103,024 research outputs found

    In Vivo Validation of Elekta's Clarity Autoscan for Ultrasound-based Intrafraction Motion Estimation of the Prostate During Radiation Therapy.

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    PURPOSE:Our purpose was to perform an in vivo validation of ultrasound imaging for intrafraction motion estimation using the Elekta Clarity Autoscan system during prostate radiation therapy. The study was conducted as part of the Clarity-Pro trial (NCT02388308). METHODS AND MATERIALS:Initial locations of intraprostatic fiducial markers were identified from cone beam computed tomography scans. Marker positions were translated according to Clarity intrafraction 3-dimensional prostate motion estimates. The updated locations were projected onto the 2-dimensional electronic portal imager plane. These Clarity-based estimates were compared with the actual portal-imaged 2-dimensional marker positions. Images from 16 patients encompassing 80 fractions were analyzed. To investigate the influence of intraprostatic markers and image quality on ultrasound motion estimation, 3 observers rated image quality, and the marker visibility on ultrasound images was assessed. RESULTS:The median difference between Clarity-defined intrafraction marker locations and portal-imaged marker locations was 0.6 mm (with 95% limit of agreement at 2.5 mm). Markers were identified on ultrasound in only 3 of a possible 240 instances. No linear relationship between image quality and Clarity motion estimation confidence was identified. The difference between Clarity-based motion estimates and electronic portal-imaged marker location was also independent of image quality. Clarity estimation confidence was degraded in a single fraction owing to poor probe placement. CONCLUSIONS:The accuracy of Clarity intrafraction prostate motion estimation is comparable with that of other motion-monitoring systems in radiation therapy. The effect of fiducial markers in the study was deemed negligible as they were rarely visible on ultrasound images compared with intrinsic anatomic features. Clarity motion estimation confidence was robust to variations in image quality and the number of ultrasound-imaged anatomic features; however, it was degraded as a result of poor probe placement

    Dynamics of Large Fragments in the Tail of Active Asteroid P/2010 A2

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    We examine the motions of large fragments at the head of the dust tail of active asteroid P/2010 A2. In previous work we showed that these fragments were ejected from the primary nucleus in early 2009, either following a hypervelocity impact or by rotationally induced break-up. Here, we follow their positions through a series of Hubble Space Telescope images taken during the first half of 2010. The orbital evolution of each fragment allows us to constrain its velocity relative to the main nucleus after leaving its sphere of gravitational influence. We find that the fragments constituting a prominent X-shaped tail feature were emitted in a direction opposite to the motion of the asteroid and towards the south of its orbital plane. Derived emission velocities of these primary fragments range between 0.02 and 0.3 m/s, comparable to the ~0.08 m/s gravitational escape speed from the nucleus. Their sizes are on the order of decimeters or larger. We obtain the best fits to our data with ejection velocity vectors lying in a plane that includes the nucleus. This may suggest that the cause of the disruption of P/2010 A2 is rotational break-up.Comment: 30 pages, 8 figures, accepted for publication by The Astrophysical Journa

    CT Coronary Angiography with 100kV tube voltage and a low noise reconstruction filter in non-obese patients: evaluation of radiation dose and diagnostic quality of 2D and 3D image reconstructions using open source software (OsiriX)

