Accuray Inc.

Jacob D Shea

Eric Schnarr

Daniel Gagnon

Calvin R Maurer

Charles Brandon Frederick

Rich Holloway

Zhicong Yu

Chuanyong Bai

Robert Elijah Broadhurst

Amit Jain

Kevin Gorczowski

Matthew Orton

Robert O'Connell

Mark Foskey

Brandon Frederick

Richard Nash

Petr Jordan

Wenli Wang

Edward Henry Chao

Mark Stephen Foskey

A method including applying a first target-subject-specific model associated with a target subject to a treatment planning image to generate a transformed treatment planning image corresponding to a first position of a plurality of positions. The method also includes modifying one or more hyper-parameters of the first target-subject-specific model to generate a second target-subject-specific model corresponding to a second position of the plurality of positions. The method further includes controlling a radiation treatment delivery device based on the second target-subject-specific model to deliver a radiation treatment to the target subject.

Partial deformation maps for reconstructing motion-affected treatment dose

A radiation treatment session is initiated to deliver a therapeutic radiation beam from a therapeutic radiation source to a target. One or more X-ray radiation sources are caused to deliver an imaging radiation beam from the one or more X-ray radiation sources through the target to one or more X-ray detectors to acquire imaging data associated with the target during therapeutic radiation beam delivery. One or more volumetric images are constructed using the acquired imaging data.

3D imaging with simultaneous treatment and non-treatment imaging beams

A method comprises inputting a treatment planning image of a target subject into a machine learning system. The method further comprises determining, by the machine learning system, a first target-subject-specific model of the treatment planning image. The method further comprises applying, by a processing device, the first target-subject-specific model to the treatment planning image to generate a transformed treatment planning image corresponding to a first position of a plurality of positions of the target subject. The method further comprises comparing the transformed treatment planning image to a reference image. The method further comprises, based on the comparing, modifying one or more parameters of the first target-subject-specific model to generate a second target-subject-specific model corresponding to a second position of the plurality of positions. The method further comprises controlling a treatment device based on the second target-subject-specific model to deliver a treatment to the target subject.

Partial deformation maps for reconstructing motion-affected treatment dose using machine learning

A multimodal imaging apparatus, comprising a rotatable gantry system positioned at least partially around a patient support, a first source of radiation coupled to the rotatable gantry system, the first source of radiation configured for imaging radiation, a second source of radiation coupled to the rotatable gantry system, the second source of radiation configured for at least one of imaging radiation or therapeutic radiation, wherein the second source of radiation has an energy level more than the first source of radiation, and a second radiation detector coupled to the rotatable gantry system and positioned to receive radiation from the second source of radiation, and a processor configured to combine first measured projection data based on the radiation detected by the first detector with second measured projection data based on the radiation detected by the second detector, and reconstruct an image based on the combined data, wherein the reconstructing comprises at least one of correcting the second measured projection data using the first measured projection data, correcting the first measured projection data using the second projection data, and distinguishing different materials imaged in the combined data using the first measured projection data and the second measured projection.

Multimodal radiation apparatus and methods

A radiation delivery system and method of operation are described. The method includes modulating a sub-beam intensity of a radiation beam generated by a radiation source across a plurality of sub-beams that subdivide a fluence field into a two-dimensional (2D) grid, and delivering a plurality of independent two-dimensional (2D) sub-beam intensity patterns from a plurality of angles while the radiation source is moved continuously.

Delivering independent 2D sub-beam intensity patterns from moving radiation source

A radiological imaging apparatus is provided that includes a radiation source for emitting radiation, a radiation detector positioned to receive radiation emitted by the radiation source and generate radiation data, wherein the radiation data comprises a primary component and a secondary component, and a data processing system. The data processing system is configured to apply image transforms to the primary component using generating functions, build a scatter model basis using the transforms, adjust parameters in the scatter model to fit scatter using the scatter model basis, generate an estimated scatter image by using the fitted scatter model, and modify the radiation data using the scatter image to decrease the scatter in the radiation data thereby generating a scatter corrected image.

Anchored kernel scatter estimate

A method comprises identifying a treatment planning image of a target subject, the treatment planning image comprising information associated with an arrangement of structures within the target subject. The method further comprises generating, based on the information, a set of reference data associated with the target subject, the reference data indicating a plurality of positions of the target subject. The method further comprises generating target-subject-specific models based on the reference data and modifying one or more hyper-parameters of the target-subject-specific mode to generate second target-subject-specific models corresponding to a second position of the plurality of positions. The method further comprises controlling a radiation treatment delivery device based on the second target-subject-specific model to deliver a radiation treatment to the target subject.

