[Use of 4D-CT: Main technical aspects and clinical benefits]

Abstract

The four-dimensional scannography, also called 4D-CT, was created in the early 2000s. This method enables the aquistion of CT-scans synchronised with the patient's breathing. It allows an anatomical observation depending on the time. Different systems have been marketed. They are commonly used in treatment planning. It allows to take into account respiratory motion, considering the changes of shape and position of the tumor and organs. In the age of new techniques and stereotactic irradiations, 4D-CT is a valuable tool for estimating the uncertainties associated with respiratory movements, This technique also presents some limitations, including artifacts. The quality of the examination can be degraded in some patients with irregular respiration. Here we propose a summary of this technique detailing its principle of operation, its advantages and its main limits.

Keywords: 4D-CT; Artifact; Artéfact; Four-dimensional CT (4D-CT); Mouvement tumoral; Planification; Radiotherapy; Radiothérapie; Scannographie quadridimensionnelle; Stereotactic body radiation therapy (SBRT); Stéréotaxie; Treatment planning; Tumor motion.