Abstract:
A deliverable four dimensional (4D) intensity modulated radiation therapy (IMRT) planning method is disclosed, for delivery using a linear accelerator with a dynamic multi-leaf collimator (DMLC). A 4D computed tomography (CT) scan is used for segmenting tumor anatomy on a reference phase of periodic motion of the tumor. Deformable registration of the 4D CT data is used to generate corresponding anatomical structures on other phases. Preferably, the collimator for each beam position is aligned using the gross tumor volume (GTV) centroid motion corresponding to the periodic motion of the tumor, as determined from the two dimensional (2D) projection of a given beam position. A deliverable IMRT plan is created on the 4D CT image set in which the MLC leaf positions and beam on/off status can vary as a function of respiratory phase by solving a four dimensional optimization problem. The mechanical constraints of the MLC leaves are included in the optimization.
Abstract:
A method of providing intensity modulated radiation therapy to a moving target is disclosed. The target moves periodically along a trajectory that is projected onto a multi-leaf collimator (MLC) plane. The MLC plane is divided into thin slices parallel to the movement of the target. The present invention optimizes the leaf sequence such that, within each slice, if a point receives radiation, all other points in that slice that receive the same amount or more fluence are also receiving radiation at the same time.
Abstract:
Systems and methods for automatically determining a beam parameter at each of a plurality of treatment nodes are disclosed. The beam parameter may include a beam shape, beam size and/or beam orientation. Systems and methods for automatically selecting multiple collimators in a radiation treatment system are also disclosed.
Abstract:
A method of using a radiation system having a multileaf collimator (“MLC”) to adjust for unevenness in the radiation emitted by the system is disclosed. By appropriately controlling the MLC in accordance with the invention the system can be operated without a flattening filter. In addition, the invention allows the system user to vary the radiation beam energy in the course of a single treatment, without the need to use or change flattening filters. A map of the uneven radiation beam intensity in the treatment area is obtained, and the map information is combined with a treatment plan to control movement of the leaves of the MLC such that each area receives the correct radiation dose.
Abstract:
A method of delivering radiation treatment using multi-leaf collimation includes the step of providing a radiation fluence map which includes an intensity profile. The fluence map is converted into a preliminary leaf sequence, wherein the preliminary leaf sequence minimizes machine on-time and is generated without leaf movement constraints. The leaf movement constraint is imposed on the preliminary leaf sequence. At least one constraint elimination algorithm is then applied, the algorithm adjusting the preliminary leaf sequence to minimize violations of the constraint while providing the desired fluence map and minimized radiation on-time. The method can be applied to SMLC and DLMC systems, and can include adjustment for the tongue-and-groove effect.
Abstract:
A method and system for controlling the spatial distribution of radiation produced by a radiation device having a multi-leaf collimator can generate arbitrary intensity-modulated radiation fields. The methods control both angles and leaf configuration of the multi-leaf collimator for each of multiple sub-fields. The leaf positions, collimator angles, and individual sub-field contributions may be derived by optimization techniques.
Abstract:
A system and method of the present invention for controlling radiation delivery from a radiation source to an object are disclosed. The method generally includes defining a field on the object for radiation delivery. The field includes a plurality of cells, each having a defined treatment intensity level. The cells are grouped to form a matrix having at least one dimension approximately equal to a width of a collimator leaf capable of blocking radiation emitted from the radiation source. The method further includes decomposing the matrix into orthogonal matrices and optimizing delivery of the radiation by selecting a combination of orthogonal matrices to minimize junction effects.
Abstract:
A method for controlling radiation delivery from a radiation source to an object is disclosed. The method includes defining a field on the object for radiation delivery. The field includes a plurality of cells, each cell having a defined treatment intensity level. The cells are grouped to form a matrix having at least one dimension approximately equal to a width of a collimator leaf capable of blocking radiation emitted from the radiation source. The method further includes decomposing the matrix into orthogonal matrices and optimizing delivery of the radiation by selecting the orthogonal matrices having minimum vertical and horizontal gradients when combined with adjacent cells. A system for controlling radiation delivery from a radiation source to an object is also disclosed.
Abstract:
Automatic radiation therapy treatment planning for generating a plan to be delivered from at least one beam angle, using a collimator having a variable collimator angle. Delivery times are determined for a number of possible collimator angles, and the optimization problem is defined to take the delivery times into account when selecting the collimator angles to be used when delivering the radiation.
Abstract:
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.