We describe a prototype digital radiotherapy simulator which consists
of a conventional simulator gantry, digital spot imager, and image cor
rection and reconstruction software. The ability of the digital spot i
mager to acquire a diagnostic quality image directly in digital format
during simulation offers unique possibilities in clinical practice. A
pplications include prescription of multileaf collimator, on-line pati
ent setup verification, remote consultation and treatment planning. In
addition, we discuss the possibility of using the digital simulator a
s a volume-CT scanner capable of obtaining three-dimensional anatomica
l information in a single scan. (C) 1998 Elsevier Science Ltd. All rig
hts reserved.