A radiotherapy equipment is provided. The radiotherapy equipment comprises at least two radiation apparatuses, the radiation apparatuses are configured to be capable of emitting radiation beams, the radiation beams emitted by at least two of the radiation apparatuses intersect at an intersection point, the radiation apparatuses are rotatable circumferentially about a rotation axis, and radiation positions of at least two of the radiation apparatuses are positioned at different cross-sections with respect to the rotation axis.

The invention comprises a method and apparatus for directing protons to a tumor, comprising the steps of: (1) holding a patient with a patient support; (2) providing an imaging system comprising: a rotatable unit at least partially surrounding an axial perimeter of the patient support, a translation guide rail, an imaging source attached to the rotatable unit, and an imaging detector attached to the rotatable unit; (3) translating and rotating the imaging source and the imaging detector relative to the patient support using the translation guide rail and the rotatable unit; and (4) providing an attachment section connected: on a first end to a robotic arm positioning system and on a second end to the patient support and the imaging system, the robotic arm positioning system repositioning, relative to a nozzle system linked to the synchrotron, the attachment system supporting the patient support system and the imaging system.

The invention comprises a method and apparatus for using a single robotic positioning arm to simultaneously move, relative to a proton beam path entering a treatment room containing the patient, both: (1) a patient support and (2) an imaging system. The robotic arm moving the imaging system and patient independently from movement of a nozzle system directing protons into the treatment rooms allows: simultaneously translating past the patient and rotating around the patient an X-ray source of the imaging system; translating a rotatable unit, of the imaging system, longitudinally past the patient on a translation guide rail; moving the patient support and the imaging system through at least four degrees of freedom relative to a movable proton beam; and/or simultaneous or alternating movement of the proton treatment beam and the imaging system relative to the patient.

A radiation system includes: a first support; a first structure rotatably coupled to the first support so that the first structure is rotatable about a first axis relative to the first support; a second structure rotatably coupled to the first structure so that the second structure is rotatable about a second axis that forms a non-zero angle relative to the first structure; and a first radiation source connected to the second structure; wherein the first structure and the second structure are parts of a capsule for accommodating at least a portion of a patient.

A rotatable targeting magnet apparatus and method of use thereof is described where the rotatable targeting magnet rotates independently of a beamline arc at the end of the beamline arc, where the arc is after an accelerator and before the patient in a cancer therapy system. The rotatable targeting magnet directs the charged particle beam, such as vertically, using applied current to the targeting magnet while rotation of the magnet allows scanning across the tumor. Rotation of the patient relative to the charged particle allows distribution of trailing Bragg peak energy within and/or circumferentially about the tumor.

The invention comprises a method and apparatus for treating a tumor of a patient with positively charged particles, comprising the steps of transporting the positively charged particles along a beam transport path passing sequentially from an accelerator, through a beam transport line, through a nozzle, and toward a position of the patient, the step of transporting further comprising the steps of: (1) terminating a first Bragg peak, of a first set of the positively charged particles, in a position of the tumor and (2) flash treating the tumor with a second Bragg peak, of a second set of the positively charged particles, the second Bragg peak terminating post-patient relative to the nozzle. Optionally the second set of particles are delivered at a rate exceeding one MHz. Optionally, particles in common are used to both treat the tumor and image the tumor.

The invention comprises a method and apparatus for aligning a charged particle beam path for treating a tumor of a patient, comprising: a cancer therapy system comprising the charged particle beam path sequentially passing: from an injector, through a synchrotron, along a beam transport line, and through a nozzle; a first two-dimensional detector configured to measure a beam state of positively charged particles; and an integrated intelligent system configured to classify the beam state into a set of beam shape factors, the integrated intelligent system configured to correct the beam shape through application of a condition-action rule: (1) adjusting a first voltage delivered to a first magnet positioned in the beam line prior to the first two-dimensional detector and (2) altering the beam shape through application of a second voltage to a second magnet position in the beam line adjacent to the first magnet.

An imaging apparatus and associated methods are provided to efficiently estimate scatter during multi-fraction treatments for improved quality and workflow. Estimated scatter from one fraction during a treatment course can be utilized during subsequent fractions, allowing for measurements with higher scatter-to-primary ratios. The quality of scatter estimates can be maintained, while workflow improves and dosage decreases. Scan configuration limits can be utilized to maintain a minimum level of scatter measurement quality. Patient information can be monitored to ensure that prior fraction scatter estimates are still applicable to current patient status.

A self-shielded and computer controlled system for performing non-invasive stereotactic radiosurgery and precision radiotherapy using a linear accelerator mounted within a two degree-of-freedom radiation shield coupled to a three-degree of freedom patient table is provided. The radiation shield can include an axial shield rotatable about an axial axis and an oblique shield independently rotatable about an oblique axis, thereby providing improved range of trajectories of the therapeutic and diagnostic radiation beams. Such shields can be balanced about their respective axes of rotation and about a common support structure to facilitate ease of movement. Such systems can further include an imaging system to accurately deliver radiation to the treatment target and automatically make corrections needed to maintain the anatomical target at the system isocenter. Various subsystems to automate controlled and coordinated movement of the movable shield components and operation of the treatment related subsystems to optimize performance and ensure safety are also provided.

The invention comprises a method and apparatus for treating a tumor of a patient with positively charged particles, comprising the steps of: (1) transporting the positively charged particles sequentially from an accelerator, through a beam transport line, through a nozzle, and toward a position of the tumor; (2) treating the tumor with first particles, of the positively charged particles, where at least fifty percent of the first particles pass through a patient position, from the nozzle, to a post-patient position; and (3) detecting a beam position of the first particles in the post-patient position with a detector. The flash treatment preferably delivers the first particles at a rate exceeding one MHz.