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Hounsfield units variations: impact on CT-density based conversion tables and their effects on dose distribution
B Zurl1, R Tiefling, P Winkler
1Department of Therapeutic Radiotherapy and Oncology, University Medical School of Graz, Comprehensive Cancer Center Graz, Auenbruggerplatz 32, 8036, Graz, Austria, brigitte.zurl@klinikum-graz.at.
Different CT scanning protocols cause Hounsfield Unit (HU) variations, leading to radiation therapy dose errors. Implementing specific conversion tables can minimize these systematic dose errors.
Area of Science:
- Medical Physics
- Radiation Oncology
- Radiological Imaging
Background:
- Computed Tomography (CT) scanning protocols significantly influence Hounsfield Unit (HU) values.
- Variations in HU values can impact radiation dose calculations in treatment planning.
Purpose of the Study:
- To determine the dose error margins in radiation therapy planning.
- To investigate the impact of CT scanning protocol variations on Hounsfield Unit (HU) values and subsequent dose calculations.
Main Methods:
- Generated conversion tables for radiation dose calculations based on different clinical CT protocols.
- Tested tables on a phantom and recalculated plans for 28 patients who received head radiation therapy after an incorrect protocol was used.
Main Results:
- CT parameter variations caused HU errors up to 25.6% for densities >1.1 g/cm(3), particularly with tube voltage changes.
- Dose differences ranged from 0.3% to 1.5% for varying phantom layer thicknesses.
- Patient data recalculation showed an overdose of 1.3% to bone and 0.7% to brain tissue.
Conclusions:
- Different CT scanning protocols can lead to significant HU variations (up to 20%) and a mean systematic dose error of 1.5%.
- Specific conversion tables and automatic CT scanning protocol recognition are recommended to reduce these dose errors.
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