# US 10,307,614 B2 · Systems and methods for selecting a radiation therapy treatment plan > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,307,614 B2 - Document ID: US10307614B2 - Status: Granted - Kind: B2 - Application number: 15/272,760 - Filed: 2016-09-22 - Published: 2018-03-22 - Granted: 2019-06-04 - Earliest claimed: 2016-09-22 - Assignees: Accuray Incorporated - Applicants: Accuray Incorporated - Inventors: Eric Schnarr - Web page: https://patentgrep.com/patent/US10307614B2 ## CPC - A61N 5/1031: {using a specific method of dose optimization} - A61N 5/1045: {using a multi-leaf collimator, e.g. for intensity modulated radiation therapy or IMRT} - A61N 5/1047: {with movement of the radiation head during application of radiation, e.g. for intensity modulated arc therapy or IMAT} - A61N 5/1081: {Rotating beam systems with a specific mechanical construction, e.g. gantries} - A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B) ## Abstract A method of selecting a radiation therapy treatment plan for a patient. The treatment plan is implemented through a radiation delivery system including a gantry capable of rotating around a couch, in which the couch is movable in a linear direction relative to the gantry. The movement of the couch and the gantry creates a helical delivery path having a pitch. A radiation module delivers a radiation beam, where the beam has a beam weight corresponding to a radiation fluence. The method includes receiving, by a controller, an objective including a desired dose, a desired dose distribution, or a dose constraint, optimizing the pitch to obtain an optimized pitch, optimizing, the beam weight to obtain optimized beam weight, determining, based on the optimized pitch and the optimized beam weight a treatment plan or a treatment dose, and outputting the treatment plan or the treatment dose. ## Claims ### Claim 1 A method of selecting a radiation therapy treatment plan for a patient, the treatment plan implemented through a radiation delivery system including a gantry configured to rotate around a couch, the couch movable in a linear direction relative to the gantry, the movement of the couch and the gantry creating a helical delivery path having a pitch, and a radiation module coupled to the gantry and configured to deliver a radiation beam, the beam having a beam weight corresponding to a radiation fluence, the method comprising: receiving, by a controller, an objective including at least one from a list including a desired dose, a desired dose distribution, and a dose constraint; optimizing, by the controller, the pitch based on the objective to obtain an optimized pitch; optimizing, by the controller, the beam weight based on the objective to obtain an optimized beam weight; determining, by the controller, based on the optimized pitch and the optimized beam weight at least one from the following list including a treatment plan and a dose; and outputting, by the controller, the at least one of the treatment plan and the dose. ### Claim 2 (depends on 1) The method of claim 1, wherein optimizing the pitch includes optimizing the pitch using a first geometry, and wherein optimizing the beam weight includes optimizing the beam weight using a second geometry. ### Claim 3 (depends on 2) The method of claim 2, wherein the first geometry is a helical geometry and the second geometry is an axial geometry. ### Claim 4 (depends on 2) The method of claim 2, wherein the first geometry is a helical geometry and the second geometry is a helical geometry that is different from the first geometry. ### Claim 5 (depends on 2) The method of claim 2, further including translating the beam weight from the second geometry to the first geometry prior to determining at least one of the treatment plan and the dose. ### Claim 6 (depends on 1) The method of claim 1, wherein optimizing the beam weight includes optimizing the beam weight using axial geometry, wherein axial geometry is modeled as a sequence of discrete circular rotations of the radiation module, separated by incremental linear movements of the couch. ### Claim 7 (depends on 1) The method of claim 1, wherein the optimized pitch is a variable pitch such that optimized pitch corresponds to different geometries at different stages of the treatment plan. ### Claim 8 (depends on 1) The method of claim 1, wherein the controller optimizes the pitch and the beam weight sequentially such that one of the pitch and the beam weight is fully optimized prior to beginning optimization of the other one of the pitch and the beam weight. ### Claim 9 (depends on 1) The method of claim 1, wherein the controller optimizes the pitch and the beam weight simultaneously such that the controller alternates between executing instructions to optimize the pitch and executing instructions to optimize the beam weight. ### Claim 10 (depends on 1) The method of claim 1, wherein the radiation module includes a modulation device capable of shaping the beam into a plurality of beamlets, each beamlet having a beamlet weight, and wherein the controller optimizes the beam weight by optimizing the beamlet weights. ### Claim 11 (depends on 10) The method of claim 10, wherein the plurality of beamlet weights is represented as a beamlet weight sinogram, and wherein optimizing the beamlet weights includes optimizing the beamlet weight sinogram. ### Claim 12 (depends on 1) The method of claim 1, wherein the controller optimizes at least one of the pitch and the beam weight by executing a plurality of optimization iterations. ### Claim 13 (depends on 1) The method