Patient alignment system with external measurement and object coordination for radiation therapy system

• US 8,569,720 B2
• Filed: 08/24/2012
• Issued: 10/29/2013
• Est. Priority Date: 08/12/2003
• Status: Expired due to Fees

• Current Assignee: LOMA Linda University Medical Center (Mission Healthcare Services LLC)
• Original Assignee: LOMA Linda University Medical Center (Mission Healthcare Services LLC)
• Inventors: Rigney, Nickolas S., Anderson, Daniel C., Lesyna, David A., Miller, Daniel W., Moyers, Michael F., Cheng, Chieh C., Baumann, Michael A.
• Primary Examiner(s): Berman, Jack
• Assistant Examiner(s): SAHU, MEENAKSHI S
• Application Number:
  US13/594,630
• Publication Number:
  US 20120323516A1
• Time in Patent Office: 431 Days
• Field of Search: 250/492.1, 250/491.1, 250/492.3, 356/375, 356/373, 378/20, 378/65, 378/68
• US Class Current: 250/492.3
• CPC Class Codes: A61B 2090/3937 Visible markers
• CPC Class Codes: A61B 6/0442 made of non-metallic materials
• CPC Class Codes: A61B 6/4092 for producing synchrotron radiation
• CPC Class Codes: A61B 6/547 involving tracking of position of the device or parts of the device
• CPC Class Codes: A61N 2005/105 using a laser alignment system
• CPC Class Codes: A61N 2005/1059 using cameras imaging the patient
• CPC Class Codes: A61N 2005/1061 using an x-ray imaging system having a separate imaging source
• CPC Class Codes: A61N 2005/1062 using virtual X-ray images, e.g. digitally reconstructed radiographs [DRR]
• CPC Class Codes: A61N 2005/1087 Ions; Protons
• CPC Class Codes: A61N 2005/1097 Means for immobilizing the patient
• CPC Class Codes: A61N 5/1037 taking into account the movement of the target, e.g. 4D-image based planning
• CPC Class Codes: A61N 5/1049 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
• CPC Class Codes: A61N 5/1069 Target adjustment, e.g. moving the patient support
• CPC Class Codes: A61N 5/107 in real time, i.e. during treatment
• CPC Class Codes: A61N 5/1078 Fixed beam systems
• CPC Class Codes: B25J 9/1666 Avoiding collision or forbidden zones
• CPC Class Codes: G05B 15/02 electric
• CPC Class Codes: G05B 2219/45117 Medical, radio surgery manipulator

Abstract

A patient alignment system for a radiation therapy system. The alignment system includes multiple external measurement devices which obtain position measurements of components of the radiation therapy system which are movable and/or are subject to flex or other positional variations. The alignment system employs the external measurements to provide corrective positioning feedback to more precisely register the patient and align them with a radiation beam. The alignment system can be provided as an integral part of a radiation therapy system or can be added as an upgrade to existing radiation therapy systems.

Claims

1. A radiation therapy delivery system comprising a plurality of measurement devices configured to measure a direction to and a distance from a plurality of fixed landmarks and at least one of a moveable radiation nozzle and a moveable patient positioner, the system configured to calculate a current spatial position and angular orientation of at least one of the radiation nozzle and the patient positioner with reference to the plurality of fixed landmarks, the system further configured to determine movement commands to induce at least one of the radiation nozzle and the patient positioner to move from the current spatial position and angular orientation to a desired spatial position and angular orientation.

2. The system of claim 1, wherein the plurality of measurement devices are configured to measure a direction to and a distance from a plurality of markers on at least one of the moveable radiation nozzle and the moveable patient positioner.

3. The system of claim 2, wherein each measurement device is configured to independently determine a current spatial position and angular orientation of the measurement device with reference to the plurality of fixed landmarks, and wherein the system is further configured to calibrate the plurality of measurement devices by correlating the current spatial position and angular orientation of each measurement device.

