A 3D printed modular phantom for quality assurance of image‐guided small animal irradiators: Design, imaging experiments, and Monte Carlo simulations

Purpose The goal of this work was to develop and test a cylindrical tissue‐equivalent quality assurance (QA) phantom for micro computed tomography (microCT) image‐guided small animal irradiators that overcomes deficiencies of existing phantoms due to its mouse‐like dimensions and composition. Method...

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Veröffentlicht in:Medical physics (Lancaster) 2019-05, Vol.46 (5), p.2015-2024
Hauptverfasser: Breitkreutz, Dylan Yamabe, Bialek, Spencer, Vojnovic, Boris, Kavanagh, Anthony, Johnstone, Christopher D., Rovner, Zach, Tsouchlos, Paul, Kanesalingam, Thilakshan, Bazalova‐Carter, Magdalena
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container_end_page 2024
container_issue 5
container_start_page 2015
container_title Medical physics (Lancaster)
container_volume 46
creator Breitkreutz, Dylan Yamabe
Bialek, Spencer
Vojnovic, Boris
Kavanagh, Anthony
Johnstone, Christopher D.
Rovner, Zach
Tsouchlos, Paul
Kanesalingam, Thilakshan
Bazalova‐Carter, Magdalena
description Purpose The goal of this work was to develop and test a cylindrical tissue‐equivalent quality assurance (QA) phantom for micro computed tomography (microCT) image‐guided small animal irradiators that overcomes deficiencies of existing phantoms due to its mouse‐like dimensions and composition. Methods The 8.6‐cm‐long and 2.4‐cm‐diameter phantom was three‐dimensionally (3D) printed out of Somos NeXt plastic on a stereolithography (SLA) printer. The modular phantom consisted of four sections: (a) CT number evaluation section, (b) spatial resolution with slanted edge (for the assessment of longitudinal resolution) and targeting section, (c) spatial resolution with hole pattern (for the assessment of radial direction) section, and (d) uniformity and geometry section. A Python‐based graphical user interface (GUI) was developed for automated analysis of microCT images and evaluated CT number consistency, longitudinal and radial modulation transfer function (MTF), image uniformity, noise, and geometric accuracy. The phantom was placed at the imaging isocenter and scanned with the small animal radiation research platform (SARRP) in the pancake geometry (long axis of the phantom perpendicular to the axis of rotation) with a variety of imaging protocols. Tube voltage was set to 60 and 70 kV, tube current was set to 0.5 and 1.2 mA, voxel size was set to 200 and 275 μm, imaging times of 1, 2, and 4 min were used, and frame rates of 6 and 12 frames per second (fps) were used. The phantom was also scanned in the standard (long axis of the phantom parallel to the axis of rotation) orientation. The quality of microCT images was analyzed and compared to recommendations presented in our previous work that was derived from a multi‐institutional study. Additionally, a targeting accuracy test with a film placed in the phantom was performed. MicroCT imaging of the phantom was also simulated in a modified version of the EGSnrc/DOSXYZnrc code. Images of the resolution section with the hole pattern were acquired experimentally as well as simulated in both the pancake and the standard imaging geometries. The radial spatial resolution of the experimental and simulated images was evaluated and compared to experimental data. Results For the centered phantom images acquired in the pancake geometry, all imaging protocols passed the spatial resolution criterion in the radial direction (>1.5 lp/mm @ 0.2 MTF), the geometric accuracy criterion (
doi_str_mv 10.1002/mp.13525
