531 results about "Patient positioning" patented technology

A manipulator for use in medical procedures can manipulate a medical tool with one or more degrees of freedom with respect to a patient. The manipulator is particularly useful for positioning a medical tool with respect to a patient disposed inside an imaging device such as a computer tomography machine.

The invention is intended to always ensure a sufficient level of patient positioning accuracy regardless of the skills of individual operators. In a patient positioning device for positioning a patient couch 59 and irradiating an ion beam toward a tumor in the body of a patient 8 from a particle beam irradiation section 4, the patient positioning device comprises an X-ray emission device 26 for emitting an X-ray along a beam line m from the particle beam irradiation section 4, an X-ray image capturing device 29 for receiving the X-ray and processing an X-ray image, a display unit 39B for displaying a current image of the tumor in accordance with a processed image signal, a display unit 39A for displaying a reference X-ray image of the tumor which is prepared in advance, and a positioning data generator 37 for executing pattern matching between a comparison area A being a part of the reference X-ray image and including an isocenter and a comparison area B or a final comparison area B in the current image, thereby producing data used for positioning of the patient couch 59 during irradiation.

The invention is intended to always ensure a sufficient level of patient positioning accuracy regardless of the skills of individual operators. In a patient positioning device for positioning a patient couch 59 and irradiating an ion beam toward a tumor in the body of a patient 8 from a particle beam irradiation section 4, the patient positioning device comprises an X-ray emission device 26 for emitting an X-ray along a beam line m from the particle beam irradiation section 4, an X-ray image capturing device 29 for receiving the X-ray and processing an X-ray image, a display unit 39B for displaying a current image of the tumor in accordance with a processed image signal, a display unit 39A for displaying a reference X-ray image of the tumor which is prepared in advance, and a positioning data generator 37 for executing pattern matching between a comparison area A being a part of the reference X-ray image and including an isocenter and a comparison area B or a final comparison area B in the current image, thereby producing data used for positioning of the patient couch 59 during irradiation.

Three components are proposed, each having at its core a system for producing measurements of the relative motion of anatomical structures of mammals (the “measurement system”). The measurement system in this case would be comprised of an apparatus for imaging the joint of through a prescribed motion, and a process and mechanism for deriving quantitative measurement output data from the resulting images. The components of the present invention include: (1) a software device for reporting measurement output of the measurement system and for allowing users to interact with the measurement output data; (2) an apparatus and method for utilizing measurement output of the measurement system for therapeutic and surgical applications such as surgical navigation and patient positioning during a therapeutic procedure; and (3) an apparatus providing input image data for the measurement system that assists with the imaging of joints connecting anatomical regions that are in motion during operation.

A system and method for positioning a patient for radiotherapy is provided. The method comprises: acquiring a first x-ray image sequence of a target inside the patient at a first angle; acquiring first respiratory signals of the patient while acquiring the first x-ray image sequence; acquiring a second x-ray image sequence of the target at a second angle; acquiring second respiratory signals of the patient while acquiring the second x-ray image sequence; synchronizing the first and second x-ray image sequences with the first and second respiratory signals to form synchronized first and second x-ray image sequences; identifying the target in the synchronized first and second x-ray image sequences; and determining three-dimensional (3D) positions of the target through time in the synchronized first and second x-ray image sequences.

This invention features an integrated single photon emission computed tomography (SPECT) / transmission computed tomography (TCT) system for cardiac imaging including an open arc-shaped frame. A collimator system is shaped to approximately match the thoracic contour of patients having different sizes and weights and shaped to surround and position the collimator closely proximate a heart of a patient of said patients encompassed by at least one predetermined image volume for optimizing collimation of radiation photons emitted from the heart. An arc-shaped detector system is coupled to the collimator subsystem having a shape closely matching the shape of the collimator subsystem for detecting collimated radiation photons from the collimator subsystem and generating output electrical signals. A patient positioning subsystem positions a patient to a predetermined central longitudinal axis of the three-dimensional imaging volume and for intermittently and incrementally rotating the patient about the predetermined central longitudinal axis for generating a plurality of TCT images.

