2018 AAPM Annual Meeting
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Session Title: Management of Irregular Respiration in 4DCT
Question 1: What is the relationship between tumor motion measurement relative errors and commercial low-pitch helical motion?
Reference:T. Dou, D. Thomas, D. O’Connell, J. Bradley, J. Lamb, and D.A. Low, Technical Note: Simulation of 4DCT tumor motion measurement errors, Med. Phys. 42, 6084-6089 (2015).
Choice A:No relationship
Choice B:Related only to breathing amplitude
Choice C:Worse with higher CT pitch
Choice D:Significant only for regularly breathing patients
Question 2: What is the reason that fast-helical CT techniques for model-based CT are more robust to irregular breathing than commercial low-pitch techniques?
Reference:D. O’Connell, D. Ruan, D. Thomas, T. Dou, J. Lewis, A. Santhanam, P. Lee, and D.A. Low, A prospective gating method to acquire a diverse set of free-breathing CT images for model-based 4DCT, Accepted for publication, Physics in Medicine and Biology, January 2018.
Choice A:Not true.
Choice B:Fast-helical CT is faster than the low-pitch helical CT.
Choice C:Fast-helical CT gives far greater dose than low-pitch CT.
Choice D:Fast helical CT samples breathing over a longer period of time than low-pitch CT.
Question 3: Which one of the following is incorrect in terms of scan duration per step in cine 4DCT?
Reference:Pan T, Lee TY, Rietzel E and Chen GTY. 4D-CT imaging of a volume influenced by respiratory motion on multi-slice CT. Med. Phys 31(2):333-340, 2004.
Choice A:One breath cycle.
Choice B:One breath cycle plus 1 sec.
Choice C:One and a half breath cycles.
Choice D:Two breath cycles.
Question 4: What will happen if the helical 4DCT was stopped manually by the operator?
Reference:Pan T, Martin RM, Luo D. New prospective 4D-CT for mitigating the effects of irregular respiratory motion. Physics in Medicine & Biology 62(15):N350-N361, 7/2017
Choice A:The scan can be resumed and the scan will continue from where it was stopped.
Choice B:The scan is finished and it cannot be resumed at the location where it was stopped.
Choice C:A system password is needed to resume the scan.
Choice D:The scan will automatically resume after one more breath cycle.
Question 5: What will happen if the cine 4DCT was stopped manually by the operator?
Reference:Pan T, Martin RM, Luo D. New prospective 4D-CT for mitigating the effects of irregular respiratory motion. Physics in Medicine & Biology 62(15):N350-N361, 7/2017
Choice A:The scan can be resumed and the scan will continue from where it was stopped.
Choice B:The scan is finished and it cannot be resumed at the location where it was stopped.
Choice C:A system password is needed to resume the scan.
Choice D:The scan will automatically resume after one more breath cycle.
Question 6: Which of the following steps is incorrect in processing the prospective 4DCT data?
Reference:Pan T, Martin RM, Luo D. New prospective 4D-CT for mitigating the effects of irregular respiratory motion. Physics in Medicine & Biology 62(15):N350-N361, 7/2017
Choice A:A retrospective reconstruction is needed to remove the redundant 4DCT data.
Choice B:There is no need for offline data processing.
Choice C:All data processing can be done on the console.
Choice D:Patient respiratory signal needs to be re-processed.
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