ISSN 1004-4140
CN 11-3017/P
贾淑梅, 郑钧正, 张丽, 高河伟, 邢宇翔. 口腔锥形束CT剂量评估模式的研究现状[J]. CT理论与应用研究, 2019, 28(1): 1-11. DOI: 10.15953/j.1004-4140.2019.28.01.01
引用本文: 贾淑梅, 郑钧正, 张丽, 高河伟, 邢宇翔. 口腔锥形束CT剂量评估模式的研究现状[J]. CT理论与应用研究, 2019, 28(1): 1-11. DOI: 10.15953/j.1004-4140.2019.28.01.01
JIA Shumei, ZHENG Junzheng, ZHANG Li, GAO Hewei, XING Yuxiang. Status of Study in Dental Cone Beam Computed Tomography Dose Estimation Modes[J]. CT Theory and Applications, 2019, 28(1): 1-11. DOI: 10.15953/j.1004-4140.2019.28.01.01
Citation: JIA Shumei, ZHENG Junzheng, ZHANG Li, GAO Hewei, XING Yuxiang. Status of Study in Dental Cone Beam Computed Tomography Dose Estimation Modes[J]. CT Theory and Applications, 2019, 28(1): 1-11. DOI: 10.15953/j.1004-4140.2019.28.01.01

口腔锥形束CT剂量评估模式的研究现状

Status of Study in Dental Cone Beam Computed Tomography Dose Estimation Modes

  • 摘要: 基于平板探测器的口腔锥形束计算机断层成像(CBCT)具有X射线Z方向(本文中指平行于CT旋转轴的方向)宽准直、180°至360°投影角度范围可选、扫描视野尺寸可调节、全扇束或半扇束偏置模式可选等特点。受检者头部的吸收剂量分布与传统多排探测器CT (MDCT)和其他临床CBCT (例如放射治疗图像引导的CBCT、介入手术的CBCT等)的吸收剂量分布相比更加复杂。因此,至今还没有有效的、取得国际共识的口腔CBCT剂量评估模式。本文调研了CT剂量评估的相关研究,将口腔CBCT剂量评估模式总结为由相互联系的剂量表征量和受检者医疗照射剂量(本文中指基于人群平均数据的有效剂量和受检者特异的组织器官吸收剂量)两个层面构成。同时指出,口腔CBCT剂量表征量研究的关键问题是如何准确地描述口腔CBCT扫描一个均匀圆柱体模时,体模的垂直于Z方向的中间平面的吸收剂量分布规律,目前,面平均吸收剂量是最有潜力解决该问题的剂量表征量;口腔CBCT可以直接采用MDCT的受检者医疗照射剂量评估原理,但还需要解决的关键问题是如何提供准确的受检者对X射线的衰减情况;同时,口腔CBCT的剂量评估模式研究还应该探讨锥形束X射线阳极效应、锥角效应的影响。

     

    Abstract: Flat-panel detector based cone beam computed tomography (CBCT) dental medical imaging (dental CBCT) possesses the characteristics as X-ray beam wide-collimated at Z direction (refer to direction parallel to CT rotation axis), 180 to 360 degree selectable scan angle range, adjustable field of view size, and selectable full-fan or half-fan detector offset modes. Absorbed dose distributions in patient's head caused by dental CBCT are more complex than that caused by multi-detector CT (MDCT) and other clinical CBCTs (eg. CBCT applied to image-guided radiotherapy and interventional surgery etc.). Therefore, an effective and agreed internationally dental CBCT dose estimation mode has not been raised yet. This paper reviews researches on CT dose estimation, and concludes that dental CBCT dose estimation mode consists two interacted layers of dose index and patient medical radiation dose (which indicates effective dose based on population mean dataset and patient specific organ dose). Meanwhile, this review reaches results as follows. The key problem for dental CBCT dose index is how to depict absorbed dose distributions at phantom central plane being vertical to Z direction when an uniform cylindrical phantom is scanned. Area average absorbed dose is the most promising dose index to this problem. Dental CBCT can apply MDCT's patient medical radiation dose estimation theories directly, except for one problem remains to be solved. That is how to get exact patient's attenuation information for specific X-ray source. Meanwhile, dental CBCT dose estimation mode should explore the influence caused by heel effect and cone angle effect of cone shape X-ray beam.

     

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