9/2/2023 0 Comments Airo ct setup for anesthesia![]() on behalf of American Association of Physicists in Medicine. Journal of Applied Clinical Medical Physics published by Wiley Periodicals, Inc. Based on our study, the Mobile AIRO CT system can be utilized accurately and reliably for image-guided proton therapy. Purpose: The purpose of this study was to characterize the Mobius AIRO Mobile CT System for localization and image-guided proton therapy. The localization accuracy of AIRO was determined to be within 0.6° and 0.5 mm despite its slightly lower image quality overall compared to other CT imaging systems at our institution. Localization accuracy (based on Stereophan) demonstrated maximum AIRO-kV/kV shift differences of 0.1 mm in the x-direction, 0.1 mm in the y-direction, and 0.2 mm in the z-direction. Localization accuracy (based on the MIMI phantom) was 0.6° and 0.5 mm. The AIRO exhibited higher dose (>27 mGy) than the Philips CT Simulator. AIRO/Siemens and AIRO/Philips differences exceeded 100% for scaling discrepancy (191.2% and 145.8%). The AIRO spatial resolution was 0.21 lp mm -1 compared with 0.40 lp mm -1 for the Philips CT Simulator, 0.37 lp mm -1 for the Edge CBCT, and 0.35 lp mm -1 for the Siemens CT Simulator. ![]() For treatment delivery systems (Edge and Mevion), the localization accuracy of the 3D imaging systems were compared to 2D imaging systems on each system. 4 The small footprint (13.81 ft 2 when in scanning position) of the AIRO allows for CT acquisition in a compact proton therapy vault (Mevion S250, Mevion Medical Systems, Littleton, MA, USA) before or after treatment. Localization accuracy and CT Dose Index were measured and compared to reported values on each imaging device. The AIRO Mobile CT System (AIRO) has historically been used for intraoperative surgeries. Low CNR was acquired manually using the CTP515 module. ![]() Modulation transfer function, scaling discrepancy, geometric distortion, spatial resolution, overall uniformity, minimum uniformity, contrast, high CNR, and maximum HU deviation were acquired. DoseLAB software v.6.6 was utilized for image quality analysis. This is the first known application of the AIRO for proton therapy.įive CT images of a Catphan ® 504 phantom were acquired on the AIRO Mobile CT System, Varian EDGE radiosurgery system cone beam CT (CBCT), Philips Brilliance Big Bore 16 slice CT simulator, and Siemens SOMATOM Definition AS 20 slice CT simulator. The aim of this paper is to evaluate our initial experience applying intraoperative computed tomography (CT) for navigation registration in cranial neurosurgery, with a special focus on registration accuracy and effective radiation dose. The purpose of this study was to characterize the Mobius AIRO Mobile CT System for localization and image-guided proton therapy.
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