A method and system for using in a two-modality apparatus. The two-modality apparatus comprises a couch with a table top, a first modality unit and a second modality unit. A second image of a target portion of an object when the table top is at a second working position of the second modality unit may be acquired. A second sag of the table top at a second measurement point of the table top according to the second image may be determined based on the image. A difference between a first sag of the table top at a first measurement point of the table top and the second sag may be estimated based on the second sag and standard data. The standard data provides a relationship relating to a sag of the table top positioned between the first modality unit and second modality unit.

A compensation method for bed surface drop before and after accelerator radiotherapy bed includes the following contents: the weight G is decomposed into N weights on average, the length L is decomposed into M positions on average, and then an experiment is carried out. The drop matrix H.sub.N?M of the couch top is measured by the experiment, by performing cubic spline interpolation on the rows of the matrix H.sub.N?M, and then performing cubic spline interpolation on the columns, the resulting cubic spline interpolation matrix S.sub.N?N1, M?M1 of H.sub.N?M has N*N1 rows and M*M1 columns, and then applies it to practice. The drop amount H obtained by the compensation method for bed surface drop before and after accelerator radiotherapy bed of the present invention is the optimal estimated value with the Least Sum of Square Error.

A radiotherapy apparatus includes a rotatable drum on which is mounted a gantry arm carrying a radiation source. The arm extending from the drum to a location of the radiation source is offset from the axis of rotation of the drum and oriented towards the axis. The radiotherapy apparatus further includes a mechanism configured to apply a tilt to the arm at one or more rotational orientations of the drum. The rotatable drum is supported on wheels beneath the drum, and the mechanism is an eccentric mechanism within the wheels and is configured to apply the tilt to the arm via the wheels.

There is presented a method 100 and apparatus 200 to measure the surface of the patient (thorax and abdominal regions), e.g., during therapy delivery and (if necessary) while imaging. Together with biomechanical considerations the position of internal structures of the patient, such as an organ, and optionally a tumor in an organ, is inferred from the measured patient surface. In case the patient breaths and thus the organ and/or tumor moves, the position may be determined, which may be advantageous during, e.g., radiation therapy, since it enables that whenever the tumor is at the right position according to the radiation therapy plan, the radiation is switched on. In a specific embodiment, a finite element model is employed.

Described here are systems, devices, and methods for imaging and radiotherapy procedures. Generally, a radiotherapy system may include a radiotransparent patient platform, a radiation source coupled to a multi-leaf collimator, and a detector facing the collimator. The radiation source may be configured to emit a first beam through the collimator to provide treatment to a patient on the patient platform. A controller may be configured to control the radiotherapy system.

A system and method include a shape sensing enabled device (116) having at least one optical fiber (118). A source positioning module (124) is configured to receive optical signals from the at least one optical fiber within a structure and interpret the optical signals to provide motion information of treatment sources within the device. A dose determination module (130) is configured to provide one or more temporal bins representing a total treatment time. For each temporal bin, the dose determination module is configured to determine a dose received by a target area to be treated using the motion information of the treatment sources. The dose determination module is further configured to combine the dose received by the target area for each of the one or more temporal bins to determine a total dose received by the target area.

A diagnostic or therapeutic apparatus and method for operating the diagnostic or therapeutic apparatus. The diagnostic or therapeutic apparatus includes a stationary diagnostic or therapeutic device, at least one movable patient bed, and at least one manipulator. The patient bed can be coupled to the manipulator in order to enable the manipulator to move the patient bed from a preparation position to a treatment position.

Systems, devices, and methods for imaging-based calibration of radiation treatment couch position compensations.

Systems, devices, and methods for imaging-based calibration of radiation treatment couch position compensations.

A method for quantifying radiation beam conformity includes: obtaining first information regarding a prescribed aperture; obtaining second information regarding an actual aperture defined by components of a collimator; and determining, using a processing unit, a metric based on the first information regarding the prescribed aperture and the second information regarding the actual aperture, wherein the metric indicates an amount of over-exposed aperture area, an amount of under-exposed aperture area, or both, and wherein the processing unit comprises one or more input for receiving the first and second information, and comprises a metric determination module configured to determine the metric based on the first information and the second information.