Accuray Inc.

Eric Earnst

Gopinath Kuduvalli

Euan Thomson

James Y Wang

Chris Raanes

Adam Jerome Weber

Christopher A Raanes

Calvin R Maurer

John Robinson Dooley

William T Main

Mohan Bodduluri

Michael J Saracen

Calvin R Maurer, Jr

Matthew Core

Vladimir Mitrovic

James Wang

A treatment couch with a localization array is described.

Treatment couch with localization array

A method of operating a localization array. The method includes providing the localization array in substantially an optimal position. The method also includes maintaining the localization array at substantially the optimal position by controlling movement of the localization array.

Localization array position determination in a treatment room coordinate system is described. A method may include imaging, using an imaging system, a position of one or more markers integrated with a localization array in a treatment room and transforming the position of the one or more markers to a treatment room coordinate system. The method also includes determining the position of the localization array in the treatment room coordinate system based on the transforming.

Localization array position in treatment room coordinate system

Fiducial localization methods and apparatus are described.

Fiducial localization

Treatment targets such as tumors or lesions, located within an anatomical region that undergoes motion (which may be periodic with cycle P) are tracked. A 4D mathematical model may be established for the non-rigid motion and deformation of the anatomical region, from a set of CT or other 3D images. The 4D mathematical model relates the 3D locations of part(s) of the anatomical region with the targets being tracked, as a function of the position in time within P. Using non-rigid image registration between pre-operative and intra-operative images, the position of the target and/or other part(s) of the anatomical region may be determined.

Tracking of moving targets

Treatment targets such as tumors or lesions, located within an anatomical region that undergoes motion (which may be periodic with cycle P), are dynamically tracked. A 4D mathematical model is established for the non-rigid motion and deformation of the anatomical region, from a set of CT or other 3D images. The 4D mathematical model relates the 3D locations of part(s) of the anatomical region with the targets being tracked, as a function of the position in time within P. Using fiducial-less non-rigid image registration between pre-operative DRRs and intra-operative x-ray images, the absolute position of the target and/or other part(s) of the anatomical region is determined. The cycle P is determined using motion sensors such as surface markers. The radiation beams are delivered using: 1) the results of non-rigid image registration; 2) the 4D model; and 3) the position in time within P.

Dynamic tracking of moving targets

A patient positioning assembly is described. The patient positioning assembly including a plate member rotatably mounted on a base member, and an arm extending between a first end and a second end, wherein the first end is rotatably attached to the plate member. The patient positioning assembly further including a support device rotatably attached to the second end of the arm to support a patient thereon, with the support device is configured to move the patient in at least five degrees of freedom.

Patient positioning assembly

A robotic patient positioning assembly for therapeutic radiation treatment includes a robotic positioning device for moving and supporting the patient during treatment, a sensor system for detecting the position of the robotic positioning device, and a controller operatively connected with the sensor system for receiving position data of the robotic positioning device and operatively connected to the robotic positioning device for controlling the motions of the robotic positioning device. The controller is adapted for controlling the motion of the robotic positioning device in response to information representative of the position of the robotic positioning device received from the sensor system, so that the treatment target within a patient loaded on the robotic positioning device is properly aligned with a radiation source of a therapeutic radiation treatment system.

A unified quality assurance technique to verify alignment of a radiation treatment delivery system. In one embodiment, a radiation treatment source is instructed to move to a preset source position. An image of the radiation treatment source at its actual source position is generated and compared against a reference image to determine whether the radiation treatment source correctly achieved the preset source position. In one embodiment, a positioning system is instructed to move a target detector to a preset target position. An image of the target detector at its actual target position is generated and compared against a reference target image to determine whether the positioning system correctly achieved the preset target position.

Unified quality assurance for a radiation treatment delivery system

A method and apparatus for quality assurance of an image guided radiation treatment delivery system. A quality assurance ('QA') marker is positioned at a preset position under guidance of an imaging guidance system of a radiation treatment delivery system. A radiation beam is emitted from a radiation source of the radiation treatment delivery system at the QA marker. An exposure image of the QA marker due to the radiation beam is generated. The exposure image is then analyzed to determine whether the radiation treatment delivery system is aligned.

Integrated quality assurance for an image guided radiation treatment delivery system

Integrated quality assurance for in image guided radiation treatment delivery system

A patient positioning assembly for therapeutic radiation treatment includes a support device for supporting the patient during treatment, and a controller for controlling the motion of the support device so that the treatment target within the patient is properly aligned with respect to a radiosurgical treatment apparatus throughout the treatment. The controller generates motion command signals for implementing corrective motions of the support device. The corrective motions align the target so that the position and orientation of the target, as shown in near real time image data, substantially match the position and orientation of the target, as shown in pre-treatment scans. One or more user interface modules, for example a handheld remote control module and a user interface screen, allows the user to interactively control the motion of the support device, by implementing one or more user selectable functions.

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Saratoga, CA, United States of America

Eric Earnst