TWI716908B - Radiotherapy system, recording media and operation method of radiotherapy system - Google Patents

Radiotherapy system, recording media and operation method of radiotherapy system Download PDF

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TWI716908B
TWI716908B TW108121665A TW108121665A TWI716908B TW I716908 B TWI716908 B TW I716908B TW 108121665 A TW108121665 A TW 108121665A TW 108121665 A TW108121665 A TW 108121665A TW I716908 B TWI716908 B TW I716908B
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radiation
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TW202000264A (en
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高柳泰介
松浦妙子
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日商日立製作所股份有限公司
國立大學法人北海道大學
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
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    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy

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Abstract

本發明之放射線治療系統具備:質子束產生裝置103;旋轉式照射裝置105,其將由質子束產生裝置103產生之質子束朝向被照射體111中之靶201照射;控制裝置102a,其對質子束產生裝置103及旋轉式照射裝置105進行控制;轉換器303,其設置於被照射體111;及信號處理裝置302,其基於由轉換器303測定之信號波形,判定有無自基準標記101產生音波,藉此判定質子束是否照射於計劃之位置。The radiation therapy system of the present invention includes: a proton beam generating device 103; a rotary irradiation device 105 that irradiates the proton beam generated by the proton beam generating device 103 toward the target 201 in the irradiated body 111; and a control device 102a that irradiates the proton beam The generating device 103 and the rotary irradiating device 105 are controlled; the converter 303, which is provided on the irradiated body 111; and the signal processing device 302, which determines whether or not sound waves are generated from the reference mark 101 based on the signal waveform measured by the converter 303, To determine whether the proton beam irradiates the planned position.

Description

放射線治療系統、記錄媒體及放射線治療系統之作動方法Radiotherapy system, recording media and operation method of radiotherapy system

本發明係關於一種放射線治療系統、記錄媒體及放射線治療系統之作動方法。The invention relates to a radiotherapy system, a recording medium, and a method for operating the radiotherapy system.

於非專利文獻1中,關於典型性的臨床情景,記載有關於使用由布勒格波峰誘發之質子音響信號之質子束治療中之射程之驗證的研究結果。 [先前技術文獻] [非專利文獻]In Non-Patent Document 1, about typical clinical scenarios, research results on the verification of the range in proton beam therapy using the proton acoustic signal induced by the Burr peak are described. [Prior Technical Literature] [Non-Patent Literature]

[非專利文獻1]Ahmad M, Xiang L, Yousefi S and Xing L. “Theoretical detection threshold of the proton-acoustic range verification technique.” Med Phys. 2015;42(10):5735-5744.[Non-Patent Document 1] Ahmad M, Xiang L, Yousefi S and Xing L. "Theoretical detection threshold of the proton-acoustic range verification technique." Med Phys. 2015;42(10):5735-5744.

[發明所欲解決之問題][The problem to be solved by the invention]

根據發揮布勒格波峰之特徵之線量集中性之高度,粒子束治療受到注目。尤其,由於能夠形成與靶形狀一致之線量分佈,故而對掃描照射法之期待較大。The particle beam therapy is attracting attention based on the height of the concentration of the line which is the characteristic of the Bulag wave peak. In particular, since it is possible to form a line amount distribution that matches the shape of the target, the scanning irradiation method is expected to be large.

然而,於現狀之掃描照射中,要求對靶周圍設有範圍之照射,發揮線量集中性之優點尚存在餘地。作為要求範圍之背景,存在體內之射束照射位置之不確定性。However, in the current scanning irradiation, it is required to set a range of irradiation around the target, and there is still room for taking advantage of the concentration of the line quantity. As the background of the required range, there is uncertainty in the position of the beam in the body.

因此,考慮藉由直接且即時地確認射束按照照射計劃照射之情況之方法,可更加發揮優點。Therefore, it is considered that the method of directly and instantly confirming the condition of the beam irradiated according to the irradiation plan can be more advantageous.

作為藉由測定射束之照射位置,而直接且即時地確認射束按照照射計劃照射之方法,提出有如上述非專利文獻1中所記載之“粒子束音波”之活用。As a method of directly and instantly confirming that the beam is irradiated according to the irradiation plan by measuring the irradiation position of the beam, the utilization of the "particle beam sound wave" described in Non-Patent Document 1 is proposed.

所謂粒子束音波係表示藉由來自脈衝地照射之射束之熱量賦予使得局部性的區域絕熱膨脹,因而產生之彈性波。該粒子束音波於所照射之放射線為X射線之情形時亦同樣地產生。The so-called particle beam sound wave system refers to the elastic wave generated by the adiabatic expansion of the local area by the heat from the pulsed beam. The particle beam sound waves are also generated when the irradiated radiation is X-rays.

於利用該粒子束音波之位置特定中,先前,基於自射束之照射開始時刻至利用感測器之粒子束音波之測定時刻為止之時間差特定出射束之照射位置,確認射束按照照射計劃照射之情況。In the position identification using the particle beam sound wave, previously, the irradiation position of the outgoing beam was specified based on the time difference from the start time of beam irradiation to the measurement time of the particle beam sound wave by the sensor, and it was confirmed that the beam was irradiated according to the irradiation plan The situation.

然而,由於在不均質介質中每個場所音速不同,故而存在產生誤差之問題。又,由於所產生之音波之強度較小,故而存在如下問題:為了去除雜訊,需要幾次於相同之條件下重複測定,將信號平均化之處理,直至位置特定為止之準備非常花費工夫。However, since the speed of sound varies from place to place in a heterogeneous medium, there is a problem of error. In addition, since the intensity of the generated sound waves is low, there is a problem that in order to remove noise, it is necessary to repeat the measurement under the same conditions several times, and the processing of averaging the signal until the position is specified takes a lot of time.

本發明係提供一種與先前相比能夠簡易地判斷是否按照照射計劃照射放射線之放射線治療系統、記錄媒體及放射線治療系統之作動方法。 [解決問題之技術手段]The present invention provides a radiotherapy system, a recording medium, and an operation method of the radiotherapy system that can easily determine whether or not to irradiate radiation according to an irradiation plan compared with the prior art. [Technical means to solve the problem]

本發明包含複數個解決上述問題之手段,若列舉其一例,為一種放射線治療系統,其特徵在於:其係利用自配置於被照射體中之基準標記產生之音波之放射線治療系統,且具備:放射線產生裝置;照射裝置,其將由上述放射線產生裝置產生之放射線朝向上述被照射體中之靶照射;控制裝置,其對上述放射線產生裝置及上述照射裝置進行控制;音波感測器,其設置於上述被照射體;及信號處理裝置,其基於藉由上述音波感測器測定之信號波形,判定有無自上述基準標記產生音波,藉此判定上述放射線是否照射於計劃之位置。The present invention includes a plurality of means to solve the above-mentioned problems. If one example is cited, it is a radiotherapy system characterized in that it is a radiotherapy system that uses sound waves generated from a fiducial mark arranged in an irradiated body, and has: Radiation generating device; irradiation device, which irradiates the radiation generated by the radiation generating device toward the target in the irradiated body; control device, which controls the radiation generating device and the irradiation device; sonic wave sensor, which is installed in The irradiated body; and a signal processing device that determines whether or not a sound wave is generated from the reference mark based on the signal waveform measured by the sonic wave sensor, thereby determining whether the radiation is irradiated at a planned position.

又,若列舉另一例,其特徵在於,使放射線治療系統內之處理裝置執行如下判定步序:基於自朝向被照射體中之靶照射放射線時所產生之基準標記產生之音波之信號,判定有無自上述基準標記產生音波,藉此判定上述放射線是否照射於計劃之位置。Furthermore, if another example is cited, it is characterized in that the processing device in the radiation therapy system executes the following determination step: based on the signal of the sound wave generated from the fiducial mark generated when the radiation is irradiated toward the target in the irradiated body, it is determined whether there is Sound waves are generated from the reference mark, thereby determining whether the radiation is irradiated to the planned position.

進而,若列舉另一例,為一種放射線治療系統之作動方法,其特徵在於具有:測定步驟,其測定於朝向被照射體中之靶照射放射線時自基準標記產生之音波;及判定步驟,其基於由上述測定步驟測定出之音波之信號波形,判定有無自上述基準標記產生音波,藉此判定上述放射線是否照射於計劃之位置。 [發明之效果]Furthermore, if another example is cited, it is an actuation method of a radiation therapy system, which is characterized by having: a measuring step of measuring sound waves generated from a reference mark when radiation is irradiated toward a target in an irradiated body; and a determining step based on From the signal waveform of the sound wave measured in the measurement step, it is determined whether or not a sound wave is generated from the reference mark, thereby determining whether the radiation is irradiated to the planned position. [Effects of Invention]

根據本發明,與先前相比可簡易地判斷放射線是否按照照射計劃照射。上述以外之問題、構成及效果藉由以下之實施例之說明而明確。According to the present invention, it is possible to easily determine whether or not radiation is irradiated according to the irradiation plan compared with the previous one. The problems, constitution, and effects other than the above are clarified by the description of the following examples.

