Method and apparatus for patient positioning for radiation therapy

• US 5,622,187 A
• Filed: 09/30/1994
• Issued: 04/22/1997
• Est. Priority Date: 09/30/1994
• Status: Expired due to Term

• Current Assignee: Best Medical International Incorporated (TeamBest Group)
• Original Assignee: Nomos Corporation (North American Scientific, Inc.)
• Inventors: Carol, Mark P.
• Primary Examiner(s): Smith, Ruth S.
• Application Number:
  US08/315,929
• Time in Patent Office: 935 Days
• Field of Search: 606/130, 606/897, 128/653.1, 250/491.1, 250/492.3, 378/65, 378/205, 378/206, 600/1-4
• US Class Current: 128/897
• CPC Class Codes: A61B 2017/00725 Calibration or performance testing
• CPC Class Codes: A61B 2017/00787 Surgery of the ear
• CPC Class Codes: A61B 2090/101 for stereotaxic radiosurgery
• CPC Class Codes: A61B 2090/363 Use of fiducial points
• CPC Class Codes: A61B 2090/3945 Active visible markers, e.g. light emitting diodes
• CPC Class Codes: A61B 90/14 Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
• CPC Class Codes: A61N 2005/1059 using cameras imaging the patient
• CPC Class Codes: A61N 5/1049 for verifying the position of the patient with respect to the radiation beam

Abstract

A method and apparatus for positioning a patient upon a treatment table of a linear accelerator includes a camera secured to the gantry of the linear accelerator and a plurality of light emitting diodes mounted with respect to the patient which are viewed by the camera.

Claims

1. Apparatus for treating a patient with radiation therapy treatment of a lesion within the patient'"'"'s body comprising:

a linear accelerator, including a rotatable gantry, a treatment table, and a means for focusing a beam of radiation;

a means for immobilizing a portion of the patient with respect to the treatment table associated with the treatment table; and

a means for positioning the patient upon the treatment table, including;

a plurality of light emitting diodes, including means for mounting the plurality of light emitting diodes with respect to the patient;

at least one camera for viewing the plurality of light emitting diodes; and

means for mounting the at least one camera to the gantry of the linear acceleration, whereby as the gantry rotates, the at least one camera rotates with the gantry and views the plurality of light emitting diodes from at least two different angular positions of the gantry with respect to the treatment table.

2. The apparatus of claim 1, wherein the at least one camera is a single camera.

3. The apparatus of claim 1, wherein the at least one camera is a charged coupled device camera.

4. The apparatus of claim 1, wherein the means for mounting the plurality of light emitting diodes includes a means for mounting at least one light emitting diode in an external auditory canal of an ear of the patient.

5. The apparatus of claim 4, wherein the means for mounting at least one light emitting diode in an ear of the patient includes a quantity of rapidly setting material, which is adapted to be disposed within, and conform to, the external auditory canal, and the light emitting diode is inserted into the rapidly setting material.

6. The apparatus of claim 1, wherein the means for mounting the plurality of light emitting diodes includes a means for mounting at least one light emitting diode to the means for immobilizing a portion of the patient.

7. The apparatus of claim 1, wherein the means for mounting the plurality of light emitting diodes includes a means for mounting at least one light emitting diode to the body of the patient.

8. A method for positioning a patient upon a treatment table of a linear accelerator for providing radiation therapy treatment of a lesion within the patient'"'"'s body, the linear accelerator having a rotatable gantry, comprising the steps of:

providing at least one camera mounted to the gantry of the linear accelerator;

immobilizing a portion of the patient with respect to the treatment table with a means for immobilizing associated with the treatment table;

mounting a plurality of light emitting diodes with respect to the patient;

disposing the gantry, with the at least one camera mounted thereto, in a first predetermined position with respect to the patient and generating a first image of the plurality of light emitting diodes with the at least one camera;

rotating the gantry, with the at least one camera mounted thereto, to a second predetermined position with respect to the patient, and generating a second image of the plurality of light emitting diodes with the at least one camera;

determining, from the first and second images, the location of the light emitting diodes with respect to the treatment table; and

comparing the location of the light emitting diodes with respect to the treatment table, to a previously determined desired location of the light emitting diodes with respect to the treatment table, whereby if the location of the light emitting diodes with respect to the treatment table indicates the patient is not properly positioned, the patient may be moved whereby the light emitting diodes will be disposed in the desired position.

9. The method of claim 8, including the step of providing a single camera mounted to the gantry of the linear accelerator.

10. The method of claim 8, including the step of mounting at least one of the light emitting diodes with respect to the patient by mounting at least one light emitting diode to the means for immobilizing the patient.

11. The method of claim 10, including the step of mounting at least three light emitting diodes to the means for immobilizing the patient.

12. The method of claim 11, including the step of disposing the three light emitting diodes in a noncoplanar relationship with respect to a plane disposed perpendicular to a longitudinal axis of the treatment table.

13. The method of claim 8, including the step of mounting at least one of the light emitting diodes with respect to the patient by mounting at least one light emitting diode upon the patient.

14. The method of claim 13, including the step of mounting at least one light emitting diode in an external auditory canal of an ear of the patient.

15. The method of claim 14, wherein the at least one light emitting diode is mounted in an external auditory canal of the patient by disposing a quantity of a rapidly setting material in the external auditory canal and causing the material to conform to the shape of the external auditory canal, and at least one light emitting diode is disposed within the rapidly setting material before the material has completely set.

16. The method of claim 15, including the step of mounting a light emitting diode in each ear of the patient.

17. The method of claim 8, including the step of utilizing at least one camera having an angle sensor associated therewith.

18. The method of claim 8, including the step of utilizing as the at least one camera, a charged coupled device camera.

19. The method of claim 8, including the step of calibrating the at least one camera with respect to the treatment table before immobilizing at least a portion of the patient with respect to the treatment table.

20. The method of claim 19, including the steps of utilizing a calibration fixture to calibrate the at least one camera and providing the calibration fixture with a plurality of light emitting diodes disposed in a known spatial relationship with each other.

21. The method of claim 20, wherein the at least one camera has a field of view, and including the steps of disposing the gantry, with the at least one camera mounted thereto, in a first predetermined position with respect to the calibration fixture generating a first image of the plurality of light emitting diodes with the at least one camera;

rotating the gantry, with the at least one camera mounted thereto, to a second predetermined position with respect to the calibration fixture and generating a second image of the plurality of light emitting diodes with the at least one camera; and

determining, from the first and second images, the location of any point within the field of view of the at least one camera.

22. The method of claim 8, including the steps of continuously monitoring the location of the plurality of light emitting diodes during the rotation of the gantry while a radiation therapy treatment is provided to the patient.

23. The method of claim 22, including the step of indicating an undesired location of at least one of the plurality of light emitting diodes during the radiation therapy treatment.

24. The method of claim 8, including the steps of continuously monitoring the location of the plurality of light emitting diodes while a static radiation therapy treatment is provided to the patient.

25. The method of claim 24, including the step of indicating an undesired location of at least one of the plurality of light emitting diodes during the radiation therapy treatment.