Abstract: A system and method of performing prospective and retrospective on-line adaptive radiotherapy. The method includes performing, during a treatment delivery session, delivery of a dose of radiation to an anatomical volume. The method includes detecting, during the treatment delivery session, a current state of the anatomical volume. The method includes predicting a future change in the current state of the anatomical volume during the treatment delivery session. The method includes adjusting, while the anatomical volume is in the current state, the treatment delivery to anticipate the future change in the anatomical volume.

Abstract: A treatment couch with a localization array is described.

Abstract: A method of image-guided radiation treatment is described. The method includes processing a first and second sets of image data to generate an enhanced image, wherein the enhanced image comprises a combination of the first and second sets of image data, wherein part or all of the image data comprises a target of a patient. The method also includes registering the enhanced image with another image to obtain a registration result and tracking the target using the registration result to generate tracking information. The method also includes directing treatment delivery to the target based on the tracking information obtained from the enhanced image.

Abstract: A method of the present disclosure includes identifying, based on a reference image, a full motion range of a target, wherein the full motion range of the target defines a full internal target volume (ITV). The method further includes identifying a non-target object in a motion image or the reference image. The method further includes performing a volumetric alignment of the ITV and the non-target object. The method further includes modifying a non-target to target displacement vector based on the volumetric alignment. The method further includes tracking the target based on the modified non-target to target displacement vector.

Abstract: A method including applying a first target-subject-specific model associated with a target subject to a treatment planning image to generate a transformed treatment planning image corresponding to a first position of a plurality of positions. The method also includes modifying one or more hyper-parameters of the first target-subject-specific model to generate a second target-subject-specific model corresponding to a second position of the plurality of positions. The method further includes controlling a radiation treatment delivery device based on the second target-subject-specific model to deliver a radiation treatment to the target subject.

Abstract: A method of calibration in a radiation delivery system. The method including acquiring, using a camera, an image of a radiation beam incident on a phantom, wherein the radiation beam being emitted by a radiation source of the radiation delivery system and the phantom comprising an X-ray luminescent material. The method further including determining a beam pointing offset based on the image. The method further including calibrating a position of the radiation source of the radiation delivery system based on the beam pointing offset and a relative position of the camera with respect to a beam axis of the radiation beam.

Abstract: A radiation treatment session is initiated to deliver a therapeutic radiation beam from a therapeutic radiation source to a target. One or more X-ray radiation sources are caused to deliver an imaging radiation beam from the one or more X-ray radiation sources through the target to one or more X-ray detectors to acquire imaging data associated with the target during therapeutic radiation beam delivery. One or more volumetric images are constructed using the acquired imaging data.

Abstract: A method comprises inputting a treatment planning image of a target subject into a machine learning system. The method further comprises determining, by the machine learning system, a first target-subject-specific model of the treatment planning image. The method further comprises applying, by a processing device, the first target-subject-specific model to the treatment planning image to generate a transformed treatment planning image corresponding to a first position of a plurality of positions of the target subject. The method further comprises comparing the transformed treatment planning image to a reference image. The method further comprises, based on the comparing, modifying one or more parameters of the first target-subject-specific model to generate a second target-subject-specific model corresponding to a second position of the plurality of positions.

Abstract: A method of operating a radiation apparatus is described. The method includes selecting at least a first angle and a second angle from a set of angles for a first rotation of a gantry of a radiation apparatus. The method also includes generating, using an imaging device mounted to the gantry, a first tracking image of a target from the first angle during the first rotation of the gantry. The method further includes generating, using the imaging device, a second tracking image of the target from the second angle during the first rotation of the gantry.

Abstract: A method is described including online selecting of at least one of a plurality of optimal imaging times or a plurality of imaging angles and optimizing a parameter of an imaging system based on the online selecting.

Abstract: A linear accelerator target apparatus includes a target material to produce radiation upon being struck by electrons accelerated by a linear accelerator and a target holder assembly to which the target material is attached. The target holder assembly includes a cooling channel disposed around a perimeter of the target material. The target holder assembly is configured to be detachably coupled to a housing of the linear accelerator. The target apparatus further includes a protective window coupled to the target holder assembly over the target material.

