88 results about "Intensity-modulated radiation therapy" patented technology

A device and a process for performing high temporal- and spatial-resolution MR imaging of the anatomy of a patient during intensity modulated radiation therapy (IMRT) to directly measure and control the highly conformal ionizing radiation dose delivered to the patient for the treatment of diseases caused by proliferative tissue disorders. This invention combines the technologies of open MRI, multileaf-collimator or compensating filter-based IMRT delivery, and cobalt teletherapy into a single co-registered and gantry mounted system.

An intensity modulated radiation therapy (IMRT) system including a radiation beam delivery device positionable in a plurality of spatial orientations, an IMRT control system adapted to modulate at least an intensity of a radiation beam emanating from the radiation beam delivery device depending on at least one of the spatial orientations of the radiation beam delivery device and in accordance with an IMRT intensity map, and a multilayer multileaf collimator placed in a path of the radiation beam emanating from the radiation beam delivery device, the multilayer multileaf collimator including a plurality of layers of radiation blocking leaves, the layers being at different positions along the path of the radiation beam generally traverse to the radiation beam.

Various embodiments of the present invention provide methods and systems for deterministic calculation of radiation doses, delivered to specified volumes within human tissues and organs, and specified areas within other organisms, by external and internal radiation sources. Embodiments of the present invention provide for creating and optimizing computational mesh structures for deterministic radiation transport methods. In general these approaches seek to both improve solution accuracy and computational efficiency. Embodiments of the present invention provide methods for planning radiation treatments using deterministic methods. The methods of the present invention may also be applied for dose calculations, dose verification, and dose reconstruction for many different forms of radiotherapy treatments, including: conventional beam therapies, intensity modulated radiation therapy (“IMRT”), proton, electron and other charged particle beam therapies, targeted radionuclide therapies, brachytherapy, stereotactic radiosurgery (“SRS”), Tomotherapy®; and other radiotherapy delivery modes. The methods may also be applied to radiation-dose calculations based on radiation sources that include linear accelerators, various delivery devices, field shaping components, such as jaws, blocks, flattening filters, and multi-leaf collimators, and to many other radiation-related problems, including radiation shielding, detector design and characterization; thermal or infrared radiation, optical tomography, photon migration, and other problems.

A new optimization method for generating treatment plans for radiation oncology is described and claimed. This new method works for intensity modulated radiation therapy (IMRT), intensity modulated arc therapy (IMAT), and hybrid IMRT.

S-band, C-band or X-band microwave powered linear accelerators capable of delivering therapeutic photon and electron beams are mounted to a gantry with extensions to hold multiple accelerators and are combined with a kV CT for 3-D conformal—IMRT and IGRT to treat a patient by SSD or SAD methods and in a full circle. The invention's tertiary collimator system consists of semi-automated reusable custom field shaping with tungsten powder or melted Cerrobend blocks. The beam's intensity modulation is by means of simultaneous but independently operating multiple accelerators. This system's multiple accelerators enable to avoid interrupted subfractionated radiation therapy to each treatment fields. Hence its effective dose rate at the tumor site is high. The improved radiobiology reduces the total radiation dose to treat a tumor, reducing the incidence of developing second primary tumors is also minimized.