An articulating patient support table comprises first and second patient support sections hingedly connected together along respective hinge ends. A longitudinal translation subassembly connected to a base by a position adjustable pedestal supports the first patient support section in cantilevered relationship. The position adjustment assembly includes a lift mechanism operable to raise and lower the longitudinal translation subassembly relative to the base and a pivot assembly operable to pivot the longitudinal translation subassembly fore and aft and side to side relative to the base.

The invention comprises a laying, semi-vertical, or seated patient positioning, alignment, and / or control method and apparatus used in conjunction with multi-axis charged particle or proton beam radiation therapy of cancerous tumors. Patient positioning constraints are used to maintain the patient in a treatment position, including one or more of: a seat support, a back support, a head support, an arm support, a knee support, and a foot support. One or more of the positioning constraints are movable and / or under computer control for rapid positioning and / or immobilization of the patient. The system optionally uses an X-ray beam that lies in substantially the same path as a proton beam path of a particle beam cancer therapy system. The generated image is usable for: fine tuning body alignment relative to the proton beam path, to control the proton beam path to accurately and precisely target the tumor, and / or in system verification and validation.

The present invention is related to a patient positioning imaging device for positioning a patient in a hadron therapy device provided with a rotatable gantry (20). The patient positioning imaging device comprises a rotatable structure (10) provided with an extensible arm or foldable pivoting arm (12) arranged for connecting an imaging beam source (121) and an extensible structure or foldable pivoting structure (14) arranged for carrying an imaging beam receiver (141). The rotatable structure (10) is arranged for taking CBCT shots of the patient while the patient is located in an offset position with respect to an isocentre of the hadron therapy device, said offset position being in the direction of a rotational axis of the rotatable gantry (20). The rotatable structure (10) is arranged for being rotated while the rotatable gantry (20) remains fixed, and while the extensible or pivoting arm (12) and the extensible or pivoting structure (14) are in extended or unfolded position.

An image processing system (1-5) is provided which obtains images of a patient (8) from multiple view points and which then generates positioning instructions for a mechanical couch (7) to vary the position of a patient. A number of techniques are disclosed in order to calibrate the image processing system so as to enable the image processing system to identify the iso center of radiation beams generated by a treatment apparatus (6). Techniques for processing generated 3 dimensional models to monitor a patient's breathing are also disclosed.

Brain Magnetic Resonance Imaging (MRI), Computerized Tomotography (CT), or other diagnostic modalities may employ a three-step procedure during initial (“scout”) cranial pre-scans that corrects for patient positioning (i.e., roll, yaw and pitch) to reduce inter- and intra-patient variation, thereby enhancing the diagnostic and comparative value of subsequent detail scans even across different diagnostic platforms. In MRI, for instance, locating the saggital sinus (SS) and optimizing a line to bisect the brain through this SS may be automated to correct for roll and yaw. By then identifying the contour of the corpus callosum in a lateral saggital scout scan, the Talairach anterior commissure (AC)—posterior commissure (PC) reference line may be found for correcting pitch. Prescription of detailed scans are improved, especially when the three-step correction is repeated periodically identifying the need to repeat a detailed scan or to adjust the coordinates of a subsequent scan.

A patient support system includes independently adjustable end columns supporting a centrally hinged, jointed or breaking patient support structure. At least one column includes a powered rotation assembly. The patient support includes at least two sections. A coordinated drive system provides for both upwardly and downwardly breaking or jointed orientations of the two sections in various inclined and tilted positions. Cable, cantilevered and pull-rod systems are included.

The invention comprises a semi-vertical or seated patient positioning, alignment, and / or control method and apparatus used in conjunction with multi-axis charged particle or proton beam radiation therapy of cancerous tumors. Patient positioning constraints are used to maintain the patient in a treatment position, including one or more of: a seat support, a back support, a head support, an arm support, a knee support, and a foot support. One or more of the positioning constraints are movable and / or under computer control for rapid positioning and / or immobilization of the patient. The system optionally uses an X-ray beam that lies in substantially the same path as a proton beam path of a particle beam cancer therapy system. The generated image is usable for: fine tuning body alignment relative to the proton beam path, to control the proton beam path to accurately and precisely target the tumor, and / or in system verification and validation.

