70 MEV TO 150 MEV CYCLOTRON DEDICATED FOR MEDICAL TREATMENT INCLUDING A ROBOTIC CHAIR/TABLE
20230256267 · 2023-08-17
Inventors
- Krishnan Suthanthiran (Lorton, VA, US)
- Manny Subramanian (Frederick, MD, US)
- Toby Henderson (Rockford, IL, US)
- Vasile Sabaiduc (Richmond, CA)
- Richard Johnson (Vancouver, CA)
- Leandro Piazza (Vancouver, CA)
- Vladimir Ryjkov (Burnaby, CA)
Cpc classification
A61N5/1049
HUMAN NECESSITIES
A61N2005/1061
HUMAN NECESSITIES
International classification
Abstract
A proton cyclotron is provided for dedicated use in head, neck and eye cancers, tumors or other medical conditions including pediatric and other cancers or medical conditions. The method of using a proton cyclotron for treating a tumor, cancer or medical condition of a patient includes positioning the patient on a support platform, such as on a patient table or in a robotic chair, and irradiating the tumor, cancer or other medical condition using a proton particle beam from the cyclotron for a predetermined time sufficient to treat the tumor, cancer or medical condition, wherein the proton particle beam produced by the cyclotron has an energy in a range of 70 MeV to 150 MeV and has a beam current in an amount suitable for radiation therapy, as can include a variable range of beam current for the radiation therapy.
Claims
1. A method of using a cyclotron for treating a tumor, a cancer or a medical condition of a patient, comprising the steps of: positioning the patient on a support platform; and providing an irradiation dose to the tumor, the cancer or the medical condition using a proton particle beam from the cyclotron for a predetermined time to treat the tumor, the cancer or the medical condition, wherein the proton particle beam produced by the cyclotron has an energy in a range of from 70 MeV to 150 MeV.
2. The method of using a cyclotron for treating a tumor, a cancer or a medical condition of a patient according to claim 1, further comprising the step of: generating a tomographic image of the tumor, the cancer or the medical condition from an imaging apparatus positioned near the patient prior to irradiating the tumor, the cancer or the medical condition.
3. The method of using a cyclotron for treating a tumor, a cancer or a medical condition of a patient according to claim 1, further comprising the step of: adjusting the irradiation dose by controlling a power and a beam intensity output of the cyclotron.
4. The method of using a cyclotron for treating a tumor, a cancer or a medical condition of a patient according to claim 1, wherein the tumor, the cancer or the medical condition is localized in the eye, neck or head of the patient.
5. The method of using a cyclotron for treating a tumor, a cancer or a medical condition of a patient according to claim 1, wherein the patient is a pediatric patient.
6. The method of using a cyclotron for treating a tumor, a cancer or a medical condition of a patient according to claim 1, further comprising the step of: placing a particle beam splitter to split a portion of the proton particle beam to provide one or more proton particle beam lines for treating one or more patients.
7. The method of using a cyclotron for treating a tumor, a cancer or a medical condition of a patient according to claim 1, wherein the support platform is positioned on a floor mounted support that is rotatable relative to a longitudinal axis (X-axis) of a delivered said proton particle beam.
8. The method of using a cyclotron for treating a tumor, a cancer or a medical condition of a patient according to claim 1, wherein the support platform is positioned on a floor mounted support that is rotatable or moveable up and down relative to the vertical axis (Z-axis) of a delivered said proton particle beam.
9. The method of using a cyclotron for treating a tumor, a cancer or a medical condition of a patient according to claim 1, wherein the support platform comprises a patient movement constraint system configured to constrain lateral movement of the patient.
10. The method of using a cyclotron for treating a tumor, a cancer or a medical condition of a patient according to claim 1, wherein the support platform comprises a robotic chair configured to rotate or move the patient through 180° relative to the longitudinal (X-axis) and through 90° relative to a vertical (Z-axis) of a delivered said proton particle beam.
