A method includes receiving, from a volumetric imager, a first image including a target of a patient. The method further includes receiving a second image including the target of the patient. The method further includes tracking, by a processing device, a position of the target using the first image and the second image by maintaining a fixed alignment between a treatment beam of a linear accelerator (LINAC) and a source and detector pair of the volumetric imager during operation of the LINAC.

The present disclosure relates to systems and methods for reconstructing fluence map. The system may obtain a plurality of radiation tasks based on a radiotherapy plan. Each of the plurality of radiation tasks may include a radiation field corresponding to the radiation task. For each of the plurality of radiation tasks, the system may determine whether a shape change between a radiation field corresponding to the radiation task and a radiation field corresponding to a preceding radiation task exceeds a shape change threshold. The system may determine a fluence map corresponding to the radiation task based on a first determination result of whether the shape change between the radiation field corresponding to the radiation task and the radiation field corresponding to the preceding radiation task exceeds the shape change threshold.

A method includes positioning a patient at a first orientation relative to a radiation source. The method further includes using a 3D imaging technique to measure one or more positions of the patient's chest. The method further includes, while using the 3D imaging technique to measure the one or more positions of the patient's chest: generating a model of the patient's chest using the one or more positions of the patient's chest; updating the model of the patient's chest as the patient breathes; and exposing the patient to a dose of radiation using the radiation source, wherein the dose is based on the model of the patient's chest.

Devices, systems, and methods for planning radiosurgical treatments for neuromodulating a portion of the renovascular system may be used to plan radiosurgical neuromodulation treatments for conditions or disease associated with elevated central sympathetic drive. The renal nerves may be located and targeted at the level of the ganglion and/or at postganglionic positions, as well as preganglionic positions. Target regions include the renal plexus, celiac ganglion, the superior mesenteric ganglion, the aorticorenal ganglion and the aortic plexus. Planning of radiosurgical treatments will optionally employ a graphical representation of a blood/tissue interface adjacent these targets.

The disclosure relates to a system and method for adapt a treatment plan. The method may include: obtaining an initial treatment plan of a region of interest, wherein the initial treatment plan includes a first initial treatment fraction and a second initial treatment fraction; causing a radiation treatment device to deliver the first initial treatment fraction; obtaining a treatment record related to the first initial treatment fraction; and generating an updated second treatment fraction based on the second initial treatment fraction and the treatment record.

Described herein are methods for beam station delivery of radiation treatment, where the patient platform is moved to a series of discrete patient platform locations or beam stations that are determined during treatment planning, stopped at each of these locations while the radiation source rotates about the patient delivering radiation to the target regions that intersect the radiation beam path, and then moving to the next location after the prescribed dose of radiation (e.g., in accordance with a calculated fluence map) for that location has been delivered to the patient.

An apparatus comprising a radiation source, coincident positron emission detectors configured to detect coincident positron annihilation emissions originating within a coordinate system, and a controller coupled to the radiation source and the coincident positron emission detectors, the controller configured to identify coincident positron annihilation emission paths intersecting one or more volumes in the coordinate system and align the radiation source along an identified coincident positron annihilation emission path.

A system and method of performing prospective and retrospective on-line adaptive radiotherapy. The method includes performing, during a treatment delivery session, delivery of a dose of radiation to an anatomical volume. The method includes detecting, during the treatment delivery session, a current state of the anatomical volume. The method includes predicting a future change in the current state of the anatomical volume during the treatment delivery session. The method includes adjusting, while the anatomical volume is in the current state, the treatment delivery to anticipate the future change in the anatomical volume.

A system and method of performing prospective and retrospective on-line adaptive radiotherapy. The method includes performing, during a treatment delivery session, delivery of a dose of radiation to an anatomical volume. The method includes detecting, during the treatment delivery session, a current state of the anatomical volume. The method includes predicting a future change in the current state of the anatomical volume during the treatment delivery session. The method includes adjusting, while the anatomical volume is in the current state, the treatment delivery to anticipate the future change in the anatomical volume.

Disclosed herein is a computer-implemented method of determining a control scheme for operating a radiotherapy device for delivery of a radiation dose via a radiotherapy treatment beam to a target. The radiotherapy device comprises abeam generation apparatus that is configured to output radiation via a radiotherapy treatment beam, and wherein operation of the radiotherapy device can be described using at least one operational parameter. The method comprises determining the control scheme by identifying a first time (t1) at which at least a first portion of the radiation dose is to be delivered at a first radiation delivery rate; and identifying a second time (t2) for the radiotherapy device to undergo a cool-down period, wherein during the cool-down period the radiation delivery rate is less than the first radiation delivery rate; wherein the control scheme is determined such that at least one criterion associated with the at least one operational parameter is met.