The invention discloses a real-time image guiding method and
system for
organ motion compensation in tumor radiotherapy, and the method comprises the steps: constructing a
respiratory motion model through the synchronous collection of the three-dimensional position of a gold mark and the motion track of a
body surface LED mark point, and obtaining an
atrophy compensation component through the combination of the volume
atrophy proportion and the
gravity center displacement of the gold mark in the radiotherapy process; and then carrying out weighted fusion on historical radiotherapy data, a gold
label vector and a position relationship to obtain an accurate rotation compensation component, inputting the current position of the gold
label into the model to update parameters in real time, predicting the position of the gold
label at the next moment by combining the two types of compensation components, and meanwhile, carrying out model
loop optimization through comparison of actual positions. According to the invention, the positioning accuracy of the target region in tumor radiotherapy is greatly improved, it is ensured that radioactive rays can accurately irradiate the
tumor target region, the tumor local control rate is further improved, and the
life quality of a patient is improved.