RESPIRATORY BIOFEEDBACK FOR MRI-GUIDED RADIOTHERAPY

摘要

Disclosed is a medical system (100, 500) that comprises a radiotherapy system (102) configured for controllably irradiating a target volume (114) within an irradiation zone (112); a subject support (120) configured for supporting at least a ventral region (124) of a subject (122) within the irradiation zone; a breath monitor system (132, 132') configured for providing a motion signal (154, 158) descriptive of subject breathing motion; and a subject display (130, 130') configured for displaying a breathing phase indicator (160, 160') to the subject when supported by the subject support. Execution of the machine executable instructions (150) causes a processor (142) controlling the medical system to receive (200) a time resolved magnetic resonance imaging dataset (152) synchronized to a measured motion signal (154). Execution of the machine executable instructions further causes the processor to repeatedly: determine (202) a desired motion signal (156) by temporally stepping through the measured motion signal; acquire (204) a current motion signal (158) using the breath monitor system; render (206) the breathing phase indicator on the display, wherein the breathing phase indicator is configured to indicate a difference (700) between the desired motion signal and the measured motion signal; and generate (208) control commands (162) configured for controlling targeting of the radio therapy system using a first portion of the time resolved magnetic resonance imaging dataset synchronized to the desired motion signal or a second portion of the time resolved magnetic resonance imaging dataset referenced by the current motion signal.