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The synthetic localizer radiograph – A new CT scan planning method
KTH, School of Engineering Sciences (SCI), Physics.
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2019 (English)In: Physica medica (Testo stampato), ISSN 1120-1797, E-ISSN 1724-191X, Vol. 61, p. 58-63Article in journal (Refereed) Published
Abstract [en]

Objective: To investigate if the conventional localizer radiograph (LR)can be replaced by a synthetic LR (SLR), generated from a low-dose spiral CT scan, for CT scan planning with minimal changes to current clinical workflows. Methods: A dosimetric comparison of SLRs and LRs was made using Monte Carlo methods. Water equivalent diameters (WEDs)of a centered and mis-centered phantom were estimated from low-dose spiral CT scans and LRs acquired at different angles. Body sizes, in the form of two lengths and two diameters obtained from SLRs and LRs, were compared for 10 patients (4 men and 6 women with a mean age of 74.8 and 76.2 years respectively)undergoing CT of thorax and abdomen. The image quality of SLRs for CT scan planning relative to LRs was rated using a 5-grade scale by four radiologists and two CT radiographers. Results: An SLR can be obtained at a comparable effective dose to that of traditionally acquired LRs: 0.14 mSv. WEDs from LRs were more affected by mis-centering than WEDs calculated from low-dose spiral scans. One significant discrepancy of estimated body sizes was observed, the broadest part of the patient that on lateral localizers showed a mean deviation of 17.7 mm (range: 7.3–28.7 mm, p < 0.001). The anteroposterior/posteroanterior SLR image quality was assessed as better compared to an LR while the same could not be shown for lateral localizers. Conclusions: SLRs based on low-dose spiral scans can replace LRs for CT planning.

Place, publisher, year, edition, pages
Associazione Italiana di Fisica Medica , 2019. Vol. 61, p. 58-63
Keywords [en]
Computed tomography, CT localizer radiograph, CT scan planning, Synthetic localizer radiograph
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:kth:diva-252494DOI: 10.1016/j.ejmp.2019.04.019ISI: 000469212700008Scopus ID: 2-s2.0-85064682763OAI: oai:DiVA.org:kth-252494DiVA, id: diva2:1337143
Note

QC 20190711

Available from: 2019-07-11 Created: 2019-07-11 Last updated: 2019-07-11Bibliographically approved

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