This invention describes a system for generating multiple simultaneous tunable electron and photon beams and monochromatic x-rays for all field simultaneous radiation therapy (AFSRT), tumor specific AFSRT and screening for concealed elements worn on to the body or contained in a container. Inverse Compton scattering renders variable energy spent electron and tunable monochromatic x-rays. It's spent electron beam is reused for radiation with electron beam or to generate photon beam. Tumor specific radiation with Auger transformation radiation is facilitated by exposing high affinity tumor bound heavy elements with external monochromatic x-rays. Heavy elements like directly iodinated steroid molecule that has high affinity binding to estrogen receptor in breast cancer and to iodinated testosterone in prostate cancer or with directly implanted nanoparticles into the tumor are exposed with tuned external monochromatic x-rays for tumor specific radiation therapy. Likewise, screening element's atom's k, l, m, n shell specific Auger transformation radiation generated by its exposure to external monochromatic x-rays is used to screen for concealed objects. Multiple beam segments from a beam storage ring or from octagonal beam lines are simultaneously switched on for simultaneous radiation with multiple beams. The beam on time to expose a tumor or an object is only a few seconds. It also facilitates breathing synchronized radiation therapy. The intensity modulated radiation therapy (IMRT) and intensity modulated screening for concealed objects (IMSFCO) is rendered by varying beam intensities of multiple simultaneous beams. The isocentric additive high dose rate from simultaneously converging multiple beams, the concomitant hyperthermia and chemotherapy and tumor specific radiation therapy and the AFSRT's very low radiation to the normal tissue all are used to treat a tumor with lower radiation dose and to treat a radioresistant and multiple times recurrent tumors that heave no other alternative treatments.

Disclosed is a phantom for dose verification for intensity-modulated radiation therapy having a base of substantially tissue-equivalent material and a two-dimensional array of cavities formed in the base with each the cavities being configured and dimensioned to receive a radiation detector.

A device and a process for performing high temporal- and spatial-resolution MR imaging of the anatomy of a patient during intensity modulated radiation therapy (IMRT) to directly measure and control the highly conformal ionizing radiation dose delivered to the patient for the treatment of diseases caused by proliferative tissue disorders. This invention combines the technologies of open MRI, multileaf-collimator or compensating filter-based IMRT delivery, and cobalt teletherapy into a single co-registered and gantry mounted system.

Radiation therapy or diagnostic that will ultimately be delivered in a manner that, in addition to being spatially precise, is capable of adapting instantaneously to changes in patient or subject anatomy. The related system and method can adapt to the time dependent geometry of internal patient anatomy and yield a temporally precise IMRT beam that is optimized for the instantaneous configuration of the internal target and avoidance structures.

An accurate method for inversely verifying a therapeutic radiation dose delivered to a patient via an x-ray delivery system without involving any computational iteration was developed. The usage of it includes detecting the transmitted radiation dose image after passage through the patient, imaging the patient during treatment to anatomically record information of the patient, followed by inversely verifying through use of both the detected radiation image and the imaging data, the actual radiation dose delivered to the patient, and comparing the level of the dose delivered to a previously planned dose to determine whether the planned dose was delivered, or whether an overdose or underdose occurred.

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.

The present invention is a method for treatment planning and delivery of the radiation treatment plan for the intensity-modulated radiation therapy (IMRT) treatment using linear accelerators (LINACs) not equipped with a multileaf collimator (MLC). The present invention makes the use of a simpler collimator consisting of only 4 collimator jaws. In addition, the method for treatment planning of the present invention may be performed on a computer separate from the LINAC control computer, so that the treatment planning system can generate IMRT treatment plans for LINACs and collimator jaws from different vendors.

A method and system for providing intensity modulated radiation therapy to a moving target is disclosed. According to a preferred embodiment of the invention, a treatment plan for providing radiotherapy using a multi-leaf collimator (“MLC”) comprises a plurality of sub-plans, each of which is optimized for a different phase of target movement. Movements of the treatment target are tracked in real time, and the choice of which sub-plan to implement is made in real time based on the tracked position of the target. Each of the sub-plans is preferably formulated to minimize interplay effects between target movements and MLC leaf movements, consistent with other planning goals. In addition, the sub-plans preferably include a predicted region corresponding to the next anticipated position of the target, in order to facilitate the transition to the next position.

The present invention provides an intensity modulated radiation therapy (IMRT) method for treating a target region that minimizes the tongue and groove effect. By minimizing that effect, striping in the final delivered fluence is reduced, which improves the overall quality of the radiation delivery. In the method, compensating functions Ci(x) are added to leaf coordinates ai(x) and bi(x) for all of the leaf pairs i in a leaf sequence algorithm, where Ci(x) is chosen to match the mechanical limitations of the MLC and to minimize non-weighted or weighted sums of the tongue and groove effects, where the weighting is time-dependent, position-dependent, or time- and position-dependent, or to minimize the total treatment time, changes to the original MLC sequence, or the tongue and groove effect distribution variance in spatial or temporal coordinates.

