Determination of acceptance criteria for geometric accuracy of magnetic resonance imaging scanners used in radiotherapy planning

• Main Authors: Henna Kavaluus, Katri Nousiainen, Sampsa Kaijaluoto, Tiina Seppälä, Kauko Saarilahti, Mikko Tenhunen
• Format: Article
• Language: English
• Published: Elsevier 2021-01-01
• Series: Physics and Imaging in Radiation Oncology
• Subjects: Radiotherapy planning; Magnetic resonance imaging; Quality assurance; Regulatory inspections
• Online Access: http://www.sciencedirect.com/science/article/pii/S2405631621000038

Background and Purpose: Magnetic resonance imaging is increasingly used in radiotherapy planning; yet, the performance of the utilized scanners is rarely regulated by any authority. The aim of this study was to determine the geometric accuracy of several magnetic resonance imaging scanners used for radiotherapy planning, and to establish acceptance criteria for such scanners. Materials and Methods: The geometric accuracy of five different scanners was measured with three sequences using a commercial large-field-of-view phantom. The distortion magnitudes were determined in spherical volumes around the scanner isocenter and in cylindrical volumes along scanner z-axis. The repeatability of the measurements was determined on a single scanner with two quality assurance sequences with three single-setup and seven repeated-setup measurements. Results: For all scanners and sequences except one, the mean and median distortion magnitude was <1 mm and <2 mm in spherical volumes with diameters of 400 mm and 500 mm, respectively. For all sequences maximum distortion was <2 mm in spherical volume with diameter of 300 mm. The mean standard deviation of marker-by-marker distortion magnitudes over repeated acquisitions was ≤0.6 mm with both tested sequences. Conclusions: All tested scanners were geometrically accurate for their current use in radiotherapy planning. The acceptance criteria of geometric accuracy for regulatory inspections of a supervising authority could be set according to these results.