以下,使用圖式,對本發明之放射線治療系統、記錄媒體及放射線治療系統之作動方法之實施例進行說明。Hereinafter, embodiments of the radiotherapy system, the recording medium, and the operation method of the radiotherapy system of the present invention will be described using figures.

<實施例1> 使用圖1至圖4B對本發明之放射線治療系統、記錄媒體及放射線治療系統之作動方法之實施例1進行說明。<Example 1> The first embodiment of the radiotherapy system, the recording medium, and the operation method of the radiotherapy system of the present invention will be described using FIGS. 1 to 4B.

於本實施例中,作為放射線治療系統以將質子束照射至靶之質子束治療系統為例進行說明,但本發明亦可應用於使用質量較質子重之粒子(氦線或碳線等)之重粒子束治療系統或使用X射線之X射線治療系統。In this embodiment, as a radiation therapy system, a proton beam therapy system that irradiates a proton beam to a target is taken as an example. However, the present invention can also be applied to the use of particles with heavier mass than protons (helium rays or carbon rays, etc.) Heavy particle beam therapy system or X-ray therapy system using X-rays.

首先,使用圖1對質子束治療系統之整體構成進行說明。圖1係表示本發明之質子束治療系統之整體構成之圖。First, the overall configuration of the proton beam therapy system will be described using FIG. 1. Fig. 1 is a diagram showing the overall structure of the proton beam therapy system of the present invention.

本實施例之質子束治療系統102係利用自配置於被照射體111中之基準標記101產生之音波之系統,如圖1所示,具有質子束產生裝置103、質子束輸送裝置104、旋轉式照射裝置105、控制裝置102a、照射計劃裝置301、信號處理裝置302、轉換器303、及資料庫304。The proton beam therapy system 102 of this embodiment is a system that utilizes the sound waves generated from the fiducial mark 101 arranged in the irradiated body 111. As shown in FIG. 1, it has a proton beam generator 103, a proton beam delivery device 104, and a rotary The irradiation device 105, the control device 102a, the irradiation planning device 301, the signal processing device 302, the converter 303, and the database 304.

於圖1中,質子束產生裝置103具有離子源106、前段加速器107(例如,直線加速器)及同步加速器108。In FIG. 1, the proton beam generator 103 has an ion source 106, a front-stage accelerator 107 (for example, a linear accelerator), and a synchrotron 108.

由離子源106產生之離子首先利用前段加速器107加速。自前段加速器107出射之質子束(以下,射束)自入射器108a入射至同步加速器108內。The ions generated by the ion source 106 are first accelerated by the front accelerator 107. The proton beam (hereinafter, beam) emitted from the front-stage accelerator 107 enters the synchrotron 108 from the incident device 108a.

入射至同步加速器108之射束一面將偏向電磁鐵108b形成之大致四邊形之路徑藉由四極電磁鐵108c等所產生之磁場進行微調整並環繞,一面於每次通過加速空腔108d時加速。加速至規定之能量為止之射束利用藉由高頻出射裝置108e施加之高頻自出射偏光器109出射至質子束輸送裝置104。The beam incident to the synchrotron 108 will be deflected toward the substantially quadrilateral path formed by the electromagnet 108b by the magnetic field generated by the quadrupole electromagnet 108c, etc., to be finely adjusted and circumscribed, and the beam will be accelerated each time it passes through the acceleration cavity 108d. The beam accelerated to a predetermined energy is emitted from the emission polarizer 109 to the proton beam transport device 104 using the high frequency applied by the high-frequency emission device 108e.

質子束輸送裝置104具備複數個偏向電磁鐵105a、及四極電磁鐵105b,且將同步加速器108與噴嘴110之間連接。The proton beam transport device 104 includes a plurality of deflection electromagnets 105 a and quadrupole electromagnets 105 b, and connects the synchrotron 108 and the nozzle 110.

藉由質子束輸送裝置104輸送至旋轉式照射裝置105為止之射束最終經由旋轉式照射裝置105之噴嘴110而照射至被照射體111。The beam transported by the proton beam transport device 104 to the rotary irradiation device 105 is finally irradiated to the irradiated body 111 through the nozzle 110 of the rotary irradiation device 105.

再者,於本實施形態中採用同步加速器108作為射束之加速裝置,但本發明不論加速裝置之種類如何均可。例如,可採用回旋加速器、同步回旋加速器、雷射加速器、直線加速器等各種公知之加速器。Furthermore, in this embodiment, the synchrotron 108 is used as the beam acceleration device, but the invention does not matter what kind of acceleration device is. For example, various well-known accelerators such as a cyclotron, a synchrocyclotron, a laser accelerator, and a linear accelerator can be used.

旋轉式照射裝置105係用以將由質子束產生裝置103產生之射束朝向被照射體111中之靶201照射之裝置,具有旋轉支架(省略圖示)及噴嘴110。設置於旋轉支架之噴嘴110與旋轉支架一起旋轉。質子束輸送裝置104之一部分安裝於旋轉支架。The rotating irradiation device 105 is a device for irradiating the beam generated by the proton beam generating device 103 toward the target 201 in the irradiated body 111, and has a rotating bracket (not shown) and a nozzle 110. The nozzle 110 arranged on the rotating support rotates together with the rotating support. A part of the proton beam delivery device 104 is mounted on a rotating support.

再者,於本實施形態中以具備旋轉支架之旋轉式照射裝置105為例進行說明,但照射裝置亦可採用固定式。Furthermore, in this embodiment, the rotary irradiation device 105 with a rotating stand is taken as an example for description, but the irradiation device may also be a fixed type.

又,照射裝置並不限定於1個之情形時,可設置複數個。In addition, when the irradiation device is not limited to one, multiple irradiation devices can be installed.

進而,可將質子束輸送裝置104省略而自同步加速器108對旋轉式照射裝置105直接輸送射束。Furthermore, the proton beam transport device 104 can be omitted and the beam can be directly transported from the synchrotron 108 to the rotary irradiation device 105.

圖2係採用掃描照射法之噴嘴110之概略圖。FIG. 2 is a schematic diagram of the nozzle 110 using the scanning irradiation method.

如圖2所示,於掃描照射法中,將靶201分割為微少區域(點)202,對每個點202照射細徑之射束(筆形射束)。As shown in FIG. 2, in the scanning irradiation method, the target 201 is divided into minute areas (points) 202, and a beam of a narrow diameter (pen-shaped beam) is irradiated to each point 202.

於掃描照射法中,若對某點202照射規定量之射束,則停止照射或維持照射朝向下一個規定點202掃描射束。向橫方向(圖2中之X方向、Y方向)之射束掃描使用搭載於噴嘴110之掃描電磁鐵203。In the scanning irradiation method, if a predetermined amount of beam is irradiated to a certain point 202, the irradiation is stopped or the irradiation is maintained to scan the beam toward the next predetermined point 202. The scanning electromagnet 203 mounted on the nozzle 110 is used for beam scanning in the horizontal direction (X direction and Y direction in FIG. 2).

若對關於某深度之所有點202照射規定量之射束,則於深度方向(圖2中之Z方向)掃描射束。If a predetermined amount of beam is irradiated to all points 202 about a certain depth, the beam is scanned in the depth direction (the Z direction in FIG. 2).

向深度方向之射束之掃描係藉由將利用同步加速器108之加速條件變更、或利用使射束通過搭載於噴嘴110等之射程變換器(省略圖示)等方法將射束之能量變更而進行。The scanning of the beam in the depth direction is achieved by changing the acceleration conditions of the synchrotron 108, or changing the energy of the beam by passing the beam through a range converter (not shown) mounted on the nozzle 110, etc. get on.

重複此種步序,最終於靶201整體形成均勻之線量分佈。Repeating this sequence of steps will eventually form a uniform linear distribution on the target 201 as a whole.

再者,於本實施例中,採用掃描照射法作為於靶形成均勻之線量分佈之方法,但利用散射體照射法亦獲得相同之效果。Furthermore, in this embodiment, the scanning irradiation method is used as a method to form a uniform line quantity distribution on the target, but the same effect can be obtained by using the scatterer irradiation method.

控制裝置102a係對構成包含同步加速器108等之質子束產生裝置103或質子束輸送裝置104、旋轉式照射裝置105之各機器之動作進行控制之裝置,由1個或複數個處理器、CPU(Central Processing Unit,中央處理單元)等構成。利用控制裝置102a對各機器之動作之控制係由各種程式執行。該程式儲存於資料庫304或內部記錄媒體、外部記錄媒體,且藉由CPU讀出、並執行。The control device 102a is a device that controls the actions of the devices that constitute the proton beam generating device 103, the proton beam transport device 104, and the rotary irradiation device 105 including the synchrotron 108, etc., and consists of one or more processors, CPU ( Central Processing Unit, central processing unit) and other components. The control of the operation of each machine using the control device 102a is executed by various programs. The program is stored in the database 304 or internal recording medium or external recording medium, and is read and executed by the CPU.