A system to provide enhanced computational efficiency in determining dose in a media of varying density from a high-energy radiation-beam for radiation treatment, program product, and related methods are provided. The system can include a radiation treatment planning computer and radiation treatment planning program product adapted to enhance optimization of a radiation treatment plan for delivering radiation to a complex medium defining a patient volume. The program product provides functions including those for predetermining a delivery machine-dependent representation of radiation dose for different electron densities selected over a representative range, predetermining a depth-dependent representation of central axis properties of a pencil beam passing through a complex medium, and determining with constant time computational complexity, radiation dose for each of a plurality of points of interest in a heterogeneous medium having a complex spatial distribution of heterogeneous electron densities by applying the predetermined machine-dependent and depth-dependent representations.

A modulator for radiation therapy provides modulation of an area beam to decrease treatment time. Separate channels passing modulated “beamlets” are possible by spacing the channels such that spreading of the beams and multiple angles of treatment eliminate cold spots. The space between the channels allows well-defined channel walls and space for modulator mechanisms.

The invention discloses a predication method for three-dimensional dose distribution in intensity modulated radiation therapy plans. The method includes steps of (1) collecting valid intensity modulated radiation therapy plan data and forming a case database; (2) dividing a PTV and different to-be-endangered organs of patients into a plurality of voxels according to the resolution ratio of CT images; (3) extracting anatomical characteristics of each patient in the database; (4) extracting dose characteristics of each patient in the database; (5) constructing an artificial neural network, inputting the anatomical characteristics and the dose characteristics of the patients, and learning the mapping relation between the anatomical characteristics and the dose characteristics by the aid of the artificial neural network, and obtaining a correlation model of the anatomical characteristics and the dose characteristics; (6) using the correlation model to predicate the three-dimensional dose distribution of a new patient. The application of said method is using the dose distribution predication method for dose prediction for to-be-endangered organs of patients and quality control is achieved. By adopting the above method, predication of three-dimensional dose distribution in intensity modulated radiation therapy plans can be realized and the method can be applied to a quality control link.

An accurate method for inversely verifying a therapeutic radiation dose delivered to a patient via an x-ray delivery system without involving any computational iteration was developed. The usage of it includes detecting the transmitted radiation dose image after passage through the patient, imaging the patient during treatment to anatomically record information of the patient, followed by inversely verifying through use of both the detected radiation image and the imaging data, the actual radiation dose delivered to the patient, and comparing the level of the dose delivered to a previously planned dose to determine whether the planned dose was delivered, or whether an overdose or underdose occurred.

The present invention is a method for treatment planning and delivery of the radiation treatment plan for the intensity-modulated radiation therapy (IMRT) treatment using linear accelerators (LINACs) not equipped with a multileaf collimator (MLC). The present invention makes the use of a simpler collimator consisting of only 4 collimator jaws. In addition, the method for treatment planning of the present invention may be performed on a computer separate from the LINAC control computer, so that the treatment planning system can generate IMRT treatment plans for LINACs and collimator jaws from different vendors.

The invention belongs to the field of medical equipment, is used for the intensity modulated radiation therapy of tumors and particularly relates to a double-layer multi-blade collimator. The double-layer multi-blade collimator comprises a switching multi-blade collimator on the upper layer and an electric multi-blade collimator on the lower layer; both the switching multi-blade collimator and the electric multi-blade collimator consist of two groups of opposite blades; the front end face of each blade of the switching multi-blade collimator is a straight end face and the rear end of the blade of the switching multi-blade collimator is connected with a micro electromagnetic driving mechanism; each blade of the electric multi-blade collimator is driven by a micro motor; and the blades of the switching multi-blade collimator and the blades of the electric multi-blade collimator move, are laid out in the same direction and have the same numbers. The double-layer multi-blade collimator is applied to a tumor intensity modulated radiation therapy device and has the advantages of simple structure, beam collimation, high working efficiency, high frequency modulation resolution and high safety.

