A system and method for developing radiation therapy plans and a system and method for developing a radiation therapy plan to be used in a radiation therapy treatment is disclosed. A radiation therapy plan is developed using a registration of medical images. The registration is based on identifying landmarks located within inner body structures.

The present invention relates to a respiratory gating system for a patient using a natural breathing method during radiation therapy, and a method for emitting radiation thereby. A respiratory gating system allowing radiation to be emitted by orienting to the position, which varies according to a patient's breathing, of a subject on which treatment is to be carried out, comprises: a breathing respirator for allowing the patient's respiration amount to be measured; external markers to be respectively adhered to triangulation points outside the human body of the surrounding region of the subject, of the patient, on which treatment is to be carried out; an image diagnosis device for imaging the region of the subject of the patient on which treatment is to be carried out, by photographing the same; and a computer program programmed so as to calculate, as position coordinates, the change in position of the subject on which treatment is to be carried out, according to the respiration amount measured by the computed tomography equipment and the each external marker, through a triangulation method and dual polynomial equations, and to transmit the position coordinates, which changes in real time, to radiation therapy equipment, wherein radiation is emitted by the respiratory gating system, and there is an effect of further increasing the accuracy and stability of the entire radiation therapy result by tracking, in real time, the movement of an organ, which is the subject on which treatment is to be carried out according to breathing, through a respiratory gating system which uses natural breathing rather than a breathing method through the training of the patient.

Systems and methods for implementing an adaptive therapy workflow that minimizes time needed to create a session patient model, select an appropriate plan for the treatment session, and treat the patient.

Apparatus and methods for planning and/or delivering radiation treatment and controlling a radiation delivery system are described. Apparatus for delivering radiation treatment includes a radiation source, a drive connected to move the radiation source along a trajectory, a stored radiation treatment plan specifying a plurality of beam ON segments and beam OFF portions of the trajectory interleaved with the plurality of beam ON segments, and a monitor connected to detect progress of a physiological cycle of the patient, the physiological cycle has cycles that include quiescent periods. One or more data processors are connected to control the drive to advance the radiation source along the trajectory, control the radiation source to deliver radiation in each of the plurality of beam ON segments of the trajectory and to deliver no or negligible radiation in each of the beam OFF portions of the trajectory, process an output of the monitor to estimate a time for a next one of the quiescent periods, and control a speed at which the radiation source is advanced along the trajectory to cause the radiation source to arrive at a start of a next one of the beam ON segments at a time that coincides with the next one of the quiescent periods.

A radiation therapy apparatus that enhances the reliability and ease of use of a treatment is provided. A radiation therapy apparatus includes: a treatment bed moving a top plate with an object to be treated Pt placed on the top plate to a predetermined treatment location; an imaging apparatus moving to the predetermined treatment location from a direction different from the direction of movement of the top plate and picking up an image of the object to be treated; and an irradiation apparatus provided between the treatment bed and the imaging apparatus, extensible, and applying a radioactive ray to the object to be treated. When the CT apparatus moves to the treatment location, the irradiation apparatus moves to a predetermined waiting position P1. When applying a radioactive ray to an object to be treated, the irradiation apparatus moves to a predetermined irradiation position P3.

A method is described including online selecting of at least one of a plurality of optimal imaging times or a plurality of imaging angles and optimizing a parameter of an imaging system based on the online selecting.

Disclosed herein are radiotherapy methods and systems that can display a workflow-oriented graphical user interface(s). In an embodiment, a method comprises presenting, by a server, a graphical user interface for display on a screen positioned on a gantry of a radiotherapy machine, wherein the graphical user interface comprises a page corresponding to radiotherapy treatment of a patient, wherein the page comprises a first graphical element indicating at least one attribute of the alignment data corresponding to the radiotherapy treatment of the patient.

A system proton treatment system including a proton accelerator structured to generate a proton beam, a plurality of beamline pathways configured to direct the proton beam from the proton accelerator to a corresponding plurality of treatment rooms, a rotatable bending magnet located between the proton accelerator and the plurality of treatment rooms, the rotatable bending magnet being structured to selectively rotate between multiple treatment rooms, and an upright patient positioning mechanism disposed in each of the treatment rooms, the upright patient positioning mechanism being structured to support a patient within a particular treatment room and to rotate the patient between a fixed imaging source and imaging panel.

An apparatus for use in a treatment planning process or in a treatment process, includes: an input for obtaining a parameter representing a number of beam on-off transitions; and a treatment planner configured to optimize a treatment plan based on parameter representing the number of beam on-off transitions. An apparatus includes: an input configured to obtain a width of a gating window for a treatment plan; and a gating window adjustor configured to adjust the width of the gating window during a treatment session. An apparatus includes: a dose calculator configured to calculate doses for different treatment variations; an evaluator configured to evaluate treatment acceptance criteria against the calculated doses; and a delivery limit module configured to determine one or more limits for one or more delivery parameters based on an evaluation of the treatment acceptance criteria by the evaluator.

A computer implemented method for determining a two dimensional DRR referred to as dynamic DRR based on a 4D-CT, the 4D-CT describing a sequence of three dimensional medical computer tomographic images of an anatomical body part of a patient, the images being referred to as sequence CTs, the 4D-CT representing the anatomical body part at different points in time, the anatomical body part comprising at least one primary anatomical element and secondary anatomical elements, the computer implemented method comprising the following steps: acquiring the 4D-CT; acquiring a planning CT, the planning CT being a three dimensional image used for planning of a treatment of the patient, the planning CT being acquired based on at least one of the sequence CTs or independently from the 4D-CT, acquiring a three dimensional image, referred to as undynamic CT, from the 4D-CT, the undynamic CT comprising at least one first image element representing the at least one primary anatomical element and second image elements representing the secondary anatomical elements; acquiring at least one trajectory, referred to as primary trajectory, based on the 4D-CT, the at least one primary trajectory describing a path of the at least one first image element as a function of time; acquiring trajectories of the second image elements, referred to as secondary trajectories, based on the 4D-CT; for the image elements of the undynamic CT, determining trajectory similarity values based on the at least one primary trajectory and the secondary trajectories, the trajectory similarity values respectively describing a measure of similarity between a respective one of the secondary trajectories and the at least one primary trajectory; determining the dynamic DRR by using the determined trajectory similarity values, and, in case the planning CT is acquired independently from the 4D-CT, further using a transformation referred to as planning transformation from the undynamic CT to the planning CT, at least a part of image values of image elements of the dynamic DRR being determined by using the trajectory similarity values.