JP6643830B2 - 患者位置決定システム - Google Patents
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Description
本明細書で説明された例示的な粒子治療システムおよび例示的な走査システムにおいて使用される粒子加速器は、可変エネルギー粒子加速器であってよく、その例は、以下に説明される。
13 治療台
14 撮像システム
15 陽子治療システム
16 ロボットアーム
18 撮像位置
19 治療位置
20 基準
21 CTスキャナー
28 開口部
40a、40b コイル
42a、42b コイル
100 帰還ヨーク
102 引き出しチャネル
105 粒子加速器
106 走査システム
108 走査磁石
109 イオンチャンバー
110 エネルギーデグレーダー
122 磁石システム
138 引き出しチャネル
140 コイル
142 コイル
144 磁極面
146 磁極面
170 クライオスタットチャンバー
171 支持点
173 支持点
190 粒子源
191 高周波駆動システム
393 ガスライン
394 チューブ
399 水素供給部
400 治療システム
402 粒子加速器
404 ガントリー
406 患者
408 脚部
410 脚部
412 ベアリング
414 ベアリング
416 トラス構造
418 治療領域
422 床
424 ボールト
432 回転軸
442 垂直軸
500 ディープレート
502 ダミーディー
503 半円形表面
505 半円形表面
507 空間
509 ダクト
514 磁気遮蔽
516 空間
517 強磁性体材料の層
525 ビーム形成システム
602 システム
604 シンクロサイクロトロン
605 回転ガントリー
606 患者支持部
622 カウンターウェイト
624 カウンターウェイト
910 治療システム
912 加速器
914 粒子ビーム
916 走査ユニットまたは散乱ユニット
918 監視ユニット
920 エネルギーデグレーダー
922 体
924 ターゲット体積
926a〜i 層
928 照射方向
930 ターゲット体積
932 コントローラー
1012 磁石システム
1300 内部導体
1302 外部導体
1304 結合装置
1306 可変受動素子
1308 可変受動素子
1310 ブレード
1312 プレート
1316 表面
Claims (34)
- 粒子治療システムを用いた治療のために患者を位置決定するために、前記粒子治療システムを含む治療システムを制御するために、コンピュータシステムによって実行される方法であって、前記コンピュータシステムが、
前記患者が治療台上にいるときに、前記患者に関連付けられた基準及び照射ターゲットの第1の画像を取得するために、撮像位置に配置された第1の撮像システムを制御する段階であって、前記撮像位置が、前記粒子治療システムを用いた治療が実行される治療室内に配置される、第1の撮像システムを制御する段階と、
前記患者が前記治療台上にいるときに、前記治療台を前記撮像位置から、前記粒子治療システムを用いた治療が実行される治療位置に向けて移動するように前記治療台を制御する段階であって、前記治療位置が、前記撮像位置とは異なり、前記治療室内にある、前記治療台を制御する段階と、
前記治療台の移動後に、前記患者が前記治療台上にいるときに、前記治療室内の前記基準の第2の画像を取得するために第2の撮像システムを制御する段階と、
前記第1の画像及び前記第2の画像の両方に基づいて、前記治療室内の前記基準の位置を判断する段階と、
前記治療室内の前記基準の位置及び前記第1の画像内の前記基準の位置に基づいて、前記粒子治療システムに対する前記照射ターゲットの位置を判断する段階と、
前記照射ターゲットの位置に基づいて、前記治療台を前記治療室内の前記治療位置に移動させるように前記治療台を制御する段階と、を含む動作を実行し、
前記患者が、前記第1の画像を取得し、前記治療台を前記治療位置に向けて移動し、前記第2の画像を取得し、前記治療台を前記治療位置に移動する間、前記治療台上に維持される、方法。 - 前記第1の撮像システムが、前記患者の内部画像及び前記基準の内部画像を取得するように構成され、
前記第2の撮像システムが、前記基準の外部画像を取得するように構成された、請求項1に記載の方法。 - 前記第1の画像が、X線放射線画像、コンピュータ断層撮影(CT)装置によって取得されたCT画像、磁気共鳴撮影(MRI)装置によって取得されたMRI画像、陽電子放出断層撮影(PET)装置によって取得されたPET画像、ビデオ表面撮像装置によって取得された画像、またはSPECT/CT装置によって取得された画像の1つまたは複数を含む、請求項1に記載の方法。
