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https://www.readbyqxmd.com/read/28944361/cone-beam-computed-tomography-with-ultra-low-dose-protocols-for-pre-implant-radiographic-assessment-an-in-vitro-study
#1
Robert Liljeholm, Nils Kadesjö, Daniel Benchimol, Kristina Hellén-Halme, Xie-Qi Shi
PURPOSE: To evaluate the ultra-low dose scanning protocols of a newly developed CBCT for pre-implant radiographic assessment. MATERIALS AND METHODS: A total number of 32 CBCT scans were exposed at 90 kV using ProMax 3D's standard (GS) and three ultra-low dose scanning protocols: high, mid and low definition (UL-HD, UL-MD and UL-LD) on eight human dry skulls with simulated soft tissue. The mAs values and the voxel size were 96mAs/200 µm, 28mAs/150 µm, 22.4mAs/200 µm and 7...
2017: European Journal of Oral Implantology
https://www.readbyqxmd.com/read/28942233/comparison-of-radiation-doses-imparted-during-128-multislice-ct-scanners-and-cone-beam-computed-tomography-for-intra-and-perioperative-cochlear-implant-assessment
#2
N Guberina, U Dietrich, D Arweiler-Harbeck, M Forsting, A Ringelstein
PURPOSE: To examine radiation-doses imparted during multislice (MSCT) and cone-beam computed-tomography (CBCT) for perioperative examination of cochlear-implant insertion. METHODS: Radiation-doses were assessed during standardized petrous-bone CT-protocols at different MSCT ((I) single-source CT-scanner Somatom-Definition-AS+, (II) 2nd generation of dual-source CT-scanner Somatom-Definition-Flash, (III) 3rd generation of dual-source CT-scanner Somatom-Force and at the CBCT Ziehm-Vision-RFD3D ((IV) (a) RFD-3D (Standard-modifier), (b) RFD-3D (Low-dose-modifier))...
September 19, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28932947/integration-of-digital-dental-casts-in-cone-beam-computed-tomography-scans-a-clinical-validation-study
#3
Frits A Rangel, Thomas J J Maal, Martien J J de Koning, Ewald M Bronkhorst, Stefaan J Bergé, Anne Marie Kuijpers-Jagtman
OBJECTIVES: Images derived from cone beam computed tomography (CBCT) scans lack detailed information on the dentition and interocclusal relationships needed for proper surgical planning and production of surgical splints. To get a proper representation of the dentition, integration of a digital dental model into the CBCT scan is necessary. The aim of this study was to validate a simplified protocol to integrate digital dental models into CBCT scans using only one scan. MATERIALS AND METHODS: Conventional protocol A used one combined upper and lower impression and two CBCT scans...
September 20, 2017: Clinical Oral Investigations
https://www.readbyqxmd.com/read/28901659/using-gamma-index-to-flag-changes-in-anatomy-during-image-guided-radiation-therapy-of-head-and-neck-cancer
#4
Bryan Schaly, Jeff Kempe, Varagur Venkatesan, Sylvia Mitchell, Jerry J Battista
During radiation therapy of head and neck cancer, the decision to consider replanning a treatment because of anatomical changes has significant resource implications. We developed an algorithm that compares cone-beam computed tomography (CBCT) image pairs and provides an automatic alert as to when remedial action may be required. Retrospective CBCT data from ten head and neck cancer patients that were replanned during their treatment was used to train the algorithm on when to recommend a repeat CT simulation (re-CT)...
September 13, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28898423/iterative-volume-of-interest-based-4d-cone-beam-ct
#5
Rachael Martin, Moiz Ahmad, Geoffrey Hugo, Tinsu Pan
PURPOSE: 4D cone-beam CT (CBCT) has potential applications in soft tissue alignment and tumor motion verification at the time of radiation treatment. However, prominent streak artifacts with conventional image reconstructions have limited its clinical use and alternative reconstructions are generally too computationally expensive for the time available. We propose an iterative volume of interest based (I4D VOI) reconstruction technique, where 4D reconstruction is only performed within a VOI, to limit streak artifacts with limited added computation time...
September 12, 2017: Medical Physics
https://www.readbyqxmd.com/read/28875339/c-arm-cone-beam-ct-for-intraprocedural-image-fusion-and-3d-guidance-in-portal-vein-embolization-pve
#6
Willie M Lüdemann, Georg Böning, Julius Chapiro, Martin Jonczyk, Dominik Geisel, Dirk Schnapauff, Gero Wieners, Moritz Schmelzle, Sascha Chopra, Rolf W Günther, Bernhard Gebauer, Florian Streitparth
PURPOSE: Portal vein embolization (PVE) is applied in patients with extended oncologic liver disease to induce hyperplasia of the future liver remnant and make resection feasible. Ultrasound (US) guidance is the gold standard for percutaneous portal vein access. This study evaluated feasibility and safety of C-arm cone beam computed tomography (CBCT) for needle guidance. MATERIALS AND METHODS: In 10 patients, puncture was performed under 3D needle guidance in a CBCT data set...
