IMPROVEMENTS TO LINEAR ACCELERATORS
20210162241 · 2021-06-03
Inventors
Cpc classification
A61N5/1075
HUMAN NECESSITIES
A61N5/1081
HUMAN NECESSITIES
International classification
Abstract
The invention relates to a drum assembly for a linear accelerator, the drum assembly comprising a drum having a front face including a front rim and a rear face including a rear rim, one or more support wheels supporting the drum, an arm extending from the front face of the drum and including a beam collimator through which a beam of radiation is emitted to form a radiation isocentre. One or more rear rim members are associated with the rear rim, the rear rim members adapted to substantially offset isocentre distortion due to unintended movement of the drum assembly. The invention also relates to variants thereto and combinations thereof.
Claims
1-59. (canceled)
60. A drum assembly for a linear accelerator comprising: a drum having a front face including a front rim and a rear face including a rear rim, one or more support wheels supporting the drum, an arm extending from the front face of the drum and including a beam collimator through which a beam of radiation is emitted to form a radiation isocentre and one or more rear rim members associated with the rear rim, the inner surface of the rear rim members being provided with one or more projections extending therefrom, that extend between the rear rim members and the inside edge of the rear rim, and the rear rim members and projections being adapted to substantially offset distortion to the isocentre due to unintended movement of the drum assembly and further wherein the drum assembly also comprises one or more locating members associated with the rear rim, and the rear rim members and locating members together are adapted to create and or limit movement of the drum assembly in a direction that is substantially parallel to the axis of rotation of the drum assembly (i.e. in the direction of the Y axis) the created movement of the drum assembly will substantially offset the equal and opposite distortion of the isocentre caused by the deflection of the beam arm, at particular gantry angles.
61. The drum assembly for a linear accelerator of claim 60, wherein the front and rear faces are provided with one or more lip members at the outer edges thereof that extend at least partially about the circumference of the front and rear faces.
62. The drum assembly for a linear accelerator of claim 60, wherein the support wheels are positioned in any suitable orientation relative to the drum including substantially vertically so that the axis of rotation of the support wheels is substantially parallel to the axis of rotation of the drum and or substantially horizontally so that the axis of rotation of the support wheels is substantially perpendicular to the axis of rotation of the drum.
63. The drum assembly for a linear accelerator of claim 62, wherein the support wheels are positioned in any suitable orientation relative to the drum, and a combination of vertical and horizontal support wheels are provided and further wherein the purpose of the vertical support wheels is to support the drum and facilitate rotation of the drum about a horizontal axis (the Y axis), while the horizontal support wheels act to limit the movement of the gantry drum across the surface of the vertical support wheels and further wherein the horizontal support wheels assist in maintaining the drum in an essentially fixed position in the direction of the Y axis.
64. The drum assembly for a linear accelerator of claim 63, wherein vertical support wheels are included, mounted to a base portion in a vertical position (such as to a side or edge of the base portion), while the horizontal support wheels are mounted in a horizontal position (such as to an upper or lower surface of the base portion).
65. The drum assembly for a linear accelerator of claim 60, wherein two or more rear rim members are included and each are of the same dimensions as one another, or may be of different dimensions in that each rear rim member extends for a different length about the circumference of the rear face of the rear rim.
66. The drum assembly for a linear accelerator of claim 60, wherein when the beam of radiation issues from the arm in a substantially vertical position, the axial movement (in the direction of the Y axis) of the drum is affected in such a way as to offset the sagging of the arm (and therefore distortion of the isocentre which is moved back towards the front face of the drum as a result of the typical sag in the arm at that angle).
67. The drum assembly for a linear accelerator of claim 60, wherein by locating the rear rim members at this point, the effect of gravity on the arm (which causes distortion of the isocentre), is offset such that the volume of the isocentre is substantially minimised.
68. The drum assembly for a linear accelerator of claim 60, wherein the thickness of the rear rim members varies along their length and the inner and/or upper surface of the rear rim members are provided with one or more peaks and/or troughs such that the thickness of the rear rim members changes along its length.
69. The drum assembly for a linear accelerator of claim 60, wherein a plurality of projections spaced about the circumference of the rear rim is provided.
70. The drum assembly for a linear accelerator of claim 60, wherein the rear rim members extend outwardly beyond the rear edge of the rear rim.
71. The drum assembly for a linear accelerator of claim 60, wherein the one or locating members are positioned so as to act upon an inner edge of the rear rim.
72. The drum assembly for a linear accelerator of claim 60, wherein the locating members act upon the rear rim such that a force is applied to the rear rim to control and/or limit forward movement of the drum assembly (i.e. in the direction of the Y axis).
73. The drum assembly for a linear accelerator of claim 60, wherein the locating members include one or more locating wheels, located in abutment with, or in close proximity to, the inner edge of the rear rim and the locating wheels act in concert with the horizontal support wheels to support the drum.
