Measurement of half-value-layer in X-ray CT: a comparison of two noninvasive techniques

The authors determined the accuracy and reproducibility of two noninvasive methods of measuring half-value-layer (HVL), ring and localization, compared with an invasive technique (suspending tube rotation). The ring method uses concentric aluminum rings about a CTDI ionization chamber at isocenter. Data was acquired using axial CT protocols (rotating X-ray tube, stationary patient table). The localization technique uses square aluminum sheets secured to the patient aperture surface, and a CTDI chamber suspended externally at isocenter. Data was acquired using localization image protocols (stationary X-ray tube, moving patient table). The invasive technique was similar to the Localization technique except that the ion chamber was placed on the patient table and the tube rotation disabled using service software. Data for all techniques were collected on the same CT system (HiSpeed CT/i). Independent data sets were collected to determine reproducibility. Sensitivity to ionization chamber lateral displacement from isocenter was investigated. Measured HVLs (mm aluminum, mean±std, n=4) were 7.19±0.03 (ring); 7.17±0.04 (localization); and 7.23±0.02,which were significantly different (p=0.05). Displacing chamber from isocenter changes the HVL, depending on the bow-tie filter, by as much as 5-mm aluminum. Aluminum filter to ion chamber distances of 25 to 35 cm provided accurate results. In conclusion, both noninvasive techniques were accurate and reproducible at isocenter. However, the measured HVL was dependent upon the bow-tie filter and the location of the ionization chamber with respect to isocenter