A Study on QA for Radiation Therapy Machine by Using Implemented Electronic Portal Imaging Device

전자포탈영상장치의 제작과 방사선치료장치의 QA 적용에 관한 연구

  • Lee, Dong-Hoon (Dept. of Biomedical Engineering, Tongmyong University)
  • 이동훈 (동명대학교 의용공학과)
  • Published : 2006.11.25

Abstract

During cancer therapy by using high energy radiation, it is possible to improve the radiation therapy efficiency by performing a precise radiation therapy after verification of generated setup errors. In this paper, the video based electronic portal imaging device (EPID) which could display the portal image with near real time was developed to verify treatment position errors in radiation therapy instead of an analog typed portal film. This EPID system for applying QA tool of radiation therapy machine was consisted of a metal/fluorescent screen, $45^{\circ}$mirror, camera and image grabber. Radiation field verification has been performed to check quality assurance of the treatment machine itself by using this EPID system. The radiation field error was easily observed by edge detection of irradiated field size on EPID image when $0.6^{\circ}$ shift of collimator angle was generated. So, this implemented EPID system could be used as a radiation QA tool.

고 에너지 방사선을 이용하여 종양을 치료하는 과정 중 발생되는 오차를 확인하여 보다 정교한 치료를 수행함으로써 방사선치료 효율을 향상시킬 수 있다. 본 논문에서는 지금까지 주로 사용되어진 필름을 이용한 아날로그 방식대신 실 시간적으로 영상을 얻을 수 있는 디지털 방식의 비디오 기반 전자 포탈 영상 장치를 개발하였다. 시스템은 $Gd_2O_2S$ 인광판, $45^{\circ}$반사경 및 후레임 그래버를 이용 비디오 기반 전자 포탈 영상 장치를 제작하였으며 이를 방사선치료기의 QA장치로 활용하고자 하였다. 이 장치를 이용 치료기 자체의 정확도를 검증하기 위해 방사선 조사면 검증을 수행하였다. 방사선 조사면이 콜리메이터 회전오차에 의해 약 $0.6^{\circ}$틀어짐을 전자 포탈 영상 장치를 통해 획득된 영상의 윤곽선을 검출한 후 알 수 있어서 치료 위치 설정 중 발생할 수 있는 오차 확인을 위한 방사선 치료장치의 Q.A도구로 사용할 수 있었다.

Keywords

References

  1. J. Nielsen, S. H. Jensen, 'Some experimental and clinical lights on rotation therapy, its basis and possibilities,' Acta. Radiologic., Vol. 23, pp. 51-66, 1942 https://doi.org/10.3109/00016924209176854
  2. A. G. Haus, 'Historical developments in film processing and medical imaging, in Haus AG(ed) : Film processing and medical imaging,' Wisconsin, Medical Physics Publshing, 1993
  3. A. L. Boyer, L. Antonuk, A. Fenster, et al. 'A review of electronic portal imaging devices (EPIDs),' Med. Phys., Vol. 19, pp. 1-16, 1992 https://doi.org/10.1118/1.596878
  4. P. Munro, J. A. Rawlinson, A. Fenster, 'A digital fluoroscopic imaging device for radiotherapy localization,' Int. J. Radiat. Oncol. Biol. Phys., Vol. 18, pp. 641-649, 1990 https://doi.org/10.1016/0360-3016(90)90073-S
  5. K. S. Lam, M. Partowmah, W. C. Lam, 'An on-line electronic portal imaging system for external beam radiotherapy,' Br. J. Radiol., Vol. ?59, pp. 1007-1013, 1986 https://doi.org/10.1259/0007-1285-59-706-1007
  6. E. J. Morton, W. Swindell, D. G. Lewis, et al., 'A linear array, scintillation crystal-photodiode detector for megavoltage imaging,' Med. Phys., Vol. 18, pp. 681-691, 1991 https://doi.org/10.1118/1.596661
  7. G. Barnea, E. Navon, A. Ginzburg, et al., 'Use of storage phosphor imaging plates in portal imaging and high-energy radiography: the intensifying effect of metallic screens on the sensitivity,' Med. Phys., Vol. 18, pp, 432-438, 1991 https://doi.org/10.1118/1.596690
  8. M. K. Islam, L. T. Fitzgerald, F. J. Bova, et al., 'A coded aperture device for on-line imaging with megavoltage photon beams,' Phys. Med. Biol., Vol. 38, pp. 1403-1418, 1993 https://doi.org/10.1088/0031-9155/38/10/003
  9. M. V. Herk, H. Meertens, 'A matrix ionisation chamber imaging device for on-line patient setup verification during radiotherapy,' Radiother. Oncol., Vol. 11, pp, 369-378, 1988 https://doi.org/10.1016/0167-8140(88)90208-3
  10. L. E. Antonuk, J. Boudry, W. Huang, et al., 'Demonstration of megavoltage and diagnostic x-ray imaging with hydrogenated amorphous silicon arrays,' Med. Phys., Vol. 19, pp. 1455-1466, 1992 https://doi.org/10.1118/1.596802
  11. E. C. McCullough, K. P. McCollough, 'Improving agreement between radiation-delineated field edges on simulation and portal films : The edge tolerance test tool,' Med. Phys., Vol. 20, pp. 375-376, 1993 https://doi.org/10.1118/1.597129
  12. K. Luchka 'Assessing radiation and light field congruence with a video based electronic portal imaging device,' Med. Phy., Vol. 23(7), pp. 1245-1252, 1996 https://doi.org/10.1118/1.597867
  13. A. C. Savard, E. B. Podgorsak, 'An electronic portal imaging device as a physics tool,' Medical Dosimetry, Vol. 22(2), pp. 101-105, 1997 https://doi.org/10.1016/S0958-3947(97)00002-2
  14. T. R. McNutt, T. R. Mackie, B. R. Paliwal, 'Analysis and convergence of the iterative convolution/superposition dose reconstruction technic for multiple treatment beams and tomotherapy,' Med. Phys., Vol. 24(9), pp. 1465-1476, 1997 https://doi.org/10.1118/1.598035
  15. S. Hamers, J. Freyschmidt, U. Neitzel, 'Digital radiography with a large-scale electronic flat-panel detector vs screen-film radiography: observer preference in clinical skeletal diagnostics,' Eur. Radiol. 11:1753-1759, 2001 https://doi.org/10.1007/s003300100830
  16. Terue Okamura, Saori Tanaka, et al. 'clinical evaluation of digital radiography based on a large-area cesium iodide-amorphous silicon flat-panel detector compared with screen-film radiography for skeletal system and abdomen,' Eur. Radiol. 12:1741-1747, 2002 https://doi.org/10.1007/s00330-001-1283-0