A method for generating a radiation treatment plan is provided. The method may include determining a set of one or more optimization goals for radiation delivery by a therapeutic radiation delivery apparatus. The method may also include determining a plan for radiation delivery from a radiation source of the therapeutic radiation delivery apparatus. The radiation source may be capable of continuously rotating around a subject. The plan may include a plurality of radiation segments. Each radiation segment may be characterized by at least one parameter selected from a start angle, a stop angle, a two-dimensional segment shape, or a segment MU value such that the plurality of radiation segments satisfy the set of one or more optimization goals by superimposing at least two radiation segments from at least two different rotations into a target volume of the subject.

A method provides real-time correction of the spatial position of the central beam of radiation therapy devices and therapy simulators, along with the patient position. In particular, the method relates to the real-time correction of irradiation positions of the collimator and/or the position of the patient positioning table during the performance of radiation therapy or therapy simulation. Positional deviations of the central beam of existing radiation therapy devices are reduced. Position adjustments of the collimator elements and/or of the patient support table are carried out through functional connections of separate control modules via separate adjustment devices. Those are added to the collimator and/or patient support table. Calculation of the correction movements takes place outside the radiation therapy device in the irradiation planning system and/or in at least one microcontroller of the control system of the radiation therapy device.

Methods for treating tumors by administering FLASH radiation and a therapeutic agent to a patient with cancer are disclosed. The methods provide the dual benefits of anti-tumor efficacy plus normal tissue protection when combining therapeutic agents with FLASH radiation to treat cancer patients. The methods described herein also allow for the classification of patients into groups for receiving optimized radiation treatment in combination with a therapeutic agent based on patient-specific biomarker signatures. Also provided are radiation treatment planning methods and systems incorporating FLASH radiation and therapeutic agents.

Reconstruction of projection images of a CBCT scan is performed by generating simulated projection data, comparing the simulated projection data to the projection images of the CBCT scan, determining a residual volume based on the comparison, and using the residual volume to determine an accurate reconstructed volume. The reconstructed volume can be used to segment a tumor (and potentially one or more organs) and align the tumor to a planning volume (e.g., from a CT scan) to identify changes, such as shape of the tumor and proximity of the tumor to an organ. These changes can be used to update a radiation therapy procedure, such as by altering a radiation treatment plan and fine-tuning a patient position.

Disclosed a leaf positioning device (100) for a multi-leaf collimator, comprising: a plurality of positioning signal transmitters which are in the leaf guide rail box, wherein the plurality of positioning signal transmitters are arranged opposite to a first end surface of leaves of the multi-leaf collimator; a plurality of positioning signal receivers which are in the leaf guide rail box and corresponding to the plurality of positioning signal transmitters, wherein the plurality of positioning signal receivers are arranged opposite to a second end surface of the leaves of the multi-leaf collimator; wherein, the plurality of positioning signal transmitters are configured to transmit positioning signals to the plurality of positioning signal receivers, and the plurality of positioning signal receivers are configured to generate output signals according to the positioning signals; a positioning device which is connected to each of the plurality of positioning signal receivers, wherein the positioning device is configured to receive the output signals sent out by each of the plurality of positioning signal receivers, and positions the leaves of the multi-leaf collimator according to the output signals.

Methods for treating tumors by administering FLASH radiation and a therapeutic agent to a patient with cancer are disclosed. The methods provide the dual benefits of anti-tumor efficacy plus normal tissue protection when combining therapeutic agents with FLASH radiation to treat cancer patients. The methods described herein also allow for the classification of patients into groups for receiving optimized radiation treatment in combination with a therapeutic agent based on patient-specific biomarker signatures. Also provided are radiation treatment planning methods and systems incorporating FLASH radiation and therapeutic agents.

Methods and systems for correcting position errors for a multi-leaf collimator (MLC) are provided. A method may include determining a first position for each of the plurality of leaves. The information associated with the first position may include a first movement direction and a first angle. A movement of the each of the plurality of leaves along the first movement direction may be configured to move toward or away from a center of the radiation field. The method may also include determining an offset value associated with the first position based on the first angle and the first movement direction; and determining a target position of the each of the plurality of leaves based on the offset value.

Described herein are methods for monitoring the radiation delivery during a radiotherapy delivery session and providing a graphical representation of radiation delivery to an operator (e.g., a clinician, a medical physicist, a radiation therapy technologist). The graphics are updated in real-time, as radiation data is collected by the radiotherapy system, and in some variations, can be updated every 15 minutes or less. A variety of graphical representations (“graphics”) can be used to indicate the status of radiation delivery relative to the planned radiation delivery. Methods optionally include calculating a range of acceptable metric values, generating graphics that represent the range of acceptable metrics values, and generating a graphic that depicts the real-time values of those metrics overlaid with the range of acceptable metrics values.

The present disclosure includes procedures to automate quality assurance testing for radiotherapy equipment that includes MR-Linac devices that are agnostic as to the manufacturer and vendor of the equipment. The present disclosure includes a process for performing a validation procedure for the linear accelerator of the MR-Linac device. The present disclosure includes a process for analyzing quality of the images produced by the MR imaging device of the MR-Linac device. The present disclosure includes a process for combining performance of a validation procedure for the linear accelerator of the MR-Linac device and the analysis of the quality of the images produced by the MR imaging device of the MR-Linac device.

Computer-implemented methods for planning radiation treatment are used to identify, for a given isocenter and given beam energy, beam delivery angles where beam fields satisfy a criterion for transmission fields (fields with a Bragg peak that is significantly or entirely outside of a patient's body). Those beam angles can be determined and evaluated before dose calculations are performed. Treatment planning can be performed using selected, satisfactory beam angles.