4. The system of claim 1, wherein the plurality of measurement devices are configured to independently measure a direction to and a distance from at least one of the radiation nozzle and the patient positioner from multiple perspectives, wherein the system is configured to determine a direction vector from each measurement device to at least one of the radiation nozzle and the patient positioner, and wherein the system is configured to calculate the point in space where the vectors from each measurement device intersect to calculate a current spatial position and angular orientation of at least one of the radiation nozzle and the patient positioner with reference to the plurality of fixed landmarks.

5. The system of claim 1, further comprising one or more moveable imagers arranged to obtain image data of at least a portion of the patient positioner, wherein the plurality of measurement devices are further configured to determine a current three-dimensional spatial position and an angular orientation of the one or more imagers with reference to the plurality of fixed landmarks.

6. The system of claim 5, wherein the system is further configured to determine a movement envelope for the one or more imagers using the current spatial position and angular orientation of the one or more imagers.

7. The system of claim 1, wherein the plurality of measurement devices include cameras, laser measurement devices, or radio-location devices.

8. The system of claim 1, further comprising one or more feedback devices in communication with at least one of the radiation nozzle and the patient positioner, the one or more feedback devices configured to independently determine the current position of at least one of the radiation nozzle and the patient positioner, and wherein the system is configured to determine movement commands based on current position information received from the plurality of measurement devices and the one or more feedback devices.

9. The system of claim 1, wherein the system receives position signals from one or more movable imagers indicative of a spatial position of a target iso-center of a patient affixed to the patient positioner, and wherein the system is configured to determine movement commands to induce at least one of the radiation nozzle and the patient positioner to align the target iso-center at a desired translation and rotation position.

10. A radiation therapy delivery system comprising:

means for measuring a direction to and a distance from a plurality of fixed landmarks and at least one of a moveable radiation nozzle and a moveable patient positioner;

means for calculating a current spatial position and angular orientation of at least one of the radiation nozzle and the patient positioner with reference to the plurality of fixed landmarks; and

means for determining movement commands to induce at least one of the patient positioner and the radiation nozzle to move from the current spatial position and angular orientation to a desired spatial position and angular orientation.

11. The system of claim 10, wherein the means for measuring includes at least one of a camera, a laser measurement device, and a radio-location device.

12. The system of claim 10, wherein the means for calculating includes a 6-D module configured to receive location measurements from the measuring means and to determine a 6-dimensional spatial position and angular orientation of at least the radiation nozzle and the patient positioner with respect to the fixed reference objects.

13. The system of claim 10, wherein the means for determining movement commands includes a command and control module in communication with the means for calculating and at least one of the radiation nozzle and the patient positioner.

14. A method of controlling movement of a patient positioner in a radiation therapy delivery system, the method comprising:

measuring a direction to and a distance from a plurality of fixed landmarks and at least one of a moveable radiation nozzle and a moveable patient positioner;

calculating a current spatial position and angular orientation of at least one of the radiation nozzle and the patient positioner with reference to the plurality of fixed landmarks; and

determining movement commands to induce at least one of the radiation nozzle and the patient positioner to move from the current spatial position and angular orientation to a desired spatial position and angular orientation.

15. The method of claim 14, further comprising:

measuring the position of a plurality of markers on at least one of the radiation nozzle and the patient positioner from multiple perspectives; and

calibrating the measured position of the plurality of markers with respect to each other and the plurality of fixed landmarks.

16. The method of claim 14, further comprising moving at least one of the radiation nozzle and the patient positioner based on the movement commands.

17. The method of claim 16, further comprising:

recalculating the spatial position and angular orientation of at least one of the radiation nozzle and the patient positioner with reference to the plurality of fixed landmarks; and

determining whether the desired spatial position and angular orientation of at least one of the radiation nozzle and the patient positioner has been achieved.

18. The method of claim 14, further comprising:

determining a current three-dimensional spatial position and an angular orientation of at least one of a movable radiographic imager and a moveable x-ray source; and

determining a movement envelope for at least one of the imager and the x-ray source using the current spatial position and angular orientation information.

19. The method of claim 14, further comprising independently performing second local position measurements of at least the radiation nozzle and the patient positioner.

20. The method of claim 19, wherein movement commands are determined based on the current spatial position and angular orientation of at least one of the radiation nozzle and the patient positioner and the second local position measurements.