The present invention relates to a dose distribution measurement device for measuring a dose distribution formed by a particle beam that is used in, for example, particle beam therapies for cancers.
In cancer radiation therapy, in order to check the energy and the shape of a therapy radiation beam such as an X-ray, an electron beam, and a particle beam, it is necessary to measure a dose distribution in a water phantom mimicking a human body before irradiating a patient with such a beam. Furthermore, it is necessary to perform routinely a dose distribution measurement, as quality control on the radiation beam, for adjusting the radiation beam emitting device such as an accelerator and for checking the beam energy distribution and the shape which are different from patient to patient.
For example in Patent Document 1, using a water tank mimicking a human body and an ionization chamber equipped with an actuator for changing the chamber position in the water, a dose distribution formed in the water by irradiation with a radiation beam is measured by scanning the ionization chamber. For that reason, a lot of time and effort is needed for only one dose distribution measurement. Moreover, since the check by the dose distribution measurement is needed in every change of the beam condition, there is a limit on increase in the number of patients treatable with one irradiation device, i.e., in the availability factor of the therapy apparatus.
In order to overcome such problems, various types of radiation detectors and dose distribution measurement devices have been proposed as devices capable of measuring a dose distribution in a short time. For example, Patent Document 2 discloses a technology in which a substance that emits fluorescence when excited by radiation is contained in a solid phantom of high visible-light transparency to measure a fluorescence intensity by converting the light emission induced by the radiation into electrical signals using a CCD camera or the like.
Furthermore, Patent Document 3 discloses a particle-beam dose-distribution measurement device including a scintillator unit composed of a scintillation liquid that emits light when irradiated with a proton beam and an imaging unit composed of a CCD camera for taking an image of the scintillator unit in a direction perpendicular to the incident direction of the proton beam, thereby to simultaneously measure scintillations in a plurality of horizontal cross-sectional planes along the incident direction of the particle beam to reconstructed a two-dimensional distribution for each cross-sectional plane and finally to obtain a three-dimensional distribution.
Patent Document 1: JP2003-0047666 A
Patent Document 2: JP 2011-133598 A
Patent Document 3: JP 2003-079755 A
There is a scanning irradiation method in particle beam irradiation methods used in particle beam therapy systems that utilize a so-called particle beam such as a proton beam or a carbon beam among radiation beams. The scanning irradiation method is a method of forming a two-dimensional irradiation distribution perpendicular to the beam traveling direction by shifting a fine particle beam, which is called a pencil beam, in the two-dimensional directions perpendicular thereto. In addition, since the position where the absorbed dose of the particle beam peaks (referred to as “Bragg peak”) depends on the energy of the particle beam, the irradiation position in the beam traveling direction is varied by changing the energy of the particle beam. In the scanning irradiation method, a three-dimensional irradiation field is formed by shifting the pencil beam and changing its energy as described above.
Because the beam irradiation position thus varies with time in the scanning irradiation method, there arise a problem that the technologies disclosed in Patent Documents 1 to 3, which are for measuring a dose distribution when the irradiation position does not vary with time, cannot be directly applied to measurement of a dose distribution formed by the scanning irradiation method, or need a significant time when trying to measure a dose distribution formed by the scanning irradiation method.
The present invention is made to overcome such an above-described problem, and aims at providing a particle-beam dose-distribution measurement device that is capable of measuring, with a simple configuration and in a short time, a particle beam dose distribution formed by a scanning irradiation method.
The present invention provides a dose distribution measurement device for measuring an irradiation dose distribution to be generated when an irradiation-related device for irradiating an irradiation target with a particle beam as a pencil beam irradiates a three-dimensional target region with the particle beam by scanning, every time an energy level of the particle beam is changed, the particle beam over a two dimensional region of the irradiation target at a depth position corresponding to the energy level with repetition of staying and shifting of the particle beam in a two-dimensional direction perpendicular to the beam traveling direction. The dose distribution measurement device includes a water phantom having a fluorescent substance containing liquid that emits light by being irradiated with the particle beam and provided with an incident window for incident of the particle beam; at least two cameras arranged outside the water phantom and on a plane perpendicular to an irradiation center axis in the water phantom, of the particle beam so as to take images of light emission of the fluorescent substance containing liquid; and a dose distribution calculation and evaluation unit that includes a camera image processing part processing the images taken with the at least two cameras; a camera calibration-parameter storage part storing camera calibration parameters for each of the at least two cameras; a spot position determination part determining a position of a spot irradiated with the particle beam during staying of the particle beam, from camera image data processed by the camera image processing part using the camera calibration parameters for each camera which are stored in the camera calibration-parameter storage part; a pencil-beam dose-distribution data storage part storing PDD data and OCR data of the pencil beam; and a dose addition part calculating an irradiation dose distribution at the spot position determined by the spot position determination part using the PDD data and the OCR data stored in the pencil-beam dose-distribution data storage part and adding the irradiation dose distribution at each of spot positions.
