Including fiducial markers in radiation therapy planning to facilitate real-time position monitoring during treatment delivery

摘要

An inverse planning method that is capable of controlling the appearance of the implanted fiducial(s) in segmented IMRT fields for cine MV or combined MV/kV image-guided IMRT is provided. The method for radiation treatment includes computing a radiation treatment plan and delivering beams to a target in accordance with the radiation treatment plan, where computing the radiation treatment plan includes introducing a penalty in an inverse planning objective function optimization calculation to discourage or avoid blockage of one or more fiducials in optimized multi-leaf collimator (MLC) apertures.

主权项

1. A method for radiation treatment comprising computing a radiation treatment plan and delivering beams to a target in accordance with said radiation treatment plan, wherein computing said radiation treatment plan comprises introducing a penalty in an inverse planning objective function optimization calculation to discourage or avoid blockage of one or more fiducials in optimized multi-leaf collimator (MLC) apertures, wherein for a given gantry angle θ and phase p, a weight wθp is provided for a phase-segment, wherein said radiation treatment plan optimizes shapes and weights of all said MLC aperture shapes.