- 前記コンピュータシステムが、前記患者を前記治療位置において治療するための前記粒子治療システムを制御する段階を含む動作を実行し、
前記粒子治療システムを制御する段階が、前記粒子治療システムを用いて、前記患者に陽子を照射するように、前記粒子治療システムを制御する段階を含む、請求項1に記載の方法。 - 前記粒子治療システムがアイソセンターを有し、前記アイソセンターが前記治療位置を含む、請求項4に記載の方法。
- 前記粒子治療システムに対する前記照射ターゲットの位置が、前記治療室内の参照座標系に基づいて判断される、
請求項1に記載の方法。 - 前記粒子治療システムがアイソセンターを有し、前記治療台を前記治療位置に移動させるように前記治療台を制御する段階が、前記照射ターゲットの位置が前記アイソセンターの位置に対応するように、前記治療台を移動させるように前記治療台を制御する段階を含む、請求項6に記載の方法。
- 前記参照座標系が、前記粒子治療システムを含む実世界空間の一部である、請求項6に記載の方法。
- 前記治療台を前記治療位置に移動させるように前記治療台を制御する段階が、前記患者が前記治療台上にいる状態で、前記治療台を、前記撮像位置から前記治療位置まで自動的に移動させるロボット機構を用いて実行される、請求項1に記載の方法。
- 前記コンピュータシステムが、前記患者上の解剖学的ランドマークを特定する段階と、前記基準となる前記解剖学的ランドマークを指定する段階と、を含む動作を実行する、請求項1に記載の方法。
- 前記第1の画像が、3次元(3D)画像または2次元(2D)画像を含む、請求項1に記載の方法。
- 前記コンピュータシステムが、
前記治療室内の前記基準の位置及び前記第1の画像内の前記基準の位置に基づいて前記照射ターゲットの方向を判断する段階と、
前記照射ターゲットの方向に基づいて、前記治療の方向を設定する段階と、を含む動作を実行する、請求項1に記載の方法。 - 前記コンピュータシステムが、
前記第1及び第2の画像に基づいて、経時的に前記基準の移動を追跡する段階と、
前記基準の移動に基づいて、前記治療台の移動を制御する段階と、を含む動作を実行する、請求項1に記載の方法。 - 前記コンピュータシステムが、
前記第1及び第2の画像に基づいて、経時的に前記基準の移動を追跡する段階と、
前記基準の移動に基づいて前記粒子治療システムを制御する段階と、を含む動作を実行する、請求項1に記載の方法。 - 前記第1の画像を取得するために前記第1の撮像システムを制御する段階が、前記第1の画像を異なる時間において取得するように、前記第1の撮像システムを制御する段階を含み、
前記コンピュータシステムが、
異なる時間における前記基準の異なる位置に基づいて前記基準の移動を識別する段階と、
前記移動に基づいて前記粒子治療システムを制御する段階と、を含む動作を実行する、請求項1に記載の方法。 - 患者を保持するための治療台と、
患者に関連付けられた基準と、
前記患者が前記治療台上にいる状態で、前記基準及び照射ターゲットの第1の画像を取得するための、撮像位置に配置された第1の撮像システムであって、前記第1の撮像システムが、粒子治療システムを用いた治療が行われる治療室内に配置される、第1の撮像システムと、
前記患者が前記治療台上にいる状態で、前記治療台を前記撮像位置から、前記粒子治療システムを用いた治療が行われる治療位置に向けて移動させるための機構であって、前記治療位置が前記撮像位置とは異なり、前記治療室内にある、前記治療台を移動させるための機構と、
前記治療台を前記治療位置に向けて移動した後であって、前記患者が前記治療台上にいる状態で、前記治療室内で、前記基準の第2の画像を取得するための第2の撮像システムと、
前記第2の画像内の基準の位置を、前記治療室内の位置に位置合わせし、前記第1の画像内の基準の位置を前記治療室内の位置に位置合わせし、前記治療室内の前記基準の位置及び前記第1の画像内の前記基準の位置に基づいて前記粒子治療システムに対する前記照射ターゲットの位置を判断するようにプログラムされたコンピュータシステムと、を含み、
前記治療台を移動するための機構が、前記照射ターゲットが前記治療位置にあるように前記照射ターゲットの位置に基づいて前記治療台を移動させるように制御可能であり、