According to the present invention, a dose distribution measurement device can be provided that is capable of measuring a dose distribution with a simple configuration and in a short time.
A dose distribution calculation and evaluation unit 10 calculates and evaluates a dose distribution from the camera images taken with the cameras 7 and 8. The dose distribution calculation and evaluation unit 10 includes a camera image processing part 11 for processing the camera images; a spot position determination part 12 for determining a spot position from a camera image processed by the camera image processing part 11 using camera calibration parameters stored in a camera calibration-parameter storage part 17; a dose addition part 13 for calculating and adding a dose at each of spot positions using a pencil beam dose distribution stored in a pencil-beam dose-distribution data storage part 16; and a dose distribution evaluation part 14 for comparing a measured dose distribution that is a result added by the dose addition part 13 with irradiation-region dose distribution data that is planned in a treatment planning device 20 and stored in an irradiation-region dose-distribution data storage part 15 for storing the irradiation-region dose distribution data, to evaluate the measured dose distribution.
A particle beam 4, which is called a fine pencil beam, is shifted in the two-dimensional directions perpendicular to the beam traveling direction by the irradiation-related device 2 to form a two-dimensional irradiation distribution perpendicular to the beam traveling direction. Here, the beam traveling direction is defined as a Z-direction and two directions perpendicular to the Z-direction, i.e., directions in which the beam is shifted are defined as an X-direction and a Y-direction. The irradiation-related device includes an X-direction deflection electromagnet and a Y-direction deflection electromagnet for deflecting the particle beam 4 in the X-direction and the Y-direction, respectively. The particle beam 4 is emitted with repetition of shifting and staying by the irradiation-related device 2. That is, the particle beam 4 stays at an irradiation position (hereinafter referred to as a spot position) and when the irradiation dose at the spot position reaches a planned irradiation dose, the particle beam 4 is shifted to the next spot position and is emitted until the irradiation dose at the next spot position reaches its planned irradiation dose. Repetition of the shifting and staying for an energy level of the particle beam 4 forms a planned irradiation dose distribution, i.e., a two-dimensional irradiation dose distribution in an irradiation region at a Bragg peak position corresponding to the energy level, i.e., at a depth position in the beam traveling direction. Since the irradiation depth is varied by changing the energy level of the particle beam, the energy level of the particle beam is changed to form a planned two-dimensional irradiation dose distribution in an irradiation region at another depth position. In this way, a planned irradiation dose distribution is finally formed in a three-dimensional irradiation region by forming two-dimensional irradiation dose distributions with repetition of shifting and staying of the particle beam 4 for each different energy level. Such an irradiation method described above is here referred to as a spot scanning irradiation method.
In order to form an irradiation dose distribution in an irradiation region needed for a diseased part of a patient using the above spot scanning irradiation method, the treatment planning device 20 calculates control parameters for an irradiation-related controller 21 to control the irradiation-related device 2 and control parameters for an accelerator-related controller 22 to control a not-shown accelerator, and transmits these control parameters to the irradiation-related controller 21 and the accelerator-related controller 22. While the diseased part of the patient is irradiated with the particle beam 4 with repetition of shifting and staying in accordance with these control parameters for the irradiation-related controller 21 and the accelerator-related controller 22 during the therapy, a dose distribution in the diseased part of the patient cannot be directly measured. For that reason, the dose distribution measurement device 1 is used in advance to the therapy in order to check whether the planned dose distribution is formed when the irradiation is performed in accordance with these control parameters.
A dose distribution measuring method using the dose distribution measurement device 1 according to Embodiment 1 of the present invention will be described with reference to
Next, with the configuration of
In order to three-dimensionally measure a three-dimensional position by cameras in two or more directions, it is necessary to perform calibration for the cameras in advance. To be more specific, external camera parameters (mounting position and angle) and internal camera parameters (such as an image center and distortion), which are calibration parameters of the cameras, can be determined by a known method. Here, a calibration point whose three-dimensional coordinate position is given is implanted in the water phantom so that the calibration point can be positioned at the isocenter of a therapeutic coordinate using a laser pointer or the like in the treatment room. The external and internal parameters of each camera are calculated using the calibration point in each camera image. The calculated external and internal calibration parameters of each camera are stored in the camera calibration-parameter storage part 17.
