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The Analysis of Confounding Factors in Volume Reconstruction of 3DCRT with Spiral Mode CT Simulation

並列摘要


This study analyzed the difference in reconstructing volume by using phantom model between various settings of axial-mode and spiral-mode computed tomography (CT) simulator for three-dimensional conformal radiotherapy. Three phantom balls with different diameters (5.1, 9.9, 12.2 cm) were scanned by a single-row detector CT simulator. The volumes of all phantom balls were reconstructed in the same system. The exactly calculated phantom ball volumes were the baselines as compared to the volumes by the conventional axial-mode CT reconstruction. The reconstructed volumes from the axial scanning mode were compared with the corresponding settings of the spiral scanning mode in CT simulation, with four different Hounsfield (HU) thresholds, three different pitches (1, 1.5 and 2), and four different slice widths (1, 2, 3 and 5 mm). The reconstructed volumes were less than the exactly calculated volumes in all phantom balls using the conventional axial-mode CT simulation. Larger slice width and HU threshold were associated with larger difference between the exactly calculated volumes and reconstructed volumes in axial CT mode. For the small phantom ball at slice width of no more than 3 mm, there were less than 5% of volume losses compared with axial-mode CT settings. The lowest HU threshold and slice width of less than 5 mm were needed to maintain volume loss of less than 5% in medium and large balls. As compared to axial-mode scanning, spiral-mode scanning offered volume reconstruction loss of less than 5% at almost all settings. The exceptions existed in the small phantom ball with slice width of 5 mm, spiral pitch of 1.5 and 2 at 50 HU, and slice width of 5 mm, spiral pitch of 2 at 0 HU. Slice interval, spiral scanning pitch and HU threshold were the factors with impact on the accurate estimation of volume reconstruction by spiral CT simulator. Spiral CT mode was feasible in most scanning settings, with acceptable volume reconstruction accuracy threshold of more than 95%.

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