Multimodal imaging apparatus and methods include a rotatable gantry system with multiple sources of radiation comprising different energy levels (for example, kV and MV). Fast slip-ring technology and helical scans allow data from multiple sources of radiation to be combined or utilized to generate improved images and workflows, including for IGRT. Features include large field-of-view (LFOV) MV imaging, kV region-of-interest (ROI) imaging, and scalable field-of-view (SFOV) dual energy imaging.

Apparatus and methods for scalable field of view imaging using a multi-source system

A radiotherapy delivery device is provided. The device includes a source of therapeutic radiation and a first detector positioned to receive radiation from the source of therapeutic radiation. The device also includes a source of imaging radiation and a second detector positioned to receive radiation from the source of imaging radiation. A collimator assembly is positioned relative to the second source of radiation to selectively control a shape of a radiation beam emitted by the second radiation source to selectively expose part or the whole of the second radiation detector. A reconstruction processor can be operatively coupled to the detector and configured to generate patient images based on radiation received by the second detector from the second source of radiation. The device is configured to move from one imaging geometry to another using all or part of the second detector.

Integrated helical fan-beam computed tomography in image-guided radiation treatment device

A method of scanning parameter optimization, which method may be useful with image-guided radiation therapy (IGRT), allows for controlling exposure of a beam from an x-ray source and/or controlling the detection mechanism for an x-ray detector of imaging radiation of a radiation-delivery device based on one or more parameters of a region of interest of a patient. The one or more parameters of the region of interest may include a dimension, outer contour, density, location relative to an outlet of the beam, location relative to isocenter, location to the whole patient body, etc. Exposure of the patient to the beam may be varied via modulation of one or more scanning parameters for controlling an aspect of the beam and/or the detector to provide for targeted and or reduced radiation exposure of the patient or portion of the patient, and/or for improved quality of guiding images. The modulation may be varied depending on a view angle of the region of interest from a portion of the radiation-delivery device.

Optimized scanning methods and tomography system using region of interest data

An x-ray imaging apparatus and associated methods are provided to receive measured projection data in a primary region and measured scatter data in asymmetrical shadow regions and determine an estimated scatter in the primary region based on the measured scatter data in the shadow region(s). The asymmetric shadow regions can be controlled by adjusting the position of the beam aperture center on the readout area of the detector. Penumbra data may also be used to estimate scatter in the primary region.

Asymmetric scatter fitting for optimal panel readout in cone-beam computed tomography

An imaging apparatus and associated methods are provided to efficiently estimate scatter during multi-fraction treatments for improved quality and workflow. Estimated scatter from one fraction during a treatment course can be utilized during subsequent fractions, allowing for measurements with higher scatter-to-primary ratios. The quality of scatter estimates can be maintained, while workflow improves and dosage decreases. Scan configuration limits can be utilized to maintain a minimum level of scatter measurement quality. Patient information can be monitored to ensure that prior fraction scatter estimates are still applicable to current patient status.

Method and apparatus for image reconstruction and correction using inter-fractional information

Multimodal imaging apparatus and methods include a rotatable gantry system with multiple sources of radiation comprising different energy levels (for example, kV and MV). Fast slip-ring technology and helical scans allow data from multiple sources of radiation to be combined or utilized to generate improved images and workflows, including for IGRT. Features include increasing the precision of spatial registrations between respective image sets to allow more precise radiation treatment delivery, reducing image artifacts (e.g., scatter, metal and beam hardening, image blur, motion, etc.), and utilization of dual energy imaging (e.g., for material separation and quantitative imaging, patient setup, online adaptive IGRT, etc.).

A system for delivering radiation dose, includes a gantry to move about a target to be irradiated and a radiation source mounted to the gantry and directed inward toward the target, The system further includes a collimator mounted to the gantry and in front of the radiation source, the collimator to shape a radiation beam directed at the target, wherein the collimator is to modulate a sub-beam intensity of the radiation beam across a plurality of sub-beams that subdivide a fluence field into a two-dimensional (2D) grid, and wherein a plurality of independent two-dimensional (2D) sub-beam intensity patterns are delivered from a plurality of gantry angles while the gantry moves continuously.

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Cross Plains, WI, United States of America

Jacob D Shea