The above measurement is explained with reference to the flow diagram of
Next, the increment of i=i+1 is performed (ST7), i.e., i is increased to two (i=2), and then the control parameters of the irradiation-related controller 21 and the accelerator-related controller 22 are set for the second position spot to be irradiated. And images of light emission of the water phantom 3 are taken with the cameras 7 and 8 when the spot i=2 is irradiated (ST3). From camera images taken with the cameras 7 and 8, the spot position determination part 12 determines the highest intensity position as a three-dimensional position of the spot and calculates the peak dose from the intensity (ST4). An irradiation dose distribution that has a peak at the determined peak spot position i=2 is calculated using the PDD and the OCR data stored in the pencil-beam dose-distribution data storage part, to be added to the first three-dimensional irradiation dose distribution (ST5). In this way, calculated three-dimensional irradiation dose distributions are added until i becomes i=n (“NO” in ST6). At the time of finishing irradiation at all spot positions, i.e., i=n (“YES” in ST6), an irradiation dose distribution obtained by the addition is a measured irradiation dose distribution. An example of obtained data is shown in
Y-position near the center, that is, a distribution chart of two-and-half—dimensions. In practice, a three-dimensional irradiation dose distribution such as having point-by-point values in the X, Y, Z three-dimensional volume is obtained. The dose distribution evaluation part 14 compares the measured three-dimensional irradiation dose distribution thus obtained with a three-dimensional irradiation dose distribution set in a treatment plan and evaluates the measured dose distribution (ST8). The dose distribution set in the treatment plan is stored in advance in the irradiation-region dose-distribution data storage part 15 of the dose distribution calculation and evaluation unit 10 from the treatment planning device. Evaluation to what degree the measured irradiation dose distribution conforms to the irradiation dose distribution set in the treatment plan can be performed using a known index such as a gamma index.
As described above, the dose distribution measurement device according to Embodiment 1 of the present invention is capable of easily measuring a dose distribution of a spot scanning irradiation by determining spot positions from an image obtained by taking light emission of the water phantom 3 induced by irradiation of each spot with the two cameras 7 and 8 arranged on the circle C centered on the irradiation center axis CA and using the in advance measured PDD and OCR data of a pencil beam. It is desirable to arrange the two cameras at positions for their imaging angles to be perpendicular to each other. It should be noted that the two cameras are not necessarily arranged at the perpendicular positions because determination of camera calibration parameters corresponding to the camera arrangement permits a spot position to be determined from camera images. In addition, it is sufficient to arrange at least two cameras; three or more cameras may as well be arranged. More cameras allows for determination of a spot position with higher accuracy.
In Embodiment 2, the dose addition part 13 calculates and adds, in the step ST5 described in Embodiment 1, an irradiation dose distribution having a peak at the spot position i determined by the spot position determination part 12 using the OCR data calculated by the OCR distribution calculation part 18 and the PDD data stored in the pencil-beam dose-distribution data storage part 16.
As described above, according to Embodiment 2, there is no need to measure and store in advance the OCR of the pencil beam, and an OCR at the time of actual irradiation is measured to be used for calculation of a dose distribution, thus measuring a dose distribution with higher accuracy.
As described above, the dose distribution measurement device according to Embodiment 3 is not capable of measuring directly a dose distribution itself, but is capable of comparing with the one camera configuration an actual irradiation dose distribution with a dose distribution set in the treatment planning device with the one camera configuration, thereby evaluating indirectly the actual irradiation dose distribution.
In Embodiment 4, similarly to Embodiment 3, the water phantom 3 is irradiated with the particle beam 4 by the spot scanning irradiation method (ST11) and then an image of light emission of the fluorescent substance containing liquid 5 is taken with the camera 70 with a continuous exposure during the irradiation (ST12), thereby to record the light emission as as integrated values in a camera image processing part 311 in a dose distribution calculation and evaluation unit 310. The recorded image is not the dose distribution itself but is the values integrated temporally and spatially in the optical axis direction of the camera.
The image is recorded as data expressing, for example, iso-curves of the light intensity as
In this way, by taking with a camera an image of light emission of the liquid containing a fluorescent substance induced by the short irradiation with the pencil beam allows for obtaining easily source beam data corresponding to the PDD and the OCR of the pencil beam.
From the object of particle beam therapy, two situations and two measurements, i.e., four cases in total are conceivable as shown in
In the present invention, each embodiment may be freely combined and/or appropriately modified and/or omitted within the scope and spirit of the invention.
1, 100, 200, 300: dose distribution measurement device;
2: irradiation-related device;
3: water phantom;
4: particle beam;
5: fluorescent substance containing liquid;
6: incident window;
7, 8, 70: camera;
9: OCR measuring camera;
10, 110, 210, 310: dose distribution calculation and evaluation unit;
11, 211, 311: camera image processing part;
12: spot position determination part;
13: dose addition part;
14, 214, 314: dose distribution evaluation part;
15: irradiation-region dose-distribution data storage part;
16: pencil-beam dose-distribution data storage part;
17: camera calibration-parameter storage part;
18: OCR distribution calculation part;
20: treatment planning device;
21: irradiation-related controller 21;
22: accelerator-related controller 22;
30, 315: image prediction part;
319: one-dimensional light intensity distribution calculation part.
Filing Document | Filing Date | Country | Kind |
---|---|---|---|
PCT/JP2012/083641 | 12/26/2012 | WO | 00 |