49 results about "Image guided radiotherapy" patented technology

In some embodiments, an image-guided radiotherapy apparatus and method is provided in which a radiotherapy radiation source and a gamma ray photon imaging device are positioned with respect to a patient area so that a patient can be treated by a beam emitted from the radiotherapy apparatus and can have images taken by the gamma ray photon imaging device. Radiotherapy treatment and imaging can be performed substantially simultaneously and/or can be performed without moving the patient in some embodiments. The gamma ray photon imaging device can be coupled and movable with respect to any part of a building structure, can be located on a portable frame movable to and from the radiotherapy radiation source and patient, or can take other forms. In some embodiments, the gamma ray photon imaging device can be used for imaging in connection with other types of medical interventions.

The invention provides a positioning method for use in image-guided radiotherapy, which comprises the following: a step of input, which is to input a radiotherapy plant image; a step of imaging, which is o acquire the image data of a patient by using KV-grade X-rays and acquire the image of a patient according to the image data; a step of registering, which is to register the image of the patient with the radiotherapy plant image; a step of judging, which to judge whether the positions of the two images are consistent according to the registration results, and execute a step of treatment if the positions of the two images are consistent or execute a step of regulation if the positions of the two images are inconsistent; a step of treatment, which is to treat the patient by using an MV-grade X-rays, wherein the KV-grade X-rays and the MV-grade X-rays are from the same accelerating tube; and the step of regulation, which is to regulate the position of a patient according to the registration result and return to the step of imaging. The positioning method is used for improving the positioning accuracy of image-guided radiotherapy.

The present invention relates to different methods of delineating target tissue from non-target tissue using differences in radiographic properties of a medical device.

The present invention relates to a method and nano-sized particles for image guided radiotherapy (IGRT) of a target tissue. More specifically, the invention relates to nano-sized particles comprising X-ray-imaging contrast agents in solid form with the ability to block x-rays, allowing for simultaneous or integrated external beam radiotherapy and imaging, e.g., using computed tomography (CT).

A radiotherapy apparatus comprises a rotatable gantry, supporting a source of therapeutic radiation and a source of diagnostic radiation, the two sources being rotationally (or angularly) spaced apart around a rotation axis of the gantry, with at least one collimator associated with the source of therapeutic radiation and arranged to limit the cross-sectional area of a beam produced by that source, a control means arranged to conduct a treatment fraction using the apparatus by causing the apparatus to i. acquire images of a patient using the source of diagnostic radiation, ii. retain those images at least temporarily, iii. subsequently, after further rotation of the gantry, select a retained image acquired when the source of diagnostic radiation was at a rotational position corresponding to the instantaneous rotational position of the source of therapeutic radiation, and iv. control the beam relative to the patient using information derived from the selected image. The corresponding rotational position is ideally one in which the source of therapeutic radiation is at the same or substantially the same rotational position as was the source of diagnostic radiation at the point in time when the image was acquired. An alternative a radiotherapy apparatus comprises a rotatable gantry supporting a source of therapeutic radiation and a source of diagnostic radiation, at least one collimator associated with the source of therapeutic radiation and arranged to limit the cross-sectional area of a beam produced by that source, a reconstruction means arranged to i. obtain two-dimensional images of a patient using the source of diagnostic radiation, ii. retain those images at least temporarily, iii. apply a recency threshold to the retained images thereby to exclude images less recent than the threshold, iv. select at least three such retained images meeting the recency threshold and reconstruct a CT volume or tomographic image using the selected images, and a control means arranged to conduct a treatment fraction or treatment session using the apparatus, controlling the collimator using information derived from the CT volume.

An image-guided radiotherapy system adapted to be juxtaposed adjacent a CT scanner comprises a frame having an orifice adapted to permit passage therethrough of a couch on which a patient is positioned, together with a gantry assembly rotatably mounted on the frame in which the gantry assembly comprises a shielding cylinder having an orifice therethrough in alignment with the orifice in the frame. The shielding cylinder has affixed thereto a linac-based treatment head configured to provide radiotherapy, and a beamstop positioned angularly opposite the treatment head to absorb radiation from the treatment head. The shielding cylinder provides sufficient shielding of radiation scattered from the patient and the remainder of the system to not require a conventional vault. In some embodiments an arch may be used instead of a cylinder.

The invention discloses a medical linear accelerator KV/MV coaxial X ray image system, belonging to the medical linear accelerator research and manufacture field. The invention provides a medical linear accelerator KV/MV coaxial X ray image system which guarantees a KV level image system to be in a same coordinate axis with MV level radiotherapy ray while collecting images with quality equivalent to the quality of images obtained through a conventional medical X ray image device, which is an image guiding radiotherapy goal pursued by industries at home or aboard and still not finished. The main points of the invention are that a KV level high voltage generator which is exclusive for a regular X ray image device is provided for the medical linear accelerator, and original pulse high voltage or adjustable KV level image high voltage can be freely switched for the electronic emission system through the "high voltage seamless converting circuit" so as to realize the technology of accuracy radiotherapy therapy under coaxial high definition image guiding.

