CN103764039B - Image guiding radiotherapy component - Google Patents

Image guiding radiotherapy component Download PDF

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Publication number
CN103764039B
CN103764039B CN201280034629.7A CN201280034629A CN103764039B CN 103764039 B CN103764039 B CN 103764039B CN 201280034629 A CN201280034629 A CN 201280034629A CN 103764039 B CN103764039 B CN 103764039B
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CN
China
Prior art keywords
component
axis
substrate
bed
relative
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201280034629.7A
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Chinese (zh)
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CN103764039A (en
Inventor
保罗·基尔
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Individual
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Individual
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Filing date
Publication date
Priority claimed from AU2011903046A external-priority patent/AU2011903046A0/en
Application filed by Individual filed Critical Individual
Publication of CN103764039A publication Critical patent/CN103764039A/en
Application granted granted Critical
Publication of CN103764039B publication Critical patent/CN103764039B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048Monitoring, verifying, controlling systems and methods
    • A61N5/1064Monitoring, verifying, controlling systems and methods for adjusting radiation treatment in response to monitoring
    • A61N5/1065Beam adjustment
    • A61N5/1067Beam adjustment in real time, i.e. during treatment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/04Positioning of patients; Tiltable beds or the like
    • A61B6/0407Supports, e.g. tables or beds, for the body or parts of the body
    • A61B6/0421Supports, e.g. tables or beds, for the body or parts of the body with immobilising means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/002Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame
    • A61G7/005Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame tiltable around transverse horizontal axis, e.g. for Trendelenburg position
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/002Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame
    • A61G7/008Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame tiltable around longitudinal axis, e.g. for rolling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • A61G7/0507Side-rails
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048Monitoring, verifying, controlling systems and methods
    • A61N5/1049Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam
    • A61N2005/1061Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam using an x-ray imaging system having a separate imaging source
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N2005/1092Details
    • A61N2005/1097Means for immobilizing the patient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1042X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy with spatial modulation of the radiation beam within the treatment head
    • A61N5/1045X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy with spatial modulation of the radiation beam within the treatment head using a multi-leaf collimator, e.g. for intensity modulated radiation therapy or IMRT

Abstract

A kind of image-forming assembly(10), including substrate(11), shell(14)It is fixed to substrate, radioactive source such as linear accelerator(15)In shell.Radioactive source is provided along by axis(16)The beam of the predefined paths Longitudinal extending of offer.Bed component(21)It is supported on substrate(11)On, and can lengthwise movement and can be around bed component(21)Longitudinal axis(26)Rotary motion.

