Guide to clinical use of electronic portal imaging.
The Electronic Portal Imaging Device (EPID) provides localization quality images and computer-aided analysis, which should in principal, replace portal film imaging. Modern EPIDs deliver superior image quality and an array of analysis tools that improve clinical decision making. It has been demonstrated that the EPID can be a powerful tool in the reduction of treatment setup errors and the quality assurance and verification of complex treatments. However, in many radiation therapy clinics EPID technology is not in routine clinical use. This low utilization suggests that the capability and potential of the technology alone do not guarantee its full adoption. This paper addresses basic considerations required to facilitate clinical implementation of the EPID technology and gives specific examples of successful implementations.
Herman
M G
MG
Division of Radiation Oncology, Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905, USA. Herman.Michael@mayo.edu
Kruse
J J
JJ
Hagness
C R
CR
D002138:Calibration; D003365:Costs and Cost Analysis; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000191:economics / Q000379:methods* / Q000706:statistics & numerical data; D021621:Imaging, Three-Dimensional / Q000379:methods; D015233:Models, Statistical; D009369:Neoplasms / Q000532:radiotherapy*; D011786:Quality Control; D011834:Radiation Monitoring; D011881:Radiotherapy, Computer-Assisted / Q000191:economics / Q000295:instrumentation*; D020266:Radiotherapy, Conformal / Q000379:methods