Elekta iViewGT Electronic Portal Imaging Device. 1

IMRT. 1

VMAT. 1

Program IviewToDicom.. 1

IViewGTDirectory.loc. 2

Select the iViewGT Image System.. 2

Select the Delivery Type. 3

CFS Mode. 3

Select IViewGT Patient 3

Calibration File. 4

Create Image Report 5

Program ConvertEPIDImages and ConvertIMATImages. 5

 

Elekta iViewGT Electronic Portal Imaging Device

Version 3.1 of Elekta’s (Elekta, Norcrcoss, GA, iViewGT referred to here is a trade marked product of Elekta) imaging system supports integration.  By integration we mean that the pixel values are summed over the entire beam on time.  Hence a 100 monitor unit (mu)  exposure will result in twice the pixel values of a 50 mu exposure.  

 

When the iViewGT system is put into integration mode, one must select the option of having each segment written out as a single file.  As of this writing, an available composite mode does not correctly add up the individual segments, although a final image is available.  We have also noted that one might have to interrupt the accelerator between segments to give the iViewGT system time to write out the segment files.

 

We are providing a utility program here:  IviewToDicom to be used in the general case.  This utility will read the iViewGT data base and assemble all the segment files for each beam. 

IMRT

This utility will then write each IMRT beam out in a single Dicom file coded so that program ConvertEPIDImages can read the files.  The manual for ConvertEPIDImages is then to be referred to.  Each segment is also written out in a subdirectory for reference only. 

VMAT

For VMAT each segment is written out as a separate Dicom file.  Program ConvertIMATImages is then to be referred to import the images.  The composte image is written out for reference only.

 

Program IviewToDicom

This utility program will read the iViewGT data base and assemble the segment files for each beam, adding up the segments while applying the scaling factors and putting out both the composite image and images for each segment.  The Dicom files are then written out in Dicom format to the new EPID images directory, in sub-directories by the patient name then by the plan name, then by the beam name for the individual segments.  The files are coded so that utility program ConvertEPIDImages and ConvertIMATImages can read them.  IviewToDicom is licensed separately.

IViewGTDirectory.loc

A text file is read in the program resources directory that contains necessary information of where to find the iViewGT data base.  A sample file is shown below:

 

/* file format version */           1

/* number of systems to follow */   2

 

/*  for each system:  */

 

 

  // description of system.

  <*Elekta IViewGT on 1*>

  //   path to the iViewGT directory where PATIENT.DBF is:

     g:\iview\db

  //   translation of L, M, H, energy designations:

     L    6

     M    10

     H    15

 

 

  // description of system.

  <*Elekta IViewGT on 2*>

  //   path to the iViewGT directory where PATIENT.DBF is:

     v:\iview\db

  //   translation of L, M, H, energy designations:

     L    6

     M    10

     H    18

 

 

For each iViewGT system there must be an entry consisting of a description text field, the path to the system from the computer IviewToDicom is running on, and translations for the letter L, M, and H to energy in mV.  /* to */ are comments not read as well as // to the end of a line.  Text fields are set off with <* to *> if there are spaces in the text field.  One would do an NFS mount which need only be for reading, between the host computer and the iViewGT system computer.  Keep the description of the system fairly short as the description will appear on the below option menu on the main toolbar of IviewToDicom shown next below.

Select the iViewGT Image System

The main toolbar is shown below:

 

 

Use the first option from the left menu to select the IViewGT system if you have more than one from the list in the above file.  

Select the Delivery Type

Next there is also an option menu to select IMRT cases (more than one segment per beam), Conventional cases (only one segment per beam), VMAT, and CFS mode.  The iViewGT system marks those image files differently (IMRT and CFS is of type ‘T’, conventional and VMAT is type ‘P’).  However, a file for a beam name with the letters “cal” in the name that is of type P will be read with the IMRT and VMAT choice so that the conventional calibration file can also be included in the list of found beams, except for the case of CFS.  Do not make a calibration file of type T (IMRT) and give it the same plan name as the plan delivered if CFS mode is to be used.  Read in the calibration file separately under conventional.

CFS Mode

For CFS mode, you will be prompted to select the patient from the Dosimetry Check patient list when you select CFS mode.  To pick a different patient, select CFS again.  

 

You must have first read in the plan with program ReadDicomCheck.

 

This progam will need the list of beams in the plan, the gantry angle for each beam, and the number of segments for each beam, in order to sort out the integrated images as iViewGT stores the delivery of all beams and segments under the name of the first beam delivered.  If a plan with the same name from iViewGT cannot be found, you will be prompted to select the plan from the list of plans under the selected patient’s name.  If the first beam treated cannot be determined, you will be prompted to select the first beam.  However, in this last case, there may very well be an error as the gantry angle of the first beam treated is known and should be found from the beam list in the downloaded plan.

Select IViewGT Patient

After selecting the type of plan, select the patient from the iViewGT data base by hitting the button “Select IViewGT Patient”.  The program will list the patients found on the iViewGT system and prompt you to select one. 

 

This is not to be confused with selecting the patient entry in Dosimetry Check above for CFS mode. 

 

The program will then find all files that were integrated for the patient.  If more than one plan is found, you will be prompted to select the plan.    The program will then list all the segment files found, sorted by beam.   A very simple example appears below:

 

 

One can remove from the list selected items.  The list is constrained to consider only then latest segments measured. 

 

Hitting the “Write Dicom Files” button will write out a composite Dicom file for each beam in the new images directory, and each segment will be written to a sub-directory.  Run program ConvertEPIDImges to read in these files along with a calibration file and proceed, using a deconvolution kernel for the iViewGT system.  Run program ConvertIMATImages for VMAT.

 

The “Write out the input files” button is for testing purposes and will copy the iViewGT data base files read on the iViewGT system into the new images directory.  For IMRT cases you will select the composite images.  For VMAT, you will select all the segment images.

Calibration File

To include a calibration file, include the text “cal” in the port name.  Otherwise the file may be excluded as files of only type 84 (‘T’) are picked up for the IMRT mode.  A non-IMRT field is marked type 80 (‘P’).  For CFS mode just select Conventional to read in the calibration file separately.


Create Image Report

Select this toggle button before selecting the iViewGT patient to get a report on every image found on the system when you do select the iViewGT patient.  This function is useful for diagnosing problems in reading iViewGT data base.

 

Program ConvertEPIDImages and ConvertIMATImages

 

Run these programs to read in the Dicom images written here to convert them to in air x-ray intensity fluence for import to Dosimetry Check.  The programs are described elsewhere.