Evidence map›Paper›PMID 33503603›Full record

ArticlePhysics in medicine and biology2021

Frequency-dependent optimal weighting approach for megavoltage multilayer imagers.

Ingrid Valencia Lozano, Mengying Shi, Marios Myronakis, Paul Baturin, Rony Fueglistaller, Pascal Huber, Mathias Lehmann, Daniel Morf, Dianne Ferguson, Matthew W Jacobson and 3 more

Abstract read
In one paragraph

Article in Physics in medicine and biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 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

13 authors.

Ingrid Valencia LozanoDepartment of Radiation Oncology, Brigham and Women's Hospital, Dana Farber Cancer Institute and Harvard Medical School, Boston, MA, United States of America.ORCID 0000-0002-9130-8590
Mengying ShiDepartment of Radiation Oncology, Brigham and Women's Hospital, Dana Farber Cancer Institute and Harvard Medical School, Boston, MA, United States of America.
Marios MyronakisDepartment of Radiation Oncology, Brigham and Women's Hospital, Dana Farber Cancer Institute and Harvard Medical School, Boston, MA, United States of America.
Paul BaturinVarian Medical Systems, Palo Alto, CA, United States of America.
Rony FueglistallerVarian Medical Systems, Baden, Switzerland.
Pascal HuberVarian Medical Systems, Baden, Switzerland.
Mathias LehmannVarian Medical Systems, Baden, Switzerland.
Daniel MorfVarian Medical Systems, Baden, Switzerland.
Dianne FergusonDepartment of Radiation Oncology, Brigham and Women's Hospital, Dana Farber Cancer Institute and Harvard Medical School, Boston, MA, United States of America.
Matthew W JacobsonDepartment of Radiation Oncology, Brigham and Women's Hospital, Dana Farber Cancer Institute and Harvard Medical School, Boston, MA, United States of America.ORCID 0000-0001-7616-945X
Thomas HarrisVarian Medical Systems, Palo Alto, CA, United States of America.
Ross I BerbecoVarian Medical Systems, Palo Alto, CA, United States of America.
Christopher L WilliamsVarian Medical Systems, Palo Alto, CA, United States of America.

Funding

A novel flat-panel detector for advanced on-board radiation therapy imagingR01CA188446 · NCI · DANA-FARBER CANCER INST · PI BERBECO, ROSS I., FUEGLISTALLER, RONY · 2014 to 2024
$7.2M
NCI NIH HHS R01 CA188446
6 · The paper itself

Abstract

Multi-layer imaging (MLI) devices improve the detective quantum efficiency (DQE) while maintaining the spatial resolution of conventional mega-voltage (MV) x-ray detectors for applications in radiotherapy. To date, only MLIs with identical detector layers have been explored. However, it may be possible to instead use different scintillation materials in each layer to improve the final image quality. To this end, we developed and validated a method for optimally combining the individual images from each layer of MLI devices that are built with heterogeneous layers. Two configurations were modeled within the GATE Monte Carlo package by stacking different layers of a terbium doped gadolinium oxysulfide Gd2O2S:Tb (GOS) phosphor and a LKH-5 glass scintillator. Detector response was characterized in terms of the modulation transfer function (MTF), normalized noise power spectrum (NNPS) and DQE. Spatial frequency-dependent weighting factors were then analytically derived for each layer such that the total DQE of the summed combination image would be maximized across all spatial modes. The final image is obtained as the weighted sum of the sub-images from each layer. Optimal weighting factors that maximize the DQE were found to be the quotient of MTF and NNPS of each layer in the heterogeneous MLI detector. Results validated the improvement of the DQE across the entire frequency domain. For the LKH-5 slab configuration, DQE(0) increases between 2%-3% (absolute), while the corresponding improvement for the LKH-5 pixelated configuration was 7%. The performance of the weighting method was quantitatively evaluated with respect to spatial resolution, contrast-to-noise ratio (CNR) and signal-to-noise ratio (SNR) of simulated planar images of phantoms at 2.5 and 6 MV. The line pair phantom acquisition exhibited a twofold increase in CNR and SNR, however MTF was degraded at spatial frequencies greater than 0.2 lp mm

Indexed as

Diagnostic ImagingMonte Carlo MethodPhantoms, ImagingSignal-To-Noise Ratiofrequency-dependent weightingmega-voltage x-raysmulti-layer detectorsportal imaging

Identifiers

PMID33503603
PMCPMC9100915

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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.