Abstract: The present invention relates to the field of radiation therapy. In particular, the invention concerns systems and methods for monitoring intra-fraction motions of patients in connection with treatment cancer in radiation therapy system. A patient marker is attached on the nose of the patient and images of the patient marker and reference markers of a reference tool is captured at predetermined time intervals, wherein the reference tool comprises reference markers and is arranged in a defined position relative to a patient fixation arrangement for fixation of the patient during treatment. A position of the patient marker relative the reference tool is determined based on images captured by an optical tracking system, wherein changes in the position provide information if the patient or a part of the patient has moved.

Abstract: The present invention relates to the field of radiation therapy. In particular, the invention concerns systems and methods for monitoring intra-fraction motions of patients in connection with treatment cancer in radiation therapy system. A patient marker is attached on the nose of the patient and images of the patient marker and reference markers is captured at predetermined time intervals. The reference markers are arranged in defined positions relative to a patient fixation arrangement for fixation of the patient during treatment. A position of the patient marker relative the reference markers is determined based on images captured by an optical tracking system, wherein changes in the position provide information if the patient or a part of the patient has moved.

Abstract: The present invention introduces a method for processing multichannel measurement data achieved especially in MEG and EEG measurements. The method uses a signal space separation (SSS) method and the orthogonality of lead fields in order to calculate linear transformation from physical measurement channels to virtual channels. The geometry related to the measurement arrangement is dissipated and the number of virtual channels is clearly lower than the number of physical sensors. The concept of total information can be applied for such transformed measurement data due to orthogonality. The method offers simplified post-processing of the biomagnetic data, such as for source modelling. The total information can also be interpreted as a robust quantity describing the physiological state of a patient.

Abstract: The present invention provides a method of calibrating a radiotherapy apparatus, in which a beam measurement device is accurately located with respect to the radiation beam center. The method comprises acquiring the center of the radiation beam at two angles of rotation, separated by 180°, and aligning a beam measurement device with the midpoint of the respective centers.

Abstract: We provide a radiotherapy apparatus including a source of therapeutic radiation, a source of imaging radiation having an energy level less than that of the therapeutic radiation, a detector for radiation lying within the field of both the therapeutic radiation and the imaging radiation and able to image both, a first imaging circuit supplied with the output of the detector, a second imaging circuit also supplied with the output of the detector, a first pulse trigger circuit adapted to trigger the source of therapeutic radiation to produce a pulse of therapeutic radiation and to trigger the first imaging circuit to capture an output of the detector; and a second pulse trigger circuit adapted to trigger the source of imaging radiation to produce a pulse of imaging radiation and to trigger the second imaging circuit to capture an output of the detector.

Abstract: The present invention relates to the field of radiation therapy. In particular, the invention concerns systems and methods for monitoring intra-fraction motions of patients in connection with treatment cancer in radiation therapy system. Ultrasound waves are generated in a direction of a bone or a part of a bone of the patient being in a fixed relation to a cancer tumor to be treated by radiation therapy such that the generated ultrasound waves are reflected by the bone or part of bone using an ultrasonic transducer and sensing the reflected ultrasound waves at least one ultrasonic transducer. Time intervals between generated ultrasound waves and corresponding sensed reflected ultrasound signals are determined for the at least one ultrasonic transducer. Based on the time intervals, motions of the bone or part of bone are monitored using changes of the time intervals, wherein the motions indicate that the patient or a part of the patient has moved.

Abstract: A medical environment can be personalised by displaying themes or visual sequences during the medical procedure. For a repeating medical procedure, the process can be improved by ensuring that the same theme continues from where it left off when the patient was last present. The theme can also include elements that indicate the patient's rate or degree of progress through the medical procedure.

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: The present invention therefore provides a method for the analysis of radiographic images, comprising the steps of acquiring a plurality of projection images of a patient, acquiring a surrogate signal indicative of the location of a target structure in the patient, reconstructing a plurality of volumetric images of the patient from the projection images, each volumetric image being reconstructed from projection images having a like breathing phase, identifying the position of the target structure such as a tumor in each volumetric image, associating a surrogate signal with each of the projection images, and determining a relationship between the surrogate signal and the position of the target structure. Multiple projection images having a like breathing phase can be grouped for reconstruction, to provide sufficient numbers for reconstruction. The analysis of the multiple values of the surrogate associated with each breathing phase can be used to determine the mean surrogate value and its variation.

Abstract: The present invention provides a radiation detector which comprises a tube and detector elements distributed over the tube. Such an arrangement can be used to provide information on a radiation beam prior to interaction with a patient and after interaction with the patient. The detector is particularly compact and therefore suited to use with apparatus where space is restricted. By a particular arrangement of detectors and optical fibers, the detector can provide data at all angles of rotation.

Abstract: Methods and apparatus for the management and provision of radiotherapy are described in which values for dosimetric parameters are re-evaluated just prior to treatment, on the basis of the treatment plan as loaded into the radiotherapy apparatus, and during treatment, on the basis of monitored machine parameters. By displaying dosimetric parameters rather than complicated machine parameters, the technician operating the radiotherapy apparatus is able to monitor the dose provided to a patient undergoing therapy. Misadministration of radiation as a result of corrupted data or corrupted control signals are prevented.

Abstract: Methods and systems of operating a support structure and beam shaping mechanism in a manner that compensates for motion patterns exhibited by a patient, promotes comfort of the patient, and optimizes accuracy of delivery of radiotherapy to a targeted location within the patient. The support structure can be a treatment table or couch and the beam shaping mechanism can be a multi-leaf collimator (MLC), and/or an MLC-bank/-carriage. The control system can utilize algorithms for predicting tumor motion and loading condition on the table/couch during radiation therapy.

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: There is provided a radiotherapy system comprising a linear accelerator, beam control circuitry for the linear accelerator, an electronic control apparatus for the control circuitry arranged to adjust properties thereof, and a monitor for detecting properties of the radiation beam produced by the linear accelerator, wherein the control apparatus is adapted to retain a set of beam properties and periodically activate the accelerator, measure the current beam properties via the monitor, compare the measured beam properties to the retained beam properties, and potentially adjust the control circuitry properties to align the beam properties towards the retained beam properties. The beam properties that are measured may include beam flatness and beam width. The retained beam properties can be the properties of the beam produced by the linear accelerator when new, or the properties of a standard beam. There is also provided a method for operating the system.

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.

Abstract: A workflow management system for radiotherapy treatment of a patient using radiotherapy equipment comprising: a patient radiofrequency identification (RFID) tag and a radiofrequency (RF) detection device, which provides a patient unique identifier matchable to a patient's treatment plan; a plurality of optical markers, wherein in at least one patient optical marker is positioned on the patient and at least one reference optical marker is positioned at a reference point on the radiotherapy equipment; an optical reader to detect each of the plurality of optical markers; wherein the system matches the patient's unique identifier to the patient treatment plan.

Abstract: A radiotherapeutic apparatus comprises a source of therapeutic radiation, a source of visible light arranged to cast a light field corresponding to the beam of radiation, and a multileaf collimator for shaping the beams, wherein a filter is disposed in the path of the visible light beam having a plurality of linear dark sections corresponding to leaves of the collimator. This prevents the incident light from falling on the leaves and removes the ghost images at source. By placing the filter in the head, the line can be very narrow and will be blurred into penumbra at the isocentre. This is therefore a very inexpensive yet effective method of reducing ghosting. A mirror can deflect the path of the visible light to correspond to that of the radiation beam, and the filter can be disposed anywhere in the beam path, such as prior to the mirror, subsequent to the mirror and prior to the collimator, or subsequent to the collimator.

Abstract: The present invention provides a radiation detector which comprises a tube and detector elements distributed over the tube. Such an arrangement can be used to provide information on a radiation beam prior to interaction with a patient and after interaction with the patient. The detector is particularly compact and therefore suited to use with apparatus where space is restricted. By a particular arrangement of detectors and optical fibres, the detector can provide data at all angles of rotation.

Abstract: A method and a calibration system for calibrating a measurement tool for measuring the radiation in a radiation system, such as a radiation therapy system, are provided. The measurement tool, including a holder and at least one photodiode element, is adapted to be mounted in a positioning unit of the radiation system. The radiation sensitive volume of the photodiode element is embedded in a light transparent coating transparent for, for instance, light in the visible spectrum. Thereby, the position of the sensitive volume can easily be determined or calculated with high accuracy relative to the holder on which the photodiode element is arranged, from which the position of the sensitive volume can be determined or calculated in relation to the positioning unit of the radiation system.

Abstract: The present invention relates to the field of radiation therapy. In particular, the invention concerns a method of calibrating a positioning system in a radiation therapy system comprising a radiation therapy unit having a fixed radiation focus point. The method comprises the steps of: —releasably attaching a calibration tool to the fixation arrangement; —performing an image scanning procedure with the imaging system; —determining a position of the calibration tool in a coordinate system related to the imaging system; and —calculating a position difference between the determined position of the calibration tool in the coordinate system related to the imaging system and a position of the calibration tool in the stereotactic fixation unit coordinate system, thereby determining a relationship between the coordinate system related to the imaging system and the position of the calibration tool in the stereotactic fixation unit coordinate system.