Prostate implant planning engine for radiotherapy
First Claim
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1. A method for intraoperative treatment planning for prostate seed implant therapy, comprising the steps of:
- setting up a patient who is to receive prostate seed implant therapy in an operating room;
determining at least one of the position and volume of the patient'"'"'s prostate; and
determining the optimal placement of said prostate seeds to be implanted;
wherein each of said steps recited above is performed in sequence one after the other in real time while the patient is in the operating room;
and further including the step of determining the degree of pubic arch interference inherent in the determination of the placement of said prostate seeds to be implanted.
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Abstract
An implant planning engine plans implants for radiotherapy, e.g., prostrate brachytherapy. The system optimizes intraoperative treatment planning on a real-time basis using a synergistic formulation of a genetic algorithm, multi-objective decision theory and a statistical sensitive analysis. A total solution for prostate seed implant brachytherapy is achieved.
136 Citations
9 Claims
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1. A method for intraoperative treatment planning for prostate seed implant therapy, comprising the steps of:
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setting up a patient who is to receive prostate seed implant therapy in an operating room;
determining at least one of the position and volume of the patient'"'"'s prostate; and
determining the optimal placement of said prostate seeds to be implanted;
wherein each of said steps recited above is performed in sequence one after the other in real time while the patient is in the operating room;
and further including the step of determining the degree of pubic arch interference inherent in the determination of the placement of said prostate seeds to be implanted. - View Dependent Claims (2)
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3. A method for the real time intraoperative treatment planning for prostate seed implant therapy in which said seeds are carried by needles comprising the steps of:
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determining at least one of the position and volume of a patient'"'"'s prostate;
generating a surgical template representative of said prostate;
encoding a two-dimensional binary pattern representative of all potential needle placement positions within said surgical template; and
calculating the optimal solution of needle and seed locations for treatment of said prostate;
generating a three-dimensional virtual surgical scene for displaying visual confirmation of needle placement within said prostate;
inserting said needles in said prostate; and
comparing actual needle placement using an x-ray device to said visual confirmation of said needle placement shown by said virtual surgical scene.
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4. A method for the real time intraoperative treatment planning for prostate seed implant therapy in which said seeds are carried by needles, comprising the steps of:
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determining at least one of the position and volume of a patient'"'"'s prostate;
generating a surgical template representative of said prostate;
encoding a two-dimensional binary pattern representative of all potential needle placement positions within said surgical template;
calculating the optimal solution of needle and seed locations for treatment of said prostate; and
determining the degree of pubic arch interference present in said optimal solution of needle and seed locations. - View Dependent Claims (6)
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5. A method for the real time intraoperative treatment planning for prostate seed implant therapy in which said seeds are carried be needles, comprising the steps of:
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determining at least one of the position and volume of a patient'"'"'s prostate;
generating a surgical template representative of said prostate;
encoding a two-dimensional binary pattern representative of all potential needle placement positions within said surgical template;
calculating the optimal solution of needle and seed locations for treatment of said prostate; and
generating a three-dimensional virtual surgical scene for displaying visual confirmation of needle placement within said prostate;
wherein said surgical scene is shown in a natural horizon that mirrors an operating room view.
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7. A system for the real time intraoperative treatment planning for prostate seed implantation therapy, comprising:
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an operating room for setting up a patient whose prostate is to be treated with said prostate seed implantation therapy;
means for determining at least one of the position and volume of said prostate and for generating a surgical implantation template representative of said prostate;
means for determining the optimal placement of prostate seeds to be implanted;
a three-dimensional virtual surgical scene for displaying said prostate, said surgical implantation template and optimal placement of said prostate seeds to be implanted; and
means for determining the degree of pubic arch interference present in said optimal solution of said prostate seeds to be implanted.
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8. A system for the real time intraoperative treatment planning for prostate seed implantation therapy, comprising:
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an operating room for setting up a patient whose prostate is to be treated with said prostate seed implantation therapy;
means for determining at least one of the position and volume of said prostate and for generating a surgical implantation template representative of said prostate;
means for determining the optimal placement of prostate seeds to be implanted;
a three-dimensional virtual surgical scene for displaying said prostate, said surgical implantation template and optimal placement of said prostate seeds to be implanted; and
means for modifying said optimal solution of said prostate seeds to be implanted based upon a predetermined degree of pubic arch interference;
wherein said virtual surgical scene is continuously navigated and compared with a real-time ultrasound image of the surgical scene for verification of said prostate seed implantation in said prostate relative to the determined optimal placement of said prostate seeds.
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9. A method for the real time intraoperative treatment planning for seed implant therapy in which said seeds are carried by needles, comprising the steps of:
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determining at least one of the position and volume of a patient'"'"'s organ to be treated;
generating a surgical template representative of said organ;
encoding a two-dimensional binary pattern representative of all potential needle placement positions within said surgical template;
calculating the optimal solution of needle and seed locations for treatment of said organ;
generating a three-dimensional virtual surgical scene for displaying visual confirmation of needle placement within said organ;
inserting said needles in said organ; and
comparing actual needle placement using an x-ray device to said visual confirmation of said needle placement shown by said virtual surgical scene.
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Specification