Digitally reconstructed X-ray image

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Digitally reconstructed X-ray images (abbr .: DRR) are made as part of modern radiation therapy . They are similar to normal x-rays, but they come from the image data of a computer tomography . A virtual view of the three-dimensional data set z. B. of the chest, the voxels are given a density-dependent transparency. The result is a summation image of all structures in the viewing direction. The most common purpose is to display a radiation field from the point of view of the radiation source. B. can be compared with the simulator image.

A case of lung cancer. From left to right X-ray, slice from a coronary reformatted CT, DRR

generation

An image with the same geometric perspective of the radiation from the radiation device is generated from the CT data set . The image is created by a voxel summation along the divergent beam spreading from the focus to the image plane . Eight neighboring voxels are averaged at each node ( trilinear interpolation ).

advantage

  • Radiographs of non-coplanar fields are possible.

disadvantage

  • lower spatial resolution (1 line pair per mm) compared to the film (2 line pairs per mm)
  • Creation of motion artifacts

Different display options

literature

  • E. Richter, T. Feyerabend: Fundamentals of radiation therapy . Springer-Verlag, ISBN 3-540-58230-4