with a new electromagnetic navigation system for guidance of percutaneous needle biopsies. Initial clinical experience

    Energy Technology Data Exchange (ETDEWEB)

    Kickuth, R.; Reichling, C.; Bley, T.; Hahn, D.; Ritter, C. [University Hospital of Wuerzburg (Germany). Inst. of Diagnostic and Interventional Radiology

    2015-07-15

    To evaluate the feasibility and efficacy of C-arm fluoroscopic cone-beam computed tomography (CACT) in combination with a new electromagnetic tracking (EMT) system for needle guidance during percutaneous biopsies. 53 patients were referred for biopsy of thoracic (n = 19) and abdominal (n = 34) lesions. CT-like images of the anatomical region of interest (ROI) were generated using a flat panel-based angiographic system. These images were transmitted to an EMT system. A coaxial puncture needle with a sensor in its tip was connected with the navigation system and tracked into an electromagnetic field created via a field generator. Data generated within this field were merged with the CACT images. On a monitor both the anatomical ROI and needle tip position were displayed to enable precise needle insertion into the target. Through the coaxial needle, biopsy specimens for the histologic evaluation were extracted. Number of representative biopsy samples, number of core biopsies/patient, total procedure time, dose-area product, fluoroscopic time, and complications were recorded. 53 CACT/EMT-guided biopsy procedures were performed, 48 of which (91 %) yielded representative tissue samples. Four core biopsies were obtained from each patient. 40 (75 %) lesions were malignant and 13 (25 %) lesions were benign. The total procedure time was 9 ± 5 min (range, 3 - 23 min), fluoroscopic time was 0.8 ± 0.4 min (range, 0.4 - 2 min). The mean dose-area product (cGy cm{sup 2}) was 7373 (range, 895 - 26 904). The rate of complications (1 pneumothorax, 2 hemoptyses) was 6 %. CACT combined with EMT appears to be a feasible and effective technique for the guidance of percutaneous biopsies with a low rate of therapeutically relevant complications.

  8. Prediction of position estimation errors for 3D target trajetories estimated from cone-beam CT projections

    DEFF Research Database (Denmark)

    Poulsen, Per Rugaard; Cho, Byungchul; Keall, Paul

    2010-01-01

    . The mathematical formalism of the method includes an individualized measure of the position estimation error in terms of an estimated 1D Gaussian distribution for the unresolved target position[2]. The present study investigates how well this 1D Gaussian predicts the actual distribution of position estimation....... This finding indicates that individualized root-mean-square errors and 95% confidence intervals can be applied reliably to the estimated target trajectories....

  9. SU-E-J-32: Dosimetric Evaluation Based On Pre-Treatment Cone Beam CT for Spine Stereotactic Body Radiotherapy: Does Region of Interest Focus Matter?

    Energy Technology Data Exchange (ETDEWEB)

    Magnelli, A; Xia, P [The Cleveland Clinic Foundation, Cleveland, OH (United States)

    2015-06-15

    Purpose: Spine stereotactic body radiotherapy requires very conformal dose distributions and precise delivery. Prior to treatment, a KV cone-beam CT (KV-CBCT) is registered to the planning CT to provide image-guided positional corrections, which depend on selection of the region of interest (ROI) because of imperfect patient positioning and anatomical deformation. Our objective is to determine the dosimetric impact of ROI selections. Methods: Twelve patients were selected for this study with the treatment regions varied from C-spine to T-spine. For each patient, the KV-CBCT was registered to the planning CT three times using distinct ROIs: one encompassing the entire patient, a large ROI containing large bony anatomy, and a small target-focused ROI. Each registered CBCT volume, saved as an aligned dataset, was then sent to the planning system. The treated plan was applied to each dataset and dose was recalculated. The tumor dose coverage (percentage of target volume receiving prescription dose), maximum point dose to 0.03 cc of the spinal cord, and dose to 10% of the spinal cord volume (V10) for each alignment were compared to the original plan. Results: The average magnitude of tumor coverage deviation was 3.9%±5.8% with external contour, 1.5%±1.1% with large ROI, 1.3%±1.1% with small ROI. Spinal cord V10 deviation from plan was 6.6%±6.6% with external contour, 3.5%±3.1% with large ROI, and 1.2%±1.0% with small ROI. Spinal cord max point dose deviation from plan was: 12.2%±13.3% with external contour, 8.5%±8.4% with large ROI, and 3.7%±2.8% with small ROI. Conclusion: A small ROI focused on the target results in the smallest deviation from planned dose to target and cord although rotations at large distances from the targets were observed. It is recommended that image fusion during CBCT focus narrowly on the target volume to minimize dosimetric error. Improvement in patient setups may further reduce residual errors.

  10. Investigation of the HU-density conversion method and comparison of dose distribution for dose calculation on MV cone beam CT images

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Min Joo; Lee, Seu Ran; Suh, Tae Suk [Dept. of Biomedical Engineering, The Catholic University of Korea, Bucheon (Korea, Republic of)

    2011-11-15

    Modern radiation therapy techniques, such as Image-guided radiation therapy (IGRT), Adaptive radiation therapy (ART) has become a routine clinical practice on linear accelerators for the increase the tumor dose conformity and improvement of normal tissue sparing at the same time. For these highly developed techniques, megavoltage cone beam computed tomography (MVCBCT) system produce volumetric images at just one rotation of the x-ray beam source and detector on the bottom of conventional linear accelerator for real-time application of patient condition into treatment planning. MV CBCT image scan be directly registered to a reference CT data set which is usually kilo-voltage fan-beam computed tomography (kVFBCT) on treatment planning system and the registered image scan be used to adjust patient set-up error. However, to use MV CBCT images in radiotherapy, reliable electron density (ED) distribution are required. Patients scattering, beam hardening and softening effect caused by different energy application between kVCT, MV CBCT can cause cupping artifacts in MV CBCT images and distortion of Houns field Unit (HU) to ED conversion. The goal of this study, for reliable application of MV CBCT images into dose calculation, MV CBCT images was modified to correct distortion of HU to ED using the relationship of HU and ED from kV FBCT and MV CBCT images. The HU-density conversion was performed on MV CBCT image set using Dose difference map was showing in Figure 1. Finally, percentage differences above 3% were reduced depending on applying density calibration method. As a result, total error co uld be reduced to under 3%. The present study demonstrates that dose calculation accuracy using MV CBCT image set can be improved my applying HU-density conversion method. The dose calculation and comparison of dose distribution from MV CBCT image set with/without HU-density conversion method was performed. An advantage of this study compared to other approaches is that HU

  11. Adaptive fractionated stereotactic Gamma Knife radiotherapy of meningioma using integrated stereotactic cone-beam-CT and adaptive re-planning (a-gkFSRT)

    Energy Technology Data Exchange (ETDEWEB)

    Stieler, F.; Wenz, F.; Abo-Madyan, Y.; Schweizer, B.; Polednik, M.; Herskind, C.; Giordano, F.A.; Mai, S. [University of Heidelberg, Department of Radiation Oncology, University Medical Center Mannheim, Mannheim (Germany)

    2016-11-15

    The Gamma Knife Icon (Elekta AB, Stockholm, Sweden) allows frameless stereotactic treatment using a combination of cone beam computer tomography (CBCT), a thermoplastic mask system, and an infrared-based high-definition motion management (HDMM) camera system for patient tracking during treatment. We report on the first patient with meningioma at the left petrous bone treated with adaptive fractionated stereotactic radiotherapy (a-gkFSRT). The first patient treated with Gamma Knife Icon at our institute received MR imaging for preplanning before treatment. For each treatment fraction, a daily CBCT was performed to verify the actual scull/tumor position. The system automatically adapted the planned shot positions to the daily position and recalculated the dose distribution (online adaptive planning). During treatment, the HDMM system recorded the intrafractional patient motion. Furthermore, the required times were recorded to define a clinical treatment slot. Total treatment time was around 20 min. Patient positioning needed 0.8 min, CBCT positioning plus acquisition 1.65 min, CT data processing and adaptive planning 2.66 min, and treatment 15.6 min. The differences for the five daily CBCTs compared to the reference are for rotation: -0.59 ± 0.49 /0.18 ± 0.20 /0.05 ± 0.36 and for translation: 0.94 ± 0.52 mm/-0.08 ± 0.08 mm/-1.13 ± 0.89 mm. Over all fractions, an intrafractional movement of 0.13 ± 0.04 mm was observed. The Gamma Knife Icon allows combining the accuracy of the stereotactic Gamma Knife system with the flexibility of fractionated treatment with the mask system and CBCT. Furthermore, the Icon system introduces a new online patient tracking system to the clinical routine. The interfractional accuracy of patient positioning was controlled with a thermoplastic mask and CBCT. (orig.) [German] Das Gamma Knife Icon (Elekta AB, Stockholm, Schweden) ermoeglicht die stereotaktische Behandlung von Patienten mittels Cone-beam-Computertomographie (CBCT

  12. 锥束X-CT系统校准方法的实际应用分析%Analysis on Application of Calibration Method for Cone-beam X-CT

    Institute of Scientific and Technical Information of China (English)

    侯颖; 孙怡

    2011-01-01

    FDK算法是应用在锥束CT系统中最有代表性的重建算法之一,该算法是在假设CT成像系统满足理想成像关系的条件下得到的.然而实际的锥束CT成像系统很难完全满足理想成像关系的要求,系统的几何失配会极大影响重建图像的质量,因此必须在重建之前对成像系统进行校准,获得系统的几何失配参数,并在重建过程中修正几何失配参数造成的影响.本文以之前所提出的锥束CT系统校准方法为基础,分析了在实际应用这种校准方法时需要注意的关键问题,然后利用所搭建的锥束XCT系统得到实际的校准结果和重建结果.结果证明之前所提出的应用于锥束XCT系统的校准方法对于测量系统的几何失配参数是有效可行的.%The FDK algorithm is a classic cone-beam approximate reconstruction algorithm, which has been widely used in practice. Ideal imaging geometry is a basic condition in the application of the FDK algorithm.However, it is difficult to satisfy this condition in a practical cone-beam CT system. Reconstructed images will suffer from artifacts caused by the misaligned geometry of the CT system. Therefore, calibration of the CT system in advance is an important and necessary task. Misaligned parameters of the CT system will be taken into the reconstruction algorithm after calibration to improve image qualities in the case of the misaligned CT system. Key points on application of the proposed calibration method for cone-beam CT are discussed deeply in this paper. And calibration result and reconstructed results of an X-ray cone-beam CT are given which prove the validity of the proposed calibration method.

  13. Investigation of practical approaches to evaluating cumulative dose for cone beam computed tomography (CBCT) from standard CT dosimetry measurements: a Monte Carlo study

    Science.gov (United States)

    Abuhaimed, Abdullah; Martin, Colin J.; Sankaralingam, Marimuthu; Gentle, David J.

