METHOD TO ESTIMATE INTERFRACTIONAL AND INTRAFRACTIONAL ORGAN MOTION FOR ADAPTIVE EXTERNAL BEAM RADIOTHERAPY

摘要

A therapy system (10) includes one or more processors (98 100). The processors (98 100) are programmed to receive one or more of: (1) dosimetric data from dosimeters (26 28 202 204 206 208 210 212) implanted within a patient and/or positioned on a vest (200); and (2) motion data from surrogates (18 20 22 24) implanted within the patient. Based on the motion data a current location and/or shape of a surrogate (18 20 22 24) is determined and deviations between the current location and/or shape and a reference location and/or shape are determined. Based on the dosimetric data a delivered dose distribution is compared with a planned dose distribution and deviations therebetween are determined. The deviations determined from the mo tion data and/or the dosimetric data are employed for adaptive planning alignment post treatment analysis and safety.