Effect of jaw size in megavoltage CT on image quality and dose

Jae Hong Jung, Kwang Hwan Cho, Yong Ho Kim, Seong Kwon Moon, Chul Kee Min, Woo Chul Kim, Eun Seog Kim, Ah Ram Chang, Tae Ho Kim, Jai Woong Yoon, Tae Suk Suh, Hyun Do Huh

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Purpose: Recently, the jaw size for the TomoTherapy Hi-Art II ® (TomoTherapy Inc., Madison, WI) was reduced from 4 mm (J4) to 1 mm (J1) to improve the longitudinal (IEC-Y) resolution in megavoltage computed tomography (MVCT) images. This study evaluated the effect of jaw size on the image quality and dose, as well as the dose delivered to the lens of the eye, which is a highly radiosensitive tissue. Methods: MVCT image quality (image noise, uniformity, contrast linearity, high-contrast resolution, and full width at half-maximum) and multiple scan average dose (MSAD) were measured at different jaw sizes. A head phantom and photoluminescence glass dosimeters (PLDs) were used to measure the exposed lens dose (cGy). Different MVCT scan modes (pitch 1, 2, and 3) and scan lengths (108 mm, 156 mm, and 204 mm) were applied in the MSAD and PLDs measurements. Results: The change in jaw size from J4 to J1 produced no change or only a slight improvement in image noise, uniformity, contrast linearity, and high-contrast resolution. However, the full-width at half-maximum reduced from approximately 7.2 at J4 to 4.5 mm at J1, which represents an enhancement in the longitudinal resolution. The MSAD at the center point changed from approximately 0.69-2.32 cGy (peripheral: 0.83-2.49 cGy) at J4 to 0.85-2.81 cGy (peripheral: 1.05-2.86 cGy) at J1. The measured lens dose increased from 0.92-3.36 cGy at J4 to 1.06-3.91 cGy at J1. Conclusions: The change in jaw size improved longitudinal resolution. The MVCT imaging dose of approximately 3.86 cGy, 1.92 cGy, and 1.22 cGy was delivered at a pitch of 1, 2, and 3, respectively, per fraction in the head and neck treatment plans. Therefore, allowance for an approximately 15 increase in lens dose over that with J4 should be provided with J1.

Original languageEnglish
Pages (from-to)4976-4983
Number of pages8
JournalMedical physics
Issue number8
StatePublished - Aug 2012


  • image quality
  • lens
  • megavoltage computed tomography (MVCT)
  • multiple scan average dose (MSAD)
  • photoluminescence glass dosimeters (PLDs)


Dive into the research topics of 'Effect of jaw size in megavoltage CT on image quality and dose'. Together they form a unique fingerprint.

Cite this