[en] Computed radiography (CR) plates are currently used in radiation therapy clinics to acquire digital radiographic images for the purpose of verifying the treatment field size, shape, and location. Each CR plate may be used numerous times, and the use of these digital images allows for easy storage and retrieval of patient data. Over prolonged repeat exposures of the CR plates, however, the image quality begins to degrade, making it increasingly more difficult for the therapists and physicians to determine where one anatomical structure begins, and the other ends. The purpose of this project was to analyze and compare the linearity and uniformity responses of new CR plates, versus CR plates that have been used clinically for a period of 2 years, and determine whether linearity or uniformity response may be used as an indicator of image quality degradation. To determine this, 44 old Agfa MD10 CR plates and 56 new Agfa MD10 CR plates were tested. When comparing the results of the uniformity test, we found both the old and the new plates varied from approximately 0.5% to 3.2%. When comparing the results of the linearity test, we found that the correlation coefficient, R², for both the old and the new plates varied from approximately 0.996 to 0.998, with the mean values being 0.9972 and 0.9979, respectively. We concluded that linearity and uniformity response cannot be used as an effective method for the evaluation of CR plate performance. Additional research is currently underway to evaluate various other methods of assessing CR plate performance

[en] We have developed a new four-dimensional cone beam CT (4D-CBCT) on a Varian image-guided radiation therapy system, which has radiation therapy treatment and cone beam CT imaging capabilities. We adapted the speed of gantry rotation time of the CBCT to the average breath cycle of the patient to maintain the same level of image quality and adjusted the data sampling frequency to keep a similar level of radiation exposure to the patient. Our design utilized the real-time positioning and monitoring system to record the respiratory signal of the patient during the acquisition of the CBCT data. We used the full-fan bowtie filter during data acquisition, acquired the projection data over 200 deg of gantry rotation, and reconstructed the images with a half-scan cone beam reconstruction. The scan time for a 200-deg gantry rotation per patient ranged from 3.3 to 6.6 min for the average breath cycle of 3-6 s. The radiation dose of the 4D-CBCT was about 1-2 times the radiation dose of the 4D-CT on a multislice CT scanner. We evaluated the 4D-CBCT in scanning, data processing and image quality with phantom studies. We demonstrated the clinical applicability of the 4D-CBCT and compared the 4D-CBCT and the 4D-CT scans in four patient studies. The contrast-to-noise ratio of the 4D-CT was 2.8-3.5 times of the contrast-to-noise ratio of the 4D-CBCT in the four patient studies