Abstract: A method of scanning parameter optimization, which method may be useful with image-guided radiation therapy (IGRT), allows for controlling exposure of a beam from an x-ray source and/or controlling the detection mechanism for an x-ray detector of imaging radiation of a radiation-delivery device based on one or more parameters of a region of interest of a patient. The one or more parameters of the region of interest may include a dimension, outer contour, density, location relative to an outlet of the beam, location relative to isocenter, location to the whole patient body, etc. Exposure of the patient to the beam may be varied via modulation of one or more scanning parameters for controlling an aspect of the beam and/or the detector to provide for targeted and or reduced radiation exposure of the patient or portion of the patient, and/or for improved quality of guiding images. The modulation may be varied depending on a view angle of the region of interest from a portion of the radiation-delivery device.

Abstract: Multimodal imaging apparatus and methods include a rotatable gantry system with multiple sources of radiation comprising different energy levels (for example, kV and MV). Fast slip-ring technology and helical scans allow data from multiple sources of radiation to be combined or utilized to generate improved images and workflows, including for IGRT. Features include increasing the precision of spatial registrations between respective image sets to allow more precise radiation treatment delivery, reducing image artifacts (e.g., scatter, metal and beam hardening, image blur, motion, etc.), and utilization of dual energy imaging (e.g., for material separation and quantitative imaging, patient setup, online adaptive IGRT, etc.).

Abstract: A radiotherapy delivery device is provided. The device includes a source of therapeutic radiation and a first detector positioned to receive radiation from the source of therapeutic radiation. The device also includes a source of imaging radiation and a second detector positioned to receive radiation from the source of imaging radiation. A collimator assembly is positioned relative to the second source of radiation to selectively control a shape of a radiation beam emitted by the second radiation source to selectively expose part or the whole of the second radiation detector. A reconstruction processor can be operatively coupled to the detector and configured to generate patient images based on radiation received by the second detector from the second source of radiation. The device is configured to move from one imaging geometry to another using all or part of the second detector.

Abstract: An imaging apparatus and associated methods are provided to efficiently estimate scatter during multi-fraction treatments for improved quality and workflow. Estimated scatter from one fraction during a treatment course can be utilized during subsequent fractions, allowing for measurements with higher scatter-to-primary ratios. The quality of scatter estimates can be maintained, while workflow improves and dosage decreases. Scan configuration limits can be utilized to maintain a minimum level of scatter measurement quality. Patient information can be monitored to ensure that prior fraction scatter estimates are still applicable to current patient status.

Abstract: A system for delivering radiation dose, includes a gantry to move about a target to be irradiated and a radiation source mounted to the gantry and directed inward toward the target, The system further includes a collimator mounted to the gantry and in front of the radiation source, the collimator to shape a radiation beam directed at the target, wherein the collimator is to modulate a sub-beam intensity of the radiation beam across a plurality of sub-beams that subdivide a fluence field into a two-dimensional (2D) grid, and wherein a plurality of independent two-dimensional (2D) sub-beam intensity patterns are delivered from a plurality of gantry angles while the gantry moves continuously.