Abstract: The present disclosure relates to systems, methods, and computer-readable storage media for radiotherapy. Embodiments of the present disclosure may receive a plurality of training data and determine one or more predictive models based on the training data. The one or more predictive models may be determined based on at least one of a conditional probability density associated with a selected output characteristic given one or more selected input variables or a joint probability density. Embodiments of the present disclosure may also receive patient specific testing data. In addition, embodiments of the present disclosure may predict a probability density associated with a characteristic output based on the one or more predictive models and the patient specific testing data. Moreover, embodiments of the present disclosure may generate a new treatment plan based on the prediction and may use the new treatment plan to validate a previous treatment plan.

Abstract: A method of aligning the radiation beam in a radiotherapy system comprising a source for producing a beam of radiation and an imaging device for imaging from the beam, both mounted to be rotatable about an axis, a fiducial phantom between the source and imaging device, the method comprising: rotating the beam and imaging device in a trajectory about the axis while obtaining images of the fiducial phantom from a plurality of different angles, at least one image including a feature of the imaging apparatus, adjusting the trajectory of the source relative to that feature to position the isocenter substantially in the center of the volume, determining from each image of the fiducial phantom the position of the source at the rotational position the image was obtained, and calculating the center of rotation of the positions of the source to define the isocenter of the system.

Abstract: The leaves of a multi-leaf collimator can be driven more easily and hence more quickly if they are supported on a ball-race instead of in a sliding groove. A recirculating path is preferred, in which the rolling elements of the ball-race support the leaf over part of their path and then return to a start of the path. In addition, the rolling elements could be driven by a drive screw in order to drive the leaf.

Abstract: A radiotherapy apparatus includes a rotatable drum on which is mounted a gantry arm carrying a radiation source. The arm extending from the drum to a location of the radiation source is offset from the axis of rotation of the drum and oriented towards the axis. The radiotherapy apparatus further includes a mechanism configured to apply a tilt to the arm at one or more rotational orientations of the drum. The rotatable drum is supported on wheels beneath the drum, and the mechanism is an eccentric mechanism within the wheels and is configured to apply the tilt to the arm via the wheels.

Abstract: 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.

Abstract: Embodiments of the present invention provide markers, phantoms, and associated methods of calibration which are suitable for use in both magnetic resonance imaging and radiographic imaging systems. A marker includes a first marker component having a first hydrogen proton density and a first mass density; and a second marker component having a second hydrogen proton density different than the first hydrogen proton density, and a second mass density different than the first mass density. The first marker component and the second marker component are non-magnetic.

Abstract: The present invention introduces a method, apparatus and computer program for magnetic resonance imaging or magnetoencephalography applications in order to control currents of a coil assembly (20), and thus achieving desired magnetic fields precisely in the measuring volume (21). The approach is an algebraic method where a field vector is generated for the test currents of each coil (20). Vector and matrix algebra is applied and a linear set of equations is formed. Field components and their derivatives up to the desired order can be taken into account. Principal component analysis or independent component analysis can be applied for determination of the dominant external interference components. By checking the condition value for the matrix (33, 45), it is possible to investigate whether a reasonable solution of currents for desired magnetic fields is possible to achieve. Finally, solved currents can be installed into a current supply unit (29) feeding the coils of the assembly (20).

Abstract: Embodiments of the invention provide systems and methods for evaluating treatment parameters for a patient undergoing radiotherapy. The method includes the step of generating a portal dosimetry image showing differences between a planning image obtained prior to a treatment session and a portal image obtained during the treatment session. A database of prior portal dosimetry results is accessed, and a processor is used to perform a similarity measurement between the portal dosimetry image and the prior portal dosimetry results. Based on the similarity measurement, the system determines whether radiation was delivered as planned during the treatment session.

Abstract: The disclosed systems and methods for Image-Guided Radiation Therapy (IGRT), utilizes an iterative approach which adjusts a treatment plan based on inter- or intra-fraction images to improve the accuracy of the radiation delivered during the overall treatment. The prescribed dose of radiotherapeutic radiation is mapped onto the patient's anatomy using an image acquired of the region, which is to be the target for radiotherapeutic radiation. Following beam-angle-optimization, fluence optimization and segmentation, the efficiency of delivery of each segment is determined using an objective function, and the segments ranked according to their efficiency. The plan proceeds with the choice of the most efficient segment (or segments) to be delivered first.

Abstract: A collimator for a radiotherapy apparatus, comprising a block of isolation-attenuating material having a front face forming the leading edge of tie block and at least one main rear face defining the trailing edge of the block. In which the or each rear face is substantially planar in the direction of the depth of the block and non-parallel to the front face. The collimator may form part of a radiotherapy apparatus, and methods of operation of such apparatus are described.

Abstract: In various embodiments, a system for controlling radiotherapy equipment in a treatment environment includes a controller for receiving, from one or more image capture devices, data indicating the position of one or more objects in the treatment environment. Based on the position data, the controller defines one or more exclusionary zones from which the radiotherapy equipment is excluded. Each zone has a buffer area surrounding one or more of the objects. The controller further directs the radiotherapy equipment such that a radiotherapy treatment plan is delivered without the equipment entering into the exclusionary zones.

