Method and system for predictive physiological gating of radiation therapy

• US 20060004547A1
• Filed: 09/01/2005
• Published: 01/05/2006
• Est. Priority Date: 10/23/1998
• Status: Active Grant

• Current Assignee: Varian Medical Systems Incorporated (Siemens AG)
• Original Assignee: Varian Medical Systems Incorporated (Siemens AG)
• Inventors: Mostafavi, Hassan
• Granted Patent: US 7,191,100 B2
• Time in Patent Office: Days
• US Class Current: 702/189
• CPC Class Codes: A61B 6/541 involving acquisition triggered by a physiological signal
• CPC Class Codes: A61N 5/1037 taking into account the movement of the target, e.g. 4D-image based planning
• CPC Class Codes: A61N 5/1048 Monitoring, verifying, controlling systems and methods
• CPC Class Codes: A61N 5/1064 for adjusting radiation treatment in response to monitoring

Abstract

A method and system for physiological gating for radiation therapy is disclosed. A method and system for detecting and predictably estimating regular cycles of physiological activity or movements is disclosed. Another disclosed aspect of the invention is directed to predictive actuation of gating system components. Yet another disclosed aspect of the invention is directed to physiological gating of radiation treatment based upon the phase of the physiological activity.

Claims

1-25. -25. (canceled)

26. A method of generating a signal, comprising:

determining a variable representative of a degree of completion of a cycle of a physiological movement; and

generating a signal based upon the variable;

wherein the variable is determined using a first set of data obtained at a first time and a second set of data obtained at a second time.

27. The method of claim 26, wherein the first set of data comprises an amplitude value and a time value.

28. The method of claim 26, wherein the first set of data is compared with the second set of data.

29. The method of claim 26, wherein the first set of data is pattern matched against the second set of data.

30. The method of claim 26, wherein the first set of data represents a physiological movement.

31. The method of claim 30, wherein the physiological movement comprises a breathing movement.

32. The method of claim 26, wherein the signal is determined for use in a procedure.

33. The method of claim 32, wherein the procedure comprises use of radiation.

34. The method of claim 32, wherein the procedure comprises processing data associated with an application of radiation.

35. The method of claim 26, wherein the variable is determined by determining a degree of match between the first set of data and the second set of data.

36. The method of claim 35, wherein the degree of match is determined based on a secondary peak value of an autocorrelation function.

37. The method of claim 35, wherein the degree of match is determined based on a secondary minimum value of an absolute difference function.

38. The method of claim 35, further comprising comparing the degree of match to a threshold range.

39. The method of claim 26, wherein the variable has a value in a range between 0°

and 360°

, with 0°

representing a beginning of a physiological cycle, and 360°

representing an end of a physiological cycle.

40. The method of claim 26, wherein the variable represents a phase of the physiological movement.

41. The method of claim 26, wherein each of the first and second sets of data comprises an amplitude value and a time value.

42. The method of claim 41, wherein the first set of data represents a first position of a portion of a patient in a physiological cycle, and the second set of data represents a second position of the portion of the patient in the physiological cycle.

43. The method of claim 26, wherein the second set of data is obtained using a plurality of data generated over a period.

44. The method of claim 26, wherein the first set of data is obtained in a first physiological cycle, and the second set of data is obtained in a second physiological cycle.

45. The method of claim 26, wherein the first set of data is obtained in a physiological cycle, and the second set of data is obtained from a model.

46. A system for determining a signal, comprising:

a processor configured to determine a variable representative of a degree of completion of a cycle of a physiological movement, and generate a signal based upon the variable;

wherein the processor determines the variable using a first set of data obtained at a first time and a second set of data obtained at a second time.

47. A method of performing a procedure, comprising:

determining a variable representative of a degree of completion of a cycle of a physiological movement; and

using the variable in the procedure;

wherein the variable is determined using a first set of data obtained at a first time and a second set of data obtained at a second time.

48. The method of claim 47, wherein the procedure involves use of a radiation.

49. The method of claim 47, wherein the procedure comprises applying radiation towards a patient.

50. The method of claim 47, wherein the procedure comprises processing data associated with an application of radiation.

51. The method of claim 47, wherein the variable is used to determine a treatment interval.

52. The method of claim 47, wherein the variable is used to determine a deviation from periodicity of a physiological movement.

53. The method of claim 47, wherein the variable is used to predict a phase of a physiological movement.

54. The method of claim 47, wherein the variable is used to predictively actuate a radiation device.

55. The method of claim 47, wherein the variable is used to gate an application of radiation.

56. The method of claim 47, wherein the variable has a value in a range between 0°

and 360°

, with 0°

representing a beginning of a physiological cycle, and 360°

representing an end of a physiological cycle.

57. The method of claim 47, wherein the variable represents a phase of the physiological movement.

58. The method of claim 47, wherein each of the first and second sets of data comprises an amplitude value and a time value.

59. The method of claim 58, wherein the first set of data represents a first position of a portion of a patient in a physiological cycle, and the second set of data represents a second position of the portion of the patient in the physiological cycle.

60. The method of claim 47, wherein the second set of data is obtained using a plurality of data generated over a period.

61. The method of claim 47, wherein the first set of data is obtained in a first physiological cycle, and the second set of data is obtained in a second physiological cycle.

62. The method of claim 47, wherein the first set of data is obtained in a physiological cycle, and the second set of data is obtained from a model.