再者,利用控制裝置102a執行之動作之控制處理可彙集於1個程式,亦可分別分散於複數個程式,亦可為其等之組合。又,程式之一部分或全部可利用專用硬體來實現,亦可模組化。進而,各種程式亦可藉由程式發佈伺服器或記憶媒體而安裝於各計算機。Furthermore, the control processing of the actions executed by the control device 102a can be combined in one program, or can be dispersed in a plurality of programs, or a combination thereof. In addition, part or all of the program can be realized by dedicated hardware, and can also be modularized. Furthermore, various programs can also be installed on each computer through a program distribution server or a storage medium.

資料庫304係記憶對構成同步加速器108或旋轉式照射裝置105、質子束輸送裝置104之各機器之動作進行控制之程式、或複數個照射計劃資料(支架角度、計劃點資料等照射參數)等之記憶裝置。資料庫304經由有線或無線之網路線路而與控制裝置102a進行資料之授受。The database 304 stores programs that control the actions of the various machines constituting the synchrotron 108, the rotary irradiation device 105, and the proton beam transport device 104, or multiple irradiation plan data (irradiation parameters such as bracket angle, plan point data, etc.), etc. The memory device. The database 304 exchanges data with the control device 102a via a wired or wireless network line.

照射計劃裝置301係用以作成將射束照射至靶201之照射計劃之裝置,例如,決定每個點202之能量、照射位置、照射量等資訊。The irradiation planning device 301 is a device for making an irradiation plan for irradiating the beam to the target 201, for example, determining the energy, irradiation position, and irradiation amount of each point 202.

本實施例之照射計劃裝置301計算被照射體111中之射束之線量分佈,並且基於線量分佈之計算結果推定基準標記101與射束有無接觸。推定結果輸出至信號處理裝置302。The irradiation planning device 301 of this embodiment calculates the line quantity distribution of the beam in the irradiated body 111, and estimates whether the reference mark 101 is in contact with the beam based on the calculation result of the line quantity distribution. The estimation result is output to the signal processing device 302.

設置於被照射體111之轉換器303係用以於朝向被照射體111中之靶201照射射束時測定自照射位置(點202)或基準標記101產生之音波之裝置,執行測定步驟。由轉換器303測定之每個時間之壓力值(音波波形)輸出至信號處理裝置302。The converter 303 provided in the irradiated body 111 is a device for measuring the sound wave generated from the irradiation position (point 202) or the reference mark 101 when the beam is irradiated toward the target 201 in the irradiated body 111, and performs the measurement step. The pressure value (sound wave waveform) at each time measured by the converter 303 is output to the signal processing device 302.

再者,於本實施例中,對設置1個轉換器303之情形進行說明,但亦可設置複數個轉換器303。又,可代替轉換器303而使用陣列感測器等。Furthermore, in this embodiment, a case where one converter 303 is provided is described, but a plurality of converters 303 may also be provided. Also, an array sensor or the like may be used instead of the converter 303.

信號處理裝置302係基於藉由轉換器303測定出之信號波形,判定有無自基準標記101產生音波,藉此判定射束是否照射至計劃之位置的裝置,執行判定步序、判定步驟。The signal processing device 302 is a device that determines whether or not a sound wave is generated from the reference mark 101 based on the signal waveform measured by the converter 303, thereby determining whether the beam is irradiated to the planned position, and executes the determination step and the determination step.

例如,本實施例之信號處理裝置302對由轉換器303測定出之音波波形進行頻率分析,於由下述式(2)所示之頻率之強度超過規定之閾值之情形時,以判定為基準標記101與射束接觸之方式設定。For example, the signal processing device 302 of this embodiment performs frequency analysis on the sound wave waveform measured by the converter 303, and when the intensity of the frequency shown by the following formula (2) exceeds a predetermined threshold, the judgment is used as a reference The way the mark 101 contacts the beam is set.

又,本實施例之信號處理裝置302將藉由照射計劃裝置301推定之基準標記101與射束之接觸所相關的推定結果和基於轉換器303之測定的判定結果進行比較,於存在差異之情形時判定為射束未按照計劃照射,將射束之照射停止信號輸出至控制裝置102a(停止步序)。In addition, the signal processing device 302 of this embodiment compares the estimation result related to the contact between the reference mark 101 and the beam estimated by the irradiation planning device 301 with the determination result based on the measurement of the converter 303, and when there is a difference When it is determined that the beam is not irradiated as planned, the beam irradiation stop signal is output to the control device 102a (stop step sequence).

再者,關於信號處理裝置302,亦可設為與控制裝置102a相同之構成。又,信號處理裝置302可設為組裝至控制裝置102a而一體化者。In addition, the signal processing device 302 may also have the same configuration as the control device 102a. In addition, the signal processing device 302 may be integrated into the control device 102a.

圖3表示本發明中之被照射體之構成。Figure 3 shows the structure of the irradiated body in the present invention.

如圖3所示,於靶201之附近,刺入基準標記101。較理想的是,該基準標記101較佳地插入至靶201與OAR(Organ At Risk:危急器官)之間。As shown in FIG. 3, the fiducial mark 101 is pierced in the vicinity of the target 201. Ideally, the fiducial mark 101 is preferably inserted between the target 201 and OAR (Organ At Risk).

於本實施例中,基準標記101之形狀為球。再者,基準標記101無須為球形狀,亦可為其他形狀(例如立方體或螺旋狀),但為了高感度地檢測自基準標記101產生之音波較理想的是為球形狀。In this embodiment, the shape of the reference mark 101 is a ball. Furthermore, the fiducial mark 101 does not need to be a spherical shape, and may have other shapes (for example, a cube or a spiral shape). However, in order to detect the sound waves generated from the fiducial mark 101 with high sensitivity, the spherical shape is preferable.

再者,關於基準標記101之球狀之程度並不特別限定,但較理想的是不存在於被照射體111內之水準,例如較理想的是以「JIS B 1501:2009 滾動軸承-鋼球」中記載之等級計而滿足G10之水準。Furthermore, the degree of the spherical shape of the reference mark 101 is not particularly limited, but it is preferably a level that does not exist in the irradiated body 111, such as "JIS B 1501: 2009 Rolling Bearings-Steel Balls". It meets the G10 level according to the grade scale recorded in

又,於本實施例中,基準標記101之材質假定金,但並不限定為金,即便為鉑或不鏽鋼、進而樹脂等與金不同之原材料亦獲得相同之效果。Moreover, in this embodiment, the material of the fiducial mark 101 assumes gold, but it is not limited to gold. Even if it is platinum or stainless steel, and resins and other materials different from gold, the same effect can be obtained.

基準標記101係藉由設置於旋轉式照射裝置105上之X射線透視裝置(省略圖示)而始終監視被照射體111內之三維空間上之位置。因此,本發明能夠與使用基準標記101之動態追蹤照射一併使用。基準標記101放置於靶201之附近,故而於呼吸、心率等之影響下,與靶201一起移動。藉由僅於基準標記101處於規定之位置時照射射束,可抑制相對於線量分佈之靶201之移動之影響。The fiducial mark 101 always monitors the position in the three-dimensional space of the irradiated body 111 by the X-ray fluoroscopy device (not shown) provided on the rotary irradiation device 105. Therefore, the present invention can be used together with the dynamic tracking irradiation using the reference mark 101. The fiducial mark 101 is placed near the target 201, so it moves with the target 201 under the influence of respiration, heart rate, etc. By irradiating the beam only when the reference mark 101 is at a predetermined position, the influence of the movement of the target 201 with respect to the linear distribution can be suppressed.

使用圖3對本實施例中之射束照射之計劃方法進行說明。The planning method of beam irradiation in this embodiment will be explained using FIG. 3.

照射計劃裝置301如上所述,使每個點202之射束照射量最佳化。又,對事前取得之被照射體111之三維CT圖像,計算每個點202之射束之三維線量分佈。然後,於將各射束之線量分佈重疊時,以可於靶201形成均勻之線量分佈之方式,將每個點202之射束照射量最佳化。將經最佳化之每個點202之射束照射量作為處方箋輸出至資料庫304,進而於照射前輸出至質子束治療系統102。The irradiation planning device 301 optimizes the beam irradiation amount of each point 202 as described above. In addition, for the three-dimensional CT image of the irradiated body 111 obtained in advance, the three-dimensional line quantity distribution of the beam at each point 202 is calculated. Then, when the line distribution of each beam is overlapped, the beam exposure of each point 202 is optimized in a manner that can form a uniform line distribution on the target 201. The optimized beam irradiation amount of each point 202 is output as a prescription to the database 304, and then output to the proton beam therapy system 102 before irradiation.

