Patient motion monitoring system for proton therapy

• US 6,780,149 B1
• Filed: 05/13/2002
• Issued: 08/24/2004
• Est. Priority Date: 04/07/1999
• Status: Expired due to Term

• Current Assignee: LOMA Linda University Medical Center (Mission Healthcare Services LLC)
• Original Assignee: LOMA Linda University Medical Center (Mission Healthcare Services LLC)
• Inventors: Schulte, Reinhard
• Primary Examiner(s): Jones, Mary Beth
• Assistant Examiner(s): Veniaminov, Nikita R
• Application Number:
  US09/958,457
• Time in Patent Office: 834 Days
• Field of Search: 600/1, 600/409, 600/426, 600/427, 600/429, 600/439, 600/424, 600/478, 600/414, 600/410, 606/130, 378/69, 378/162, 378/204, 378/205, 378/207, 378/208, 356/141.1, 356/623, 356/624, 433/27, 433/68, 433/213, 250/227.11, 250/231.19, 250/206.1, 250/227.23, 250/251, 250/492.1
• US Class Current: 600/1
• CPC Class Codes: A61N 2005/105 using a laser alignment system
• CPC Class Codes: A61N 2005/1087 Ions; Protons
• CPC Class Codes: A61N 5/1049 for verifying the position of the patient with respect to the radiation beam
• CPC Class Codes: A61N 5/1067 in real time, i.e. during treatment

Abstract

A patient motion monitoring system (102) for use in a proton therapy center (100) is disclosed. The patient monitoring system (102) includes a plurality of position detector assemblies (162) with each position detector assembly (162) being constructed of a flexibly rigid support arm (132) attached to a position sensor (130). Each support arm (132) of the plurality of position detector assemblies (162) is detachably mounted to a supporting structure so as to allow the corresponding position sensor (130) to be positioned adjacent a patient (104) who is receiving proton therapy. Furthermore, each position sensor (130) of the plurality of position detector assemblies (162) generates a position signal that is indicative of the distance between a front surface of the position sensor, and an adjacent surface of the patient. The patient motion monitoring system (102) further includes a controller (160) which is adapted to receive each position signal from the plurality of position detector assemblies (162), a display (144), and an alarm (148) to indicate if a patient has moved out of position.

Claims

1. A patient motion monitoring system for use with a particle beam therapy system, the system comprising:

a first energy source adapted to direct energy towards a surface of a patient substantially positioned in a desired orientation;

a first sensor that receives reflected energy from the first energy source that is reflecting off of the surface of the patient wherein the sensor provides a first signal indicative thereof;

at least one positioning mechanism that allows for the first energy source and the first sensor to be positioned at a selected distance from the surface of the patient;

a controller that receives the first signal from the first sensor and determines the location of the patient based upon the first signal from the sensor, wherein the controller evaluates the first signal to determine if the patient has moved more than a selected threshold amount from the desired orientation.

2. The system of claim 1, further comprising a second energy source adapted to direct energy towards a surface of the patient positioned in a desired orientation and a second sensor that receives reflected energy from the second energy source that is reflecting off of the surface of the patient.

3. The system of claim 2, wherein the controller receives a second signal from the second sensor and determines a location of the patient with respect to the second sensor based upon the signal from the second sensor and wherein the controller evaluates the second signal in conjunction with evaluating the first signal to determine if the patient has moved more than the selected threshold amount from the desired orientation.

4. The system of claim 1, wherein the controller produces a signal indicative of when the patient has moved more than the selected threshold amount from the desired orientation.

5. The system of claim 4, wherein the signal produced by the controller is an alarm signal that signifies to a user that the patient has moved more than the selected threshold amount from the desired orientation.

6. The system of claim 4, wherein the signal produced by the controller is a beam signal that can be used by a particle beam control system to interrupt the delivery of a therapeutic beam to the patient.

7. The system of claim 4, wherein the controller records a degree of movement of the patient.

8. The system of claim 4, wherein the controller produces the signal only when the first signal indicates that the patient has moved more than the selected threshold amount for a pre-selected time period to allow the patient to return to the desired orientation.

