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Neutron Measurement Instrumentation Development at KIT for the European ITER TBM

Fusion power reactors will rely on the internal production of the fuel tritium from lithium in the tritium breeding blanket. Test Blanket Modules (TBM) will be installed in ITER with the aim to investigate the nuclear performance of different breeding blanket designs. Currently there is no fully qualified nuclear instrumentation available for the measurement of neutron fluxes and tritium production rates which would be able to withstand the harsh environment conditions in the TBM such as high temperature (>400 deg. C) and, depending on the operation scenario, intense radiation levels. As partner of the European Consortium on Nuclear Data and Measurement Techniques in the framework of several F4E specific grants and contracts, KIT and ENEA have jointly studied the possibility to develop and test detectors suitable to operate in ITER-TBMs. Here we present an overview of ongoing work on three types of neutron flux monitors under development for the TBMs with focus on the KIT activities. A neutron activation system (NAS) with pneumatic sample transport could provide absolute neutron flux measurements in selected positions. A test system for investigating activation materials with short half-lives was constructed at the DT neutron generator laboratory of Technical University of Dresden to investigate the neutronics aspects. Several irradiations have been performed with focus on the simultaneous measurement of the extracted activated probes. An engineering assessment of a TBM NAS in the conceptual design phase has been done which considered issues of design requirements and integration. Last but not least, a mechanical test bench is under construction at KIT which will address issues of driving the activation probes, solutions for loading the system etc. experimentally. Self-powered neutron detectors (SPND) are widely applied in fission reactor monitoring, and the commercially available SPNDs are sensitive to thermal neutrons. We are investigating novel materials for SPND which would be sensitive also to the fast neutron flux expected in the TBMs. To this end simulations were done with the European Activation System EASY and neutron flux spectra which were calculated with MCNP for the HCPB TBM. Preliminary tests with commercial SPND in a fast reactor were performed. As a result of these activities, several materials have been found which may be suitable for the measurement of fast neutron fluxes in the TBM. Test detectors are under preparation for testing with DT neutron generators. Within the I{sub S}MART project, funded by KIC InnoEnergy, KIT is developing an online detector based on silicon carbide electronics for the TBMs. The operation of such detectors at TBM relevant temperatures is expected to incur lower accumulated radiation damage to them than at room temperature due to annealing effects. Detectors of several designs have been already irradiated with DT neutrons. Irradiation tests at elevated temperatures have been done and further tests are currently underway. This paper summarizes the status of the work for these three neutron flux monitor systems. (authors)

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

Material Assessment for ITER's Collective Thomson Scattering first mirror

The International Thermonuclear Energy Reactor (ITER) Collective Thomson Scattering (CTS) system is a diagnostic instrument that measures plasma density and velocity through Thomson scattering of microwave radiation. Some of the key components of the CTS are quasi-optical mirrors that are used to produce astigmatic beam patterns, which have impact on the strength and spatial resolution of the diagnostic signal. The mirrors are exposed to neutron radiation, which may alter the quality of the signal received. In this work, three different materials (molybdenum (Mo), stainless steel 316 (SS-316) and tungsten (W)) are considered for the first mirror of the CTS. The objective is to access which of the material studied are best suited for this mirror, considering different neutron radiation loads simulated scenarios defined by ITER, based on the resultant stresses and temperature distributions. For it, the neutron irradiation, and subsequent heat-load on the mirrors are simulated using the Monte Carlo N-Particle (MCNP) code. Based on the MCNP heat-load results, transient thermal-structural Finite Element Analysis (FEA) of the mirror over a 400 s discharge, with and without cooling on the rear side, are conducted using in commercial FEA software ANSYS. Results show that of the tested materials Mo and W are the most suitable material for this application. Even though, this study does not yet consider the variation of the material properties with temperature, it presents a quick initial satisfactory assessment that may be considered in subsequent and more complex analysis. (authors)

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Iterative Reconstruction for Multimodal Neutron Tomography

