Subject positioning systems and methods are provided. A method may include obtaining first information of at least part of a subject when the subject is located at a preset position, and determining, based on the first information, a first position of each of one or more feature points located on the at least part of the subject. The method may include obtaining, using an imaging device, second information of the at least part of the subject when the subject is located at a candidate position. The method may further include determining, based on the second information, a second position of each of the one or more feature points, a first distance between the first position and the second position for each feature point of the one or more feature points, and a target position of the subject based at least in part on the one or more first distances.

A system and method for recording in real-time the duration, position, and energy of ion beams as delivered by a proton or heavy ion cancer treatment system for the purpose of calibrating the radiological system and verifying the treatment plans for various lesions. The energy of the ion beam is calculated from the beam ion depth penetration through a phantom as recorded on a two-dimensional scintillator surface which is viewed by a sensitive visible-light camera mounted in a darkened enclosure. The energy of the beam is degraded by a novel multi-step dual-slope chevron wedge phantom which creates, at a minimum, two bright spots in the camera's field of view. The distance between the centers of these two spots along with the dimensions and density of the multi-step dual-slope chevron wedge are used to calculate the Bragg Peak penetration depth of the ion beam. A computer connected to the camera measures the location and intensity of these spots during treatment delivery and archives the original beam image, spot parameters, timing, and computed beam energies to memory. Software algorithms reconstruct a mathematical description of each treatment beam. The operator can then determine discrepancies between the measured dosimetric pattern and the intended treatment or calibration pattern.

Systems and methods for determining beam asymmetry in a radiation treatment system using electronic portal imaging devices (EPIDs) without implementation of elaborate and complex EPID calibration procedures. The beam asymmetry is determined based on radiation scattered from different points in the radiation beam and measured with the same region of interest ROI of the EPID.

Described here is a phantom for use in quality assurance (“QA”) of a radiation treatment system, such as a linear accelerator (“LINAC”). The QA phantoms described in the present disclosure enable the implementation of a number of different technical standards with a single phantom. For instance, the QA phantom described in the present disclosure can replace five separate pieces of equipment and four unique setups with a single phantom and a single setup. To this end, the QA phantom can be referred to as a single alignment assorted procedures (“SNAP”) phantom.

Systems and methods associated with a phantom assembly are provided. A housing includes a plurality of slots and is formed from a first material having a first appearance under a selected imaging modality. A plurality of inserts are each configured to be received by one of the plurality of slots. At least one insert includes a target formed from a second material having a second appearance under the selected imaging modality, such that the target is readily distinguishable from the housing under the selected imaging modality. The target includes a hollow portion that can be accessed via a removable plug.

Provided is a device for verifying a radiotherapy system, including at least two of a first verification phantom, a second verification phantom, and a third verification phantom, wherein a slot for holding a film is provided in the first verification phantom, a first positioning member is disposed at a center of the second verification phantom, a second positioning member is disposed at a center of the third verification phantom, and a center point of the first verification phantom, a center point of the first positioning member and a center point of the second positioning member are coaxial.

Disclosed herein are systems and methods for real-time monitoring of patient position and/or location during a radiation treatment session. Images acquired of a patient during a treatment session can be used to calculate the patient's position and/or location with respect to the components of the radiation therapy system. One variation of a radiation therapy system includes a circular gantry with a rotatable ring coupled to a stationary frame, a therapeutic radiation source mounted on the rotatable ring, and a patient-monitoring imaging system mounted on the rotatable ring. The patient-monitoring system may have one or more image sensors or cameras disposed on the rotatable ring within a bore region of the radiation therapy system, and may be configured to acquire image data as the ring rotates.

Systems and methods associated with a phantom assembly are provided. A housing includes a plurality of slots and is formed from a first material having a first appearance under a selected imaging modality. A plurality of inserts are each configured to be received by one of the plurality of slots. At least one insert includes a target formed from a second material having a second appearance under the selected imaging modality, such that the target is readily distinguishable from the housing under the selected imaging modality. The target includes a hollow portion that can be accessed via a removable plug.

Subject positioning systems and methods are provided. A method may include obtaining first information of at least part of a subject when the subject is located at a preset position, and determining, based on the first information, a first position of each of one or more feature points located on the at least part of the subject. The method may include obtaining, using an imaging device, second information of the at least part of the subject when the subject is located at a candidate position. The method may further include determining, based on the second information, a second position of each of the one or more feature points, a first distance between the first position and the second position for each feature point of the one or more feature points, and a target position of the subject based at least in part on the one or more first distances.

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.