9. The system of claim 8, wherein the first signal is accurate to within 10 microns of the location of the patient from the sensor.

10. The system of claim 9, wherein the controller is configured to allow the user to set the selected threshold amount.

11. The system of claim 10, wherein the user can select a selected threshold amount of 1 mm movement in a distance from the first sensor such that the patient is no longer in the desired orientation.

12. The system of claim 1, wherein the first energy source is comprised of an LED and the first sensor is comprised of an LED receiver that receives the light reflected off of the surface of the patient and evaluates the received light to produce the first signal.

13. The system of claim 1, wherein the at least one positioning assembly is comprised of a base and a positioning assembly that is mounted thereto which has three degrees of movement to facilitate positioning of the first energy source and the first sensor at a desired distance from the patient and in a desired orientation.

14. The system of claim 13, further comprising a mobile cart containing the base and the controller so that the base and controller can be used in conjunction with a plurality of different treatment locations in a particle beam treatment system and wherein the controller can be communicatively linked to a control system for the particle beam treatment system.

15. A patient motion monitoring system for use with a particle beam therapy system the monitoring system comprising:

a first non-contact sensor that shines a first signal against a first surface of a patient substantially positioned in a desired orientation and obtains a reflected signal, wherein the first non-contact sensor provides a first output signal indicative of the distance between the first sensor and the first surface;

a second non-contact sensor that shines a second signal against a second surface of the patient and obtains a reflected signal, wherein the second non-contact sensor provides a second output signal indicative of the distance between the second sensor and the second surface;

a controller that receives the first and second output signal, wherein the controller uses the first and second output signals to evaluate whether the patient has moved more than a selected threshold amount from the desired location and provides a patient movement signal indicative thereof upon determining that the patient has moved more than the selected threshold amount.

16. The system of claim 15, wherein the first non-contact sensor and the second non-contact sensor are positionable so that the first and second non-contact sensors can be positioned with respect to the patient so that the first and second output signals provide an indication of the amount the patient has moved along an axes corresponding to the first and second signals of the first and second non-contact sensors.

17. The system of claim 16, further comprising first and second positioning assemblies having multiple degrees of motion upon which the first and second non-contact sensors are respectively mounted so that the first and second non-contact sensors can be positioned with respect to the patient at a selected distance from the surfaces of the patient.

18. The system of claim 15, wherein the controller receives the first and second output signals which are indicative of the distance of the patient from the first and second non-contact sensors and wherein the controller uses the first and second output signals to calculate the movement of the patient from the desired orientation.

19. The system of claim 15, wherein the first and second non-contact sensors are LED sensors which direct a light beam along an axis towards the patient and measure the returning light to obtain an indication of the distance of the surface of the patient from the sensor.

20. The system of claim 19, wherein the first and second non-contact sensors provide a signal indicative of the distance of the patient from the first and second non-contact sensors to within a tolerance of approximately 10 microns.

21. The system of claim 20, wherein the controller is configured to allow the user to set the selected threshold amount.

22. The system of claim 21 wherein the controller is configured to allow the user to set the selected threshold amount to 1 mm such that the controller produces the patient movement signal when the patient has moved more than 1 mm from the desired orientation.

23. The system of claim 15, wherein the patient movement signal produced by the controller is an alarm signal that signifies to a user that the patient has moved more than the selected threshold amount from the desired orientation.

24. The system of claim 15, wherein the patient movement signal produced by the controller is a beam signal that can be used by a particle beam control system to interrupt the delivery of a therapeutic beam to the patient.

25. The system of claim 15, wherein the controller records a degree of movement of the patient.

26. The system of claim 15, wherein the controller produces the patient movement signal only when the first and second output signals indicates that the patient has moved more than the selected threshold amount for a pre-selected time period to allow the patient to return to the desired orientation.