    2015-07-01

    A function called Gx(L) was introduced by the International Commission on Radiation Units and Measurements (ICRU) Report-87 to facilitate measurement of cumulative dose for CT scans within long phantoms as recommended by the American Association of Physicists in Medicine (AAPM) TG-111. The Gx(L) function is equal to the ratio of the cumulative dose at the middle of a CT scan to the volume weighted CTDI (CTDIvol), and was investigated for conventional multi-slice CT scanners operating with a moving table. As the stationary table mode, which is the basis for cone beam CT (CBCT) scans, differs from that used for conventional CT scans, the aim of this study was to investigate the extension of the Gx(L) function to CBCT scans. An On-Board Imager (OBI) system integrated with a TrueBeam linac was simulated with Monte Carlo EGSnrc/BEAMnrc, and the absorbed dose was calculated within PMMA, polyethylene (PE), and water head and body phantoms using EGSnrc/DOSXYZnrc, where the body PE body phantom emulated the ICRU/AAPM phantom. Beams of width 40-500 mm and beam qualities at tube potentials of 80-140 kV were studied. Application of a modified function of beam width (W) termed Gx(W), for which the cumulative dose for CBCT scans f (0) is normalized to the weighted CTDI (CTDIw) for a reference beam of width 40 mm, was investigated as a possible option. However, differences were found in Gx(W) with tube potential, especially for body phantoms, and these were considered to be due to differences in geometry between wide beams used for CBCT scans and those for conventional CT. Therefore, a modified function Gx(W)100 has been proposed, taking the form of values of f (0) at each position in a long phantom, normalized with respect to dose indices f 100(150)x measured with a 100 mm pencil ionization chamber within standard 150 mm PMMA phantoms, using the same scanning parameters, beam widths and positions within the phantom. f 100(150)x averages the dose resulting from

  14. SU-D-BRA-07: A Phantom Study to Assess the Variability in Radiomics Features Extracted From Cone-Beam CT Images

    Energy Technology Data Exchange (ETDEWEB)

    Fave, X; Fried, D [UT MD Anderson Cancer Center, Houston, TX (United States); UT Health Science Center Graduate School of Biomedical Sciences, Houston, TX (United States); Zhang, L; Yang, J; Balter, P; Followill, D; Gomez, D; Jones, A; Stingo, F; Court, L [UT MD Anderson Cancer Center, Houston, TX (United States)

    2015-06-15

    Purpose: Several studies have demonstrated the prognostic potential for texture features extracted from CT images of non-small cell lung cancer (NSCLC) patients. The purpose of this study was to determine if these features could be extracted with high reproducibility from cone-beam CT (CBCT) images in order for features to be easily tracked throughout a patient’s treatment. Methods: Two materials in a radiomics phantom, designed to approximate NSCLC tumor texture, were used to assess the reproducibility of 26 features. This phantom was imaged on 9 CBCT scanners, including Elekta and Varian machines. Thoracic and head imaging protocols were acquired on each machine. CBCT images from 27 NSCLC patients imaged using the thoracic protocol on Varian machines were obtained for comparison. The variance for each texture measured from these patients was compared to the variance in phantom values for different manufacturer/protocol subsets. Levene’s test was used to identify features which had a significantly smaller variance in the phantom scans versus the patient data. Results: Approximately half of the features (13/26 for material1 and 15/26 for material2) had a significantly smaller variance (p<0.05) between Varian thoracic scans of the phantom compared to patient scans. Many of these same features remained significant for the head scans on Varian (12/26 and 8/26). However, when thoracic scans from Elekta and Varian were combined, only a few features were still significant (4/26 and 5/26). Three features (skewness, coarsely filtered mean and standard deviation) were significant in almost all manufacturer/protocol subsets. Conclusion: Texture features extracted from CBCT images of a radiomics phantom are reproducible and show significantly less variation than the same features measured from patient images when images from the same manufacturer or with similar parameters are used. Reproducibility between CBCT scanners may be high enough to allow the extraction of

  15. SU-C-BRE-05: PTV Margin Determination Based On Tumor Radiobiological Characteristics and Geometric Uncertainties Derived From Daily Cone- Beam CT Images

    Energy Technology Data Exchange (ETDEWEB)

    Selvaraj, J [Inlaks and Budhrani Hospital (India)

    2014-06-15

    Purpose: To determine required PTV margins for ≤1% loss in mean population TCP using systematic (Σ) and random (σ) errors calculated from daily cone-beam CT (CBCT) images of head and neck patients. Methods: Daily CBCT images were acquired for 50 head and neck patients. The CBCT image sets acquired at each fraction were registered with planning CT to obtain positional errors for each patient for each fraction. Systematic and random errors were calculated from data collected for 50 patients as described in IPEM On Target report. CTV delineation uncertainty of 2mm is added quadratically to systematic error. Assuming a spherical target volume, the dose in each voxel of target volume is summed for each fraction in the treatment by shifting the dose grid to calculate mean population TCP inclusive of geometric uncertainties using a Monte Carlo method. These simulations were repeated for the set of Σ and σ in each axis for different PTV margins and drop in TCP for each margin are obtained. In order to study the effect of dose-response curve on PTV margins, two different σα of 0.048 Gy-1 and 0.218 Gy-1 representing steep and shallow dose-response curves are studied. Σ were 2.5, 2.5, 2.1 mm and σ were 0.3, 0.3 0.2 mm respectively in x, y and z axis respectively. Results: PTV margins based on tumor radiobiological characteristics are 4.8, 4.8 and 4 mm in x, y and z axis assuming 25 treatment fractions for σα 0.048 Gy-1 (steep) and 4.2,4.2 and 2.2 for σα of 0.218 Gy-1 (shallow). While the TCP-based margins did not differ much in x and y axis, it is considerably smaller in z axis for shallow DRC. Conclusion: TCP based margins are substantially smaller than physical dose-based margin recipes. This study also demonstrates the importance of considering tumor radiobiological characteristics while deriving margins.

  16. Dual-energy imaging of bone marrow edema on a dedicated multi-source cone-beam CT system for the extremities

    Science.gov (United States)

    Zbijewski, W.; Sisniega, A.; Stayman, J. W.; Thawait, G.; Packard, N.; Yorkston, J.; Demehri, S.; Fritz, J.; Siewerdsen, J. H.

    2015-03-01

    Purpose: Arthritis and bone trauma are often accompanied by bone marrow edema (BME). BME is challenging to detect in CT due to the overlaying trabecular structure but can be visualized using dual-energy (DE) techniques to discriminate water and fat. We investigate the feasibility of DE imaging of BME on a dedicated flat-panel detector (FPD) extremities cone-beam CT (CBCT) with a unique x-ray tube with three longitudinally mounted sources. Methods: Simulations involved a digital BME knee phantom imaged with a 60 kVp low-energy beam (LE) and 105 kVp high-energy beam (HE) (+0.25 mm Ag filter). Experiments were also performed on a test-bench with a Varian 4030CB FPD using the same beam energies as the simulation study. A three-source configuration was implemented with x-ray sources distributed along the longitudinal axis and DE CBCT acquisition in which the superior and inferior sources operate at HE (and collect half of the projection angles each) and the central source operates at LE. Three-source DE CBCT was compared to a double-scan, single-source orbit. Experiments were performed with a wrist phantom containing a 50 mg/ml densitometry insert submerged in alcohol (simulating fat) with drilled trabeculae down to ~1 mm to emulate the trabecular matrix. Reconstruction-based three-material decomposition of fat, soft tissue, and bone was performed. Results: For a low-dose scan (36 mAs in the HE and LE data), DE CBCT achieved combined accuracy of ~0.80 for a pattern of BME spherical lesions ranging 2.5 - 10 mm diameter in the knee phantom. The accuracy increased to ~0.90 for a 360 mAs scan. Excellent DE discrimination of the base materials was achieved in the experiments. Approximately 80% of the alcohol (fat) voxels in the trabecular phantom was properly identified both for single and 3-source acquisitions, indicating the ability to detect edemous tissue (water-equivalent plastic in the body of the densitometry insert) from the fat inside the trabecular matrix

  17. Clinical applications of cone beam computed tomography in endodontics: A comprehensive review.

    Science.gov (United States)

    Cohenca, Nestor; Shemesh, Hagay

    2015-06-01

    Cone beam computed tomography (CBCT) is a new technology that produces three-dimensional (3D) digital imaging at reduced cost and less radiation for the patient than traditional CT scans. It also delivers faster and easier image acquisition. By providing a 3D representation of the maxillofacial tissues in a cost- and dose-efficient manner, a better preoperative assessment can be obtained for diagnosis and treatment. This comprehensive review presents current applications of CBCT in endodontics. Specific case examples illustrate the difference in treatment planning with traditional periapical radiography versus CBCT technology.

  18. Feasibility study of cone-beam CT perfusion imaging methods%锥束CT灌注成像方法的可行性研究

    Institute of Scientific and Technical Information of China (English)

    钱鹰; 秦家强

    2015-01-01

    为研究图像引导放疗( IGRT)中锥形束CT( CBCT)在低速单周环扫条件下进行灌注成像的可行性,首先利用大白兔动态对比增强断层图像( DCE-CT),通过计算机仿真技术模拟CBCT投影数据;然后建立各体素的时间密度变化模型,利用所获投影数据集,计算出各体素的时间密度曲线( TDC);最后通过去卷积模型求解出组织灌注参数并伪彩色处理。对比仿真获得的投影数据模拟对应体素的时间密度曲线与原始DCE-CT获得的对应体素的TDC,得到的两组TDC平均相关系数达到0.87,呈现出较高的吻合度;实验所得灌注参数及灌注图显示:肿瘤区域与正常组织区域的灌注参数值之间具有统计学意义上的显著差异。实验结果获得了较为准确的组织灌注值,证明图像引导放疗中集成在直线加速器上的CBCT在低速单周环扫条件下进行灌注成像是可行的。%The feasibility of Cone Beam CT ( CBCT) perfusion imaging under the condition of low speed and single ring for Image Guided Radiation Therapy ( IGRT ) was studied. Firstly, Dynamic Contrast-Enhanced CT ( DCE-CT ) images of rabbits, by means of computer simulation technology, were used to simulate CBCT projection data; then the change of time density of each voxel was modeled to calculate Time Density Curve ( TDC) of each voxel based on the projection data; finally tissue perfusion parameters were solved by deconvolution model and processed by pseudo-color. Comparing the TDC from projection data in simulation system with the TDC at the same pixel from the original DCE-CT data, average correlation coefficient is 0. 87, indicating high similarity. The experiments of perfusion parameters and perfusion maps show that perfusion parameters have a statistically significant difference between the sense of regional tumor and normal tissue regions. The results obtained more accurate tissue perfusion value, prove CBCT integrated linac perfusion

  19. Respiratory correlated cone-beam computed tomography on an isocentric C-arm

    Energy Technology Data Exchange (ETDEWEB)

    Kriminski, Sergey [Department of Radiation Oncology, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095 (United States); Mitschke, Matthias [Siemens Medical Solutions USA, Inc. Oncology Care Systems, Concord, CA 94520 (United States); Sorensen, Stephen [Department of Radiation Oncology, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095 (United States); Wink, Nicole M [Department of Radiation Oncology, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095 (United States); Chow, Phillip E [Department of Radiation Oncology, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095 (United States); Tenn, Steven [Department of Radiation Oncology, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095 (United States); Solberg, Timothy D [Department of Radiation Oncology, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095 (United States); Jonsson Comprehensive Cancer Center, Los Angeles, CA 90095 (United States); University of Nebraska Medical Center, Omaha, NE 68102 (United States)

    2005-11-21

    A methodology for 3D image reconstruction from retrospectively gated cone-beam CT projection data has been developed. A mobile x-ray cone-beam device consisting of an isocentric C-arm equipped with a flat panel detector was used to image a moving phantom. Frames for reconstruction were retrospectively selected from complete datasets based on the known rotation of the C-arm and a signal from a respiratory monitor. Different sizes of gating windows were tested. A numerical criterion for blur on the reconstructed image was suggested. The criterion is based on minimization of an Ising energy function, similar to approaches used in image segmentation or restoration. It is shown that this criterion can be used for the determination of the optimal gating window size. Images reconstructed from the retrospectively gated projection sequences using the optimal gating window data showed a significant improvement compared to images reconstructed from the complete projection datasets.

