2021 AAPM Virtual 63rd Annual Meeting
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Session Title: Robotic X-ray Systems: Emerging Platform for Improved Radiography, 3D Imaging, and Interventional Radiology
Question 1: During a conventional 3D acquisition on a robotic C-arm system, the gantry rotates with:
Reference:G. Lauritsch, J. Boese, L. Wigstrom, H. Kemeth and R. Fahrig, "Towards cardiac C-arm computed tomography," in IEEE Transactions on Medical Imaging, vol. 25, no. 7, pp. 922-934, July 2006, doi: 10.1109/TMI.2006.876166.
Choice A:Constant velocity
Choice B:Variable velocity
Question 2: The primary objectives of adaptive imaging acquisitions are:
Reference:T. Reynolds, C. Shieh, P.J. Keall and R. O’Brien, “Towards patient connected imaging with ACROBEAT: Adaptive CaRdiac cOne BEAm computed Tomography,” Physics in Medicine and Biology, 64 (6), 2019. B. Lau, T. Reynolds, A. Wallis, S. Smith, A. George, P. Keall, J-J Sonke, SK Vinod, O. Dillon and R. O’Brien, “Reducing 4DCBCT scan time and dose through motion compensated acquisition and reconstruction”, Physics in Medicine and Biology, 66 (7), 2021
Choice A:Improving image quality via controlling the angular separation between x-ray projections
Choice B:Reducing imaging dose
Choice C:Reducing imaging time
Choice D:All of the above
Question 3: ACROBEAT (Adaptive CaRdiac cOne BEAm computed Tomography) is an adaptive cardiac imaging technique that uses:
Reference:T. Reynolds, O. Dillon, J. Prinable, B. Whelan, P.J. Keall and R. O’Brien, “Towards improved 3D carotid artery imaging with Adaptive CaRdiac cOne BEAm computed Tomography (ACROBEAT)” Medical Physics, 47 (11), 2020 T. Reynolds, C. Shieh, P.J. Keall and R. O’Brien, “Towards patient connected imaging with ACROBEAT: Adaptive CaRdiac cOne BEAm computed Tomography,” Physics in Medicine and Biology, 64 (6), 2019.
Choice A:Single sweep retrospective ECG gating
Choice B:Single sweep prospective ECG gating
Choice C:Multi sweep retrospective ECG gating
Choice D:Multi sweep prospective ECG gating
Question 4: What is the benefit of a line-ellipse-line trajectory CBCT scan compared to a circular CBCT scan:
Reference:Guo Z, Lauritsch G, Maier A, Kugler P, Islam M, Vogt F, Noo F. C-arm CT imaging with the extended line-ellipse-line trajectory: first implementation on a state-of-the-art robotic angiography system. Phys Med Biol. 2020 Sep 18;65(18):185016. doi: 10.1088/1361-6560/ab9a82. PMID: 32512552.
Choice A:Faster scan time
Choice B:Dose reduction
Choice C:Extended field of view
Choice D:None of the above
Question 5: Noncircular CBCT imaging on robotic x-ray systems has been shown to:
Reference:Ouadah S, Jacobson M, Stayman JW, et al. Task-driven orbit design and implementation on a robotic C-arm system for cone-beam CT. In: Proc. SPIE 10132, Med. Imaging Phys. Med. Imaging, 2017:101320H Cordemans V, Kaminski L, Banse X, Francq BG, Cartiaux O. Accuracy of a new intraoperative cone beam CT imaging technique (Artis zeego II) compared to postoperative CT scan for assessment of pedicle screws placement and breaches detection. Eur Spine J. 2017;26:2906–2916. Noo F, Oktay MB, Ritschl L, et al.X-ray cone-beam imaging of the entire spine in the weight-bearing position. In: Med. Imaging Phys. Med. Imaging, 2018:27.
Choice A:Improve visualization of specific tasks
Choice B:Extend the field of view
Choice C:Reduce artefacts
Choice D:All of the above
Question 6: Which aspect(s) of reconstruction image quality can orbits affect?