Here, we describe a unified framework for model-based iterative 3-D reconstruction of multimodal neutron transmission, hydrogen-scatter, and induced-fission images from low resolution data recorded using 14.1-MeV neutrons and the associated-particle imaging (API) technique. The framework, which was developed to facilitate use in challenging field-deployment scenarios, is centered around physics-based system models and a total variation (TV) constrained implementation of the simultaneous iterative reconstruction technique (SIRT). Modified to solve a statistically weighted least squares (WLS) problem, the SIRT algorithm is accelerated using ordered subsets and Nesterov’s momentum for which we derive a near-optimal value of the governing Lipschitz constant. The approach enables the reconstruction of images that are high resolution compared to the acquired data and is robust to both limited statistics and a limited number of projection angles. Moreover, the framework is fast enough to be practical. Example images are provided that demonstrate both the ability to perform fast-neutron imaging of high-atomic-number materials with low radiation dose and the benefit of multimodal neutron imaging to identify key materials.

Hydrogen scatter↗

Design and Analysis Progress of ITER Diagnostic Equatorial Port #09

ITER is the world's largest fusion device currently under construction in the South of France with >50 diagnostic systems to be installed inside the port plugs (PPs), the interspace (IS), or the port cell region of various diagnostic ports. The plasma facing diagnostic first wall (DFW) and its supporting diagnostic shield modules (DSM) are designed to protect front-end diagnostics from plasma neutron and plasma radiation, while providing apertures for diagnostic access to the plasma. The design of ITER port plug structures including the DFW and the DSM is largely driven by the electromagnetic loads included on the PP structural components during plasma major disruptions and the vertical displacement events (VDEs). Unlike DFW and DSM, the design of diagnostic system, however, is likely driven by the steady-state thermal loads from plasma volumetric and surface heating and the dynamic response of the in-port components attached to the port-specific DSM or closure plate under transient loads induced on the vacuum vessel and the port extension during asymmetric VDEs. Three tenant diagnostic systems are integrated into the equatorial port 09. The toroidal interferometer/polarimeter, or TIP system, is installed in the left drawer (DSM3, left looking from plasma) for measuring the plasma density so to control the fuel input. The electron cyclotron emission (ECE) system is installed in the middle drawer (DSM2) to provide the high spatial and temporal resolution measurements of electron temperature evolution and the electron thermal transport inferences. The visible/infrared wide angle viewing system is installed in the right drawer (DSM1) to provide visible and infrared viewing and temperature data of the first wall for its protection in support of machine operation. The port plug integration design and multiphysics analyses are performed following port integration requirements including the weight limit (45 tones total), shut down dose rate limits, the cooling/heating and structural integrity validation. Mass distribution for TIP and ECE DSMs has been optimized to minimize the total weight by a new design of the boron carbide shielding pocket. Furthermore, the lightened DSM maintains its front-end load distribution and the structural stiffness with minimum impact to the DFW so to better protect on-board diagnostics; while still provides sufficient front-end stiffness for its structural integrity as well as the diagnostics function requirements.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Progress on the Design Development for Hard Core Components for USDA Diagnostics at ITER

An ITER hard core component (HCC) is defined for each undesirable situation with cliff edge effect consequences. Such structure system components (SCCs) are designed to prevent these situations at nuclear power plants, as well as to return and maintain a safe state in the event such a situation occurs. Only two hard core situations can really lead to cliff edge effect unless HCCs are implemented to limit the consequences: extreme earthquake (SL-3) and multiples fire in tritium building initiated by SL-3. The equipment (window and/or shutter) that closes penetrations from both sides of gallery to outside (Diagnostic building, Tritium building, and Assembly building) are classified as HCCs and SIC-2. Furthermore, design status of the HCC penetrations belong to US ITER diagnostic systems will be presented in this publication.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

A Prototype High-Voltage Pulsed Power Supply for Control of the ITER Shattered Pellet Injection System Flyer Plate Valve

