University of California

Leland Stanford Junior University

Dan Ruan

Paul Keall

Ke Sheng

Amit Ramakant Sawant

Daniel A Low

Dan Nguyen

Dan A Low

In certain embodiments novel sparse orthogonal collimators (SOCs) for use in radiotherapy are provided. In certain embodiments the SOCs comprise 2 layer 4 bank orthogonal collimators with 2-8 leaves in each of the 4 banks. Instead of using the limited heuristic approach to create jaw-only IMRT, a novel fluence map optimization method is provided based on wavelet decomposition and this method is used for IMRT. An algorithm to simplify the fluence maps with minimal and predictable dose quality compromise is also provided.

Platform for intensity modulated radiation therapy

In various embodiments, methods and devices are provided for generating a radiotherapy treatment plan for a subject to be implemented on a radiotherapy device. In certain embodiments the methods involve determining all feasible radiotherapy beam orientations free of collision for said radiotherapy device and said subject to provide a set of radiotherapy beam orientations; selecting from the set of all feasible radiotherapy beam orientations a subset of beams that meet treatment goals to be used in treatment of the subject to provide a selected beam set; calculating a navigation trajectory for the radiotherapy device to delivery said subset of beams to the subject where the trajectory is free of collision; and generating and writing instruction files to a tangible medium that can be executed by said radiotherapy device.

Radiotherapy utilizing the entire 4PI solid angle

A method of multileaf collimator (MLC) leaf positioning in tracking-based adaptive radiotherapy is provided. The method includes determining a radiotherapy beam pattern by transforming a treatment beam plan into radiotherapy beam coordinates, determining a dose discrepancy between the radiotherapy beam pattern and a deliverable MLC aperture, where the dose discrepancy includes a sum of an overdose cost and an underdose cost to a treatment volume, and minimizing the dose discrepancy, where the dose discrepancy minimization provides a determined deliverable MLC aperture for the radiotherapy beam.

Method and system for real-time DMLC-based target tracking with optimal motion compensating leaf adaptation

A method of minimizing radiation toxicity in image guided radiotherapy (IGRT) is provided that includes using a probabilistic prediction algorithm that is operated on a suitably programmed computer and includes multimodality inputs and provides real-time geometric and topological target estimates to compensate for system latency, using an online adaptive imaging system that provides radiographic images of the target when the geometric and topological target estimates are in a region of predefined uncertainty, and using an image dose control algorithm, operating on a suitably programmed computer, that includes parameters for controlling dose per image, where instances for image acquisition are optimized according to a planned dose pattern and delivery result.

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Los Angeles, CA, United States of America

Dan Ruan