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Automated characterization of perceptual quality of clinical chest radiographs: Validation and calibration to observer preference

Purpose: The authors previously proposed an image-based technique [Y. Lin et al. Med. Phys. 39, 7019–7031 (2012)] to assess the perceptual quality of clinical chest radiographs. In this study, an observer study was designed and conducted to validate the output of the program against rankings by expert radiologists and to establish the ranges of the output values that reflect the acceptable image appearance so the program output can be used for image quality optimization and tracking. Methods: Using an IRB-approved protocol, 2500 clinical chest radiographs (PA/AP) were collected from our clinical operation. The images were processed through our perceptual quality assessment program to measure their appearance in terms of ten metrics of perceptual image quality: lung gray level, lung detail, lung noise, rib–lung contrast, rib sharpness, mediastinum detail, mediastinum noise, mediastinum alignment, subdiaphragm–lung contrast, and subdiaphragm area. From the results, for each targeted appearance attribute/metric, 18 images were selected such that the images presented a relatively constant appearance with respect to all metrics except the targeted one. The images were then incorporated into a graphical user interface, which displayed them into three panels of six in a random order. Using a DICOM calibrated diagnostic display workstation and under low ambient lighting conditions, each of five participating attending chest radiologists was tasked to spatially order the images based only on the targeted appearance attribute regardless of the other qualities. Once ordered, the observer also indicated the range of image appearances that he/she considered clinically acceptable. The observer data were analyzed in terms of the correlations between the observer and algorithmic rankings and interobserver variability. An observer-averaged acceptable image appearance was also statistically derived for each quality attribute based on the collected individual acceptable ranges. Results: The observer study indicated that, for each image quality attribute, the averaged observer ranking strongly correlated with the algorithmic ranking (linear correlation coefficient R > 0.92), with highest correlation (R = 1) for lung gray level and the lowest (R = 0.92) for mediastinum noise. There was a strong concordance between the observers in terms of their rankings (i.e., Kendall’s tau agreement > 0.84). The observers also generally indicated similar tolerance and preference levels in terms of acceptable ranges, as 85% of the values were close to the overall tolerance or preference levels and the differences were smaller than 0.15. Conclusions: The observer study indicates that the previously proposed technique provides a robust reflection of the perceptual image quality in clinical images. The results established the range of algorithmic outputs for each metric that can be used to quantitatively assess and qualify the appearance quality of clinical chest radiographs.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

Spine Stereotactic Body Radiotherapy Utilizing Cone-Beam CT Image-Guidance With a Robotic Couch: Intrafraction Motion Analysis Accounting for all Six Degrees of Freedom

Purpose: To evaluate the residual setup error and intrafraction motion following kilovoltage cone-beam CT (CBCT) image guidance, for immobilized spine stereotactic body radiotherapy (SBRT) patients, with positioning corrected for in all six degrees of freedom. Methods and Materials: Analysis is based on 42 consecutive patients (48 thoracic and/or lumbar metastases) treated with a total of 106 fractions and 307 image registrations. Following initial setup, a CBCT was acquired for patient alignment and a pretreatment CBCT taken to verify shifts and determine the residual setup error, followed by a midtreatment and posttreatment CBCT image. For 13 single-fraction SBRT patients, two midtreatment CBCT images were obtained. Initially, a 1.5-mm and 1 Degree-Sign tolerance was used to reposition the patient following couch shifts which was subsequently reduced to 1 mm and 1 Degree-Sign degree after the first 10 patients. Results: Small positioning errors after the initial CBCT setup were observed, with 90% occurring within 1 mm and 97% within 1 Degree-Sign . In analyzing the impact of the time interval for verification imaging (10 {+-} 3 min) and subsequent image acquisitions (17 {+-} 4 min), the residual setup error was not significantly different (p > 0.05). A significant difference (p = 0.04) in the average three-dimensional intrafraction positional deviations favoring a more strict tolerance in translation (1 mm vs. 1.5 mm) was observed. The absolute intrafraction motion averaged over all patients and all directions along x, y, and z axis ({+-} SD) were 0.7 {+-} 0.5 mm and 0.5 {+-} 0.4 mm for the 1.5 mm and 1 mm tolerance, respectively. Based on a 1-mm and 1 Degree-Sign correction threshold, the target was localized to within 1.2 mm and 0.9 Degree-Sign with 95% confidence. Conclusion: Near-rigid body immobilization, intrafraction CBCT imaging approximately every 15-20 min, and strict repositioning thresholds in six degrees of freedom yields minimal intrafraction motion allowing for safe spine SBRT delivery.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Labview Implementation of Image Processing and Phasing Control for the SIBOA Segmented Mirror Testbed