A high-voltage pulsed power supply (HVPPS) has been designed, prototyped, and tested for driving an eddy current actuated propellant valve for the International Thermonuclear Experimental Reactor (ITER) disruption mitigation system. The high-voltage (HV) dc supply output voltage is software programmable, and the energy storage capacitor bank can be readily reconfigured as 200, 400, 600, and 800 μ F, enabling testing and optimization of both the valve drive and valve systems. Multiple system parameters are monitored before, during, and after each firing of the valve. The system parameters are both displayed and stored for further analysis. Control of the setup, firing sequence, and data collection is automated using a LabVIEW-based control program. The programmability and reconfigurability of this system collectively provide a flexible and robust platform for system refinement and optimization. In this article, a summary of the system will be provided including operational sequences, HV switching and associated triggering methods and circuits, and results measured while firing a solid frozen pellet. Additionally, planned refinement activities toward meeting all requirements for ITER integration will be discussed.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Alpha image reconstruction (AIR): A new iterative CT image reconstruction approach using voxel-wise alpha blending

Purpose: Iterative image reconstruction gains more and more interest in clinical routine, as it promises to reduce image noise (and thereby patient dose), to reduce artifacts, or to improve spatial resolution. Among vendors and researchers, however, there is no consensus of how to best achieve these aims. The general approach is to incorporatea priori knowledge into iterative image reconstruction, for example, by adding additional constraints to the cost function, which penalize variations between neighboring voxels. However, this approach to regularization in general poses a resolution noise trade-off because the stronger the regularization, and thus the noise reduction, the stronger the loss of spatial resolution and thus loss of anatomical detail. The authors propose a method which tries to improve this trade-off. The proposed reconstruction algorithm is called alpha image reconstruction (AIR). One starts with generating basis images, which emphasize certain desired image properties, like high resolution or low noise. The AIR algorithm reconstructs voxel-specific weighting coefficients that are applied to combine the basis images. By combining the desired properties of each basis image, one can generate an image with lower noise and maintained high contrast resolution thus improving the resolution noise trade-off. Methods: All simulations and reconstructions are performed in native fan-beam geometry. A water phantom with resolution bar patterns and low contrast disks is simulated. A filtered backprojection (FBP) reconstruction with a Ram-Lak kernel is used as a reference reconstruction. The results of AIR are compared against the FBP results and against a penalized weighted least squares reconstruction which uses total variation as regularization. The simulations are based on the geometry of the Siemens Somatom Definition Flash scanner. To quantitatively assess image quality, the authors analyze line profiles through resolution patterns to define a contrast factor for contrast-resolution plots. Furthermore, the authors calculate the contrast-to-noise ratio with the low contrast disks and the authors compare the agreement of the reconstructions with the ground truth by calculating the normalized cross-correlation and the root-mean-square deviation. To evaluate the clinical performance of the proposed method, the authors reconstruct patient data acquired with a Somatom Definition Flash dual source CT scanner (Siemens Healthcare, Forchheim, Germany). Results: The results of the simulation study show that among the compared algorithms AIR achieves the highest resolution and the highest agreement with the ground truth. Compared to the reference FBP reconstruction AIR is able to reduce the relative pixel noise by up to 50% and at the same time achieve a higher resolution by maintaining the edge information from the basis images. These results can be confirmed with the patient data. Conclusions: To evaluate the AIR algorithm simulated and measured patient data of a state-of-the-art clinical CT system were processed. It is shown, that generating CT images through the reconstruction of weighting coefficients has the potential to improve the resolution noise trade-off and thus to improve the dose usage in clinical CT.

