# US 5,037,374 A · Stereotactic-guided radiation therapy system with variable-length compensating collimator

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- Number: US 5,037,374 A
- Document ID: US5037374A
- Status: Granted
- Kind: A
- Application number: 07/443,893
- Filed: 1989-11-29
- Granted: 1991-08-06
- Earliest claimed: 1989-11-29
- Inventors: Mark P. Carol
- Web page: https://patentgrep.com/patent/US5037374A

## CPC

- A61B 6/032: {Transmission computed tomography [CT]}
- A61B 6/4035: {the source being combined with a filter or grating}
- A61N 5/1077: {Beam delivery systems}
- A61B 2090/101: {for stereotaxic radiosurgery}
- A61N 2005/1096: {Elements inserted into the radiation path placed on the patient, e.g. bags, bolus, compensators}
- 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

A system for stereotactic-guided radiation therapy, method of stereotactic-guided radiation therapy, and a collimator useful in treating a patient with stereotactic-guided radiation therapy includes a variable length pathway for the beam of radiation, the pathway having associated therewith a material substantially equivalent to the tissue of the patient, whereby the radiation beam always travels through the same distance of actual tissue and tissue equivalent material.

## Claims

### Claim 1

A collimator useful in treating a patient with stereotactic-guided radiation therapy of a lesion within a patient's body comprising:
means for focusing a beam of radiation; and
means for providing a variable length pathway for the beam of radiation, the pathway having a material substantially equivalent to tissue of the patient associated with the pathway, the beam of radiation passing through the pathway prior to entering the patient, the length of the pathway throughout the therapy being varied to pass the beam of radiation through substantial the same distance of tissue and tissue equivalent material before the beam of radiation is delivered to the lesion, whereby the lesion is treated through the therapy with substantially the same amount of radiation.

### Claim 2 (depends on 1)

The collimator of claim 1, wherein the tissue equivalent material is water.

### Claim 3 (depends on 1)

The collimator of claim 1, wherein the variable length pathway providing means includes a variable length, movable housing which contains the tissue equivalent material.

### Claim 4 (depends on 3)

The collimator of claim 3, wherein the tissue equivalent material is water.

### Claim 5 (depends on 3)

The collimator of claim 3, wherein the variable length pathway providing means further includes a reservoir for the tissue equivalent material.

### Claim 6 (depends on 3)

The collimator of claim 3, wherein the variable length, movable housing is a variable length, movable piston, and the piston contains the tissue equivalent material.

### Claim 7 (depends on 6)

The collimator of claim 6, wherein the piston is a plastic encased spring which forms a variable length, movable bellows for containing the tissue equivalent material.

### Claim 8 (depends on 3)

The collimator of claim 3, wherein the housing has a first end, adapted to contact the patient, and means for controlling the movement of the housing, whereby the first end of the housing maintains contact with the patient.

### Claim 9 (depends on 8)

The collimator of claim 8, wherein the control means is a means for spring biasing the first end of the housing into contact with the patient.

### Claim 10 (depends on 8)

The collimator of claim 8, wherein the control means is at least one sensor, means associated with the first end of the housing and a motor the at least one sensor means further controlling the operation of the motor which moves and maintains the housing in contact with the patient.

### Claim 11

A system for stereotactic-guided radiation therapy for treating a lesion within a patient's body comprising:
a stereotactic fixation device;
a linear accelerator having a rotatable couch; and
a collimator for focusing a beam of radiation from the linear accelerator, including means for providing a variable length pathway for the beam of radiation, the pathway having a material substantially equivalent to tissue of the patient associated with the pathway, the beam of radiation passing through the pathway prior to entering the patient, the length of the pathway throughout the therapy being varied to pass the beam of radiation through substantially the same distance of tissue and tissue equivalent material before the beam of radiation is delivered to the lesion, whereby the lesion is treated throughout the therapy with substantially the same amount of radiation.

### Claim 12 (depends on 11)

The system of claim 11, wherein the tissue equivalent material is water.

### Claim 13 (depends on 11)

The system of claim 11, wherein the variable length pathway providing means includes a variable length, movable housing which contains the tissue equivalent material.

### Claim 14 (depends on 13)

The system of claim 13, wherein the tissue equivalent material is water.

### Claim 15 (depends on 13)

The system of claim 13, wherein the variable length pathway providing means further includes a reservoir for the tissue equivalent material.

### Claim 16 (depends on 13)

The system of claim 13, wherein the variable length, movable housing is a variable length, movable piston, and the piston contains the tissue equivalent material.

### Claim 17 (depends on 16)

The system of claim 16, wherein the piston is a plastic encased spring which forms a variable length, movable bellows for containing the tissue equivalent material.

### Claim 18 (depends on 13)

The system of claim 13, wherein the housing has a first end, adapted to contact the patient, and means for controlling the movement of the housing, whereby the first end of the housing maintains contact with the patient.

### Claim 19 (depends on 18)

The system of claim 18, wherein the control means is a means for spring biasing the first end of the housing into contact with the patient.

### Claim 20 (depends on 18)

The system of claim 18, wherein the control means is at least one sensor means associated with the first end of the housing and a motor, the at least one sensor means further controlling the operation of the motor which moves and maintains the housing in contact with the patient.

### Claim 21

A method of stereotactic-guided radiation therapy of a lesion within a patient's body comprising the steps of:
placing the patient on a rotatable couch associated with a linear accelerator having a collimator and a gantry;
disposing the lesion of the patient at the isocenter of the linear accelerator;
focusing a beam of radiation toward the lesion and through a variable length pathway associated with the collimator, the pathway having a material substantially equivalent to the tissue of the patient, the beam of radiation passing through the pathway prior to entering the patient;
moving the collimator with respect to the patient while focusing the beam of radiation toward the lesion; and
varying the length of the variable length pathway while moving the collimator, so that the beam of radiation passes through substantially the same distance of tissue and tissue equivalent material while the collimator is being moved, and the lesion is treated throughout the therapy with substantially the same amount of radiation.

### Claim 22 (depends on 21)

The method of claim 21, including the step of utilizing water as the tissue equivalent material.

### Claim 23 (depends on 21)

The method of claim 21, including the step of contacting the patient with a first end of the variable length pathway and maintaining such contact while the collimator is being moved by varying the length of the variable length pathway.

### Claim 24 (depends on 21)

The method of claim 21, including the step of disposing a first end of the variable length pathway a predetermined distance from the patient, and maintaining the predetermined distance between the first end and the patient while the collimator is moving by varying the length of the variable length pathway.