Professional Documents
Culture Documents
Pinnacle 9.6 DICOM Acceptance Tests - KOR
Pinnacle 9.6 DICOM Acceptance Tests - KOR
3
Pinnacle
9.6
DICOM
9.6
DICOM
.
.
4598 004 81171 A
Pinnacle3, P3IMRT P3MD Philips Medical Systems
AcQSim3 Syntegra Philips Medical Systems
.
Sun, Solaris Sun Blade Oracle Corporation /
.
Windows Microsoft Corporation
.
Orbit RaySearch Laboratories AB .
, ,
,
.
Philips Medical Systems
.
Pinnacle Radiation Therapy Planning System
93/42/EEC CE
.
Philips Medical Systems Nederland B.V.
Quality & Regulatory Affairs
Veenpluis 4-6
5684 PC Best
The Netherlands
Pinnacle Radiation Therapy Planning(RTP) Pinnacle , Syntegra, PIMRT, PMD,
AcQSim . Pinnacle RTP Solaris UNIX
UNIX
.
.
Pinnacle Pinnacle, Syntegra, PPC( ), PMD, AcQSim PIMRT
, MS Windows ,
Pinnacle Pinnacle .
.
. CD CD
. .
.
.
(1-800-722-9377, )
.
Pinnacle RTP
. Pinnacle RTP
.
.
.
. , , .
Pinnacle RTP .
Pinnacle RTP .
.
Pinnacle .
.
.
Pinnacle 3 9.6
Philips Medical Systems .
.
.
TG40, TG53
. TG40, TG53
(American Association of Physicists in Medicine, AAPM) .
QA: Report of AAPM Radiation Therapy Committee Task Group 40. Medical Physics 21(4),
1994.
American Association of Physicists in Medicine Radiation Therapy Committee Task Group 53: Quality
assurance for clinical radiotherapy treatment planning. Medical Physics 25(10), 1998.
.
.
(Multi-Leaf Collimator, MLC)
.
.
.
.
.
SSD .
.
: : .
. .
.
.
.
Pinnacle NOT FOR CLINICAL USE( ) .
.
.
Pinnacle . .
.
Pinnacle 3 9.6
1.1
1.2
1.3
DICOM RT .................................................................................. 21
2.1
2.2
3.3
3.4
3.5
Pinnacle3 ....................................................................................... 25
.............................................................................................................. 26
3.2.1
Pinnacle3 .......................................................................... 26
3.2.2
Pinnacle3 DICOM .............................................. 27
.............................................................................................................. 28
Pinnacle3 DICOM ............................................................... 29
DICOM Pinnacle3 ............................................................... 30
IEC ..................................................................................................... 31
4.1
4.2
4.3
4.4
..................................................................................................
..........................................................................................................
..........................................................................................................
.....................................................................................................
31
34
35
36
..................................................................................................... 22
DICOM RT ......................................................................................... 23
2.2.1
............................................................................................. 23
2.2.2
................................................................................................. 24
DICOM ............................................................................................... 25
3.1
3.2
....................................................................................................... 7
DICOM Image ...................................................................................... 8
1.2.1
............................................................................................... 8
1.2.2
................................................................................................... 9
1.2.3
................................................................................................. 11
CT ............................................................................................................. 14
1.3.1
CT ........................................................................................... 14
1.3.2
CT ........................................................................................... 15
1.3.3
........................................................................... 19
Pinnacle 3 9.6
Pinnacle 3 9.6
DICOM Image
Pinnacle3
. .
(CT
, )
.
Pinnacle3 Pinnacle3
.
1.1
.
,
.
.
.
. .
.
Pinnacle3
Pinnacle3 RTP DICOM Image
( ) DICOM Image
4598 004 81171 A
CT
Pinnacle 3 9.6
DICOM Image
DICOM Image
1.2
1.2
1.2.1
DICOM Image
Pinnacle3 Pinnacle3 Radiation Therapy Planning(RTP)
About() .
Pinnacle3
( )
( )
:
:
8
DICOM Image
Pinnacle 3 9.6
DICOM Image
1.2.2
1.2
CT, MR, PET SPECT
. , Head
First Supine( ), Feet First Supine(
), Head First Prone( ) Feet
First Prone( )
4 16 ( 4)
.
.
.
.
.
Pinnacle3 . Pinnacle3
.
Pinnacle3 ,
, .
, ()
. X Y
. MR
. DICOM Image
.
