Abstract: A radiotherapy apparatus includes a fixed support and a gantry including a chassis part and a source part, the chassis part being rotatably attached to the fixed support to allow rotation thereof about a generally horizontal axis, and the source part being connected to the chassis part via a rotatable connection allowing the source part to rotate relative to the chassis part around a transverse axis. The source part includes a source of therapeutic radiation directed towards the intersection of the transverse axis and the horizontal axis. The chassis part and the source part together define an annular ring that encircles the horizontal axis. In this way, the radiotherapy apparatus can provide the full usual range of treatments, but can also adapt itself to adopt a non-coplanar geometry when required, for example to treat difficult locations in the head and neck.

Abstract: Embodiments disclose a radiotherapy apparatus comprising a source of radiation configured to emit a beam of radiation and a collimator structure configured to limit a lateral extent of the beam, the collimator structure including a primary collimator configured to shape the beam, a first collimator comprising a plurality of adjacent elongate leaves, the leaves being extendable into the beam in a first direction transverse to the beam, and a block collimator including an aperture configured to permit the beam to pass through, the block collimator being extendable into the beam in a second direction transverse to the beam and transverse to the first direction. In some embodiments, the aperture may be cone-shaped or a through-hole, which may be empty or filled with a radiotransparent material. In some embodiments, the block collimator may include a plurality of apertures, which may be of varying dimensions.

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 system and method for compensating for torque reaction forces in a medical apparatus is disclosed. The system may include a rotary element which rotates about an axis. A contra-rotating flywheel may be driven to rotate about the axis relative to the rotary element, wherein the flywheel is free to rotate and is accelerated and decelerated by a driver which is fixed to the rotary element. Contra-rotation of the flywheel may compensate for torque reaction forces when the rotary element is accelerated or decelerated.

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 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 includes a fixed support and a gantry including a chassis part and a source part, the chassis part being rotatably attached to the fixed support to allow rotation thereof about a generally horizontal axis, and the source part being connected to the chassis part via a rotatable connection allowing the source part to rotate relative to the chassis part around a transverse axis. The source part includes a source of therapeutic radiation directed towards the intersection of the transverse axis and the horizontal axis. The chassis part and the source part together define an annular ring that encircles the horizontal axis. In this way, the radiotherapy apparatus can provide the full usual range of treatments, but can also adapt itself to adopt a non-coplanar geometry when required, for example to treat difficult locations in the head and neck.

Abstract: A system and method for compensating for torque reaction forces in a medical, apparatus is disclosed. The astern may include a rotary element which rotates about an axis. A contra-rotating flywheel may be driven to rotate about the axis relative to the rotary element, wherein the flywheel is free to rotate and is accelerated and decelerated by a driver which is fixed to the rotary element. Contra-rotation of the flywheel may compensate for torque reaction forces when the rotary element is accelerated or decelerated.

Abstract: Embodiments disclose a radiotherapy apparatus comprising a source of radiation configured to emit a beam of radiation and a collimator structure configured to limit a lateral extent of the beam, the collimator structure including a primary collimator configured to shape the beam, a first collimator comprising a plurality of adjacent elongate leaves, the leaves being extendable into the beam in a first direction transverse to the beam, and a block collimator including an aperture configured to permit the beam to pass through, the block collimator being extendable into the beam in a second direction transverse to the beam and transverse to the first direction. In some embodiments, the aperture may be cone-shaped or a through-hole, which may be empty or filled with a radiotransparent material. In some embodiments, the block collimator may include a plurality of apertures, which may be of varying dimensions.

Abstract: A patient support system includes a floor cavity in the floor of a treatment room; a patient support device comprising a treatment table; a base; a first movement mechanism on which the treatment table is mounted; a second movement mechanism mounted on the base and attached to the first movement mechanism, wherein the first and second movement mechanisms are moveable independently of each other; the first movement mechanism is configured to raise and lower the treatment table and the second movement mechanism is configured to raise and lower the first movement mechanism such that in a lowered position the second movement mechanism is contained within the floor cavity.