60 APPLIED LIFE SCIENCES↗

Low dose dynamic CT myocardial perfusion imaging using a statistical iterative reconstruction method

Purpose: Dynamic CT myocardial perfusion imaging has the potential to provide both functional and anatomical information regarding coronary artery stenosis. However, radiation dose can be potentially high due to repeated scanning of the same region. The purpose of this study is to investigate the use of statistical iterative reconstruction to improve parametric maps of myocardial perfusion derived from a low tube current dynamic CT acquisition. Methods: Four pigs underwent high (500 mA) and low (25 mA) dose dynamic CT myocardial perfusion scans with and without coronary occlusion. To delineate the affected myocardial territory, an N-13 ammonia PET perfusion scan was performed for each animal in each occlusion state. Filtered backprojection (FBP) reconstruction was first applied to all CT data sets. Then, a statistical iterative reconstruction (SIR) method was applied to data sets acquired at low dose. Image voxel noise was matched between the low dose SIR and high dose FBP reconstructions. CT perfusion maps were compared among the low dose FBP, low dose SIR and high dose FBP reconstructions. Numerical simulations of a dynamic CT scan at high and low dose (20:1 ratio) were performed to quantitatively evaluate SIR and FBP performance in terms of flow map accuracy, precision, dose efficiency, and spatial resolution. Results: Forin vivo studies, the 500 mA FBP maps gave −88.4%, −96.0%, −76.7%, and −65.8% flow change in the occluded anterior region compared to the open-coronary scans (four animals). The percent changes in the 25 mA SIR maps were in good agreement, measuring −94.7%, −81.6%, −84.0%, and −72.2%. The 25 mA FBP maps gave unreliable flow measurements due to streaks caused by photon starvation (percent changes of +137.4%, +71.0%, −11.8%, and −3.5%). Agreement between 25 mA SIR and 500 mA FBP global flow was −9.7%, 8.8%, −3.1%, and 26.4%. The average variability of flow measurements in a nonoccluded region was 16.3%, 24.1%, and 937.9% for the 500 mA FBP, 25 mA SIR, and 25 mA FBP, respectively. In numerical simulations, SIR mitigated streak artifacts in the low dose data and yielded flow maps with mean error <7% and standard deviation <9% of mean, for 30×30 pixel ROIs (12.9 × 12.9 mm{sup 2}). In comparison, low dose FBP flow errors were −38% to +258%, and standard deviation was 6%–93%. Additionally, low dose SIR achieved 4.6 times improvement in flow map CNR{sup 2} per unit input dose compared to low dose FBP. Conclusions: SIR reconstruction can reduce image noise and mitigate streaking artifacts caused by photon starvation in dynamic CT myocardial perfusion data sets acquired at low dose (low tube current), and improve perfusion map quality in comparison to FBP reconstruction at the same dose.

60 APPLIED LIFE SCIENCES↗

SU-D-17A-02: Four-Dimensional CBCT Using Conventional CBCT Dataset and Iterative Subtraction Algorithm of a Lung Patient

Purpose: The Iterative Subtraction Algorithm (ISA) method generates retrospectively a pre-selected motion phase cone-beam CT image from the full motion cone-beam CT acquired at standard rotation speed. This work evaluates ISA method with real lung patient data. Methods: The goal of the ISA algorithm is to extract motion and no- motion components form the full reconstruction CBCT. The workflow consists of subtracting from the full CBCT all of the undesired motion phases and obtain a motion de-blurred single-phase CBCT image, followed by iteration of this subtraction process. ISA is realized as follows: 1) The projections are sorted to various phases, and from all phases, a full reconstruction is performed to generate an image CTM. 2) Generate forward projections of CTM at the desired phase projection angles, the subtraction of projection and the forward projection will reconstruct a CTSub1, which diminishes the desired phase component. 3) By adding back the CTSub1 to CTm, no motion CBCT, CTS1, can be computed. 4) CTS1 still contains residual motion component. 5) This residual motion component can be further reduced by iteration.The ISA 4DCBCT technique was implemented using Varian Trilogy accelerator OBI system. To evaluate the method, a lung patient CBCT dataset was used. The reconstruction algorithm is FDK. Results: The single phase CBCT reconstruction generated via ISA successfully isolates the desired motion phase from the full motion CBCT, effectively reducing motion blur. It also shows improved image quality, with reduced streak artifacts with respect to the reconstructions from unprocessed phase-sorted projections only. Conclusion: A CBCT motion de-blurring algorithm, ISA, has been developed and evaluated with lung patient data. The algorithm allows improved visualization of a single phase motion extracted from a standard CBCT dataset. This study has been supported by National Institute of Health through R01CA133539.