Pinnacle 3 9.6
DICOM Image
1.2
DICOM Image
___/___
Pinnacle3
( )
(cm)
X Y
:
:
10
DICOM Image
Pinnacle 3 9.6
DICOM Image
1.2.3
1.2
DICOM
.
Pinnacle3 6
.
.
. / P
F .
3
.
.
X
.
,
/
:
:
Pinnacle 3 9.6
DICOM Image
11
1.2
DICOM Image
,
/
,
/
,
/
,
/
:
:
12
DICOM Image
Pinnacle 3 9.6
DICOM Image
1.2
DICOM Image
13
,
/
,
/
,
/
:
:
Pinnacle 3 9.6
CT
1.3
1.3
CT
CT .
1.3.1
CT
CT DICOM
. CT
CT ( CT ) Pinnacle3 CT (
CT ) .
CT-
. Pinnacle3 Physics .
CT
Pinnacle3 CT
. CT
ROI
. ROI
. .
ROI ROI/ CT
.
CT (Hounsfield unit)
. DICOM CT
,
CT .
, 0
.
.
CT# = Hounsfield + 1000
CT CT
. CT
Pinnacle3 CT
.
.
Pinnacle3
. Pinnacle3 .
.
=
14
DICOM Image
P 3 + CT
Pinnacle 3 9.6
CT
1.3.2
1.3
CT
/ 1
CT
CT
()
()
( / 2)
--2
--2
/ 2
CT
CT
()
()
( / 2)
:
:
Pinnacle 3 9.6
DICOM Image
15
1.3
CT
/ 3
CT
CT
()
()
( / 2)
--2
--2
/ 4
CT
CT
()
()
( / 2)
:
:
16
DICOM Image
Pinnacle 3 9.6
CT
1.3
/ 5
CT
CT
()
()
( / 2)
--2
--2
/ 6
CT
CT
()
()
( / 2)
:
:
Pinnacle 3 9.6
DICOM Image
17
1.3
CT
/ 7
CT
CT
()
()
( / 2)
--2
--2
/ 8
CT
CT
()
()
( / 2)
:
:
18
DICOM Image
Pinnacle 3 9.6
CT
1.3.3
1.3
. . CT
. , Z=5.0 mm,
Z=10.0 mm Z=3.0 mm, .
.
Pinnacle3 .
.
CT
.
Pinnacle3
( )
(cm)
X Y
(cm)
Z 1
Z 2
Z 3
:
:
Pinnacle 3 9.6
DICOM Image
19
1.3
CT
:
:
20
DICOM Image
Pinnacle 3 9.6
DICOM RT
DICOM , ,
DRR . DICOM RT
Pinnacle3 DICOM
. Pinnacle3 DICOM RT
DICOM .
.
. , ,
.
.
.
Pinnacle3
Pinnacle3 RTP DICOM RT
(23 ) DICOM RT
. Pinnacle3
.
.
DICOM RT Pinnacle3
. Pinnacle3 .
Pinnacle3
PROS .
Pinnacle 3 9.6
DICOM RT
21
2.1
2.1
Pinnacle3
.
, , MLC , ,
, , , , ,
DRR , , DRR
.
Pinnacle3 .
Pinnacle3 Pinnacle3 Radiation Therapy Planning(RTP)
About() .
. .
- (: , ) .
Pinnacle3 - Pinnacle3
.
/ -
.
/ - / . Pinnacle3
. Pinnacle3
().
.
22
DICOM RT
Pinnacle 3 9.6
DICOM RT
2.2
2.2.1
2.2
DICOM RT
Pinnacle3 Pinnacle3 Radiation Therapy Planning(RTP)
About() .
Pinnacle3
:
:
Pinnacle 3 9.6
DICOM RT
23
DICOM RT
2.2
2.2.2
Pinnacle3
:
:
24
DICOM RT
Pinnacle 3 9.6
DICOM
DICOM Image 9
. DICOM Image 4.4e
Application Note(
) 2008-01 , InCenter .
Pinnacle3 DICOM .
Pinnacle3 DICOM
. Pinnacle3
Pinnacle3 . DICOM
DICOM
.
Pinnacle DICOM
.
P C = X C Y C ZC 1
3.1
Pinnacle3 , DICOM
. .
Pinnacle3
xterm
.
Pinnacle3
Echo = VolumeList.##0.Start.X;
Echo = VolumeList.##0.Start.Y;
Echo = VolumeList.##0.Start.Z;
Echo = VolumeList.##0.YPixDim;
Echo = VolumeList.##0.YDim;
Echo = VolumeList.##0.PatientPosition;
Pinnacle 3 9.6
DICOM
25
3.2
3.2
Pinnacle3
. DICOM
.
