Technical note: an aid to radiation therapy simulation

The characterization of a promising new optical source for use with a radiotherapy treatment simulator

We report on an experimental examination of a new powerful optical source with potential application in radiotherapy treatment simulation. The illuminance, effective source position, and source size have been measured for this new source and, for comparison, for conventional sources on a simulator and a linear accelerator. This new source is considerably brighter than those in common use in radiotherapy. Its effective optical source size is larger than that on the linear accelerator tested but comparable with that on a conventional simulator.

Technical note: a transparent template system for positioning independent radiation-therapy shielding blocks

To assist the radiation therapist/technologist with setting up patients for radiation therapy treatments, a set of accessories has been developed for placing a transparent template of the treatment-field border in the light-field of a radiation teletherapy unit. These accessories permit the efficient, accurate, and reproducible manual placement of independent lead-shielding blocks. Software has been developed to print templates on standard transparency sheets using a laser printer. A transparent template holder slides into the wedge slot of the teletherapy unit. The template holder features 2 alignment pegs to assure rapid, accurate, and reproducible placement of the template. A specially-developed hole-punch is used to cut, in the template, alignment holes that fit snugly over the pegs of the template holder. This system currently supports Siemens MX and KD units and the Theratronics Theratron 780C Co unit, as well as the Helax TMS block file format.

Computer-aided radiation therapy simulation: image intensifier spatial distortion correction for large field of view digital fluoroscopy

An accurate method of correcting spatial distortion in digital fluoroscopy images has been developed for generating fluoroscopy-based large field of view images for computer-aided radiation therapy simulation. This method is applicable to arbitrary gantry rotations and arbitrary shifts of the image intensifier relative to the central axis of the x-ray beam. It is therefore suitable for conventional radiation therapy simulation techniques that involve the arbitrary positioning of the image intensifier by the operator. Spatial distortion is modelled as two image intensifier orientation-dependent components, the first resulting from the projection of the x-ray image onto the curved surface of the image intensifier front end, and the second produced by the image intensifier electron optics, interactions with external magnetic fields and the video system. A geometrical model approximates the first component. The second component is modelled by a third-order polynomial transformation. A weighted mean approach is employed to achieve accurate distortion correction when the image intensifier is oriented differently from the calibration orientations. Mean and maximum residual errors (measured in the plane of the isocentre) of 0.4 mm and 1.0 mm respectively have been achieved with just 48 calibration orientations in four dimensions (gantry rotation and lateral, longitudinal and vertical shifts of the image intensifier).