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Methods The 8.6‐cm‐long and 2.4‐cm‐diameter phantom was three‐dimensionally (3D) printed out of Somos NeXt plastic on a stereolithography (SLA) printer. The modular phantom consisted of four sections: (a) CT number evaluation section, (b) spatial resolution with slanted edge (for the assessment of longitudinal resolution) and targeting section, (c) spatial resolution with hole pattern (for the assessment of radial direction) section, and (d) uniformity and geometry section. A Python‐based graphical user interface (GUI) was developed for automated analysis of microCT images and evaluated CT number consistency, longitudinal and radial modulation transfer function (MTF), image uniformity, noise, and geometric accuracy. The phantom was placed at the imaging isocenter and scanned with the small animal radiation research platform (SARRP) in the pancake geometry (long axis of the phantom perpendicular to the axis of rotation) with a variety of imaging protocols. Tube voltage was set to 60 and 70 kV, tube current was set to 0.5 and 1.2 mA, voxel size was set to 200 and 275 μm, imaging times of 1, 2, and 4 min were used, and frame rates of 6 and 12 frames per second (fps) were used. The phantom was also scanned in the standard (long axis of the phantom parallel to the axis of rotation) orientation. The quality of microCT images was analyzed and compared to recommendations presented in our previous work that was derived from a multi‐institutional study. Additionally, a targeting accuracy test with a film placed in the phantom was performed. MicroCT imaging of the phantom was also simulated in a modified version of the EGSnrc/DOSXYZnrc code. Images of the resolution section with the hole pattern were acquired experimentally as well as simulated in both the pancake and the standard imaging geometries. The radial spatial resolution of the experimental and simulated images was evaluated and compared to experimental data. Results For the centered phantom images acquired in the pancake geometry, all imaging protocols passed the spatial resolution criterion in the radial direction (&gt;1.5 lp/mm @ 0.2 MTF), the geometric accuracy criterion (&lt;200 μm), and the noise criterion (&lt;55 HU). Only the imaging protocol with 200‐μm voxel size passed the criterion for spatial resolution in the longitudinal direction (&gt;1.5 lp/mm @ 0.2 MTF). The 70‐kV tube voltage dataset failed the bone CT number consistency test (&lt;55 HU). Due to cupping artifacts, none of the imaging protocols passed the uniformity test of &lt;55 HU. When the phantom was scanned in the standard imaging geometry, image uniformity and longitudinal MTF were satisfactory; however, the CT number consistency failed the recommended limit. A targeting accuracy of 282 and 251 μm along the x‐ and z‐direction was observed. Monte Carlo simulations confirmed that the radial spatial resolution for images acquired in the pancake geometry was higher than the one acquired in the standard geometry. Conclusions The new 3D‐printed phantom presents a useful tool for microCT image analysis as it closely mimics a mouse. In order to image mouse‐sized animals with acceptable image quality, the standard protocol with a 200‐μm voxel size should be chosen and cupping artifacts need to be resolved.</description><identifier>ISSN: 0094-2405</identifier><identifier>EISSN: 2473-4209</identifier><identifier>DOI: 10.1002/mp.13525</identifier><identifier>PMID: 30947359</identifier><language>eng</language><publisher>United States</publisher><subject>Animals ; Computer Simulation ; Cone-Beam Computed Tomography - instrumentation ; Equipment Design ; Image Processing, Computer-Assisted - methods ; image quality ; microCT ; Monte Carlo Method ; phantom ; Phantoms, Imaging ; Printing, Three-Dimensional ; Quality Assurance, Health Care - standards ; Radiotherapy, Image-Guided - instrumentation ; Radiotherapy, Image-Guided - methods ; Signal-To-Noise Ratio ; small animal radiotherapy ; X-Ray Microtomography - instrumentation</subject><ispartof>Medical physics (Lancaster), 2019-05, Vol.46 (5), p.2015-2024</ispartof><rights>2019 American Association of Physicists in Medicine</rights><rights>2019 American Association of Physicists in Medicine.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3695-9c3ba513a486fe692f5c8b36927c03d9a270fe4e2abd379925d412f4713460433</citedby><cites>FETCH-LOGICAL-c3695-9c3ba513a486fe692f5c8b36927c03d9a270fe4e2abd379925d412f4713460433</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fmp.13525$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fmp.13525$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30947359$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Breitkreutz, Dylan Yamabe</creatorcontrib><creatorcontrib>Bialek, Spencer</creatorcontrib><creatorcontrib>Vojnovic, Boris</creatorcontrib><creatorcontrib>Kavanagh, Anthony</creatorcontrib><creatorcontrib>Johnstone, Christopher D.