60 APPLIED LIFE SCIENCES↗

SU-E-I-82: Improving CT Image Quality for Radiation Therapy Using Iterative Reconstruction Algorithms and Slightly Increasing Imaging Doses

Purpose: Iterative reconstruction (IR) algorithms are developed to improve CT image quality (IQ) by reducing noise without diminishing spatial resolution or contrast. For CT in radiation therapy (RT), slightly increasing imaging dose to improve IQ may be justified if it can substantially enhance structure delineation. The purpose of this study is to investigate and to quantify the IQ enhancement as a result of increasing imaging doses and using IR algorithms. Methods: CT images were acquired for phantoms, built to evaluate IQ metrics including spatial resolution, contrast and noise, with a variety of imaging protocols using a CT scanner (Definition AS Open, Siemens) installed inside a Linac room. Representative patients were scanned once the protocols were optimized. Both phantom and patient scans were reconstructed using the Sinogram Affirmed Iterative Reconstruction (SAFIRE) and the Filtered Back Projection (FBP) methods. IQ metrics of the obtained CTs were compared. Results: IR techniques are demonstrated to preserve spatial resolution as measured by the point spread function and reduce noise in comparison to traditional FBP. Driven by the reduction in noise, the contrast to noise ratio is doubled by adopting the highest SAFIRE strength. As expected, increasing imaging dose reduces noise for both SAFIRE and FBP reconstructions. The contrast to noise increases from 3 to 5 by increasing the dose by a factor of 4. Similar IQ improvement was observed on the CTs for selected patients with pancreas and prostrate cancers. Conclusion: The IR techniques produce a measurable enhancement to CT IQ by reducing the noise. Increasing imaging dose further reduces noise independent of the IR techniques. The improved CT enables more accurate delineation of tumors and/or organs at risk during RT planning and delivery guidance.

60 APPLIED LIFE SCIENCES↗

Ultralow dose computed tomography attenuation correction for pediatric PET CT using adaptive statistical iterative reconstruction

Purpose: To develop ultralow dose computed tomography (CT) attenuation correction (CTAC) acquisition protocols for pediatric positron emission tomography CT (PET CT). Methods: A GE Discovery 690 PET CT hybrid scanner was used to investigate the change to quantitative PET and CT measurements when operated at ultralow doses (10–35 mA s). CT quantitation: noise, low-contrast resolution, and CT numbers for 11 tissue substitutes were analyzed in-phantom. CT quantitation was analyzed to a reduction of 90% volume computed tomography dose index (0.39/3.64; mGy) from baseline. To minimize noise infiltration, 100% adaptive statistical iterative reconstruction (ASiR) was used for CT reconstruction. PET images were reconstructed with the lower-dose CTAC iterations and analyzed for: maximum body weight standardized uptake value (SUV{sub bw}) of various diameter targets (range 8–37 mm), background uniformity, and spatial resolution. Radiation dose and CTAC noise magnitude were compared for 140 patient examinations (76 post-ASiR implementation) to determine relative dose reduction and noise control. Results: CT numbers were constant to within 10% from the nondose reduced CTAC image for 90% dose reduction. No change in SUV{sub bw}, background percent uniformity, or spatial resolution for PET images reconstructed with CTAC protocols was found down to 90% dose reduction. Patient population effective dose analysis demonstrated relative CTAC dose reductions between 62% and 86% (3.2/8.3–0.9/6.2). Noise magnitude in dose-reduced patient images increased but was not statistically different from predose-reduced patient images. Conclusions: Using ASiR allowed for aggressive reduction in CT dose with no change in PET reconstructed images while maintaining sufficient image quality for colocalization of hybrid CT anatomy and PET radioisotope uptake.