  20. Respiratory correlated cone-beam computed tomography on an isocentric C-arm

    Science.gov (United States)

    Kriminski, Sergey; Mitschke, Matthias; Sorensen, Stephen; Wink, Nicole M.; Chow, Phillip E.; Tenn, Steven; Solberg, Timothy D.

    2005-11-01

    A methodology for 3D image reconstruction from retrospectively gated cone-beam CT projection data has been developed. A mobile x-ray cone-beam device consisting of an isocentric C-arm equipped with a flat panel detector was used to image a moving phantom. Frames for reconstruction were retrospectively selected from complete datasets based on the known rotation of the C-arm and a signal from a respiratory monitor. Different sizes of gating windows were tested. A numerical criterion for blur on the reconstructed image was suggested. The criterion is based on minimization of an Ising energy function, similar to approaches used in image segmentation or restoration. It is shown that this criterion can be used for the determination of the optimal gating window size. Images reconstructed from the retrospectively gated projection sequences using the optimal gating window data showed a significant improvement compared to images reconstructed from the complete projection datasets.

  1. 上颌第一磨牙近中颊侧第二根管的锥形束CT影像学研究%Cone-beam CT imaging study of the second mesiobuccal root canal in maxillary first permanent molar

    Institute of Scientific and Technical Information of China (English)

    谢怡汀; 罗俊; 刘鹏; 林居红

    2012-01-01

    Objective To study the incidence of the second mesiobuccal root canal (MB2) in maxillary first permanent molar by cone-beam CT, and to provide imaging evidence for the clinical treatment of root canal. Methods The patients were grouped by age, 70 images were randomly chosen from each group, all of 420 cone-beam CT images. The cross-sectional images of the root canal in maxillary first permanent molar were intercepted. The mesiobuccal root canal number of maxillary first permanent molar and the position of the second mesiobuccal root canal were analyzed and studied. Results Cone-beam CT could clearly show the existence and distribution of the second mesiobuccal root canal in maxillary first permanent molar in the cross-sectional images of root canal. Conclusion Cone-beam CT can truly reflect the anatomical shape of the second mesiobuccal root canal in maxillary first permanent molar, and the image is clear, which provide an important and favorable reference for the clinical work.%目的 利用锥形束CT(CBCT)研究活体上颌第一磨牙近中颊侧第二根管(MB2)的发生率和根管影像,为临床根管治疗提供一定的影像学依据.方法 按年龄段分组,各随机选择70张,共420张锥形束CT扫描图像,截取上颌第一磨牙根管口横断面影像,针对上颌第一磨牙近中颊侧根管数目、近中颊侧第二根管根管口的位置进行分析研究.结果 锥形束CT能在根管口横断面上清晰显示上颌第一磨牙近中颊侧第二根管的存在和分布.结论 锥形束CT可以真实反映上颌第一磨牙近中颊侧第二根管的解剖形态,图像清晰,给临床工作提供了重要的、有利的参考.

  2. Stray light in cone beam optical computed tomography: II. Reduction using a convergent light source

    Science.gov (United States)

    Dekker, Kurtis H.; Battista, Jerry J.; Jordan, Kevin J.

    2016-04-01

    Optical cone beam computed tomography (CBCT) using a broad beam and CCD camera is a fast method for densitometry of 3D optical gel dosimeters. However, diffuse light sources introduce considerable stray light into the imaging system, leading to underestimation of attenuation coefficients and non-uniformities in CT images unless corrections are applied to each projection image. In this study, the light source of a commercial optical CT scanner is replaced with a convergent cone beam source consisting of almost exclusively image forming primary rays. The convergent source is achieved using a small isotropic source and a Fresnel lens. To characterize stray light effects, full-field cone beam CT imaging is compared to fan beam CT (FBCT) using a 1 cm high fan beam aperture centered on the optic axis of the system. Attenuating liquids are scanned within a large 96 mm diameter uniform phantom and in a small 13.5 mm diameter finger phantom. For the uniform phantom, cone and fan beam CT attenuation coefficients agree within a maximum deviation of (1  ±  2)% between mean values over a wide range from 0.036 to 0.43 cm-1. For the finger phantom, agreement is found with a maximum deviation of (4  ±  2)% between mean values over a range of 0.1-0.47 cm-1. With the convergent source, artifacts associated with refractive index mismatch and vessel optical features are more pronounced. Further optimization of the source size to achieve a balance between quantitative accuracy and artifact reduction should enable practical, accurate 3D dosimetry, avoiding time consuming 3D scatter measurements.

  3. Stray light in cone beam optical computed tomography: II. Reduction using a convergent light source.

    Science.gov (United States)

    Dekker, Kurtis H; Battista, Jerry J; Jordan, Kevin J

    2016-04-07

    Optical cone beam computed tomography (CBCT) using a broad beam and CCD camera is a fast method for densitometry of 3D optical gel dosimeters. However, diffuse light sources introduce considerable stray light into the imaging system, leading to underestimation of attenuation coefficients and non-uniformities in CT images unless corrections are applied to each projection image. In this study, the light source of a commercial optical CT scanner is replaced with a convergent cone beam source consisting of almost exclusively image forming primary rays. The convergent source is achieved using a small isotropic source and a Fresnel lens. To characterize stray light effects, full-field cone beam CT imaging is compared to fan beam CT (FBCT) using a 1 cm high fan beam aperture centered on the optic axis of the system. Attenuating liquids are scanned within a large 96 mm diameter uniform phantom and in a small 13.5 mm diameter finger phantom. For the uniform phantom, cone and fan beam CT attenuation coefficients agree within a maximum deviation of (1  ±  2)% between mean values over a wide range from 0.036 to 0.43 cm(-1). For the finger phantom, agreement is found with a maximum deviation of (4  ±  2)% between mean values over a range of 0.1-0.47 cm(-1). With the convergent source, artifacts associated with refractive index mismatch and vessel optical features are more pronounced. Further optimization of the source size to achieve a balance between quantitative accuracy and artifact reduction should enable practical, accurate 3D dosimetry, avoiding time consuming 3D scatter measurements.

  4. Practical applications of cone-beam CT in orthodontic diagnosis and treatment planning%CBCT在正畸临床诊断和治疗中的应用

    Institute of Scientific and Technical Information of China (English)

    韩剑丽; 刘进; 葛元输

    2012-01-01

    目的:探讨CBCT在正畸临床诊断和治疗中的应用.方法:选取深圳市儿童医院口腔正畸科就诊的正畸患者25例(男12例,女13例),年龄11 ~ 16岁,平均13.8岁.入选病例均是因采用传统平片无法确诊,需要拍摄CBCT来辅助诊断和治疗的病例.CBCT影像使用NEW TOM VGi (QRs.r.1.Corp,Verona,Ita1y)大视野锥形束计算机体层X线摄影机拍摄,采用NEW TOMNNT软件进行图像的重建和分析.结果:CBCT可以清晰的显示阻生牙、异位牙的牙根形态、长度,弯曲牙根与牙长轴所成的角度;三维显示异位牙与邻牙的空间位置关系,邻牙的牙根吸收情况;上颌后牙牙根与上颌窦的位置关系等.结论:CBCT三维重建技术可大大提高正畸病例诊断的准确性,同时也为治疗计划的制定和实施提供了有利指导.%Objective The aim of this study was to make clinicians aware of the use of cone beam computed tomography (CBCT) in orthodontics. Methods 25 patients (12 males, 13 females) with mean age of 13.8 years were described in this study. Three -dimensional (3D) images were reformatted through CBCT using New Tom NNT programme. Results CBCT can be used in select orthodontic cases in which conventional radiography cannot supply satisfactory diagnostic information. These cases include assessment of unerupted tooth position,ectopic tooth, identification of root resorption,limits of tooth movement.maxillary sinus,, endodontics and root morphology. Conclusion CBCT is efficiency in orthodontic diagnosis and treatment planning.

  5. A new method for cone beam CT measurements of cyst of jaw bone loss%锥体束CT测量颌骨囊肿骨量缺失的新方法

    Institute of Scientific and Technical Information of China (English)

    张冬梅; 李锐; 李晓燕; 常平

    2015-01-01

    目的:探讨利用锥体束CT预测颌骨囊肿骨量缺失的新方法。方法:随机选取我院接诊的颌骨囊肿患者作为研究对象,拍摄锥体束CT,利用eXamVision软件进行测量,采用公式V=X*Y*Z对颌骨骨量缺失进行预测。结果:该方法所得数据能近似得出颌骨囊肿骨量缺失体积。结论:对颌骨囊肿缺失骨量的术前预测有助于术中植骨及手术方案的选择,锥体束CT能较准确的预测骨量的缺失体积,具有较好的临床指导意义。%Objective To study a new method for prediction of cyst of jaw bone loss by cone beam CT. Methods Random selection of jaw cyst patients as the research object, shooting cone beam CT,were measured using the eXamVision software, using the formula V=X*Y*Z to predict bone loss. Results The data from this method can approximate the missing volume of jaw cyst. Conclusion Contribute to bone grafting and operation scheme for the prediction of cyst of jaw bone loss of the preoperative selection. Cone beam CT can predict accurately the loss of bone volume, has better clinical directive significance.

