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Depth Dose According to Depth during Cone Beam Computed Tomography Acquisition and Dose Assessment in the Orbital Area Using a Three-Dimensional Printer

  • Min Ho Choi (Department of Radiological Science, Dong-Eui University) ;
  • Dong Yeon Lee (Department of Radiological Science, Dong-Eui University) ;
  • Yeong Rok Kang (Dongnam Institute of Radiological & Medical Sciences) ;
  • Hyo Jin Kim (Dongnam Institute of Radiological & Medical Sciences)
  • Received : 2024.01.17
  • Accepted : 2024.04.11
  • Published : 2024.06.30

Abstract

Background: Cone beam computed tomography (CBCT) is essential for correcting and verifying patient position before radiation therapy. However, it poses additional radiation exposure during CBCT scans. Therefore, this study aimed to evaluate radiological safety for the human body through dose assessment for CBCT. Materials and Methods: For CBCT dose assessment, the depth dose was evaluated using a cheese phantom, and the dose in the orbital area was evaluated using a human body phantom self-fabricated with a three-dimensional printer. Results and Discussion: The evaluation of radiation doses revealed maximum doses of 14.14 mGy and minimum doses of 6.12 mGy for pelvic imaging conditions. For chest imaging conditions, the maximum doses were 4.82 mGy, and the minimum doses were 2.35 mGy. Head imaging conditions showed maximum doses of 1.46 mGy and minimum doses of 0.39 mGy. The eyeball doses using a human body phantom model averaged at 2.11 mGy on the left and 2.19 mGy on the right. The depth dose ranged between 0.39 mGy and 14.14 mGy, depending on the change in depth for each imaging mode, and the average dose in the orbit area using a human body phantom was 2.15 mGy. Conclusion: Based on the experimental results, CBCT did not significantly affect the radiation dose. However, it is important to maintain a minimal radiation dose to optimize radiation protection following the as low as reasonable achievable principle.

