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Monte Carlo Study On a Cone-Beam Computed Tomography Using a Cross-Type Carbon Fiber Antiscatter Grid

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K Usui

K Usui*, T Inoue , C Kurokawa , S Sugimoto , K Sasai , Juntendo University, Department of Radiation Oncology, Tokyo, Japan, K Ogawa*, Hosei University, Faculty of Science and Engineering, Tokyo, Japan

Presentations

SU-F-J-70 (Sunday, July 31, 2016) 3:00 PM - 6:00 PM Room: Exhibit Hall


Purpose:
If a cone-beam computed tomography (CBCT) image can be used for adaptive radiotherapy (ART), an irradiated actual dose distribution can be verified on every treatment day. However, a CBCT image is commonly degraded by scattered photons and thus cannot be directly used for dose calculation. The purpose of the present study is to evaluate whether a cross-type carbon fiber antiscatter grid improves CBCT image quality using a Monte Carlo (MC) method for achieving CBCT-based ART.

Methods:
We designed a new carbon fiber (C₆H₁₀O₅) interspaced grid, which allows the grid ratio to be increased while maintaining the transmission of primary photons. The grid ratio was 20:1, and the grid frequency was 20 lp/cm, with lead strips oriented along the cone beam projections. The MC method was used to simulate a projection data acquisition system of a material phantom (water, lung, bone, cartilage, and adipose) with a bow-tie filter. The parameters used to evaluate the image quality were uniformity, contrast, and contrast-to-noise ratio (CNR). Moreover, to evaluate the accuracy of the CT number, we compared CT numbers between images reconstructed by only primary photons and those obtained using grids.

Results:
The proposed grid had a beneficial impact on the image quality and accuracy of the CT number. The uniformity was improved by approximately 70% compared to the case without the grid. The average contrast and CNR improved by 14.2% and 22.6%, respectively, when using the proposed grid. CT numbers using the proposed grid were most consistent with nominal CT numbers obtained with only primary photons.

Conclusion:
The proposed cross-type carbon fiber grid improves CBCT image quality and achieves an accurate CT number, without increasing the imaging doses. Therefore, the cross-type carbon fiber antiscatter grid should be considered to achieve CBCT-based ART.

Funding Support, Disclosures, and Conflict of Interest: This work was supported by Japan Society for the Promotion of Science KAKENHI. Grant Number 15K19211.


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