Computational tools for the construction of calibration curves for use in dose calculations in radiotherapy treatment planning

The realization of tissue inhomogeneity corrections in image-based treatment planning improves the accuracy of radiation dose calculations for patients undergoing external-beam radiotherapy. Before the tissue inhomogeneity correction can be applied, the relationship between the computed tomography (CT) numbers and density must be established. This relationship is typically established by a calibration curve empirically obtained from CT images of a phantom that has several inserts of tissue-equivalent materials, covering a wide range of densities. This calibration curve is scanner-dependent and allows the conversion of CT numbers in densities for use in dose calculations. This paper describes the implementation of computational tools necessary to construct calibration curves. These tools are used for reading and displaying of CT images in DICOM format, determination of the mean CT numbers (and their standard deviations) of each tissue-equivalent material and construction of calibration curves by fits with bilinear equations. All these tools have been implemented in the Microsoft Visual Studio 2010 in C≠ programming language. (author)