WO2005018734A3 - Patient positioning system for radiation therapy system - Google Patents

Patient positioning system for radiation therapy system Download PDF

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Publication number
WO2005018734A3
WO2005018734A3 PCT/US2004/026079 US2004026079W WO2005018734A3 WO 2005018734 A3 WO2005018734 A3 WO 2005018734A3 US 2004026079 W US2004026079 W US 2004026079W WO 2005018734 A3 WO2005018734 A3 WO 2005018734A3
Authority
WO
WIPO (PCT)
Prior art keywords
radiation therapy
positioning system
therapy system
components
positioning
Prior art date
Application number
PCT/US2004/026079
Other languages
French (fr)
Other versions
WO2005018734A2 (en
Inventor
Nick Rigney
Dan Anderson
David Lesyna
Dan Miller
Michael Moyers
Chieh Cheng
Mike Baumann
Steven Mcallaster
Jerry Slater
Original Assignee
Univ Loma Linda Med
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority to KR1020127004090A priority Critical patent/KR101249815B1/en
Priority to CA2535121A priority patent/CA2535121C/en
Application filed by Univ Loma Linda Med filed Critical Univ Loma Linda Med
Priority to EP04780850.6A priority patent/EP1664752B1/en
Priority to PCT/US2004/026079 priority patent/WO2005018734A2/en
Priority to MXPA06001581A priority patent/MXPA06001581A/en
Priority to AU2004266644A priority patent/AU2004266644B2/en
Priority to US10/917,023 priority patent/US7199382B2/en
Priority to JP2006523345A priority patent/JP5038714B2/en
Priority to CN2004800230953A priority patent/CN1894577B/en
Priority to US10/917,220 priority patent/US7280633B2/en
Priority to KR1020127020328A priority patent/KR101212792B1/en
Priority to KR1020067002999A priority patent/KR101164150B1/en
Publication of WO2005018734A2 publication Critical patent/WO2005018734A2/en
Publication of WO2005018734A3 publication Critical patent/WO2005018734A3/en
Priority to US11/695,532 priority patent/US7446328B2/en
Priority to AU2009227819A priority patent/AU2009227819B2/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • A61N5/1049—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/04—Positioning of patients; Tiltable beds or the like
    • A61B6/0407—Supports, e.g. tables or beds, for the body or parts of the body
    • A61B6/0442—Supports, e.g. tables or beds, for the body or parts of the body made of non-metallic materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/40—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment with arrangements for generating radiation specially adapted for radiation diagnosis
    • A61B6/4064—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment with arrangements for generating radiation specially adapted for radiation diagnosis specially adapted for producing a particular type of beam
    • A61B6/4092—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment with arrangements for generating radiation specially adapted for radiation diagnosis specially adapted for producing a particular type of beam for producing synchrotron radiation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/54—Control of apparatus or devices for radiation diagnosis
    • A61B6/547—Control of apparatus or devices for radiation diagnosis involving tracking of position of the device or parts of the device
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/103—Treatment planning systems
    • A61N5/1037—Treatment planning systems taking into account the movement of the target, e.g. 4D-image based planning
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • A61N5/1064—Monitoring, verifying, controlling systems and methods for adjusting radiation treatment in response to monitoring
    • A61N5/1065—Beam adjustment
    • A61N5/1067—Beam adjustment in real time, i.e. during treatment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • A61N5/1064—Monitoring, verifying, controlling systems and methods for adjusting radiation treatment in response to monitoring
    • A61N5/1069—Target adjustment, e.g. moving the patient support
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • A61N5/1064—Monitoring, verifying, controlling systems and methods for adjusting radiation treatment in response to monitoring
    • A61N5/1069—Target adjustment, e.g. moving the patient support
    • A61N5/107—Target adjustment, e.g. moving the patient support in real time, i.e. during treatment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1077—Beam delivery systems
    • A61N5/1078—Fixed beam systems
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25J—MANIPULATORS; CHAMBERS PROVIDED WITH MANIPULATION DEVICES
    • B25J9/00—Programme-controlled manipulators
    • B25J9/16—Programme controls
    • B25J9/1656—Programme controls characterised by programming, planning systems for manipulators
    • B25J9/1664—Programme controls characterised by programming, planning systems for manipulators characterised by motion, path, trajectory planning
    • B25J9/1666—Avoiding collision or forbidden zones
    • G—PHYSICS
    • G05—CONTROLLING; REGULATING
    • G05B—CONTROL OR REGULATING SYSTEMS IN GENERAL; FUNCTIONAL ELEMENTS OF SUCH SYSTEMS; MONITORING OR TESTING ARRANGEMENTS FOR SUCH SYSTEMS OR ELEMENTS
    • G05B15/00—Systems controlled by a computer
    • G05B15/02—Systems controlled by a computer electric
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937—Visible markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • A61N5/1049—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam
    • A61N2005/105—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam using a laser alignment system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • A61N5/1049—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam
    • A61N2005/1059—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam using cameras imaging the patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • A61N5/1049—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam
    • A61N2005/1061—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam using an x-ray imaging system having a separate imaging source
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • A61N5/1049—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam
    • A61N2005/1061—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam using an x-ray imaging system having a separate imaging source
    • A61N2005/1062—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam using an x-ray imaging system having a separate imaging source using virtual X-ray images, e.g. digitally reconstructed radiographs [DRR]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N2005/1085—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy characterised by the type of particles applied to the patient
    • A61N2005/1087—Ions; Protons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N2005/1092—Details
    • A61N2005/1097—Means for immobilizing the patient
    • G—PHYSICS
    • G05—CONTROLLING; REGULATING
    • G05B—CONTROL OR REGULATING SYSTEMS IN GENERAL; FUNCTIONAL ELEMENTS OF SUCH SYSTEMS; MONITORING OR TESTING ARRANGEMENTS FOR SUCH SYSTEMS OR ELEMENTS
    • G05B2219/00—Program-control systems
    • G05B2219/30—Nc systems
    • G05B2219/45—Nc applications
    • G05B2219/45117—Medical, radio surgery manipulator

