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Quality control in cone-beam computed tomography (CBCT) EFOMP-ESTRO-IAEA protocol (summary report)
Helmholtz Zentrum München, Munich, Germany.ORCID iD: 0000-0003-3227-0032
ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.
Linköping University, Department of Medical and Health Sciences, Division of Radiological Sciences. Linköping University, Faculty of Medicine and Health Sciences. The Skandion Clinic, Uppsala, Sweden.ORCID iD: 0000-0001-8171-2541
A.O.U. Città della Salute e della Scienza, Torino, Italy.ORCID iD: 0000-0003-3078-5438
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2017 (English)In: Physica medica (Testo stampato), ISSN 1120-1797, E-ISSN 1724-191X, Vol. 39, p. 67-72Article in journal (Refereed) Published
Abstract [en]

The aim of the guideline presented in this article is to unify the test parameters for image quality evaluation and radiation output in all types of cone-beam computed tomography (CBCT) systems. The applications of CBCT spread over dental and interventional radiology, guided surgery and radiotherapy. The chosen tests provide the means to objectively evaluate the performance and monitor the constancy of the imaging chain. Experience from all involved associations has been collected to achieve a consensus that is rigorous and helpful for the practice.

The guideline recommends to assess image quality in terms of uniformity, geometrical precision, voxel density values (or Hounsfield units where available), noise, low contrast resolution and spatial resolution measurements. These tests usually require the use of a phantom and evaluation software. Radiation output can be determined with a kerma-area product meter attached to the tube case. Alternatively, a solid state dosimeter attached to the flat panel and a simple geometric relationship can be used to calculate the dose to the isocentre. Summary tables including action levels and recommended frequencies for each test, as well as relevant references, are provided.

If the radiation output or image quality deviates from expected values, or exceeds documented action levels for a given system, a more in depth system analysis (using conventional tests) and corrective maintenance work may be required.

Place, publisher, year, edition, pages
2017. Vol. 39, p. 67-72
National Category
Cancer and Oncology
Identifiers
URN: urn:nbn:se:liu:diva-138130DOI: 10.1016/j.ejmp.2017.05.069ISI: 000405493200009OAI: oai:DiVA.org:liu-138130DiVA, id: diva2:1107705
Note

Funding agencies: FONDECYT INICIACION [11130575]

Available from: 2017-06-10 Created: 2017-06-10 Last updated: 2017-08-30

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de las Heras Gala, HugoDasu, AlexandruRampado, OsvaldoDelis, HarryGershan, VesnaDelpon, GregoryPeterlin, PrimožGarayoa Roca, Julia
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