NASA is preparing to launch the Next Generation Space Telescope (NGST). This telescope will be larger than the Hubble Space Telescope, be launched on an Atlas missile rather than the Space Shuttle, have a segmented primary mirror, and be placed in a higher orbit. All these differences pose significant challenges.' This effort addresses the challenge of implementing an algorithm for aligning the segments of the primary mirror during the initial deployment that was designed by Philip Olivier and members of SOMTC (Space Optics Manufacturing Technology Center). The implementation was to be performed on the SIBOA (Systematic Image Based Optical Alignment) test bed. Unfortunately, hardware/software aspect concerning SIBOA and an extended time period for algorithm development prevented testing before the end of the study period. Properties of the digital camera were studied and understood, resulting in the current ability of selecting optimal settings regarding saturation. The study was successful in manually capturing several images of two stacked segments with various relative phases. These images can be used to calibrate the algorithm for future implementation. Currently the system is ready for testing.

James D. Partridge↗

SU-F-J-29: Dosimetric Effect of Image Registration ROI Size and Focus in Automated CBCT Registration for Spine SBRT

Purpose: Spinal stereotactic body radiotherapy (SBRT) involves highly conformal dose distributions and steep dose gradients due to the proximity of the spinal cord to the treatment volume. To achieve the planning goals while limiting the spinal cord dose, patients are setup using kV cone-beam CT (kV-CBCT) with 6 degree corrections. The kV-CBCT registration with the reference CT is dependent on a user selected region of interest (ROI). The objective of this work is to determine the dosimetric impact of ROI selection. Methods: Twenty patients were selected for this study. For each patient, the kV-CBCT was registered to the reference CT using three ROIs including: 1) the external body, 2) a large anatomic region, and 3) a small region focused in the target volume. Following each registration, the aligned CBCTs and contours were input to the treatment planning system for dose evaluation. The minimum dose, dose to 99% and 90% of the tumor volume (D99%, D90%), dose to 0.03cc and the dose to 10% of the spinal cord subvolume (V10Gy) were compared to the planned values. Results: The average deviations in the tumor minimum dose were 2.68%±1.7%, 4.6%±4.0%, 14.82%±9.9% for small, large and the external ROIs, respectively. The average deviations in tumor D99% were 1.15%±0.7%, 3.18%±1.7%, 10.0%±6.6%, respectively. The average deviations in tumor D90% were 1.00%±0.96%, 1.14%±1.05%, 3.19%±4.77% respectively. The average deviations in the maximum dose to the spinal cord were 2.80%±2.56%, 7.58%±8.28%, 13.35%±13.14%, respectively. The average deviation in V10Gy to the spinal cord were 1.69%±0.88%, 1.98%±2.79%, 2.71%±5.63%. Conclusion: When using automated registration algorithms for CBCT-Reference alignment, a small target-focused ROI results in the least dosimetric deviation from the plan. It is recommended to focus narrowly on the target volume to keep the spinal cord dose below tolerance.

60 APPLIED LIFE SCIENCES↗

Lateral shearing interferometry for high-NA EUV wavefront metrology

Copyright © 2018 SPIE. We present a lateral shearing interferometer suitable for high-NA EUV wavefront metrology. In this interferometer, a geometric model is used to accurately characterize and predict systematic errors that come from performing interferometry at high NA. This interferometer is compatible with various optical geometries, including systems where the image plane is tilted with respect to the optical axis, as in the Berkeley MET5. Simulation results show that the systematic errors in tilted geometries can be reduced by aligning the shearing interferometer grating and detector parallel to the image plane. Subsequent residual errors can be removed by linear fitting.

