调强适形治疗.pptVIP

调强适形放射治疗 调强治疗实现方式的分类 The ways to create intensity-modulated beams (IMBS) 调强实现方法 调强适形放射治疗 (a) (b) 子野1 Surbeam1 子野2 Surbeam2 子野3 Surbeam3 子野4 Surbeam4 子野5 Surbeam5 子野6 Surbeam6 调强方式: MLC静态调强 I(x) X 调强治疗实现方法分类 调强适形放射治疗 调强方式: MLC静态调强 调强治疗实现方法分类 调强适形放射治疗 Creates MLC Shapes Minimizes treatment time Designed for Siemens MLC Optimizes Output Fluence Tongue and Groove Correction IMFAST 调强适形放射治疗 子野优化 调强适形放射治疗 调强治疗实现方式的分类 The ways to create intensity-modulated beams (IMBS) 调强实现方法 调强适形放射治疗 调强方式: 动态MLC调强(Dynamic MLC) Intensity 强度分布 Position 调强治疗实现方法分类 调强适形放射治疗 调强方式: 动态MLC调强(Dynamic MLC) 调强治疗实现方法分类 调强适形放射治疗 调强适形放射治疗 调强治疗实现方式的分类 The ways to create intensity-modulated beams (IMBS) 调强实现方法 调强适形放射治疗 调强方式: 动态旋转(IMAT) Intensity 强度分布 Position GA1 GA2 GA4 GA5 GA3 GA6 调强治疗实现方法分类 Creates MLC Static fields Minimizes treatment time Optimizes Output Fluence Tongue and Groove Correction 调强适形放射治疗 Static Field Optimization(GAn) GAn Beam 15,16,17 Beam 5,6,7,8 Beam 1,2,3,4 Beam 9,10,11 Beams 12,13,14 IMAT MultiArc 放疗技术进展 Beam 15,16,17 Beam 9,10,11 Beams 12,13,14 VMAT(Rapid ARC) is an integration of multi-comformal beams and gantry rotation IMAT to VMAT (RapidARC) 调强适形放射治疗 容积旋转调強放疗 ( VMAT) 通过旋转机架角度 形成一个或多个弧 进行连续照射: *MLC 子野形状 *注量-输出率 (“剂 量率), *机架旋转速度 *改变MLC 方向 ---Cedric Yu-1995 Art Boyer-2001 VMAT-Elekta RapidArc-Varian CBT-Siemense 旋转时MLC形成的未调强的射野 把发散的未调强射 野的射线重新分类 为平行束射线所产 生的调强野 容积旋转调强基本原理 ARC 1 ARC 2 VMAT or RapidARC is an integration of gantry rotation and multi-comformal beams with changebale weightings VMAT or RapidARC is an integration of gantry rotation and multi-comformal beams with changebale weightings Dynamically changing 射野参数同时调整 Gantry Angle Gantry Speed MLC Leave’s Position Collimator Angle Independent Jaws Dose Rate Multi-Arcs Short delivery Time 实现快速治疗(2-3分钟) Elekta Infinity VMAT(Volumetric Modulated Arc Therapy) is an integration of gantry rotation and multi-comformal beams with changebale weightings Dynamically changing 射野参数同时调整 Gantry