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Table 2 Summary of four cone-beam CT imaging protocols with gantry speed adjusted for the pretreatment CBCT scans and corresponding image quality evaluation results

From: Image quality of 4D in-treatment CBCT acquired during lung SBRT using FFF beam: a phantom study

 

3D

4D

Pretreatment

In-treatment

Pretreatment

In-treatment

Image acquisition parameters

 MV treatment beam

No

Yes

No

Yes

 Tube voltage (kV)

120

120

120

120

 Tube current (mA)

40

40

20

20

 Exposure time (ms)

40

40

16

16

 Collimator

M20

M20

S20

S20

 Rotation angle (°)

360

360

200

200

 Gantry speed (°/min)

240

254

 Acquisition interval (°)

0.1

0.1

 Estimated time (s)a

90

99

47

55

Analysis results

 #projections acquired

502

512

276

266

 Contrast (%)

9.5

10.1

7.9

5.5

 Contrast-to-noise ratio

14.9

9.5

6.3

2.6

 Overall uniformity (%)

98.7

98.0

96.4

89.1

 Minimum uniformity (%)

99.1

98.4

98.0

95.7

  1. aThe time for the in-treatment CBCT images was estimated for the case of delivering the VMAT plan for patient 1. In general, the time to acquire in-treatment CBCT images varies depending on the VMAT plan, which is concurrently delivered.