Zhu, Wenhua↗

POWERFUL ACTIVITY IN THE BRIGHT AGES. I. A VISIBLE/IR SURVEY OF HIGH REDSHIFT 3C RADIO GALAXIES AND QUASARS

We present new rest-frame UV and visible observations of 22 high- z (1 < z < 2.5) 3C radio galaxies and QSOs obtained with the Hubble Space Telescope ’s Wide Field Camera 3 instrument. Using a custom data reduction strategy in order to assure the removal of cosmic rays, persistence signal, and other data artifacts, we have produced high-quality science-ready images of the targets and their local environments. We observe targets with regions of UV emission suggestive of active star formation. In addition, several targets exhibit highly distorted host galaxy morphologies in the rest frame visible images. Photometric analyses reveal that brighter QSOs generally tend to be redder than their dimmer counterparts. Using emission line fluxes from the literature, we estimate that emission line contamination is relatively small in the rest frame UV images for the QSOs. Using archival VLA data, we have also created radio map overlays for each of our targets, allowing for analysis of the optical and radio axes alignment.

79 ASTRONOMY AND ASTROPHYSICS↗

Domain Adaptation for Convolutional Neural Networks Based Remote Sensing Scene Classification

Remote sensing (RS) scene classification plays an important role in the field of earth observation. With the rapid development of the remote sensing techniques, a large number of RS scene images are available. Since manually labeling largescale RS scene images is both labor and time consuming, when a new unlabeled dataset is obtained, how to use the existing labeled datasets to classify the new unlabeled images is an important research direction. Different RS scene image datasets may be taken from different type of sensors, and the images may vary from imaging modalities, spatial resolutions and image scales, so the distribution discrepancy exists among different image datasets. As a result, simply applying Convolutional Neural Networks (CNN) trained on source domain cannot accurately classify the images on target domain. Domain Adaptation (DA) can be helpful to solve this problem. In this paper, we design a Subspace Alignment (SA) and CNN based framework to solve the DA problem in RS scene image classification. A new SA layer is proposed and added into CNN models for DA, which could align the source and target domains in some feature subspace. Finetuning the modified CNN model with the added SA layer is able to make the CNN model adapt to the aligned feature subspace and helps to relieve the domain distribution discrepancy. The experiments conducted on two public datasets show that adding the SA layer into CNN can improve the scene classification on target domain.

97 MATHEMATICS AND COMPUTING↗

Mathematical Investigation of Gamma Ray and Neutron Absorption Grid Patterns for Homeland Defense Related Fourier Imaging Systems

Terrorist suitcase nuclear devices typically using converted Soviet tactical nuclear warheads contain several kilograms of plutonium. This quantity of plutonium emits a significant number of gamma rays and neutrons as it undergoes radioactive decay. These gamma rays and neutrons normally penetrate ordinary matter to a significant distance. Unfortunately this penetrating quality of the radiation makes imaging with classical optics impractical. However, this radiation signature emitted by the nuclear source may be sufficient to be imaged from low-flying aerial platforms carrying Fourier imaging systems. The Fourier imaging system uses a pair of co-aligned absorption grids to measure a selected range of spatial frequencies from an object. These grids typically measure the spatial frequency in only one direction at a time. A grid pair that looks in all directions simultaneously would be an improvement over existing technology. A number of grid pairs governed by various parameters were investigated to solve this problem. By examining numerous configurations, it became apparent that an appropriate spiral pattern could be made to work. A set of equations was found to describe a grid pattern that produces straight fringes. Straight fringes represent a Fourier transform of a point source at infinity. An inverse Fourier transform of this fringe pattern would provide an accurate image (location and intensity) of a point source.

Boccio, Dona↗

Target Selection and Imaging Requirements for JWST Fine Phasing

To achieve and maintain the fine alignment of its segmented primary mirror the James Webb Space Telescope (JWST) plans to use focus-diverse wavefront sensing (WFS) techniques with science camera imagery. The optical requirements for JWST are such that the error contribution from the WFS itself must be limited 10nm rms over all the controllable degrees of freedom of the telescope. In this paper, we will explore the requirements on the target selection and imaging requirements necessary to achieve the desired level of WFS accuracy. Using Monte Carlo simulations we explore the WFS error as a function of wavefront aberrations level, defocus-diversity level, optical bandwidth and imaging signal-to-noise ratio to establish the key imaging requirements. By taking into account practical integration time limits along with the distribution of the defocused point-spread functions, we establish the bright and faint star magnitude limits suitable for WFS target selection.

wavefront sensing↗

Extra Solar Planetary Imaging Coronagraph and Science Requirements for the James Webb Telescope Observatory