  6. WE-EF-207-01: FEATURED PRESENTATION and BEST IN PHYSICS (IMAGING): Task-Driven Imaging for Cone-Beam CT in Interventional Guidance

    Energy Technology Data Exchange (ETDEWEB)

    Gang, G; Stayman, J; Ouadah, S; Siewerdsen, J [Johns Hopkins University, Baltimore, MD (United States); Ehtiati, T [Siemens Healthcare AX Division, Erlangen, DE (Germany)

    2015-06-15

    Purpose: This work introduces a task-driven imaging framework that utilizes a patient-specific anatomical model, mathematical definition of the imaging task, and a model of the imaging system to prospectively design acquisition and reconstruction techniques that maximize task-based imaging performance. Utility of the framework is demonstrated in the joint optimization of tube current modulation and view-dependent reconstruction kernel in filtered-backprojection reconstruction and non-circular orbit design in model-based reconstruction. Methods: The system model is based on a cascaded systems analysis of cone-beam CT capable of predicting the spatially varying noise and resolution characteristics as a function of the anatomical model and a wide range of imaging parameters. Detectability index for a non-prewhitening observer model is used as the objective function in a task-driven optimization. The combination of tube current and reconstruction kernel modulation profiles were identified through an alternating optimization algorithm where tube current was updated analytically followed by a gradient-based optimization of reconstruction kernel. The non-circular orbit is first parameterized as a linear combination of bases functions and the coefficients were then optimized using an evolutionary algorithm. The task-driven strategy was compared with conventional acquisitions without modulation, using automatic exposure control, and in a circular orbit. Results: The task-driven strategy outperformed conventional techniques in all tasks investigated, improving the detectability of a spherical lesion detection task by an average of 50% in the interior of a pelvis phantom. The non-circular orbit design successfully mitigated photon starvation effects arising from a dense embolization coil in a head phantom, improving the conspicuity of an intracranial hemorrhage proximal to the coil. Conclusion: The task-driven imaging framework leverages a knowledge of the imaging task within

  7. TH-E-17A-06: Anatomical-Adaptive Compressed Sensing (AACS) Reconstruction for Thoracic 4-Dimensional Cone-Beam CT

    Energy Technology Data Exchange (ETDEWEB)

    Shieh, C; Kipritidis, J; OBrien, R; Cooper, B; Kuncic, Z; Keall, P [The University of Sydney, Sydney, New South Wales (Australia)

    2014-06-15

    Purpose: The Feldkamp-Davis-Kress (FDK) algorithm currently used for clinical thoracic 4-dimensional (4D) cone-beam CT (CBCT) reconstruction suffers from noise and streaking artifacts due to projection under-sampling. Compressed sensing theory enables reconstruction of under-sampled datasets via total-variation (TV) minimization, but TV-minimization algorithms such as adaptive-steepest-descent-projection-onto-convex-sets (ASD-POCS) often converge slowly and are prone to over-smoothing anatomical details. These disadvantages can be overcome by incorporating general anatomical knowledge via anatomy segmentation. Based on this concept, we have developed an anatomical-adaptive compressed sensing (AACS) algorithm for thoracic 4D-CBCT reconstruction. Methods: AACS is based on the ASD-POCS framework, where each iteration consists of a TV-minimization step and a data fidelity constraint step. Prior to every AACS iteration, four major thoracic anatomical structures - soft tissue, lungs, bony anatomy, and pulmonary details - were segmented from the updated solution image. Based on the segmentation, an anatomical-adaptive weighting was applied to the TV-minimization step, so that TV-minimization was enhanced at noisy/streaky regions and suppressed at anatomical structures of interest. The image quality and convergence speed of AACS was compared to conventional ASD-POCS using an XCAT digital phantom and a patient scan. Results: For the XCAT phantom, the AACS image represented the ground truth better than the ASD-POCS image, giving a higher structural similarity index (0.93 vs. 0.84) and lower absolute difference (1.1*10{sup 4} vs. 1.4*10{sup 4}). For the patient case, while both algorithms resulted in much less noise and streaking than FDK, the AACS image showed considerably better contrast and sharpness of the vessels, tumor, and fiducial marker than the ASD-POCS image. In addition, AACS converged over 50% faster than ASD-POCS in both cases. Conclusions: The proposed AACS

  8. TH-E-17A-09: High Quality and Artifact-Free 4D Cone Beam CT and Its Application in Adaptive Treatment Planning

    Energy Technology Data Exchange (ETDEWEB)

    Niu, K; Li, K; Smilowitz, J; Chen, G [University of Wisconsin, Madison, WI (United States)

    2014-06-15

    Purpose: To develop a high quality 4D cone beam CT (4DCBCT) method that is immune to patient/couch truncations and to investigate its application in adaptive replanning of lung XRT. Methods: In this study, IRB-approved human subject CBCT data was acquired using a Varian on-board imager with 1 minute rotation time. The acquired projection data was retrospectively sorted into 20 respiratory phase bins, from which 4DCBCT images with high SNR and high temporal resolution were generated using Prior Image Constrained Compressed Sensing (PICCS). Couch and patient truncations generate strong data inconsistency in the projection data and artifacts in the 4DCBCT image. They were addressed using an adaptive PICCS method. The artifact-free PICCS-4DCBCT images were used to generate adaptive treatment plans for the same patient at the 10th (day 21) and 30th (day 47) fractions. Dosimetric impacts with and without PICCS- 4DCBCT were evaluated by isodose distributions, DVHs, and other dosimetric factors. Results: The adaptive PICCS-4DCBCT method improves image quality by removing residue truncation artifacts; measured universal image quality increased 37%. The isodose lines and DVHs with PICCS-4DCBCT-based adaptive replanning were significantly more conformal to PTV than without replanning due to changes in patient anatomy caused by progress of the treatment. The mean dose to PTV at the 10th fraction was 63.1Gy with replanning and 64.2Gy without replanning, where the prescribed dose was 60Gy, in 2Gy × 30 fractions. The mean dose to PTV at the 30th fraction was 61.6Gy with replanning and 64.9Gy without replanning. Lung V20 was 37.1%, 41.9% and 43.3% for original plan, 10th fraction plan and 30th fraction plan; with re-planning, Lung V20 was 37.1%, 32%, 27.8%. Conclusion: 4DCBCT imaging using adaptive PICCS is able to generate high quality, artifact-free images that potentially can be used to create replanning for improving radiotherapy of the lung. K Niu, K Li, J Smilowitz: Nothing

  9. SU-E-J-46: Evaluation of the Accuracy of a Six Degree of Freedom Robotic Couch Using ConeBeam CT Images of the Isocal Phantom

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Q; Driewer, J; Wang, S; Li, S; Zheng, D; Zhu, X; Zhen, W; Wahl, A; Lin, C; Thompson, R; Zhou, S; Enke, C [University of Nebraska Medical Center, Omaha, NE (United States)

    2015-06-15

    Purpose The accuracy of Varian PerfectPitch six degree of freedom (DOF) robotic couch was examined using Varian Isocal phantom and cone-beam CT (CBCT) system. Methods CBCT images of the Isocal phantom were taken at different pitch and roll angles. The pitch and roll angles were varied from 357 to 3 degrees in one degree increments by input from service console, generating a total of 49 combinations with couch angle (yaw) zero. The center positions of the 16 tungsten carbide BBs contained in the Isocal were determined with in-house image processing software. Expected BBs positions at different rotation angles were determined mathematically by applying a combined translation/rotation operator to BB positions at zero pitch and roll values. A least square method was used to minimize the difference between the expected BB positions and their measured positions. In this way rotation angles were obtained and compared with input values from the console. Results A total of 49 CBCT images with voxel sizes 0.51 mm × 0.51 mm × 1 mm were used in analysis. Among the 49 calculations, the maximum rotation angle differences were 0.1 degree, 0.15 degree, and 0.09 degree, for pitch, roll, and couch rotation, respectively. The mean ± standard-deviation angle differences were 0.028±0.001 degree, −0.043±0.003 degree, and −0.009±0.001 degree, for pitch, roll, and couch rotation, respectively. The maximum isocenter shifts were 0.3 mm, 0.5 mm, 0.4 mm in x, y, z direction respectively following IEC6127 convention. The mean isocenter shifts were 0.07±0.02 mm, −0.05±0.06 mm, and −0.12±0.02 mm in x, y and z directions. Conclusion The accuracy of the Varian PerfectPitch six DOF couch was studied with CBCTs of the Isocal phantom. The rotational errors were less than 0.15 degree and isocenter shifts were less than 0.5 mm in any direction. This accuracy is sufficient for stereotactic radiotherapy clinical applications.

  10. TU-F-17A-09: Four-Dimensional Cone Beam CT Ventilation Imaging Can Detect Interfraction Lung Function Variations for Locally Advanced Lung Cancer Patients

    Energy Technology Data Exchange (ETDEWEB)

    Kipritidis, J; Keall, P [Radiation Physics Laboratory, University of Sydney, Sydney NSW 2006 Australia (Australia); Hugo, G; Weiss, E; Williamson, J [Department of Radiation Oncology, Virginia Commonwealth University, Richmond VA (United States)

    2014-06-15

    Purpose: Four-dimensional cone beam CT ventilation imaging (4D-CBCT VI) is a novel functional lung imaging modality requiring validation. We hypothesize that 4D-CBCT VI satisfies a necessary condition for validity: that intrafraction variations (e.g. due to poor 4D-CBCT image quality) are substantially different to interfraction variations (e.g. due to changes in underlying function). We perform the first comparison of intrafraction (pre/post fraction) and interfraction (week-to-week) 4D-CBCT VIs for locally advanced non small cell lung cancer (LA NSCLC) patients undergoing radiation therapy. Methods: A total of 215 4D-CBCT scans were acquired for 19 LA NSCLC patients over 4-6 weeks of radiation therapy, including 75 pairs of pre-/post-fraction scans on the same day. 4D-CBCT VIs were obtained by applying state-of-the-art, B-spline deformable image registration to obtain the Jacobian determinant of deformation between the end-exhale and end-inhale phases. All VIs were deformably registered to the corresponding first day scan, normalized between the 10th and 90th percentile values and cropped to the ipsilateral lung only. Intrafraction variations were assessed by computing the mean and standard deviation of voxel-wise differences between all same-day pairs of pre-/post-fraction VIs. Interfraction differences were computed between first-day VIs and treatment weeks 2, 4 and 6 for all 19 patients. We tested the hypothesis by comparing cumulative distribution functions (CDFs) of intrafraction and interfraction ventilation differences using two-sided Kolmogorov-Smirnov goodness-of-fit tests. Results: The (mean ± std. dev.) of intrafraction differences was (−0.007 ± 0.079). Interfraction differences for weeks 2, 4 and 6 were (−0.035 ± 0.103), (−0.006 ± 0.094) and (−0.019 ± 0.127) respectively. For week 2, the changes in CDFs for intrafraction and interfraction differences approached statistical significance (p=0.099). Conclusion: We have shown that 4D-CBCT VI

  11. Spine Stereotactic Body Radiotherapy Utilizing Cone-Beam CT Image-Guidance With a Robotic Couch: Intrafraction Motion Analysis Accounting for all Six Degrees of Freedom

