The Study for Standardization of Dose Evaluation Method in Cone-beam CT

Abstract

Purpose: This study aimed to compare the dose evaluation methods by constructing simulation models using the Monte Carlo calculation code and propose an evaluation method for cone beam CT (CBCT) that ensures accuracy and practicality. Methods: The Particle and Heavy Ion Transport code System (PHITS) ver. 3.26 was used as the Monte Carlo calculation code. CBCT doses were measured by CB dose index (CBDI) and American Association of Physicists in Medicine task group 111 (TG111) methods. The CBDI was compared with the equilibrium doses obtained by the TG111 method. Results: Although CBDI was lower than equilibrium doses obtained by the TG111 method, its practicality was ensured because it can be measured using the dosimeter and phantom that are commonly used. In contrast, the TG111 method guarantees accuracy, but it is difficult to prepare a long phantom to obtain the equilibrium dose. The TG111 method with a phantom length of 15 cm underestimated the equilibrium dose by 20% compared to that with a phantom length of 45 cm that satisfies the dose equilibrium. Therefore, the equilibrium dose obtained by the TG111 method with a phantom length of 15 cm is multiplied by 1.20 to obtain the equilibrium dose equivalent to that with a phantom length of 45 cm. Conclusion: This study has proposed the dose evaluation method that combines guarantees accuracy and practicality in CBCT.