11. The method of using a cyclotron for treating a tumor, a cancer or a medical condition of a patient according to claim 1, further comprising the step of: providing a treatment planning system to generate a treatment plan configured to treat the patient using the proton particle beam delivered by the cyclotron.
12. The method of using a cyclotron for treating a tumor, a cancer or a medical condition of a patient according to claim 1, wherein the support platform is robotic chair.
13. The method of using a cyclotron for treating a tumor, a cancer or a medical condition of a patient according to claim 1, wherein the support platform converts from a robotic chair to a patient table.
14. A method of using a cyclotron for treating a cardiac blockage of a patient, comprising the steps of: positioning the patient on a support platform; and providing an irradiation dose to the cardiac blockage using a proton particle beam from the cyclotron for a predetermined time to treat the cardiac blockage, wherein the proton particle beam produced by the cyclotron has an energy in a range of from 70 MeV to 150 MeV.
15. An apparatus for treatment of a cardiac blockage of a patient, comprising: a cyclotron configured to provide an irradiation dose to the cardiac blockage using a proton particle beam, wherein the proton particle beam produced by the cyclotron has an energy in a range of from 70 MeV to 150 MeV; and a computer controller configured to control the cyclotron to generate and deliver the proton particle beam for the treatment of the cardiac blockage.
16. An apparatus for treatment of a tumor, a cancer or a medical condition of a patient, comprising: a cyclotron configured to provide an irradiation dose to the tumor, the cancer or the medical condition using a proton particle beam, wherein the proton particle beam produced by the cyclotron has an energy in a range of from 70 MeV to 150 MeV; and a computer controller configured to control the cyclotron to generate and deliver the proton particle beam for the treatment.
17. The apparatus for treatment of a tumor, a cancer or a medical condition of a patient according to claim 16, further comprising: a support platform configured for receiving the patient, the support platform being configured to selectively convert from a robotic chair to a patient table and back to the robotic chair.
18. The apparatus for treatment of a tumor, a cancer or a medical condition of a patient according to claim 16, further comprising: a support platform configured for receiving the patient, the support platform configured to be positioned on a floor mounted support that is rotatable or moveable relative to the vertical axis (Z-axis) of a delivered said proton particle beam.
19. The apparatus for treatment of a tumor, a cancer or a medical condition of a patient according to claim 18, wherein the support platform comprises a robotic chair configured to rotate or move the patient through 180° relative to the longitudinal (X-axis) and through 90° relative to a vertical (Z-axis) of the delivered said proton particle beam.
20. The apparatus for treatment of a tumor, a cancer or a medical condition of a patient according to claim 16, wherein the apparatus is configured to operate in conjunction with a treatment planning system, the treatment planning system being configured to provide a treatment plan for delivery of the proton particle beam by the cyclotron for the treatment of the patient.
Description
DESCRIPTION OF THE DRAWINGS
[0013]
[0014]
[0015]
[0016] Unless otherwise indicated, similar reference characters denote corresponding features consistently throughout the attached drawings.
DETAILED DESCRIPTION
[0017] The present disclosure relates to a 70 MeV to 150 MeV cyclotron or proton beam therapy system dedicated for use in treating medical conditions including irradiation of head, neck and eye cancers, including pediatric cancers, and for cardiac, neurological abnormalities, and for treatment of other medical conditions.