    Energy Technology Data Exchange (ETDEWEB)

    Hyde, Derek [Department of Radiation Oncology, Sunnybrook Health Sciences Centre, University of Toronto, Ontario (Canada); British Columbia Cancer Agency, The Sindi Hawkins Cancer Centre for the Southern Interior, Kelowna (Canada); Lochray, Fiona; Korol, Renee; Davidson, Melanie; Wong, C. Shun [Department of Radiation Oncology, Sunnybrook Health Sciences Centre, University of Toronto, Ontario (Canada); Ma, Lijun [Department of Radiation Oncology, University of California San Francisco, San Francisco, CA (United States); Sahgal, Arjun, E-mail: Arjun.sahgal@rmp.uhn.on.ca [Department of Radiation Oncology, Sunnybrook Health Sciences Centre, University of Toronto, Ontario (Canada); Department of Radiation Oncology, Princess Margaret Hospital, University of Toronto, Toronto (Canada)

    2012-03-01

    Purpose: To evaluate the residual setup error and intrafraction motion following kilovoltage cone-beam CT (CBCT) image guidance, for immobilized spine stereotactic body radiotherapy (SBRT) patients, with positioning corrected for in all six degrees of freedom. Methods and Materials: Analysis is based on 42 consecutive patients (48 thoracic and/or lumbar metastases) treated with a total of 106 fractions and 307 image registrations. Following initial setup, a CBCT was acquired for patient alignment and a pretreatment CBCT taken to verify shifts and determine the residual setup error, followed by a midtreatment and posttreatment CBCT image. For 13 single-fraction SBRT patients, two midtreatment CBCT images were obtained. Initially, a 1.5-mm and 1 Degree-Sign tolerance was used to reposition the patient following couch shifts which was subsequently reduced to 1 mm and 1 Degree-Sign degree after the first 10 patients. Results: Small positioning errors after the initial CBCT setup were observed, with 90% occurring within 1 mm and 97% within 1 Degree-Sign . In analyzing the impact of the time interval for verification imaging (10 {+-} 3 min) and subsequent image acquisitions (17 {+-} 4 min), the residual setup error was not significantly different (p > 0.05). A significant difference (p = 0.04) in the average three-dimensional intrafraction positional deviations favoring a more strict tolerance in translation (1 mm vs. 1.5 mm) was observed. The absolute intrafraction motion averaged over all patients and all directions along x, y, and z axis ({+-} SD) were 0.7 {+-} 0.5 mm and 0.5 {+-} 0.4 mm for the 1.5 mm and 1 mm tolerance, respectively. Based on a 1-mm and 1 Degree-Sign correction threshold, the target was localized to within 1.2 mm and 0.9 Degree-Sign with 95% confidence. Conclusion: Near-rigid body immobilization, intrafraction CBCT imaging approximately every 15-20 min, and strict repositioning thresholds in six degrees of freedom yields minimal intrafraction motion

  12. 锥束CT系统PSF的多孔成像测量与评估方法%Multi-pinhole imaging measurement and assessment method for PSF of cone-beam CT system

    Institute of Scientific and Technical Information of China (English)

    张亮; 卜昆; 黄魁东; 李明君; 查方龙

    2012-01-01

    针对实际锥束CT系统成像质量退化的问题,提出一种基于多孔成像的方法测量并评估锥束CT系统的点扩展函数(point spread function,PSF).首先针对平板探测器(flat panel detector,FPD)的PSF进行测量,设计了针孔测量装置,并据此提出一种简便的基于图像恢复的针孔成像PSF测量方法;然后分析了一般条件下锥束CT成像的PSF,提出面向切片图像恢复质量的多孔成像PSF测量与评估方法,并建立了任意直径针孔测量PSF的计算模型.实验结果验证了该方法的可行性,并得到了可恢复出较高质量切片图像的锥束CT系统PSF.%Aiming at the imaging quality degradation problem of the actual cone-beam CT,a method based on multi-pinhole imaging has been proposed to measure and evaluate the point spread function (PSF) of the cone-beam CT system. First of all,the PSF of the flat panel detector (FPD) is measured,and a pinhole measurement device is designed. Hereby,a simple method of pinhole imaging is put forward to measure the PSF based on image restoration. Then,the PSF of the cone-beam CT under general condition is analyzed; the measurement and evaluation method of the PSF of multi-pinhole imaging is put forward based on the recovery quality of the slice image. A PSF calculation model is established for the pinholes with any diameters. Experiment results show the feasibility of this method,and the PSF,cone-beam CT system is obtained,with which high quality image slices are restored.

  13. Application of cone-beam CT in prostatic arterial embolization%C臂锥形束CT成像在前列腺动脉栓塞术中的应用价值

    Institute of Scientific and Technical Information of China (English)

    陶瑞瑞; 张国栋; 王茂强; 段峰; 袁凯; 李凯; 阎洁羽; 常中飞; 王燕

    2016-01-01

    Objective To explore the utility of cone-beam CT in the evaluation of prostatic arterial embolization (PAE). Methods In a retrospective study, images of DSA and cone-beam CT for PAE in 81 patients with moderate to severe grade benign prostatic hyperplasia were evaluated. In 162 cases of internal iliac arteries (ⅡAs) in 81 patients, images of 6 ⅡAs were excluded due to the technical problems. Therefore, images of 156ⅡAs were included for evaluation. We aim to evaluate the utility of cone-beam CT versus DSA in differentiating PAs and their origins, and demonstrating anastomoses with adjacent arteries. Statistical analyses were performed with Chi-square test to compare the rate of demonstrating vessels between cone-beam CT and DSA. Results One hundred and sixty-one PAs were demonstrated in 156ⅡAs by selective DSA and Cone-beam CT. Cone-beam CT and DSA images demonstrated 158 (98.1%, 158/161) and 130 (80.8%, 130/161) PAs, respectively. The statistical difference was significant (χ2=25.78, P cone-beam CT and DSA images. The percentage of PA anastomoses demonstrated by cone-beam CT was 42.3%(66/156), which was higher than DSA (31.4%, 49/156). The statistical difference was significant (χ2=3.98, P<0.05). Conclusions Cone-beam CT is useful in demonstrating PAs and their origins fromⅡAs, as well as anastomoses with adjacent arteries.%目的:探讨C臂锥形束CT成像在前列腺动脉栓塞术(PAE)中的应用价值。方法回顾性分析接受PAE的81例中、重度前列腺增生患者的DSA和C臂锥形束CT资料。81例患者的162侧髂内动脉中,6侧因图像质量欠佳而剔除,156侧髂内动脉的DSA和C臂锥形束CT资料纳入分析。对比观察DSA和C臂锥形束CT成像中的PA数目、起源及与邻近动脉的吻合支。采用χ2检验比较DSA和C臂锥形束CT对血管显示率的差异。结果156侧髂内动脉的选择性前列腺动脉(PA)DSA和C臂锥形束CT成像共确认161支PA ,其中C臂

  14. Diagnostic accuracy of cone-beam CT compared with panoramic images in predicting retromolar canal during extraction of impacted mandibular third molars

    OpenAIRE

    Sisman, Yildiray; Sekerci, Ahmet Ercan; Payveren Arıkan, Mehtap; Sahman, Halil

    2015-01-01

    Objectives: The clinical significance of the existence of a retromolar canal and of its neurovascular content is not yet clear.The aim of the present study was to assess the visibility, diameter and course of the mandibular retromolarcanal (MRC) using cone beam computed tomography (CBCT) scan -had been taken for pre-operative radiographic evaluation of impacted mandibular third molars- compared to panoramic radiographs. Study Design: Subjects eligible for study enrollment were those who under...

  15. Experience of direct percutaneous sac injection in type II endoleak using cone beam computed tomography.

    Science.gov (United States)

    Park, Yoong-Seok; Do, Young Soo; Park, Hong Suk; Park, Kwang Bo; Kim, Dong-Ik

    2015-04-01

    Cone beam CT, usually used in dental area, could easily obtain 3-dimensional images using cone beam shaped ionized radiation. Cone beam CT is very useful for direct percutaneous sac injection (DPSI) which needs very precise measurement to avoid puncture of inferior vena cava or vessel around sac or stent graft. Here we describe two cases of DPSI using cone beam CT. In case 1, a 79-year-old male had widening of preexisted type II endoleak after endovascular aneurysm repair (EVAR). However, transarterial embolization failed due to tortuous collateral branches of lumbar arteries. In case 2, a 72-year-old female had symptomatic sac enlargement by type II endoleak after EVAR. However, there was no route to approach the lumbar arteries. Therefore, we performed DPSI assisted by cone beam CT in cases 1, 2. Six-month CT follow-up revealed no sign of sac enlargement by type II endoleak.

  16. ON ACCELERATING CONE BEAM CT IMAGE RECONSTRUCTION ALGORITHM BY CUDA-BASED GPU%基于CUDA的图形处理器加速锥束CT重建算法的研究

    Institute of Scientific and Technical Information of China (English)

    王丽芳

    2014-01-01

    锥束CT图像重建数据量巨大、运算复杂度高,重建时间长,难以满足实际应用的需求。研究基于CUDA的图形处理器加速锥束CT重建算法的方案,通过有效的并行策略来提高滤波和反投影过程的时间,并利用常数存储器和纹理存储器来提高数据访存效率。实验证明在保证重建质量的情况下,重建速度可以提高82倍。%Cone beam CT image reconstruction has huge data volume and high operation complexity,the time of image reconstruction is too long to meet the needs of practical applications.In this paper we study the acceleration solution of cone beam CT image reconstruction algo-rithm with the CUDA-based GPU.It improves the filtering and back projection process time through effective parallel strategy,and improves data access and storage efficiency using constant memory and texture memory.Experimental results show that there can have 82 times im-provement in reconstruction speed under the condition of ensuring the quality of reconstruction.

  17. Megavoltage cone-beam CT:clinical applications for adaptive radiation therapy%兆伏级锥形束CT在自适应性放疗中的应用

    Institute of Scientific and Technical Information of China (English)

    O. Morin; H. Chen; L. Simpson; J. Pouliot; 王艳阳; M. Aubin; J. Chen; H. Chen; J-F. Aubry; A.Gillis; K. Bucci; M. Geffen; K. Kelly

    2006-01-01

    随着兆伏级锥形束CT(Megavoltage Cone-Beam CT,MV CBCT)技术的诞生,目前利用电子验证影像设备(electronic portal imaging devices,EPID)与治疗用X线束在治疗体位状态下对患者进行三维成像,并根据所获影像进行电子密度校准,已逐渐在临床上获得应用.本文首先介绍MV CBCT的一般特性,并对其在适应性放疗(Adaptive Radiation Therapy,ART)中的临床应用及发展方向进行探讨.