</creatorcontrib><creatorcontrib>Rovner, Zach</creatorcontrib><creatorcontrib>Tsouchlos, Paul</creatorcontrib><creatorcontrib>Kanesalingam, Thilakshan</creatorcontrib><creatorcontrib>Bazalova‐Carter, Magdalena</creatorcontrib><title>A 3D printed modular phantom for quality assurance of image‐guided small animal irradiators: Design, imaging experiments, and Monte Carlo simulations</title><title>Medical physics (Lancaster)</title><addtitle>Med Phys</addtitle><description>Purpose The goal of this work was to develop and test a cylindrical tissue‐equivalent quality assurance (QA) phantom for micro computed tomography (microCT) image‐guided small animal irradiators that overcomes deficiencies of existing phantoms due to its mouse‐like dimensions and composition. Methods The 8.6‐cm‐long and 2.4‐cm‐diameter phantom was three‐dimensionally (3D) printed out of Somos NeXt plastic on a stereolithography (SLA) printer. The modular phantom consisted of four sections: (a) CT number evaluation section, (b) spatial resolution with slanted edge (for the assessment of longitudinal resolution) and targeting section, (c) spatial resolution with hole pattern (for the assessment of radial direction) section, and (d) uniformity and geometry section. A Python‐based graphical user interface (GUI) was developed for automated analysis of microCT images and evaluated CT number consistency, longitudinal and radial modulation transfer function (MTF), image uniformity, noise, and geometric accuracy. The phantom was placed at the imaging isocenter and scanned with the small animal radiation research platform (SARRP) in the pancake geometry (long axis of the phantom perpendicular to the axis of rotation) with a variety of imaging protocols. Tube voltage was set to 60 and 70 kV, tube current was set to 0.5 and 1.2 mA, voxel size was set to 200 and 275 μm, imaging times of 1, 2, and 4 min were used, and frame rates of 6 and 12 frames per second (fps) were used. The phantom was also scanned in the standard (long axis of the phantom parallel to the axis of rotation) orientation. The quality of microCT images was analyzed and compared to recommendations presented in our previous work that was derived from a multi‐institutional study. Additionally, a targeting accuracy test with a film placed in the phantom was performed. MicroCT imaging of the phantom was also simulated in a modified version of the EGSnrc/DOSXYZnrc code. Images of the resolution section with the hole pattern were acquired experimentally as well as simulated in both the pancake and the standard imaging geometries. The radial spatial resolution of the experimental and simulated images was evaluated and compared to experimental data. Results For the centered phantom images acquired in the pancake geometry, all imaging protocols passed the spatial resolution criterion in the radial direction (&gt;1.5 lp/mm @ 0.2 MTF), the geometric accuracy criterion (&lt;200 μm), and the noise criterion (&lt;55 HU). Only the imaging protocol with 200‐μm voxel size passed the criterion for spatial resolution in the longitudinal direction (&gt;1.5 lp/mm @ 0.2 MTF). The 70‐kV tube voltage dataset failed the bone CT number consistency test (&lt;55 HU). Due to cupping artifacts, none of the imaging protocols passed the uniformity test of &lt;55 HU. When the phantom was scanned in the standard imaging geometry, image uniformity and longitudinal MTF were satisfactory; however, the CT number consistency failed the recommended limit. A targeting accuracy of 282 and 251 μm along the x‐ and z‐direction was observed. Monte Carlo simulations confirmed that the radial spatial resolution for images acquired in the pancake geometry was higher than the one acquired in the standard geometry. Conclusions The new 3D‐printed phantom presents a useful tool for microCT image analysis as it closely mimics a mouse. In order to image mouse‐sized animals with acceptable image quality, the standard protocol with a 200‐μm voxel size should be chosen and cupping artifacts need to be resolved.