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Image Quality Evaluation of Electronic Portal Imaging Using 2.5 MV X-Ray

S Nagamine*, K Takakura , J Fukunaga , T Hirose , N Hirano , R Matsumoto , K Hidaka , R Hirayama , D Nakanishi , Kyushu University Hospital, Fukuoka, Fukuoka

Presentations

(Tuesday, 7/31/2018) 10:30 AM - 11:00 AM

Room: Exhibit Hall | Forum 8

Purpose: The purpose of this study was to evaluate the image quality of electronic portal imaging using 2.5 MV X-ray.

Methods: The image quality of electronic portal imaging using 2.5 MV X-ray was assessed by physical and visual evaluation. Physical evaluation parameters included contrast, contrast to noise ratio (CNR), and modulation transfer function (MTF), while the Contrast-Detail curve and Image Quality Figure Inverse (IQFinv) were assessed for visual evaluation. For the physical evaluation, images of MV-QA phantom (Varian) and tungsten plate (Toshiba Materials) at STD 100 cm were acquired with Varian TrueBeam using 20 cm × 26.6 cm field size; “High Quality� and “Low Dose� mode; 2.5, 4 and 6 MV X-ray. The contrast, CNR, and MTF were evaluated using image analysis software, DoseLab (Mobius) and Image J (NIH). For the visual evaluation, images of Las Vegas phantom (Varian) at SSD 100 cm were acquired under the same conditions as used for the physical evaluation, and were assessed by 4 radiological technologists. The Contrast-Detail curve and IQFinv were calculated from the minimum signal diameters detected with 50% confidence for each signal depth.

Results: In comparison with 4 and 6 MV X-ray in “High Quality� mode, the contrast of 2.5 MV X-ray was significantly higher by 228% and 307%, respectively. Similarly, the CNR of 2.5 MV X-ray was significantly higher by 37% and 59%, respectively. The resolution of 2.5 MV X-ray for 10% MTF was higher by 104% and 121%, respectively. The Contrast-detail curve and IQFinv of 2.5 MV X-ray were improved. The results in “Low Dose� mode showed the same tendency as in the “High Quality� mode.

Conclusion: The image quality of electronic portal imaging using 2.5 MV X-ray was better compared to 4 and 6 MV-X-ray.

Keywords

Radiation Therapy, Portal Imaging, Radiography

Taxonomy

IM- X-ray: Digital radiography (DR and CR)

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