{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T14:54:02Z","timestamp":1789570442257,"version":"build-2803163510"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,12,26]],"date-time":"2022-12-26T00:00:00Z","timestamp":1672012800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001700","name":"Ministry of Education, Culture, Sports, Science and Technology","doi-asserted-by":"publisher","award":["22K15812"],"award-info":[{"award-number":["22K15812"]}],"id":[{"id":"10.13039\/501100001700","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["aapm.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Applied Clin Med Phys"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The setup of lung shield (LS) in total body irradiation (TBI) with the computed radiography (CR) system is a time\u2010consuming task and has not been quantitatively evaluated. The TBI mobile imager (TBI\u2010MI) can solve this problem through real\u2010time monitoring. Therefore, this study aimed to perform commissioning and performance evaluation of TBI\u2010MI to promote its use in clinical practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The source\u2010axis distance in TBI treatment, TBI\u2010MI (CNERGY TBI, Cablon Medical B.V.), and the LS position were set to 400, 450, and 358\u00a0cm, respectively. The evaluation items were as follows: accuracy of image scaling and measured displacement error of LS, image quality (linearity, signal\u2010to\u2010noise ratio, and modulation transfer function) using an EPID QC phantom, optimal thresholding to detect intra\u2010fractional motion in the alert function, and the scatter radiation dose from TBI\u2010MI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The accuracy of image scaling and the difference in measured displacement of the LS was\u00a0&lt;4\u00a0mm in any displacements and directions. The image quality of TBI imager was slightly inferior to the CR image but was visually acceptable in clinical practice. The signal\u2010to\u2010noise ratio was improved at high dose rate. The optimal thresholding value to detect a 10\u2010mm body displacement was determined to be approximately 5.0%. The maximum fraction of scattering radiation to irradiated dose was 1.7% at patient surface.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>MI\u2010TBI can quantitatively evaluate LS displacement with acceptable image quality. Furthermore, real\u2010time monitoring with alert function to detect intrafraction patient displacement can contribute to safe TBI treatment.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acm2.13865","type":"journal-article","created":{"date-parts":[[2022,12,27]],"date-time":"2022-12-27T06:51:15Z","timestamp":1672123875000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Commissioning and performance evaluation of commercially available mobile imager for image guided total body irradiation"],"prefix":"10.1002","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6885-4892","authenticated-orcid":false,"given":"Tetsu","family":"Nakaichi","sequence":"first","affiliation":[{"name":"Radiation Safety and Quality Assurance Division National Cancer Center Hospital  Chuo\u2010ku Tokyo 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