Evidence map›Paper›PMID 26233179›Full record

ArticleMedical physics2015

Three dimensional dose distribution comparison of simple and complex acquisition trajectories in dedicated breast CT.

Jainil P Shah, Steve D Mann, Randolph L McKinley, Martin P Tornai

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in Medical physics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jainil P ShahDepartment of Biomedical Engineering, Duke University, Durham, North Carolina 27705 and Multi Modality Imaging Lab, Duke University Medical Center, Durham, North Carolina 27710.
Steve D MannMedical Physics Graduate Program, Duke University Medical Center, Durham, North Carolina 27705 and Multi Modality Imaging Lab, Duke University Medical Center, Durham, North Carolina 27710.
Randolph L McKinleyZumaTek, Inc., Research Triangle Park, North Carolina 27709.
Martin P TornaiDepartment of Biomedical Engineering, Duke University, Durham, North Carolina 27705; Medical Physics Graduate Program, Duke University Medical Center, Durham, North Carolina 27705; and Multi Modality Imaging Lab, Duke University Medical Center, Durham, North Carolina 27710.

Funding

Simultaneous Emission and Transmission MammotomographyR01CA096821 · NCI · DUKE UNIVERSITY · PI TORNAI, MARTIN P · 2002 to 2012
$4.6M
Training in Medical ImagingT32EB001040 · NIBIB · DUKE UNIVERSITY · PI NIGHTINGALE, KATHRYN RADABAUGH · 2003 to 2018
$4.4M
Development of a 3D mammotomograph with novel techniques to overcome limitationsR44CA125924 · NCI · ZUMATEK, INC. · PI MCKINLEY, RANDOLPH L · 2009 to 2010
$773k
Cross-disciplinary Training in Medical PhysicsT32EB007185 · NIBIB · DUKE UNIVERSITY · PI DOBBINS, JAMES T · 2007 to 2011
$725k
NCI NIH HHS R01 CA096821NCI NIH HHS R44 CA125924NIBIB NIH HHS T32 EB001040NIBIB NIH HHS T32 EB007185
6 · The paper itself

Abstract

purposeA novel breast CT system capable of arbitrary 3D trajectories has been developed to address cone beam sampling insufficiency as well as to image further into the patient's chest wall. The purpose of this study was to characterize any trajectory-related differences in 3D x-ray dose distribution in a pendant target when imaged with different orbits.

methodsTwo acquisition trajectories were evaluated: circular azimuthal (no-tilt) and sinusoidal (saddle) orbit with ±15° tilts around a pendant breast, using Monte Carlo simulations as well as physical measurements. Simulations were performed with tungsten (W) filtration of a W-anode source; the simulated source flux was normalized to the measured exposure of a W-anode source. A water-filled cylindrical phantom was divided into 1 cm(3) voxels, and the cumulative energy deposited was tracked in each voxel. Energy deposited per voxel was converted to dose, yielding the 3D distributed dose volumes. Additionally, three cylindrical phantoms of different diameters (10, 12.5, and 15 cm) and an anthropomorphic breast phantom, initially filled with water (mimicking pure fibroglandular tissue) and then with a 75% methanol-25% water mixture (mimicking 50-50 fibroglandular-adipose tissues), were used to simulate the pendant breast geometry and scanned on the physical system. Ionization chamber calibrated radiochromic film was used to determine the dose delivered in a 2D plane through the center of the volume for a fully 3D CT scan using the different orbits.

resultsMeasured experimental results for the same exposure indicated that the mean dose measured throughout the central slice for different diameters ranged from 3.93 to 5.28 mGy, with the lowest average dose measured on the largest cylinder with water mimicking a homogeneously fibroglandular breast. These results align well with the cylinder phantom Monte Carlo studies which also showed a marginal difference in dose delivered by a saddle trajectory in the central slice. Regardless of phantom material or filled fluid density, dose delivered by the saddle scan was negligibly different than the simple circular, no-tilt scans. The average dose measured in the breast phantom was marginally higher for saddle than the circular no tilt scan at 3.82 and 3.87 mGy, respectively.

conclusionsNot only does nontraditional 3D-trajectory CT scanning yield more complete sampling of the breast volume but also has comparable dose deposition throughout the breast and anterior chest volume, as verified by Monte Carlo simulation and physical measurements.

Indexed as

Biomarkers, PharmacologicalComputer SimulationCone-Beam Computed TomographyImaging, Three-DimensionalMammographyModels, BiologicalMonte Carlo MethodPhantoms, ImagingRadiation DosageTungstenWaterBiomarkers, PharmacologicalTungstenWater

Identifiers

PMID26233179
PMCPMC4499047

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.