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 includes a rotatable drum on which is mounted a gantry arm carrying a radiation source, the arm extending from the drum to locate the source is offset from the axis of rotation of the drum and oriented towards the axis, and a mechanism to apply a tilt to the arm depending on the rotational orientation of the drum.

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 locate the source is offset from the axis of rotation of the drum and oriented towards the axis, and a mechanism to apply a tilt to the arm depending on the rotational orientation of the drum.

Abstract: A patient support system includes a floor cavity in the floor of a treatment room; a patient support device comprising a treatment table; a base; a first movement mechanism on which the treatment table is mounted; a second movement mechanism mounted on the base and attached to the first movement mechanism, wherein the first and second movement mechanisms are moveable independently of each other; the first movement mechanism is configured to raise and lower the treatment table and the second movement mechanism is configured to raise and lower the first movement mechanism such that in a lowered position the second movement mechanism is contained within the floor cavity.

Abstract: An apparatus is provided for performing radiation therapy on a patient. In certain embodiments, the apparatus includes a patient support surface, a gantry having a radiation source rotatable around the patient support surface, a supply arm extending through the central bore, a supply interface disposed on the supply arm, and a supply line connecting the supply interface to a supply source. The apparatus delivers radiation therapy accessories to the patient while minimally interfering with access to the patient by radiation therapy personnel.

Abstract: A patient support system includes a floor cavity in the floor of a treatment room; a patient support device comprising a treatment table; a base; a first movement mechanism on which the treatment table is mounted; a second movement mechanism mounted on the base and attached to the first movement mechanism, wherein the first and second movement mechanisms are moveable independently of each other; the first movement mechanism is configured to raise and lower the treatment table and the second movement mechanism is configured to raise and lower the first movement mechanism such that in a lowered position the second movement mechanism is contained within the floor cavity.

Abstract: Combined systems that rely on a single source able to switch between therapeutic emissions and diagnostic emissions for a cone-beam CT scanner can be improved by rotating the collimator during CT scanning to allow a wider maximum aperture. The detector can also be positioned in an offset manner so as to take best advantage of this aperture. The rotated position for a collimator with a rectangular aperture (such as a square) can be one in which a diagonal of the aperture lies transverse to the plane swept out by the beam axis during rotation of the mount. More generally, where the aperture has at least one straight edge, the predetermined position is one in which the straight edge lies at an oblique angle to the plane swept out by the beam axis during rotation of the mount.

Abstract: A patient support system includes a floor cavity in the floor of a treatment room; a patient support device comprising a treatment table; a base; a first movement mechanism on which the treatment table is mounted; a second movement mechanism mounted on the base and attached to the first movement mechanism, wherein the first and second movement mechanisms are moveable independently of each other; the first movement mechanism is configured to raise and lower the treatment table and the second movement mechanism is configured to raise and lower the first movement mechanism such that in a lowered position the second movement mechanism is contained within the floor cavity.

Abstract: An apparatus is provided for performing radiation therapy on a patient. In certain embodiments, the apparatus includes a patient support surface, a gantry having a radiation source rotatable around the patient support surface, a supply arm extending through the central bore, a supply interface disposed on the supply arm, and a supply line connecting the supply interface to a supply source. The apparatus delivers radiation therapy accessories to the patient while minimally interfering with access to the patient by radiation therapy personnel.

Abstract: An investigative X-ray apparatus comprises a source of X-rays emitting a cone beam centred on a beam axis, a collimator to limit the extent of the beam, and a two-dimensional detector, the apparatus being mounted on a support which is rotatable about a rotation axis, the collimator having a first state in which the collimated beam is directed towards the rotation axis and the second state in which the collimated beam is offset from the rotation axis, the two-dimensional detector being movable accordingly, the beam axis being offset from the rotation axis by a lesser amount than the collimated beam in the second state. The X-ray source is no longer directed towards the isocentre as would normally be the case; the X-ray source is not orthogonal to the collimators. This is advantageous in that the entire field of the X-ray tube can be utilised.