60 APPLIED LIFE SCIENCES↗

GPU-accelerated regularized iterative reconstruction for few-view cone beam CT

Purpose: The present work proposes an iterative reconstruction technique designed for x-ray transmission computed tomography (CT). The main objective is to provide a model-based solution to the cone-beam CT reconstruction problem, yielding accurate low-dose images via few-views acquisitions in clinically acceptable time frames. Methods: The proposed technique combines a modified ordered subsets convex (OSC) algorithm and the total variation minimization (TV) regularization technique and is called OSC-TV. The number of subsets of each OSC iteration follows a reduction pattern in order to ensure the best performance of the regularization method. Considering the high computational cost of the algorithm, it is implemented on a graphics processing unit, using parallelization to accelerate computations. Results: The reconstructions were performed on computer-simulated as well as human pelvic cone-beam CT projection data and image quality was assessed. In terms of convergence and image quality, OSC-TV performs well in reconstruction of low-dose cone-beam CT data obtained via a few-view acquisition protocol. It compares favorably to the few-view TV-regularized projections onto convex sets (POCS-TV) algorithm. It also appears to be a viable alternative to full-dataset filtered backprojection. Execution times are of 1–2 min and are compatible with the typical clinical workflow for nonreal-time applications. Conclusions: Considering the image quality and execution times, this method may be useful for reconstruction of low-dose clinical acquisitions. It may be of particular benefit to patients who undergo multiple acquisitions by reducing the overall imaging radiation dose and associated risks.

60 APPLIED LIFE SCIENCES↗

Technical Note: Measuring contrast- and noise-dependent spatial resolution of an iterative reconstruction method in CT using ensemble averaging

Purpose: The spatial resolution of iterative reconstruction (IR) in computed tomography (CT) is contrast- and noise-dependent because of the nonlinear regularization. Due to the severe noise contamination, it is challenging to perform precise spatial-resolution measurements at very low-contrast levels. The purpose of this study was to measure the spatial resolution of a commercially available IR method using ensemble-averaged images acquired from repeated scans. Methods: A low-contrast phantom containing three rods (7, 14, and 21 HU below background) was scanned on a 128-slice CT scanner at three dose levels (CTDI{sub vol} = 16, 8, and 4 mGy). Images were reconstructed using two filtered-backprojection (FBP) kernels (B40 and B20) and a commercial IR method (sinogram affirmed iterative reconstruction, SAFIRE, Siemens Healthcare) with two strength settings (I40-3 and I40-5). The same scan was repeated 100 times at each dose level. The modulation transfer function (MTF) was calculated based on the edge profile measured on the ensemble-averaged images. Results: The spatial resolution of the two FBP kernels, B40 and B20, remained relatively constant across contrast and dose levels. However, the spatial resolution of the two IR kernels degraded relative to FBP as contrast or dose level decreased. For a given dose level at 16 mGy, the MTF{sub 50%} value normalized to the B40 kernel decreased from 98.4% at 21 HU to 88.5% at 7 HU for I40-3 and from 97.6% to 82.1% for I40-5. At 21 HU, the relative MTF{sub 50%} value decreased from 98.4% at 16 mGy to 90.7% at 4 mGy for I40-3 and from 97.6% to 85.6% for I40-5. Conclusions: A simple technique using ensemble averaging from repeated CT scans can be used to measure the spatial resolution of IR techniques in CT at very low contrast levels. The evaluated IR method degraded the spatial resolution at low contrast and high noise levels.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

SU-E-I-01: Iterative CBCT Reconstruction with a Feature-Preserving Penalty

Purpose: Low-dose CBCT is desired in various clinical applications. Iterative image reconstruction algorithms have shown advantages in suppressing noise in low-dose CBCT. However, due to the smoothness constraint enforced during the reconstruction process, edges may be blurred and image features may lose in the reconstructed image. In this work, we proposed a new penalty design to preserve image features in the image reconstructed by iterative algorithms. Methods: Low-dose CBCT is reconstructed by minimizing the penalized weighted least-squares (PWLS) objective function. Binary Robust Independent Elementary Features (BRIEF) of the image were integrated into the penalty of PWLS. BRIEF is a general purpose point descriptor that can be used to identify important features of an image. In this work, BRIEF distance of two neighboring pixels was used to weigh the smoothing parameter in PWLS. For pixels of large BRIEF distance, weaker smooth constraint will be enforced. Image features will be better preserved through such a design. The performance of the PWLS algorithm with BRIEF penalty was evaluated by a CatPhan 600 phantom. Results: The image quality reconstructed by the proposed PWLS-BRIEF algorithm is superior to that by the conventional PWLS method and the standard FDK method. At matched noise level, edges in PWLS-BRIEF reconstructed image are better preserved. Conclusion: This study demonstrated that the proposed PWLS-BRIEF algorithm has great potential on preserving image features in low-dose CBCT.