[0018] The 70 MeV to 150 MeV proton cyclotron delivers the treatment proton beam through a system that constrains the treatment dose by controlling the beam current and energy delivered to individual portions of the tumor or cancer or other medical condition of the patient. Energy constraint allows a simplified beam delivery system. The energy and current intensity allow compact radiation shielding for the accelerator and treatment rooms. One or more patients can be treated simultaneously by splitting the proton beam using a beam splitter placed on the proton beam path. As described herein, embodiments of a comprehensive therapy system for cancer treatment includes an easy to operate proton cyclotron, beam delivery system, multiple nozzles, mobile robotic chair system, imbedded diagnostic device (CT/MR/PET) and a treatment planning system. As to such cyclotrons and cyclotron systems, those disclosed in U.S. Pat. No. 4,641,104 to Blosser et al., U.S. Pat. 4,507,616 to Blosser et al., U.S. Pat. No. 9,056,199 to Balakin and U.S. Pat. No. 10,363,439 to Amaldi et al., all being incorporated by reference herein in their entirety, for example, include features that can be adapted for use in the methods and apparatuses of the various embodiments described herein using the guidance of the instant disclosure.
[0019] The apparatuses, systems and methods for using a dedicated cyclotron for treating a tumor or cancer or other medical condition of a patient includes positioning the patient on a support platform, such as desirably in a robotic chair or on a patient table, and irradiating the tumor or other medical condition using a proton particle beam from the cyclotron for a predetermined time sufficient to treat the tumor or cancer or other medical condition, wherein the proton particle beam being produced by the cyclotron has an energy in a range of from 70 MeV to 150 MeV, such as desirably can be obtained by use of a degrader, and a beam current in an amount suitable for radiation therapy, as can include a variable range of beam current for the radiation therapy, the amount of the beam current being dependent on the use or application for which the radiation therapy is being applied. The tumors or cancers or other medical conditions may be localized in the eye, neck and head of the patient or other areas of the patient. The patient can be a pediatric patient or can be an adult patient.
[0020] The apparatuses, systems and methods for using a cyclotron for treating tumors and cancers or other medical conditions of a patient can further includes a beam splitter to split a portion of the proton particle beam to provide one or more beam lines for treating multiple patients. The method further includes generating a tomographic image of the patient or target area from an imaging apparatus positioned near the patient prior to irradiating the tumor or cancer or other medical condition. Thus, advantageously, one or more beams can be generated by the cyclotron to treat multiple patients simultaneously, or at about the same time, when the patients are placed in different treatment rooms within the clinic, for example.
[0021] The apparatuses, systems and methods for using a cyclotron for treating cancers or tumors, such as tumors of the head, neck and eye, or other medical conditions of a patient can further include generating a tomographic image of the target area to be treated of the patient from an imaging apparatus positioned near the patient prior to irradiating the tumor or cancer or other medical condition. The imaging apparatus and image generated can be a CT or MRI apparatus and image including a tomographic image of the tumor, cancer or medical condition of the patient. In another embodiment, the apparatuses, systems and methods, such as for treating a tumor or cancer of the eye, can include the cyclotron system that includes the use of a suitable camera system, such as a CCD camera or camera system, that tracks the pupil of the eye of the patient, which includes a gating function that is integrated with the cyclotron system that diverts, stops or attenuates the treatment beam from the cyclotron if the eye movement exceeds a predetermined tolerance, for example.
[0022] The cyclotron system can include a support platform, such as robotic chair or a patient table, positioned on a floor mounted support in the treatment room; and the support platform can be rotatably mounted for movement on a rotatable axis relative to the longitudinal axis of the proton ion beam generated by the cyclotron. The support platform, such as a robotic chair or a patient table, can further include a patient movement constraint system configured to constrain lateral or vertical movement of the patient, when positioned on or in the support platform. The support platform, such as a robotic chair or a patient table, is configured to rotate the patient through 180° relative to the X-axis of the particle beam delivered from the cyclotron. Further, the support platform, such as a robotic chair or a patient table, is configured to rotate the patient through 90° relative to the Z-axis of the particle beam being delivered from the cyclotron. The dedicated use of cyclotron for treating tumors or cancers or other medical conditions, such as those of the head, neck and eye or pediatric tumors of a patient, can further include providing a treatment planning system to generate a treatment plan designed to treat the patient having such tumors or cancers or other medical condition.
