The invention relates to a method for determining the position of a surgical tool relative to a target volume inside an animal body according to a pre-plan comprising the steps of i) obtaining a plurality of two-dimensional images of said target volume using imaging means, each 2D-image being represented by an image data slice I(x,y,z); ii) reconstructing from said plurality of image data slices I(x,y,z) a three-dimensional image of said target volume using transformation means, said 3D-image being represented by a volumetric image data array V(x,y,z); iii) displaying said three-dimensional image of said target volume to an user using displaying means.

A radiotherapy device control apparatus instructs a radiotherapy device to execute instruction information based on a treatment regimen determined in advance, controls the operations of an irradiation-related instrument provided in the radiotherapy device on the basis of irradiation conditions included in the instruction information, determines whether irradiation is permitted on the basis of results detected by an irradiation target detection unit that detects movement of a target to be irradiated, controls execution and interruption of therapeutic irradiation on the basis of the determined result, stores the history of interruption of irradiation according to the determination by the irradiation permission determination unit, and causes the instrument to run the operations based on the instruction information to completion, regardless of whether irradiation has been interrupted during execution of the instruction information.

A restraint system for a patient to be exposed to a radiation beam is disclosed. The system includes a patient support panel and a head restraint assembly in the form of a face mask to which plural clips are secured. The patient support panel includes plural connectors, which may include fixed or adjustable connectors. The clips include are configured to engage the plural connectors in a snap-on manner, without the need for tools or separate fastening devices.

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, for display on a graphical user interface, an image of a position of a patient on a couch of a radiotherapy machine, whereby at least a gantry of the radiotherapy machine is configured to rotate around the patient; calculating, by the server, one or more predicted collisions between a part of the radiotherapy machine and at least one of (a) the patient or (b) another part of the radiotherapy machine; and when a portion of the patient is calculated to be in a collision with the part of the radiotherapy machine, revising, by the server, the graphical user interface such that the portion of the patient calculated to be in the collision is visually distinct in the image.

Disclosed is a computer-implemented method for determining a position of an anatomical tracking structure in a tracking image usable for controlling a radiation treatment such as at least one of radiotherapy or radio surgery of a patient, a corresponding computer program, a non-transitory program storage medium storing such a program and a computer for executing the program, as well as a system for the position of an anatomical tracking structure in a tracking image usable for controlling a radiation treatment such as at least one of radiotherapy or radio surgery of a patient, a system comprising an electronic data storage device and the aforementioned computer.

A radiotherapy system includes X-ray imaging apparatuses that obtain an X-ray image of the patient on a reference plane, and a position determination apparatus. The position determination apparatus calculates parameters of a region estimation model, using, as input data, a reference fluoroscopic image obtained before radiotherapy, and also using, as teacher data, a reference ROI image obtained with respect to the reference fluoroscopic image before radiotherapy. During radiotherapy, the position determination apparatus estimates a region of interest with respect to the X-ray image and a DRR image, based on the parameters and the X-ray image, determines a degree of matching between the X-ray image and the DRR image for the region of interest while virtually changing a relative position/orientation relationship between a CT image and the reference plane, and determines an amount of deviation in position/orientation between the patient and the CT image.

Methods and systems are disclosed for radiating a moving object. The method may comprise acquiring a plurality of indicators of the phase of a physiological cycle of a patient and a plurality of images of the patient that include a target. Each image may be taken at a different phase of the physiological cycle and may be registered to the phase at which the image was taken. The method may also include identifying the target in each of the plurality of images, calculating a dose of radiation required to treat the target, calculating the number, orientation, and dwell time of one or more radiation beams required to deliver the calculated required dose of radiation to the target, and calculating a position of each of the one or more radiation beams required to achieve the calculated orientation. Each position may be a function of the phase of the physiological cycle to which each of the plurality of images is registered.

Disclosed herein are variations of megavoltage (MV) detectors that may be used for acquiring high resolution dynamic images and dose measurements in patients. One variation of a MV detector comprises a scintillating optical fiber plate, a photodiode array configured to receive light data from the optical fibers, and readout electronics. In some variations, the scintillating optical fiber plate comprises one or more fibers that are focused to the radiation source. The diameters of the fibers may be smaller than the pixels of the photodiode array. In some variations, the fiber diameter is on the order of about 2 to about 100 times smaller than the width of a photodiode array pixel, e.g., about 20 times smaller. Also disclosed herein are methods of manufacturing a focused scintillating fiber optic plate.

Disclosed herein is a medical instrument (100, 200, 300, 400, 500, 600, 900) comprising a subject support (102) configured for supporting a subject (110) in a Fowler's position during a magnetic resonance imaging examination. The subject support comprises a leg support region (104) configured for supporting a leg region of the subject horizontally. The subject support further comprises a thoracic support (106) configured for supporting an upper body region of the subject. The subject support is configured such that the thoracic support is inclined (108) with respect to the leg support region to hold the subject in the Fowler's position. The medical instrument further comprises a breast support (114). The breast support comprises a planar support surface (116) configured for supporting breasts of the subject. The breast support is connected to the subject support. The support surface is configured for being horizontal during the magnetic resonance imaging examination.

An example particle therapy system includes a toroid-shaped gantry having a central axis. The toroid-shaped gantry has a cover. The cover includes one or more segments that are rotatable at least partly around the central axis of the toroid-shaped gantry to create an unobstructed opening in the toroid-shaped gantry. The particle therapy system includes a patient couch configured to move relative to a hole in the toroid-shaped gantry, an imaging system coupled to an interior of the toroid-shaped gantry and configured for rotation about the hole in the toroid-shaped gantry, where the imaging system is configured to capture images of a patient on the patient couch, and a nozzle coupled to the interior of the toroid-shaped gantry and configured for rotation about the hole in the toroid-shaped gantry. The nozzle is configured to deliver radiation to a target in the patient based on one or more of the images.