</description><subject>Animals</subject><subject>Computer Simulation</subject><subject>Cone-Beam Computed Tomography - instrumentation</subject><subject>Equipment Design</subject><subject>Image Processing, Computer-Assisted - methods</subject><subject>image quality</subject><subject>microCT</subject><subject>Monte Carlo Method</subject><subject>phantom</subject><subject>Phantoms, Imaging</subject><subject>Printing, Three-Dimensional</subject><subject>Quality Assurance, Health Care - standards</subject><subject>Radiotherapy, Image-Guided - instrumentation</subject><subject>Radiotherapy, Image-Guided - methods</subject><subject>Signal-To-Noise Ratio</subject><subject>small animal radiotherapy</subject><subject>X-Ray Microtomography - instrumentation</subject><issn>0094-2405</issn><issn>2473-4209</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc9OFEEQxjtEAyua8ASkjx4Y7Ok_M9vcyCJqAoGDnie10zVLm_4zdM8E9-YjeOP9fBJbFvVkUkklVb_v-5IqQo5qdlozxt_58bQWiqs9suCyFZXkTL8gC8a0rLhk6oC8yvkrY6wRiu2TA1EWrVB6QR7PqbigY7JhQkN9NLODRMc7CFP0dIiJ3s_g7LSlkPOcIPRI40Cthw3-_P5jM1tTdNmDcxRCGTtqUwJjYYopn9ELzHYTTp4ENmwofhsxWY9hyidFYOh1LMl0BclFmq0v8ZONIb8mLwdwGd8890Py5fL959XH6urmw6fV-VXVi0arSvdiDaoWIJfNgI3mg-qX67Libc-E0cBbNqBEDmsjWq25MrLmg2xrIRsmhTgkb3e-Y4r3M-ap8zb36BwEjHPuOGeyWTal_qF9ijknHLpyNg9p29Ws-_2Gzo_d0xsKevzsOq89mr_gn7sXoNoBD9bh9r9G3fXtzvAXAUWS1g</recordid><startdate>201905</startdate><enddate>201905</enddate><creator>Breitkreutz, Dylan Yamabe</creator><creator>Bialek, Spencer</creator><creator>Vojnovic, Boris</creator><creator>Kavanagh, Anthony</creator><creator>Johnstone, Christopher D.</creator><creator>Rovner, Zach</creator><creator>Tsouchlos, Paul</creator><creator>Kanesalingam, Thilakshan</creator><creator>Bazalova‐Carter, Magdalena</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201905</creationdate><title>A 3D printed modular phantom for quality assurance of image‐guided small animal irradiators: Design, imaging experiments, and Monte Carlo simulations</title><author>Breitkreutz, Dylan Yamabe ; Bialek, Spencer ; Vojnovic, Boris ; Kavanagh, Anthony ; Johnstone, Christopher D. ; Rovner, Zach ; Tsouchlos, Paul ; Kanesalingam, Thilakshan ; Bazalova‐Carter, Magdalena</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3695-9c3ba513a486fe692f5c8b36927c03d9a270fe4e2abd379925d412f4713460433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Animals</topic><topic>Computer Simulation</topic><topic>Cone-Beam Computed Tomography - instrumentation</topic><topic>Equipment Design</topic><topic>Image Processing, Computer-Assisted - methods</topic><topic>image quality</topic><topic>microCT</topic><topic>Monte Carlo Method</topic><topic>phantom</topic><topic>Phantoms, Imaging</topic><topic>Printing, Three-Dimensional</topic><topic>Quality Assurance, Health Care - standards</topic><topic>Radiotherapy, Image-Guided - instrumentation</topic><topic>Radiotherapy, Image-Guided - methods</topic><topic>Signal-To-Noise Ratio</topic><topic>small animal radiotherapy</topic><topic>X-Ray Microtomography - instrumentation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Breitkreutz, Dylan Yamabe</creatorcontrib><creatorcontrib>Bialek, Spencer</creatorcontrib><creatorcontrib>Vojnovic, Boris</creatorcontrib><creatorcontrib>Kavanagh, Anthony</creatorcontrib><creatorcontrib>Johnstone, Christopher D.</creatorcontrib><creatorcontrib>Rovner, Zach</creatorcontrib><creatorcontrib>Tsouchlos, Paul</creatorcontrib><creatorcontrib>Kanesalingam, Thilakshan</creatorcontrib><creatorcontrib>Bazalova‐Carter, Magdalena</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Medical physics (Lancaster)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Breitkreutz, Dylan Yamabe</au><au>Bialek, Spencer</au><au>Vojnovic, Boris</au><au>Kavanagh, Anthony</au><au>Johnstone, Christopher D.</au><au>Rovner, Zach</au><au>Tsouchlos, Paul</au><au>Kanesalingam, Thilakshan</au><au>Bazalova‐Carter, Magdalena</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A 3D printed modular phantom for quality assurance of image‐guided small animal irradiators: Design, imaging experiments, and Monte Carlo simulations</atitle><jtitle>Medical physics (Lancaster)</jtitle><addtitle>Med Phys</addtitle><date>2019-05</date><risdate>2019</risdate><volume>46</volume><issue>5</issue><spage>2015</spage><epage>2024</epage><pages>2015-2024</pages><issn>0094-2405</issn><eissn>2473-4209</eissn><abstract>Purpose The goal of this work was to develop and test a cylindrical tissue‐equivalent quality assurance (QA) phantom for micro computed tomography (microCT) image‐guided