又,本實施例之照射計劃裝置301如上所述,基於線量分佈之計算結果,推定基準標記101與對各點202之射束有無接觸。將推定結果輸出至信號處理裝置302。In addition, the irradiation planning device 301 of the present embodiment estimates whether the reference mark 101 is in contact with the beam to each point 202 based on the calculation result of the linear amount distribution as described above. The estimation result is output to the signal processing device 302.

其次,使用圖3至圖4B,對作為本實施例之質子束治療系統102中之特徵性的步驟之粒子束音波之測定步驟及判定步驟之詳細情況進行說明。Next, using FIGS. 3 to 4B, the details of the particle beam sound measurement step and the determination step, which are characteristic steps in the proton beam therapy system 102 of the present embodiment, will be described.

首先,如圖3所示,於照射射束前,於被照射體111之表面,設置用以測定粒子束音波之轉換器303。First, as shown in FIG. 3, before the beam is irradiated, a transducer 303 for measuring the sound wave of the particle beam is installed on the surface of the irradiated body 111.

再者,由於基準標記101之被照射體111內之三維位置藉由X射線攝像等而為已知,故而轉換器303可使用具有對測定自預先判明位置之基準標記101產生之音波經特殊化之感測器感度者。又,關於設置位置亦可設為對來自基準標記101之音波檢測經特殊化之配置。Furthermore, since the three-dimensional position of the fiducial mark 101 in the irradiated body 111 is known by X-ray imaging, etc., the converter 303 can be used to measure the sound waves generated from the fiducial mark 101 whose position is determined in advance. Those with sensor sensitivity. In addition, the installation position may also be a configuration specialized for the detection of sound waves from the reference mark 101.

質子束治療系統102根據自照射計劃裝置301輸入之處方箋,執行對各點202之射束照射。於該射束之照射時,將藉由轉換器303測定出之每個時間之壓力值(音波波形)輸出至信號處理裝置302。The proton beam therapy system 102 executes beam irradiation to each point 202 according to the input from the irradiation planning device 301. When the beam is irradiated, the pressure value (sound wave waveform) for each time measured by the converter 303 is output to the signal processing device 302.

此處,於熱及應力封閉成立之短脈衝之射束照射時,將來自射束之賦予線量D基於以下之式(1)而換算為壓力P。Here, at the time of beam irradiation of the short pulse where the heat and stress confinement is established, the amount of line D from the beam is converted into the pressure P based on the following equation (1).

[數1]

Figure 02_image005
[Number 1]
Figure 02_image005

於式(1)中,ρ為介質之密度。Γ為格林艾森常數(Grüneisen parameter)(表示來自固體之晶格振動中之調和振動之偏移(非調和性)的量,相當於2次之彈性常數與3次之彈性常數之比),因物質而異。於水等軟組織中約為0.1,於金中為3.5。In formula (1), ρ is the density of the medium. Γ is the Grüneisen constant (Grüneisen parameter) (represents the amount of deviation (non-harmonic) from the harmonic vibration in the lattice vibration of the solid, which is equivalent to the ratio of the second elastic constant to the third elastic constant), Varies by substance. It is about 0.1 in soft tissues such as water and 3.5 in gold.

若射束接觸到球形之基準標記101,則引起共振,自基準標記101產生球面波。該球面波可由0次之球貝塞爾函數表示,球面波之頻率f由以下之式(2)求出。If the beam touches the spherical reference mark 101, resonance is caused, and a spherical wave is generated from the reference mark 101. The spherical wave can be represented by a spherical Bessel function of order 0, and the frequency f of the spherical wave is obtained by the following equation (2).

[數2]

Figure 02_image007
[Number 2]
Figure 02_image007

於式(2)中,n為整數,v為音速,r為基準標記之半徑。In formula (2), n is an integer, v is the speed of sound, and r is the radius of the reference mark.

又,若將照射射束之脈衝設為標準偏差σ之高斯分佈,則自基準標記產生之音波之強度A由以下之式(3)求出。Furthermore, assuming that the pulse of the irradiation beam is a Gaussian distribution of the standard deviation σ, the intensity A of the sound wave generated from the reference mark is calculated by the following equation (3).

[數3]

Figure 02_image009
[Number 3]
Figure 02_image009

如上所述,轉換器303測定藉由射束照射而產生之粒子束音波,將測定結果即時地發送至信號處理裝置302。信號處理裝置302對所取得之每個時間之音波波形進行分析,判定照射至各點202之射束是否與基準標記101接觸。As described above, the converter 303 measures the particle beam sound waves generated by the beam irradiation, and transmits the measurement result to the signal processing device 302 in real time. The signal processing device 302 analyzes the acquired sound wave waveform at each time, and determines whether the beam irradiated to each point 202 is in contact with the reference mark 101.

以下,使用圖4A及圖4B對信號處理裝置302中之判定步驟之詳細情況進行說明。Hereinafter, the details of the determination step in the signal processing device 302 will be described using FIGS. 4A and 4B.

圖4A及圖4B係說明表示粒子束音波之信號波形之特徵之判定步驟之流程的圖,圖4A係射束不與基準標記101接觸之情形時之圖,圖4B係射束與基準標記101接觸之情形時之圖。4A and 4B are diagrams illustrating the flow of determining the characteristics of the signal waveform of the particle beam sound wave. FIG. 4A is a diagram when the beam is not in contact with the reference mark 101, and FIG. 4B is the beam and the reference mark 101 The picture of the contact situation.

首先,信號處理裝置302自轉換器303取得每個時間之音波波形(步驟401a、401b)。First, the signal processing device 302 obtains the sound wave waveform for each time from the converter 303 (steps 401a, 401b).

其次,信號處理裝置302對已取得之音波波形進行頻率分析(步驟402a、402b)。Next, the signal processing device 302 performs frequency analysis on the acquired sound wave waveform (steps 402a, 402b).

此處,於射束不與基準標記101接觸之情形時,如圖4A之符號401a、402a所示,藉由轉換器303而測定之音波不包含各種頻率成分之波,實質上僅測定特定之頻率之音波。該音波為由靶201內之點202產生之粒子束音波。因此,如圖4A之符號403a所示,與基準標記101對應之頻率404之音波之信號強度為接近0之值,其強度低於閾值405。Here, when the beam is not in contact with the reference mark 101, as shown by the symbols 401a and 402a in FIG. 4A, the sound wave measured by the converter 303 does not include waves of various frequency components, and essentially only a specific Frequency of sound waves. The sound wave is a particle beam sound wave generated by a point 202 in the target 201. Therefore, as shown by the symbol 403a in FIG. 4A, the signal intensity of the sound wave of the frequency 404 corresponding to the reference mark 101 is a value close to 0, and its intensity is lower than the threshold 405.

相對於此,於射束與基準標記101接觸之情形時,如圖4B之符號401b、402b所示,除了點202中產生之特定之頻率之粒子束音波以外,還測定自基準標記101產生之各種頻率之粒子束音波。因此,如圖4B之符號403b所示,與基準標記101對應之頻率404之音波之信號強度超過規定之閾值405而檢測。In contrast, when the beam is in contact with the reference mark 101, as shown by the symbols 401b and 402b in FIG. 4B, in addition to the particle beam sound waves of a specific frequency generated in the point 202, the measurement is also made of the particle beam sound waves generated from the reference mark 101 Particle beam sound waves of various frequencies. Therefore, as shown by the symbol 403b in FIG. 4B, the signal intensity of the sound wave of the frequency 404 corresponding to the reference mark 101 exceeds the predetermined threshold 405 and is detected.

因此,信號處理裝置302著眼於由式(2)所示之與基準標記101對應之頻率404,判定強度是否超過規定之閾值405(步驟403a、403b)。於該判定中判定為閾值405以下時(步驟403a)則判定為射束不與基準標記101接觸,於判定為超過閾值405時(步驟403b)則判定為射束與基準標記101接觸。Therefore, the signal processing device 302 focuses on the frequency 404 corresponding to the reference mark 101 represented by the formula (2), and determines whether the intensity exceeds the predetermined threshold 405 (steps 403a, 403b). When it is determined that the threshold value 405 is or less (step 403a), it is determined that the beam is not in contact with the reference mark 101, and when it is determined that the threshold value 405 is exceeded (step 403b), it is determined that the beam is in contact with the reference mark 101.

進而,信號處理裝置302關於基準標記101與射束之接觸,將自照射計劃裝置301取得之推定結果與測定結果進行比較。於兩者一致之情形時,判定為實施按照照射計劃之射束照射,於不一致之情形時判定為未按照照射計劃實施射束照射。Furthermore, the signal processing device 302 compares the estimation result obtained from the irradiation planning device 301 with the measurement result regarding the contact between the reference mark 101 and the beam. In the case where the two are consistent, it is determined that the beam irradiation according to the irradiation plan is implemented, and in the case of inconsistency, it is determined that the beam irradiation is not implemented according to the irradiation plan.

