A control method for positioning is provided, which is applicable to a radiotherapy system. The method includes: acquiring a plurality of first body surface coordinates of a target site in a three-dimensional body surface image of a treatment object on a treatment couch; acquiring a plurality of second body surface coordinates under an isocentric coordinate system by transforming the first body surface coordinates using a target transformation matrix corresponding to the first placement position; determining, based on the plurality of second body surface coordinates and a contour image of the target site in the treatment plan, a placement offset of the target site, so as to control the treatment couch to move until the placement offset of the target site upon the movement meets a target offset requirement.

The invention comprises a method and apparatus for tracking and/or imaging impact of a particle beam treating a tumor using one or more imaging systems positionable about the tumor, such as a positron emission tracking and/or imaging system, where resulting tracking/imaging data: dynamically determines a treatment beam position, tracks a history of treatment beam positions, guides the treatment beam, and/or images a tumor before, during, and/or after treatment with the charged particle beam.

Disclosed is a computer-implemented method for determining a position of an anatomical tracking structure in a tracking image usable for controlling a radiation treatment such as at least one of radiotherapy or radio surgery of a patient, a corresponding computer program, a non-transitory program storage medium storing such a program and a computer for executing the program, as well as a system for the position of an anatomical tracking structure in a tracking image usable for controlling a radiation treatment such as at least one of radiotherapy or radio surgery of a patient, a system comprising an electronic data storage device and the aforementioned computer.

A radiotherapy system includes X-ray imaging apparatuses that obtain an X-ray image of the patient on a reference plane, and a position determination apparatus. The position determination apparatus calculates parameters of a region estimation model, using, as input data, a reference fluoroscopic image obtained before radiotherapy, and also using, as teacher data, a reference ROI image obtained with respect to the reference fluoroscopic image before radiotherapy. During radiotherapy, the position determination apparatus estimates a region of interest with respect to the X-ray image and a DRR image, based on the parameters and the X-ray image, determines a degree of matching between the X-ray image and the DRR image for the region of interest while virtually changing a relative position/orientation relationship between a CT image and the reference plane, and determines an amount of deviation in position/orientation between the patient and the CT image.

Disclosed is a patient positioning assembly for orientating a patient with respect to a radiation source. The patient positioning assembly includes a translatable member movable in a vertical direction between a vertically downwards first position and a vertically upwards second position. The patient positioning assembly further includes a patient support assembly mounted to the translatable member and adapted to rotate relative to the translatable member about a vertical axis. The patient support assembly is configurable between a first orientation, which sustains the patient in a seated position, and a second orientation, which sustains the patient in a generally standing position.

An example method for a radiation therapy system that includes a movable couch to perform radiation therapy has been disclosed. One method includes based on the X-ray images of an anatomical region of the patient that includes a target volume, reconstructing a digital volume of the anatomical region and based on a user input indicating a location of a patient origin in the digital volume, determining one or more shift values for repositioning the patient origin at an isocenter of the radiation therapy system with respect to a coordinate system. The method also includes obtaining a treatment plan that is based on the location of the patient origin and is associated with the target volume, based on the treatment plan, repositioning the movable couch so that the patient origin is disposed at the isocenter, and while the patient origin is disposed at the isocenter, directing a treatment beam to the patient origin in accordance with the treatment plan associated with the target volume.

An object of the present invention is to increase sensitivity and position resolution of measurement of an arrival position of a charged particle beam irradiated during treatment. A beam monitoring system includes: a gamma ray detector that detects gamma rays generated by interaction between a charged particle beam and an irradiation target; a shield that is disposed between the gamma ray detector and an irradiation axis of the beam and has a plurality of slits; and a calculation unit that analyzes a detection result of the gamma ray detector and reconfigures a count distribution of the detected gamma rays into a distribution of the beam irradiation axis based on a geometric arrangement of the shield, the detector, and the irradiation axis of the beam. The calculation unit obtains the arrival position of the particle beam from the reconfigured distribution.

A computer implemented method of treatment targeting includes receiving magnetic resonance (MR) images of a subject including a target region, generating at least one contour of at least one surrogate element apart from the target region in the MR images, and determining a location of the target region in each of the MR images based on a location of the at least one contour in the MR images.

A computer-implemented method of performing a radiation therapy process includes: while a patient is disposed in a first position and maintains a first inspiration level, acquiring a set of projection images of a target volume associated with the patient; based on a treatment planning digital volume associated with the radiation therapy process and the set of projection images, generating a synthetic digital volume that includes the target volume; based on a treatment plan associated with the treatment planning digital volume and on the synthetic digital volume, generating a modified treatment fraction; and while the patient remains in the first position and maintains at least the first inspiration level, performing the modified treatment fraction.

Systems and methods for shuttle mode radiation delivery are described herein. One method for radiation delivery comprises moving the patient platform through the patient treatment region multiple times during a treatment session. This may be referred to as patient platform or couch shuttling (i.e., couch shuttle mode). Another method for radiation delivery comprises moving the therapeutic radiation source jaw across a range of positions during a treatment session. The jaw may move across the same range of positions multiple times during a treatment session. This may be referred to as jaw shuttling (i.e., jaw shuttle mode). Some methods combine couch shuttle mode and jaw shuttle mode. Methods of dynamic or pipelined normalization are also described.