Keywords

References

  1. Kim DY, Park SY. Proton beam therapy. J Korean Med Assoc. 2008;51(7):638-642.
  2. Ling CC, Burman C, Chui CS, Kutcher GJ, Leibel SA, LoSasso T, et al. Conformal radiation treatment of prostate cancer using inversely-planned intensity-modulated photon beams produced with dynamic multileaf collimation. Int J Radiat Oncol Biol Phys. 1996;35(4):721-730.
  3. Bortfeld T, Boyer AL, Schlegel W, Kahler DL, Waldron TJ. Realization and verification of three-dimensional conformal radiotherapy with modulated fields. Int J Radiat Oncol Biol Phys. 1994;30(4):899-908.
  4. Chui CS, LoSasso T, Spirou S. Dose calculation for photon beams with intensity modulation generated by dynamic jaw or multi-leaf collimations. Med Phys. 1994;21(8):1237-1244.
  5. Meijer GJ, Rasch C, Remeijer P, Lebesque JV. Three-dimensional analysis of delineation errors, setup errors, and organ motion during radiotherapy of bladder cancer. Int J Radiat Oncol Biol Phys. 2003;55(5):1277-1287.
  6. Bak J, Jeong K, Keum KC, Park SW. On-line image guided radiation therapy using cone-beam CT (CBCT). J Korean Soc Ther Radiol Oncol. 2006;24(4):294-299.
  7. Oh S, Kim S, Suh TS. How image quality affects determination of target displacement when using kilovoltage cone-beam computed tomography. J Appl Clin Med Phys. 2006;8(1):101-107.
  8. Song JY, Nah BS, Chung WK, Ahn SJ, Nam TK, Yoon MS. Analysis of respiratory motional effect on the cone-beam CT image. Korean J Med Phys. 2007;18(2):81-86.
  9. Murphy MJ, Balter J, Balter S, BenComo JA Jr, Das IJ, Jiang SB, et al. The management of imaging dose during image-guided radiotherapy: report of the AAPM Task Group 75. Med Phys. 2007;34(10):4041-4163.
  10. Letourneau D, Wong JW, Oldham M, Gulam M, Watt L, Jaffray DA, et al. Cone-beam-CT guided radiation therapy: technical implementation. Radiother Oncol. 2005;75(3):279-286.
  11. Khan M, Sandhu N, Naeem M, Ealden R, Pearson M, Ali A, et al. Implementation of a comprehensive set of optimised CBCT protocols and validation through imaging quality and dose audit. Br J Radiol. 2022;95(1139):20220070.
  12. Lee SU. Evaluation of DQA for tomotherapy SRS using 3D volumetric phantom [master's thesis]. Department of Radiological Science, The Graduate School of Hanseo University; 2016.
  13. Yadav P, Tolakanahalli R, Rong Y, Paliwal BR. The effect and stability of MVCT images on adaptive tomotherapy. J Appl Clin Med Phys. 2010;11(4):3229.
  14. Alssabbagh M, Tajuddin AA, Manap MA, Zainon R. Evaluation of nine 3D printing materials as tissue equivalent materials in terms of mass attenuation coefficient and mass density. Int J Adv Appl Sci. 2017;4(9):168-173.
  15. Araki F, Ikegami T, Ishidoya T, Kubo HD. Measurements of gamma-knife helmet output factors using a radiophotoluminescent glass rod dosimeter and a diode detector. Med Phys. 2003;30(8):1976-1981.
  16. Rah JE, Shin DO, Hong JY, Kim HS, Lim CI, Jeong HG, et al. Study on dosimetric properties of radiophotoluminescent glass rod detector. J Radiat Prot. 2006;31(4):181-186.
  17. Son SJ, Park JK, Jung DK, Park MH. Comparison of the equivalent dose of the lens part and the effective dose of the chest in the PET/CT radiation workers in the Nuclear Medicine Department. J Radiol Sci Technol. 2019;42(3):209-215.
  18. International Atomic Energy Agency. Radiation protection and safety of radiation sources: international basic safety standards. General Safety Requirements Part 3. IAEA; 2014.
  19. Kitazato Y, Kuga N, Shirieda K, Enzaki M, Nakaguchi Y, Shimohigashi Y, et al. Evaluation of absorbed dose for CBCT in image-guided radiation therapy: comparison of each devices and facilities. Nihon Hoshasen Gijutsu Gakkai Zasshi. 2017;73(4):309-316 (Japanese).
  20. Khan FM. The physics of radiation therapy. 4th ed. Lippincott Williams & Wilkins; 2010.
  21. Hall EJ, Giaccia AJ. Radiobiology for the radiologist. 6th ed. Lippincott Williams & Wilkins; 2006. p. 181-186.
  22. Pawlicki T, Luxton G, Le QT, Findley D, Ma CM. Lens dose in MLC-based IMRT treatments of the head and neck. Int J Radiat Oncol Biol Phys. 2004;59(1):293-299.
  23. Choi JW, Kim CC, Park SY, Song KW. Evaluation of the lens absorbed dose of MVCT and kV-CBCT use for IMRT to the nasopharyngeal cancer patient. J Korean Soc Radiat Ther. 2013;25(2):131-136.
  24. Kim JB. Characteristics and absorbed dose analysis of CBCT for radiation therapy [master's thesis]. Department of Radiological Science, Graduate School, Catholic University of Pusan; 2018.
  25. Moon YM. A study on the effective dose measurement for cone beam computed tomography using glass dosimeter [master's thesis]. Department of Physics, Graduate School of Dong-A University; 2013.
  26. Park BS. Analysis of dose distribution versus patient exposed dose according to the frequency of cone beam computerized tomography for prostate intensity modulated radiation therapy [master's thesis]. Department of Medical Physics, The Graduate School of Bio-Medical Science Korea University; 2014.
  27. Amer A, Marchant T, Sykes J, Czajka J, Moore C. Imaging doses from the Elekta synergy X-ray cone beam CT system. Br J Radiol. 2007;80(954):476-482.
  28. International Commission on Radiation Units and Measurements. ICRU Report 62: Prescribing, recording and reporting photon beam therapy (Supplement to ICRU report 50). J ICRU. 1999;32(1):1-52.