Abstract: An imaging apparatus includes: a first scintillator layer configured to provide first image signals with a first quantum efficiency and a first spatial resolution; a second scintillator layer configured to provide second image signals with a second quantum efficiency and a second spatial resolution, wherein the first quantum efficiency is lower than the second quantum efficiency, but the first spatial resolution is higher than the second spatial resolution; and an image combiner configured to combine the first image signals and the second image signals.

Abstract: A computer implemented method of determining a resultant treatment plan for a proton radiation therapy system based on given dose volume constraints, wherein the resultant treatment plan is optimized for treatment time comprises accessing the dose volume constraints and range information, wherein the range information indicates acceptable deviations from the dose volume constraints. Based on the proton radiation therapy system, the method further comprises accessing machine configuration information comprising a plurality of machine parameters that define a maximum resolution achievable in irradiating a patient. Further, the method comprises iteratively adjusting the plurality of machine parameters to values which decrease the maximum resolution and simulating a plurality of candidate treatment plans to generate a plurality of treatment plan results, wherein each treatment plan result comprises: a respective treatment time and a respective plan quality.

Abstract: A LINear particle ACcelerator (LINAC) simulator employs a Monte Carlo-based use of repeated random sampling to produce a simulated result representing use of a particular physical medical-services LINAC with particular corresponding real-world parameters. A browser-based user opportunity permits uploading at least some of those real-world parameters to employ when using the LINAC simulator to produce the simulated result. By one approach the browser-based user opportunity includes, at least in part, an opportunity to upload a file that contains information regarding geometrical positions for the particular physical LINAC. The opportunity to upload the file may, by one approach, presume using a file format that comprises a non-standard file format for the particular physical medical-services LINAC.

Abstract: A method of generating a template image includes: receiving an input from a user representing identifications of an object in different respective slices of a volumetric image; using the input to determine a volume-of-interest (VOI) that includes voxels in a subset of the volumetric image; and determining the template image using at least some of the voxels in the VOI, wherein the act of determining the template image comprises performing a forward projection of the at least some of the voxels in the VOI using a processor. An image processing method includes: obtaining a volumetric image; performing forward projection of voxels in the volumetric image from different positions onto a first plane using a processor; and summing projections on the first plane resulted from the forward projection from the different positions to create a first image slice in the first plane.

Abstract: At each step of a workflow performed by an operator that involves a plurality of input mechanisms in a radiation therapy system, the operator is assisted in the process of selecting the next input mechanism in a way that greatly reduces the number of possible input mechanisms that can be chosen. A first subset of input mechanisms is made visually prominent via a first visual technique and a second subset of the input mechanisms is made visually prominent via a second visual technique. The first subset includes input mechanisms that are available for selection at that particular step in the workflow and the second subset includes recommended input mechanisms that are the most likely to be the next input mechanism that should be actuated by the operator at that particular step in the workflow.

Abstract: A control circuit accesses information regarding a plurality of pre-existing vetted radiation treatment plans for a variety of patients and uses that information to train at least one model (such as a dose volume histogram estimation model). The control circuit then uses that model to develop estimates for a radiation treatment plan for a particular patient. The control circuit can then use those estimates to develop a candidate radiation treatment plan.

Abstract: A system for determining positional information of a camera, includes: a plane determination module configured to determine a first plane and a second plane based on a depth image; a plane-association module configured to associate the first plane determined by the plane determination module with a first tool-plane, and to associate the second plane determined by the plane determination module with a second tool-plane, the first and second tool-planes having known positional relationship with respect to each other; and a positional determination unit configured to determine the positional information of the camera based on an output from the plane-association module.

Abstract: An imaging apparatus includes: a first scintillator layer configured to provide first image signals with a first quantum efficiency and a first spatial resolution; a second scintillator layer configured to provide second image signals with a second quantum efficiency and a second spatial resolution, wherein the first quantum efficiency is lower than the second quantum efficiency, but the first spatial resolution is higher than the second spatial resolution; and an image combiner configured to combine the first image signals and the second image signals.

Abstract: A method of monitoring a patient includes: obtaining an input image having a plurality of regions of interest by a processing unit; and determining a plurality of positions for the respective plurality of regions of interest by the processing unit; wherein the act of determining the plurality of positions comprises: accessing a plurality of templates; comparing the plurality of templates with respective areas in the input image using a comparator in the processing unit; and determining the plurality of positions based at least in part on a result of the act of comparing.

Abstract: A multi level multileaf collimator employs leaves with leaf tips having a non-square shape in a beam's eye view to improve beam shaping effect and penumbra performance. The multi level multileaf collimator includes a first multileaf collimator in a first level comprising beam blocking leaves longitudinally movable in a first direction, and a second multileaf collimator in a second level comprising beam blocking leaves longitudinally movable in a second direction. The first direction may be generally parallel with the second direction and the leaves of the first multileaf collimator may laterally offset the leaves of the second multileaf collimator. The beam blocking leaves of the first multileaf collimator may comprise an end portion having a non-square shape in a beam's eye view.