Description

Image guiding radiotherapy component
Technical field
The present invention relates to radiophotography and therapeutic equipment and system.
Background technology
Radiotherapy is applied to 53% tumor patient.But, this numeral is led in rural area and developing country It is often relatively low, it is large-scale needed for the expensive cost and Current therapeutic normal form of radiotherapy equipment in part because of buying and safeguarding The construction cost of instrument, in the treatment normal form, therapeutic system is rotated about a patient.
US Patent specification 3848132,3708662,4651007,7103930 and U.S. Patent Publication US2003/ Radiophotography and therapeutic equipment and system are described in 0202631.These equipment all have disadvantages mentioned above.
Patient support equipment is disclosed in United States Patent (USP) 3585386 and International Patent Publication WO2009/076483.These set It is standby to be designed to perform specific tasks, and it is unsuitable for radiophotography and therapeutic equipment.
Japan Patent JP11309220 and French Patent (FRP) FR2647332 disclose radiophotography and therapeutic equipment, but this A little devices also have disadvantages mentioned above.
These known radiotherapies and imaging system and equipment have many shortcomings, including equipment size, fender The related stability of complexity, construction cost, complexity, motion electron gun, maintenances, the maintenance of costliness, and equipment life be also Critically important.
Goal of the invention
The purpose of the present invention is to overcome or substantially improve at least one disadvantages mentioned above.
The content of the invention
There is disclosed herein a kind of component for making patient be subjected to radiation beam, the component includes:
Substrate, supporting is on the ground;
Radioactive source is there is provided beam, and the source is arranged in substrate to be fixed in substrate and along outlet openings beam;
Patient's bed component, in substrate, and relative to basement movement, the bed provides the surface of Longitudinal extending, On a surface, and bed provides the longitudinal bed axis extended along the surface longitudinal to patient support, and bed component is movable To cause the surface to intersect with the path;And
Motor and bearing assembly, it is operatively associated with bed component and substrate, so that cause the motion, the sports bag Include the lengthwise movement and the rotary motion around axis of axis.
Preferably, axis has horizontal main bearing of trend.
Preferably, the surface can be located in generally horizontal orientation.
Preferably, the rotary motion is included in 180 ° motions of the unspecified angle side upwards about axis.
Preferably, the rotary motion is limited to 180 ° on any angle direction around the motion of axis.
Preferably, the path substantially vertical orientation.
Preferably, the path is located in the plane that the axis is located at, and the axis is for vertical line Cheng Rui Overturning angle.
Preferably, the component also includes x-ray source and detector, and the x-ray source and detector are installed in the substrate, and In the opposite side of the bed so that patient can be between x-ray source and detector.
A kind of component for making patient be subjected to radiation beam is also disclosed herein, the component includes:
Substrate, supporting is on the ground;
Radioactive source is there is provided beam, and the source is arranged in substrate to be fixed thereon and along outlet openings beam;
Patient's bed component, in substrate, and relative to basement movement, the bed provides the surface of Longitudinal extending, On said surface, and bed provides longitudinal bed axis to the patient support, and bed component can be vertical relative to the axis To motion, and can be relative to the axis rotation so that intersect with the path on the surface;
Motor and bearing assembly, it is operationally associated with bed component and substrate, so that cause the motion, the motion Lengthwise movement including relative to the axis and the rotary motion relative to the axis;And wherein
The surface can be located in generally horizontal orientation, and wherein rotary motion is included from the horizontal orientation with unspecified angle side To 180 ° of motions relative to the axis.
Preferably, the axis has horizontal main bearing of trend.
Preferably, the path is approximately perpendicular to the axis.
Preferably, the path is at an acute angle relative to the axis tilts.
Preferably, the radioactive source includes shell, wherein the shell is fixed to the substrate with relative to the substrate Static fixation.
Brief description of the drawings
The preferred form of the present invention is described in an illustrative manner now with reference to accompanying drawing, wherein in the accompanying drawings:
Fig. 1 is the schematic perspective view of image guiding radiotherapy component;
Fig. 2 is the another schematic perspective view of Fig. 1 components;
Fig. 3 is the schematic section sectional block diagram of Fig. 1 and Fig. 2 component;
Fig. 4 is the schematic perspective view of the modification of the bed component used in Fig. 1 to Fig. 3 component;
Fig. 5 is the another schematic perspective view of Fig. 4 bed component;
Fig. 6 is the schematic side elevation of Fig. 4 and Fig. 5 bed component;
Fig. 7 is the schematic plan of Fig. 4 and Fig. 5 bed component;And
Fig. 8 is the schematic end of Fig. 4 and Fig. 5 bed component.
Embodiment
Image guiding radiotherapy and/or image-forming assembly 10 are schematically depict in accompanying drawing.Component 10 includes substrate 11, substrate 11 includes pedestal 12 and tubular portion 13.Tubular portion 13 is fixed to pedestal 12 to be supported by a stable manner. Shell 14 is fixed to tubular portion 13 and upwardly extended, and radioactive source, such as linear accelerator 15 are placed in shell 14.Shell 14 is consolidated It is scheduled on the position static relative to substrate 11.In this embodiment, accelerator 15 is provided along the predefined paths for providing axis 16 The beam of Longitudinal extending.Preferably, axis 16 is substantially vertical, more preferably vertical.It should be understood that shell 14 Vertical orientation can be not configured to.As a specific example, linear accelerator 15 can make its axis 16 tilt one to vertical line Acute angle.Axis 16 is located in the plane for including axis 16.
As the substitute of above-mentioned linear accelerator 15, cobalt source or the particle beams, such as proton and carbon treatment beam can be used.
Multi-diaphragm collimator 17 is similarly installed in shell 14.Preferably, multi-diaphragm collimator 17 is used to make radiation beam shaping, and And make the radiation beam be suitable to change beam-patient's treatment angle as needed, and suitable for any detector tumour and/or just The change and motion often organized are made explanations.Other beam shaping devices can also be used.
KVx ray detectors 18 are arranged on a longitudinally-extending sides of tubular portion 13, and kVx radiographic sources 19 are located at relatively Longitudinally-extending sides part in.
