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ACR 对新型高速环形机架直线加速器千伏锥形束 CT 系统的基准测试。

ACR benchmark testing of a novel high-speed ring-gantry linac kV-CBCT system.

机构信息

Department of Radiation Oncology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

出版信息

J Appl Clin Med Phys. 2024 May;25(5):e14299. doi: 10.1002/acm2.14299. Epub 2024 Mar 22.

Abstract

A new generation cone-beam computed tomography (CBCT) system with new hardware design and advanced image reconstruction algorithms is available for radiation treatment simulation or adaptive radiotherapy (HyperSight CBCT imaging solution, Varian Medical Systems-a Siemens Healthineers company). This study assesses the CBCT image quality metrics using the criteria routinely used for diagnostic CT scanner accreditation as a first step towards the future use of HyperSight CBCT images for treatment planning and target/organ delineations. Image performance was evaluated using American College of Radiology (ACR) Program accreditation phantom tests for diagnostic computed tomography systems (CTs) and compared HyperSight images with a standard treatment planning diagnostic CT scanner (Siemens SOMATOM Edge) and with existing CBCT systems (Varian TrueBeam version 2.7 and Varian Halcyon version 2.0).  Image quality performance for all Varian HyperSight CBCT vendor-provided imaging protocols were assessed using ACR head and body ring CT phantoms, then compared to existing imaging modalities. Image quality analysis metrics included contrast-to-noise (CNR), spatial resolution, Hounsfield number (HU) accuracy, image scaling, and uniformity. All image quality assessments were made following the recommendations and passing criteria provided by the ACR. The Varian HyperSight CBCT imaging system demonstrated excellent image quality, with the majority of vendor-provided imaging protocols capable of passing all ACR CT accreditation standards. Nearly all (8/11) vendor-provided protocols passed ACR criteria using the ACR head phantom, with the Abdomen Large, Pelvis Large, and H&N vendor-provided protocols produced HU uniformity values slightly exceeding passing criteria but remained within the allowable minor deviation levels (5-7 HU maximum differences). Compared to other existing CT and CBCT imaging modalities, both HyperSight Head and Pelvis imaging protocols matched the performance of the SOMATOM CT scanner, and both the HyperSight and SOMATOM CT substantially surpassed the performance of the Halcyon 2.0 and TrueBeam version 2.7 systems. Varian HyperSight CBCT imaging system could pass almost all tests for all vendor-provided protocols using ACR accreditation criteria, with image quality similar to those produced by diagnostic CT scanners and significantly better than existing linac-based CBCT imaging systems.

摘要

新一代锥形束计算机断层扫描(CBCT)系统具有新的硬件设计和先进的图像重建算法,可用于放射治疗模拟或自适应放疗(Varian Medical Systems-a Siemens Healthineers 公司的 HyperSight CBCT 成像解决方案)。本研究使用诊断 CT 扫描仪认证的常规标准评估 CBCT 图像质量指标,作为未来将 HyperSight CBCT 图像用于治疗计划和靶区/器官勾画的第一步。使用美国放射学院(ACR)计划认证的诊断 CT 系统(CT)体模测试评估图像性能,并将 HyperSight 图像与标准治疗计划诊断 CT 扫描仪(西门子 SOMATOM Edge)和现有的 CBCT 系统(Varian TrueBeam 版本 2.7 和 Varian Halcyon 版本 2.0)进行比较。使用 ACR 头身环 CT 体模评估所有 Varian HyperSight CBCT 供应商提供的成像方案的图像质量性能,然后与现有的成像方式进行比较。图像质量分析指标包括对比度噪声比(CNR)、空间分辨率、亨氏单位(HU)准确性、图像缩放和均匀性。所有图像质量评估均遵循 ACR 提供的建议和通过标准进行。Varian HyperSight CBCT 成像系统表现出优异的图像质量,大多数供应商提供的成像方案能够通过所有 ACR CT 认证标准。几乎所有(11 个中的 8 个)供应商提供的方案都通过了 ACR 头部体模的标准,而腹部大、骨盆大、头颈部供应商提供的方案产生的 HU 均匀性值略高于通过标准,但仍在允许的较小偏差范围内(最大差值 5-7 HU)。与其他现有的 CT 和 CBCT 成像方式相比,HyperSight 头部和骨盆成像方案与 SOMATOM CT 扫描仪的性能相匹配,而 HyperSight 和 SOMATOM CT 均显著优于 Halcyon 2.0 和 TrueBeam 版本 2.7 系统。Varian HyperSight CBCT 成像系统可以使用 ACR 认证标准通过几乎所有供应商提供的方案的所有测试,其图像质量与诊断 CT 扫描仪相似,明显优于现有的基于直线加速器的 CBCT 成像系统。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ea/11087172/170afa1a9ccb/ACM2-25-e14299-g002.jpg

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