60 APPLIED LIFE SCIENCES↗

SU-E-I-86: Ultra-Low Dose Computed Tomography Attenuation Correction for Pediatric PET CT Using Adaptive Statistical Iterative Reconstruction (ASiR™)

Purpose: To develop ultra-low dose computed tomography (CT) attenuation correction (CTAC) acquisition protocols for pediatric positron emission tomography CT (PET CT). Methods: A GE Discovery 690 PET CT hybrid scanner was used to investigate the change to quantitative PET and CT measurements when operated at ultra-low doses (10–35 mAs). CT quantitation: noise, low-contrast resolution, and CT numbers for eleven tissue substitutes were analyzed in-phantom. CT quantitation was analyzed to a reduction of 90% CTDIvol (0.39/3.64; mGy) radiation dose from baseline. To minimize noise infiltration, 100% adaptive statistical iterative reconstruction (ASiR) was used for CT reconstruction. PET images were reconstructed with the lower-dose CTAC iterations and analyzed for: maximum body weight standardized uptake value (SUVbw) of various diameter targets (range 8–37 mm), background uniformity, and spatial resolution. Radiation organ dose, as derived from patient exam size specific dose estimate (SSDE), was converted to effective dose using the standard ICRP report 103 method. Effective dose and CTAC noise magnitude were compared for 140 patient examinations (76 post-ASiR implementation) to determine relative patient population dose reduction and noise control. Results: CT numbers were constant to within 10% from the non-dose reduced CTAC image down to 90% dose reduction. No change in SUVbw, background percent uniformity, or spatial resolution for PET images reconstructed with CTAC protocols reconstructed with ASiR and down to 90% dose reduction. Patient population effective dose analysis demonstrated relative CTAC dose reductions between 62%–86% (3.2/8.3−0.9/6.2; mSv). Noise magnitude in dose-reduced patient images increased but was not statistically different from pre dose-reduced patient images. Conclusion: Using ASiR allowed for aggressive reduction in CTAC dose with no change in PET reconstructed images while maintaining sufficient image quality for co-localization of hybrid CT anatomy and PET radioisotope uptake.

60 APPLIED LIFE SCIENCES↗

SU-E-J-69: Iterative Deconvolution of the Initial Photon Fluence for EPID Dosimetry: A Monte Carlo Based Study

Purpose: Developing a fast and accurate calculation model to reconstruct the applied photon fluence from an external photon radiation therapy treatment based on an image recorded by an electronic portal image device (EPID). Methods: To reconstruct the initial photon fluence the 2D EPID image was corrected for scatter from the patient/phantom and EPID to generate the transmitted primary photon fluence. This was done by an iterative deconvolution using precalculated point spread functions (PSF). The transmitted primary photon fluence was then backprojected through the patient/phantom geometry considering linear attenuation to receive the initial photon fluence applied for the treatment.The calculation model was verified using Monte Carlo simulations performed with the EGSnrc code system. EPID images were produced by calculating the dose deposition in the EPID from a 6 MV photon beam irradiating a water phantom with air and bone inhomogeneities and the ICRP anthropomorphic voxel phantom. Results: The initial photon fluence was reconstructed using a single PSF and position dependent PSFs which depend on the radiological thickness of the irradiated object. Appling position dependent point spread functions the mean uncertainty of the reconstructed initial photon fluence could be reduced from 1.13 % to 0.13 %. Conclusion: This study presents a calculation model for fluence reconstruction from EPID images. The{sup Result} show a clear advantage when position dependent PSF are used for the iterative reconstruction. The basic work of a reconstruction method was established and further evaluations must be made in an experimental study.

