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Author Huang, V. ♦ Kohli, K.
Source United States Department of Energy Office of Scientific and Technical Information
Content type Text
Language English
Subject Keyword APPLIED LIFE SCIENCES ♦ RADIATION PROTECTION AND DOSIMETRY ♦ COMPUTER CODES ♦ COMPUTERIZED TOMOGRAPHY ♦ DATASETS ♦ HEAD ♦ NECK ♦ PATIENTS ♦ PROSTHESES ♦ RADIATION DOSES
Abstract Purpose: Metal artifact reduction (MAR) software in computed tomography (CT) was previously evaluated with phantoms demonstrating the algorithm is capable of reducing metal artifacts without affecting the overall image quality. The goal of this study is to determine the dosimetric impact when calculating with CT datasets reconstructed with and without MAR software. Methods: Twelve head and neck cancer patients with dental fillings and four pelvic cancer patients with hip prosthesis were scanned with a GE Optima RT 580 CT scanner. Images were reconstructed with and without the MAR software. 6MV IMRT and VMAT plans were calculated with AAA on the MAR dataset until all constraints met our clinic’s guidelines. Contours from the MAR dataset were copied to the non-MAR dataset. Next, dose calculation on the non-MAR dataset was performed using the same field arrangements and fluence as the MAR plan. Conformality index, D99% and V100% to PTV were compared between MAR and non-MAR plans. Results: Differences between MAR and non-MAR plans were evaluated. For head and neck plans, the largest variations in conformality index, D99% and V100% were −3.8%, −0.9% and −2.1% respectively whereas for pelvic plans, the biggest discrepancies were −32.7%, −0.4% and -33.5% respectively. The dosimetric impact from hip prosthesis is greater because it produces more artifacts compared to dental fillings. Coverage to PTV can increase or decrease depending on the artifacts since dark streaks reduce the HU whereas bright streaks increase the HU. In the majority of the cases, PTV dose in the non-MAR plans is higher than MAR plans. Conclusion: With the presence of metals, MAR algorithm can allow more accurate delineation of targets and OARs. Dose difference between MAR and non-MAR plans depends on the proximity of the organ to the high density material, the streaking artifacts and the beam arrangements of the plan.
ISSN 00942405
Educational Use Research
Learning Resource Type Article
Publisher Date 2016-06-15
Publisher Place United States
Journal Medical Physics
Volume Number 43
Issue Number 6


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