例如,有時根據點202與基準標記101之位置關係而射束亦與基準標記101接觸,如圖4B所示,除了由點202產生之粒子束音波以外亦應觀測到由基準標記101產生之粒子束音波。For example, depending on the positional relationship between the point 202 and the reference mark 101, the beam is also in contact with the reference mark 101. As shown in FIG. 4B, in addition to the particle beam sound wave generated by the point 202, the beam generated by the reference mark 101 should also be observed. Particle beam sound waves.

其相當於點202與基準標記101非常接近之情形時、於在靶201內設置基準標記101之情形時點202與基準標記101接近之情形時、照射位置跨及點202與基準標記101之情形時、於在靶201內設置基準標記101之情形時於基準標記101之內側配置有照射對象之點202之情形時等。This is equivalent to when the point 202 is very close to the reference mark 101, when the reference mark 101 is placed in the target 201, when the point 202 is close to the reference mark 101, and when the irradiation position spans the point 202 and the reference mark 101 , When the fiducial mark 101 is provided in the target 201, the point 202 of the irradiation target is arranged inside the fiducial mark 101, etc.

於此種點202之照射中,觀測不到由基準標記101產生之粒子束音波之情況係指射束未照射至照射計劃之位置。In the irradiation of such a point 202, the situation where the particle beam sound wave generated by the reference mark 101 is not observed means that the beam is not irradiated to the planned position of the irradiation.

相反,於點202與基準標記101離開之情形時,如圖4A所示,應僅測定由點202產生之粒子束音波而觀測不到由基準標記101產生之粒子束音波。因此,於此種情形時,觀測到由基準標記101產生之粒子束音波之情況係指射束未照射至照射計劃之位置。On the contrary, when the point 202 is separated from the reference mark 101, as shown in FIG. 4A, only the particle beam sound wave generated by the point 202 should be measured and the particle beam sound wave generated by the reference mark 101 should not be observed. Therefore, in this case, when the particle beam sound wave generated by the reference mark 101 is observed, it means that the beam is not irradiated to the position of the irradiation plan.

因此,信號處理裝置302經由使用者介面102a1而對質子束治療系統102之操作者報告判定結果,並且將判定結果發送至控制裝置102a。Therefore, the signal processing device 302 reports the determination result to the operator of the proton beam therapy system 102 via the user interface 102a1, and sends the determination result to the control device 102a.

再者,使用者介面102a1包括觸控面板式或顯示器、顯示器與鍵盤或滑鼠等輸入裝置。Furthermore, the user interface 102a1 includes input devices such as a touch panel or a display, a display and a keyboard or a mouse.

尤其,信號處理裝置302於判定為未實施按照照射計劃之射束照射之情形時,將用以使射束照射自動地停止之射束之照射停止信號輸出至控制裝置102a。In particular, when the signal processing device 302 determines that the beam irradiation according to the irradiation plan is not performed, it outputs the irradiation stop signal for the beam for automatically stopping the beam irradiation to the control device 102a.

控制裝置102a於輸入有照射停止信號時,執行停止利用質子束產生裝置103或質子束輸送裝置104、旋轉式照射裝置105之射束照射之動作。例如,存在對高頻出射裝置108e之出射用高頻之施加之停止等方法。When an irradiation stop signal is input, the control device 102a executes an action of stopping beam irradiation by the proton beam generator 103, the proton beam transport device 104, and the rotary irradiation device 105. For example, there is a method such as stopping the application of high frequency for emission of the high frequency emission device 108e.

其次,對本實施例之效果進行說明。Next, the effect of this embodiment will be described.

上述本發明之實施例1之質子束治療系統102具備:質子束產生裝置103;旋轉式照射裝置105,其將由質子束產生裝置103產生之射束朝向被照射體111中之靶201照射;控制裝置102a,其對質子束產生裝置103及旋轉式照射裝置105進行控制;轉換器303,其設置於被照射體111;及信號處理裝置302,其基於藉由轉換器303而測定之信號波形,判定有無自基準標記101產生音波,藉此判定射束是否照射至計劃之位置。The proton beam therapy system 102 of the first embodiment of the present invention described above includes: a proton beam generating device 103; a rotary irradiation device 105 that irradiates the beam generated by the proton beam generating device 103 toward the target 201 in the irradiated body 111; control The device 102a, which controls the proton beam generator 103 and the rotary irradiation device 105; the converter 303, which is arranged on the irradiated body 111; and the signal processing device 302, which is based on the signal waveform measured by the converter 303, It is determined whether or not sound waves are generated from the reference mark 101, thereby determining whether the beam is irradiated to the planned position.

藉此,由於無需利用自射束之照射開始時刻至藉由轉換器303測定粒子束音波之時刻為止之時間差,即便於不均質介質中與先前相比仍能夠迅速且正確地確認射束是否按照照射計劃照射。This eliminates the need to use the time difference from the start time of beam irradiation to the time when the sound wave of the particle beam is measured by the converter 303, and it is possible to quickly and accurately confirm whether the beam follows Irradiation plan exposure.

又,由於音源(基準標記101)之位置與利用該音源產生之音波之頻率已知,故而可應用對該音波之測定特殊化之音波感測器及感測器配置。因此,可提高檢測感度,可降低用以去除雜訊之信號之平均化處理所需要之測定次數,可大幅度減少工夫。In addition, since the position of the sound source (reference mark 101) and the frequency of the sound wave generated by the sound source are known, a sound wave sensor and sensor configuration specializing in the measurement of the sound wave can be applied. Therefore, the detection sensitivity can be improved, the number of measurements required for the signal averaging process for removing noise can be reduced, and the time and effort can be greatly reduced.

進而,藉由使照射射束之脈衝寬度變窄,可增強自基準標記101產生之音波之強度,可降低用以去除雜訊之信號之平均化處理所需要之測定次數。根據該等之效果,能夠有效率地確認射束按照照射計劃照射。Furthermore, by narrowing the pulse width of the irradiation beam, the intensity of the sound wave generated from the reference mark 101 can be enhanced, and the number of measurements required for the signal averaging process for removing noise can be reduced. According to these effects, it is possible to efficiently confirm that the beam is irradiated according to the irradiation plan.

又,信號處理裝置302對由轉換器303測定之音波波形進行頻率分析,於由整數×音速÷(2×基準標記101之半徑)所示之頻率之強度超過規定之閾值之情形時,藉由判定為基準標記101與射束接觸,可判定是否高精度地檢測自基準標記101產生之音波。In addition, the signal processing device 302 performs frequency analysis on the sound wave waveform measured by the converter 303, and when the intensity of the frequency shown by integer × sound velocity ÷ (2 × radius of reference mark 101) exceeds a predetermined threshold, It is determined that the reference mark 101 is in contact with the beam, and it can be determined whether the sound wave generated from the reference mark 101 is detected with high accuracy.

進而,由於進而具備計算被照射體111中之射束之線量分佈,基於線量分佈之計算結果推定基準標記101與射束有無接觸之照射計劃裝置301,故而可提供射束是否照射至計劃之位置之基準,可更正確地判定射束是否照射至計劃之位置。Furthermore, since it is equipped with an irradiation planning device 301 that calculates the beam amount distribution in the irradiated body 111 and estimates whether the reference mark 101 is in contact with the beam based on the calculation result of the beam amount distribution, it can provide whether the beam is irradiated to the planned position The benchmark can more accurately determine whether the beam is irradiated to the planned position.

又,信號處理裝置302將藉由照射計劃裝置301而推定之基準標記101與射束之接觸所相關的推定結果和基於轉換器303之測定的判定結果進行比較,於存在差異之情形時判定為射束未按照計劃照射,可射束之照射停止信號輸出至控制裝置102a,藉此於未照射至計劃之位置之情形時可停止射束,能夠實現迅速之對策。In addition, the signal processing device 302 compares the estimation result related to the contact of the reference mark 101 and the beam estimated by the irradiation planning device 301 with the determination result based on the measurement by the converter 303, and determines that it is The beam is not irradiated according to the plan, and the beam irradiation stop signal is output to the control device 102a, so that the beam can be stopped when the beam is not irradiated to the planned position, and quick countermeasures can be realized.

進而,基準標記101由於為球形狀,而來自基準標記101之音波成為球面波,測定變得更容易。Furthermore, since the reference mark 101 has a spherical shape, the sound wave from the reference mark 101 becomes a spherical wave, and the measurement becomes easier.

再者,於本實施例中,對將基準標記101於被照射體111內設置1個之情形時進行了說明,但基準標記101可設置複數個,可以包圍靶201之周圍之方式配置。Furthermore, in this embodiment, the case where one reference mark 101 is provided in the irradiated body 111 is described, but the reference mark 101 can be provided in plural, and it can be arranged to surround the periphery of the target 201.

