Abstract: A system and method of delivering a radiation therapy treatment plan to a patient. The treatment plan is delivered using a radiation therapy system including a moveable support for supporting a patient, a gantry moveable relative to the support and supporting a radiation source and multi-leaf collimator for modulating the radiation source. The support and gantry are moved during delivery of the treatment plan.

Abstract: A dose calculation tool operable to generate a variance map that represents a dose uncertainty. The variance map illustrates on a point-by-point basis where high uncertainty in the dose may exist and where low uncertainty in the dose may exist. The dose uncertainty is a result of an error in one or more data parameters related to a delivery parameter or a computational parameter.

Abstract: A two-dimensional contouring tool that allows a user to maintain a minimum distance away (in 3D) from other structures. The contouring tool allows the user to rapidly define a series of contours that conform to the shape of one or more existing contours (or targets) with user-specified margin limits between the new contour and the existing contours (or targets).

Abstract: A system for and method of delivering radiation therapy to a moving region of interest is disclosed. The method, in one implementation, includes the acts of generating a plurality of treatment plans for providing radiation therapy, delivering radiation therapy to the patient following one of the plurality of treatment plans, monitoring the patient while providing radiation therapy, and changing the treatment plan based at least in part on monitoring the patient.

Abstract: A system and method of identifying anatomical structures in a patient. The method includes the acts of acquiring an image of the patient, the image including a set of image elements; segmenting the image to categorize each image elements according to its substance; computing the probability that the categorization of each image element is correct; resegmenting the image starting with image elements that have a high probability and progressing to image elements with lower probabilities; aligning at least one of the image elements with an anatomical atlas; and fitting the anatomical atlas to the segmented image.

Abstract: A system and method of optimizing delivery of a radiation therapy treatment. The system optimizes treatment delivery in real-time to take into account a variety of factors, such as patient anatomical and physiological changes (e.g., respiration and other movement, etc.), and machine configuration changes (e.g., beam output factors, couch error, leaf error, etc.).

Abstract: A system and method of optimizing delivery of a radiation therapy treatment. The system optimizes treatment delivery in real-time to take into account a variety of factors, such as patient anatomical and physiological changes (e.g., respiration and other movement, etc.), and machine configuration changes (e.g., beam output factors, couch error, leaf error, etc.).

Abstract: System and method of determining whether a component of a radiation therapy system is operating within a dosimetric tolerance.

Abstract: A method of contoured-anatomy dose repositioning (CADR) as a means to automatically reposition a patient to better recover the planned dose distribution without reoptimizinq the treatment plan. CADR utilizes planning CT images, the planned dose distribution, and on-line images for repositioning dose distribution on a given day. Contours are also placed upon the images using manual, automatic, template-based, or other techniques. CADR then optimizes the rigid-body repositioning of the patient so that the daily dose distribution closely matches the planned dose distribution.

Abstract: A method of calculating a dose distribution for a patient for use in a radiation therapy treatment plan. The method includes acquiring an image of a volume within the patient, defining a radiation source, and defining a reference plane oriented between the radiation source and the patient. The method also includes generating a radiation therapy treatment plan, wherein the plan includes a plurality of rays that extend between the radiation source and the patient volume, and calculating a three-dimensional dose volume for the patient volume from the plurality of rays that intersect the reference plane without first having to independently calculate a dose distribution on each of the plurality of rays. The method can also include displaying the three-dimensional dose volume.

Abstract: A dose calculation tool operable to generate a variance map that represents a dose uncertainty. The variance map illustrates on a point-by-point basis where high uncertainty in the dose may exist and where low uncertainty in the dose may exist. The dose uncertainty is a result of an error in one or more data parameters related to a delivery parameter or a computational parameter.

Abstract: A system and method for calibrating and positioning a radiation therapy treatment table with a high degree of precision and accuracy. The treatment table includes radiographic indexing markers embedded or inlaid therein. The radiographic indexing markers can include a density different from density of the table material, or a radio-frequency or magnetic contrasting matter, something that the imaging system and detector of the radiation therapy system can detect, so that when scanned, with or without a patient or phantom on the table, the precise location of the patient treatment table in the x, y and z planes is known. This is important so that the table may be reconstructed, alone or with a phantom on it, by the radiation therapy system software, providing a very good indication of where the table top is prior to treatment.

Abstract: A radiation therapy treatment system and method of treating a patient with radiation. The system integrates positioning of the patient, treatment planning, and delivery of the plan. As a result of the integration of imaging capabilities into the treatment apparatus, and efficient processes for contouring and planning, a patient can be treated in approximately 20 minutes or less. The method includes acquiring image data from the patient, defining a target region with one or more predefined shapes, generating a treatment plan based on the defined target region, and delivering radiation to the target region.

Abstract: A system and method of detecting a breathing phase of a patient receiving radiation therapy is disclosed. The method, in one implementation, includes the acts of obtaining a plurality of patient images representing phases of a breathing cycle, delivering radiation to the patient, collecting transmission data of the patient during the delivering radiation, and comparing the transmission data to the plurality of patient images.

Abstract: A system and method of adapting a radiation therapy treatment plan for a patient by varying the fraction size delivered to the patient on any individual day, based at least partially on the use of daily patient registration (i.e., taking images of the patient before each fraction is delivered to see the position and size of the tumor on that day). The fraction size can be dynamically altered based upon the biology of the tumor.

Abstract: A method of calculating a dose distribution for a patient for use in a radiation therapy treatment plan. The method includes acquiring an image of a volume within the patient, defining a radiation source, and defining a reference plane oriented between the radiation source and the patient. The method also includes generating a radiation therapy treatment plan, wherein the plan includes a plurality of rays that extend between the radiation source and the patient volume, and calculating a three-dimensional dose volume for the patient volume from the plurality of rays that intersect the reference plane without first having to independently calculate a dose distribution on each of the plurality of rays. The method can also include displaying the three-dimensional dose volume.

Abstract: System and method of determining whether a component of a radiation therapy system is operating within a dosimetric tolerance.

Abstract: System and method of generating a warp field to generate a deformed image. The system and method use segmentation in a new method of image deformation with the intent of improving the anatomical significance of the results. Instead of allowing each image voxel to move in any direction, only a few anatomical motions are permissible. The planning image and the daily image are both segmented automatically. These segmentations are then analyzed to define the values of the few anatomical parameters that govern the allowable motions. Given these model parameters, a deformation or warp field is generated directly without iteration. The warp field is applied to the planning image or the daily image to deform the image. The deformed image can be displayed to a user.

Abstract: A system and method for calibrating and positioning a radiation therapy treatment table with a high degree of precision and accuracy. The system and method comprising a treatment table for use with a radiation therapy system with radiographic indexing markers embedded or inlaid in the patient treatment table. The radiographic indexing markers having a density different from density of the table material, or a radio-frequency or magnetic contrasting matter, something that the imaging system and detector of the radiation therapy system can detect, so that when scanned, with or without a patient or phantom on the table, the precise location of the patient treatment table in the x, y and z planes is known. The radiographic indexing markers may also have the ability to be visually seen by the technician, doctor, physicist or other health care provider conducting the procedure.

Abstract: A system and method of evaluating dose delivered by a radiation therapy system using a marker that indicates motion. The marker is associated with the patient. In one method of operation, the method includes delivering radiation to the patient, monitoring motion of the marker during the delivering radiation, and evaluating a dose delivered to the patient based at least in part on the motion of the marker. In another method of operation, the method includes delivering radiation to the patient, obtaining information relating to the delivery of radiation, estimating dose to the marker based at least in part on the information, acquiring dose received by the marker, and comparing the received dose with the estimated dose.