A method of sequential monoscopic tracking is described. The method includes generating a plurality of projections of an internal target region within a body of a patient, the plurality of projections comprising projection data about a position of an internal target region of the patient. The method further includes generating external positional data about external motion of the body of the patient using one or more external sensors. The method further includes generating, by a processing device, a correlation model between the projection data and the external positional data by fitting the plurality of projections of the internal target region to the external positional data. The method further includes estimating the position of the internal target region at a later time using the correlation model.

An imager includes: an array of imager elements configured to generate image signals based on radiation received by the imager; and circuit configured to perform readout of image signals, wherein the circuit is configured to be radiation hard. An imager includes: an array of imager elements configured to generate image signals based on the radiation received by the imager; and readout and control circuit coupled to the array of imager elements, wherein the readout and control circuit is configured to perform signal readout in synchronization with an operation of a treatment beam source.

A phantom system is disclosed that includes a phantom and at least one removable phantom attachment configured to be attached to the phantom so that the phantom system may have an orientation, location and/or anthropomorphic feature identifiable to an imaging device.

A method and apparatus for position detection, and a radiotherapy system are provided. The radiotherapy system includes: a treatment couch, a positioning apparatus, an optical tracking system and a computer; the positioning apparatus disposed on the treatment couch, and at least one reference point provided on the positioning apparatus; the optical tracking system disposed above the treatment couch and configured to detect relative positioning between a mark point set on a treated part of a patient and the reference point, determine deviation between the relative and reference positions, and send the deviation to the computer. The computer is configured to determine whether to adjust a position of the treatment couch based on the deviation and deviation range. The system provided by the present disclosure avoids the influence of patient movement on the accuracy of treatment, and prevents a treatment beam from damaging normal tissues of the patient.

A system can have an x-ray source that generates a series of individual x-ray pulses for multi-energy imaging. A first x-ray pulse can have a first energy level and a subsequent second x-ray pulse in the series can have a second energy level different from the first energy level. An x-ray imager can receive the x-rays from the x-ray source and can detect the received x-rays for image generation. A generator interface box (GIB) controls the x-ray source to provide the series of individual x-ray pulses and synchronizes detection by the x-ray imager with generation of the individual x-ray pulses. The GIB can control x-ray pulse generation and synchronization to optimize image generation while minimizing unnecessary x-ray irradiation.

Systems and methods may be used for estimating instantaneous patient motion (a patient state). The patient state may be estimated based on a 3D reference volume and a stream of images, for example from an image acquisition device. The stream of images may be received in real-time, for example during a radiation therapy treatment. An example method may include encoding the 3D reference volume using a 3D encoder branch of a patient state generator network, encoding the stream of images using a 2D encoder branch of the patient state generator network, and combining the encoded 3D reference volume and the encoded real-time stream of images. The method may include estimating a 3D spatial transform that maps the 3D reference volume to a current patient state by decoding the combined encoding using a 3D decoder branch of the patient state generator network.

A method of the present disclosure includes performing, by a processing device, a first image registration between a reference image of a patient and a motion image of the patient to perform alignment between the reference image and the motion image, wherein the reference image and the motion image include a target position of the patient. The method further includes performing, by the processing device, a second image registration between the reference image and a motion x-ray image of the patient, via a first digitally reconstructed radiograph (DRR) for the reference image of the patient. The method further includes tracking at least a translational change in the target position based on the first registration and the second registration.

The present disclosure relates to a cavity of a medical device. The cavity may include a bore and an accommodating cavity configured to provide an accommodating space for at least a portion of a couch in a radial direction of the bore. The accommodating cavity may be disposed on an inner wall of the bore and extend along an axial direction of the bore, and the accommodating cavity may be configured to form, with the bore, a connected space in which the at least a portion of the couch is allowed to move along an axial direction of the bore.

A novel method and a related system are configured to place measured trajectories into a voxel space, which moves with respect to a particle detector system. The trajectories are measured in a detector reference frame. The voxel space, typically fixed with respect to the object being imaged, is tracked optically with markers and a camera system. A decipherable correlation is established between a set of markers and a set of detector elements. This correlation provides coordinate transformation definitions to place the trajectories into the voxel space in medical imaging, treatment planning, and/or therapeutic applications. The novel method provides a clever process to register an optical tracking system with a particle detector system, which improves quality assurance, accuracy, speed, and operating cost efficiencies of ion, particle, and/or radiation-based imaging, treatment planning, or therapies. This novel method may be utilized in proton imaging, helium imaging, other ion-based imaging, or x-ray imaging.

A radiation therapy medical apparatus is disclosed. The medical apparatus comprises: a base; a cylindrical gantry, peripherally and rotatably supported by the base; a radiation therapy assembly, comprising an arm and a radiation head, wherein one end of the arm is fixed to a first position on a first side of the gantry and the other end thereof is extended outwardly, and the radiation head is fixed to the other end of the arm; an imaging assembly, mounted to a second side of the gantry opposite to the first side, and configured to be a first balanced weight part for balancing the radiation therapy assembly; and a counterbalance, fixed to the second side of the gantry, and configured to cooperate with the imaging assembly to prevent the gantry from turnover under action of the radiation therapy assembly and configured to dynamically balance with the radiation therapy assembly with respect to a rotation axis of the gantry.