of claim 1, wherein the controller receives as a user input an initial pitch, and the pitch is optimized to obtain an optimal pitch close to the initial pitch. ### Claim 14 A radiation therapy treatment system, comprising: a gantry having an aperture; a couch configured to support a patient, the couch movable in a linear direction within the aperture; a radiation module coupled to the gantry and rotatable around the couch, the radiation module configured to deliver a radiation beam toward the patient, the radiation beam having a beam weight corresponding to a radiation fluence, wherein the linear movement of the couch and the rotation of the radiation module create a helical path of radiation delivery, the helical path having a pitch; and a computer in communication with the gantry, the radiation module, and the couch, the computer including a controller configured to optimize the pitch of the radiation module based on clinical objectives for the patient, optimize the beam weight of the radiation beam based on clinical objectives for the patient, determine at least one of a treatment plan and a dose based on the optimized pitch and the optimized beam weight, and output the at least one of the treatment plan and the dose. ### Claim 15 (depends on 14) The radiation therapy treatment system of claim 14, wherein the controller is configured to optimize the pitch using a first geometry and is configured to optimize the beam weight using a second geometry. ### Claim 16 (depends on 15) The radiation therapy treatment system of claim 15, wherein the second geometry is an axial geometry that is modeled as a sequence of discrete circular rotations of the radiation module, separated by incremental linear movements of the couch. ### Claim 17 (depends on 15) The radiation therapy treatment system of claim 15, wherein the first geometry is a helical geometry and the second geometry is a helical geometry that is different than the first geometry. ### Claim 18 (depends on 15) The radiation therapy treatment system of claim 15, wherein the controller is further configured to translate the beam weight from the second geometry to the first geometry. ### Claim 19 (depends on 14) The radiation therapy treatment system of claim 14, wherein the optimized pitch is a variable pitch such that optimized pitch corresponds to different geometries at different stages of the treatment plan. ### Claim 20 (depends on 14) The radiation therapy treatment system of claim 14, wherein the radiation module includes a modulation device capable of shaping the beam into a plurality of beamlets, each beamlet having a beamlet weight, and wherein the controller is configured to optimize the beamlet weights. ### Claim 21 (depends on 20) The radiation therapy treatment system of claim 20, wherein the modulation device includes a multi-leaf collimator having a plurality of leaves each configured to selectively block and selectively expose one of the plurality of beamlets, the beamlet weight corresponding to the amount of time a beamlet is exposed. ### Claim 22 (depends on 20) The radiation therapy treatment system of claim 20, wherein the beamlet weights are represented as a sinogram, and wherein the controller is configured to optimize the beam weight by optimizing the sinogram. ### Claim 23 (depends on 14) The radiation therapy treatment system of claim 14, wherein the controller is further configured to optimize the pitch and the beam weight simultaneously using an alternating series of optimization cycles. ### Claim 24 (depends on 14) The radiation therapy treatment system of claim 14, wherein the controller is further configured to optimize the pitch and the beam weight sequentially such that one of the pitch and the beam weight is fully optimized prior to the controller beginning optimization of the other of the pitch and the beam weight. ### Claim 25 A method of selecting a radiation therapy treatment plan for a patient, the treatment plan implemented through a radiation delivery system including a gantry configured to rotate around a couch, the couch movable in a linear direction relative to the gantry, and a radiation module coupled to the gantry and configured to deliver a radiation beam, the beam having a beam weight corresponding to a radiation fluence, the method comprising: receiving, by a controller, an objective including at least one from a list including a desired dose, a desired dose distribution, and a dose constraint; receiving, by the controller, a first pitch and a first beam weight; adjusting, by the controller, the first pitch using a first geometry and the objective to determine an adjusted pitch; adjusting, by the controller, the first beam weight using a second geometry and the objective to determine an adjusted beam weight; translating, by the controller, the adjusted beam weight from the second geometry to the first geometry; and calculating, by the controller, an adjusted dose based on the adjusted pitch and the adjusted beam weight, the adjusted dose represented in the first geometry. ### Claim 26 (depends on 25) The method of claim 25, wherein the controller adjusts at least one of the pitch and the beam weight during treatment delivery to a patient. ### Claim 27 (depends on 25) The method of claim 25, wherein adjusting the first pitch occurs after adjusting the first beam weight. ### Claim 28 (depends on 25) The method of claim 25, wherein the beam includes a plurality of beamlets, each beamlet having a beamlet weight, and wherein adjusting the first beam weight includes adjusting a plurality of beamlet weights.