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.

In one form, a bolus is configured to fit over a target body position and includes an internal relatively rigid endoskeleton structure and a surrounding relatively non-rigid skin interfacing layer. A positioning and locking system may include an indexing plate mountable to a fixture. The indexing plate includes a plurality of multiposition-enabling formations and corresponding reference locations and is configured to engage with at least one locking mechanism. The at least one locking mechanism is movable between and lockable relative to the multiposition-enabling formations. The locking mechanism is also configured to interface between the indexing plate and accessories/devices that require immobilisation, accurate and/or repeatable positioning, e.g. the bolus. In one example, an interconnecting formation is provided for rigidly interconnecting the at least one locking mechanism and the bolus in a recordable position for enabling repeated radiotherapy treatments on the same target body portion of the user in the same position.

Systems and methods are disclosed for detecting Cherenkov radiation produced during radiotherapy. A radiotherapy system comprises a patient receiving space for receiving a patient, a therapeutic radiation source, and a light detector configured to detect Cherenkov radiation subsequent to the emission of therapeutic radiation. Optionally, the system may make use of a optically transmissive dielectric to produce Cherenkov radiation.

A thermal neutron detecting device comprises a scintillator unit, and an optical sensor array unit. The scintillator unit includes a scintillator layer and a nuclear capture reaction layer. The scintillator layer emits light upon receiving incident gamma ray or charged particles. The nuclear capture reaction layer is laminated on a side of the scintillator layer on which the gamma ray or the charged particles are incident, and includes first cell regions and second cell regions two-dimensionally, dispersedly arranged along an incidence plane of the gamma ray or the charged particles. The first cell regions contain a .sup.6Li compound as a nuclear capture reaction material that yields nuclear capture reaction with incident thermal neutrons to generate the charged particles. The second cell regions contain no nuclear capture reaction material. The optical sensor array unit is capable of detectable of a quantity of the emitted light in association with each of the first and second cell regions.

Disclosed is a bore based medical system comprising a camera carrier configured to be mounted in the bore based medical system and configured to monitor and/or track patient motion within said bore based medical system during radiotherapy, the bore based medical system comprising a rotatable ring-gantry configured to emit a radiotherapy beam focused at an iso-center of the bore based medical system, wherein the ring-gantry is configured to rotate at least partly around a through-going bore having a front side and a back side, configured to receive from said front side, a movable couch configured to be moved into and out from the through-going bore, wherein further the through-going bore comprises an inner side facing an inside of the bore, and wherein the camera carrier is configured to be mounted inside the bore in connection with the inner side of the through-going bore.

Systems and methods for a pre-treatment quality assurance (QA) of a radiotherapy device may be provided. The method may include determining a measured dose image through an electronic portal dose imaging device (EPID). The method may include determining an energy fluence distribution map related to radiation beams predicted by a first portal dose prediction model. The method may include determining a predicted dose image based on the energy fluence distribution map and a simulated energy response curve related to the EPID. The method may further include determining differences between the measured and predicted dose images by comparing the dose distributions of the measured and predicted dose images.

A system for monitoring doses from an ionizing radiation source to a treatment region of a patient and immobilizing a body cavity relative to the treatment region, is provided. The system includes a probe body for insertion into the body cavity. The probe body separates the body cavity from the treatment region to reduce exposure to doses from the ionizing radiation source. Radiation detectors are disposed along the probe body to measure at least one dose. A slot disposed adjacent the radiation detectors receives a dosimetry film that, upon exposure to the one or more doses from the ionizing radiation source, indicates a quantification of the doses. A coupling is in fluid communication with a removable sheath having coupled thereto a vacuum or a pump to remove fluid or gas from the body cavity and ensure inner wall of the body cavity is in contact with the sheath.

For the delivery of high precision radiation treatment, the accuracy with which a target is irradiated at individual gantry, collimator and patient couch orientation is traditionally verified in 2D. With the QA device described herein, the coverage of the gantry is uniquely measured in 3D. The method of the present invention, combining with the collimator and patient couch measurements, allows the reconstruction of the target coverage in full 3D, which was not possible before. In addition, the method of the present invention can be applied to decompose the traditional quality assurance measurements of combined gantry, collimator and patient couch orientations with standard devices. Such an application provides a comprehensive description of the irradiation accuracy.

The disclosure is related to an apparatus and method for charged hadron therapy verification. The apparatus comprises a collimator comprising a plurality of collimator slabs of a given thickness, spaced apart so as to form an array of mutually slit-shaped openings, configured to be placed at a right angle to the beam line, so as to allow the passage of prompt gammas from the target, the collimator being defined at least by three geometrical parameters being the width and depth of the slit-shaped openings and a fill factor. The disclosure is also related to a method for charged hadron therapy verification with a multi-slit camera.

The present disclosure provides systems and methods for verifying radiation source delivery in brachytherapy by allowing for the radiation source location and dwell time to be determined via real-time measurement. In an embodiment, a radiation detector may be disposed proximate to a radiotherapy target. The radiation detector is configured to provide real-time information indicative of ionizing radiation emitted by a radiation source. A controller may perform operations including receiving, from the radiation detector, real-time information indicative of at least one of: a particle flux rate, an energy fluence, or an absorbed dose of ionizing radiation emitted from the radiation source. The operations may also include determining, based on the received information, at least one of: a location of the radiation source or a dwell time of the radiation source.