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An in-house step-wedge phantom for the calibration of pixel values in CT localizer radiographs for water-equivalent diameter measurement

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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Introduction: To develop an in-house acrylic-based step-wedge phantom with several thickness configurations for calibrating computed tomography (CT) localizer radiographs in order to measure the water-equivalent diameter (Dw) and the size-specific dose estimate (SSDE). Method: We developed an in-house step-wedge phantom using 3 mm thick acrylic, filled with water. The phantom had five steps with thicknesses of 6, 12, 18, 24, and 30 cm. The phantom was scanned using a 64-slice Siemens Definition AS CT scanner with tube currents of 50, 100, 150, 200, and 250 mA. The relationship between pixel value (PV) and water-equivalent thickness (tw) was obtained for the different step thicknesses. This was used to calibrate the CT localizer radiographs in order to measure Dw and SSDE. The results of Dw and SSDE from the radiographs were compared with those calculated from axial CT images. Results: The relationship between PV and tw from CT localizer radiographs of the phantom step-wedge produced a linear relationship with R2 > 0.990. The linear relationships of the Dw and SSDE values obtained from CT localizer radiographs and axial CT images had R2 values > 0.94 with a statistical test of p-value > 0.05. The Dw difference between those from CT localizer radiographs and axial CT images was 3.7% and the SSDE difference between both was 4.3%. Conclusion: We have successfully developed a step-wedge phantom to calibrate the relationship between PV and tw. Our phantom can be easily used to calibrate CT localizer radiographs in order to measure Dw and SSDE.
Rocznik
Strony
50--57
Opis fizyczny
Bibliogr. 27 poz., rys., tab.
Twórcy
  • Department of Physics, Faculty of Sciences and Mathematics, Diponegoro University, Jl. Prof. Soedarto SH, Tembalang, Semarang 50275, Central Java, Indonesia
autor
  • Department of Physics, Faculty of Sciences and Mathematics, Diponegoro University, Jl. Prof. Soedarto SH, Tembalang, Semarang 50275, Central Java, Indonesia
autor
  • 1Department of Physics, Faculty of Sciences and Mathematics, Diponegoro University, Jl. Prof. Soedarto SH, Tembalang, Semarang 50275, Central Java, Indonesia
autor
  • 1Department of Physics, Faculty of Sciences and Mathematics, Diponegoro University, Jl. Prof. Soedarto SH, Tembalang, Semarang 50275, Central Java, Indonesia
  • Installation of Radiology, Rumah Sakit Umum Daerah (RSUD) Kraton Pekalongan, Jl.Veteran No. 31, Padukuhan Kraton, Pekalongan City, 51116, Central Java , Indonesia
  • Department of Applied Physics and Medical Imaging, California State University Channel Islands, Camarillo, CA, USA
Bibliografia
  • 1. Abuhaimed A, Martin CJ. Estimation of size-specific dose estimates (SSDE) for pediatric and adults patients based on a single slice. Phys Med. 2020;74:30-39. https://doi.org/10.1016/j.ejmp.2020.05.001
  • 2. Tanveer Y, Ahmed F, Aslam A, Cheema STM. Retrospective audit of CT scans performed at a hospital for surgical patients. Ann Med. Surg (Lond). 2022;78:103788. https://doi.org/10.1016/j.amsu.2022.103788
  • 3. Anam C, Haryanto F, Widita R, Arif I, Dougherty G. A fully automated calculation of size-specific dose estimates (SSDE) in thoracic and head CT examinations. J Phys: Conf Ser. 2016;694:012030. https://doi.org/10.1088/1742-6596/694/1/012030
  • 4. Hu X, Gou J, Lin W, Zou C, Li W. Size-specific dose estimates of adult, chest computed tomography examinations: Comparison of Chinese and updated 2017 American College of Radiology diagnostic reference levels based on the water-equivalent diameter. PLoS One. 2021;16(9):e0257294. https://doi.org/10.1371/journal.pone.0257294
  • 5. Power SP, Moloney F, Twomey M, James K, O'Connor OJ, Maher MM. Computed tomography and patient risk: Facts, perceptions and uncertainties. World J Radiol. 2016;8(12):902. https://doi.org/10.4329/wjr.v8.i12.902
  • 6. Nickoloff EL, Dutta AK, Lu ZF. Influence of phantom diameter, kVp and scan mode upon computed tomography dose index. Med. Phys. 2003;30(3):395-402. https://doi.org/10.1118/1.1543149
  • 7. Kalender WA. Dose in x-ray computed tomography. Phys Med Biol. 2014;59(3):R129-R150. https://doi.org/10.1088/0031-9155/59/3/R129
  • 8. Xu J, He X, Xiao H, Xu J. Comparative study of volume computed tomography dose index and size-specific dose estimate head in computed tomography examination for adult patients based on the mode of automatic tube current modulation. Med Sci Monitor. 2019;25:71-76. https://doi.org/10.12659/MSM.913927
  • 9. Huda W, Mettler FA. Volume CT dose index and dose-length product displayed during CT: What good are they? Radiology. 2011;258(1):236-242. https://doi.org/10.1148/radiol.10100297
  • 10. McCollough CH, Leng S, Yu L, Cody DD, Boone JM, McNitt-Gray MF. CT dose index and patient dose: They are not the same thing. Radiology. 2011;259(2):311-316. https://doi.org/10.1148/radiol.11101800
  • 11. Anam C, Mahdani FR, Dewi WK, et al. An improved method for automated calculation of the water-equivalent diameter for estimating size-specific dose in CT. J Appl Clin Med Phys. 2021;22(9):313-323. https://doi.org/10.1002/acm2.13367
  • 12. AAPM. Size-specific dose estimates (SSDE) in pediatric and adult body CT examinations. AAPM Report No. 204. 2011.
