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Effects of mismatch between CT scanning voltage and CT-RED conversion curve on radiotherapy dose(PDF)

《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

Issue:
2021年第3期
Page:
312-316
Research Field:
医学放射物理
Publishing date:

Info

Title:
Effects of mismatch between CT scanning voltage and CT-RED conversion curve on radiotherapy dose
Author(s):
KONG Fantu1 CHEN Luxi1 JIN Jinhui2 DONG Jie1 HE Yadi2 LI Zhenghuan1
1. Department of Radiation Oncology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China 2.School of Biomedical Engineering, South Medical University, Guangzhou 510515, China
Keywords:
Keywords: CT scanning voltage CT number relative electron density radiotherapy plan dose calculation
PACS:
R318;R811
DOI:
1005-202X(2021)03-0312-05
Abstract:
Abstract: Objective To explore the effects of different voltages selected for computed tomography (CT) positioning and CT number-relative electron density (CT-RED) conversion curves on the calculation of radiotherapy dose. Methods Under the voltages of 80, 100, 120 and 140 kV, CIRS 062M phantom were scanned by a large-aperture CT simulator, thereby establishing CT-RED conversion curves under different voltages. A known high-density material was embedded in the center of a uniform paraffin phantom, and by setting a series of combinations of different voltages and CT-RED conversion curves, radiotherapy plans with different irradiation angles were established in treatment planning system. The variations of doses (DI1, DI2 and DI3) delivered to 3 points of interest (I1, I2 and I3) selected at the front, middle and rear of the high-density material and the changes in the Dmean, D2 and D98 of the high-density material were analyzed when voltages mismatched with CT-RED conversion curves. Results Under the mismatch between voltages and CT-RED conversion curves, the doses of radiotherapy plan were significantly different, among which Dmean, D98, DI2, DI3 were most affected, with statistical differences (all P<0.05). Conclusion The voltage for CT positioning needs to match with CT-RED conversion curve selected for radiotherapy planning. Otherwise, it will lead to great differences in the calculations of dose in the high-density material and the dose at the exit of radiation field, thus affecting radiotherapy accuracy.

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Last Update: 2021-03-30