Image quality assessment of three cone beam CT machines using the SEDENTEXCT CT phantom

Objectives: The SEDENTEXCT Project proposed quality assurance (QA) methods and introduced a QA image quality phantom. A new prototype was recently introduced that may be improved according to previous reports. The purpose of this study is to evaluate image quality in various protocols of three cone beam CT (CBCT) machines using the proposed QA phantom. Methods: Using three CBCT machines, nine image quality parameters, including image homogeneity (noise), uniformity, geometrical distortion, pixel intensity value, contrast resolution, spatial resolution [line pair (LP) chart, point spread function (PSF) and modulation transfer function (MTF)] and metal artefacts, were evaluated using a QA phantom proposed by SEDENTEXCT. Exposure parameters, slice thickness and field of view position changed variously, and the number of total protocols was 22. Results: Many protocols showed, a uniform gray value distribution except in the minimum slice thickness image acquired using 3D Accuitomo 80 (Morita, Kyoto, Japan) and Veraviewepocs 3Df (Morita). Noise levels differed among the protocols. There was no geometric distortion, and the pixel intensity values were correlated with the CT value. Low contrast resolution differed among the protocols, but high contrast resolution performed well in all. Many protocols showed that the maximum line pair was larger than 1 LP mm(-1) but smaller than 3 LP mm(-1) PSF and MTF did not correlate well with the pixel size. The measured metal artefact areas varied for each device. Conclusions: We studied the image quality of three CBCT machines using the SEDENTEXCT phantom. Image quality varied with exposure protocols and machines.