title: Uncertainty analysis of field placement error measurements using digital portal and simulation image correlations.
abstract: An uncertainty analysis of a field placement error measurement method using correlations between digital portal and simulation images has been performed. This analysis used the Monte Carlo method to simulate random uncertainties arising in image registration and portal field edge detection. The uncertainty analysis used data from a field placement error study to predict the dependences of the measurement method upon image matchpoint number and spatial distribution, image registration, and uncertainties arising in the detection and description of the field edge in a portal image. It was shown that the uncertainty in the field registration had the most significant effect upon the measurement uncertainty, whereas the number of matchpoints had an extremely limited effect (beyond the minimum required for the mathematical procedure used in registration). In contrast, it was shown that an accurate field placement error measurement required that the number of pixels describing a field edge used for comparisons should exceed 20, thus automatically setting a minimum field length necessary for field placement comparisons. It was also shown that the spatial uniformity of the matchpoints in an image pair had a limited effect upon the field placement error measurement, provided that the points are distributed over about 15% of the image area.
authors.affiliation: Department of Clinical Physics, Ontario Cancer Institute/Princess Margaret Hospital, Toronto, Canada.
authors.forename: B J
authors.initials: BJ
authors.lastname: McParland
mesh_terms: D006801:Humans; D009010:Monte Carlo Method; D011859:Radiography / Q000379:methods; D011880:Radiotherapy Planning, Computer-Assisted / Q000379:methods*; D012986:Software Validation