September 5, 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/28872156/indications-of-cone-beam-ct-in-head-and-neck-imaging-in-children
#7
U Walliczek-Dworschak, I Diogo, L Strack, M Mandapathil, A Teymoortash, J A Werner, C Güldner
For imaging of bony structures, especially for the anterior and lateral skull base in ORL medicine, cone beam computed tomography (CBCT) is an increasingly used alternative to CT, with a lower exposition to plain radiography that makes its use for imaging, particularly in children, very interesting. The aim of this study was to analyse possible indications and settings for CBCT in children and compare them to those of adults. A total of 554 patients (age range 0-18 years, mean age 10.36 years), who underwent CBCT between 01/2004-06/2013 in the ENT department at the university clinic of Marburg were enrolled in this retrospective analysis to evaluate technical parameters and indications...
August 2017: Acta Otorhinolaryngologica Italica
https://www.readbyqxmd.com/read/28870525/rectal-balloon-use-limits-vaginal-displacement-rectal-dose-and-rectal-toxicity-in-patients-receiving-imrt-for-postoperative-gynecological-malignancies
#8
Cheng-Chia Wu, Yen-Ruh Wuu, Theodore Yanagihara, Ashish Jani, Eric P Xanthopoulos, Akhil Tiwari, Jason D Wright, William M Burke, June Y Hou, Ana I Tergas, Israel Deutsch
Pelvic radiotherapy for gynecologic malignancies traditionally used a 4-field box technique. Later trials have shown the feasibility of using intensity-modulated radiotherapy (IMRT) instead. But vaginal movement between fractions is concerning when using IMRT due to greater conformality of the isodose curves to the target and the resulting possibility of missing the target while the vagina is displaced. In this study, we showed that the use of a rectal balloon during treatment can decrease vaginal displacement, limit rectal dose, and limit acute and late toxicities...
September 1, 2017: Medical Dosimetry: Official Journal of the American Association of Medical Dosimetrists
https://www.readbyqxmd.com/read/28856901/type-2-endoleaks-in-endovascular-aortic-repair-cone-beam-ct-and-automatic-vessel-detection-to-guide-the-embolization
#9
Anna Maria Ierardi, Filippo Pesapane, Nicola Rivolta, Enrico Maria Fumarola, Salvatore Alessio Angileri, Filippo Piacentino, Gianpaolo Carrafiello
Background Dual-phase cone beam computed tomography (DP-CBCT) and automatic vessel detection (AVD) software are helpful tools for detecting arteries before planned endovascular interventions. Purpose To evaluate the usefulness of DP-CBCT and AVD software in guiding the trans-arterial embolization (TAE) of challenging T2 lumbar endoleaks (T2-L-EL). Material and Methods Ten patients with T2-L-EL were included in this study. The accuracy of DP-CBCT and the AVD software was defined by the ability to detect the endoleak and arterial feeding vessel, respectively...
January 1, 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28830239/a-robotic-c-arm-conebeam-ct-system-for-image-guided-proton-therapy-design-and-performance
#10
Chiaho Hua, Weiguang Yao, Takao Kidani, Kazuo Tomida, Saori Ozawa, Takenori Nishimura, Tatsuya Fujisawa, Ryousuke Shinagawa, Thomas E Merchant
OBJECTIVE: A ceiling-mounted robotic C-arm cone beam computed tomography (CBCT) system was developed for use with a 190° proton gantry system and a 6-degree-of-freedom robotic patient positioner. We report on the mechanical design, system accuracy, image quality, image guidance accuracy, imaging dose, workflow, safety and collision-avoidance. METHODS: The robotic CBCT system couples a rotating C-ring to the C-arm concentrically with a kV X-ray tube and a flat-panel imager mounted to the C-ring...