1) Extra solar planetary imaging coronagraph. Direct detection and characterization of Jovian planets, and other gas giants, in orbit around nearby stars is a necessary precursor to Terrestrial Planet Finder 0 in order to estimate the probability of Terrestrial planets in our stellar neighborhood. Ground based indirect methods are biased towards large close in Jovian planets in solar systems unlikely io harbor Earthlike planets. Thus to estimate the relative abundances of terrestrial planets and to determine optimal observing strategies for TPF a pathfinder mission would be desired. The Extra-Solar Planetary Imaging Coronagraph (EPIC) is such a pathfinder mission. Upto 83 stellar systems are accessible with a 1.5 meter unobscured telescope and coronagraph combination located at the Earth-Sun L2 point. Incorporating radiometric and angular resolution considerations show that Jovians could be directly detected (5 sigma) in the 0.5 - 1.0 micron band outside of an inner working distance of 5/D with integration times of -10 - 100 hours per observation. The primary considerations for a planet imager are optical wavefront quality due to manufacturing, alignment, structural and thermal considerations. pointing stability and control, and manufacturability of coronagraphic masks and stops to increase the planetary-to- stellar contrast and mitigate against straylight. Previously proposed coronagraphic concepts are driven to extreme tolerances. however. we have developed and studied a mission, telescope and coronagraphic detection concept, which is achievable in the time frame of a Discovery class NASA mission. 2) Science requirements for the James Webb Space Telescope observatory. The James Webb Space Observatory (JWST) is an infrared observatory, which will be launched in 201 1 to an orbit at L2. JWST is a segmented, 18 mirror segment telescope with a diameter of 6.5 meters, and a clear aperture of 25 mA2. The telescope is designed to conduct imaging and spectroscopic observations from 0.6-27 microns. The primary mirror find and understand predicted first light objects, observe galaxies back to their earliest precursors so that we can understand their growth and evolution, unravel the birth and early evolution of stars and planetary systems, and study planetary systems and the origins of life. In this paper we discuss the science goals for JWST in the context of the performance requirements they levy on the observatory.

Clampin, Mark↗

Development of a Self-Aligned Compact Focusing Schlieren System for NASA Test Facilities

A novel compact, inherently self-aligned focusing schlieren system is presented for use in experiments that require flow visualization. Unlike existing focusing schlieren systems that require a separate, and precisely aligned, source grid and cutoff grid to achieve sensitivity to density gradients, this system projects an image of a physical grid element onto a background and then reimages this projection back onto the physical grid element thereby achieving self-alignment. Further, unlike existing focusing schlieren systems where the image of the source grid is physically translated relative to the cutoff grid to achieve sensitivity to density gradients, a polarization prism in the system acts on the polarization state of the light of the projected grid element to provide sensitivity adjustment. By adjusting the position of the prism along the optical axis of the instrument, changes to the sensitivity can be realized. Since the outgoing and returning light used to project an image of the grid element are orthogonally polarized to one another, reflections from windows that may be present between the lens and background of the system can be eliminated. The system can also be implemented in test facilities where optical access is limited and/or exists on only one side. A discussion on different aspects of the development of this technology is provided, as are sample images from the system at the different stages of development. Images that demonstrate the ability to make on-the-fly adjustments to the instrument's field-of-view and working distance are also presented.

Brett F Bathel↗

Reflective all-sky thermal infrared cloud imager

A reflective all-sky imaging system has been built using a long-wave infrared microbolometer camera and a reflective metal sphere. This compact system was developed for measuring spatial and temporal patterns of clouds and their optical depth in support of applications including Earth-space optical communications. The camera is mounted to the side of the reflective sphere to leave the zenith sky unobstructed. The resulting geometric distortion is removed through an angular map derived from a combination of checkerboard-target imaging, geometric ray tracing, and sun-location-based alignment. A tape of high-emissivity material on the side of the reflector acts as a reference that is used to estimate and remove thermal emission from the metal sphere. In conclusion, once a bias that is under continuing study was removed, sky radiance measurements from the all-sky imager in the 8-14 μm wavelength range agreed to within 0.91 W/(m 2 sr) of measurements from a previously calibrated, lens-based infrared cloud imager over its 110° field of view.

