# US 10,945,605 B2 · Combined radiotherapy and MRI apparatus

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- Number: US 10,945,605 B2
- Document ID: US10945605B2
- Status: Granted
- Kind: B2
- Application number: 14/887,534
- Filed: 2015-10-20
- Published: 2016-04-28
- Granted: 2021-03-16
- Earliest claimed: 2014-10-23
- Assignees: Elekta Limited
- Applicants: Elekta Limited
- Inventors: Gregory Trausch; Kevin Brown; Dan Thompson
- Web page: https://patentgrep.com/patent/US10945605B2

## CPC

- A61B 5/0036: {including treatment, e.g., using an implantable medical device, ablating, ventilating}
- A61B 5/055: involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
- A61B 5/704: {Tables}
- A61N 5/10: X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy (A61N5/01 takes precedence)
- A61N 5/1049: {for verifying the position of the patient with respect to the radiation beam}
- A61N 2005/1055: {using magnetic resonance imaging [MRI]}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- 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

The present invention provides a combined radiotherapy and MRI system in which an imaging coil is mounted on a mechanical arm. The position of the imaging coil is thus known and in embodiments can be controlled to prevent collisions with the patient and unfavourable interactions between the imaging coil and the radiation beam.

## Claims

### Claim 1

A radiotherapy system, comprising:
a patient support;
a radiotherapy device configured to generate a therapeutic beam of radiation incident upon a treatment volume;
a magnetic resonance imaging (MRI) apparatus configured to generate imaging data of an imaging volume which encompasses the treatment volume, the MRI apparatus defining a bore in which the patient support can be at least partially positioned;
an arm; and
an imaging coil, fixedly attached to the MRI apparatus by the arm and arranged within the bore, wherein:
the imaging coil comprises a conducting coil and electronic circuitry coupled to the conducting coil, such that the electronic circuitry is configured to control the conducting coil and is located along a proximal side of the imaging coil with respect to the arm, and wherein the conducting coil and the electronic circuitry are within the bore;
the arm has a length extending within the bore toward the proximal side of the imaging coil and is configured to move relative to and within the bore, to prevent the electronic circuitry from intersecting the beam within the bore; and
the imaging coil is configured to detect MRI signals emitted from the imaging volume within the bore.

### Claim 2 (depends on 1)

The system according to claim 1, wherein the arm comprises an arm configured such that the movement of the arm adjusts a position of the imaging coil relative to the patient support.

### Claim 3 (depends on 1)

The system according to claim 1, further comprising a control system for controlling the arm so as to vary the position of the imaging coil within the bore.

### Claim 4 (depends on 1)

The system according to claim 1, further comprising a detection system configured to detect, in use, the position of the imaging coil relative to a patient on the patient support.

### Claim 5 (depends on 4)

The system according to claim 4, wherein the detection system comprises a proximity sensor.

### Claim 6 (depends on 4)

The system according to claim 4, wherein the detection system comprises MRI-imagable markers mounted on the imaging coil.

### Claim 7 (depends on 4)

The system according to claim 4, wherein the position of the imaging coil within the bore is configured to be varied in dependence on the position of the imaging coil relative to the patient.

### Claim 8 (depends on 1)

The system according to claim 1, wherein the arm comprises an arm configured such that the movement of the arm adjusts an orientation of the imaging coil.

### Claim 9 (depends on 1)

The system according to claim 1, further comprising a plurality of imaging coils.

### Claim 10 (depends on 9)

The system according to claim 9, wherein at least one of the imaging coils is fixedly positioned beneath the patient support.

### Claim 11 (depends on 9)

The system according to claim 9, further comprising a plurality of arms associated with the imaging coils, wherein at least one of the imaging coils is fixedly attached to the MRI apparatus by an associated one of the arms and is arranged within the bore.

### Claim 12 (depends on 1)

The system according to claim 1, wherein the patient support comprises a patient support translatable along a longitudinal axis relative to the bore.

### Claim 13

A radiotherapy system, comprising:
a radiotherapy device configured to generate a therapeutic beam of radiation incident upon a treatment volume of a patient;
a magnetic resonance imaging (MRI) apparatus having a bore positioned about the treatment volume; and
an imaging coil positioned within the bore and attached to the MRI apparatus by an arm, wherein:
the imaging coil comprises a conducting coil and electronic circuitry coupled to the conducting coil, such that the electronic circuitry is configured to control the conducting coil and is located along a proximal side of the imaging coil with respect to the arm, and wherein the conducting coil and the electronic circuitry are within the bore;
the arm has a length extending within the bore toward the proximal side of the imaging coil and is configured to move relative to and within the bore to adjust the position of the imaging coil to prevent the electronic circuitry from intersecting the beam within the bore; and
the imaging coil is configured to detect MRI signals emitted from an imaging volume within the bore.

### Claim 14 (depends on 13)

The system according to claim 13, wherein the electronic circuitry is configured to process at least one of signals received by the conducting coil or signals for transmission by the conducting coil.

### Claim 15

A radiotherapy system for treating a patient, the system comprising:
a radiotherapy device configured to generate a therapeutic beam of radiation incident upon a treatment volume of the patient;
a magnetic resonance imaging (MRI) apparatus comprising a bore and configured to generate imaging data of an imaging volume encompassing the treatment volume; and
a patient support at least partially positioned within the bore;
an imaging coil attached to the MRI apparatus and not placed directly on the patient, wherein:
the imaging coil comprises a conducting coil and electronic circuitry coupled to the conducting coil, such that the electronic circuitry is configured to control the conducting coil and is located along a proximal side of the imaging coil with respect to the arm, and wherein the conducting coil and the electronic circuitry are within the bore;
the arm has a length extending within the bore toward the proximal side of the imaging coil and is configured to move relative to and within the bore to adjust the position of the imaging coil to prevent the electronic circuitry from intersecting the beam within the bore; and
the imaging coil is configured to detect MRI signals emitted from the imaging volume within the bore.