27. A particle beam delivery system comprising:

a particle beam delivery system for delivering a therapeutic particle beam to a targeted region within a patient; and

a non-contact patient motion monitoring system having a first non-contact sensor that directs a beam towards a first surface of the patient positioned so that the first surface is disposed at a desired location and receives a reflected beam therefrom, wherein the first non-contact sensor provides a first output signal indicative of the distance of the first surface from the first non-contact sensor and wherein the non-contact patient motion monitoring system further includes a controller that receives the first output signal and evaluates the first output signal to determine if the first surface of the patient has moved more than a selected threshold amount from the desired location and wherein the controller provides a patient movement signal adapted to allow for interruption of delivery of the therapeutic particle beam upon determining that the first surface of the patient has moved more than the selected threshold amount from the desired location.

28. The system of claim 27, wherein the non-contact patient motion monitoring system further comprises a second non-contact sensor that directs a beam to a second surface of the patient and receives a reflected beam therefrom, wherein the second non-contact sensor provides a second output signal indicative of the distance between the second surface of the patient from the second non-contact sensor.

29. The system of claim 28, wherein the controller evaluates both the first output signal and the second output signal to determine if the patient has moved more than a selected threshold amount from the desired orientation.

30. The system of claim 27, wherein the first non-contact sensor and the second non-contact sensor are positionable so that the first and second non-contact sensors can be positioned with respect to the patient so that the first and second output signals provide an indication of the amount the patient has moved along an axes corresponding to the first and second signals of the first and second non-contact sensors.

31. The system of claim 30, further comprising first and second positioning assemblies having multiple degrees of motion upon which the first and second non-contact sensors are respectively mounted so that the first and second non-contact sensors can be positioned with respect to the patient at a selected distance and in selected directions from the surfaces of the patient.

32. The system of claim 27, wherein the first and second non-contact sensors are LED sensors which direct a light beam along an axis towards the patient and measure the returning light to obtain an indication of the distance of the surface of the patient from the first and second non-contact sensors.

33. The system of claim 32, wherein the first and second non-contact sensors provide a signal indicative of the distance of the patient from the first and second non-contact sensors to within a tolerance of approximately 10 microns.

34. The system of claim 27, wherein the controller is configured to allow the user to set the selected threshold amount.

35. The system of claim 34, wherein the controller is configured to allow the user to set the selected threshold amount to 1 mm such that the controller produces the patient movement signal when the patient has moved more than 1 mm in a direction defined either by the first or second non-contact sensors from the desired orientation.

36. The system of claim 35, wherein the controller records a degree of movement of the patient.

37. The system of claim 27, wherein the controller produces the patient movement signal only when the first and second output signals indicates that the patient has moved more than the selected threshold amount for a pre-selected time period to allow the patient to return to the desired orientation.

38. A method of monitoring a position of a patient, the method comprising:

directing a first non-contact beam from a first location towards a first surface of a the patient;

receiving a first reflected beam from the first surface of the patient;

evaluating the first reflected beam to measure a first distance between the first surface and the first location; and

providing a signal when the first measured distance is greater than a first threshold value.

39. The method of claim 38, wherein directing a first non-contact beam from a first location towards a first surface of the patient comprises directing a beam from a first LED sensor device that is mounted on a support assembly that is positionable and positioning the first LED sensor in a position so that movement of the patient in a direction along the beam of the first LED sensor results in a change in the measured first distance.

40. The method of claim 39, wherein evaluating the first reflected beam comprises evaluating the size of the first reflected beam to obtain a signal indicative of the distance between the first surface of the patient and the first location.

41. The method of claim 38, further comprising:

directing a second non-contact beam from a second location towards a second surface of the patient;

receiving a second reflected beam from the second surface of the patient; and

evaluating the second reflected beam to measure a second distance between the second surface of the patient and the second location.

42. The method of claim 41, wherein said providing a signal further comprises providing the signal when the second measured distance is greater than a second threshold value.

43. The method of claim 42, wherein the first and second threshold values are approximately equal to 1 mm.

44. The method of claim 38, wherein said providing a signal further comprises providing a signal only if the first measured distance is greater than the first threshold value for a pre-selected period of time to permit the first surface of the patient to return to a desired location.

45. The method of claim 44, wherein the pre-selected time period is approximately 2 seconds.

46. The method of claim 45, wherein the signal is adapted to allow for interruption of delivery of a therapeutic particle beam to the patient.

47. The method of claim 44, wherein the signal is adapted to warn a user that the location of the patient is outside of an acceptable range.