Electronics launched field imaging device 20 is located at the bottom of tubular portion 13 or pedestal 12.Other devices can also be used.The dress 20 are put to be oriented to intersect with axis 16, and preferably general plane, and it is vertical relative to axis 16.
Bed component 21 is arranged in tubular portion 13.Bed component 21 is applied to supporting patient 22.Preferably, bed group Part 22 can include bed substrate 25, the elongation of the longitudinal direction of bed substrate 25, and accommodate the total length vacuum forming being placed in below patient 22 Supporting member 23, wherein patient 22 are in supine position.Holding thin plate 24 or possible another shaped component can be provided, and by its Substrate 25 is fixed to, to keep patient 22 securely against supporting member 23.
Detector 18 and source 19 are located on the opposite side of bed component 21 so that patient may be alternatively located at detector 18 and source 19 Between.
Substrate 25 provides longitudinal axis 26, it is preferable that longitudinal axis 26 passes through the approximate centre Longitudinal extending of patient 22.It is excellent Selection of land, axis 26 has horizontal main bearing of trend.Preferably, axis 26 is approximate horizontal.Bed component 21 is by tubular portion 13 supportings, to provide the lengthwise movement and the rotary motion around axis 26 of longitudinal direction of the bed substrate 25 along axis 26.It is excellent Selection of land, bed substrate 25 is movable through in either direction 180 ° of angle from the position of its generally horizontal orientation around axis 26 Degree.Actually bed substrate 25 could rotate through 360 °.Preferably, axis 26 intersects with axis 16 and perpendicular to axis 16, because This axis 16 intersects with bed substrate 25 and patient 22.
As the another modification to above-mentioned preferred embodiment, bed component 21 and substrate 11 can be modified to carry out around vertical The straight approximate horizontal axis in axis 26 and/or the rotary motion around the substantially vertical axis perpendicular to axis 26.
As described above, the right angle setting of linear accelerator 15, and for generating radiation therapy beam or image beams.
Multi-diaphragm collimator 17 is used to make treatment beam shaping so that beam shaping can occur in real time, so as to due to physiology course And/or the dissection change of the tumour and normal structure of bed rotation is made explanations.As a specific example, the method used can Treatment beam is used most preferably to make explanations to tumour and normal structure translation, rotation and deformation.
It presently, there are many image guiding and real-time monitoring system(Broadly referred to as image guiding system), these systems Available for detection is dissected day by day over the course for the treatment of and in patient's rotary course(With potential physiology)Patient changes.These are System include enter or be introduced into market come from Calypso, VisionRT, Navotek, MicroPos, RadPos, Accuray, BrainLab system and those systems developed with the combination of single-mode or kV, MV and optical means.X-ray imaging instrument It may include to merge option with the tomography of various methods and full cone-beam ability.Referring once again to International Patent Application PCT/ US2010/001944。
Preferably, electronics launched field imaging device 20 is used with to including any radiopacity implantable marker that may be present Patient anatomy and treatment beam imaging.Device 20 can be used for checking is transformable to be over the course for the treatment of delivered to patient anatomical The space of the treatment of structure and dosimetric characteristics.Presently, there are available real-time light beam pointing correction system, such as DMLC with Linear accelerator, programmable bed and universal linear accelerator are installed by track, robot.
On detector 18 and source 19, they can be image guide device, and the image guide device is kilovolt x-ray source And detector.They can be used for the pretreatment plane and volume imaging and interior Treatment monitoring of dissection, on body or interior Three-dimensional track on a single point in portion, so as to build the whole anatomical structure of patient in real time.
Bed component 21 is schematically shown into Fig. 8 in Fig. 4.In this embodiment, bed component 21 includes supporting Frame 30, bearing support 30 will be arranged on the inside of tubular portion 13, to be fixed relative to tubular portion 13.Conveying arrangement 31 is installed On bearing support 30.Conveying arrangement 31 is supported by roller or wheel 32, to provide lengthwise movement of the conveying arrangement on axis 26. Preferably, at least one wheel 32 is driven by belt 33.Belt 33 and then driven by electro-motor and gear case assembly 34.Motor 34 are manipulated into conveying arrangement 31 are moved in either direction 35, i.e. the longitudinal direction of axis 26.
Conveying arrangement 31 includes a pair of end-rack 36 upwardly extended, and end-rack 36 rotatably supports a pair of axles 37.Axle 37 is consolidated Determine to bed substrate 38, patient 22 is placed on bed substrate 38.Axle 37 is located at every one end of substrate 38, to provide substrate 38 Around the rotary motion of axis 26.The belt pulley 39 engaged by belt 40 is fixed to an axle in axle 37.Belt 40 and then by electricity Dynamic motor and gear case assembly 41 drive.As described above, by the operation of motor and gear case assembly 41, substrate 38 can be around axle Line 26 is rotated.
When substrate 38 is tilted, in order to ensure patient 22 to be maintained to the fixed position in substrate 38, there is provided multiple protect Hold band(Ring)42, retainer belt 42 can be moved between the two positions, and one of position is engaged with substrate 38, and by substrate 38 Patient 22 is held in place, the retainer belt 42 in another location is the patient 22 that will be removed from substrate 38 or will be transported to substrate 38 Space is provided.
The preferred embodiment provides many advantages, including reduces due to rotating patient space, wherein substrate 11 And electron gun(Linear accelerator)It is fixed, i.e., wherein electron gun is not movable or can not be carried out by the motion relative to substrate 11 Adjustment.
Another advantage is that required fender is less.A main fender is only needed, is rotated without electron gun Conventional blindage needed for common fender.If ground is used for main fender, then the advantage can be strengthened.
Another advantage is the cost of component 10.Because electron gun is fixed, the complex device of electron gun need not be moved.
Another advantage is stability.Due to electron gun be it is fixed, it is described substantially to improve stability problem.
Again due to electron gun is fixed, so moving component is less, the maintenance of the component is thereby reduced, and extend Life-span of the component.
It is a further advantage that security.Due to moving component much less, and because electron gun is fixed, so the peace that need to be handled Full problem is less.