Abstract

A patient positioning system for a radiation therapy system (100). The positioning system includes multiple external measurement devices (124) which obtain position and orientation measurements of components of the radiation therapy system (100) which are movable and/or are subject to flex or other positional variations from nominal. The external measurements provide corrective positioning feedback to more precisely register the patient and align them with the delivery axis (142) of a radiation beam. The positioning system monitors the relative positions of movable components of the radiation therapy system and plans an efficient movement procedure when indicated. The positioning system also plans the movement to avoid collisions either between the components of the radiation therapy system (100) as well as with personnel that may intrude into a movement envelope. The positioning system can be provided as an integral part of a radiation therapy system (100) or can be added as an upgrade to existing radiation therapy systems.
PCT/US2004/026079 2003-08-12 2004-08-12 Patient positioning system for radiation therapy system WO2005018734A2 (en)

Priority Applications (14)

Application Number Priority Date Filing Date Title
CN2004800230953A CN1894577B (en) 2003-08-12 2004-08-12 Patient positioning system for radiation therapy system
JP2006523345A JP5038714B2 (en) 2003-08-12 2004-08-12 Patient positioning system for radiation therapy equipment
EP04780850.6A EP1664752B1 (en) 2003-08-12 2004-08-12 Patient positioning system for radiation therapy system
CA2535121A CA2535121C (en) 2003-08-12 2004-08-12 Patient positioning system for radiation therapy system
MXPA06001581A MXPA06001581A (en) 2003-08-12 2004-08-12 Patient positioning system for radiation therapy system.
AU2004266644A AU2004266644B2 (en) 2003-08-12 2004-08-12 Patient positioning system for radiation therapy system
US10/917,220 US7280633B2 (en) 2003-08-12 2004-08-12 Path planning and collision avoidance for movement of instruments in a radiation therapy environment
KR1020127004090A KR101249815B1 (en) 2003-08-12 2004-08-12 Patient positioning system for radiation therapy system
PCT/US2004/026079 WO2005018734A2 (en) 2003-08-12 2004-08-12 Patient positioning system for radiation therapy system
US10/917,023 US7199382B2 (en) 2003-08-12 2004-08-12 Patient alignment system with external measurement and object coordination for radiation therapy system
KR1020127020328A KR101212792B1 (en) 2003-08-12 2004-08-12 Patient positioning system for radiation therapy system
KR1020067002999A KR101164150B1 (en) 2003-08-12 2004-08-12 Patient positioning system for radiation therapy system
US11/695,532 US7446328B2 (en) 2003-08-12 2007-04-02 Patient alignment system with external measurement and object coordination for radiation therapy system
AU2009227819A AU2009227819B2 (en) 2003-08-12 2009-10-16 Patient Positioning System for Radiation Therapy System

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US49469903P 2003-08-12 2003-08-12
US60/494,699 2003-08-12
US57909504P 2004-06-10 2004-06-10
US60/579,095 2004-06-10
PCT/US2004/026079 WO2005018734A2 (en) 2003-08-12 2004-08-12 Patient positioning system for radiation therapy system

Publications (2)

Publication Number Publication Date
WO2005018734A2 WO2005018734A2 (en) 2005-03-03
WO2005018734A3 true WO2005018734A3 (en) 2005-10-20

Family

ID=37054670

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2004/026079 WO2005018734A2 (en) 2003-08-12 2004-08-12 Patient positioning system for radiation therapy system

Country Status (8)

Country Link
US (3) US7199382B2 (en)
EP (1) EP1664752B1 (en)
JP (1) JP5038714B2 (en)
KR (3) KR101164150B1 (en)
AU (2) AU2004266644B2 (en)
CA (1) CA2535121C (en)
MX (1) MXPA06001581A (en)
WO (1) WO2005018734A2 (en)

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US9155911B1 (en) 2008-05-22 2015-10-13 Vladimir Balakin Ion source method and apparatus used in conjunction with a charged particle cancer therapy system
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US20050281374A1 (en) 2005-12-22
US20070164230A1 (en) 2007-07-19
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US7280633B2 (en) 2007-10-09
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AU2004266644A1 (en) 2005-03-03
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US20060017022A1 (en) 2006-01-26
JP5038714B2 (en) 2012-10-03
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CA2535121C (en) 2021-03-23
EP1664752A4 (en) 2009-09-16

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