又,於將基準標記101設置複數個之情形時,較理想的是,自基準標記101產生之音波之頻率於所有基準標記101中不同,故而於上述式(2)中,較理想的是,音速v與基準標記之半徑r之任一者不一致,即複數個基準標記設為不同徑且不同材質。然而,自準備基準標記之方便性而言,較理想的是,材質全部相同且直徑全部不同,或直徑全部相同且材質全部不同。In addition, when a plurality of reference marks 101 are provided, it is preferable that the frequency of the sound wave generated from the reference mark 101 is different among all the reference marks 101. Therefore, in the above formula (2), it is preferable that: The speed of sound v is inconsistent with any one of the radius r of the reference mark, that is, the plurality of reference marks are set to different diameters and different materials. However, in terms of the convenience of preparing fiducial marks, it is desirable that the materials are all the same and the diameters are all different, or the diameters are all the same and the materials are all different.

進而,於將基準標記101設置複數個之情形時,較理想的是,設置相同數量之轉換器303,又,較理想的是,所設置之轉換器303之規格或設置之方向等對由成對之基準標記101產生之音波特殊化。Furthermore, when a plurality of reference marks 101 are provided, it is desirable to provide the same number of converters 303, and it is more desirable that the specifications of the installed converters 303 or the direction of installation are determined by The sound wave generated by the reference mark 101 is specialized.

又,於將基準標記101設置複數個之情形時,較理想的是,信號處理裝置302判定由基準標記101產生之粒子束音波之頻率是否為由對應之基準標記101產生者。例如,較理想的是,於與假定之頻率成分不同之頻率之音波之強度較規定值高之情形時,判定為射束未按照計劃照射。Moreover, when a plurality of reference marks 101 are provided, it is preferable that the signal processing device 302 determines whether the frequency of the particle beam sound wave generated by the reference mark 101 is generated by the corresponding reference mark 101. For example, it is ideal to determine that the beam is not irradiated as planned when the intensity of the sound wave of a frequency different from the assumed frequency component is higher than a predetermined value.

<實施例2> 使用圖5及圖6對本發明之實施例2之放射線治療系統、記錄媒體及放射線治療系統之作動方法進行說明。對與實施例1相同之構成表示相同之符號,省略說明。<Example 2> The operation method of the radiation therapy system, the recording medium, and the radiation therapy system according to the second embodiment of the present invention will be described using FIGS. 5 and 6. The same components as in the first embodiment are assigned the same symbols, and the description is omitted.

本實施例之放射線治療系統、記錄媒體及放射線治療系統之作動方法係與較佳地應用於如實施例1中所說明之質子束治療系統102等之射束之射程測定相關的技術。The radiotherapy system, the recording medium, and the operation method of the radiotherapy system of this embodiment are preferably applied to the technology related to the measurement of the beam range of the proton beam therapy system 102 and the like described in the first embodiment.

首先,對用以定量且即時地確認本實施例中之射束之射程之構成進行說明。First, the configuration for quantitatively and instantly confirming the range of the beam in this embodiment will be described.

如圖5所示,於本實施例中,使用水假體作為模擬被照射體111A來代替被照射體111。於水假體之內部,沿著射束之照射方向,設置合計5個之金製之基準標記101a、101b、101c、101d、101e。基準標記101a、101b、101c、101d、101e全部為球狀態,又,直徑全部不同。於圖5中,表示了按照設置於射束上游側之基準標記101a、101b、101c、101d、101e順序直徑較大之情形。As shown in FIG. 5, in this embodiment, a water prosthesis is used as the simulated irradiated body 111A instead of the irradiated body 111. A total of five gold reference marks 101a, 101b, 101c, 101d, and 101e are set inside the water prosthesis along the irradiation direction of the beam. The reference marks 101a, 101b, 101c, 101d, and 101e are all in a spherical state, and all have different diameters. Fig. 5 shows a case where the diameter is larger in the order of reference marks 101a, 101b, 101c, 101d, and 101e provided on the upstream side of the beam.

再者,對使用水假體作為模擬被照射體111A之情形進行說明,但只要為與基準標記101a、101b、101c、101d、101e不同之材質,則並非水假體,即便為固體體模(樹脂、塑膠)亦獲得相同之效果。Furthermore, the case of using a water prosthesis as the simulated irradiated body 111A will be described. However, as long as the material is different from the reference marks 101a, 101b, 101c, 101d, and 101e, it is not a water prosthesis, even if it is a solid phantom ( Resin, plastic) also obtain the same effect.

於本實施例中,轉換器303亦測定藉由射束照射而產生之粒子束音波,將測定結果即時地發送至信號處理裝置302A。In this embodiment, the converter 303 also measures the particle beam sound waves generated by the beam irradiation, and sends the measurement result to the signal processing device 302A in real time.

信號處理裝置302A對已取得之每個時間之音波波形進行分析,判定照射射束是否與各基準標記101a、101b、101c、101d、101e接觸。圖6係表示由信號處理裝置302A所獲得之音波波形之頻率分佈之例。The signal processing device 302A analyzes the acquired sound wave waveform at each time, and determines whether the irradiation beam is in contact with the respective reference marks 101a, 101b, 101c, 101d, and 101e. FIG. 6 shows an example of the frequency distribution of the sound wave waveform obtained by the signal processing device 302A.

信號處理裝置302A著眼於由式(2)所示之與各基準標記101a、101b、101c、101d、101e對應之頻帶404a、404b、404c、404d、404e,分別判定強度是否超過規定之閾值405。The signal processing device 302A focuses on the frequency bands 404a, 404b, 404c, 404d, and 404e corresponding to the respective reference marks 101a, 101b, 101c, 101d, and 101e shown by equation (2), and respectively determines whether the intensity exceeds a predetermined threshold 405.

信號處理裝置302A於判定為超過閾值405之情形時,判定為射束到達至該等基準標記101a、101b、101c、101d、101e,即接觸。相對於此,於判定為閾值405以下之情形時,判定為射束未到達至該等基準標記101a、101b、101c、101d、101e。When the signal processing device 302A determines that the threshold value 405 is exceeded, it determines that the beam reaches the reference marks 101a, 101b, 101c, 101d, and 101e, that is, touches. On the other hand, when it is determined that the threshold value 405 is or less, it is determined that the beam has not reached the reference marks 101a, 101b, 101c, 101d, and 101e.

其次,信號處理裝置302A於射束所到達之基準標記101a、101b、101c、101d、101e之中,將處於射束前進方向最深之場所之基準標記101a、101b、101c、101d、101e之位置設為射束之射程(判定步驟)。Next, the signal processing device 302A sets the positions of the reference marks 101a, 101b, 101c, 101d, 101e at the place where the beam travels the deepest among the reference marks 101a, 101b, 101c, 101d, and 101e that the beam reaches. Is the range of the beam (determination step).

最後,信號處理裝置302A經由使用者介面102a1(圖1),而對質子束治療系統102之操作者報告判定結果及射程之資訊。Finally, the signal processing device 302A reports the determination result and range information to the operator of the proton beam therapy system 102 via the user interface 102a1 (FIG. 1).

其他構成、動作為與上述實施例1之放射線治療系統、記錄媒體及放射線治療系統之作動方法大致相同之構成、動作,省略詳細情況。The other configurations and operations are substantially the same as those of the radiation therapy system, recording medium, and radiation therapy system of the first embodiment described above, and the details are omitted.

於本發明之實施例2之放射線治療系統中,進而具備具有2個以上之基準標記101a、101b、101c、101d、101e之模擬被照射體111A,信號處理裝置302A於判定步驟中,基於自模擬被照射體111A內之基準標記101a、101b、101c、101d、101e產生之音波之信號波形,測定射束之射程。In the radiation therapy system of the second embodiment of the present invention, a simulated irradiated body 111A with two or more fiducial marks 101a, 101b, 101c, 101d, and 101e is further provided, and the signal processing device 302A is based on self-simulation in the determination step The signal waveform of the sound waves generated by the reference marks 101a, 101b, 101c, 101d, and 101e in the irradiated body 111A is used to measure the range of the beam.

藉此,由於音源(基準標記101a、101b、101c、101d、101e)之位置與所產生之音波之頻率為已知,故而可應用對該音波之測定經特殊化之音波感測器及感測器配置。檢測感度提高,可降低用以去除雜訊之信號之平均化處理所需之測定次數。又,能夠定量且即時地確認射束之射程。As a result, since the position of the sound source (reference marks 101a, 101b, 101c, 101d, 101e) and the frequency of the generated sound wave are known, a special sound wave sensor and sensor can be used to measure the sound wave.器Configuration. The improved detection sensitivity can reduce the number of measurements required for the averaging process of the signal to remove noise. In addition, the range of the beam can be confirmed quantitatively and instantly.

又,因模擬被照射體111A為水假體,故亦能夠利用於射束之校正。In addition, since the simulated irradiated body 111A is a water prosthesis, it can also be used for beam correction.