  • 13. Anam C, Haryanto F, Widita R, Arif I, Dougherty G. The evaluation of the effective diameter (Deff) calculation and its impact on the size-specific dose estimate (SSDE). Atom Indones. 2017;43(1):55-60. https://doi.org/10.17146/aij.2017.617
  • 14. AAPM. AAPM TG 220: Use of water equivalent diameter for calculating patient size and size-specific dose estimates (SSDE) in CT. AAPM Report 220. 2014).
  • 15. Wang J, Christner JA, Duan X, Leng S, Yu L, McCollough CH. Attenuation-based estimation of patient size for the purpose of size specific dose estimation in CT. Part II. Implementation on abdomen and thorax phantoms using cross sectional CT images and scanned projection radiograph images. Med Phys. 2012;39(11):6772-6778. https://doi.org/10.1118/1.4757586
  • 16. Burton CS, Szczykutowicz TP. Evaluation of AAPM Reports 204 and 220: Estimation of effective diameter, water-equivalent diameter, and ellipticity ratios for chest, abdomen, pelvis, and head CT scans. J Appl Clin Med Phys. 2017;19(1):228-238. https://doi.org/10.1002/acm2.12223
  • 17. Porzio M, Anam C. Real-time fully automated dosimetric computation for CT images in the clinical workflow: A feasibility study. Front Oncol. 2022;12:798460. https://doi.org/10.3389/fonc.2022.798460
  • 18. Ozsoykal I, Yurt A, Akgungor K. Size-specific dose estimates in chest, abdomen, and pelvis CT examinations of pediatric patients. Diagn Interv Radiol. 2018;24(4):243-248. https://doi.org/10.5152/dir.2018.17450
  • 19. Anam C, Haryanto F, Widita R, Arif I, Dougherty G. Automated calculation of water-equivalent diameter (DW) based on AAPM Task Group 220. J Appl Clin Med Phys. 2016;17(4):320-333. https://doi.org/10.1120/jacmp.v17i4.6171
  • 20. Anam C, Fujibuchi T, Toyoda T, et al. A simple method for calibrating pixel values of the CT localizer radiograph for calculating water-equivalent diameter and size-specific dose estimate. Radiat Prot Dosimetry. 2018;179(2):158-168. https://doi.org/10.1093/rpd/ncx241
  • 21. Zhang D, Mihai G, Barbaras LG, Brook OR, Palmer MR. A new method for CT dose estimation by determining patient water equivalent diameter from localizer radiographs: Geometric transformation and calibration methods using readily available phantoms. Med Phys. 2018;45(7):3371-3378. https://doi.org/10.1002/mp.12954
  • 22. Kuriyama K, Matsubara K, Hisahara S, et al. Effect of table height displacement and patient center deviation on size-specific dose estimates calculated from computed tomography localizer radiographs. Phys Eng Sci Med. 2020;43(2):665-672. https://doi.org/10.1007/s13246-020-00874-3
  • 23. Papp J. Quality management in the imaging science, Mosby Inc: USA Peart Olive. 2006.
  • 24. Nasir M, Pratama D, Anam C. Calculation of size specific dose estimates (SSDE) value at ylindrical phantom from CBCT Varian OBI v1.4 X-ray tube EGSnrc Monte Carlo simulation based. J Phys: Conf Ser. 2016;694:012040. https://doi.org/10.1088/1742-6596/694/1/012040
  • 25. Leng S, Shiung M, Duan X, Yu L, Zhang Y, McCollough CH. Size-specific dose estimates for chest, abdominal, and pelvic CT: Effect of intrapatient variability in water-equivalent diameter. Radiology. 2015;276(1):184-190. https://doi.org/10.1148/radiol.15142160
  • 26. Burton CS, Malkus A, Ranallo F, Szczykutowicz TP. Technical Note: Model-based magnification/minification correction of patient size surrogates extracted from CT localizers. Med Phys. 2019;46(1):165-172. https://doi.org/10.1002/mp.13251
  • 27. Terashima M, Mizonobe K, Date H. Determination of appropriate conversion factors for calculating size-specific dose estimates based on X-ray CT scout images after miscentering correction. Radiol Phys Technol. 2019;12(3):283-289. https://doi.org/10.1007/s12194-019-00519-5
Uwagi
Opracowanie rekordu ze środków MEiN, umowa nr SONP/SP/546092/2022 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2022-2023).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-6fa30f2f-d6ec-49dc-9901-cfe0ba4033da
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