Abstract: A proton beam therapy system with a cantilever gantry. The cantilever gantry has one end portion (the fixed end portion) affixed to an external structure that supports the weight of the gantry. The remainder of the gantry is suspended and the free end portion is coupled to a beam nozzle. A main bearing is coupled to the fixed end portion and enables the gantry to rotate in a full range of 360° around the iso-center. A large counterweight can be disposed in the fixed end portion to keep the system center of mass close to the bearing. The gantry may have a monocoque housing, including a cantilever section enclosing the magnets and other components of the gantry beamline and a drum section on which the bearing is placed.

Abstract: A method performed by a medical device, includes: providing a permanent magnetic field by a permanent magnet; operating an electromagnet to provide a first electromagnetic field with a first electromagnetic field value; and operating the electromagnet to provide a second electromagnetic field with a second electromagnetic field value; wherein the first electromagnetic field and the permanent magnetic field forms a first total magnetic field with a first total magnetic field value, and wherein the second electromagnetic field and the permanent magnetic field forms a second total magnetic field with a second total magnetic field value; wherein the first total magnetic is formed when an electric field in an accelerator or an energy level of a particle beam has a first value, and wherein the second total magnetic field is formed when the electric field in the accelerator or the energy level of the particle beam has a second value.

Abstract: In a beam filter assembly, a base filter is employed to modify a beam quality of a radiation beam of a base energy level and a first filter slice is stacked with the base filter to modify a beam quality of a radiation beam of a first energy level higher than the base energy level. In a beam filter positioning device, a base stage carries a base filter and a first stage carries a filter slice. The base stage is provided with a first engagement site and a second engagement site. The first stage is provided with a first engagement site, a second engagement site, and an open port. The first stage and the base stage are each independently movable relative to the beamline. The first stage is engageable with the base stage when at least one of the first and second engagement sites of the first stage is aligned with at least one of the first and second engagement sites of the base stage, and is further movable with the base stage in unison when engaged.

Abstract: A radiation-treatment plan to treat a treatment target in a given patient takes into account imaging-based dosing of that patient by, for example, automatically accounting for radiation dosing of the given patient that results from imaging to determine at least one physical position of the given patient when forming the radiation-treatment plan. These teachings are particularly beneficial when applied in application settings where the aforementioned imaging comprises obtaining images using megavoltage-sourced radiation. By one approach these teachings provide for automatically accounting for radiation dosing of the given patient that results from imaging by, at least in part, automatically adjusting therapeutic dosing of the given patient as a function of the radiation dosing of the given patient that results from such imaging.

Abstract: Systems and methods are proposed for accurate and efficient automatic measurement of jaw and leaf positioning in multi-leaf collimator imaging systems. Specifically, the method enables the automated and objective processing of images to determine characteristics of collimator jaws and MLC leaves. These novel techniques enable verification of collimator component positioning to ensure accurate beam modulation for radiation application procedures.

Abstract: A system can have an x-ray source that generates a series of individual x-ray pulses for multi-energy imaging. A first x-ray pulse can have a first energy level and a subsequent second x-ray pulse in the series can have a second energy level different from the first energy level. An x-ray imager can receive the x-rays from the x-ray source and can detect the received x-rays for image generation. A generator interface box (GIB) controls the x-ray source to provide the series of individual x-ray pulses and synchronizes detection by the x-ray imager with generation of the individual x-ray pulses. The GIB can control x-ray pulse generation and synchronization to optimize image generation while minimizing unnecessary x-ray irradiation.

Abstract: A method of detecting a possible collision in a medical procedure, includes: obtaining a reference depth image; obtaining an input depth image; determining a composite image using at least a part of the reference depth image and at least a part of the input depth image, wherein the act of determining the composite image is performed using a processing unit; and determining whether there is a possible collision between an object and a patient based on the composite image.

Abstract: A radiation dose received by a patient from a radiation therapy system can be verified by acquiring a cine stream of image frames from an electronic portal imaging device (EPID) that is arranged to detect radiation exiting the patient during irradiation. The cine stream of EPID image frames can be processed in real-time to form exit images providing absolute dose measurements at the EPID (dose-to-water values), which is representative of the characteristics of the radiation received by the patient. Compliance with predetermined characteristics for the field can be determined during treatment by periodically comparing the absolute dose measurements with the predetermined characteristics, which can include a predicted total dose in the field after full treatment and/or a complete irradiation area outline (CIAO). The system operator can be alerted or the irradiation automatically stopped when non-compliance is detected.

Abstract: Systems and methods for real-time target validation during radiation treatment therapy based on real-time target displacement and radiation dosimetry measurements.

Abstract: A method of generating a template image includes: receiving an input from a user representing identifications of an object in different respective slices of a volumetric image; using the input to determine a volume-of-interest (VOI) that includes voxels in a subset of the volumetric image; and determining the template image using at least some of the voxels in the VOI, wherein the act of determining the template image comprises performing a forward projection of the at least some of the voxels in the VOI using a processor. An image processing method includes: obtaining a volumetric image; performing forward projection of voxels in the volumetric image from different positions onto a first plane using a processor; and summing projections on the first plane resulted from the forward projection from the different positions to create a first image slice in the first plane.