PMID- 37266518 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230604 IS - 2405-6316 (Electronic) IS - 2405-6316 (Linking) VI - 26 DP - 2023 Apr TI - Radiotherapy planning of spine and pelvis using single-energy metal artifact reduction corrected computed tomography sets. PG - 100449 LID - 10.1016/j.phro.2023.100449 [doi] LID - 100449 AB - Metal artifacts produce incorrect Hounsfield units and impact treatment planning accuracy. This work evaluates the use of single-energy metal artifact reduction (SEMAR) algorithm for treatment planning by comparison to manual artifact overriding. CT datasets of in-house 3D-printed spine and pelvic phantoms with and without metal insert(s) and two treated patients with metal implants were analysed. CT number accuracy improved with the use of SEMAR filter: root mean square deviation (RMSD) from reference (without metal) reduced by 35.4 in spine and 98.8 in hip. The plan dose volume histograms (DVHs) and dosimetric measurements showed comparable results. SEMAR reconstruction improved planning efficiency. CI - Crown Copyright (c) 2023 Published by Elsevier B.V. on behalf of European Society of Radiotherapy & Oncology. FAU - Ignatius, Daliya AU - Ignatius D AD - School of Physics, Mathematics and Computing, The University of Western Australia, Crawley, WA, Australia. FAU - Alkhatib, Zaid AU - Alkhatib Z AD - Department of Radiation Oncology, Sir Charles Gairdner Hospital, Nedlands, WA, Australia. FAU - Rowshanfarzad, Pejman AU - Rowshanfarzad P AD - School of Physics, Mathematics and Computing, The University of Western Australia, Crawley, WA, Australia. FAU - Goodall, Simon AU - Goodall S AD - School of Physics, Mathematics and Computing, The University of Western Australia, Crawley, WA, Australia. FAU - Ibrahim, Mounir AU - Ibrahim M AD - Department of Radiation Oncology, Sir Charles Gairdner Hospital, Nedlands, WA, Australia. FAU - Hirst, Andrew AU - Hirst A AD - School of Physics, Mathematics and Computing, The University of Western Australia, Crawley, WA, Australia. FAU - Croxford, Riley AU - Croxford R AD - School of Physics, Mathematics and Computing, The University of Western Australia, Crawley, WA, Australia. FAU - Dass, Joshua AU - Dass J AD - Department of Radiation Oncology, Sir Charles Gairdner Hospital, Nedlands, WA, Australia. FAU - Sabet, Mahsheed AU - Sabet M AD - School of Physics, Mathematics and Computing, The University of Western Australia, Crawley, WA, Australia. AD - Department of Radiation Oncology, Sir Charles Gairdner Hospital, Nedlands, WA, Australia. LA - eng PT - Journal Article DEP - 20230518 PL - Netherlands TA - Phys Imaging Radiat Oncol JT - Physics and imaging in radiation oncology JID - 101704276 PMC - PMC10230255 OTO - NOTNLM OT - 3D printing OT - Computed Tomography (CT) OT - Metal artifacts OT - Radiotherapy treatment planning OT - Single-Energy Metal Artifact Reduction (SEMAR) COIS- The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/06/02 13:15 MHDA- 2023/06/02 13:16 PMCR- 2023/05/18 CRDT- 2023/06/02 11:00 PHST- 2023/01/31 00:00 [received] PHST- 2023/05/09 00:00 [revised] PHST- 2023/05/09 00:00 [accepted] PHST- 2023/06/02 13:16 [medline] PHST- 2023/06/02 13:15 [pubmed] PHST- 2023/06/02 11:00 [entrez] PHST- 2023/05/18 00:00 [pmc-release] AID - S2405-6316(23)00040-4 [pii] AID - 100449 [pii] AID - 10.1016/j.phro.2023.100449 [doi] PST - epublish SO - Phys Imaging Radiat Oncol. 2023 May 18;26:100449. doi: 10.1016/j.phro.2023.100449. eCollection 2023 Apr.