Task-based image quality assessment of an intraoperative CBCT for spine surgery compared with conventional CT.

Purpose: To analyze the image quality of a novel, state-of-the art platform for CBCT image-guided spine surgery, focusing particularly on the dose-effectiveness compared with conventional CT (the gold standard for postoperative assessment).

Methods: The ClarifEye platform (Philips Healthcare) with integrated augmented-reality surgical navigation, has been compared with a GE Revolution CT (GE Healthcare). The 3D spatial resolution (TTF) and noise (NPS) were evaluated considering relevant feature contrasts (200-900 HU) and background noise for differently sized patients (200-300 mm water-equivalent diameter).

Technical note: SpekPy Web-online x-ray spectrum calculations using an interface to the SpekPy toolkit.

Knowledge of the photon spectrum emitted from an x-ray tube is frequently needed in imaging and dosimetry contexts. As the spectrum characteristics are influenced by several parameters and routine measurement of a spectrum is often impractical, a variety of software programs have been developed over the decades for convenient calculations. SpekPy is a state-of-the-art software package containing several spectrum models, and was created to estimate photon spectra originating from x-ray tubes using a small set of input parameters (e.

Radiation distribution in a hybrid operating room, utilizing different X-ray imaging systems: investigations to minimize occupational exposure.

Objectives: To reduce occupational radiation exposure in a hybrid operating room (OR) used for three-dimensional (3D) image guided spine procedures. The effects of staff positioning, different X-ray imaging systems, and freestanding radiation protection shields (RPSs) were considered.

Methods: An anthropomorphic phantom was imaged with a robotic ceiling mounted hybrid OR C-arm cone beam CT (hCBCT), a mobile O-arm CBCT (oCBCT), and a mobile two-dimensional C-arm fluoroscopy system.