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.

In various embodiments, methods, apparatuses, and systems for accurate patient positioning and motion tracking before and / or during head and neck radiation therapy, such as intensity modulated radiation therapy, are provided. In exemplary embodiments, a computing system may be endowed with one or more components of the disclosed apparatuses and / or systems and may be employed to perform one or more methods as disclosed herein. Exemplary embodiments provide head and neck radiation localization using, in part, an oral appliance.

A small field radiation therapy machine having an aperture diameter of 30 cm or less provides improved ray definition for specialized treatment of portions of the human body such as head a breast.

A method and system for providing intensity modulated radiation therapy to a moving target is disclosed. According to a preferred embodiment of the invention, a treatment plan for providing radiotherapy using a multi-leaf collimator (“MLC”) comprises a plurality of sub-plans, each of which is optimized for a different phase of target movement. Movements of the treatment target are tracked in real time, and the choice of which sub-plan to implement is made in real time based on the tracked position of the target. Each of the sub-plans is preferably formulated to minimize interplay effects between target movements and MLC leaf movements, consistent with other planning goals. In addition, the sub-plans preferably include a predicted region corresponding to the next anticipated position of the target, in order to facilitate the transition to the next position.

An apparatus and method to deliver intensity modulated radiation therapy by irradiating a treatment volume with rotation of the radiation beam. The system includes a collimation device comprising a two-dimensional array of pivoting attenuating leaves, which are temporarily placed into the radiation beam path as the gantry rotates around the patient. The leaves are independently movable between a first position and a second position. The radiation beam intensity is modulated by controlling the time that each leaf is present to attenuate the beam.

The present invention relates to a device and method for verification of the quality of a radiation beam in conformal radiation therapy, and in particular for IMRT (Intensity Modulated Radiation Therapy) applications. The actual 3D dose distribution in the patient is tracked during the course of the entire treatment by reconstructing the photon fluences from measured 2D detector responses during irradiation in conjunction with updated patient images.

This is a new technique in IMRT and 3D conformal gamma radiation dose delivery using a linear accelerator with no flattening filter. The technique improves patient radiation therapy by reducing radiation scattered to surrounding normal tissue and reducing electron contamination. It increases dose rate to shorten treatment time. Linear accelerators have for decades come with a photon flattening filter to make the photon profile of planar fluence to make the dose distribution more uniform. These filters, however, resulted in fluence attenuation and contamination of the beam. Now in the age of techniques such as intensity modulated radiation therapy (IMRT) the function of the flattening filter becomes redundant. The flattening filter now merely reduces the efficiency of the beam by reducing the fluence and increasing scattered radiation. Our technique involves removal of the flattening filter for complex treatments. It uses inverse planning along with multi-leaf collimators to shape the dose distribution.

The present invention relates to a dosimetry device for verification of quality of a radiation beam in standard and conformal radiation therapy, and for IMRT (Intensity Modulated Radiation Therapy) applications. The device includes an active area comprising individual radiation detectors. The active area comprises a limited number of lines of radiation detectors, and a number of extra radiation detectors dedicated to the energy measurement of electrons or photons. It also comprises a build-up plate with energy degraders. The energy degraders are located upstream from the extra radiation detectors in the path of the radiation beam.

A system for radiotherapy that includes a couch upon which a patient being treated by the system is positioned, the couch having continuous arc rotation for delivery accelerated irradiation to the patient.

The present invention relates to a device and method for verification of the quality of a radiation beam in conformal radiation therapy, and in particular for IMRT (Intensity Modulated Radiation Therapy) applications. The actual 3D dose distribution in the patient is tracked during the course of the entire treatment by reconstructing the photon fluences from measured 2D detector responses during irradiation in conjunction with updated patient images.