Evaluation of intra-fractional CBCT image quality using different megavoltage beam sizes and imaging conditions in a phantom study

Abstract The intra-fractional cone beam computed tomography can provide real-time anatomical information while saving treatment time, leading to important breakthroughs in image-guided radiation therapy. However, MV-level photon scattering during the image acquisition will disrupt the image quality....

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Main Authors: Ruining Song, Shumin Cui, Baomin Chen
Format: Article
Language:English
Published: Nature Portfolio 2025-05-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-00902-w
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author Ruining Song
Shumin Cui
Baomin Chen
author_facet Ruining Song
Shumin Cui
Baomin Chen
author_sort Ruining Song
collection DOAJ
description Abstract The intra-fractional cone beam computed tomography can provide real-time anatomical information while saving treatment time, leading to important breakthroughs in image-guided radiation therapy. However, MV-level photon scattering during the image acquisition will disrupt the image quality. We obtained intra-fractional cone beam computed tomography images of a standard phantom using different sizes of MV-beam and imaging conditions such as imaging time, tube current and tube voltage. We analyzed the uniformity index, noise power spectrum, low contrast visibility and spatial resolution of the images to investigate the effect of MV-level photon scattering on the image quality of intra-fractional cone beam computed tomography. It was found that these parameters of the images varied regularly with the size of the MV-beam, which can help us to predict in advance whether the quality of the images meets the clinical requirements based on the radiation treatment plan to decide whether to use intra-fractional cone beam computed tomography. The research also shows that the different imaging conditions can improve or deteriorate the image parameter, which can also help us choose reasonable imaging conditions to obtain better image quality according to the clinical situation.
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spelling doaj-art-c6848be3a53a46c882e2a333bc73bcac2025-08-20T03:09:35ZengNature PortfolioScientific Reports2045-23222025-05-0115111110.1038/s41598-025-00902-wEvaluation of intra-fractional CBCT image quality using different megavoltage beam sizes and imaging conditions in a phantom studyRuining Song0Shumin Cui1Baomin Chen2Department of radiotherapy, Shanxi Provincial People’s HospitalDepartment of radiotherapy, Shanxi Provincial People’s HospitalDepartment of radiotherapy, Shanxi Provincial People’s HospitalAbstract The intra-fractional cone beam computed tomography can provide real-time anatomical information while saving treatment time, leading to important breakthroughs in image-guided radiation therapy. However, MV-level photon scattering during the image acquisition will disrupt the image quality. We obtained intra-fractional cone beam computed tomography images of a standard phantom using different sizes of MV-beam and imaging conditions such as imaging time, tube current and tube voltage. We analyzed the uniformity index, noise power spectrum, low contrast visibility and spatial resolution of the images to investigate the effect of MV-level photon scattering on the image quality of intra-fractional cone beam computed tomography. It was found that these parameters of the images varied regularly with the size of the MV-beam, which can help us to predict in advance whether the quality of the images meets the clinical requirements based on the radiation treatment plan to decide whether to use intra-fractional cone beam computed tomography. The research also shows that the different imaging conditions can improve or deteriorate the image parameter, which can also help us choose reasonable imaging conditions to obtain better image quality according to the clinical situation.https://doi.org/10.1038/s41598-025-00902-wIntra-fractional cone beam computed tomographyScatteringUniformity indexNoise power spectrumLow contrast visibilitySpatial resolution
spellingShingle Ruining Song
Shumin Cui
Baomin Chen
Evaluation of intra-fractional CBCT image quality using different megavoltage beam sizes and imaging conditions in a phantom study
Scientific Reports
Intra-fractional cone beam computed tomography
Scattering
Uniformity index
Noise power spectrum
Low contrast visibility
Spatial resolution
title Evaluation of intra-fractional CBCT image quality using different megavoltage beam sizes and imaging conditions in a phantom study
title_full Evaluation of intra-fractional CBCT image quality using different megavoltage beam sizes and imaging conditions in a phantom study
title_fullStr Evaluation of intra-fractional CBCT image quality using different megavoltage beam sizes and imaging conditions in a phantom study
title_full_unstemmed Evaluation of intra-fractional CBCT image quality using different megavoltage beam sizes and imaging conditions in a phantom study
title_short Evaluation of intra-fractional CBCT image quality using different megavoltage beam sizes and imaging conditions in a phantom study
title_sort evaluation of intra fractional cbct image quality using different megavoltage beam sizes and imaging conditions in a phantom study
topic Intra-fractional cone beam computed tomography
Scattering
Uniformity index
Noise power spectrum
Low contrast visibility
Spatial resolution
url https://doi.org/10.1038/s41598-025-00902-w
work_keys_str_mv AT ruiningsong evaluationofintrafractionalcbctimagequalityusingdifferentmegavoltagebeamsizesandimagingconditionsinaphantomstudy
AT shumincui evaluationofintrafractionalcbctimagequalityusingdifferentmegavoltagebeamsizesandimagingconditionsinaphantomstudy
AT baominchen evaluationofintrafractionalcbctimagequalityusingdifferentmegavoltagebeamsizesandimagingconditionsinaphantomstudy