60 APPLIED LIFE SCIENCES↗

SU-E-T-111: An Iterative Approach to Modelling Dosimetric Properties of a Varian MLC

Purpose: In effort to efficiently and accurately model MLC parameters for use in Varian Eclipse treatment planning system (TPS), an iterative technique for characterizing the dosimetric properties of MLCs has been developed. Methods: The initial characterization of the dosimetric leaf gap (DLG) and MLC transmission was performed using varied sizes of moving gaps and transmission measurements through central axis of the radiation beam. These values were determined during the initial data collection. After the initial values were determined and entered into the TPS, two plans were calculated to test the veracity of DLG and transmission independently. The plan used to determine the DLG has openings of varied sizes which are affected differently by the DLG. A large field uniform fluence that required a MLC carriage shift was used to determine the transmission value independent of DLG. After characterizing the dosimetric properties of the MLC independently, clinical IMRT plans were tested and used to tweak the final values. Results: This approach to modelling MLC dosimetric properties was employed for: standard 120 leaf MLC (SDMLC) and 120 leaf high definition MLC (HDMLC). Both types were successfully commissioned, tested, and approved for clinical use on 4 SDMLC machines and 2 HDMLC machines. The pass rate of clinical IMRT plans was 96.9% for 6MV and 98.3% for 10MV for SDMLC and 96.3% for 6MV, 96.5% for 6FFF, and 97.5% for 10FFF for HDMLCs using MapCheck2 with gamma analysis of 2%/2mm and 10% threshold. The final DLG and transmission parameters for 6X were 0.5mm and 0.01, and 1.35mm and 0.02 for HD and SD MLCs respectively. Conclusion: This iterative approach of determining dosimetric properties of MLCs is viable for both SDMLC and HDMLC and multiple energies. This approach accurately and efficiently determines the values needed for commissioning MLCs when they are employed for modulated therapies.

60 APPLIED LIFE SCIENCES↗

SU-F-207-02: Use of Postmortem Subjects for Subjective Image Quality Assessment in Abdominal CT Protocols with Iterative Reconstruction

Purpose: New radiation dose reduction technologies are emerging constantly in the medical imaging field. The latest of these technologies, iterative reconstruction (IR) in CT, presents the ability to reduce dose significantly and hence provides great opportunity for CT protocol optimization. However, without effective analysis of image quality, the reduction in radiation exposure becomes irrelevant. This work explores the use of postmortem subjects as an image quality assessment medium for protocol optimizations in abdominal CT. Methods: Three female postmortem subjects were scanned using the Abdomen-Pelvis (AP) protocol at reduced minimum tube current and target noise index (SD) settings of 12.5, 17.5, 20.0, and 25.0. Images were reconstructed using two strengths of iterative reconstruction. Radiologists and radiology residents from several subspecialties were asked to evaluate 8 AP image sets including the current facility default scan protocol and 7 scans with the parameters varied as listed above. Images were viewed in the soft tissue window and scored on a 3-point scale as acceptable, borderline acceptable, and unacceptable for diagnosis. The facility default AP scan was identified to the reviewer while the 7 remaining AP scans were randomized and de-identified of acquisition and reconstruction details. The observers were also asked to comment on the subjective image quality criteria they used for scoring images. This included visibility of specific anatomical structures and tissue textures. Results: Radiologists scored images as acceptable or borderline acceptable for target noise index settings of up to 20. Due to the postmortem subjects’ close representation of living human anatomy, readers were able to evaluate images as they would those of actual patients. Conclusion: Postmortem subjects have already been proven useful for direct CT organ dose measurements. This work illustrates the validity of their use for the crucial evaluation of image quality during CT protocol optimization, especially when investigating the effects of new technologies.

60 APPLIED LIFE SCIENCES↗