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with the central axis, a multi-leaf collimator comprising a plurality of elongate leaves movable between at least a withdrawn position in which the leaf lies outside the beam, and an extended position in which the leaf projects across the beam, and a radiation detector mounted to the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: Embodiments disclose a method performed by at least one processor for processing a plurality of x-ray projection images of a subject, the method comprising a plurality of operations including reconstructing the projection images to yield a volume reconstruction; segmenting the reconstructed volume by assigning a material type to each voxel; estimating a first set of scatter images corresponding to a subset of the projection images by calculating probabilistic predictions of interactions of x-rays with the subject and applying a low pass spatial filter to the scatter images; estimating a second set of scatter images corresponding to projection images not included in the subset, based on the first set of scatter images; and subtracting, for each projection image, the corresponding scatter image to yield a corrected projection image.

Abstract: A linear accelerator is disclosed, having a series of interconnected cavities through at least some of which an rf signal and an electron beam are sent, comprising at least one variable coupler projecting into the a cavity of the series, a control apparatus adapted to interpret an electrical signal from the coupler and derive diagnostic information as to the electron beam therefrom, wherein the control apparatus is further adapted to vary the interaction of the at least one coupler with the rf signal in dependence on the diagnostic information. Thus, the accelerator properties can be adjusted by encouraging or inciting an Higher-Order Mode (“HOM”) having a desired effect such as bunching and/or deflecting. The coupler could be rotateable, and partially or fully retractable, to allow its influence to be adjusted and/or for it to be removed from service when not needed.

Abstract: A CT scanning apparatus includes a control apparatus arranged to cause a first rotation of a gantry and trigger an x-ray source to emit x-radiation at a first x-ray energy when an angular encoder reports that the gantry is at each of multiple predetermined angular locations, and cause a second rotation of the gantry and trigger the x-ray source to emit x-radiation at a second x-ray energy differing from the first x-ray energy when the angular encoder reports that the gantry is at each of the same predetermined angular locations. An image processing means receives the projection images and reconstructs them into a volumetric image. A support couch is provided for the patient, and to minimize the likelihood of movement artifacts, the support couch includes a patient immobilisation system such as an evacuatable bead bag, bite post, or stereotactic frames, or the like.

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 stereotactic surgical instrument for use in stereotactical therapy and surgery and a coupling mechanism for such an instrument is disclosed. The stereotactic surgical instrument includes a semi-circular arc part and a head frame. The head frame is arranged for fixation to a head of a patient by pins or screws. The arc part includes coupling members shaped as rings arranged at a fixed distance from each other for attaching and locking the arc part to the head frame. The head frame includes support members formed as rings for receiving corresponding coupling members. Each coupling member includes a pivotable clamp element arranged to partly surround a respective support member circumferentially when the arc part is coupled to the head frame. The coupling members include locking elements arranged to receive a tip portion of the respective clamp element and adjustable locking knobs for tightening and locking respective coupling member to respective support member.

Abstract: The co-registration error can be estimated by performing a number of additional iterative co-registrations, each iteration having a starting point dictated by the found co-registration transformation, and using a set of initial parameters different to that of the co-registration being tested. The spread in the resulting co-registrations can then be used as the estimate of the co-registration error. The variations in the set of initial parameters can include (i) the candidate transformation which the iteration uses as its starting point, adopting starting points that are offset from the co-registration being tested, (ii) the sample points used for the mutual information metric (or whichever metric is used to optimise the transformation), and (iii) the region-of-interest that is selected. Ideally, all three are varied to some extent within the plurality of additional co-registrations that are performed, and an average value is taken.

Abstract: A method and a dose planning module for planning a treatment session of a patient by means of a radiation therapy system includes a radiation therapy unit having a fixed radiation focus point. The method includes obtaining a target volume of a region of a patient to be treated during a treatment of a patient in a radiation therapy unit, the target volume being modeled as a three-dimensional voxel representation; selecting an isodose level for the planned treatment; determining shots to be delivered during the treatment, each shot being modeled by a spatial dose volume distribution of radiation represented by a three-dimensional voxel representation, the shape of the spatial distribution depending on the specific collimator setting and the selected isodose level; and selecting shots in a decreasing volume order for the dose planning.