74. The drum assembly for a linear accelerator of claim 73, wherein the locating wheels are biased into position using one or more biasing members (or may be associated with one or more biasing members), such that the drum is substantially unable to overcome the bias of the biasing members and unintended forward movement of the drum is reduced or eliminated.
75. The drum assembly for a linear accelerator of claim 74, wherein the biasing member is located between the locating wheels and the rear rim such that the drum assembly is unable to overcome the bias of the biasing members, and therefore unintended forward movement of the drum assembly is substantially precluded.
76. The drum assembly for a linear accelerator of claim 60 wherein the drum assembly further comprises one or more front rim members, associated with the front rim.
77. The drum assembly for a linear accelerator of claim 76, wherein the front rim members are adapted to substantially offset such that the volume of the isocentre is substantially minimised.
78. The drum assembly for a linear accelerator of claim 76, wherein the inner surface of the front rim members is provided with one or more projections extending therefrom and further wherein the one or more projections extend between the inner surface of the front rim members and the front rim such that the one or more projections abut the front rim in use so as to support the front rim members and fix them in position on the flat face of the front rim.
79. The drum assembly for a linear accelerator of claim 60, wherein the drum assembly produces an isocentre of less than about 1 millimetres.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0073] Preferred features, embodiments and variations of the invention may be discerned from the following Detailed Description which provides sufficient information for those skilled in the art to perform the invention. The Detailed Description is not to be regarded as limiting the scope of the preceding Disclosure of the Invention in any way. The Detailed Description will make reference to a number of drawings as follows:
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DESCRIPTION OF THE EMBODIMENTS
[0090] With reference to
[0091] In the embodiment of the invention shown in
[0092] Front rim members 10 are provided with a plurality of projections 11 that extend outwardly from front rim members 10, towards the front face (not shown in
[0093] With reference in particular to
[0094] In the embodiment of the invention shown in
[0095] Rear rim members 12 are provided with a plurality of projections 13 that extend inwardly from an inner surface of rear rim members 12 towards the rear rim of the drum assembly (neither shown in
[0096] In
[0097] With reference in particular to
[0098] Extending from, or, more accurately, through, front face 18 is arm 21 housing a wave accelerator, an X-ray target (obscured) and beam collimator 22 from which beam of radiation 23 issues when the LINAC is in use. Beam of radiation 23 forms an isocentre about which drum assembly 16 rotates.
[0099] Front face 18 includes an annular front rim 24 that extends about the circumference of front face 18. Similarly, rear face 19 includes an annular rear rim 25 that extends about the circumference of rear face 19. In the embodiment of the invention shown in
[0100] Front rim members 10 are positioned so as to be located between front rim 24 and support wheels 20 as can be seen in
[0101] With reference in particular to
[0102] In use, the horizontal support wheels 32a, 32b are located in close proximity to an edge (and preferably a front edge) of the rear rim. In this way, the horizontal support wheels 32a, 32b control movement of the drum in the direction of the Y axis, thereby minimising the isocentre volume. The rear rim members may be located between the edge of the drum and the horizontal support wheels 32a, 32b to further prevent movement of the drum in the direction of the Y axis.
[0103] Use of the invention acts to control movement of the drum assembly in the direction of the Y and/or Z axes, in order to offset any movement in the location of the isocentre (and radiation isocentre), position, while the LINAC is in use. The different components act in such a way as to offset isocentre variations in separate axes caused mainly by the weight of the arm and gravitational forces at different gantry angles, plus to a lesser extent distortion and the weight and wear of the apparatus generally. The effect of these forces is to give rise to a predictable variation in the isocentre position, and by eliminating them through the offset produced by the additionally introduced members, the variations in isocentre position can be reduced and thereby the volume of the locus described by these positions is reduced and the accuracy of the isocentre is increased. As described elsewhere, even the smallest of inaccuracies in this regard can have unfortunate outcomes for the patient, losing healthy tissue unnecessarily, which may cause irreparable loss of function to organs, and clearly a degradation to the life of the patient in the short and longer term. The patient will be happy to have the tumour destroyed but will need to leave with the consequences of the treatment, if this involved loss of function through damage to healthy tissues. To avoid the inaccuracy, where very specific accuracy is possible through use of the same LINAC equipment, would be a hugely beneficial outcome of the invention. Use of the invention would remove the degradation of treatment through distortion to the isocentre over time as the LINAC equipment wears and ages through much repeated use. For new equipment, as the invention is likely to be fitted as standard, the accuracy and useful life of the equipment will be prolonged, a further beneficial outcome for the stakeholders, investing in this costly equipment for hospitals and other treatment centres.
[0104] The inventor has developed a clever and surprisingly useful invention, that works with LINAC apparatus to significantly improve the accuracy of the isocentre by acting against distortion due to sagging of the support assembly.
