A device for performing a radiological examination on a patient having a part of the body examined includes a housing with an openable containment portion and an examination portion. The containment portion and the examination portion together substantially enclose the patient. The examination portion is substantially transparent to X-rays and is configured to contain the part of the body to be examined.

The invention comprises a method and apparatus for using a multi-layer multi-color scintillation based detector element to image a tumor of a patient using a process of determining residual energies of positively charged particles after passing through the patient, the process comprising the steps of: (1) transmitting the positively charged particles at known energies through the patient and into a multi-layer detector element; (2) detecting first and second secondary photons, resultant from passage of the positively charged particles, respectively from a first layer of a first scintillation material and a second layer of a second scintillation material at two respective layer depths, where the first wavelength range differs from the second wavelength range; (4) determining residual energies of the positively charged particles, using output from the step of detecting; and (5) relating the residual energies to body densities to generate an image.

The invention comprises a method and apparatus for reducing a kinetic energy of positively charged particles, comprising the steps of: (1) transporting the positively charged particles from an accelerator into an exit nozzle system along a beam line; (2) providing a first chamber of the exit nozzle system, the first chamber comprising: an incident side comprising an incident aperture, an exit side comprising an exit aperture, and a beam path of the positively charged particles from the incident aperture to the exit aperture; (3) filling the beam path in the chamber with a liquid; and (4) using the liquid to reduce the kinetic energy of the positively charged particles. The kinetic energy dissipater is optionally used in combination with a proton therapy cancer treatment system and/or a proton tomography imaging system.

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.

The invention comprises a method and apparatus for imaging a tumor with X-rays while, simultaneously or alternatingly, treating or imaging the tumor with positively charged particles. An X-ray imaging system, such as one or two sets of a cone beam X-ray source coupled to an X-ray detector, is rotatable about a first axis and a patient. The X-ray imaging system is positioned off axis a path of charged particles delivered through an exit port of a nozzle system from a synchrotron and does not block a path of the positively charged particles from the exit nozzle to the patient or an imaging path from the patient to a scintillation detector. Fiducial indicators are used to confirm an unobstructed path of the positively charged particles in a treatment room comprising many movable elements, such as the X-ray imaging system and a patient positioning system/couch.

Apparatus for improving image guidance in radiation therapy applications are described. In one aspect, a patient support with integrated radiopaque markers is described. In another aspect, a bite block with integrated sensors, radiopaque markers, or both, is described. The integrated sensors may include a radiation detector, a pH sensor, or both. Radiation detectors that may be used include a dosimeter. As an example, the dosimeter may include a film dosimeter, an ion chamber dosimeter, a diode dosimeter, or other suitable dosimeters and combinations thereof.

The invention relates to a method and apparatus for determining actual points along a positively charged particle beam path and/or vectors of the charged particle beam path, where the determined points and vectors aid tomographic construction of a three-dimensional image of a tumor and surrounding tissue. Further, the determined points and vectors of the positively charged particle beam are used in beam control safety, to modify a tumor treatment plan in real time, and/or in combination with co-gathered X-ray images to form a hybrid proton tomographyX-ray three-dimensional image. Preferably, common elements, such as an injector, accelerator, beam transport system, and/or patient positioning system are used for both tumor treatment and tumor imaging.

Disclosed are an oral fixation device for radiation therapy and an oral fixation method in treatment of a lip cancer. The oral fixation device for radiation therapy includes a first spacer including a first insert inserted between a first lip portion and a first gum portion, and a teeth support coupled to the first spacer at a side of the first spacer disposed inwardly of an oral cavity, wherein teeth or a gum of a patient is supported on the teeth support, wherein a first spacer has a specific thickness to maintain a specific spacing between the first lip portion and the first gum portion, wherein the first lip portion includes a treatment target portion to be subjected to the radiation therapy.

A method for determining geometrical information about a medical treatment arrangement that includes a rotatable treatment radiation source unit is provided. The method includes attaching a phantom to a patient support of the medical treatment arrangement, attaching a calibration module to the rotatable treatment radiation source unit to permit the calibration module to rotate together with the rotatable treatment radiation source unit when the rotatable treatment radiation source unit is rotated, obtaining for each of a plurality of rotational positions of the rotatable treatment radiation source unit a projection image of the phantom and of the calibration module by an image detector, while a part of the calibration module is positioned in a radiation propagation zone between the rotatable treatment radiation source unit and the image detector, evaluating the images, obtaining an evaluation result, and determining geometrical information about the medical treatment arrangement from the evaluation result.

An arm positioning device for supporting the arms of a patient in an arms-up position for some therapeutic or diagnostic procedure on the patient is disclosed. The device includes a base, a pair of wings or panels, and a pair of arm supports. The wings or panels extend upwardly and outwardly from the base and each mounts a respective one of the pair of arm supports thereon. The arm supports are configured to be slid along the wing or panel on which they are mounted to any one of plural working positions wherein they are located above the wing to hold the upper arm of a patient thereon. Each of the arm supports includes a cuff, which is pivotable to a retracted position located below the wing on which the arm support is mounted so as not to interfere with the placement of the patient on the arm positioning device.