  18. 锥形束CT及外科引导颌板在种植修复术中的应用%Cone Beam CT and Surgical Guide Application of Jaw Plates in Implant Restoration

    Institute of Scientific and Technical Information of China (English)

    周立林

    2015-01-01

    种植义齿修复是牙列缺损及牙列缺失的理想修复方式,口腔种植的发展离不开影像学的支持。种植术前的影像学检查在口腔牙种植体植入术中发挥重要辅助诊断作用,有助于疾病的诊断、治疗计划的设定以及对疾病发展变化的监测。20世纪90年代末出现的锥形束CT(cone beam computedtomography,CBCT)具有三维成像的优点,较曲面体层片二维影像学资料存在显著优势。%Implant is the ideal fix for dentition defect and missing dentition, dentalimplant without imaging of development support. Planted the imaging examinations in dentalimplant surgery playsan important role in diagnosis, and contributeto the creation ofdisease diagnosis, treatmentplanning and monitoring of disease development.In the late1990ofthe20thcentury's Cone beam computedtomography(CBCT) hasthe advantages of threedimensional reconstruction, representing a surface body layer two-dimensional imaging data have significant advantages.

  19. Prenatal diagnosis of fetal skeletal dysplasia with 3D CT

    Energy Technology Data Exchange (ETDEWEB)

    Miyazaki, Osamu; Horiuchi, Tetsuya [National Center for Child Health and Development, Department of Radiology, Seatagaya-ku, Tokyo (Japan); Nishimura, Gen [Tokyo Metropolitan Children' s Medical Center, Department of Pediatric Imaging, Fuchu-shi, Tokyo (Japan); Sago, Haruhiko; Hayashi, Satoshi [National Center for Child Health and Development, Department of Perinatal Medicine and Maternal Care, Seatagaya-ku, Tokyo (Japan); Kosaki, Rika [National Center for Child Health and Development, Department of Strategic Medicine, Division of Clinical Genetics and Molecular Medicine, Seatagaya-ku, Tokyo (Japan)

    2012-07-15

    Clinical use of 3D CT for fetal skeletal malformations is controversial. The purpose of this study was to evaluate the efficacy of fetal 3D CT using three protocols with different radiation doses and through comparing findings between fetal CT and conventional postnatal radiographic skeletal survey. Seventeen fetuses underwent CT for suspected skeletal dysplasia. A relay of three CT protocols with stepwise dose-reduction were used over the study period. The concordance between the CT diagnosis and the final diagnosis was assessed. Ninety-three radiological findings identifiable on radiographs were compared with CT. Fetal CT provided the correct diagnosis in all 17 fetuses, the detectability rate of cardinal findings was 93.5 %. In 59 % of the fetuses an US-based diagnosis was changed prenatally due to CT findings. The estimated fetal radiation dose in the final protocol was 3.4 mSv (50 %) of the initial protocol, and this dose reduction did not result in degraded image quality. The capability of fetal CT to delineate the skeleton was almost the same as that of postnatal skeletal survey. The perinatal management was altered due to these more specific CT findings, which aided in counseling and in the management of the pregnancy. (orig.)

  20. Application of CT 3D reconstruction in diagnosing atlantoaxial subluxation

    Institute of Scientific and Technical Information of China (English)

    段少银; 林清池; 庞瑞麟

    2004-01-01

    Objective:To evaluate and compare the diagnostic value in atlantoaxial subluxation by CT three-dimensional (3D) reconstruction.Methods:3D reconstruction fimdings of 41 patients with atlantoaxiai subluxation were retrospectively analyzed, and comparisons were made among images of transverse section, multiplanar reformorting (MPR), surface shade display (SSD), maximum intensity project (MIP), and volume rendering (VR). Results:Of 41 patients with atlantoaxial subluxation, 31 belonged to rotary dislocation, 5 antedislocation, and 5 hind dislocation. All the cases showed the dislocated joint panel of atlantoaxial articulation.Fifteen cases showed deviation of the odontoid process and 8 cases widened distance between the dens and anterior arch of the atlas. The dislocated joint panel of atlantoaxial articulation was more clearly seen with SSD-3D imaging than any other methods. Conclusions:Atlantoaxial subluxation can well be diagnosed by CT 3D reconstruction, in which SSD-3D imaging is optimal.

  1. Optical-CT imaging of complex 3D dose distributions

    Science.gov (United States)

    Oldham, Mark; Kim, Leonard; Hugo, Geoffrey

    2005-04-01

    The limitations of conventional dosimeters restrict the comprehensiveness of verification that can be performed for advanced radiation treatments presenting an immediate and substantial problem for clinics attempting to implement these techniques. In essence, the rapid advances in the technology of radiation delivery have not been paralleled by corresponding advances in the ability to verify these treatments. Optical-CT gel-dosimetry is a relatively new technique with potential to address this imbalance by providing high resolution 3D dose maps in polymer and radiochromic gel dosimeters. We have constructed a 1st generation optical-CT scanner capable of high resolution 3D dosimetry and applied it to a number of simple and increasingly complex dose distributions including intensity-modulated-radiation-therapy (IMRT). Prior to application to IMRT, the robustness of optical-CT gel dosimetry was investigated on geometry and variable attenuation phantoms. Physical techniques and image processing methods were developed to minimize deleterious effects of refraction, reflection, and scattered laser light. Here we present results of investigations into achieving accurate high-resolution 3D dosimetry with optical-CT, and show clinical examples of 3D IMRT dosimetry verification. In conclusion, optical-CT gel dosimetry can provide high resolution 3D dose maps that greatly facilitate comprehensive verification of complex 3D radiation treatments. Good agreement was observed at high dose levels (>50%) between planned and measured dose distributions. Some systematic discrepancies were observed however (rms discrepancy 3% at high dose levels) indicating further work is required to eliminate confounding factors presently compromising the accuracy of optical-CT 3D gel-dosimetry.

  2. An alternative approach to extruding a vertically impacted lower third molar using an orthodontic miniscrew: A case report with cone-beam CT follow-up

    Energy Technology Data Exchange (ETDEWEB)

    Cortes, Arthur Rodriguez Gonzales; Cavalcanti, Marcelo Gusmaeo Paraiso; Arita, Emiko Saito [Dept. of Oral Radiology, School of Dentistry, University of Saeo Paulo, Saeo Paulo (Brazil); No-Cortes, Julian [Orthodontic Clinic, Saeo Paulo (Brazil)

    2014-06-15

    One of the most common oral surgical procedures is the extraction of the lower third molar (LTM). Postoperative complications such as paresthesia due to inferior alveolar nerve (IAN) injury are commonly observed in cases of horizontal and vertical impaction. The present report discusses a case of a vertically impacted LTM associated with a dentigerous cyst. An intimate contact between the LTM roots and the mandibular canal was observed on a panoramic radiograph and confirmed with cone-beam computed tomographic (CBCT) cross-sectional cuts. An orthodontic miniscrew was then used to extrude the LTM prior to its surgical removal in order to avoid the risk of inferior alveolar nerve injury. CBCT imaging follow-up confirmed the success of the LTM orthodontic extrusion.

  3. 3D-CT angiography. Intracranial arterial lesions

    Energy Technology Data Exchange (ETDEWEB)

    Asato, Mikio; Tong, X.Q.; Tamura, Shozo [Miyazaki Medical Coll., Kiyotake (Japan)] [and others

    1997-06-01

    Since its introduction, three dimensional CT angiography (3D-CTA) on spiral (helical) CT has played an important role in clinical imaging. Initially it was reported to be useful in depicting aortic abnormalities, afterwards the merit in detecting intracranial aneurysm by 3D-CTA was also described. We have investigated the usefullness of 3D-CTA in detecting patients of intracranial aneurysm as well as arterio-venous malformation (AVM), Moyamoya disease and stenosis of middle cerebral artery, meanwhile the MR angiography (MRA) and digital subtraction angiography (DSA) examination of these patients were also studied as comparison to the 3D-CTA results. The sensitivity and specificity on investigating intracranial aneurysm were similar with other reports so far. 3D-CTA was possible to identify the feeding artery, nidus and draining vein of AVM, although DSA showed higher detectability. Occlusion of internal carotid artery and post-operative anastomosis in Moyamoya disease were all demonstrated by 3D-CTA, however the Moyamoya collaterals were shown better on MRA. 3D-CTA revealed the site of stenosis of middle cerebral artery in all of our cases, but in general maximum intensity projection (MIP) images can provide more exact information about the degree of stenosis. Five years has passed since the emergence of spiral CT and utilizing of 3D-CTA in clinical applications. With the development of hard and soft ware in the near future, it is possible to delineate more small vessels by 3D-CTA. We predict that 3D-CTA would be widely used for detecting vasculature of the whole body, and may take the place of conventional angiography in many cases. (author)

  4. 3D Reconstruction in Spiral Multislice CT Scans

    Directory of Open Access Journals (Sweden)

    M. Ghafouri

    2005-08-01

    Full Text Available Introduction & Background: The rapid development of spiral (helical computed tomography (CT has resulted in exciting new applications for CT. One of these applications, three-dimensional (3D CT with volume ren-dering, is now a major area of clinical and academic interest. One of the greatest advantages of spiral CT with 3D volume rendering is that it provides all the necessary information in a single radiologic study (and there-fore at the lowest possible price in cases that previously required two or more studies. Three-dimensional vol-ume rendering generates clinically accurate and immediately available images from the full CT data set with-out extensive editing. It allows the radiologist and clinician to address specific questions concerning patient care by interactively exploring different aspects of the data set. Three-dimensional images integrate a series of axial CT sections into a form that is often easier to interpret than the sections themselves and can be made to appear similar to other more familiar images such as catheter angiograms. The data are organized into a 3D matrix of volume elements (voxels. The screen of the computer monitor is a 2D-surface composed of discrete picture elements (pixels. Presenting what is stored in memory (ie, floating within the monitor on a 2D-screen is a challenge, but it is the very problem that 3D reconstruc-tion software has creatively solved. Voxel selection is usually accomplished by projecting lines (rays through the data set that correspond to the pixel matrix of the desired 2D image. Differences in the images produced with various 3D rendering techniques are the result of variations in how voxels are selected and weighted. In this article, I compare 3D volume rendering of spiral CT data with other rendering techniques (shaded surface display, maximum intensity projection and present a brief history of 3D volume rendering and discuss the im-plementation of this promising technology in terms of

  5. The effect of CT scanner parameters and 3D volume rendering techniques on the accuracy of linear, angular, and volumetric measurements of the mandible

    Science.gov (United States)

    Whyms, B.J.; Vorperian, H.K.; Gentry, L.R.; Schimek, E.M.; Bersu, E.T.; Chung, M.K.