Abstract: A system and method of performing prospective and retrospective on-line adaptive radiotherapy. The method includes performing, during a treatment delivery session, delivery of a dose of radiation to an anatomical volume. The method includes detecting, during the treatment delivery session, a current state of the anatomical volume. The method includes predicting a future change in the current state of the anatomical volume during the treatment delivery session. The method includes adjusting, while the anatomical volume is in the current state, the treatment delivery to anticipate the future change in the anatomical volume.

Abstract: A radiation delivery system includes a radiation source to generate a radiation beam to deliver to a target and a multi-leaf collimator (MLC) operatively coupled to the radiation source, wherein the MLC is offset to shift the MLC in a direction relative to a line from the radiation source to a point of interest to cause projections of the radiation beam to be shifted based on the offset.

Abstract: A method includes detecting a potential setup error in a radiation treatment delivery session of a radiation treatment delivery system, wherein the setup error corresponds to a change in a current position of a treatment target relative to a prior position of the treatment target, and wherein the change includes a rotation relative to the prior position of the treatment target. The method further includes modifying, by a processing device, one or more planned leaf positions of a multileaf collimator (MLC) of a linear accelerator (LINAC) of the radiation treatment delivery system to compensate for the potential setup error corresponding to the rotation of the prior position of the treatment target.

Abstract: A radiation delivery system and method of operation are described. The method includes modulating a sub-beam intensity of a radiation beam generated by a radiation source across a plurality of sub-beams that subdivide a fluence field into a two-dimensional (2D) grid, and delivering a plurality of independent two-dimensional (2D) sub-beam intensity patterns from a plurality of angles while the radiation source is moved continuously.

Abstract: A method of operating imaging and tracking. The method includes determining, for each angle of a plurality of angles from which tracking images can be generated by an imaging device, a value of a tracking quality metric for tracking a target based on an analysis of a projection generated at that angle. The method also includes selecting, by a processing device, a subset of the plurality of angles that have a tracking quality metric value that satisfies a tracking quality metric criterion, one or more angles of the subset to be used to generate a tracking image of the target during a treatment stage, wherein the subset comprises at least a first angle and a second angle that is at least separated by a minimum threshold from the first angle.

Abstract: A radiation delivery system that includes a gantry to extend along one or more axes. The gantry is to provide a continuous rotation. The radiation delivery system includes a linear accelerator (LINAC) coupled to the gantry. The LINAC is to generate a treatment beam. The radiation delivery system includes a rotary joint coupled to the gantry. The rotary joint provides a physical connection from the LINAC to an external system that is positioned off the gantry. The physical connection is to transport radio frequency (RF) power.

Abstract: A phantom, calibration system and calibration method are described. The phantom having a phantom body and an X-ray luminescent material, wherein at least a portion of the X-ray luminescent material is on a surface of the phantom.

Abstract: A radiation treatment session is initiated to deliver a therapeutic radiation beam from a therapeutic radiation source to a target. One or more X-ray radiation sources are caused to deliver an imaging radiation beam from the one or more X-ray radiation sources through the target to one or more X-ray detectors to acquire imaging data associated with the target during therapeutic radiation beam delivery. One or more volumetric images are constructed using the acquired imaging data.

Abstract: A method comprises identifying a treatment planning image of a target subject, the treatment planning image comprising information associated with an arrangement of structures within the target subject. The method further comprises generating, based on the information, a set of reference data associated with the target subject, the reference data indicating a plurality of positions of the target subject. The method further comprises generating target-subject-specific models based on the reference data and modifying one or more hyper-parameters of the target-subject-specific mode to generate second target-subject-specific models corresponding to a second position of the plurality of positions. The method further comprises controlling a radiation treatment delivery device based on the second target-subject-specific model to deliver a radiation treatment to the target subject.