Background: In 2011, the National Science and Technology Development Agency had successfully developed the first local-made mobile conebeam computed tomography (CBCT) scanner, called MobiiScan. Before a computed tomography (CT) scanner can be used in clinical practice, it must pass a quality assurance process.

Objective: To assess the performance of MobiiScan before it can be further evaluated in human subjects.

Materials and Methods: Images from scanning of an imaging phantom by MobiiScan were compared to a commercial 64-slice (GE Discovery CT750 HD) and a mobile (Neurologica CereTom) CT scanner, which were used as controls. Spatial resolution, uniformity, noise, accuracy of CT number, and geometric accuracy were examined by three investigators.

Results: According to the bone scanning protocol, spatial resolution of the images produced by MobiiScan was comparable to the mobile scanner, but it was less than the 64-slice scanner. In addition, the signal uniformity of MobiiScan was poorer compared to the controls. MobiiScan produced more noise than the mobile and the 64-slice scanners at the 120-kVp mode, but less noise than the 64-slice scanner at the 80-kVp mode. Using the brain protocol, the spatial resolution from the MobiiScan was higher than the mobile scanner, but comparable to the 64-slice scanner. Although the signal uniformity of the MobiiScan was superior compared to the controls, the noise production was more than the controls. At all settings, the MobiiScan gave underrated distances and inaccurate CT numbers. However, it delivered very low radiation doses.

Conclusion: MobiiScan had a good spatial resolution and delivered low radiation dose, which suggested that it could be used for bone examination as intended by the creator. However, its noise production and inaccurate CT numbers suggest that MobiiScan should not be used to diagnose soft tissue problems. It is recommended that the hardware and software should be adjusted to provide a better signal uniformity, lower noise level, accurate CT number, and geometric accuracy.

Keywords: X-ray computed tomography; Cone-beam computed tomography; Craniofacial abnormalities; Radiologic phantom; MobiiScan

DOI: doi.org/10.35755/jmedassocthai.2021.12.13074

Received 5 July 2021 | Revised 8 November 2021 | Accepted 12 November 2021