前記患者が、前記第1の画像を取得し、前記治療台を前記治療位置に向けて移動し、前記第2の画像を取得する間、前記治療台上に維持される、治療システム。 - 前記第1の撮像システムが、前記患者及び前記基準の内部画像を取得するように構成され、
前記第2の撮像システムが、前記基準の外部画像を取得するように構成された、請求項16に記載のシステム。 - 前記第1の撮像システムが、放射線画像を取得するX線装置、コンピュータ断層撮影(CT)画像を取得するCT装置、磁気共鳴撮影(MRI)画像を取得するMRI装置、陽電子放出断層撮影(PET)画像を取得するPET装置、ビデオ表面撮像装置によって取得された画像、またはSPECT/CT装置によって取得された画像の1つまたは複数を含む、請求項16に記載のシステム。
- 前記粒子治療システムが、前記治療位置において前記患者を治療するための粒子加速器システムをさらに含み、
前記患者の治療が、前記粒子加速器システムによって出力される陽子の前記患者への照射を含む、請求項16に記載のシステム。 - 前記粒子治療システムがアイソセンターを有し、前記アイソセンターが前記治療位置を含む、請求項19に記載のシステム。
- 前記粒子治療システムに対する前記照射ターゲットの位置が、前記治療室の参照座標系に基づいて判断される、請求項16に記載のシステム。
- 前記粒子治療システムがアイソセンターを有し、
前記治療台の前記治療位置への移動が、前記照射ターゲットの位置が前記アイソセンターの位置に対応するように前記治療台を移動させることを含む、請求項21に記載のシステム。 - 前記参照座標系が、前記治療システムを含む実世界空間の一部である、請求項21に記載のシステム。
- 前記患者を前記治療台に固定するための拘束部をさらに含む、請求項16に記載のシステム。
- 前記機構が、ロボット機構を含み、前記ロボット機構が、前記治療台を、前記撮像位置から、前記治療位置まで、前記患者が前記治療台上に位置したままで自動的に移動させるように構成される、請求項16に記載のシステム。
- 前記機構が、前記患者が前記治療台上に位置したままで前記治療台を手動で移動させるように制御可能である、請求項16に記載のシステム。
- 前記基準が前記患者上に配置される、請求項16に記載のシステム。
- 前記基準が前記患者の解剖学的ランドマークを含む、請求項16に記載のシステム。
- 前記患者の少なくとも一部の上に枠をさらに含み、前記基準が前記枠に固定される、請求項16に記載のシステム。
- 前記第1の画像が3次元(3D)画像または2次元(2D)画像を含む、請求項16に記載のシステム。
- 前記コンピュータシステムが、
前記照射ターゲットの方向を、前記治療室内及び前記第1の画像内の基準の位置に基づいて判断する段階と、
前記治療を、前記照射ターゲットの方向に基づいて方向づける段階と、を含む動作を実行するようにプログラムされた、請求項16に記載のシステム。 - 前記コンピュータシステムが、
前記基準の経時的な移動を追跡する段階と、
前記基準の移動に基づいて前記治療台の移動を制御する段階と、を含む動作を実行するようにプログラムされた、請求項16に記載のシステム。 - 前記コンピュータシステムが、
前記基準の経時的な移動を追跡する段階と、
前記基準の移動に基づいて前記治療を制御する段階と、を含む動作を実行するようにプログラムされた、請求項16に記載のシステム。 - 前記第1の画像の取得が、異なる時間における第1の画像の取得を含み、
前記コンピュータシステムが、
異なる時間の前記基準の異なる位置に基づいて、前記基準の移動を特定する段階と、
前記移動に基づいて治療を制御する段階と、を含む動作を実行するようにプログラムされた、請求項16に記載のシステム。
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CN105561484B (zh) | 2020-09-11 |
US20160067525A1 (en) | 2016-03-10 |
EP2995348B1 (en) | 2018-11-07 |
CN105561484A (zh) | 2016-05-11 |
ES2716130T3 (es) | 2019-06-10 |
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JP2016055161A (ja) | 2016-04-21 |
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