A phantom, phantom system, and method of phantom identification include a first material that forms a phantom. A phantom identifier includes at least one unit marker. The at least one unit marker identifies a physical characteristic of the phantom. In a method of phantom identification, an image of the phantom is obtained that includes the phantom identifier. The at least one unit marker is identified, the at least one unit marker encodes a value representative of a physical characteristic of the phantom.

For decision support in a medical therapy, machine learning provides a machine-learned generator for generating a prediction of outcome for therapy personalized to a patient. The outcome prediction may be used to determine dose. To assist in decision support, a regression analysis of the cohort used for machine training relates the outcome from the machine-learned generator to the dose and an actual control time (e.g., time-to-event). The dose that minimizes side effects while minimizing risk of failure to a time for any given patient is determined from the outcome for that patient and a calibration from the regression analysis.

Disclosed herein are systems and methods for predicting performance attributes of radiotherapy machines. A processor generates a machine-readable object by executing an algorithm using an electronic log file comprising at least one operational attribute of a radiotherapy machine and a corresponding timestamp. The processor executes a machine learning model using the machine-readable object to predict a performance attribute of the radiotherapy machine. The processor provides the predicted performance attribute of the radiotherapy machine to an electronic device.

A method of calibrating a monitoring system (10,14) is described in which a calibration phantom (70) is located with its center located approximately at the isocenter of a treatment room through which a treatment apparatus (16) is arranged to direct radiation, wherein the surface of the calibration phantom (70) closest to an image capture device (72) of the monitoring system (10,14) is inclined approximately 45° relative to the camera plane of an image capture device of the monitoring system. Images of the calibration phantom (70) are then captured using the image capture device (72) and the images are processed to generate a model of the imaged surface of the calibration phantom. The generated model of the imaged surface of the calibration phantom (70) is then utilized to identify the relative location of the center of the calibration phantom (70) and the camera plane of the image capture device (72) which is then utilized to determine the relative location of the camera plane of the image capture device and the isocenter of a treatment room.

A camera monitoring system for a bore based medical apparatus is described, wherein the camera monitoring system comprises a first and a second image sensor mounted on opposing surfaces of a circuit board. The first image sensor is arranged to view an object from a first viewpoint via a first lens arrangement and a first mirror and the second image sensor is arranged to view the object from a second viewpoint via a second lens arrangement and a second mirror. By having the image sensors view an object via the mirrors, via the lens arrangements, the lens arrangements contribute to the effective separation of the first and second viewpoints enabling the size of the housing of the camera to be reduced. Furthermore, a method for calibrating a camera monitoring system in a bore based setup is described and also a configuration of arranging a camera monitoring system in connection with a bore based medical apparatus.

A radiation system is provided. The radiation system may include a bore accommodating an object, a rotary ring, a first radiation source and a second radiation source mounted on the rotary ring and a processor. The first radiation source may be configured to emit a first cone beam toward a first region of the object. The second radiation source may be configured to emit a second beam toward a second region of the object, the second region including at least a part of the first region. The processor may be configured to obtain a treatment plan of the object, the treatment plan including parameters associated with radiation segments. The processor may be further configured to control an emission of the first cone beam and/or the second beam based on the parameters associated with the radiation segments to perform a treatment and a 3-D imaging simultaneously.

The invention relates to a device for supporting the testing of a brachytherapy applicator prior to the use of the brachytherapy applicator in brachytherapy radiation treatments. The invention also relates to a method for testing of a brachytherapy applicator prior to the use of the brachytherapy applicator in brachytherapy radiation treatments.

A calibration phantom for radiometric characterization and/or radiotherapy dose calculation of a subject is provided, which includes an ellipsoid base having a primary volume defining a plurality of cylindrical voids, each of said cylindrical voids configured to receive a cylindrical insert having a diameter, wherein the ellipsoid base, the primary volume, and each of said inserts are formed from a tissue substitution material independently selected to approximate a radiological property of an anatomical feature of the subject to which the ellipsoid base, the primary volume, and each of said inserts corresponds, wherein the radiological property of the tissue substitution material, the diameter of each of said inserts, and a location of each of said inserts within the ellipsoid base are selected to mimic beam hardening upon exposure of the calibration phantom to a radiation beam. Optionally, one or more peripheral rings are disposed concentrically about the ellipsoid base. Methods of mitigating off-target radiation exposure improving certainty of a radiotherapeutic dose delivered to a human subject using the calibration phantom are also provided.

Systems and methods for shuttle mode radiation delivery are described herein. One method for radiation delivery comprises moving the patient platform through the patient treatment region multiple times during a treatment session. This may be referred to as patient platform or couch shuttling (i.e., couch shuttle mode). Another method for radiation delivery comprises moving the therapeutic radiation source jaw across a range of positions during a treatment session. The jaw may move across the same range of positions multiple times during a treatment session. This may be referred to as jaw shuttling (i.e., jaw shuttle mode). Some methods combine couch shuttle mode and jaw shuttle mode. Methods of dynamic or pipelined normalization are also described.

A computer-implemented method for calibrating a multi-leaf collimator of a radiotherapy device. The multi-leaf collimator comprises a plurality of leaves, each leaf comprising an imaging marker, wherein the radiotherapy device includes an imaging device configured to image the leaves. The method comprises: receiving, from the imaging device, an image of the multi-leaf collimator in a calibration position, wherein in the calibration position the tips of the leaves abut an edge of a rigid calibration block, the edge having a known calibration profile; calculating for each leaf, from the calibration profile and the location of the marker in the image, a minor offset of the marker relative to a reference point; and outputting calibration values based on the calculated minor offsets, wherein at least one leaf of the multi-leaf collimator is controlled based on the calibration values.