WANG Yan-yang,FU Xiao-long,XU Zhi-yong,et al.Analysis of the minimal detected error and residual error for kilovoltage cone-beam CT guided radiotherapy system[J].Chinese Journal of Radiological Medicine and Protection,2008,28(2):166-169
Analysis of the minimal detected error and residual error for kilovoltage cone-beam CT guided radiotherapy system
Received:April 23, 2007  
DOI:
KeyWords:Image-guided radiation therapy  Kilovoltage cone-beam computer tomography  Set-up error
FundProject:卫生部临床学科重点项目[卫规财发(2004)486号];上海市科委重点项目(34119814)
Author NameAffiliationE-mail
WANG Yan-yang Department of Radiation Oncology, Cancer Hospital of Fudan University, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China  
FU Xiao-long Department of Radiation Oncology, Cancer Hospital of Fudan University, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China xlfu1964@126.com 
XU Zhi-yong Department of Radiation Oncology, Cancer Hospital of Fudan University, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China  
徐挺 Department of Radiation Oncology, Cancer Hospital of Fudan University, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China  
邓欣欣 Department of Radiation Oncology, Cancer Hospital of Fudan University, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China  
蒋国梁 Department of Radiation Oncology, Cancer Hospital of Fudan University, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China  
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Abstract::
      Objective To assess the minimal detected error and residual error for the kilovoltage (kV) cone-beam CT guided radiotherapy system. Methods The ball-bearing phantom was used for analyzing the minimal detected error of the system. Different groups of real shift were intentionally set up and the true shift and the detected shift of the system were compared. The minimal real shift, which can be resolved by the system, is considered as the minimal detected error of the system. CIRS Model 002LFC thoracic phantom was used to analyze the residual error of the system. The intended set_up error was detected by the alignment of the kVCBCT and the planning CT. The phantom set_up error was then corrected by moving the couch of the accelerator accordingly. A second CBCT scan was acquired immediately after the correction to evaluate the residual set-up error.Results The minimal detected error of the system was 0.5 mm. The result of the phantom measurement performed within 2 weeks showed that the average residual errors (±SD) in the online image guided process were (0.2±0.4), (0.1±0.4) and (-0.4±0.3) mm in the lateral, longitudinal, and vertical directions, respectively.Conclusions This study developed the methods of analyzing the minimal detected error and residual error for kilovoltage cone-beam CT guided radiotherapy system. The minimal detected error of the system was 0.5 mm. The residual error of the system is about 1 mm.
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