TIME-DOMAIN INTERLEAVING OF IMAGING AND TREATMENT X-RAYS IN A RADIATION THERAPY SYSTEM

摘要

A radiation therapy system is configured to enable imaging and treatment of a target volume during a single patient breath hold. The radiation system includes a rotating gantry on which are mounted a treatment-delivering X-ray source and multiple imaging X-ray sources and corresponding X-ray imaging devices. The multiple imaging X-ray sources and X-ray imaging devices enable the acquisition of volumetric image data for the target volume over a relatively short rotational arc, for example 30 degrees or less. Therefore, intra-fraction motion can be detected in near-real time, for example within about one second or less. The radiation therapy system can perform image guided radiation therapy (IGRT) that monitors intra-fraction motion using X-ray imaging. Detected anatomical variations can then either be compensated for, via patient repositioning and/or treatment modification, or the current treatment can be aborted.