Abstract: The present disclosure relates to systems, methods, and computer-readable storage media for segmenting medical image. Embodiments of the present disclosure may locate and track a moving, three-dimensional (3D) target in a patient undergoing image-guided radiation therapy. For example, an adaptive filter model for a region of interest in the patient may be received, wherein the adaptive filter model is based on the target to be tracked. An image acquisition device may obtain a two-dimensional (2D) slice of a region of interest in the patient. A processor may then apply the adaptive filter model to the 2D slice, wherein the adaptive filter model includes an offset value. The processor may also determine a location of the target in the 2D slice based on the adaptive filter model. The processor may also estimate a potential location of the target based on the offset value. The processor may then repeat one or more of the above steps to track the moving target during image-guided radiation therapy of the patient.

Abstract: A frame for fixation of equipment to the head of a patient during neurological diagnosis, therapy or surgery is adapted to enclose the head of the patient. The frame includes a number of mounting slots arranged in the frame. The mounting slots are adapted to receive a number of fixation pins adapted to fixate the frame to a bone in the head. The frame further includes two anterior longitudinal posts and two posterior longitudinal posts, extending along a longitudinal axis A, an anterior portion, adapted to be arranged at the anterior side of the head, the anterior portion interconnecting the two anterior longitudinal posts, and a posterior portion, adapted to be arranged at the posterior side of the head, the posterior portion interconnecting the two posterior longitudinal posts.

Abstract: A collimator for a radiotherapy apparatus comprising a block of radiation-attenuating material having a front face forming the leading edge of the block and at least one main rear face defining the trailing edge of the block, in which the least one main rear face has a material disposed thereon and is non-parallel to the front face. The collimator may form part of a radiotherapy apparatus, and methods of operation of such apparatus are described.

Abstract: An IGRT apparatus comprising a medical imaging device (1) integrated with a linear accelerator (3, 4), the linear accelerator (3, 4) configured for emitting a radiation beam which is shaped by a beam shaper (8, 17), wherein the position of the beam shaper (8, 17) is adjustable between a first position and a second position, wherein the first position is a treatment position and the second position is a non-treatment position and wherein the IGRT apparatus comprises a gantry (2) and wherein the first position is within the gantry (2) and the second position is removed from the gantry (2).

Abstract: A fluorescing marker is used in order to mark (for example) a leaf of a multi-leaf collimator and/or the reference points within the field of view. The markers are illuminated with light tuned to cause the markers to fluoresce at a wavelength different to that of the illuminating light. The fluorescence is then detected by a camera. This method allows the image to be captured by the camera with increased contrast. Accordingly, the present invention provides a multi-leaf collimator for a radiotherapeutic apparatus, comprising at least one leaf having a fluorescent marker. The fluorescent marker will usually emit light of a wavelength longer than the incident light, allowing suitable filters to be provided in order to distinguish the light emitted by the markers. A suitable material for use in the fluorescent markers is ruby. The present invention also provides a radiotherapeutic apparatus comprising a multi-leaf collimator as defined above, and a camera arranged to view the fluorescent markers.

Abstract: A patient support includes a bed, one or more mechanisms configured for manipulating at least one of position and orientation of the bed, and a display configured for displaying a user interface and receiving inputs to control at least the one or more mechanisms.

Abstract: A radiation therapy apparatus includes a radiation source and a ring shaped gantry. The gantry includes a static ring component and a dynamic ring component upon which the radiation source is mounted, the dynamic ring component is rotatable about its center and is provided in multiple arcuate parts that can be assembled together to form the dynamic ring component.

Abstract: A radiotherapy system comprises a patient support, moveable along a translation axis, an imaging apparatus, comprising a first magnetic coil and a second magnetic coil, the first and second magnetic coils having a common central axis parallel to the translation axis, and being displaced from one another along the central axis to form a gap therebetween, the imaging apparatus being configured to obtain an image of a patient on the patient support, a source of radiation mounted on a chassis, the chassis being rotatable about the central axis and the source being adapted to emit a beam of radiation through the gap along a beam axis that intersects with the central axis, a multi-leaf collimator comprising a plurality of elongate leaves movable between at least a withdrawn position in which the leaf lies outside the beam, and an extended position in which the leaf projects across the beam, and a radiation detector mounted to the chassis opposite the source, the radiation detector having a plurality of detector ele

Abstract: Radiotherapy apparatus comprises a source of radiation mounted on a chassis, that is rotatable about a rotation axis and the source being adapted to emit a beam of radiation along a beam axis; a patient support, moveable along a translation axis; a set of magnetic coils located on either side of the beam, for establishing a magnetic field along a first direction; the translation axis, the rotation axis, and the first direction being substantially parallel; and further comprising a multi-leaf collimator fixed in its orientation with respect to the source of radiation, the multi-leaf collimator comprising a plurality of elongate leaves disposed with their longitudinal directions substantially aligned with the first direction and movable in that direction between a withdrawn position in which the leaf lies outside the beam, an extended position in which the leaf projects across the beam.