SU-F-J-28: Development of a New Imaging Filter to Remove the Shadows From the Carbon Fiber Grid Table Top

Purpose: For the image guided radiation therapy (IGRT), the shadows caused by the construction of the treatment couch top adversely affect the visual evaluation. Therefore, we developed the new imaging filter in order to remove the shadows. The performance of the new filter was evaluated using the clinical images. Methods: The new filter was composed of the band-pass filter (BPF) weighted by the k factor and the low-pass filter (LPF). In the frequency region, the stop bandwidth were 8.3×10³ mm⁻¹ on u direction and 11.1×10³ mm⁻¹ on v direction for the BPF, and the pass bandwidth were 8.3×10³ mm⁻¹ on u direction and 11.1×10³ mm⁻¹ on v direction for the LPF. After adding the filter, the shadows from the carbon fiber grid table top (CFGTT, Varian) on the kV-image was removed. To check the filter effect, we compared the clinical images, which are thorax and thoracoabdominal region, with to without the filter. The subjective evaluation tests was performed by adapting a three-point scale (agree, neither agree nor disagree, disagree) about the 15 persons in the department of radiation oncology. Results: We succeeded in removing all shadows of CFGTT using the new filter. This filter is very useful shown by the results of the subjective evaluation having the 23/30 persons agreed to the filtered clinical images. Conclusion: We concluded that the proposed method was useful tool for the IGRT and the new filter leads to improvement of the accuracy of radiation therapy.