August 22, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/28816146/quality-assessment-of-stereotactic-radiosurgery-of-a-melanoma-brain-metastases-model-using-a-mouselike-phantom-and-the-small-animal-radiation-research-platform
#11
Cheng-Chia Wu, Kunal R Chaudhary, Yong Hum Na, David Welch, Paul J Black, Adam M Sonabend, Peter Canoll, Yvonne M Saenger, Tony J C Wang, Cheng-Shie Wuu, Tom K Hei, Simon K Cheng
PURPOSE: To establish a novel preclinical model for stereotactic radiosurgery (SRS) with combined mouselike phantom quality assurance in the setting of brain metastases. METHODS AND MATERIALS: C57B6 mice underwent intracranial injection of B16-F10 melanoma cells. T1-weighted postcontrast magnetic resonance imaging (MRI) was performed on day 11 after injection. The MRI images were fused with cone beam computed tomography (CBCT) images using the Small Animal Radiation Research Platform (SARRP)...
September 1, 2017: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/28808749/bioxmark-for-high-precision-radiotherapy-in-an-orthotopic-pancreatic-tumor-mouse-model-experiences-with-a-liquid-fiducial-marker
#12
S Dobiasch, S Kampfer, R Burkhardt, D Schilling, T E Schmid, J J Wilkens, S E Combs
BACKGROUND AND PURPOSE: High-precision radiotherapy (RT) requires precise positioning, particularly with high single doses. Fiducial markers in combination with onboard imaging are excellent tools to support this. The purpose of this study is to establish a pancreatic cancer mouse model for high-precision image-guided RT (IGRT) using the liquid fiducial marker BioXmark (Nanovi, Kongens Lyngby, Denmark). METHODS: In an animal-based cancer model, different volumes of BioXmark (10-50 µl), application forms, and imaging modalities-cone-beam computer tomography (CBCT) incorporated in either the Small Animal Radiation Research Platform (SARRP) or the small-animal micro-CT Scanner (SkyScan; Bruker, Brussels, Belgium)-as well as subsequent RT with the SARRP system were analyzed to derive recommendations for BioXmark...
August 14, 2017: Strahlentherapie und Onkologie: Organ der Deutschen Röntgengesellschaft ... [et Al]
https://www.readbyqxmd.com/read/28807441/whole-body-dose-and-energy-measurements-in-radiotherapy-by-a-combination-of-lif-mg-cu-p-and-lif-mg-ti
#13
Pascal Hauri, Uwe Schneider
PURPOSE: Long-term survivors of cancer who were treated with radiotherapy are at risk of a radiation-induced tumor. Hence, it is important to model the out-of-field dose resulting from a cancer treatment. These models have to be verified with measurements, due to the small size, the high sensitivity to ionizing radiation and the tissue-equivalent composition, LiF thermoluminescence dosimeters (TLD) are well-suited for out-of-field dose measurements. However, the photon energy variation of the stray dose leads to systematic dose errors caused by the variation in response with radiation energy of the TLDs...
August 11, 2017: Zeitschrift Für Medizinische Physik
https://www.readbyqxmd.com/read/28789933/radiation-protection-in-dental-radiology-recent-advances-and-future-directions
#14
V Tsapaki
Dental radiology uses X-ray technology to diagnose and design treatment of various clinical problems related to the oral cavity and surrounding tissues. As technology quickly evolves, there are numerous X-ray modalities using different tools in the attempt to best image and treat efficiently these diseases, disorders or other related clinical conditions. The reported numbers of dental X-rays, the fact that these may be under-reported in many countries and because dental X-rays are performed more on younger individuals, whose teeth and dentition are still developing, calls for increased need on radiation protection...
August 5, 2017: Physica Medica: PM
https://www.readbyqxmd.com/read/28781156/evaluation-of-deformed-image-based-dose-calculations-for-adaptive-radiotherapy-of-nasopharyngeal-carcinoma
#15
Miranda Poon, Catherine Holborn, Ka Fai Cheng, Winky Wing Ki Fung, George Chiu
The ultimate goal of adaptive radiotherapy (ART) is to deliver truly customized radiation treatments. Currently, the quality of cone-beam computed tomography (CBCT) images is still inferior to that of conventional CT images in contour delineations and dose calculations for replanning purposes. This retrospective study aims to evaluate the dosimetric accuracy of using deformed conventional CT images for dose calculations, in the hope of inferring the feasibility of ART using planning CT (PCT) images that deformed to up-to-date CBCT images for patients with nasopharyngeal carcinoma (NPC)...