47 OTHER INSTRUMENTATION↗

A Large Area Picosecond Photodetector for Neutron Transmission Measurements at DICER at LANSCE

The Device for Indirect Capture Experiments on Radionuclides (DICER) is a new instrument that is being developed at the Los Alamos Neutron Science Center (LANSCE) to study neutron capture reactions on short-lived radionuclides. To achieve that, DICER is using an indirect technique based on measuring the neutron transmission through very small samples (0.12–1.2 mm in diameter, $\mu \text{g}$ -mg in mass). The main detection system of DICER consists of two dual photomultiplier (PMT)-based detectors which are sensitive to the scintillation light produced when neutrons interact with 6 Li glass disks. DICER is developing a new collimation system that includes a 0.1-mm collimator. In such small sizes, the need for neutron beam imaging is crucial and necessary to confirm the appropriate alignment between the irradiated sample and the neutron detectors. The large area picosecond photodetector (LAPPD) is a multichannel plate (MCP)-based photodetector, with picosecond-level timing, single-photon detection capabilities, and spatial resolution of the order of 1 mm. Coupling the LAPPD with a 6 Li glass scintillator results in a neutron imaging detector. The first irradiation of the LAPPD at DICER indicated that apart from imaging the beam, the LAPPD can be used as the main neutron detection system. Furthermore, these results were proof of principle measurements demonstrating the capabilities of the beamline, and the challenge with small samples will be addressed in the future. The first efforts and developments, including irradiations of the LAPPD and the first beam images, will be presented.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

Physics-based reward driven image analysis in microscopy

The rise of electron microscopy has expanded our ability to acquire nanometer and atomically resolved images of complex materials. The resulting vast datasets are typically analyzed by human operators, an intrinsically challenging process due to the multiple possible analysis steps and the corresponding need to build and optimize complex analysis workflows. We present a methodology based on the concept of a Reward Function coupled with Bayesian Optimization, to optimize image analysis workflows dynamically. The Reward Function is engineered to closely align with the experimental objectives and broader context and is quantifiable upon completion of the analysis. Here, cross-section, high-angle annular dark field (HAADF) images of ion-irradiated (Y, Dy)Ba 2 Cu 3 O 7–δ thin-films were used as a model system. The reward functions were formed based on the expected materials density and atomic spacings and used to drive multi-objective optimization of the classical Laplacian-of-Gaussian (LoG) method. These results can be benchmarked against the DCNN segmentation. This optimized LoG* compares favorably against DCNN in the presence of the additional noise. We further extend the reward function approach towards the identification of partially-disordered regions, creating a physics-driven reward function and action space of high-dimensional clustering. We pose that with correct definition, the reward function approach allows real-time optimization of complex analysis workflows at much higher speeds and lower computational costs than classical DCNN-based inference, ensuring the attainment of results that are both precise and aligned with the human-defined objectives.

47 OTHER INSTRUMENTATION↗

Quantum imaging with positronium-decay-emitted gamma rays

The use of entangled gamma rays from positronium decay for quantum-enhanced imaging of dense materials is demonstrated. Quantum ghost images, where only one of the entangled 511-keV photons interacts with the object, are obtained for tantalum samples of varying density using a 210-ps time-resolution dual detector system and a Na-22 positron source. An analysis comparing both classical and quantum imaging modalities is employed to isolate true 511-keV events from background noise. Image quality is quantitatively assessed using transmission ratios and the Michelson contrast. Quantum-correlated images are found to exhibit superior (up to approximately 1.7x, from 0.49 to 0.83 in the thickest sample measured) contrast compared to classical methods and align well with theoretical expectations. These results suggest that quantum ghost imaging with positronium-based entangled gamma rays could significantly enhance noninvasive imaging of high-density objects, with potential applications in areas such as cargo inspection and security screening.

36 MATERIALS SCIENCE↗

WE-DE-BRA-03: Construction of An Ultrasound Guidance Platform for Image-Guided Radiotherapy with the Intent to Treat Transitional Cell Carcinoma