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    INTRODUCTION AND PURPOSE. Computed tomography coronary angiography (CTCA) has seen a dramatic evolution in the last decade owing to the availability of multislice CT scanners with 64 detector rows and beyond. However, this evolution has been paralleled by an increase in radiation dose to patients, that can reach extremely high levels (>20mSv) when retrospective ECG-gating techniques are used. On CT angiography, reduction of tube voltage allows to cut radiation dose with improved contrast resolution due to the lower energy of the X-ray beam and increased photoelectric effect. Our purpose is twofold: 1) to evaluate the radiation dose of CTCA studies carried out using a tube voltage of 100kV and a low noise reconstruction filter, compared with a conventional tube voltage of 120kV and a standard reconstruction kernel; 2) to assess the impact of the 100kV acquisition technique on the diagnostic quality of 2D and 3D image reconstructions performed with open source software (OsiriX). MATERIALS AND METHODS. Fifty-one non-obese patients underwent CTCA on a 64-row CT scanner. Out of them, 28 were imaged using a tube voltage of 100kV and a low noise reconstruction filter, while in the remaining 23 patients a tube voltage of 120kV and a standard reconstruction kernel were selected. All CTCA datasets were exported via PACS to a Macintosh™ computer (iMac™) running OsiriX 4.0 (64-bit version), and Maximum Intensity Projection (MIP), Curved Planar Reformation (CPR), and Volume Rendering (VR) views of each coronary artery were generated using a dedicated plug-in (CMIV CTA; Linköping University, Sweden). Diagnostic quality of MIP, CPR, and VR reconstructions was assessed visually by two radiologists with experience in cardiac CT using a three-point score (1=poor, 2=good, 3=excellent). Signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), intravascular CT density, and effective dose for each group were also calculated. RESULTS. Image quality of VR views was significantly better with the 100kV than with the 120kV protocol (2.77±0.43 vs 2.21±0.85, p=0.0332), while that of MIP and CPR reconstructions was comparable (2.59±0.50 vs 2.32±0.75, p=0.3271, and 2.68±0.48 vs 2.32±0.67, p=0.1118, respectively). SNR and CNR were comparable between the two protocols (16.42±4.64 vs 14.78±2.57, p=0.2502, and 13.43±3.77 vs 12.08±2.10, p=0.2486, respectively), but in the 100kV group aortic root density was higher (655.9±127.2 HU vs 517.2±69.7 HU, p=0.0016) and correlated with VR image quality (rs=0.5409, p=0.0025). Effective dose was significantly lower with the 100kV than with the 120kV protocol (7.43±2.69 mSv vs 18.83±3.60 mSv, p<0.0001). CONCLUSIONS. Compared with a standard tube voltage of 120kV, usage of 100kV and a low noise filter leads to a significant reduction of radiation dose with equivalent and higher diagnostic quality of 2D and 3D reconstructions, respectively in non-obese patients

    Kajian motivasi ekstrinsik di antara Pelajar Lepasan Sijil dan Diploma Politeknik Jabatan Kejuruteraan Awam KUiTTHO

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    Kajian ini dijalankan untuk menyelidiki pengaruh dorongan keluarga, cara pengajaran pensyarah, pengaruh rakan sebaya dan kemudahan infrastruktur terhadap motivasi ekstrinsik bagi pelajar tahun tiga dan tahun empat lepasan sijil dan diploma politeknik Jabatan Kejuruteraan Awain Kolej Universiti Teknologi Tun Hussein Onn. Sampel kajian ini beijumlah 87 orang bagi pelajar lepasan sijil politeknik dan 38 orang bagi lepasan diploma politeknik. Data kajian telah diperolehi melalui borang soal selidik dan telah dianalisis menggunakan perisian SPSS (Statical Package For Sciences). Hasil kajian telah dipersembahkan dalam bentuk jadual dan histohgrapi. Analisis kajian mendapati bahawa kedua-dua kumpulan setuju bahawa faktor-faktor di atas memberi kesan kepada motivasi ekstrinsik mereka. Dengan kata lain faktpr-faktor tersebut penting dalam membentuk pelajar mencapai kecemerlangan akademik

    Extracting respiratory signals from thoracic cone beam CT projections

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    Patient respiratory signal associated with the cone beam CT (CBCT) projections is important for lung cancer radiotherapy. In contrast to monitoring an external surrogate of respiration, such signal can be extracted directly from the CBCT projections. In this paper, we propose a novel local principle component analysis (LPCA) method to extract the respiratory signal by distinguishing the respiration motion-induced content change from the gantry rotation-induced content change in the CBCT projections. The LPCA method is evaluated by comparing with three state-of-the-art projection-based methods, namely, the Amsterdam Shroud (AS) method, the intensity analysis (IA) method, and the Fourier-transform based phase analysis (FT-p) method. The clinical CBCT projection data of eight patients, acquired under various clinical scenarios, were used to investigate the performance of each method. We found that the proposed LPCA method has demonstrated the best overall performance for cases tested and thus is a promising technique for extracting respiratory signal. We also identified the applicability of each existing method.Comment: 21 pages, 11 figures, submitted to Phys. Med. Bio

    Dosimetric impact of gastrointestinal air column in radiation treatment of pancreatic cancer

