Bazalova Magdalena, Verhaegen Frank
Medical Physics Department, McGill University, Montreal General Hospital, 1650 Cedar Avenue, Montreal, Québec H3G1A4, Canada.
Phys Med Biol. 2007 Oct 7;52(19):5945-55. doi: 10.1088/0031-9155/52/19/015. Epub 2007 Sep 17.
The dose delivered to patients during computed tomography (CT) exams has increased in the past decade. With the increasing complexity of CT examinations, measurement of the dose becomes more difficult and more important. In some cases, the standard methods, such as measurement of the computed tomography dose index (CTDI), are currently under question. One approach to determine the dose from CT exams is to use Monte Carlo (MC) methods. Since the patient geometry can be included in the model, Monte Carlo simulations are potentially the most accurate method of determining the dose delivered to patients. In this work, we developed a MC model of a CT x-ray tube. The model was validated with half-value layer (HVL) measurements and spectral measurements with a high resolution Schottky CdTe spectrometer. First and second HVL for beams without additional filtration calculated from the MC modelled spectra and determined from attenuation measurements differ by less than 2.5%. The differences between the first and second HVL for both filtered and non-filtered beams calculated from the MC modelled spectra and spectral measurements with the CdTe detector were less than 1.8%. The MC modelled spectra match the directly measured spectra. This works presents a first step towards an accurate MC model of a CT scanner.
在过去十年中,计算机断层扫描(CT)检查期间输送给患者的剂量有所增加。随着CT检查的复杂性不断提高,剂量测量变得更加困难且更为重要。在某些情况下,诸如计算机断层扫描剂量指数(CTDI)测量等标准方法目前受到质疑。一种从CT检查确定剂量的方法是使用蒙特卡罗(MC)方法。由于患者几何形状可以包含在模型中,蒙特卡罗模拟可能是确定输送给患者剂量的最准确方法。在这项工作中,我们开发了一个CT X射线管的MC模型。该模型通过半值层(HVL)测量以及使用高分辨率肖特基碲化镉光谱仪进行的光谱测量进行了验证。根据MC模拟光谱计算得出的无附加滤过光束的第一和第二半值层与通过衰减测量确定的结果相差不到2.5%。根据MC模拟光谱以及使用碲化镉探测器进行的光谱测量计算得出的滤过和未滤过光束的第一和第二半值层之间的差异均小于1.8%。MC模拟光谱与直接测量的光谱相匹配。这项工作朝着准确的CT扫描仪MC模型迈出了第一步。