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Related Concept Videos

Imaging Studies III: Computed Tomography01:27

Imaging Studies III: Computed Tomography

DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
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Related Experiment Video

Updated: May 9, 2026

Patient-Specific Polyvinyl Alcohol Phantom Fabrication with Ultrasound and X-Ray Contrast for Brain Tumor Surgery Planning
08:41

Patient-Specific Polyvinyl Alcohol Phantom Fabrication with Ultrasound and X-Ray Contrast for Brain Tumor Surgery Planning

Published on: July 14, 2020

Digital tomosynthesis for verifying spine position during radiotherapy: a phantom study.

Oliver J Gurney-Champion1, Max Dahele, Hassan Mostafavi

  • 1Department of Radiotherapy, VU University medical center, PO Box 7057, 1007 MB Amsterdam, The Netherlands.

Physics in Medicine and Biology
|August 2, 2013
PubMed
Summary

Digital tomosynthesis (DTS) and triangulation accurately track patient spine position during radiotherapy. This method allows for precise, real-time adjustments, enhancing treatment accuracy and safety.

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Last Updated: May 9, 2026

Patient-Specific Polyvinyl Alcohol Phantom Fabrication with Ultrasound and X-Ray Contrast for Brain Tumor Surgery Planning
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Construction of a Preclinical Multimodality Phantom Using Tissue-mimicking Materials for Quality Assurance in Tumor Size Measurement
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Construction of a Preclinical Multimodality Phantom Using Tissue-mimicking Materials for Quality Assurance in Tumor Size Measurement

Published on: July 29, 2013

Area of Science:

  • Medical Physics
  • Radiotherapy Technology
  • Image-Guided Interventions

Background:

  • Patient positioning accuracy is critical for high-precision radiotherapy, particularly spine stereotactic body radiotherapy (SBRT).
  • Real-time monitoring of patient position is essential to minimize radiation dose to healthy tissues and maximize tumor targeting accuracy.

Purpose of the Study:

  • To evaluate the efficacy of combining digital tomosynthesis (DTS) and triangulation for precise spine position detection.
  • To assess the system's precision and latency in determining 3D patient position during simulated SBRT conditions.

Main Methods:

  • Utilized non-clinical DTS software and an anthropomorphic pelvic phantom with a bone-like spine.
  • Generated single-slice DTS images from kilovoltage cone beam CT projection data (2-16° gantry rotation).
  • Registered DTS slices to digitally reconstructed DTS from planning CT scans for 2D shift determination and triangulated multiple DTS registrations for 3D position calculation.

Main Results:

  • The combined DTS and triangulation system demonstrated precise 3D phantom position determination with updates possible every degree.
  • Investigated the impact of DTS and triangulation angles on position determination precision.
  • Assessed the system's ability to detect various sudden and gradual patient movements during kilovoltage image acquisition, simulating SBRT scenarios.

Conclusions:

  • The DTS and triangulation combination offers a promising solution for accurate and timely spine position monitoring in SBRT.
  • The system's ability to detect patient movement in real-time can significantly improve treatment safety and efficacy.
  • Further validation in clinical settings is warranted to confirm its utility in patient treatment.