Poster - Thurs Eve-18: Performance evaluation of MV CT imaging on the HI ART II tomotherapy unit

The HI-ART II unit (TomoTherapy Inc., Madison WI) is a modality used by the London Regional Cancer Program (LRCP) for radiation therapy. This machine uses the same source of Megavoltage energy radiation to image (3.5 MV) and to treat (6MV) patients, combining the functionality of a traditional linear accelerator and CT simulator into one unit. Thus, it is possible to assess patient positioning and adjust for anatomy changes just prior to radiation therapy. Unfortunately, at MV energy levels, the physics of radiation interaction limits image quality, and gives rise to an inherent dose limitation concern that enhances noise levels. Therefore, we propose to quantify the image quality produced by the HI-ART II unit using techniques established for kVCT scanner technology. Our study involved the use of three standard phantoms to test image resolution, noise, uniformity, and linearity for a 512 × 512 reconstruction matrix and three scan pitch settings (0.8, 1.6, and 2.4). Results follow: linearity between MV CT number versus relative electron density was observed, noise calculations ranged from 2.15-2.51%, and a distinct central artifact was revealed during uniformity testing. The linearity between MV CT number versus relative electron density implies that MV CT images are highly suitable for dose calculations. MV CT image quality of uniform phantoms were acceptable and demonstrated noise levels higher than those produced by kVCT simulators. Further study is necessary to correct for the central artifact in MV CT images.