Dynamic Motion Compensation Limits in Radiation Therapy Plans

Resolve Bottlenecks,
Find Innovative Solutions
Generate Solutions

Solution Overview

Problem

Current radiation treatment plans face challenges in effectively discriminating between target structures and adjacent tissues, leading to compromised therapy efficacy due to physical and safety limitations in motion compensation during radiation delivery.

Innovation Solution

Configuring radiation-delivery treatment plans with adjustable limit values for motion compensation based on preselected parameters, allowing for dynamic adjustments of radiation-delivery parameters such as collimator position and gantry orientation, to optimize radiation dosage delivery across varying treatment positions.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If a single limit value is used for motion compensation throughout the treatment session, then the treatment apparatus operates within safe and physically feasible boundaries, but the therapeutic efficacy is reduced due to unnecessary restrictions during portions of the treatment where greater compensation is acceptable

Engineering Contradiction:
Improvesafety of radiation deliveryVSAvoidtherapeutic efficacy
Core Design Contradiction:
ReliabilityVSProductivity

Solution Approach 1:

The patent applies dynamics by transitioning from a static, single limit value for motion compensation to a dynamic, time-varying limit value that changes throughout the treatment session. The limit is configured to be more restrictive during portions where patient motion is expected and less restrictive during portions where motion is minimal, allowing the system to adapt its compensation capabilities to the actual treatment conditions at each moment.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The patent applies preliminary action by pre-configuring different limit values for different time periods or portions of the treatment session before the treatment begins. The treatment plan specifies in advance which limit values apply during different phases of the arc therapy, allowing the system to be prepared with optimized compensation parameters for each segment of the treatment.

Inventive Principle:
Principle #10Preliminary action

2Productivity

If motion compensation adjustments are permitted without limits, then therapeutic efficacy is maximized by tracking tumor motion, but the treatment apparatus may attempt physically impossible or unsafe compensation adjustments

Engineering Contradiction:
Improvetherapeutic efficacyVSAvoidphysical feasibility of compensation
Core Design Contradiction:
ProductivityVSReliability

Solution Approach 1:

The patent applies parameter changes by modifying the limit parameter for motion compensation based on the specific conditions of different treatment portions. By changing the limit parameter values according to the treatment phase, the system optimizes the balance between allowing sufficient motion compensation for therapeutic efficacy while maintaining physical feasibility and safety constraints appropriate for each segment of the treatment.

Inventive Principle:
Principle #35Parameter changes

3Reliability

If a restrictive limit is applied to motion compensation, then safety constraints are satisfied and physical limitations are respected, but the ability to compensate for patient motion is insufficient, reducing treatment precision

Engineering Contradiction:
Improvesafety constraint satisfactionVSAvoidmotion compensation precision
Core Design Contradiction:
ReliabilityVSManufacturing precision

Solution Approach 1:

The patent resolves this contradiction by making the motion compensation limit dynamic rather than static. During portions of the treatment where patient motion is anticipated, more restrictive limits are applied to ensure safety and physical feasibility. During portions where motion is minimal or the beam geometry is more favorable, less restrictive limits are applied to allow greater compensation precision, thereby optimizing both safety and precision throughout the treatment session.

Inventive Principle:
Principle #15Dynamics

Data Source

PatentUS10398912B2Method and apparatus pertaining to configuring a radiation-delivery treatment plan
Publication Date: 2019.09.03 SIEMENS HEALTHINEERS INTERNATIONAL AG
  • US10398912B2 patent drawing
  • US10398912B2 patent drawing

AI summary

A radiation-delivery treatment plan includes a first value for a limit as pertains to motion compensation-based adjustment of a radiation-delivery parameter during a first portion of a radiation treatment session as well as a second value for that same limit during a second, different portion of the treatment session. By one approach, the radiation-delivery treatment plan selects between this first and second value as a function of a preselected parameter. Examples of such parameters include, but are not limited to, radiation-beam orientation parameters (such as a gantry-based parameter) and/or any of a variety of external surrogates.