又,因具備複數個基準標記101a、101b、101c、101d、101e,且直徑皆不同,故可將自各基準標記101a、101b、101c、101d、101e產生之音波之頻率容易地調整為不同之頻率,可更容易地判定射束到達至哪個基準標記101a、101b、101c、101d、101e。In addition, since there are a plurality of reference marks 101a, 101b, 101c, 101d, 101e, and the diameters are all different, the frequency of the sound waves generated from each reference mark 101a, 101b, 101c, 101d, 101e can be easily adjusted to different frequencies , It is easier to determine which reference marks 101a, 101b, 101c, 101d, and 101e the beam reaches.

再者,於圖5中,對越是設置於射束上游側之基準標記101a、101b、101c、101d、101e則直徑越大之情形進行了說明,但並不限定於此,可為以越靠下游側則基準標記之直徑越大之方式配置,或對於基準標記之直徑之大小不特別考慮而將直徑皆不同之基準標記適當配置於模擬被照射體111A內。Furthermore, in FIG. 5, the case where the larger the diameter of the fiducial marks 101a, 101b, 101c, 101d, and 101e provided on the upstream side of the beam is explained, it is not limited to this. To the downstream side, the larger the diameter of the fiducial mark is arranged, or the fiducial mark with different diameters is appropriately arranged in the simulated irradiated body 111A without considering the size of the diameter of the fiducial mark.

又,對基準標記101a、101b、101c、101d、101e之材質皆為金之情形進行了說明,但無須全部為相同之材質,可設為全無相同之材質。In addition, the case where the materials of the reference marks 101a, 101b, 101c, 101d, and 101e are all gold has been described, but it is not necessary that all of them be the same material, and may be set to have no the same material.

進而,較理想的是自基準標記產生之音波之頻率於所有的基準標記皆不同,故而,根據上述式(2),音速v與基準標記之半徑r之任一者不一致,亦即只要複數個基準標記無同徑且同材質者,即可容易地判定射束照射位置是否如計劃。Furthermore, it is preferable that the frequency of the sound wave generated from the reference mark is different from all the reference marks. Therefore, according to the above formula (2), the sound velocity v does not coincide with the radius r of the reference mark, that is, only a plurality of If the fiducial mark does not have the same diameter and the same material, you can easily determine whether the beam irradiation position is as planned.

又,對基準標記101a、101b、101c、101d、101e為球狀之情形進行了說明,但基準標記101a、101b、101c、101d、101e並不限定於為球狀之情形,亦可為立方體等其他形狀。In addition, the case where the reference marks 101a, 101b, 101c, 101d, and 101e are spherical is described, but the reference marks 101a, 101b, 101c, 101d, 101e are not limited to the case of a spherical shape, and may be cubes, etc. Other shapes.

<其他> 再者,本發明並不限定於上述實施例,包含各種變化例。上述實施例係為了容易理解地說明本發明而詳細地說明者,未必需要限定於具備所說明之所有構成。<Other> In addition, the present invention is not limited to the above-mentioned embodiments, and includes various modifications. The above-mentioned embodiments have been explained in detail in order to explain the present invention easily and understandably, and are not necessarily limited to having all the explained configurations.

又,亦能夠將某實施例之構成之一部分置換為其他實施例之構成,又,亦能夠對某實施例之構成添加其他實施例之構成。又,關於各實施例之構成之一部分,亦能夠進行其他構成之追加、刪除、置換。In addition, it is also possible to replace a part of the configuration of a certain embodiment with the configuration of another embodiment, and it is also possible to add the configuration of another embodiment to the configuration of a certain embodiment. In addition, with regard to a part of the configuration of each embodiment, other configurations can also be added, deleted, and replaced.

101、101a、101b、101c、101d、101e‧‧‧基準標記 102‧‧‧質子束治療系統(放射線治療系統) 102a‧‧‧控制裝置 102a1‧‧‧使用者介面 103‧‧‧質子束產生裝置(放射線產生裝置) 104‧‧‧質子束輸送裝置 105‧‧‧旋轉式照射裝置(照射裝置) 105a‧‧‧偏向電磁鐵 105b‧‧‧四極電磁鐵 106‧‧‧離子源 107‧‧‧前段加速器 108‧‧‧同步加速器 108a‧‧‧入射器 108b‧‧‧偏向電磁鐵 108c‧‧‧四極電磁鐵 108d‧‧‧加速空腔 108e‧‧‧高頻出射裝置 109‧‧‧出射偏光器 110‧‧‧噴嘴 111‧‧‧被照射體 111A‧‧‧模擬被照射體 201‧‧‧靶 202‧‧‧點 301‧‧‧照射計劃裝置 302、302A‧‧‧信號處理裝置 303‧‧‧轉換器(音波感測器) 304‧‧‧資料庫 401a、401b‧‧‧射束與基準標記之接觸判定之步驟1 402a、402b‧‧‧射束與基準標記之接觸判定之步驟2 403a、403b‧‧‧射束與基準標記之接觸判定之步驟3 404、404a、404b、404c、404d、404e‧‧‧自基準標記產生之粒子束音波之頻帶 405‧‧‧射束與基準標記之接觸判定之閾值 101, 101a, 101b, 101c, 101d, 101e‧‧‧ fiducial mark 102‧‧‧Proton beam therapy system (radiation therapy system) 102a‧‧‧Control device 102a1‧‧‧User Interface 103‧‧‧Proton beam generator (radiation generator) 104‧‧‧Proton beam delivery device 105‧‧‧Rotary irradiation device (irradiation device) 105a‧‧‧Deflection electromagnet 105b‧‧‧Quad Electromagnet 106‧‧‧Ion source 107‧‧‧Front accelerator 108‧‧‧Synchronizer 108a‧‧‧Injector 108b‧‧‧Electromagnet 108c‧‧‧Quad Electromagnet 108d‧‧‧Acceleration cavity 108e‧‧‧High frequency emission device 109‧‧‧Exit Polarizer 110‧‧‧Nozzle 111‧‧‧irradiated body 111A‧‧‧Simulated irradiated body 201‧‧‧Target 202‧‧‧point 301‧‧‧ Irradiation planning device 302, 302A‧‧‧Signal processing device 303‧‧‧Converter (sonic sensor) 304‧‧‧Database Step 1 of 401a, 401b‧‧‧ beam and fiducial mark contact judgment Step 2 of 402a, 402b‧‧‧ beam and fiducial mark contact judgment Step 3 of 403a, 403b‧‧‧ beam and fiducial mark contact judgment 404, 404a, 404b, 404c, 404d, 404e‧‧‧The frequency band of the particle beam sound wave generated from the reference mark 405‧‧‧The threshold for judging the contact between the beam and the fiducial mark

圖1係本發明之1實施形態之質子束治療系統之整體圖。 圖2係圖1之質子束治療系統之採用掃描照射法之噴嘴之概要圖。 圖3係圖1之質子束治療系統之用以測定、分析自基準標記產生之粒子束音波之裝置構成圖。 圖4A係基於圖3之信號處理裝置之粒子束音波之測定資料,進行射束與基準標記之接觸之判定之步序。 圖4B係基於圖3之信號處理裝置之粒子束音波之測定資料,進行射束與基準標記之接觸之判定之步序。 圖5係作為本發明之1實施形態之質子束治療系統之射束射程測定系統之用以測定、分析自基準標記產生之粒子束音波之裝置構成圖。 圖6係基於圖5之信號處理裝置之粒子束音波之測定資料,進行射束與基準標記之接觸之判定之步序。Fig. 1 is an overall view of the proton beam therapy system according to the first embodiment of the present invention. Fig. 2 is a schematic diagram of the nozzle of the proton beam therapy system of Fig. 1 using the scanning irradiation method. Fig. 3 is a configuration diagram of the device for measuring and analyzing the particle beam sound waves generated from the reference mark of the proton beam therapy system of Fig. 1. Fig. 4A is a procedure for determining the contact between the beam and the fiducial mark based on the measurement data of the particle beam sound wave of the signal processing device in Fig. 3. Fig. 4B is a procedure for determining the contact between the beam and the fiducial mark based on the measurement data of the particle beam sound wave of the signal processing device in Fig. 3. Fig. 5 is a configuration diagram of an apparatus for measuring and analyzing a particle beam sound wave generated from a reference mark of the beam range measuring system of the proton beam therapy system as the first embodiment of the present invention. Fig. 6 is a procedure for determining the contact between the beam and the fiducial mark based on the measurement data of the particle beam sound wave of the signal processing device in Fig. 5.