    2013-01-01

    Objectives This study investigates the effect of scanning parameters on the accuracy of measurements from three-dimensional multi-detector computed tomography (3D-CT) mandible renderings. A broader range of acceptable parameters can increase the availability of CT studies for retrospective analysis. Study Design Three human mandibles and a phantom object were scanned using 18 combinations of slice thickness, field of view, and reconstruction algorithm and three different threshold-based segmentations. Measurements of 3D-CT models and specimens were compared. Results Linear and angular measurements were accurate, irrespective of scanner parameters or rendering technique. Volume measurements were accurate with a slice thickness of 1.25 mm, but not 2.5 mm. Surface area measurements were consistently inflated. Conclusions Linear, angular and volumetric measurements of mandible 3D-CT models can be confidently obtained from a range of parameters and rendering techniques. Slice thickness is the primary factor affecting volume measurements. These findings should also apply to 3D rendering using cone-beam-CT. PMID:23601224

  6. Application of 3D-myelo-CT for lumbar disease

    Energy Technology Data Exchange (ETDEWEB)

    Taira, Gaku; Endo, Kenji; Karasawa, Haruhiro; Urawa, Yasuhito; Ito, Koichi; Ichimaru, Katsuji [Tokyo Medical Coll., Ami, Ibaraki (Japan). Kasumigaura Hospital; Miura, Yukio

    1997-03-01

    Helical CTs for lumbar disk hernia (LDH) and for lumbar canal stenosis (LCS) were compared with ordinary imaging diagnosis. Subjects were 10 cases of LDH and of LCS, who were 24-71 (mean 58.7) years old. The apparatus was Siemens Somatom Plus 4 and its 3D-program soft was used for reconstruction. The ordinary myelography was performed with a non-ionic contrasting medium and 60 min later, helical CT was carried out with conditions of 140 kV, 204 mA, slice thickness 3 mm, bed speed 3 mm/sec and reconstruction 1.5 mm. MRI was done on sagittal, axial and coronary sections and 3D-MRI was reconstructed from the coronary ones with the maximum intensity projection procedure. The 3D-myelo-CT images were compared with those by myelography, 2D-MRI and 3D-MRI in diagnostic rate of impaired nerve root, anatomical relationships between dura tube and bony factors and imaging rate of redundant nerve root. Exclusions of dura tube and of nerve root were found observable in 3D-myelo-CT, which was useful for surgery simulation and for explaining to patients. (K.H.)

  7. Application Progress of Cone Beam CT in Orthodontic Correction and Treatment of Skeletal ClassⅢ Malocclusion%锥形束CT在骨性Ⅲ类错牙合正畸治疗中的应用进展

    Institute of Scientific and Technical Information of China (English)

    王国杰; 刘春丽; 杨晓瑞

    2016-01-01

    随着正畸学的进步,正畸治疗过程中牙槽骨的改建效果越来越受到人们的重视,尤其对于骨性Ⅲ类错牙合患者,如何及时精确评估牙槽骨改建情况对矫正成功与否至关重要。锥形束CT(Cone Beam Computed Tomography,CBCT)的出现开创了口腔三维成像的新纪元。本文首先阐述了CBCT应用于口腔正畸的优势与不足,然后重点总结了锥形束CT在骨性Ⅲ类错牙合矫正方案设计、治疗过程中对牙槽骨量的监测及治疗效果评价的相关研究,对未来CBCT在该领域的发展进行了展望。%With the progress of orthodontic learning, the effect of alveolar bone reconstruction in the process of Orthodontic treatment gets more and more attention, especially for patients with skeletal ClassⅢmalocclusion. How to make timely and accurate assessment of alveolar bone reconstruction effect is crucial for correction. The emergence of the cone beam CT (CBCT) ushered in a new era of oral three-dimensional imaging. This paper focused on the advantages and disadvantages of application of CBCT in correction and treatment of skeletal ClassⅢmalocclusion. It also summarized the application of CBCT in skeletal Class III malocclusion scheme design, related researches on monitor and effect evaluation of alveolar bone mass in the process of correction, and made prospects of the future development of CBCT in this ifeld.

  8. The detection accuracy of cone beam CT for osseous defects of the temporomandibular joint: a systematic review and meta-analysis

    Science.gov (United States)

    Ma, Ruo-han; Yin, Shuang; Li, Gang

    2016-01-01

    The purpose of this review was to evaluate whether cone-beam computed tomography (CBCT) is reliable for the detection of bone changes of the temporomandibular joint (TMJ). Studies collected from the PubMed, Web of Science, Cochrane Library, ScienceDirect, Embase, Wanfang and CNKI databases were searched, and the publishing time was limited from January 1990 to December 2015. Eight studies (23 experimental research groups) were eventually included for further analysis. The pooled sensitivity was 0.67 and the pooled specificity was 0.87, which leads to a relatively large area (0.84) under the Receiver Operating Characteristic (ROC) curve. The related pooled positive likelihood ratio (+LR) and the pooled negative likelihood ratio (−LR) were 5.2 and 0.38, respectively. The subgroup analysis was conducted for four subgroups categorized by voxel size (≤0.2; >0.2, ≤0.3; >0.3, ≤0.4; >0.4, and ≤0.5 (mm)), and the “>0.4, ≤0.5” subgroup had a higher pooled sensitivity and pooled specificity than the other groups. The present study demonstrates that CBCT has a relatively high diagnostic accuracy for TMJ bone changes, although its reliability is limited. Voxel size did not play a role in the accuracy of CBCT. PMID:27708375

  9. Comparison of Cone-Beam CT Incidental Findings between Moderate/Severe Obstructive Sleep Apnea patients and Mild/Normal patients

    Science.gov (United States)

    Enciso, Reyes; Shigeta, Yuko; Nguyen, Manuel; Clark, Glenn T.

    2012-01-01

    Objective To compare the incidental radiographic findings in the maxillofacial structures and the pharyngeal airway between moderate/severe Obstructive Sleep Apnea (OSA) subjects and mild OSA/normal subjects using Cone-Beam Computed Tomography (CBCT) scans. Study Design 53 moderate/severe OSA subjects (with a Respiratory Disturbance Index [RDI]≥15 events/hr) and 33 mild OSA/normal subjects, (RDI<15) based on ambulatory somnographic assessment were recruited. Supine CBCT’s were taken and sent for radiological report. The incidental findings were compared between the two groups. Results Moderate/severe subjects had larger prevalence of conchae bullosa, hypertrophic turbinates, hypertrophic tonsils, elongated or posteriorly placed soft palate, narrower airway, enlarged tongue, and focal calcifications, though no significant differences were found. Conclusions CBCT is useful in identifying maxillofacial and airway anomalies that could interfere with normal breathing. However, no significant difference was found in prevalence of incidental findings between moderate/severe OSA and mild/normal subjects. Further studies are necessary to generalize our results. PMID:22862979

  10. WE-DE-207A-02: Advances in Cone Beam CT Anatomical and Functional Imaging in Angio-Suite to Enable One-Stop-Shop Stroke Imaging Workflow.

    Science.gov (United States)

    Chen, G

    2016-06-01

    1. Parallels in the evolution of x-ray angiographic systems and devices used for minimally invasive endovascular therapy Charles Strother - DSA, invented by Dr. Charles Mistretta at UW-Madison, was the technology which enabled the development of minimally invasive endovascular procedures. As DSA became widely available and the potential benefits for accessing the cerebral vasculature from an endovascular approach began to be apparent, industry began efforts to develop tools for use in these procedures. Along with development of catheters, embolic materials, pushable coils and the GDC coils there was simultaneous development and improvement of 2D DSA image quality and the introduction of 3D DSA. Together, these advances resulted in an enormous expansion in the scope and numbers of minimally invasive endovascular procedures. The introduction of flat detectors for c-arm angiographic systems in 2002 provided the possibility of the angiographic suite becoming not just a location for vascular imaging where physiological assessments might also be performed. Over the last decade algorithmic and hardware advances have been sufficient to now realize this potential in clinical practice. The selection of patients for endovascular treatments is enhanced by this dual capability. Along with these advances has been a steady reduction in the radiation exposure required so that today, vascular and soft tissue images may be obtained with equal or in many cases less radiation exposure than is the case for comparable images obtained with multi-detector CT.

  11. Usefulness and problems of three-dimensional CT (3D-CT) in the neurosurgical patients

    Energy Technology Data Exchange (ETDEWEB)

    Terada, Kousaku; Tajitsu, Kenichiro; Ichitsubo, Hidenori [Kaseda Hospital, Kagoshima (Japan); Moriya, Nobuhide; Kadota, Koki; Asakura, Tetsuhiko

    1997-11-01

    Helical CT scanning is a new technique that can uninterruptedly generate a volume of data. The data thus acquired with or without contrast medium is reconstructed for three-dimensional CT (3D-CT) or three-dimensional CT angiography (3D-CTA). The authors have studied 36 aneurysms, 11 aterosclerotic lesions, 16 tumors and 14 traumatic lesions in more than 60 patients with 3D-CT or 3D-CTA. Aneurysm is visualized clearly on 3D-CTA. The ability to rotate images in all planes aids in showing the aneurysm neck and dome, parent artery and surrounding bony structures. 3D-CTA can assist the surgeon in the approach to the aneurysm. Imaging of the infraclinoid portion of the internal carotid artery may be inadequate with 3D-CTA because of contrast enhancement of the cavernous sinus and the anterior portion of the lesser sphenoid wing. Stenosis or occlusion of the circle of Willis and the common carotid artery bifurcation is well identified on 3D-CTA. It is noted that 3D-CTA delineates inaccurately stenosis severity because of partial volume effects, the threshold level and the timing of scanning. Well-enhanced brain tumors such as meningioma are demonstrated clearly. The relationship of the tumor to surrounding major arteries and bony structures is well defined on enhanced 3D-CT. Marked transposition of skull fracture by head trauma is shown distinctly on 3D-CT. In conclusion, although this technique requires further development and clinical evaluation, the authors` experience with 3D-CT and 3D-CTA suggests that this may become a valuable tool in the diagnosis of neurosurgical patients. (author)

  12. Cone beam computed tomography in endodontics.

    Science.gov (United States)

    Durack, Conor; Patel, Shanon

    2012-01-01

    Cone beam computed tomography (CBCT) is a contemporary, radiological imaging system designed specifically for use on the maxillo-facial skeleton. The system overcomes many of the limitations of conventional radiography by producing undistorted, three-dimensional images of the area under examination. These properties make this form of imaging particularly suitable for use in endodontics. The clinician can obtain an enhanced appreciation of the anatomy being assessed, leading to an improvement in the detection of endodontic disease and resulting in more effective treatment planning. In addition, CBCT operates with a significantly lower effective radiation dose when compared with conventional computed tomography (CT). The purpose of this paper is to review the current literature relating to the limitations and potential applications of CBCT in endodontic practice.

