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Tomography refers to imaging by sections. Computed tomography (CT) is a non-invasive imaging technique that uses computers to analyze several cross-sectional X-rays to reveal minute details about structures in the body.
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CUSTOMISATION OF A MONTE CARLO DOSIMETRY TOOL FOR DENTAL CONE-BEAM CT SYSTEMS.

A Stratis1, G Zhang2, X Lopez-Rendon3

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This study adapted a Monte Carlo (MC) framework for dental cone-beam computed tomography (CBCT) dosimetry. The validated tool accurately calculates radiation doses, enhancing the reliability of CBCT imaging in dentistry.

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Area of Science:

  • Medical Physics
  • Radiological Sciences
  • Computational Dosimetry

Background:

  • Monte Carlo (MC) simulations are crucial for accurate radiation dosimetry.
  • Dental cone-beam computed tomography (CBCT) requires precise dose assessment for patient safety.
  • Existing MC frameworks may need adaptation for specific medical imaging devices.

Purpose of the Study:

  • To modify and validate an EGSnrc MC framework for dental CBCT dosimetry.
  • To enable accurate absolute dose calculations for various clinical protocols.
  • To assess the reliability of the adapted framework for dental CBCT applications.

Main Methods:

  • Modified an existing EGSnrc MC framework by introducing equivalent sources for CBCT simulation.
  • Utilized Half Value Layer (HVL) measurements to define protocol-specific X-ray energy spectra.
  • Incorporated anode heel effect and total filtration characteristics.
  • Calibrated the framework for absolute dose calculations specific to the Promax 3D Max CBCT scanner.
  • Validated the MC calculated doses against ionisation chamber measurements in a water phantom.

Main Results:

  • The adapted MC framework accurately simulates X-ray output, accounting for filtration and anode heel effect.
  • Calibration factors were successfully generated for absolute dose calculations across different clinical protocols.
  • Comparison with experimental measurements in a water phantom showed good agreement, confirming the framework's reliability.
  • The framework demonstrated applicability to both bowtie and non-bowtie inherent filtrations.

Conclusions:

  • The modified EGSnrc MC framework provides a reliable tool for dental CBCT dosimetry.
  • This validated framework can be used for accurate dose calculations in dental imaging.
  • The study highlights the importance of tailored MC simulations for specific medical devices.