Claims (14)

1. a kind of component for making patient be subjected to radiation beam, the component includes:
Substrate, supporting is on the ground;
Radioactive source there is provided the radiation beam, the radioactive source install on the substrate with it is fixed on the substrate and edge Radiation beam described in outlet openings;
Patient's bed sub-component, is installed on the substrate, and relative to the basement movement, the bed provides Longitudinal extending Surface, the patient support on said surface, and the bed provide along the surface longitudinal extend longitudinal bed Axis, the bed component can move that the surface is intersected with the path;And
Motor and supporting sub-component, it is operatively associated with patient's bed component and the substrate, so as to cause the fortune Dynamic, the motion includes the lengthwise movement and the rotary motion around longitudinal bed axis of the axis.
2. component as claimed in claim 1, wherein the axis has horizontal main bearing of trend.
3. component as claimed in claim 1, wherein the surface can be located in horizontal orientation.
4. component as claimed in claim 1, wherein the rotary motion is included in unspecified angle side upwards about the axis 180 ° of motions.
5. component as claimed in claim 4, wherein the rotary motion on any angle direction around the axis motion It is limited to 180 °.
6. component as claimed in claim 1, wherein the path orthogonal is oriented.
7. component as claimed in claim 1, wherein the path is in the plane where the axis, and the axis It is at an acute angle relative to vertical line to tilt.
8. the component as any one of claim 1 to 7, in addition to x-ray source and detector, the x-ray source and institute Detector is stated in the substrate, and on the opposite side of the bed so that patient is at the X-ray Between source and the detector.
9. component as claimed in claim 1, wherein the radioactive source includes shell, wherein the shell is fixed to the substrate With relative to the static fixation of the substrate.
10. a kind of component for making patient be subjected to radiation beam, the component includes:
Substrate, supporting is on the ground;
Radioactive source there is provided the radiation beam, the radioactive source install on the substrate with it is fixed on the substrate and edge Radiation beam described in outlet openings;
Patient's bed sub-component, is installed on the substrate, and relative to the basement movement, the bed provides Longitudinal extending Surface, on said surface, and the bed provides longitudinal bed axis to the patient support, and the bed component can Relative to longitudinal bed axis lengthwise movement, and relative to longitudinal bed axis rotation so that the table Intersect with the path in face;
Motor and supporting sub-component, it is operatively associated with patient's bed component and the substrate, so as to cause the fortune Dynamic, the motion includes the lengthwise movement and the rotary motion relative to the axis relative to the axis;And wherein
The surface can be horizontally oriented, wherein the rotary motion is included from the horizontal orientation with unspecified angle side To 180 ° of motions relative to the axis.
11. component as claimed in claim 10, wherein the axis has horizontal main bearing of trend.
12. the component as described in claim 10 or 11, wherein the path orthogonal is in the axis.
13. the component as described in claim 10 or 11, is tilted wherein the path is at an acute angle relative to the axis.
14. component as claimed in claim 10, wherein the radioactive source includes shell, wherein the shell is fixed to the base Bottom is with relative to the static fixation of the substrate.
CN201280034629.7A 2011-07-29 2012-07-18 Image guiding radiotherapy component Expired - Fee Related CN103764039B (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
AU2011903046 2011-07-29
AU2011903046A AU2011903046A0 (en) 2011-07-29 An image-guided radiation therapy assembly
PCT/AU2012/000862 WO2013016759A1 (en) 2011-07-29 2012-07-18 An image-guided radiation therapy assembly

Publications (2)

Publication Number Publication Date
CN103764039A CN103764039A (en) 2014-04-30
CN103764039B true CN103764039B (en) 2017-08-29

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AU (1) AU2012289817B2 (en)
WO (1) WO2013016759A1 (en)

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WO2017091864A1 (en) * 2015-12-03 2017-06-08 Nano-X Pty Ltd Visualising three-dimensional images of variable objects
CN113018695A (en) * 2019-12-24 2021-06-25 中硼(厦门)医疗器械有限公司 Radiation irradiation system
CN114376816A (en) * 2022-02-22 2022-04-22 陈琪 Baby nursing bed

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FR2647332A1 (en) * 1989-05-26 1990-11-30 Beal Joseph Adjustable support apparatus, in particular for holding an infant in line with an X-ray assembly
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Publication number Publication date
CN103764039A (en) 2014-04-30
AU2012289817A1 (en) 2014-01-23
AU2012289817B2 (en) 2016-07-28
WO2013016759A1 (en) 2013-02-07

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