  13. Cone beam computed tomography in endodontic

    Energy Technology Data Exchange (ETDEWEB)

    Durack, Conor; Patel, Shanon, E-mail: conordurack1@hotmail.com [Unit of Endodontology, Department of Conservative Dentistry, King' s College London, London (United Kingdom)

    2012-07-01

    Cone beam computed tomography (CBCT) is a contemporary, radiological imaging system designed specifically for use on the maxillofacial skeleton. The system overcomes many of the limitations of conventional radiography by producing undistorted, three-dimensional images of the area under examination. These properties make this form of imaging particularly suitable for use in endodontic. The clinician can obtain an enhanced appreciation of the anatomy being assessed, leading to an improvement in the detection of endodontic disease and resulting in more effective treatment planning. In addition, CBCT operates with a significantly lower effective radiation dose when compared with conventional computed tomography (CT). The purpose of this paper is to review the current literature relating to the limitations and potential applications of CBCT in endodontic practice. (author)

  14. Contrast Enhancement Method Based on Gray and Its Distance Double-Weighting Histogram Equalization for 3D CT Images of PCBs

    Directory of Open Access Journals (Sweden)

    Lei Zeng

    2016-01-01

    Full Text Available Cone beam computed tomography (CBCT is a new detection method for 3D nondestructive testing of printed circuit boards (PCBs. However, the obtained 3D image of PCBs exhibits low contrast because of several factors, such as the occurrence of metal artifacts and beam hardening, during the process of CBCT imaging. Histogram equalization (HE algorithms cannot effectively extend the gray difference between a substrate and a metal in 3D CT images of PCBs, and the reinforcing effects are insignificant. To address this shortcoming, this study proposes an image enhancement algorithm based on gray and its distance double-weighting HE. Considering the characteristics of 3D CT images of PCBs, the proposed algorithm uses gray and its distance double-weighting strategy to change the form of the original image histogram distribution, suppresses the grayscale of a nonmetallic substrate, and expands the grayscale of wires and other metals. The proposed algorithm also enhances the gray difference between a substrate and a metal and highlights metallic materials. The proposed algorithm can enhance the gray value of wires and other metals in 3D CT images of PCBs. It applies enhancement strategies of changing gray and its distance double-weighting mechanism to adapt to this particular purpose. The flexibility and advantages of the proposed algorithm are confirmed by analyses and experimental results.

  15. Image lag modeling and correction method for flat panel detector in cone-beam CT%锥束CT平板探测器成像的余晖建模与校正方法

    Institute of Scientific and Technical Information of China (English)

    黄魁东; 张定华; 李明君; 张华

    2013-01-01

    Cone-beam computed tomography (CT) has the notable features, viz high efficiency and high precision, and is widely used in the areas such as medical imaging and industrial non-destructive testing, but the presence of image lag reduces the quality of CT images. By referencing the multi-exponential decay model for the image lag and combining with the actual decay rule of the flat panel detector output signal, a new decay modeling and correction method for the image lag based on multi-exponential fitting is proposed. Firstly, an imaging experiment using cone-beam CT based on flat panel detector is carried out;the results show that the image lag decay of the pixels in the flat panel detector has a good consistency, and is irrelevant to the initial gray value. Then, the rapid image lag correction is achieved according to the image lag decay model, and the comparison of image quality of the projected images and slice images before and after image lag correction indicates that the edge sharpness of the part has been significantly improved after the lag correction. This method does not need to obtain the scintillation compositions and the decay time constants of the detector, and is easily applied to the practical cone-beam CT imaging systems for image lag detection and correction.%锥束CT具有高效率和高精度的显著特点,在医学成像与工业无损检测等领域已得到广泛应用,但余晖的存在降低了CT图像的质量。本文借鉴余晖多指数衰减模型的思想,结合平板探测器输出信号的实际衰减规律,提出了一种新的基于多指数拟合的余晖衰减建模及校正方法。首先进行了基于平板探测器的锥束CT成像实验,结果表明平板探测器各像素的余晖衰减规律具有良好的一致性,且余晖衰减规律与初始灰度的大小无关;其后根据建立的余晖衰减模型实现了余晖的快速校正,并分析比较了余晖校正前后投影图像和切片图像质量,

  16. 利用锥形束CT分析宫颈癌调强适形放疗摆位误差%Setup Errors Analysis with Cone Beam CT for Uterine Cervix Cancer Treated by Intensity Modulated Radiotherapy

    Institute of Scientific and Technical Information of China (English)

    陈鑑; 郭和锋; 林浩; 王国喜

    2013-01-01

    目的:利用锥形束CT(Cone-Beam Computed Tomography,CBCT)影像技术研究本院宫颈癌调强放射治疗(Intensity Modulated Radiation Therapy,IMRT)中的摆位误差,并计算出计划靶区(Planning Target Volume,PTV)的外扩边界范围。方法应用瓦里安TrueBeam放射治疗系统治疗宫颈癌64例,CBCT扫描1次/w,将CBCT图像和原计划CT图像进行匹配得出X、Y、Z轴方向的线性摆位误差,分析误差及其分布规律,推算出 CTV(Clinical Target Volume,CTV)到 PTV的外放边界值。结果得出在X、Y、Z轴方向上的系统误差±随机误差分别为(2.13±1.70)、(2.39±1.99)、(2.50±1.89)mm,推算出本院宫颈癌出 X,Y,Z轴 CTV到 PTV的Margin分别为6.5mm,7.4mm,7.6mm。结论通过CBCT测量摆位误差并进行调整可提高患者摆位精度,为外扩 CTV边界提供了理论依据,使治疗计划的实施更精确。%Objective:The purpose of his work was to invest the setup errors in Intensity modulated radiotherapy for uterine cervix cancer by cone-beam CT (Cone Beam Computerized Tomography, CBCT)imaging technology, and to calculate the safety margins of planning target volume (PTV). Methods:64 patients were treated with Varian TrueBeam system.Al patients had received CBCT once a week.The acquired CBCT images were compared with planning CT images. The errors on X,Y,Z axes were analyzed and the PTV margin was calculated. Results:The average setup error (∑±σ)in X-axis, Y-axis, and Z-axis directions were (2.13±1.70)mm,( 2.39±1.99)mm, (2.50 ±1.89)mm, and the margin of PTV of uterine cervix cancer in three directions (X,Y,Z)was 6.5mm,7.4mm,7.6mm respectively. Conclusions:Measurement of setup error delivery using CBCT scan combined with on-line correction could improve the patient setup precision and may make our design of radiotherapy system more scientific and normal.

  17. Localization of the embedded tooth in jaw bones by Cone-beam CT%应用锥形束CT对颌骨埋伏牙的定位分析

    Institute of Scientific and Technical Information of China (English)

    张香子; 方贤浩

    2011-01-01

    对颌骨内埋伏牙的定位及了解其解剖结构的毗邻关系是正畸矫治和口腔颌面外科手术治疗的基础.锥形束CT(cone-beam computed tomography,CBCT)具有高清晰度、高分辨率,可为颌骨内埋伏牙提供精确的动态三维图像及六面三维视角定位,获得直观的埋伏牙断层影像.作者采用CBCT对19例20颗埋伏牙进行定位分析,并对其作了分类,现报告如下.%Con-beam CT(CBCT) was applied to localize 20 embedded teeth in jaw bones in 19 cases.The localization of the teeth was classified as high ( 11 ) , horizontal(5 ) and backward- down ( 3 ) positions.

  18. Monitoring Dosimetric Impact of Weight Loss With Kilovoltage (KV) Cone Beam CT (CBCT) During Parotid-Sparing IMRT and Concurrent Chemotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Ho, Kean Fatt, E-mail: hokeanfatt@hotmail.com [Academic Radiation Oncology, The Christie NHS Foundation Trust, Manchester (United Kingdom); Marchant, Tom; Moore, Chris; Webster, Gareth; Rowbottom, Carl [North Western Medical Physics, The Christie NHS Foundation Trust, Manchester (United Kingdom); Penington, Hazel [Wade Radiotherapy Research Centre, The Christie NHS Foundation Trust, Manchester (United Kingdom); Lee, Lip; Yap, Beng; Sykes, Andrew; Slevin, Nick [Department of Clinical Oncology, The Christie NHS Foundation Trust, Manchester (United Kingdom)

    2012-03-01

    Purpose: Parotid-sparing head-and-neck intensity-modulated radiotherapy (IMRT) can reduce long-term xerostomia. However, patients frequently experience weight loss and tumor shrinkage during treatment. We evaluate the use of kilovoltage (kV) cone beam computed tomography (CBCT) for dose monitoring and examine if the dosimetric impact of such changes on the parotid and critical neural structures warrants replanning during treatment. Methods and materials: Ten patients with locally advanced oropharyngeal cancer were treated with contralateral parotid-sparing IMRT concurrently with platinum-based chemotherapy. Mean doses of 65 Gy and 54 Gy were delivered to clinical target volume (CTV)1 and CTV2, respectively, in 30 daily fractions. CBCT was prospectively acquired weekly. Each CBCT was coregistered with the planned isocenter. The spinal cord, brainstem, parotids, larynx, and oral cavity were outlined on each CBCT. Dose distributions were recalculated on the CBCT after correcting the gray scale to provide accurate Hounsfield calibration, using the original IMRT plan configuration. Results: Planned contralateral parotid mean doses were not significantly different to those delivered during treatment (p > 0.1). Ipsilateral and contralateral parotids showed a mean reduction in volume of 29.7% and 28.4%, respectively. There was no significant difference between planned and delivered maximum dose to the brainstem (p = 0.6) or spinal cord (p = 0.2), mean dose to larynx (p = 0.5) and oral cavity (p = 0.8). End-of-treatment mean weight loss was 7.5 kg (8.8% of baseline weight). Despite a {>=}10% weight loss in 5 patients, there was no significant dosimetric change affecting the contralateral parotid and neural structures. Conclusions: Although patient weight loss and parotid volume shrinkage was observed, overall, there was no significant excess dose to the organs at risk. No replanning was felt necessary for this patient cohort, but a larger patient sample will be investigated

  19. Clinical Application of cone beam CT in anterior maxilla immediate implant%CBCT在上颌前牙即刻种植中的临床应用

    Institute of Scientific and Technical Information of China (English)

    王伟; 雷志敏

    2015-01-01

    Objective:To provide evidence for clinical application,we observed and evaluated the efficacy of CBCT in anterior maxilla immediate implant. Method:Twenty-five patients with anterior maxilla immediate implant were the test samples,which tested with CBCT scan to analyze alveolar bone mass of growing area and its embedding positioning, then compared the results with clinical operation. Result:It showed 25 cases of anterior maxilla immediate implant in this study. The average of labial side bone plate thickness in cone beam computed tomography and operations are (1.4±0.32)mm and (1.4±0.2)mm respectively(P>0.05). Conclusion:Clinical application of CBCT in anterior maxilla immediate implant before operation has certain clinic guiding role on evaluating assess of alveolar bones.%目的:评价锥形束CT(CBCT)在上前牙区即刻种植临床中应用效果。方法:25例上颌前牙即刻种植患者为研究对象,进行CBCT扫描,在配套软件下分析拟种植区牙槽骨骨量及定位植入的情况,与临床手术实际效果进行对比研究。结果:25例上颌前牙即刻种植病例唇侧骨板平均厚度,CBCT测量为