[0023] As used herein the term “proton beam therapy” refers to a type of radiation therapy that works by aiming energetic ionizing proton particles accelerated with a particle accelerator, onto a target tumor or target area including a cancer. Proton beam therapy uses protons rather than X-rays to treat cancer. These particles damage the DNA of cells, ultimately causing their death. Cancerous cells, because of their high rate of division and their reduced ability to repair damaged DNA, are particularly vulnerable to attack on their DNA by the proton beams. Proton therapy systems typically include a cyclotron that includes a beam generator and an accelerator, and a beam transport system to move the resulting accelerated protons to a treatment room where the ionizing protons are delivered to a tumor or cancer or other medical condition in a patient’s body.
[0024] As used herein, the term, “tumor” refers to a mass of tissue that is caused by a growth or accumulation of abnormal cells whether benign or malignant. “Cancer” as used herein refers to any of various types of cancers known to those in the medical field of cancer diagnosis and treatment. Also, as used herein, “medical condition” refers to any of various medical conditions, suitable for treatment with radiation therapy, including but not limited to benign and malignant tumors, neurological, lung, head, neck and eye tumors, cancers, abnormalities or conditions, vascular and cardiac conditions and abnormalities, pediatric tumors, cancers and other pediatric abnormalities, other cancers and tumors, cardiac and vascular blockages, and any other medical condition suitable for treatment with radiation therapy, and should not be construed in a limiting sense.
[0025] Referring now to the drawings in greater detail, an exemplary cyclotron system 100, such as a proton cyclotron system 100, such as for the treatment of cancers, tumors, pediatric cancers or other medical conditions, has an energy in a range of from 70 MeV to 150 MeV and has a beam current in an amount suitable for radiation therapy, as can include a variable range of beam current for the radiation therapy, the amount of the beam current being dependent on the use of application for which the radiation therapy is being applied, the proton cyclotron system 100 being diagrammatically illustrated in
[0026] Referring now to
[0027] In another embodiment, such as for treating the tumors of the eye, the cyclotron system 100, such as the proton particle beam system 200, includes the use of suitable tracking device, such as a CCD camera 210, which tracks, as illustrated by the numeral 211, a pupil 212 of the eye of the patient 206. The CCD camera 210 is controlled by the main computer controller 209, or other suitable controller, in the cyclotron system 100, such as the proton particle beam system 200, and a gating function is integrated in the cyclotron system 100, such as the proton particle beam system 200, that diverts the proton beam 202, or other suitable radiation beam, from the cyclotron system 100, such as the proton particle beam system 200, if the eye movement exceeds a predetermined tolerance, for example.
[0028] In a further embodiment, the use of the cyclotron system 100, such as the proton particle beam system 200, can desirably be used for the treatment of various medical conditions, including a cardiac blockage, cardiac or neurological abnormalities, and for treatment of other abnormalities or other medical conditions with radiation, such as is contemplated for patients with coronary artery diseases, for example, such as with the proton beam 202, generated by the cyclotron system 100, such as generated by the proton particle beam system 200. For treating the cardiac blockages or other medical conditions, the cyclotron system 100, such as the proton particle beam system 200, can desirably include the use of a suitable tracking device, such as a CCD camera, or other suitable camera, that monitors or images the cardiac blockages or other medical conditions and assists in targeting the proton beam 200, or other suitable radiation beam, to the specific cardiac blockages to ablate/irradiate the desired tissue from the cardiac artery or to treat other medical conditions. Such method and apparatus could include using known guiding and delivery processes and apparatus adapted for use in the methods and apparatuses for delivering the proton beam, or other suitable radiation beam, using the guidance of the instant disclosure. Embodiments of methods and apparatuses, could include, for example, using a suitable shielded catheter communicating with the proton beam pipe carrying the proton beam generated by the cyclotron system 100, such as the proton particle beam system 200, for delivery to a treatment site of the cardiac blockage or site of another medical condition, as can be coupled with a CCD camera to guide and image the treatment site and the treatment process using the generated the proton beam. Exemplary technology as can be utilized, as modified by the guidance of the instant disclosure, can include, for example, U.S. Pat. No. 10,363,439 to Amaldi et al., incorporated herein by reference in its entirety, which discloses ion accelerators (cyclotron) for treating Atrial Fibrillation (AF) and arteriovenous malformations (AVMS) by ion beam irradiation. Also, such exemplary technology can include U.S. Pat. Application Publication No. US 2002/0099405 to Yurek et al., incorporated by reference herein in its entirety, which disclose a stent deployment device that includes a flexible elongate catheter having a guidewire lumen to deliver a stent. Further, such exemplary technology can include U.S. Pat. Application Publication No. 2009/0209805 to Lubock et al., incorporated by reference herein in its entirety, which discloses a device with one or more radiation shielding components that partially encircle a radiation source at the treatment location to control emitted radiation from the radiation source to minimize radiation damage to healthy tissue surrounding the body cavity or other site while irradiating tissue not shielded by the radiation shielding components.
