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CT simulation provides optimum set-up accuracy for patients who will be receiving radiation therapy. This process allows the radiation oncologist to design a treatment plan unique to each patient's anatomy.
Electronic portal imaging devices (EPIDs) are used to measure the x-ray intensity transmitted through a patient from a radiation port during a treatment session.
EPID. Electronic Portal Imaging Device (radiotherapy)
The electronic portal imaging device (EPID) is used for patient setup during radiotherapy sessions. Dosimetric verification is done using ion chambers, diodes and thermoluminescence detectors. In intensity-modulated radiation therapy (IMRT) the dosimetry is a sophisticated and time-consuming task.
EPIDs have largely replaced film, owing to advances in detector technology and hence image quality, and to the availability of commercial PACs specifically designed for radiation oncology. Several features make EPIDs attractive for portal radiography. One is the ability to acquire and display an image in seconds.
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Electronic Portal Imaging Devices (EPIDs) are digital x-ray imaging systems that use the megavoltage treatment beam to acquire projection images of radiotherapy patients.
The EPID is attached to the gantry of an isocentric radiation treatment machine so that it may intercept the exiting photon beam at all gantry angles. The ideal support system must be sturdy and capable of precise repositioning, yet easily retracted or removed to facilitate patient access.
A CT scan will be taken to verify the anatomy and assure accuracy. If needed, immobilization devices such as a face mask or a leg mold will be made at this time. Your skin will be marked with small dots of permanent ink (tattoos) to ensure that the precise area is treated each time. The SIM visit takes about one hour.
What Is an E-Portal? An enterprise information portal (e-portal) is a single gateway through which to gain access to all the information, data, systems, and processes used by stakeholders of an organization.
EPID clinical use It allows more frequent monitoring of patient setup than film imaging and provides computer\u2010aided assessment of errors. One study suggested that, due to the smaller amount of time needed to image with an EPID, EPID is a more accurate reflection of patient setup error than film.

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