Abstract: Systems and methods for developing a treatment plan for irradiating a treatment volume within a patient are disclosed. In accordance with the present invention, control points used to calculate a dose of radiation delivered to the treatment volume may be combined to result in a smaller number of control points. The smaller number of control points may allow more efficient calculation of dose distributions resulting in a treatment plan that can be delivered to the patient earlier or may allow additional iterations of treatment plan optimization resulting in a more accurate dose distribution being delivered to the patient.

Abstract: A stochastic patient movement model and a dosage delivery plan are used to determine probabilities of dosages received by a target volume during a radiation treatment. The stochastic patient movement model is created by identifying possible sequences of patient positions during the treatment with probabilities specified for each. The dosage delivery plan specifies dosage levels and radiation locations over time. Accumulated dosages are calculated for each sequence of patient positions and the dosage delivery plan. The specified probability for each sequence is then correlated to the accumulated dosage for that sequence.

Abstract: Systems and methods of controlling the leaves of an aperture in radiation treatment are disclosed. In some embodiments, these systems and methods allow the delivery of different radiation fluences to different parts of a treatment volume in a single rotation of the aperture around the treatment volume. In some embodiments, different radiation fluences are achieved by radiating different parts of the treatment volume from opposing positions of the aperture around the treatment volume. In some embodiments, different radiation fluences are achieved by assigning different leaf pairs to radiate different parts of the treatment volume.