• Progress in Medical Physics
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• v.14 no.2
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• pp.90-98
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• 2003

Purpose : A new virtual simulation technique for craniospinal irradiation (CSI) that uses a CT-simulator was developed to improve the accuracy of field and shielding placement as well as patient positioning. Materials and Methods : A CT simulator (CT-SIM) and a 3-D conformal radiation treatment planning system (3D-CRT) were used to develop CSI. The head and neck were immobilized with a thermoplastic mask while the rest of the body was immobilized with a Vac-Loc. A volumetric image was then obtained with the CT simulator. In order to improve the reproducibility of the setup, datum lines and points were marked on the head and body. Virtual fluoroscopy was performed with the removal of visual obstacles, such as the treatment table or immobilization devices. After virtual simulation, the treatment isocenters of each field were marked on the body and on the immobilization devices at the conventional simulation room. Each treatment fields was confirmed by comparing the fluoroscopy images with the digitally reconstructed radiography (DRR) and digitally composited radiography (DCR) images from virtual simulation. Port verification films from the first treatment were also compared with the DRR/DCR images for geometric verification. Results : We successfully performed virtual simulations on 11 CSI patients by CT-SIM. It took less than 20 minutes to affix the immobilization devices and to obtain the volumetric images of the entire body. In the absence of the patient, virtual simulation of all fields took 20 min. The DRRs were in agreement with simulation films to within 5 mm. This not only reducee inconveniences to the patients, but also eliminated position-shift variables attendant during the long conventional simulation process. In addition, by obtaining CT volumetric image, critical organs, such as the eyes and the spinal cord, were better defined, and the accuracy of the port designs and shielding was improved. Differences between the DRRs and the portal films were less than 3 m in the vertebral contour. Conclusion : Our analysis showed that CT simulation of craniospinal fields was accurate. In addition, CT simulation reduced the duration of the patient's immobility. During the planning process. This technique can improve accuracy in field placement and shielding by using three-dimensional CT-aided localization of critical and target structures. Overall, it has improved staff efficiency and resource utilization by standard protocol for craniospinal irradiation.

• Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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• v.32 no.4_1
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• pp.299-309
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• 2014

This paper evaluated the possibility for 1/5,000 digital topographic mapping by using PLEIADES images of 0.5m GSD(Ground Sampling Distance) resolution that has recently launched. Those results of check points by applying the initial RPC(Rational Polynomial Coefficient) of PLEIADES images came out as; RMSE of those were $X={\pm}1.806m$, $Y={\pm}2.132m$, $Z={\pm}1.973m$. Also, if we corrected geometric correction using 16 GCP(Ground Control Point)s, the results of RMSE became $X={\pm}0.104m$, $Y={\pm}0.171m$, $Z={\pm}0.036m$, and t he RMSE of check points were $X={\pm}0.357m$, $Y={\pm}0.239m$, $Z={\pm}0.188m$; which of those results indicated the accuracy of standard adjustment complied in error tolerances of the 1/5,000 scale. Additionally, we converted coordinates of points, obtained by TerraSAR. for comparing with measurements from GPS(Global Positioning System) surveying. The RMSE of comparing converted and GPS points were $X={\pm}0.818m$, $Y={\pm}0.200m$, $Z={\pm}0.265m$, which confirmed the possibility for 1/5,000 digital topographic mapping with PLEIADES images and GCPs. As method of obtaining GCPs in unaccessible area, however, the outcome evaluation of GCPs extracted from TerraSAR images was not acceptable for 1/5,000 digital topographic mapping. Therefore, we considered that further researches are needed on applicability of GCPs extracted from TerraSAR images for future alternative method.