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4DCT sanning

1An Brief Introduction to 4D CT Scanning Steve B. Jiang, Ph.D. Dept of Radiation Oncology Univ of California San Diego Acknowledgements Paul Keall, George Chen, Dan Low, Gig Mageras, Ken Foster 2 Outline  Problems with free breathing 3D scanning  What is 4D CT? How does it work? 3 Three Types of Motion Artifacts  If CT scanning speed tumor motion speed, → smeared tumor image  If CT scanning speed tumor motion speed, → tumor position and shape captured at an arbitrary breathing phase  If CT scanning speed ~ tumor motion speed, → tumor position and shape heavily distorted 4 CT Artifacts in Free Breathing 3D Scan Courtesy of Eike Rietzel and George T.Y. Chen Helical light breathing scan 4DCT – 1 phase Tumor 25 Interplay: Tumor Motion and Couch Motion Courtesy of Kevin Beaudette and George T.Y. Chen 6 Moving Objects during CT – A Phantom Study Video courtesy of George T.Y. Chen Chen, Kung, Beaudette, Artifacts in computed tomography scanning of moving objects, Semin Radiat Oncol. 14(1):19-26, 2004. 7 Motion Artifacts Photo Static Moving / HS mode HQ Courtesy of George Chen 8 Motion Induced Artifacts  Respiratory organ motion can cause severe geometrical distortion in free breathing CT scanning  Distortions along the axis of motion could either lengthen or shorten the target, kind of random  In addition to shape distortion, the center of the imaged target can be displaced by as much as the amplitude of the motion 39 Considerations of Organ Motion in CT Sim  Breath-hold CT scan  Voluntary breath hold  Active breathing control  Combine inhale and exhale GTVs to get ITV  Slow CT san  4 seconds per slice in axial mode  Gated CT scan  images at only 1 phase, acquisition times 4-5x longer  4D CT scan  3D scans at multiple phases 10 Basic Idea of 4D CT Scan  Over-sampling images at every position of interest along the patient’s long axis  Each image is tagged with breathing signals  Images are sorted retrospectively based on the corresponding breathing si

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