The invention provides a united autonomous breath control on-line alignment technique using iodized oil image to guide image-guided radiotherapy, wherein, the autonomous breath control technique (ABC) is employed to control the liver to move with the breath in the process of radiation treatment, meanwhile, the iodized oil image is employed to carry out 3-D-registration-based image-guided on-line alignment positioning errors between a planned CT and a conical beam CT (CBCT); in addition, strengths of both aspects are combined to maximize accuracy in the radiation treatment in the liver cancer, thus overcoming the defect of depending on the musculus diaphragm, the vertebral body and the liver to conduct 2-D registration to indirectly reflect movement of liver neoplasm and providing a novel radiation treatment technology with high accuracy which can improve radiation treatment dosage for liver neoplasm while reducing harm caused by normal liver organization radiation treatment for liver cancer patients who are not suitable for operations.

The embodiment of the invention discloses a dosage-guided positioning device, a dosage monitoring device, a radiotherapy system and a medium. The dosage-guided positioning device comprises a processor, wherein the processor is used for acquiring therapeutic image data of a target object and reference dosage information of an existing reference radiotherapy plan of the target object, comparing thetherapeutic image data with reference image data corresponding to the reference radiotherapy plan to obtain an initial offset, determining dosage information corresponding to the therapeutic image data as contrast dosage information according to the initial offset, and determining a target offset according to the contrast dosage information and the reference dosage information. The problem that the accuracy of image-guided radiotherapy positioning in the prior art excessively depends on the experience of a physicist or a technician is solved.

The present invention is related to an apparatus and method to carry out image-guided radiotherapy or radiosurgical treatments using Kilovoltage X-ray beams; one of the problems with the clinical application of this treatment consists in the absorbed dosage imparted unto a point within the subject to be irradiated depends on the local concentration of the contrast agent at that point, and the lack of properly quantifying the presence of the contrast agent at each point of the tumor or malformation to be irradiated results in a significant decrease in the quality of the treatment; the method and apparatus of the present invention resolve this and other problems. The Method consists of the following steps: a) determining the geometry of the patient and the concentration of the contrast agent at each point of the same, b) planning of treatment, and c) irradiating of the tumor or malformation; the apparatus includes a system to obtain three-dimensional images of the patient, a plurality of X-ray generating sources, a system to automatically position said X-ray generating sources in such a way that the radiation produced is directed towards the site to be irradiated in the patient, and a computer controlled system.

The embodiment of the invention discloses image-guided radiotherapy equipment. The image-guided radiotherapy equipment comprises an annular rack, a radiotherapy head, a strip-shaped imaging source anda strip-shaped imager, wherein the annular rack can rotate around a central shaft; the radiotherapy head is arranged on the annular rack and is used for emitting treatment beams; the strip-shaped imaging source comprises a plurality of imaging sub-sources and is capable of respectively emitting imaging beams; the plurality of imaging sub-sources are arranged at positions close to the radiotherapyhead in a first direction; the strip-shaped imager is arranged on an opposite side of the strip-shaped imaging source in a second direction intersecting with the first direction and is used for receiving imaging beams passing through an affected part of a patient and converting the imaging beams into a three-dimensional imaging signal so as to generate a three-dimensional image of the affected part of the patient.

The invention discloses a positioning deviation determining method and device and belongs to the technical field of image-guided radiotherapy. The method can avoid errors in a positioning deviation acquisition process and comprises the steps as follows: acquiring first space coordinates of a treatment table in a therapy position and the distance between the isocenter and the upper surface of the treatment table; controlling the treatment table to move to a scanning position according to preset second space coordinates, and acquiring a reset scanning image of an object, wherein the reset scanning image comprises an image of the upper surface of the treatment table; determining the position aligning to the isocenter with the image of the upper surface of the treatment table as a reference inthe reset scanning image according to the first space coordinates, the second space coordinates and the distance; and determining position deviation between a treatment plan center and the isocenteraccording to a positioning scanning image and the reset scanning image, and determining the positioning deviation according to the position deviation.

A method of image-guided radiotherapy for treatment of a radio-resistant or radio-sensitive tumor. A three-dimensional visualized tumor image is obtained and the boundary of the tumor is identified. A boosted radiation dose of treatment is designated and applied to a boost region within the tumor boundary. A predetermined prescribed radiation dose is simultaneously applied with the boosted radiation dose within the tumor boundary and in a planning target volume region, which is outside of the tumor boundary. The boosted radiation dose outside of the boost region decreases at a boost dose decreasing rate such that the boosted radiation dose is equal to the predetermined prescribed radiation dose at the tumor boundary.

An apparatus is disclosed, which comprises a radiotherapy delivery apparatus having a radiation source for emitting a beam of radiation and rotatable around an axis intersecting the beam through a range of at least x degrees, an imaging device, and a control unit for controlling the source and imaging device. The apparatus further comprises a treatment planning computer configured to receive a first image of a patient, and receive parameters defining the operations of the radiotherapy delivery apparatus. The parameters include an available range of rotation for the source defined as x-e, where e>0. The treatment planning computer is further configured to generate a treatment plan for the patient based on the received image and parameters. The control unit determines a patient position using the imaging device, determines a rotation r of the patient around the axis relative to the first image, and compensates for the rotation by offsetting the source by a rotation equal to r when r<e.