August 3, 2017: Medical Dosimetry: Official Journal of the American Association of Medical Dosimetrists
https://www.readbyqxmd.com/read/28756594/decreased-acute-toxicities-of-intensity-modulated-radiation-therapy-for-localized-prostate-cancer-with-prostate-based-versus-bone-based-image-guidance
#16
Kiyonao Nakamura, Takashi Mizowaki, Haruo Inokuchi, Itaru Ikeda, Takahiro Inoue, Tomomi Kamba, Osamu Ogawa, Masahiro Hiraoka
BACKGROUND: Intensity-modulated radiation therapy (IMRT) is a major therapeutic option for localized prostate cancer. Image-guided radiation therapy (IGRT) allows tumor visualization and corrects the errors caused by daily internal movement of the prostate. The current study retrospectively compared the acute toxicities and biochemical tumor control outcomes of prostate IMRT achieved using two IGRT techniques: bony structure-based IGRT (B-IGRT) and prostate-based IGRT (P-IGRT). METHODS: Between February 2011 and July 2014, 96 patients with low- or intermediate-risk prostate cancer were treated using P-IGRT based on cone-beam computed tomography (CBCT; 76 Gy) without fiducial markers...
July 29, 2017: International Journal of Clinical Oncology
https://www.readbyqxmd.com/read/28744863/classification-of-changes-occurring-in-lung-patient-during-radiotherapy-using-relative-%C3%AE-analysis-and-hidden-markov-models
#17
Nicolas Varfalvy, Ophelie Piron, Marc François Cyr, Anne Dagnault, Louis Archambault
PURPOSE: to present a new automated patient classification method based on relative gamma analysis and hidden Markov models (HMM) to identify patients undergoing important anatomical changes during radiation therapy. METHODS: daily EPID images of every treatment field were acquired for 52 patients treated for lung cancer. In addition, CBCT were acquired on a regular basis. Gamma analysis was performed relative to the first fraction given that no significant anatomical change was observed on the CBCT of the first fraction compared to the planning CT...
July 26, 2017: Medical Physics
https://www.readbyqxmd.com/read/28735791/detection-of-incomplete-root-fractures-in-endodontically-treated-teeth-using-different-high-resolution-cone-beam-computed-tomographic-imaging-protocols
#18
Victor Aquino Wanderley, Frederico Sampaio Neves, Monikelly Carmo Chagas Nascimento, Gabriela Queiroz de Melo Monteiro, Natália Siqueira Lobo, Matheus Lima Oliveira, Joao Batista Sobrinho Nascimento Neto, Luciane Farias Araujo
INTRODUCTION: The purpose of this study was to compare different high-resolution cone-beam computed tomographic (CBCT) imaging protocols in the diagnosis of incomplete root fractures of endodontically treated teeth. METHODS: Twenty single-rooted human teeth were endodontically treated, and an incomplete root fracture was induced. The teeth were scanned with the CBCT unit PreXion 3D (Teracom, San Mateo, CA) operating at 2 different protocols: high resolution/standard (HI-STD) (19 seconds and 512 basis images) and high resolution/high density (HI-HI) (37 seconds and 1024 basis images)...
October 2017: Journal of Endodontics
https://www.readbyqxmd.com/read/28726684/low-dose-4d-cone-beam-ct-via-joint-spatiotemporal-regularization-of-tensor-framelet-and-nonlocal-total-variation
#19
Hao Han, Hao Gao, Lei Xing
Excessive radiation exposure is still a major concern in 4D cone-beam computed tomography (4D-CBCT) due to its prolonged scanning duration. Radiation dose can be effectively reduced by either under-sampling the x-ray projections or reducing the x-ray flux. However, 4D-CBCT reconstruction under such low-dose protocols is prone to image artifacts and noise. In this work, we propose a novel joint regularization-based iterative reconstruction method for low-dose 4D-CBCT. To tackle the under-sampling problem, we employ spatiotemporal tensor framelet (STF) regularization to take advantage of the spatiotemporal coherence of the patient anatomy in 4D images...
July 20, 2017: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/28710583/prototype-metal-artefact-reduction-algorithm-in-flat-panel-computed-tomography-evaluation-in-patients-undergoing-transarterial-hepatic-radioembolisation
#20
Qeumars Mustafa Hamie, Adrian Raoul Kobe, Leif Mietzsch, Michael Manhart, Gilbert Dominique Puippe, Thomas Pfammatter, Roman Guggenberger
OBJECTIVE: To investigate the effect of an on-site prototype metal artefact reduction (MAR) algorithm in cone-beam CT-catheter-arteriography (CBCT-CA) in patients undergoing transarterial radioembolisation (RE) of hepatic masses. METHODS AND MATERIALS: Ethical board approved retrospective study of 29 patients (mean 63.7±13.7 years, 11 female), including 16 patients with arterial metallic coils, undergoing CBCT-CA (8s scan, 200 degrees rotation, 397 projections)...
July 14, 2017: European Radiology
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