Purpose: Ultrasound (US) is a noninvasive, nonradiographic imaging technique with high spatial and temporal resolution that can be used for localizing soft-tissue structures and tumors in real-time during radiotherapy (inter- and intra-fraction). A detailed methodology integrating 3D-US within RT is presented. This method is easier to adopt into current treatment protocol than current US based systems and reduces user variability for image acquisition, thus eliminating transducer induced changes that limit CT planning system. Methods: We designed an in-house integrated US manipulator and platform to relate CT, 3D-US and linear accelerator coordinate systems. To validate the platform, an agar-based phantom with measured densities and speed-of-sound consistent with tissues surrounding the bladder, was rotated (0–45°) resulting in translations (up to 55mm) relative to the CT and US coordinate systems. After acquiring and integrating CT and US images into the treatment planning system, US-to-US and US-to-CT images were co-registered to re-align the phantom relative to the linear accelerator. Errors in the transformation matrix components were calculate to determine precision of this method under different patient positions. Results: Statistical errors from US-US registrations for different patient orientations ranged from 0.06–1.66mm for x, y, and z translational components, and 0.00–1.05° for rotational components. Statistical errors from US-CT registrations were 0.23–1.18mm for the x, y and z translational components, and 0.08–2.52° for the rotational components. Conclusion: Based on our result, this is consistent with currently used techniques for positioning prostate patients if couch re-positioning is less than a 5 degree rotation. We are now testing this on a dog patient to obtain both inter and intra-fractional positional errors. Additional design considerations include the future use of ultrasound-based functionality (photoacoustics, radioacoustics, Doppler) to monitor blood flow and hypoxia and/or in-vivo dosimetry for applications in other therapeutic techniques, such as hyperthermia, anti-angiogenesis, and particle therapy.

60 APPLIED LIFE SCIENCES↗

Analysis of X-ray images and spectra (aXis2000): A toolkit for the analysis of X-ray spectromicroscopy data

Spectromicroscopy refers to analytical methods that combine imaging and spectroscopy to provide detailed, spatially resolved analytical information about a sample, such as the type and quantitative spatial distributions of chemical components, geometric or magnetic alignment information, crystal structure, etc. The analysis of X-ray images and spectra (aXis2000) software described in this work provides a set of routines within a single, integrated, graphical-oriented package to read, display, manipulate and analyze spectromicroscopy data, with particular focus on soft X-ray spectromicroscopy methods such as scanning transmission X-ray microscopy (STXM), X-ray photoemission electron microscopy (XPEEM), scanning photoelectron X-ray microscopy (SPEM) and transmission X-ray microscopy (TXM). Here, this free software is described and compared to other software that can provide similar or complementary capabilities. Examples of spectromicroscopic analyses using advanced features of aXis2000 are provided.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

SU-F-T-552: A One-Year Evaluation of the QABeamChecker+ for Use with the CyberKnife System

Purpose: By attaching an adapter plate with fiducial markers to the QA BeamChecker+ (Standard Imaging, Inc., Middleton, WI), the output of the CyberKnife can be accurately, efficiently, and consistently evaluated. The adapter plate, known as the Cutting Board, allows for automated alignment of the QABC+ using the CK’s stereoscopic kV image-based treatment localization system (TLS). Described herein is an evaluation of the system following a year of clinical utilization. Methods: Based on a CT scan of the QABC+ and CB, a treatment plan is generated which delivers a beam to each of the 5 plane-parallel ionization chambers. Following absolute calibration of the CK, the QA plan is delivered, and baseline measurements are acquired (and automatically corrected for temperature and pressure). This test was performed at the beginning of each treatment day for a year. A calibration evaluation (using a water-equivalent slab and short thimble chamber) is performed every four weeks, or whenever the QABC+ detects a deviation of more than 1.0%. Results: During baseline evaluation, repeat measurements (n=10) were performed, with an average output of 0.25% with an SD of 0.11%. As a test of the reposition of the QABC+ and CB, ten additional measurements were performed where between each acquisition, the entire system was removed and re-positioned using the TLS. The average output deviation was 0.30% with a SD of 0.13%. During the course of the year, 187 QABC+ measurements and 13 slab-based measurements were performed. The output measurements of the QABC+ correlated well with slab-based measurements (R2=0.909). Conclusion: By using the QABC+ and CB, daily output was evaluated accurately, efficiently, and consistently. From setup to break-down (including analysis), this test required 5 minutes instead of approximately 15 using traditional techniques (collimator-mounted ionization chambers). Additionally, by automatically saving resultant output deviation to a database, trend analysis was simplified. Spectrum Medical Physics, LLC of Greenville, SC has a consulting contract with Standard Imaging of Middleton, WI.

60 APPLIED LIFE SCIENCES↗