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    OBJECTIVE: Dosimetric evaluation of air column in gastrointestinal (GI) structures in intensity modulated radiation therapy (IMRT) of pancreatic cancer. METHODS: Nine sequential patients were retrospectively chosen for dosimetric analysis of air column in the GI apparatus in pancreatic cancer using cone beam CT (CBCT). The four-dimensional CT (4DCT) was used for target and organs at risk (OARs) and non-coplanar IMRT was used for treatment. Once a week, these patients underwent CBCT for air filling, isocentre verification and dose calculations retrospectively. RESULTS: Abdominal air column variation was as great as ±80% between weekly CBCT and 4DCT. Even with such a large air column in the treatment path for pancreatic cancer, changes in anteroposterior dimension were minimal (2.8%). Using IMRT, variations in air column did not correlate dosimetrically with large changes in target volume. An average dosimetric deviation of mere -3.3% and a maximum of -5.5% was observed. CONCLUSION: CBCT revealed large air column in GI structures; however, its impact is minimal for target coverage. Because of the inherent advantage of segmentation in IMRT, where only a small fraction of a given beam passes through the air column, this technique might have an advantage over 3DCRT in treating upper GI malignancies where the daily air column can have significant impact. Advances in knowledge: Radiation treatment of pancreatic cancer has significant challenges due to positioning, imaging of soft tissues and variability of air column in bowels. The dosimetric impact of variable air column is retrospectively studied using CBCT. Even though, the volume of air column changes by ± 80%, its dosimetric impact in IMRT is minimum

    The influence of MRI scan position on patients with oropharyngeal cancer undergoing radical radiotherapy

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    &lt;p&gt;Background: The purpose of this study was to demonstrate how magnetic resonance imaging (MRI) patient position protocols influence registration quality in patients with oropharyngeal cancer undergoing radical radiotherapy and the consequences for gross tumour volume (GTV) definition and radiotherapy planning.&lt;/p&gt; &lt;p&gt;Methods and materials: Twenty-two oropharyngeal patients underwent a computed tomography (CT), a diagnostic MRI (MRID) and an MRI in the radiotherapy position within an immobilization mask (MRIRT). Clinicians delineated the GTV on the CT viewing the MRID separately (GTVC); on the CT registered to MRID (GTVD) and on the CT registered to MRIRT (GTVRT). Planning target volumes (PTVs) were denoted similarly. Registration quality was assessed by measuring disparity between structures in the three set-ups. Volumetric modulated arc therapy (VMAT) radiotherapy planning was performed for PTVC, PTVD and PTVRT. To determine the dose received by the reference PTVRT, we optimized for PTVC and PTVD while calculating the dose to PTVRT. Statistical significance was determined using the two-tailed Mann–Whitney or two-tailed paired student t-tests.&lt;/p&gt; &lt;p&gt;Results: A significant improvement in registration accuracy was found between CT and MRIRT versus the MRID measuring distances from the centre of structures (geometric mean error of 2.2 mm versus 6.6 mm). The mean GTVC (44.1 cm3) was significantly larger than GTVD (33.7 cm3, p value = 0.027) or GTVRT (30.5 cm3, p value = 0.014). When optimizing the VMAT plans for PTVC and investigating the mean dose to PTVRT neither the dose to 99% (58.8%) nor 95% of the PTV (84.7%) were found to meet the required clinical dose constraints of 90% and 95% respectively. Similarly, when optimizing for PTVD the mean dose to PTVRT did not meet clinical dose constraints for 99% (14.9%) nor 95% of the PTV (66.2%). Only by optimizing for PTVRT were all clinical dose constraints achieved.&lt;/p&gt; &lt;p&gt;Conclusions: When oropharyngeal patients MRI scans are performed in the radiotherapy position there are significant improvements in CT-MR image registration, target definition and PTV dose coverage.&lt;/p&gt

    Three-dimensional scanning of specular and diffuse metallic surfaces using an infrared technique

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    For the past two decades, the need for three-dimensional (3-D) scanning of industrial objects has increased significantly and many experimental techniques and commercial solutions have been proposed. However, difficulties remain for the acquisition of optically non-cooperative surfaces, such as transparent or specular surfaces. To address highly reflective metallic surfaces, we propose the extension of a technique that was originally dedicated to glass objects. In contrast to conventional active triangulation techniques that measure the reflection of visible radiation, we measure the thermal emission of a surface, which is locally heated by a laser source. Considering the thermophysical properties of metals, we present a simulation model of heat exchanges that are induced by the process, helping to demonstrate its feasibility on specular metallic surfaces and predicting the settings of the system. With our experimental device, we have validated the theoretical modeling and computed some 3-D point clouds from specular surfaces of various geometries. Furthermore, a comparison of our results with those of a conventional system on specular and diffuse parts will highlight that the accuracy of the measurement no longer depends on the roughness of the surface
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