Thank you for taking a moment to read this protocol. The quality of the CT scan is the most important aspect of creating case- specific anatomical models. Your observation of the recommendations made in this protocol will have a significant impact on the accuracy of the final model. We understand concerns about keeping the radiation dose to your patients as low as reasonably achievable, therefore, please apply these guidelines as appropriate to your  patients. Please do not hesitate to contact us toll free at (402)552-3569 with any questions or prior to using this protocol for the first time.

Please keep in mind the following key points:

• Please use a 3D scanning routine that provides high resolution images as would be suitable for image guided surgery, stereotactic planning or other 3D applications. It may be useful to consult with your CT vendor’s Application Specialist for advice on optimal parameters for your machine that provide the best scan with acceptable radiation dose levels. Scans should not be taken more than 6 months prior to the surgery date.

• Acquire scans at a high spatial resolution. Series should be acquired with thin, contiguous image slices (equivalent thickness and spacing of 1.25 mm or less) and as small a field of view (FOV) as possible while still including the patient’s anatomy of interest.

• Please provide images in the original scanning plane. If software post-processing is performed to reorient or reformat the scan volume, then a series of thin slice images in the original acquisition plane MUST be included.

• Do not use gantry tilt during image acquisition. Images acquired with gantry tilt then post-processed to reorient images are not acceptable (i.e. “take out” tilt) .

• Please ensure that scans are free from motion artifact. Patient must remain completely still through the entire scan. If patient motion occurs, the scan must be restarted. Image distortion from patient motion can severely compromise the accuracy of a model.

• Image artifact caused by metallic implants can obscure anatomy of interest. Please take steps to minimize artifact from the presence of metal.

• Archive the entire study in uncompressed DICOM format on CD-R or DVD for shipping. It is also possible to transfer image data via the internet. Please contact us at (402)552-3569 for details. 

Recommended protocol for medical CT scanners 

Thank you for taking a moment to read this protocol. The quality of the CT scan is the most important aspect of creating case- specific anatomical models for bolus production. Your observation of the recommendations made in this protocol will have a significant impact on the accuracy of the final bolus. We understand concerns about keeping the radiation dose to your patients as low as reasonably achievable, therefore, please apply these guidelines as appropriate to your patients. Please do not hesitate to contact us toll free at (402)552-3569 with any questions or prior to using this protocol for the first time. 

• Please use a 3D scanning routine that provides high resolution images as would be suitable for image guided surgery, stereotactic planning or other 3D applications. It may be useful to consult with your CT vendor’s
  Application Specialist for advice on optimal parameters for your machine that provide the best scan with acceptable radiation dose levels. Scans should not be taken more than 1 month prior to the first treatment date. 

•  Acquire scans at a high spatial resolution. Series should be acquired with thin, contiguous image slices (equivalent thickness and spacing of 3 mm or less) and as small a field of view (FOV) as possible while still including the patient’s anatomy of interest.  

• Please provide images in the original scanning plane. If software post-processing is performed to reorient or reformat the scan volume, then a series of thin slice images in the original acquisition plane MUST be included. 

• If cavities (e.g. inner ear, outer ear, nose, etc.) will be packed during treatment, acquire the scan with tissue-equivalent packing material. Alternatively, contour packing material during the planning process prior to DICOM submission to 3D Systems. 

• Do not use gantry tilt during image acquisition. Images acquired with gantry tilt then post-processed to reorient images (i.e. “take out” tilt) are not acceptable. 

• Please ensure that scans are free from motion artifact. Patient must remain completely still through the entire scan. If patient motion occurs, the scan must be restarted. Image distortion from patient motion can severely compromise the accuracy of a model. 

• Image artifact caused by metallic implants can obscure anatomy of interest. Please take steps to minimize artifact from the presence of metal. 

• Archive the entire study in uncompressed DICOM format on CD-R or DVD for shipping. It is also possible to transfer image data via the internet. Please contact us at (844) 643 1001 for details. 

 Recommended protocol for medical CT scanners

The quality of the CT scan is the most important aspect of creating a patient matched surgical plan. The purpose of this protocol is to obtain patient imaging data suitable for 3D reconstruction of the anatomy. Your observation of the recommendations made in this protocol will have a significant impact on the accuracy of the models, guides, and templates created for the patient. We understand concerns about keeping the radiation dose to your patients as low as reasonably achievable, therefore, please apply these guidelines as appropriate to your patients. Do not hesitate to contact us toll free at (844) 643-1001 with any questions prior to using this protocol.

• Please use a 3D scanning routine that provides high resolution images as would be suitable for image guided surgery, stereotactic planning, or other 3D applications. It may be useful to consult with your CT vendor’s Application Specialist for advice on optimal parameters for your machine that provide the best scan with acceptable radiation dose levels. Scans should not be taken more than 6 months prior to surgery date for patient 21 years of age or older. 

• Series should be acquired with thin, contiguous image slices (equivalent thickness of 1.25mm or less) and as small a field of view as possible while still including the patient’s anatomy of interest. 

• Please provide images in the original scanning plane. If software post-processing is performed to reorient or reformat the scan volume, then a series of thin slice images in the original acquisition plane must be included. 

• Do not use gantry tilt during image acquisition. Images acquired with gantry tilt then post-processed to reorient images are not acceptable. 

• Ensure that scans are free from motion artifact. Patient must remain completely still through the entire scan. If patient motion occurs, the scan must be restarted. Image distortion from patient motion can compromise accuracy. 

• Image artifact caused by metallic implants can obscure anatomy of interest. Please take steps to minimize metal artifacts; including artifact caused by contralateral implants. Elevation of the contralateral limb to reduce metal artifact scattering to the anatomy of interest is preferred. 

• Archive  the entire study in uncompressed DICOM format on CD-R or DVD for shipping. It is also possible to transfer image data via the internet. Contact us at (844) 643-1001 for details.

 Scan Parameters:

 Pelvic Field:

Femoral Field:

Tibial Field: