Abstract: A reference radiotherapy treatment plan having a plurality of control points, such as a sequence of gantry angles, aperture leaf positions, and intensity weights, can be adapted during the radiotherapy treatment session. Treatment imaging data of a patient may be obtained during the radiotherapy treatment session and one or more parameters may be determined using the treatment imaging data. Then, a current radiotherapy treatment plan may be generated based on the parameter(s).

Abstract: Systems and methods for generating a radiotherapy treatment plan using information about gantry angle-indexed dose (GAID) variation are discussed. An exemplary system can include an interface to receive a beam model for use in the radiation machine, and a processor that can determine, for the radiation machine, a GAID variation represented by a plurality of radiation doses at different gantry angles. The processor can determine a radiation treatment plan for the patient using the beam model and the GAID variation.

Abstract: The present disclosure includes procedures to automate quality assurance testing for radiotherapy equipment that includes MR-Linac devices that are agnostic as to the manufacturer and vendor of the equipment. The present disclosure includes a process for performing a validation procedure for the linear accelerator of the MR-Linac device. The present disclosure includes a process for analyzing quality of the images produced by the MR imaging device of the MR-Linac device. The present disclosure includes a process for combining performance of a validation procedure for the linear accelerator of the MR-Linac device and the analysis of the quality of the images produced by the MR imaging device of the MR-Linac device.

Abstract: Systems and methods are disclosed for processing of cone beam computed tomography (CBCT) image data, in connection with radiotherapy planning and treatments. Example operations for a radiotherapy workflow include: obtaining a plurality of newly captured CBCT projections that provide imaging of an anatomical area corresponding to an area for radiotherapy treatment; reconstructing a quantitative CBCT image from the plurality of newly captured CBCT projections; identifying anatomical changes of the human patient based on comparing a representation of the anatomical area in the quantitative CBCT image with a representation of the anatomical area in a planning image; and modifying a treatment plan for a radiotherapy workflow based on the anatomical changes, with the treatment plan providing dose calculations for the anatomical area. Further operations for training and use of a regression model to correct CBCT projections and perform additional imaging and radiotherapy data processing operations are disclosed.

Abstract: The present invention relates to the field of radiation therapy and methods, software and systems for image registration. According to the present invention, methods for image registration of images of a patient comprising are provided. The method may include receiving a set of image data from the patient; selecting one or more tracking regions in the set of image data, each tracking region including a tracking point or set of tracking points; receiving sets of image data captured at different times from the patient; identifying corresponding tracking regions in the sets of image data captured at different times; estimating a displacement field describing displacement vectors for a number of points in the sets of image data including the tracking regions, each displacement vector specifying a position of a region in reference to a previous position.

Abstract: The present disclosure includes procedures to automate quality assurance testing for radiotherapy equipment that includes MR-Linac devices that are agnostic as to the manufacturer and vendor of the equipment. The present disclosure includes a process for performing a validation procedure for the linear accelerator of the MR-Linac device. The present disclosure includes a process for analyzing quality of the images produced by the MR imaging device of the MR-Linac device. The present disclosure includes a process for combining performance of a validation procedure for the linear accelerator of the MR-Linac device and the analysis of the quality of the images produced by the MR imaging device of the MR-Linac device.

Abstract: Systems and methods are provided for performing operations comprising: generating a radiotherapy treatment plan for treating an ablation volume comprising a myocardial scar based on a first image of a patient that is generated using contrast-enhanced magnetic resonance (MR) imaging information; identifying, based on the first image of the patient, the ablation volume comprising the myocardial scar in a second image of the patient that is generated using MR imaging information without contrast; adjusting the radiotherapy treatment plan based on the ablation volume identified in the second image of the patient; acquiring a cine image of the patient during delivery of a radiotherapy treatment fraction by a radiotherapy treatment device based on the adjusted radiotherapy treatment plan; and comparing the cine image to the second image of the patient to control delivery of a radiotherapy beam by the radiotherapy treatment device.

Abstract: Systems and methods can include a system for positioning an ultrasound probe proximal to anatomy of a patient on an overlay on a radiation couch including a substantially planar base including engagement features to directly or indirectly index the substantially planar base to the radiation couch and a centrally located guide extending longitudinally along a top side of the base, a probe holder, configured to be coupled to, to translate longitudinally, and to be user-accessed and user-controlled from within, a central region of the substantially planar base, a clamp, configured to localize the probe holder at a specified location along a translation path in the central region of the substantially planar base, leg supports shaped to accommodate a patient's legs from behind, the pair of leg supports being shaped and arranged to provide a space therebetween that can accommodate an ultrasound probe holder.

Abstract: In the field of radiotherapy, methods for dose or treatment planning for a radiation therapy system having a collimator, includes determining shots to be delivered during said treatment, each shot being associated with an isocenter and being modelled by a spatial dose volume distribution of radiation, the shape of said spatial distribution depending on the specific collimator setting and said selected dose level, including selecting isocenter positions within a target in a predetermined angle range; evaluating each isocenter based on predetermined conditions; selecting at least a specific collimator and sector setting for each isocenter based on the evaluation; calculating a dose for the selected isocenters; repeating the steps until at least one stopping criteria has been reached, wherein a final set of isocenters are provided; and using the final set of isocenters in treatment planning.