[0105] With reference to
[0106] As shown in
[0107] The particular dimensions of these components may be readily adapted to the particular drum assembly as will be readily understood by the person skilled in the art. The arrangement of rim members 12 and bosses 13 is an illustrative example, in which 8 bosses are included spaced about the inner circumference, as indicated by the round circles. But more or less projections or bosses may be included and these may be spaced evenly to assist to distribute pressure or unevenly to suit the particular application.
[0108] Detailed image of part of
[0109] Detailed image of part of
[0110] With reference in particular to
[0111] With reference to
[0112] Support 27 has a 22.5 millimetre width on either side of the aperture and an internal hole for a M4 grub screw. The width of boss support 27 can be seen to be approximately 160 millimetres (horizontal measurement across the arc) as suitable. There will be 8 boss 13 and corresponding 8 boss supports 27, in use.
[0113] 8 Support segments as shown elsewhere are supported on top of 8 Boss Flanges
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[0117] In general terms, and as illustrated somewhat in
[0118] When the shims move the drum upwards in the vertical direction, gravity ensures the return of the gantry drum to the lower position as the shim moves away from the contact point between the face of the front rim and the vertical supporting wheel on the gantry base.
[0119] However, when the shims move the drum in the Y axis, a spring loaded plunger is currently placed against the inside edge of the rear rim to cause the gantry drum to be biased in a direction keep the rear horizontal positioning wheel firmly in contact with however many shims are between the rear face of the rear rim and the horizontal wheel. When there are no shims present, the horizontal wheel is kept firmly pressed against the rear face of the rear rim. Hence the gantry drum has a biasing spring force to keep it pushed rearwards. The Biasing spring force is currently produced by a spring-loaded bolt action plunger which is secured to the topside of the gantry base, between the front and rims. The end of the bolt action plunger is capped with a Teflon based material, to minimise friction and wear on the face of the gantry rim, as it rotates with the bolt action plunger pressing against it. In later versions it is anticipated that this spring force will be generated using reciprocating cupped washers in association with linear bearings and plungers.
[0120] Because the horizontal support wheels will need to have greater clearance to the faces of the rear rim to allow for the movement of the gantry drum in the Y axis, it is anticipated that an additional clamping members, which are already designed and produced by the LINAC manufacturer, will need to be fitted to the Gantry base to secure the gantry drum to the gantry base in case of seismic activity and due to reduced lateral pressure due to the increased spacing of the horizontal support wheels.
[0121] When the modification is installed the rear horizontal support wheel will need to be exchanged from a centric bearing to an eccentric bearing. This will allow for the contact point of the rear horizontal support wheel to be moved rearwards by approximately 1.1 to make suitable clearance for the movement of the gantry drum structure in the Y axis.
[0122] Exchange of this horizontal support wheel will mean that the current isocentre position of the LINAC within the treatment room will remain unchanged and the lasers will not require any significant adjustment.
[0123] From a patient treatment aspect, there will be no difference to the existing patient setup procedures. The patient will enter the treatment room and be positioned on the treatment couch according to treatment tattoos (marked during treatment planning), and room lasers which accurately align to the LINAC isocentre. The Patient is generally planned so that the target tumour is located at the radiation isocentre of the LINAC.
[0124] Variation may be made to the forms of the inventive features, as would be understood by the person skilled in the art. The combination of features, rim members, projections/bosses and locator means, with the support wheels to press the apparatus act against distortion forces. The clever invention may be performed in many different ways using the same clear principles, as hereinbefore disclosed.
[0125] In the present specification and claims, the word “comprising” and its derivatives including “comprises” and “comprise” include each of the stated integers but does not exclude the inclusion of one or more further integers.
[0126] Reference throughout this specification to ‘one embodiment’ or ‘an embodiment’ means that a particular feature, structure, or characteristic described in connection with the embodiment is included in at least one embodiment of the present invention. Thus, the appearance of the phrases ‘in one embodiment’ or ‘in an embodiment’ in various places throughout this specification are not necessarily all referring to the same embodiment. Furthermore, the particular features, structures, or characteristics may be combined in any suitable manner in one or more combinations.
[0127] It will be apparent to a person skilled in the art that changes may be made to the embodiments disclosed herein without departing from the spirit and scope of the invention in its various aspects.
TABLE-US-00001 REFERENCE SIGNS LIST: 10 Front rim members 11 Projections of 10 12 Rear rim members 13 Projections of 12 14 Peaks of 12 15 Troughs of 12 16 Drum assembly 17 Drum of 16 18 Front face of 17 19 Rear face of 17 20 Support wheels 21 Arm 22 Beam collimator 23 Beam of radiation 24 Annular front rim of 18 25 Annular rear rim of 19 26 Support 27 Boss support 28 Blocks 30 Base portion 31 Vertical support wheels 32a Horizontal support wheel 32b Horizontal support wheel