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UWE Bristol Engineering showcase 2015

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Karen Li<br />

BEng (Hons) Mechanical <strong>Engineering</strong><br />

Project Supervisor<br />

Tushar Dhavale<br />

4D-CT Respiratory Motion Phantom Manufacture<br />

Introduction<br />

Phantoms are medical devices that mimic and simulate a part of a body. The use of phantoms in radiation oncology are used by medical<br />

physicists as a substitute for human tissue. The various types of phantoms used have evolved with time in terms of shape, material ,<br />

mechanism and composition. The purpose of the said phantom is to conduct a quality check and assurance for medical imaging<br />

equipment, such as the 4D-CT.<br />

The investigation being carried out attempts to re-design and develop a respiratory motion phantom; for the benefit and usage to the<br />

NHS radiotherapy team. The final design should be able to meet the list of requirements shown under project objective.<br />

Project summary<br />

The NHS radiotherapy team requires a<br />

respiratory motion phantom that would<br />

enable a quality control check on their 4D-CT<br />

scan, to ensure that the systems are running<br />

as expected.<br />

Lung and Breathing Phantom<br />

The NHS radiotherapy team had design a lung phantom that represents the<br />

outlines of the lung with tumors inside, shown at the right. The lung<br />

phantom would require a drive unit that would enable it to move with<br />

respects to the breathing waveform, shown below. The breathing phantom<br />

also known as the infrared reflectors , are detected and recorded by the<br />

infrared camera that is stationed at the end of the CT table.<br />

Concept Design and Development<br />

There are a variety of stationary<br />

phantoms that could be adjusted and<br />

created to fit the requirements. For<br />

this reason, several concept design<br />

sketches were sketched and have<br />

been redesigned based on the<br />

requirements. Research such as: the<br />

material, manufacture, motor<br />

selection and the cost analysis were<br />

made and checked throughout this<br />

project. Each phantom designed was<br />

made into a CAD file using Solidworks.<br />

Cam Design<br />

A human breathing waveform is a<br />

sinusoidal function. However an<br />

irregular sinusoidal can occur when the<br />

patient is having difficulties breathing,<br />

or s/he were coughing during the<br />

procedure. Two cams were designed to<br />

produce both desired waveforms. These<br />

cams are the drive of the phantom as<br />

they not only move the lung phantom<br />

but will be moving the infrared<br />

reflectors to produce the outcomes<br />

shown on the right.<br />

Modeling Stage and Final Product<br />

With a selected material (acrylic) and a manufacture technique (laser cutter) the first phantom<br />

was created, shown right. In total, three models were produced. Each model was tested and<br />

further developed, based on the end users feedback. Two models proved to be successful in<br />

terms of fulfilling some of the requirements, but unreliable at times due to its assembly. But with<br />

careful precision and recalculation to eliminate the error, the final phantom was made and given<br />

to the NHS radiotherapy team.<br />

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Irregular Sinusoidal Cam Waveform<br />

Angle of Cam (Degrees)<br />

Project Objectives:<br />

The main objective is to produce a respiratory motion<br />

phantom and for it to be able to fulfill the list of<br />

requirements conducted by the end users:<br />

- To produce a frequency of a range of 10 – 20<br />

Breathes per Minute (BPM) although 5- 20 BPM<br />

would be desirable.<br />

-Be able to produce a smooth irregular and sinusoidal<br />

breathing waveform.<br />

- Low maintenance and cost to produce.<br />

-The drive unit should be able to move the ‘lung<br />

phantom’<br />

- The CT image should be able to produce clear<br />

definition of the tumor and of its range.<br />

- Produce a platform for the infrared reflectors that<br />

can move in a linear vertical axis whilst having some<br />

ties with the lung phantom.<br />

-An amplitude of up to 2cm in both the breathing<br />

waveform and lung phantom.<br />

Project Conclusion<br />

In conclusion, the calculations made to define<br />

the outcome prove to be a success. The final<br />

phantom was able to achieve the list of<br />

requirements. Compared to some of the<br />

commercialized phantoms, this was by extent<br />

the cheapest to manufacture, and with low<br />

maintenance needed.

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