small animal irradiators that overcomes deficiencies of existing phantoms due to its mouse‐like dimensions and composition. Methods The 8.6‐cm‐long and 2.4‐cm‐diameter phantom was three‐dimensionally (3D) printed out of Somos NeXt plastic on a stereolithography (SLA) printer. The modular phantom consisted of four sections: (a) CT number evaluation section, (b) spatial resolution with slanted edge (for the assessment of longitudinal resolution) and targeting section, (c) spatial resolution with hole pattern (for the assessment of radial direction) section, and (d) uniformity and geometry section. A Python‐based graphical user interface (GUI) was developed for automated analysis of microCT images and evaluated CT number consistency, longitudinal and radial modulation transfer function (MTF), image uniformity, noise, and geometric accuracy. The phantom was placed at the imaging isocenter and scanned with the small animal radiation research platform (SARRP) in the pancake geometry (long axis of the phantom perpendicular to the axis of rotation) with a variety of imaging protocols. Tube voltage was set to 60 and 70 kV, tube current was set to 0.5 and 1.2 mA, voxel size was set to 200 and 275 μm, imaging times of 1, 2, and 4 min were used, and frame rates of 6 and 12 frames per second (fps) were used. The phantom was also scanned in the standard (long axis of the phantom parallel to the axis of rotation) orientation. The quality of microCT images was analyzed and compared to recommendations presented in our previous work that was derived from a multi‐institutional study. Additionally, a targeting accuracy test with a film placed in the phantom was performed. MicroCT imaging of the phantom was also simulated in a modified version of the EGSnrc/DOSXYZnrc code. Images of the resolution section with the hole pattern were acquired experimentally as well as simulated in both the pancake and the standard imaging geometries. The radial spatial resolution of the experimental and simulated images was evaluated and compared to experimental data. Results For the centered phantom images acquired in the pancake geometry, all imaging protocols passed the spatial resolution criterion in the radial direction (&gt;1.5 lp/mm @ 0.2 MTF), the geometric accuracy criterion (&lt;200 μm), and the noise criterion (&lt;55 HU). Only the imaging protocol with 200‐μm voxel size passed the criterion for spatial resolution in the longitudinal direction (&gt;1.5 lp/mm @ 0.2 MTF). The 70‐kV tube voltage dataset failed the bone CT number consistency test (&lt;55 HU). Due to cupping artifacts, none of the imaging protocols passed the uniformity test of &lt;55 HU. When the phantom was scanned in the standard imaging geometry, image uniformity and longitudinal MTF were satisfactory; however, the CT number consistency failed the recommended limit. A targeting accuracy of 282 and 251 μm along the x‐ and z‐direction was observed. Monte Carlo simulations confirmed that the radial spatial resolution for images acquired in the pancake geometry was higher than the one acquired in the standard geometry. Conclusions The new 3D‐printed phantom presents a useful tool for microCT image analysis as it closely mimics a mouse. In order to image mouse‐sized animals with acceptable image quality, the standard protocol with a 200‐μm voxel size should be chosen and cupping artifacts need to be resolved.</abstract><cop>United States</cop><pmid>30947359</pmid><doi>10.1002/mp.13525</doi><tpages>10</tpages></addata></record>
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source MEDLINE; Wiley Journals; Alma/SFX Local Collection
subjects Animals
Computer Simulation
Cone-Beam Computed Tomography - instrumentation
Equipment Design
Image Processing, Computer-Assisted - methods
image quality
microCT
Monte Carlo Method
phantom
Phantoms, Imaging
Printing, Three-Dimensional
Quality Assurance, Health Care - standards
Radiotherapy, Image-Guided - instrumentation
Radiotherapy, Image-Guided - methods
Signal-To-Noise Ratio
small animal radiotherapy
X-Ray Microtomography - instrumentation
title A 3D printed modular phantom for quality assurance of image‐guided small animal irradiators: Design, imaging experiments, and Monte Carlo simulations
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