This invention relates generally to treatment of solid cancers. More particularly, the invention relates to a computer controlled patient positioning, immobilization, and repositioning method and apparatus used in conjunction with multi-field charged particle cancer therapy coordinated with patient respiration patterns and further in combination with charged particle beam injection, acceleration, extraction, and / or targeting methods and apparatus.

The invention comprises a semi-vertical patient positioning, alignment, and / or control method and apparatus used in conjunction with charged particle or proton beam radiation therapy of cancerous tumors. Patient positioning constraints are used to maintain the patient in a treatment position, including one or more of: a seat support, a back support, a head support, an arm support, a knee support, and a foot support. One or more of the positioning constraints are movable and / or under computer control for rapid positioning and / or immobilization of the patient. The system optionally uses an X-ray beam that lies in substantially the same path as a proton beam path of a particle beam cancer therapy system. The generated image is usable for: fine tuning body alignment relative to the proton beam path, to control the proton beam path to accurately and precisely target the tumor, and / or in system verification and validation.

A patient support apparatus for supporting a patient in a prone position during a surgical procedure is provided, including an open fixed frame suspended above a floor and a pair of spaced opposed radially sliding joints cooperating with the frame, each joint including a virtual pivot point and an arc of motion spaced from the virtual pivot point, the joints being movable along the arc providing a pivot ship mechanism for a pair of pelvic pads attached to the joints. A base for supporting and suspending a patient support structure above the floor, for supporting a patient during a surgical procedure, the base including a pair of spaced opposed vertical translation subassemblies reversibly attachable to a patient support structure, a cross-bar, and a rotation subassembly having two degrees of rotational freedom; wherein a location of each vertical translation subassembly is substantially constant during operation of the patient support structure.

The present invention provides a portable patient turning and lifting device and associated methods for turning and lifting an immobilized patient. The device comprises at least one inflation bladder configured to be secured between the patient's body and the patient supporting surface, such as a bed. The bladder is inflated with pressurized fluid. Preferably, the inflation bladder is secured by a body support having at least one support pad on which the patient is positioned. An embodiment provides two inflatable turning bladders oriented on the left and right sides of the back of the body support. Preferably, at least one fluid pump is provided in communication with the bladders, and it is preferably fitted with a controller to tailor the sequencing and timing of the inflation to reposition the patient's body.

Certain embodiments include a system and method for positioning a patient with a patient positioning system. The system includes a patient positioning surface for supporting a patient. The system also includes a lift subsystem for adjusting elevation of the patient positioning surface, a longitudinal subsystem for moving the patient positioning surface in a longitudinal direction, a lateral subsystem for moving the patient positioning surface in a lateral direction, a tilt subsystem for tilting the patient positioning surface, and a rotation subsystem for rotating the patient positioning surface. The system further includes a control subsystem for controlling operation of the patient positioning system and a base affixed to a floor for securing the patient positioning system. The control subsystem may perform iso-center tracking to maintain a region of interest of the patient in an image area during tilt. The control subsystem may also avoid collision with the ground and / or predetermined objects.

The present invention provides a patient couch top or device for quickly and accurately positioning a patient during simulation and treatment by placing a series of small fiducial markers in discrete locations on the couch top or device. With use of the fiducial markers, the present invention allows for the correction for misalignment and deformation of patient positioning equipment which occurs due in part to a patient's size and weight. The present invention also provides a method for positioning a patient and correcting for deformation of the couch top or device.

A system for delivering magnetic stimulation to a subject that has a magnetic stimulation coil, a power source, and a patient-positioning device is provided. The magnetic stimulation coil is movably connected to patient-positioning device for fixably positioning the magnetic stimulation coil to stimulate a region of a subject and electrically connected to the power source. A cooling system maintains the magnetic stimulation coil between a temperature of about 5° C. and about 40° C. during operation of the coil for a period of at least 90 minutes. An attachment site for a second magnetic stimulation coil is provided, and the second magnetic stimulation coil is optionally movably connected to the patient-positioning device for positioning the second magnetic stimulation coil independently of the first magnetic stimulation coil to provide a combination delivery of magnetic stimulation to a second region of the subject.

