Zhu Lei, Xie Yaoqin, Wang Jing, Xing Lei
Department of Radiation Oncology, Stanford University, Stanford, California 94305, USA.
Med Phys. 2009 Jun;36(6):2258-68. doi: 10.1118/1.3130047.
Cone-beam CT (CBCT) is being increasingly used in modern radiation therapy for patient setup and adaptive replanning. However, due to the large volume of x-ray illumination, scatter becomes a rather serious problem and is considered as one of the fundamental limitations of CBCT image quality. Many scatter correction algorithms have been proposed in literature, while a standard practical solution still remains elusive. In radiation therapy, the same patient is scanned repetitively during a course of treatment, a natural question to ask is whether one can obtain the scatter distribution on the first day of treatment and then use the data for scatter correction in the subsequent scans on different days. To realize this scatter removal scheme, two technical pieces must be in place: (i) A strategy to obtain the scatter distribution in on-board CBCT imaging and (ii) a method to spatially match a prior scatter distribution with the on-treatment CBCT projection data for scatter subtraction. In this work, simple solutions to the two problems are provided. A partially blocked CBCT is used to extract the scatter distribution. The x-ray beam blocker has a strip pattern, such that partial volume can still be accurately reconstructed and the whole-field scatter distribution can be estimated from the detected signals in the shadow regions using interpolation/extrapolation. In the subsequent scans, the patient transformation is determined using a rigid registration of the conventional CBCT and the prior partial CBCT. From the derived patient transformation, the measured scatter is then modified to adapt the new on-treatment patient geometry for scatter correction. The proposed method is evaluated using physical experiments on a clinical CBCT system. On the Catphan 600 phantom, the errors in Hounsfield unit (HU) in the selected regions of interest are reduced from about 350 to below 50 HU; on an anthropomorphic phantom, the error is reduced from 15.7% to 5.4%. The proposed method is attractive in applications where a high CBCT image quality is critical, for example, dose calculation in adaptive radiation therapy.
锥形束CT(CBCT)在现代放射治疗中越来越多地用于患者摆位和自适应再计划。然而,由于X射线照射的体积较大,散射成为一个相当严重的问题,被认为是CBCT图像质量的基本限制之一。文献中已经提出了许多散射校正算法,但标准的实用解决方案仍然难以捉摸。在放射治疗中,同一患者在治疗过程中会被重复扫描,一个自然的问题是,是否可以在治疗的第一天获得散射分布,然后在不同日期的后续扫描中使用该数据进行散射校正。为了实现这种散射去除方案,必须具备两个技术要素:(i)在机载CBCT成像中获取散射分布的策略,以及(ii)将先前的散射分布与治疗时的CBCT投影数据进行空间匹配以进行散射减法的方法。在这项工作中,提供了这两个问题的简单解决方案。使用部分遮挡的CBCT来提取散射分布。X射线束阻挡器具有条纹图案,这样部分体积仍然可以被精确重建,并且可以使用插值/外推法从阴影区域中的检测信号估计全场散射分布。在后续扫描中,使用传统CBCT和先前的部分CBCT的刚性配准来确定患者变换。根据导出的患者变换,然后对测量的散射进行修改,以适应新的治疗时患者几何形状进行散射校正。使用临床CBCT系统上的物理实验对所提出的方法进行了评估。在Catphan 600体模上,所选感兴趣区域中亨氏单位(HU)的误差从约350降低到50 HU以下;在人体体模上,误差从15.7%降低到5.4%。所提出的方法在CBCT图像质量至关重要的应用中具有吸引力,例如自适应放射治疗中的剂量计算。