The orthogonal computed tomography (OrthoCT) concept, based on orthogonal ray imaging, is a low-dose imaging technique currently under investigation to potentially aid in external-beam radiation therapy treatments. This technique involves detecting radiation scattered within the patient and emitted at approximately 90° from the direction of the incoming beam. This scattered radiation can be collected by a 1D-detector system with a multisliced collimator positioned perpendicular to the incident beam axis. Such a system holds promise for on-board imaging with the patient positioned and prepared for treatment, as well as for real-time treatment monitoring. In this study, a multi-slice OrthoCT detector prototype was developed and tested under in-beam irradiation. The system utilizes gadolinium orthosilicate scintillator crystals coupled to photomultiplier tubes and a collimator made of lead slices. Experimental measurements were conducted using a heterogeneous phantom made of acrylic with an air cavity inside. The phantom was irradiated with a TrueBeam linac operating at 6 MV in the flattening-filter-free mode. The findings of this study indicate that this innovative imaging technique is capable of providing morphological images of the phantom. This accomplishment is achieved without the need to rotate the X-ray source around the object to be irradiated, demonstrating the feasibility of such a system.
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