101‧‧‧基準標記 101‧‧‧ Reference mark

102a‧‧‧控制裝置 102a‧‧‧Control device

111‧‧‧被照射體 111‧‧‧irradiated body

201‧‧‧靶 201‧‧‧Target

301‧‧‧照射計劃裝置 301‧‧‧ Irradiation planning device

302‧‧‧信號處理裝置 302‧‧‧Signal processing device

303‧‧‧轉換器(音波感測器) 303‧‧‧Converter (sonic sensor)

304‧‧‧資料庫 304‧‧‧Database

Claims (14)

一種放射線治療系統,其特徵在於:其係利用自配置於被照射體中之基準標記產生之音波之放射線治療系統,且具備:放射線產生裝置;照射裝置,其將由上述放射線產生裝置產生之放射線朝向上述被照射體中之靶照射;控制裝置,其對上述放射線產生裝置及上述照射裝置進行控制;音波感測器,其設置於上述被照射體;及信號處理裝置,其基於藉由上述音波感測器測定之信號波形,判定有無自上述基準標記產生音波,藉此判定上述放射線是否照射於計劃之位置。 A radiotherapy system, characterized in that it is a radiotherapy system that uses sound waves generated from a fiducial mark arranged in an irradiated body, and includes: a radiation generating device; an irradiation device that directs the radiation generated by the radiation generating device toward The target irradiation in the irradiated body; a control device that controls the radiation generating device and the irradiation device; an sonic wave sensor that is provided on the irradiated body; and a signal processing device based on the sonic sensor The signal waveform measured by the detector determines whether or not a sound wave is generated from the reference mark, thereby determining whether the radiation is irradiated at the planned position. 如請求項1之放射線治療系統,其中上述信號處理裝置對由上述音波感測器測定出之音波波形進行頻率分析,於由整數×音速÷(2×上述基準標記之半徑)所示之頻率之強度超過規定之閾值之情形時,判定為上述基準標記與上述放射線接觸。 The radiotherapy system of claim 1, wherein the signal processing device performs frequency analysis on the sound wave waveform measured by the sound wave sensor, and calculates the frequency of the frequency shown by the integer × the speed of sound ÷ (2 × the radius of the reference mark) When the intensity exceeds a predetermined threshold, it is determined that the reference mark is in contact with the radiation. 如請求項1之放射線治療系統,其進而具備照射計劃裝置,該照射計劃裝置係計算上述被照射體中之上述放射線之線量分佈,基於上述線量分佈之計算結果推定上述基準標記與上述放射線有無接觸。 The radiation therapy system of claim 1, further comprising an irradiation planning device that calculates the radiation dose distribution of the radiation in the irradiated body, and estimates whether the reference mark is in contact with the radiation based on the calculation result of the radiation dose distribution . 如請求項3之放射線治療系統,其中 上述信號處理裝置將藉由上述照射計劃裝置推定之上述基準標記與上述放射線之接觸相關的推定結果和基於上述音波感測器之測定的判定結果進行比較,於存在差異之情形時判定為上述放射線未按照計劃照射,且將上述放射線之照射停止信號輸出至上述控制裝置。 Such as the radiotherapy system of claim 3, where The signal processing device compares the estimation result related to the contact between the reference mark estimated by the irradiation planning device and the radiation with the judgment result based on the measurement by the sonic sensor, and judges the radiation when there is a difference Irradiation is not performed as planned, and the radiation stop signal is output to the control device. 如請求項1之放射線治療系統,其進而具備具有2個以上之上述基準標記之模擬被照射體。 The radiation therapy system of claim 1, further comprising a simulated irradiated body having two or more reference marks. 如請求項5之放射線治療系統,其中上述模擬被照射體為水假體。 The radiation therapy system of claim 5, wherein the simulated irradiated body is a water prosthesis. 如請求項1之放射線治療系統,其中上述基準標記為球形狀。 The radiotherapy system of claim 1, wherein the reference mark is in a spherical shape. 如請求項7之放射線治療系統,其具備複數個上述基準標記,且直徑皆不同。 For example, the radiation therapy system of claim 7 has a plurality of the above-mentioned reference marks, and the diameters are all different. 如請求項1之放射線治療系統,其具備複數個上述基準標記,且材質皆不同。 For example, the radiation therapy system of claim 1, which has a plurality of the above-mentioned reference marks, and the materials are all different. 一種記錄媒體,其特徵在於可讀取地記憶有如下程式:使放射線治療系統內之處理裝置執行如下判定步序:基於自朝向被照射體中之靶照射放射線時所產生之基準標記產生之音波之信號,判定有 無自上述基準標記產生音波,藉此判定上述放射線是否照射於計劃之位置,其中於上述判定步序中,對測定出之音波波形進行頻率分析,於由整數×音速÷(2×上述基準標記之半徑)所示之頻率之強度超過規定之閾值之情形時,判定為上述基準標記與上述放射線接觸。 A recording medium characterized by readable and memorizing the following program: the processing device in the radiation therapy system executes the following determination steps: based on the sound waves generated from the fiducial marks generated when radiation is directed toward the target in the irradiated body Signal, it is determined that there is No sound waves are generated from the reference mark to determine whether the radiation is irradiated at the planned position. In the determination step sequence, the measured sound wave waveform is analyzed by frequency, and the result is calculated by integer × speed of sound ÷ (2 × reference mark When the intensity of the frequency indicated by the radius) exceeds a predetermined threshold, it is determined that the reference mark is in contact with the radiation. 一種記錄媒體,其特徵在於可讀取地記憶有如下程式:使放射線治療系統內之處理裝置執行如下判定步序:基於自朝向被照射體中之靶照射放射線時所產生之基準標記產生之音波之信號,判定有無自上述基準標記產生音波,藉此判定上述放射線是否照射於計劃之位置,其中使照射計劃裝置執行如下推定步序:計算上述被照射體中之上述放射線之線量分佈,基於上述線量分佈之計算結果推定上述基準標記與上述放射線有無接觸。 A recording medium characterized by readable and memorizing the following program: the processing device in the radiation therapy system executes the following determination steps: based on the sound waves generated from the fiducial marks generated when radiation is directed toward the target in the irradiated body To determine whether or not a sound wave is generated from the reference mark to determine whether the radiation is irradiated at the planned position, the irradiation planning device is made to perform the following estimation procedure: calculate the radiation amount distribution of the radiation in the irradiated body, based on the above The calculation result of the line quantity distribution estimates whether the reference mark is in contact with the radiation. 如請求項11之記錄媒體,其中使上述處理裝置執行如下停止步序:將上述推定步序中之推定結果與上述判定步序中之判定結果進行比較,於存在差異之情形時判定為上述放射線未按照計劃照射,且輸出上述放射線之照射停止信號。 For example, the recording medium of claim 11, in which the processing device is caused to execute the following stop procedure: the estimation result in the estimation procedure is compared with the determination result in the determination procedure, and when there is a difference, it is determined as the radiation Irradiation is not as planned, and the above-mentioned radiation irradiation stop signal is output. 一種放射線治療系統之作動方法,其特徵在於具有:測定步驟,其測定於朝向被照射體中之靶照射放射線時自基準標記產生之音波;及 判定步驟,其基於由上述測定步驟測定出之音波之信號波形,判定有無自上述基準標記產生音波,藉此判定上述放射線是否照射於計劃之位置。 An actuation method of a radiation therapy system, characterized by having: a measuring step, which measures the sound waves generated from a reference mark when radiation is irradiated toward a target in an irradiated body; and The determination step is to determine whether or not a sound wave is generated from the reference mark based on the signal waveform of the sound wave measured in the measurement step, thereby determining whether the radiation is irradiated to a planned position. 如請求項13之作動方法,其中於上述測定步驟中,使用具有2個以上之上述基準標記之模擬被照射體作為上述被照射體,於上述判定步驟中,基於自上述模擬被照射體內之上述基準標記產生之音波之信號波形,測定上述放射線之射程。 Such as the operation method of claim 13, wherein in the measurement step, a simulated irradiated body with two or more of the above-mentioned reference marks is used as the irradiated body, and in the determination step, based on the simulated irradiated body The signal waveform of the sound wave generated by the reference mark is used to measure the range of the above-mentioned radiation.
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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH1052509A (en) * 1996-08-09 1998-02-24 Hitachi Ltd Charge particle beam device for medical treatment
JP2006158678A (en) * 2004-12-08 2006-06-22 Univ Of Tsukuba Method and apparatus for simultaneously measuring target organ and dose distribution in radiation therapy
JP2016101248A (en) * 2014-11-27 2016-06-02 株式会社日立製作所 Charged particle beam device and device and method for identifying charged particle beam irradiation position
TW201720374A (en) * 2015-11-18 2017-06-16 瑞穗資訊總研股份有限公司 Medical treatment support system, method for operating medical treatment support system, and storage medium storing medical treatment support program

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH1052509A (en) * 1996-08-09 1998-02-24 Hitachi Ltd Charge particle beam device for medical treatment
JP2006158678A (en) * 2004-12-08 2006-06-22 Univ Of Tsukuba Method and apparatus for simultaneously measuring target organ and dose distribution in radiation therapy
JP2016101248A (en) * 2014-11-27 2016-06-02 株式会社日立製作所 Charged particle beam device and device and method for identifying charged particle beam irradiation position
TW201720374A (en) * 2015-11-18 2017-06-16 瑞穗資訊總研股份有限公司 Medical treatment support system, method for operating medical treatment support system, and storage medium storing medical treatment support program

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