A patient support structure includes a pair of independently height-adjustable supports, each connected to a patient support. The supports may be independently raised, lowered, rolled or tilted about a longitudinal axis, laterally shifted and angled upwardly or downwardly. Position sensors are provided to sense all of the foregoing movements. The sensors communicate data to a computer for coordinated adjustment and maintenance of the inboard ends of the patient supports in an approximated position during such movements. A longitudinal translator provides for compensation in the length of the structure when the supports are angled upwardly or downwardly. A patient trunk translator provides coordinated translational movement of the patient's upper body along the respective patient support in a caudad or cephalad direction as the patient supports are angled upwardly or downwardly for maintaining proper spinal biomechanics and avoiding undue spinal traction or compression.

A system and method for measuring and correcting the position of a patient are disclosed. According to an aspect of the invention, reference coordinates for particular body locations on the patent are determined. At a later treatment session, the relative positioning of the patient's body locations are adjusted to match the relative positioning of the reference coordinates. The entire body of the patient can thereafter be moved as a single unit to match the patient's body location with the absolute location of the reference coordinates.

An apparatus for transferring a supine patient to a prone position on a patient positioning support system, and for rotating such a prone patient between prone and supine positions without removing the patient from the patient positioning support system.

A patient support structure includes a pair of independently height-adjustable supports, each connected to a patient support. The supports may be independently raised, lowered, rolled or tilted about a longitudinal axis, laterally shifted and angled upwardly or downwardly. Position sensors are provided to sense all of the foregoing movements. The sensors communicate data to a computer for coordinated adjustment and maintenance of the inboard ends of the patient supports in an approximated position during such movements. A longitudinal translator provides for compensation in the length of the structure when the supports are angled upwardly or downwardly. A patient trunk translator provides coordinated translational movement of the patient's upper body along the respective patient support in a caudad or cephalad direction as the patient supports are angled upwardly or downwardly for maintaining proper spinal biomechanics and avoiding undue spinal traction or compression.

A patient support system includes independently adjustable end columns supporting a centrally hinged, jointed or breaking patient support structure. At least one column includes a powered rotation assembly. The patient support includes at least two sections. A coordinated drive system provides for both upwardly and downwardly breaking or jointed orientations of the two sections in various inclined and tilted positions. Cable, cantilevered and pull-rod systems are included.

A patient positioning system for use with a patient comprises an optical image sensor. The optical image sensor measures an optical image of a tissue structure of an eye of the patient. An image sensor support supports the image sensor. A patient support supports the patient. A linkage is coupled to the image sensor support with the patient support. A processor is coupled to the optical image sensor to determine a gradient of an illumination level of the optical tissue structure image. The processor is coupled to the linkage and configured to articulate the linkage so as to adjust a separation distance from the tissue structure to the image sensor in response to the gradient of the optical tissue structure image.

Systems and methods provide patient position information to a user. A patient positioning device is placed on a patient in a predefined location. The patient positioning device determines a relative patient position with respect to at least one known reference axis. The patient positioning device communicates patient position information including or with reference to the at least one known reference axis. The communicated patient position information allows the user to position the patient and / or a surgical tool using the communicated patient position information.

A patient support structure includes a pair of independently height-adjustable supports, each connected to a patient support. The supports may be independently raised, lowered, rolled or tilted about a longitudinal axis, laterally shifted and angled upwardly or downwardly. Position sensors are provided to sense all of the foregoing movements. The sensors communicate data to a computer for coordinated adjustment and maintenance of the inboard ends of the patient supports in an approximated position during such movements. A longitudinal translator provides for compensation in the length of the structure when the supports are angled upwardly or downwardly. A patient trunk translator provides coordinated translational movement of the patient's upper body along the respective patient support in a caudad or cephalad direction as the patient supports are angled upwardly or downwardly for maintaining proper spinal biomechanics and avoiding undue spinal traction or compression.