A method for controlling a medical apparatus (100) includes receiving a treatment plan (168) specifying a target volume (146) within an imaging volume (138) and a dose rate of radiation emitted by a radiotherapy apparatus (102). The medical apparatus (100) repeatedly acquires the motion tracking magnetic resonance data and the image magnetic resonance data using an interleaved pulse sequence. The radiotherapy apparatus (102) is controlled to radiate the target volume (146) in accordance with the treatment plan (168). A dose distribution map descriptive of a radiation dose received by the subject (144) from the radiotherapy apparatus (102) is calculated using the motion tracking magnetic resonance data, and the treatment plan (168). A diagnostic image is reconstructed using the image magnetic resonance data. A display displays the diagnostic image and the dose distribution map. Treatment plan update data is received from a user interface and the treatment plan (168) is updated in accordance with the treatment plan update data.

A method of and apparatus for operating a radiation treatment delivery system. The method includes generating, by a processing device, a set of instructions for a volumetric imager based on a set of directionalities for a radiation beam of a linear accelerator (LINAC) to avoid a collision between the volumetric imager and the LINAC, wherein the set of instructions comprises physical locations of the volumetric imager and timing values corresponding to the physical locations. The method further includes operating the volumetric imager during the radiation treatment delivery according to the set of instructions.

A particle beam guiding system (1a, 1b, 1c) for receiving an incoming particle beam (6a, 6b, 6c) along an incoming trajectory (T1) and controlling an exit energy level and an exit trajectory (T3) of the particle beam, wherein the particle beam guiding system comprises an attenuator (22) for adjusting the energy level of the particle beam; a first beam guide (26) positioned downstream of the attenuator, comprising first and second guiding dipoles, each comprising two magnets for creating magnetic fields for deflecting the particle beam from the incoming trajectory into an intermediate trajectory (T2), wherein the first dipole of the first beam guide is arranged to deflect the particle beam in a first plane, and the second dipole of the first beam guide is arranged to deflect the particle beam in a second plane which is orthogonal to the first plane; and a second beam guide (28) positioned downstream of the first beam guide, comprising first and second guiding dipoles, each comprising two magnets for creating magnetic fields for deflecting the particle beam from the intermediate trajectory into the exit trajectory, wherein the first dipole of the second beam guide is arranged to deflect the particle beam in a first plane and the second dipole of the second beam guide is arranged to deflect the particle beam in a second plane which is orthogonal to the first plane. A radiotherapy system comprising such particle beam guiding systems is also disclosed.

There is disclosed a method for estimating the position of a target in a body of a subject. The method includes, receiving an external signal that is related with motion of the target; and using a model of a correlation between the external signal and the motion of the target to estimate the position of the target, wherein said position estimation includes an estimate of three dimensional location and orientation of the target. The method further includes periodically receiving a 2-dimensional projection of the target; and updating the model of correlation between the external signal and the motion of the target based on a comparison of the estimated position of the target and the 2-dimensional projection of the target. The method is used in guided radiation therapy.

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.

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.

Magnetic resonance (MR) guided radiation therapy (MRgRT) enables control over the delivery of radiation based on patient motion indicated by MR imaging (MRI) images captured during radiation delivery. A method for MRgRT includes: simultaneously using one or more radiation therapy heads to deliver radiation and an MRI system to perform MRI; using a processor to determine whether one or more gates are triggered based on at least a portion of MRI images captured during the delivery of radiation; and in response to determining that one or more gates are triggered based on at least a portion of the MRI images captured during the delivery of radiation, suspending the delivery of radiation.

An apparatus includes: a processor configured for obtaining a first image that corresponds with a first multi-leaf collimator (MLC) configuration, wherein the first image is generated when the MLC is stationary, obtaining a second image that corresponds with a second MLC configuration, wherein the second image is generated when the MLC and/or another component of a radiation machine is being operated to track a motion, and performing an analysis based at least in part on the first image and the second image to obtain a result; and a non-transitory medium for storing the result.

A method includes determining a first set of positions for a volumetric imager and determining a second set of positions for a linear accelerator (LINAC), during radiation treatment delivery. The method further includes determining a set of radiation beam directionalities of the LINAC, wherein for each of the second set of positions for the LINAC a radiation beam corresponds to a radiation beam directionality. The method further includes generating instructions for the volumetric imager based on the first and the second set of positions, the radiation beam directionalities, and a treatment time constraint to avoid a collision between the volumetric imager and the LINAC and between the volumetric imager and the radiation beam, wherein the instructions include physical locations of the volumetric imager and timing values corresponding to the physical locations. The method further includes operating the volumetric imager during the radiation treatment delivery according to the set of instructions.

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.