# US 12,453,869 B2 · Systems, methods and software for magnetic resonance image guided radiotherapy

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- Number: US 12,453,869 B2
- Document ID: US12453869B2
- Status: Granted
- Kind: B2
- Application number: 18/491,527
- Filed: 2023-10-20
- Published: 2024-06-13
- Granted: 2025-10-28
- Earliest claimed: 2022-10-20
- Assignees: ViewRay Systems, Inc.
- Applicants: ViewRay Systems, Inc.
- Inventors: James F. Dempsey; Iwan Kawrykow
- Web page: https://patentgrep.com/patent/US12453869B2

## CPC

- A61N 5/1039: {using functional images, e.g. PET or MRI}
- G16H 20/40: relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
- A61N 5/1037: {taking into account the movement of the target, e.g. 4D-image based planning}
- A61N 5/107: {in real time, i.e. during treatment}
- A61N 2005/1041: {using a library of previously administered radiation treatment applied to other patients}
- A61N 2005/1055: {using magnetic resonance imaging [MRI]}
- A61N 2005/1072: {taking into account movement of the target}
- A61N 2005/1074: {Details of the control system, e.g. user interfaces}
- 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)
- G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA

## Abstract

Systems, methods, and computer software are disclosed that can include receiving a treatment prescription for a patient, obtaining a diagnosis-driven magnetic resonance imaging guided radiotherapy treatment and planning workflow (MRgRT&P workflow) associated with the treatment prescription from a workflow library, the diagnosis-driven MRgRT&P workflow having a parameter list comprising parameters utilized for MRI-guided radiation therapy. With the diagnosis-driven MRgRT&P workflow, any of the following can be performed: imaging with the MRI-guided radiation therapy system utilizing radiation therapy imaging parameters in the parameter list, generating a radiation therapy treatment plan utilizing radiation therapy planning parameters in the parameter list, and/or controlling an MRI-guided radiation therapy system utilizing radiation therapy delivery parameters in the parameter list.

## Claims

### Claim 1

A system comprising:
at least one programmable processor; and
a non-transitory machine-readable medium storing instructions which, when executed by the at least one programmable processor, cause the at least one programmable processor to perform operations comprising:
receiving a treatment prescription for a patient;
obtaining, from a workflow library, a diagnosis-driven magnetic resonance imaging guided radiotherapy treatment and planning workflow (MRgRT&P workflow) associated with the treatment prescription, the diagnosis-driven MRgRT&P workflow having a parameter list comprising parameters utilized for MRI-guided radiation therapy;
imaging with an MRI-guided radiation therapy system utilizing radiation therapy imaging parameters in the parameter list;
generating a radiation therapy treatment plan utilizing radiation therapy planning parameters in the parameter list; and
controlling an MRI-guided radiation therapy system utilizing radiation therapy delivery parameters in the parameter list.

### Claim 2 (depends on 1)

The system of claim 1, wherein the treatment prescription includes disease type, treatment site, stage, total dose, number of fractions, dose per structure per fraction, min/max/mean dose constraints and/or dose volume constraints for targets and organs.

### Claim 3 (depends on 1)

The system of claim 1, the obtaining of the diagnosis-driven MRgRT&P workflow comprising:
comparing the treatment prescription to stored treatment prescriptions associated with stored diagnosis-driven MRgRT&P workflows; and
returning a stored diagnosis-driven MRgRT&P workflow with a stored treatment prescription that matches the treatment prescription.

### Claim 4 (depends on 1)

The system of claim 1, wherein the radiation therapy planning parameters include one or more of: anatomy identification parameters, autocontouring parameters or relative electron density parameters.

### Claim 5 (depends on 1)

The system of claim 1, wherein the radiation therapy planning parameters include one or more of: volumetric imaging parameters, image registration parameters, anatomy segmentation parameters, treatment planning parameters, treatment plan dose computation parameters, treatment plan optimization parameters, dose display parameters or treatment option parameters.

### Claim 6 (depends on 1)

The system of claim 1, wherein the radiation therapy imaging parameters include one or more of: volumetric imaging parameters, planar imaging parameters or tissue tracking parameters.

### Claim 7 (depends on 1)

The system of claim 1, wherein the radiation therapy delivery parameters include one or more of: beam energy, MLC positions, or couch positions.

### Claim 8 (depends on 1)

The system of claim 1, the operations further comprising requesting user confirmations relating to the generating, imaging and/or controlling based on the parameter list.

### Claim 9 (depends on 1)

The system of claim 1, the operations further comprising provision of a workflow editor configured to facilitate revision of the diagnosis-driven MRgRT&P workflow.

### Claim 10 (depends on 1)

The system of claim 1, the operations further comprising:
obtaining, from the workflow library, an additional diagnosis-driven magnetic resonance imaging guided radiotherapy treatment and planning workflow (MRgRT&P workflow) associated with the treatment prescription; and
presenting a user with multiple diagnosis-driven MRgRT&P workflows to choose from.
