诊断CT机房在未安装三维激光灯的条件下CT模拟方法的探讨.pdfVIP

2009年第19卷第9期 《 》 712 CHINA ONCOLOGY 2009 Vol.19 No.9 CT CT 　　［摘要］　背景与目的：由于某些客观原因，可移动三维激光灯无法安装于诊断CT机房。本研究讨论诊断 CT在未安装三维激光灯的条件下，利用常规模拟机房的三维激光灯进行CT模拟，并对该方法进行探讨。方法： 三维可移动激光灯安装于常规模拟机房，使用多线法及虚拟定位/摆位线法形成2组空间相互垂直的平行线，结 合已经调整好的平板床及CT机上的固定激光灯，对患者进行CT模拟摆位。确定治疗计划后，先在常规模拟机上 进行激光灯移位复位，于0、90或270度射野的条件下拍摄等中心验证片，对比对应角度的DRR片，测量2个等中 心到选定的骨性标记在三维方向上的距离差值，计算等中心综合距离误差。结果：无固定装置的位移误差大 于有固定装置；腹部位移误差最大、胸部次之、头颈部最小；Y轴位移误差最小。但上述所有综合误差基本在 3 mm以内，未超过CT模拟摆位误差允许的范围。结论：本研究在CT机房未安装三维可移动激光灯的条件下，利 用常规模拟机房的三维激光灯进行CT模拟也能很好地保证体位。 　　［关键词］　CT模拟定位；　体位保证；　三维可移动激光灯 　　中图分类号：R730.55　　文献标识码：A　　文章编号：1007-3639(2009)09-0712-04 The study of CT simulation methods in the diagnostic CT machine room without three dimensional moveable lasers CHEN Wen-jun,FU Yi-mou,WANG Yu-bin,LIN Yu-cheng,WANG Jian-hua,LI Fu- yao (Cancer Center,The Third Hospital Affiliated to Wenzhou Medical College, Wenzhou Zhejiang 325200, China) Correspondence to：CHEN Wen-jun　E-mail：cwj2233@126.com 　　［Abstract ］ Background and purpose ：Three dimensional moveable lasers can’t be equipped in the diagnostic CT machine room because of some objective reasons. The purpose was to study CT simulation methods when the lasers equipped in the conventional simulator room. Methods ：We used ‘multi-lines’ and ‘virtual setup lines’ methods to form two groups of parallel lines which were perpendicular to each other in space, then combined these lines with the adjusted fl at couch and the lasers were fi xed in CT machine to setup patients’ CT simulation position. After making the treatment plan, lasers were shifted and reset in the conventional simulator room, the isocenter (ISO)