.
3.2.1
Pinnacle3
Pinnacle3 Pinnacle3
Pinnacle3 .
Pinnacle3 .
PPINN
INN OR
IG IN = X P Y P Z P 1
ORIGIN
.
Xp = Pinnacle3 X
Yp = Pinnacle3 Y
Zp = Pinnacle3 Z
26
DICOM
Pinnacle 3 9.6
3.2.2
3.2
Pinnacle3 DICOM
Pinnacle3 DICOM
.
DICOM .
DICOM
DIC
OM OR
IG IN = X D Y D Z D 1
ORIGIN
.
XD = 10 Xp Xsign
YD = 10 (Yp + (Ydim (Yr 1))) Ysign
ZD = 10 Zp Zsign
Xp = Pinnacle3 X
Yp = Pinnacle3 Y
Zp = Pinnacle3 Z
Yr = Y
Ydim = Y
Xsign, Ysign Zsign .
.
Xsign
Ysign
Zsign
-1
-1
-1
-1
-1
-1
DICOM
27
Pinnacle 3 9.6
3.3
3.3
Pinnacle3 DICOM
.
. T
. Pinnacle3 DICOM
.
S
c a le
0
0
0
S c a le
0
He ad
F ir s t
S up ine
==
0
0
S
c a le
X
Y
Z
0
0
0
1
S
c a le
0
0
0
S
c a le
0
He
a d F
irs t P ro
ne ==
0
0
S
c a le
X
Y
Z
0
0
0
1
S
c a le
0
0
0
S c a le
0
F e
e t F irs
t S up
ine ==
0
0
S c a le
X
Y
Z
0
0
0
1
S
c a le
0
0
0
S
c a le
0
e e t F
irs t P ro
ne ==
F
0
0
S
c a le
X
Y
Z
0
0
0
1
T .
T 1 1 T 1 2 T 13 T 1 4
T =
T 2 1 T 2 2 T 23 T 2 4
T 3 1 T 3 2 T 33 T 3 4
Philips Medical Systems
T 4 1 T 4 2 T 43 T 4 4
28
DICOM
Pinnacle 3 9.6
Pinnacle 3 DICOM
3.4
3.4
Pinnacle3 DICOM
Pinnacle3 DICOM
.
PPTT == (P
( PCC PINN
P INNORIGIN
T
OR IG IN) ) T
T = . 10 X, Y Z DICOM
.
PC = Pinnacle3
PINNORIGIN = Pinnacle3
.
XT = (XC XP) T11 + T41
YT = (YC YP) T22 + T42
Pinnacle 3 9.6
DICOM
29
DICOM Pinnacle 3
3.5
3.5
DICOM Pinnacle3
DICOM Pinnacle3
.
PPT == (P
( PCC DICOM
DIC OMORIGIN
OR IG IN) ) T
T = . 0.1 X, Y Z Pinnacle3
.
PC = DICOM
DICOMORIGIN = DICOM
.
XT = (XC XD) T11 + T41
YT = (YC YD) T22 + T42
30
DICOM
Pinnacle 3 9.6
IEC
IEC : Radiotherapy equipment Coordinates, movements and scales, CEI/IEC 1217: 1996.
4.1
Pinnacle3
.
, . ,
,
.
Pinnacle 3 9.6
IEC
31
4.1
IEC IEC 0
. IEC 0
.
X1
X2
Y1
Y2
Elekta .
360 . 0-359.9
180 .
0
180-179.9 .
IEC 0
. Pinnacle3
IEC 0
. IEC 0
.
.
1: IEC 0 . .
IEC 0
32
IEC
Pinnacle 3 9.6
4.1
2: IEC 0
(1 ).
Y2
Y2
Y2
Y2
X1
X1
X1
X1
X2
X2
Y1
Y1
X2
Y1
Y1
X2
3: IEC 0 Pinnacle3
IEC .
IEC 0 ,
, IEC .
Pinnacle 3 9.6
IEC
33
4.2
4.2
IEC
0
.
IEC
.
IEC 0 .
34
IEC
Pinnacle 3 9.6
4.3
4.3
IEC
0
.
IEC
.
IEC 0 .
Pinnacle 3 9.6
IEC
35
4.4
4.4
IEC
0
.
. 0 IEC 0
. .
.
90
180
270
36
IEC
Pinnacle 3 9.6
Philips Medical Systems (Cleveland), Inc.
5520 Nobel Drive, Suite 125
Fitchburg, WI 53711
United States of America
0086
93/42/EEC
.