[0029] Also, as evident from the foregoing, embodiments of the cyclotron system 100, such as the proton particle beam system 200, can be used for the treatment of any of various medical conditions, such as those including cancers, tumors, cardiovascular or neurological abnormalities or other medical conditions, utilizing radiotherapy treatment, as can also include in such medical conditions for treatment other diseases or abnormalities suitable for radiotherapy treatment, and is contemplated for patients with any such medical conditions, and, as such, should not be construed in a limiting sense.
[0030] The main computer controller 209, or other suitable controller, in the cyclotron system 100, such as the proton particle beam system 200, also obtains position information and/or timing information from the support platform 205, such as the patient table or the patient robotic chair 205. The main computer controller 209 desirably controls the generation and delivery of the proton beam 202, or other suitable radiation source, within the cyclotron system 100, such as the proton particle beam system 200, such as by controlling the speed, trajectory, energy, intensity and timing of the proton beam 202, or other suitable radiation source beam, that is output from the cyclotron system 100, such as the proton particle beam system 200, for example. The main computer controller 209 also desirably controls the cyclotron system 100, such as the proton particle beam system 200, for targeting of the proton beam 202, or other radiation source, through the beam splitter 207 and for delivery to the patient 206. In an embodiment, for example, one or more components of the support platform 205, such as the patient table or the patient robotic chair 205, are desirably controlled by the main computer controller 209 to position the patient accurately and correctly for the treatment. The support platform 205, such as the patient table or the patient robotic chair 205, is desirably configured to rotate the patient 206 through 180° relative to the longitudinal X-axis of the particle beam, such as the proton beam 202, being delivered and 90° relative to a vertical Z-axis of a treatment room, such as the compartments 106 and 108, for example. The patient 206 is generally immobilized using the restraints on the support platform 205, such as the patient table or the patient robotic chair 205, so that a tightly controlled proton beam 202, or other suitable radiation beam, hits the targeted tumor or cancer or other medical condition in the target area without damaging or limiting damage to healthy tissue. Patient positioning constraints that are used to maintain the patient 206 in a treatment position on the support platform 205, such as the patient table or the patient robotic chair 205, which desirably includes a seat, back support, head support and a foot support. The constraints are applied on these supports on the support platform 205, such as the patient table or the patient robotic chair 205. Here the X-axis, Y-axis, and Z-axis coordinate system is used to describe the orientation of the patient 206 relative to the proton beam 202, or other suitable radiation beam, used for the treatment. The X-axis refers to the moving or movement left or right across the patient 206 and the Z-axis refers to moving or movement up and down of the patient 206 relative to the proton beam 202, or other suitable radiation beam, used for the treatment. The proton beam 202, or other suitable radiation beam, typically is delivered from the cyclotron system 100, such as from the proton particle beam system 200, so as to travel horizontally relative to and in the treatment room, such as the compartments 106 and 108, for example.