Abstract: An IGRT apparatus includes a medical imaging device integrated with a linear accelerator, the linear accelerator is configured for emitting a radiation beam, which is shaped by a beam shaper, and a gantry. The position of the beam shaper is adjustable between a first position and a second position; the first position is a treatment position and the second position is a non-treatment position and the first position is within the gantry and the second position is removed from the gantry.

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: An apparatus has a patient support, a rotatable gantry supporting a source of imaging radiation, and a radiation detector that operates in a cyclical pattern of an exposure phase followed by a readout phase. For a first detector cycle in which the gantry has a first angle of rotation, the source of radiation is controlled to emit a first radiation beam pulse during the exposure phase, and respective first imaging data is read out during the readout phase. For a second, subsequent detector cycle, it is determined if the gantry has rotated through at least a threshold angular displacement relative to said first angle of rotation, and if so, the source of radiation is controlled to emit a second radiation beam pulse during the exposure phase, and respective second imaging data is read out during the readout phase.

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: Standby power supplies for patient tables need frequent replacement of the lead-acid batteries on which they depend. We propose to feed the emergency power direct to the drive motors, subsequent to the control circuitry. This will reduce the load on the standby power system, allowing greater design freedom to select longer-lasting or less expensive energy stores.

Abstract: A multi-leaf collimator for a radiotherapy apparatus comprises at least one array of laterally-spaced elongate leaves, each leaf being driven by an associated motor connected to the leaf via a drive means so as to extend or retract the leaf in its longitudinal direction, the drive means comprising a sub-frame on which at least a subset of the motors are mounted, the sub-frame being mounted at a location spaced from the leaf array in a direction transverse to the lateral and longitudinal directions, and including a plurality of threaded drives disposed longitudinally, each being driven by a motor and being operatively connected to a leaf thereby to drive that leaf.

Abstract: A radiotherapy apparatus includes a source of radiation, a patient support for locating a patient in the field of the source of radiation, a position detector for determining a position of a patient relative to the radiotherapy apparatus, a comparator for comparing the output of the position detector with a predetermined position, and a feedback system for informing the patient of the output of the comparator.

Abstract: A linear accelerator is disclosed, having a series of interconnected cavities through at least some of which an rf signal and an electron beam are sent, comprising at least one variable coupler projecting into the a cavity of the series, a control apparatus adapted to interpret an electrical signal from the coupler and derive diagnostic information as to the electron beam therefrom, wherein the control apparatus is further adapted to vary the interaction of the at least one coupler with the rf signal in dependence on the diagnostic information. Thus, the accelerator properties can be adjusted by encouraging or inciting an Higher-Order Mode (“HOM”) having a desired effect such as bunching and/or deflecting. The coupler could be rotateable, and partially or fully retractable, to allow its influence to be adjusted and/or for it to be removed from service when not needed.

Abstract: A radiotherapy system comprising a source of radiation, for generating a beam of therapeutic radiation; a field light, for generating a beam of optical light that emulates the beam of therapeutic radiation; and a collimating device, for collimating the beam of therapeutic radiation and the beam of optical light. The field light comprises a single light-emitting diode (LED) having a single die, and wherein the radiotherapy system does not comprise any lenses outside the LED through which the beam of optical light passes.

Abstract: An interface for releasably coupling an extension and a support includes a plurality of tenons extending beyond respective mating edges of the support and the extension to form at least one slot between the tenons and a plurality of bearings to react to loading of the extension. Each bearing has at least one degree of freedom. The one degree of freedom may be a rotational degree of freedom.

Abstract: An apparatus and method of segmenting an image using scribble segmentation is provided. An image is segmented by constraining the membership value of a subset of image elements, solving a weighted biharmonic equation subject to the constrained membership values wherein the weights are determined from similarities between image elements, and determining the final segmentation based on the membership value of each image element. An image may also be segmented by constraining a membership value of a subset of image elements, determining the unknown membership values given the constraints by solving a linear equation system using a multigrid technique, and updating a coarser level of the multigrid hierarchy to account for additional constraints using patch matrices.

Abstract: Embodiments of the present invention provide a system and a method for attaching peripheral devices (such as collimators and electron applicators) to a system such as a radiotherapy system or radiography system. By re-using the lifting mechanism of the patient support to lift the peripheral device vertically, the invention reduces the need for heavy manual lifting.