System and method for in-layer synchronization for fast spot rescanning

Patent metadata

Field	Value
Publication number	US-9789342-B2
Application number	US-201615087800-A
Country	US
Kind code	B2
Filing date	Mar 31, 2016
Priority date	May 18, 2015
Publication date	Oct 17, 2017
Grant date	Oct 17, 2017

Abstract

To overcome the difficulties inherent in conventional proton therapy systems, new techniques are described herein for synchronizing the application of proton radiation with the periodic movement of a target area. In an embodiment, a method is provided that combines multiple rescans of a spot scanning proton beam while monitoring the periodic motion of the target area, and aligning the applications of the proton beam with parameters of the periodic motion. For example, the direction(s) and frequency of the periodic motion may be monitored, and the timing, dose rate, and/or scanning direction and spot sequence of the beam can be adjusted to align with phases in the periodic motion

First claim

What is claimed is:

1. A method for irradiating a target area with a proton beam, the method comprising:
accessing a target radiation plan, the target radiation plan comprising a temporal and spatial sequence for administering a target dosage to a target area using a plurality of applications of a directed beam of protons;
monitoring a movement of the target area;
adjusting the target radiation plan to align the plurality of applications of the directed beam of protons with a movement of the target area to generate an adjusted target radiation plan; and
applying a directed beam of protons at a plurality of proximate locations comprising the target area according to the adjusted target radiation plan.

2. The method according to claim 1 , wherein the proton beam comprises a spot scanning proton beam.

3. The method according to claim 2 , wherein the applying directed beam of protons comprises applying a fraction of the target dosage to each of the plurality of proximate locations comprising the target area.

4. The method according to claim 3 , wherein a cumulative dosage from applying the fractions of the target dosage to the plurality of proximate locations is substantially equivalent to the target dosage.

5. The method according to claim 3 , wherein the applying the directed beam of protons further comprises applying the directed beam of protons as a plurality of raster scans over the target area.

6. The method according to claim 1 , wherein the movement of the target area comprises a plurality of phases of periodic movement delineated by a plurality of transition periods between the plurality of phases of periodic movement.

7. The method according to claim 6 , wherein the adjusting the target radiation plan comprises at least one of:
aligning a starting position of an application of the directed beam of protons with a direction of a phase of periodic movement;
aligning a scanning direction of an application of the directed beam of protons with the direction of a phase of periodic movement;
adjusting a number of raster scans to conform to the plurality of phases of periodic movement;
adjusting a dose rate of an application of the directed beam of protons based on a phase of periodic movement; and
gating applications of the directed beam of protons outside of the plurality of phases of periodic movement wherein the directed beam of protons is not applied to the target area during a transition period.

8. The method according to claim 1 , wherein the adjusting comprises inserting a plurality of pauses in the timed sequence of the target radiation plan to align the application of the directed beam of protons with a frequency of movement of the target area.

9. The method according to claim 1 , wherein the movement of the target area comprises a movement of a target area corresponding to at least one of:
a respiratory cycle; and
a cardiac cycle.

10. The method according to claim 1 , wherein the target area comprises an organ.

11. A radiation application system comprising:
a particle accelerator configured to produce a plurality of irradiated particles;
a gantry configured to receive the plurality of irradiated particles and to rotate around a target subject;
a treatment nozzle comprised in the gantry, the treatment nozzle configured to emit the plurality of irradiated particles as a directed beam at a target area in the target subject;
a sensor device configured to monitor a movement of the target area; and
a client computing device comprising:
a memory device configured to store a target radiation plan comprising a timed sequence for administering a target dosage to the target area using a plurality of applications of the directed beam of irradiated particles;
a processor configured adjust the target radiation plan to align the plurality of applications of the directed beam of protons with a movement of the target area, and to program a movement of the gantry around the target subject and an emission of the treatment nozzle to apply the directed beam of irradiated particles according to the adjusted target radiation plan.

12. The system according to claim 11 , wherein the directed beam of irradiated particles comprises a spot scanning proton beam.

13. The system according to claim 12 , wherein the directed beam of protons applies a fraction of the target dosage to each of a plurality of proximate locations comprising the target area, wherein a collective dosage from applying the fractions of the target dosage to the plurality of proximate locations is substantially equivalent to the target dosage.

14. The system according to claim 13 , wherein the directed beam of protons is applied as a plurality of raster scans over the target area.

15. The system according to claim 14 , wherein the movement of the target area comprises a plurality of repeating movement phases corresponding to at least one of:
a respiratory cycle; and
a cardiac cycle.

16. The system according to claim 15 , wherein the processor is further configured to adjust the target radiation plan by performing at least one of:
an alignment of a starting position of an application of the directed beam of irradiated particles with a direction of a phase of periodic movement;
an alignment of a scanning direction of an application of the directed beam of irradiated particles with the direction of a phase of periodic movement;
an adjustment of a number of raster scans to conform to the plurality of phases of periodic movement;
an adjustment of a dose rate of an application of the directed beam of irradiated particles based on a phase of periodic movement; and
a gating of applications of the directed beam of irradiated particles outside of the plurality of phases of periodic movement wherein the directed beam of irradiated particles is not applied to the target area during a transition period.

17. The method according to claim 15 , wherein the processor is configured to adjust the target radiation plan by inserting a plurality of pauses in the timed sequence of the target radiation plan in order the application of the directed beam of irradiated particles with a frequency of movement of the target area.

18. A non-transitory computer readable medium comprising a plurality of programmed instructions which, when executed by a processor in a computing system, is operable to implement a target radiation plan, the computer readable medium comprising:
instructions to access a target radiation plan, the target radiation plan comprising a timed sequence for administering a target dosage to a target area using a plurality of applications of a spot-scanning beam of protons;
instructions to monitor a periodic movement of the target area;
instructions to generate an adjusted target radiation plan by adjusting the target radiation plan align the plurality of applications of the directed beam of protons with a movement of the target area; and
instructions to apply a directed beam of protons at a plurality of proximate locations comprising the target area according to the adjusted target radiation plan.

19. The computer readable medium according to claim 18 , wherein the instructions to adjust the target radiation plan comprises at least one of:
instructions to align a starting position of an application of the directed beam of protons with a direction of a phase of periodic movement;
instructions to align a scanning direction of an application of the directed beam of protons with the direction of a phase of periodic movement;
instructions to adjust a number of raste

Assignees

• Varian Medical Systems Particle Therapy Gmbh
• Varian Med Sys Inc

Inventors

• Bach Markus
• HUTH Isabel
• Heese Juergen
• PISKULICH Franko
• Dong Lei

Classifications

• A61N5/1049

  for verifying the position of the patient with respect to the radiation beam · CPC title

• A61N2005/1087

  Ions; Protons · CPC title

• A61N5/1067

  in real time, i.e. during treatment · CPC title

• A61N5/1068

  Gating the beam as a function of a physiological signal · CPC title

• A61N5/1037

  taking into account the movement of the target, e.g. 4D-image based planning · CPC title