[0031] In an embodiment, the support platform 205 illustrated in
[0032] Further, display elements of a display system in the main computer controller 209 are desirably controlled via a main controller in the main computer controller 209. Displays, such as display screens, are typically provided to one or more operators and/or to one or more patients 206. In an embodiment, for example, the main computer controller 209 accurately calculates the delivery of the proton beam 202, or other suitable radiation beam, from all systems of the cyclotron system 100, such as the proton particle beam system 200, for example, such that protons, or other suitable radiation source, are delivered in an optimal therapeutic manner to the patient 206. In embodiments, the cyclotron system 100, such as the proton particle beam system 200, as a proton therapy system, or other suitable radiation source system, can be automated or semi-automated, for example.
[0033] The main computer controller 209 controls operations of the cyclotron system 100, such as the proton particle beam system 200, with input from the control panel, such as the keys on the main computer controller 209. It should be understood that the main computer controller 209 may represent, for example, a stand-alone computer, computer terminal, portable computing device, networked computer or computer terminal, or networked portable device. Data, programs or instructions for the treatment and treatment process using the radiation delivery system may be entered into the main computer controller 209 by the user via any suitable type of user interface, such as the control panel or computer keys, and may be stored in a computer readable memory in or associated with the main computer controller 209, which may be any suitable type of computer readable and programmable memory. Calculations and control of the radiation delivery system, such as the cyclotron system 100, such as the proton particle beam system 200, for example, for delivery of the radiation for the treatment from the radiation source are performed by a controller/processor of or associated with the main computer controller 209, which may be any suitable type of computer processor, and may be displayed to the user on a display of or associated with the main computer controller 209, which may be any suitable type of computer display, such as a liquid crystal display (LCD) or a light emitting diode (LED) display, for example. Though not shown, another display can be connected to main computer controller 209 to provide or show desired information related to the treatment, treatment process, and the like, for example.
[0034] The controller/processor in or associated with the main computer controller 209 may be associated with, or incorporated into, any suitable type of computing device, for example, a personal computer or a programmable logic controller (PLC) or an application specific integrated circuit (ASIC). The display of the main computer controller 209, the controller/processor of or associated with the main computer controller 209, the memory in or associated with the main computer controller 209, and any associated computer readable media are in communication with one another by any suitable type of data bus or by wireless communication, as is well known in the art. In this manner, the main computer controller 209 is in communication with the cyclotron system 100, such as the proton particle beam system 200, for delivery and control of the treatment, for example.
[0035] Examples of computer readable media in or associated with the main computer controller 209 include a magnetic recording apparatus, non-transitory computer readable storage memory, an optical disk, a magneto-optical disk, and/or a semiconductor memory (for example, RAM, ROM, etc.). Examples of magnetic recording apparatus that may be used in addition to the memory in or associated with the main computer controller 209, or in place of such memory, include a hard disk device (HDD), a flexible disk (FD), and a magnetic tape (MT). Examples of the optical disk include a DVD (Digital Versatile Disc), a DVD-RAM, a CD-ROM (Compact Disc-Read Only Memory), and a CD-R (Recordable)/RW.
[0036] Referring now to with reference to
[0037] It is to be understood that the embodiments of the methods, apparatus and systems taught and described herein in terms of a proton beam are not intended to be limited to that of a proton beam and are illustrative of and are applicable to of any of various suitable charged particle beam systems, as can depend on the use or application, and should not be construed in a limiting sense. Also, in addition to treating human medical conditions, the embodiments of the methods, apparatuses and systems taught and described herein are also applicable to veterinary medicine for treatment of various medical conditions in animals that are suitable for treatment with radiation therapy.
[0038] It is to be understood that the present invention is not limited to the embodiments described above but encompasses any and all embodiments within the scope of the following claims.