The utility model relates to a real-time image guided
adaptive radiotherapy device, which comprises a frame, a roller, a treatment
bed, a treatment head, a turntable rotation driving mechanism and a real-time image guiding
system, the treatment
bed is connected with the frame, the roller is arranged in the frame, the treatment head is arranged on the roller, and the turntable rotation driving mechanism is arranged on the roller. The treatment head comprises a turntable, an arc-shaped guide rail
assembly, a three-dimensional platform, a
ray emission device and a three-dimensional platform rotation driving mechanism capable of driving the three-dimensional platform to rotate; the
ray emitting device is arranged below the three-dimensional platform, the arc-shaped guide rail
assembly is arranged on the rotary table, the three-dimensional platform rotation driving mechanism and the three-dimensional platform are both connected with the arc-shaped guide rail
assembly, the rotary table rotation driving mechanism can drive the rotary table to rotate, and the real-time image guiding
system and the rotary table rotation driving mechanism are both arranged on the roller. According to the utility model, real-time
image guidance and self-adaptive follow-up of the treatment head are realized, the problems of treatment errors caused by organ movement of a patient, unnecessary injury to normal tissues, even off-target and the like are solved, and the accuracy of
clinical treatment is improved.