A radiotherapy delivery device is provided. The device includes a source of therapeutic radiation and a first detector positioned to receive radiation from the source of therapeutic radiation. The device also includes a source of imaging radiation and a second detector positioned to receive radiation from the source of imaging radiation. A collimator assembly is positioned relative to the second source of radiation to selectively control a shape of a radiation beam emitted by the second radiation source to selectively expose part or the whole of the second radiation detector. A reconstruction processor can be operatively coupled to the detector and configured to generate patient images based on radiation received by the second detector from the second source of radiation. The device is configured to move from one imaging geometry to another using all or part of the second detector.

A computed tomography (CT) system and method is provided. The CT system is used to carry out an image improvement method in which a prior or previously-acquired patient image can be used to supplement or otherwise improve an acquired CT image, wherein the acquired projection data representative of the acquired CT image might be truncated or otherwise incomplete/insufficient to accurately and stably recover the scanned object/patient.

A system to determine the isocenter of a LINAC includes apparatus and processes to determine the axis of rotation for the collimator, the gantry and the patient couch. The system and apparatus enable the tracking of the translation-rotation of mechanical components attached to the LINAC to compute the axis of rotation of Gantry, Collimator and Table. Based on the data collected related to these axis's the LINAC isocenter is determined. The apparatus utilized in the system includes a single emitter module, a signal receiver module, a positioning module. The system also includes a isocenter target module and a gravity module to determine a gravity vector for the LINAC.

A method of scanning parameter optimization, which method may be useful with image-guided radiation therapy (IGRT), allows for controlling exposure of a beam from an x-ray source and/or controlling the detection mechanism for an x-ray detector of imaging radiation of a radiation-delivery device based on one or more parameters of a region of interest of a patient. The one or more parameters of the region of interest may include a dimension, outer contour, density, location relative to an outlet of the beam, location relative to isocenter, location to the whole patient body, etc. Exposure of the patient to the beam may be varied via modulation of one or more scanning parameters for controlling an aspect of the beam and/or the detector to provide for targeted and or reduced radiation exposure of the patient or portion of the patient, and/or for improved quality of guiding images. The modulation may be varied depending on a view angle of the region of interest from a portion of the radiation-delivery device.

A radiation delivery system that includes a gantry to extend along one or more axes. The gantry is to provide a continuous rotation. The radiation delivery system includes a linear accelerator (LINAC) coupled to the gantry. The LINAC is to generate a treatment beam. The radiation delivery system includes a rotary joint coupled to the gantry. The rotary joint provides a physical connection from the LINAC to an external system that is positioned off the gantry. The physical connection is to transport at least one of a cooling liquid or air.

An x-ray imaging apparatus and associated methods are provided to receive measured projection data from a wide aperture scan of a wide axial region and a narrow aperture scan of a narrow axial region within the wide axial region and determine an estimated scatter in the wide axial region using an optimized scatter estimation technique. The optimized scatter estimation technique is based on the difference between the measured scatter in the narrow axial region and the estimated scatter in the narrow axial region. Kernel-based scatter estimation/correction techniques can be fitted to minimize the scatter difference in the narrow axial region and thereafter applying the fitted (optimized) kernel-based scatter estimation/correction to the wide axial region. Optimizations can occur in the projection data domain or the reconstruction domain. Iterative processes are also utilized.

Multimodal imaging apparatus and methods include a rotatable gantry system with multiple sources of radiation comprising different energy levels (for example, kV and MV). Fast slip-ring technology and helical scans allow data from multiple sources of radiation to be combined or utilized to generate improved images and workflows, including for IGRT. Features include increasing the precision of spatial registrations between respective image sets to allow more precise radiation treatment delivery, reducing image artifacts (e.g., scatter, metal and beam hardening, image blur, motion, etc.), and utilization of dual energy imaging (e.g., for material separation and quantitative imaging, patient setup, online adaptive IGRT, etc.).

A positioning method realized by a computer including acquiring a gamma angle for treatment; acquiring first coordinates of a treatment couch, the first coordinates being coordinates of the treatment couch when a preset shooting point coincides with an imaging point of an image guidance system (IGS); determining a first relative position between a target point of an affected part and the imaging point according to the gamma angle for treatment; acquiring a second relative position between the imaging point and an equipment isocenter; calculating second coordinates of the treatment couch at the gamma angle for treatment when the target point coincides with the equipment isocenter according to the first coordinates, the first relative position and the second relative position; and adjusting a position of the treatment couch according to the second coordinates.

The invention comprises a method and apparatus for treating a tumor of a patient, in a beam treatment center comprising a floor, with positively charged particles, comprising: (1) a synchrotron mounted to an elevated floor section above the floor of the beam treatment center; (2) a beam transport system, comprising: at least three fixed-position beam transport lines, where none of the synchrotron and the beam transport system penetrate through the floor of the beam treatment center; (3) the positively charged particles transported from the synchrotron, through the beam transport system, to a position above a patient positioning system during use; and (4) an optional repositionable nozzle system connected to a first, second, and third fixed-position beam transport line at a first, second, and third time, respectively, where the nozzle track forms an arc of a circle and the repositionable nozzle system moves along the nozzle track.

An x-ray imaging apparatus and associated methods are provided to process projection data from an offset detector during a helical scan, including view completion. The detector may be offset in the channel and/or axial direction. Projection data measured from a current view is combined with projection data measured from at least one conjugate view to reconstruct a target image. A two-dimensional aperture weighting scheme is used to address data redundancy.