公开(公告)号：US20170050050A1

公开(公告)日：2017-02-23

申请号：US15118724

申请日：2014-02-14

Applicant: Brainlab AG

Inventor： Kajetan Berlinger ,  Stephan Froehlich ,  Eva Maria Gronbach

IPC: A61N5/10 ,  G06T7/00 ,  A61B90/00 ,  A61B6/00 ,  A61B6/04 ,  A61B6/03

CPC classification number: A61B6/0492 ,  A61B6/032 ,  A61B6/0421 ,  A61B6/501 ,  A61B6/5211 ,  A61B6/547 ,  A61B90/14 ,  A61B90/39 ,  A61B2034/2055 ,  A61B2090/101 ,  A61B2090/364 ,  A61B2090/3937 ,  A61B2090/3983 ,  A61N5/1049 ,  A61N5/1069 ,  A61N2005/1061 ,  G01T7/005 ,  G06F19/00 ,  G06K9/00208 ,  G06K9/2054 ,  G06K9/2063 ,  G06K9/32 ,  G06K9/3216 ,  G06K9/6212 ,  G06K2009/2045 ,  G06K2009/3225 ,  G06K2009/3291 ,  G06T7/0014 ,  G06T7/74 ,  G06T2207/10081 ,  G06T2207/20221 ,  G06T2207/30004 ,  G06T2207/30204 ,  G06T2207/30208 ,  G06T2219/2004

Abstract: The presently described method is directed to determining a way of positioning a patient before execution of a medical procedure involving irradiating the patient with ionizing treatment radiation based on comparing medical images of the patient with a pre-acquired medical image. The planning computed tomography is searched for an image of the reference structure in order to determine the position of the patient relative to a patient support device. A retroreflective marker device, having a known and advantageously fixed position relative to the base plate, is detected by a navigation system operatively coupled to a motor of the support device. Based on the detected position of the marker device, the motor of the support device is activated to drive the patient into a desired position relative to beam direction along which the treatment radiation is to be issued towards the patient to execute the medical procedure.

Abstract translation: 目前描述的方法涉及确定在执行包括用患者的医疗图像与预先获取的医学图像进行比较的电离治疗辐射的医疗过程之前定位患者的方式。 搜索计划的计算机断层摄影以获得参考结构的图像，以便确定患者相对于患者支持装置的位置。 具有已知且有利地相对于基板的固定位置的回射标记装置由可操作地耦合到支撑装置的电动机的导航系统来检测。 基于检测到的标记装置的位置，启动支撑装置的电动机，以驱动患者进入相对于波束方向的期望位置，沿着该方向向治疗辐射发射治疗辐射以执行医疗程序。

公开(公告)号：US20150335915A1

公开(公告)日：2015-11-26

申请号：US14759905

申请日：2013-01-09

Applicant: BRAINLAB AG

Inventor： Kajetan Berlinger ,  Sebastian Knorr ,  Cornel Schlossbauer ,  Joerg Rehs

IPC: A61N5/10 ,  A61B6/03 ,  A61B6/00 ,  A61B6/04

CPC classification number: A61N5/1049 ,  A61B6/032 ,  A61B6/04 ,  A61B6/4085 ,  A61N5/1037 ,  A61N5/107 ,  A61N5/1071 ,  A61N5/1077 ,  A61N2005/1061 ,  A61N2005/1062 ,  A61N2005/1072 ,  A61N2005/1074 ,  G06T7/0012 ,  G06T7/30 ,  G06T2207/10072

Abstract: The invention is directed to a data processing method for determining the consistency of registration of the position of a treatment body part to be treated by radiotherapy with a treatment beam arrangement of at least one position of a treatment beam issued by a treatment device, the treatment body part being a soft tissue part of an anatomical structure of a patient's body nad the data processing method being constituted to be executed by a computer and comprising the following steps: g) acquiring CT data comprising predetermined CT information about a position of the treatment body part relative to a bony structure of the patient's body and about a first position of the bony structure relative to the treatment beam arrangement; h) acquiring x-ray data comprising x-ray information about a second position of the bony structure relative to the treatment beam arrangement; i) determining, based on the x-ray data and the CT data, bony structure position first transformation data comprising bony structure position first transformation information about a first transformation between the first position and the second position of the bony structure; j) acquiring CBCT data comprising CBCT information about the position of the treatment body part relative to the treatment beam arrangement or relative to the bony structure; k) determining, based on the CBCT data and the CT data, bony structure position second transformation data comprising bony structure position second transformation information about a second transformation between the first position and a third position of the bony structure relative to the treatment beam arrangement; determining, based on the bony structure position first transformation data and the bony structure position second transformation data, transformation difference data comprising transformation difference information about a difference between the first and second transformations.