Abstract: Systems and methods can include a system for positioning an ultrasound probe proximal to anatomy of a patient on a radiation couch including a substantially planar base including engagement features to directly or indirectly index the substantially planar base to the radiation couch and a centrally located guide extending longitudinally along a top side of the base, a probe holder, configured to be coupled to, to translate longitudinally, and to be user-accessed and user-controlled from within, a central region of the substantially planar base, a clamp, configured to localize the probe holder at a specified location along a translation path in the central region of the substantially planar base, leg supports shaped to accommodate a patient's legs from behind, the pair of leg supports being shaped and arranged to provide a space therebetween that can accommodate an ultrasound probe holder.

Abstract: Systems and methods can include a system for positioning an ultrasound probe proximal to anatomy of a patient on a radiation couch including a substantially planar base including engagement features to directly or indirectly index the substantially planar base to the radiation couch and a centrally located guide extending longitudinally along a top side of the base, a probe holder, configured to be coupled to, to translate longitudinally, and to be user-accessed and user-controlled from within, a central region of the substantially planar base, a clamp, configured to localize the probe holder at a specified location along a translation path in the central region of the substantially planar base, leg supports shaped to accommodate a patient's legs from behind, the pair of leg supports being shaped and arranged to provide a space therebetween that can accommodate an ultrasound probe holder.

Abstract: Systems and methods for managing motions of an anatomical region of interest of a patient during image-guided radiotherapy are disclosed. An exemplary system may include an image acquisition device, a radiotherapy device, and a processor device. The processor device may be configured to control the image acquisition device to acquire at least one 2D image. Each 2D image may include a cross-sectional image of the anatomical region of interest. The processor device may also be configured to perform automatic contouring in each 2D image to extract a set of contour elements segmenting the cross-sectional image of the anatomical region of interest in that 2D image. The processor device may be further configured to match the set of contour elements to a 3D surface image of the anatomical region of interest to determine a motion of the anatomical region of interest and to control radiation delivery based on the determined motion.

Abstract: Systems and methods are provided for registering images. The systems and methods perform operations comprising: receiving, at a first time point during a given radiation session, a first imaging slice comprising an object, the first imaging slice corresponding to a first plane; accessing, at the first time point during the given radiation session, a composite imaging slice corresponding to the first plane, the composite imaging slice being generated using a plurality of imaging slices obtained prior to the first time point; spatially registering the first imaging slice and the composite imaging slice; determining movement of the object using the spatially registered first imaging slice and the composite imaging slice; and generating an updated therapy protocol to control delivery of a therapy beam based on the determined movement.

Abstract: A system for moving a patient into and from a medical apparatus includes a patient support arranged outside a treatment space of a medical apparatus, a treatment table arranged inside the treatment space in the medical apparatus and a patient bed movable in a longitudinal direction from the patient support to the treatment table and back by means of activation of a transferring mechanism. The patient bed is provided with at least a first communication channel for transferring communication signals.

Abstract: The invention relates to a position indicator for a system for moving a patient in a non-invasive therapy system, wherein the system for moving includes a patient support arranged outside a treatment space of a medical apparatus of the non-invasive therapy system, a treatment table arranged inside the treatment space in the medical apparatus, and a patient bed movable in a longitudinal direction from the patient support to the treatment table and back by means of activation of a transferring mechanism, wherein the position indicator comprises a number of light emitting elements arranged in the patient support and each being arranged to receive activation signals instructing a receiving light emitting element to emit light to indicate positions for treatment equipment.

Abstract: In the field of radiotherapy, methods for dose or treatment planning for a radiation therapy system having a collimator, includes determining shots to be delivered during said treatment, each shot being associated with an isocenter and being modelled by a spatial dose volume distribution of radiation, the shape of said spatial distribution depending on the specific collimator setting and said selected dose level, including selecting isocenter positions within a target in a predetermined angle range; evaluating each isocenter based on predetermined conditions; selecting at least a specific collimator and sector setting for each isocenter based on the evaluation; calculating a dose for the selected isocenters; repeating the steps until at least one stopping criteria has been reached, wherein a final set of isocenters are provided; and using the final set of isocenters in treatment planning.

Abstract: A structural element for use in a radiotherapy system or a magnetic resonance imaging system or a combination of a radiotherapy system and a magnetic resonance imaging system includes a plurality of fibers and a matrix, whereby the plurality of fibers are embedded in the matrix.

Abstract: In the field of radiotherapy, methods for dose or treatment planning for a radiotherapy system including a radiotherapy unit are described. A spatial dose delivered can be changed by adjusting beam shape settings, wherein delivered radiation is determined using an optimization problem that steers the delivered radiation according to objectives reflecting criteria for regions of interest including at least one of: targets to be treated during treatment of the patient, organs at risk and/or healthy tissue. The method includes determining an inner set of voxels and providing a first frame description for the inner set of voxels, where the first frame description reflects criteria for the inner set of voxels. Determining an outer set of voxels encompassing the target volume and the inner set of voxels and a frame description for the outer set of voxels is provided where each reflecting criteria for the outer set of voxels.

Abstract: In the field of radiotherapy, methods for dose or treatment planning for a radiotherapy system are disclosed, wherein a spatial dose delivered can be adjusted and delivered radiation is determined using an optimization problem that steers the delivered radiation according to a frame description reflecting criteria for regions of interest that include at least one of targets to be treated during treatment of the patient, organs at risk and/or healthy tissue. The method includes estimating a voxel set receiving a higher dose than a predetermined threshold dose level, which voxel set includes voxels from at least one target volume. Further, a low dose voxel set is determined and a frame description for the voxels in the low dose voxel set is provided where voxels receiving a dose exceeding a predetermined threshold value is penalized such that the dose delivered to the low dose voxel set is suppressed. The frame description is then used in the optimization problem that steers the delivered radiation.