The invention provides a patient shuttle system and an irradiation system for particle therapy. A patient shuttle system of one embodiment of the invention includes: a patient table (110) adapted to carry a patient; a patient table drive unit (120) that moves and/or rotates the patient table; and a transfer unit (130) having a base (131) on which the patient table drive unit is placed. In a home position state of the patient shuttle system (100), the patient table and first and second arms of the patient table drive unit are configured to be folded in the height direction (Z-axis). A robot arm base connected to the second arm is fixed at a position off the center of the base in plan view, and thereby a helper space (135) where a helper may ride is secured on the base. The robot arm base is fixed in a recess (138) provided in the base.

An imaging apparatus and associated methods are provided to efficiently estimate scatter during multi-fraction treatments for improved quality and workflow. Estimated scatter from one fraction during a treatment course can be utilized during subsequent fractions, allowing for measurements with higher scatter-to-primary ratios. The quality of scatter estimates can be maintained, while workflow improves and dosage decreases. Scan configuration limits can be utilized to maintain a minimum level of scatter measurement quality. Patient information can be monitored to ensure that prior fraction scatter estimates are still applicable to current patient status.

An interstitial source including a base suitable for implanting in a tumor and alpha emitting atoms attached to the base, with a concentration of at least 6 μCi per centimeter length. The alpha emitting atoms are attached to the base, with a desorption probability upon radioactive decay of not more than 30%.

An x-ray imaging apparatus and associated methods are provided to execute multi-pass imaging scans for improved quality and workflow. An imaging scan can be segmented into multiple passes that are faster than the full imaging scan. Data received by an initial scan pass can be utilized early in the workflow and of sufficient quality for treatment setup, including while the another scan pass is executed to generate data needed for higher quality images, which may be needed for treatment planning. In one embodiment, a data acquisition and reconstruction technique is used when the detector is offset in the channel and/or axial direction for a large FOV during multiple passes.

An x-ray imaging apparatus and associated methods are provided to receive measured projection data in a primary region and measured scatter data in asymmetrical shadow regions and determine an estimated scatter in the primary region based on the measured scatter data in the shadow region(s). The asymmetric shadow regions can be controlled by adjusting the position of the beam aperture center on the readout area of the detector. Penumbra data may also be used to estimate scatter in the primary region.

An example particle therapy system includes: a particle accelerator to output a beam of charged particles; and a scanning system to scan the beam across at least part of an irradiation target. An example scanning system includes: a scanning magnet to move the beam during scanning; and a control system (i) to control the scanning magnet to produce uninterrupted movement of the beam over at least part of a depth-wise layer of the irradiation target so as to deliver doses of charged particles to the irradiation target; and (ii) to determine, in synchronism with delivery of a dose, information identifying the dose actually delivered at different positions along the depth-wise layer.

This invention relates generally to a combination therapy for the treatment of cancer, particularly to a combination of (i) a bifunctional molecule comprising a TGFβRII or fragment thereof capable of binding TGFβ and an antibody, or antigen binding fragment thereof, that binds to an immune checkpoint protein, such as Programmed Death Ligand 1 (PD-L1) and (ii) at least one additional anti-cancer therapeutic agent.

A multimodal imaging apparatus, comprising a rotatable gantry system positioned at least partially around a patient support, a first source of radiation coupled to the rotatable gantry system, the first source of radiation configured for imaging radiation, a second source of radiation coupled to the rotatable gantry system, the second source of radiation configured for at least one of imaging radiation or therapeutic radiation, wherein the second source of radiation has an energy level more than the first source of radiation, and a second radiation detector coupled to the rotatable gantry system and positioned to receive radiation from the second source of radiation, and a processor configured to combine first measured projection data based on the radiation detected by the first detector with second measured projection data based on the radiation detected by the second detector, and reconstruct an image based on the combined data, wherein the reconstructing comprises at least one of correcting the second measured projection data using the first measured projection data, correcting the first measured projection data using the second projection data, and distinguishing different materials imaged in the combined data using the first measured projection data and the second measured projection.

An x-ray imaging apparatus and associated methods are provided to execute multi-pass imaging scans for improved quality and workflow. An imaging scan can be segmented into multiple passes that are faster than the full imaging scan. Data received by an initial scan pass can be utilized early in the workflow and of sufficient quality for treatment setup, including while the another scan pass is executed to generate data needed for higher quality images, which may be needed for treatment planning. In one embodiment, a data acquisition and reconstruction technique is used when the detector is offset in the channel and/or axial direction for a large FOV during multiple passes.

The present disclosure provides a neutron capture therapy system, including an accelerator for generating a charged particle beam, a neutron generator for generating a neutron beam having neutrons after irradiation by the charged particle beam, and a beam shaping assembly for shaping the neutron beam. The beam shaping assembly includes a moderator and a reflecting assembly surrounding the moderator. The neutron generator generates the neutrons after irradiation by the charged particle beam. The moderator moderates the neutrons generated by the neutron generator to a preset energy spectrum. The reflecting assembly includes a reflecting assembly to deflected neutrons back to the neutron beam and a supporting member to support the reflectors. A lead-antimony alloy is for the reflecting assembly to mitigate a creep effect that occurs when only a lead material is for the reflectors, thereby improving the structural strength of a beam shaping assembly.