Reference:Gottschalk, S.C., Salem, D., Lim, C.B. and Wake, R.H., 1983. SPECT resolution and uniformity improvements by noncircular orbit. Journal of nuclear medicine, 24(9), pp.822-828. Stayman, J.W., Capostagno, S., Gang, G.J. and Siewerdsen, J.H., 2019. Task-driven source–detector trajectories in cone-beam computed tomography: I. Theory and methods. Journal of Medical Imaging, 6(2), p.025002.
Choice A:Noise
Choice B:Spatial resolution
Choice C:Task-based detectability index
Choice D:All of the above
Question 7: Orbits can mitigate metal artefacts through improving which of the following:
Reference:Gang, G.J., Siewerdsen, J.H. and Stayman, J.W., 2020, March. Non-circular CT orbit design for elimination of metal artifacts. In Medical imaging 2020: physics of medical imaging (Vol. 11312, p. 1131227). International Society for Optics and Photonics. Wu, P., Sheth, N., Sisniega, A., Wang, T., Uneri, A., Han, R., Vijayan, R., Vagdargi, P., Kreher, B., Kunze, H. and Kleinszig, G., 2020. C-Arm Non-Circular Orbits: Geometric Calibration, Image Quality, and Avoidance of Metal Artifacts. arXiv e-prints, pp.arXiv-2010. Kingston Kingston, A.M., Myers, G.R., Latham, S.J., Recur, B., Li, H. and Sheppard, A.P., 2018. Space-filling X-ray source trajectories for efficient scanning in large-angle cone-beam computed tomography. IEEE Transactions on Computational Imaging, 4(3), pp.447-458.
Choice A:Beam hardening
Choice B:Photon starvation
Choice C:Data completeness
Choice D:All of the above
Question 8: Which of the following is NOT a complete orbit for a central volume of interest:
Reference:Tuy, H.K., 1983. An inversion formula for cone-beam reconstruction. SIAM Journal on Applied Mathematics, 43(3), pp.546-552. Zeng, G.L. and Gullberg, G.T., 1992. A cone-beam tomography algorithm for orthogonal circle-and-line orbit. Physics in Medicine & Biology, 37(3), p.563.
Choice A:Tilted circular orbit
Choice B:Two circular orbits perpendicular to one another
Choice C:Helical orbit
Choice D:Circle plus line(s)
Question 9: The geometry of the high resolution upper extremity scan mode is built in such a way that:
Reference:Jan-Peter Grunz, Andreas Max Weng, Carsten Herbert Gietzen, Maike Veyhl-Wichmann, Lenhard Pennig, Andreas Kunz, Rainer Schmitt, Süleyman Ergün, Thorsten Alexander Bley, Tobias Gassenmaier, Evaluation of Ultra-High-Resolution Cone-Beam CT Prototype of Twin Robotic Radiography System for Cadaveric Wrist Imaging,Academic Radiology, 2020.
Choice A:tube and detector have the same distance to the isocenter
Choice B:tube is closer to the isocenter than the detector
Choice C:detector is closer to the isocenter than the tube
Choice D:the distance between tube, detector and isocenter is constantly varying
Question 10: In a slot-scan imaging protocol for Dual Energy (DE) bone densitometry on a robotic X-ray system, the slot views are tiled prior to DE processing. The tiling is performed by:
Reference:C. Zhao, C. Luckner, M. Herbst, S. Vogt, L. Ritschl, S. Kappler, J. H. Siewerdsen, W. Zbijewski, "Slot-scan dual-energy measurement of bone mineral density on a robotic x-ray system," Proc. SPIE 11312, Medical Imaging 2020: Physics of Medical Imaging, 1131205 (16 March 2020); https://doi.org/10.1117/12.2549631
Choice A:Filtered Back Projection to exploit the tomosynthesis effect for better edge delineation
Choice B:Unfiltered Back Projection to ensure that the resulting tiled radiographs represent x-ray attenuation for subsequent DE decomposition
Choice C:Registration of slot boundaries and digital stitching
Choice D:Algebraic Reconstruction Technique
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