The present disclosure relates to the technical field of radiotherapy devices, and in particular to a magnetic resonance (MR)-guided charged particle beam radiotherapy system, including an MR-guided parallel charged particle beam radiotherapy device and an electromagnetic (EM) steering parameter commissioning method aiming at target spot coordinates.
Cancer is the leading cause of death in humans, and about half or more of patients with cancer require radiation therapy (radiotherapy). Compared with conventional cone-beam computed tomography (CT)-guided radiotherapy, MR-guided radiotherapy has no imaging radiation dose and is able to perform MR imaging before or during patient treatment, which improves the ability to discriminate soft tissues such as tumors, provides higher treatment precision, improves the treatment efficiency of patients, and has important clinical significance.
Currently, all clinically used MR-guided radiotherapy technologies are photon radiotherapy, such as MRIdian from ViewRay of America and Unity from Elekta of Sweden. Compared with photon radiotherapy, charged particle radiotherapy has specific advantages, such as insensitivity to tissue inhomogeneity and steeper longitudinal dose fall-off of a beam, but there is no MR-guided charged particle radiotherapy equipment in clinical currently. A charged particle beam transported in a main magnetic field of MR is affected by the Lorentz force, and the beam deviates from the original direction, causing the beam to accurately locate a tumor target spot with much difficulty, resulting in missing irradiation of a tumor or false irradiation of normal tissues, and ultimately affecting the curative efficacy.
An MR-guided radiotherapy system with a main magnetic field of MR perpendicular to a direction of incident particles is disclosed in the inventive patent with the publication number of CN111580030A. In this patent, although a niobium-titanium alloy for shielding a magnetic field is arranged in a linear accelerator area, which can reduce the beam deflection of a particle beam outside patient's body, it is not able to solve the problem of an incident particle beam deflecting inside the patient's body. United Imaging of China and University of Wollongong of Australia all have designed radiotherapy systems with a main magnetic field of MR parallel to a central axis of a beam for MR-guided photon radiotherapy, but this solution is not suitable for a charged particle radiotherapy system. In this solution, only a beam on the central axis is parallel to the main magnetic field of MR, while beams deviating from the central axis diverge conically. For charged particle, the beam deviating from the central axis is still affected by Lorentz force, leading to a spiral motion path of the beam, which is not conducive to the precise localization by the beam. To solve this issue, the Center for Medical Radiation Physics at the University of Wollongong has proposed a complex two-step correction method for beam parameters, firstly, simulation and tabulation are performed on the basis of a homogeneous water phantom to obtain a first approximation of each target spot for each beam energy, and then Monte Carlo simulation is performed on a specific patient to obtain a large amount of parameters of a beam and position data of a corresponding target spot, according to which, a neural network model is trained to refine the results of the first approximation. The method is too complex and cumbersome for clinical translation, because tabulation and neural network training is required for each beam energy and specific patient.
In view of the above, in order to solve the technical problems existing in the prior art, in which, a deflected trajectory of a charged particle beam leads to difficulty in accurately locating a tumor target area by the beam, resulting in missing or false irradiation, and the large scattering of the charged particle beam during transport results in an increased lateral penumbra and detrimental to the protection of normal tissues, in one aspect, the present disclosure provides an MR-guided charged particle beam radiotherapy device, which can generate charged particle beams parallel to a main magnetic field of MR, greatly reducing the effect of a Lorentz force on the charged particle beams, reducing the difficulty of locating a tumor target spot by an MR-guided charged particle beam, and improving the treatment precision; in another aspect, by means of a main magnetic field of MR imaging, the lateral confinement to the charged particle beams is realized to improve their lateral dose fall-off gradient, better protecting normal tissues around a tumor and reducing the probability of complications caused by radiotherapy.
To realize the above objective, the present disclosure provides the following technical solutions.
An MR-guided charged particle beam radiotherapy device is capable of generating charged particle beams parallel to a main magnetic field of MR and includes:
Preferably, the multi-stage EM steering coil set is a triple-stage EM steering coil set arranged sequentially from top to bottom, with each stage containing two pairs of coils that can generate orthogonal steering magnetic fields,
Preferably, an accelerating device is a linear accelerator, a cyclotron or a synchrotron.
Preferably, an interval between the upper group of main magnetic field coils of MR and the lower group of main magnetic field coils of MR is greater than 60 cm.
Preferably, charged particles in the charged particle beam are electrons, protons, carbon ions or helium ions.
In another aspect, the present disclosure provides an EM steering parameter commissioning method aiming at target spot coordinates by an MR-guided charged particle beam radiotherapy device, including the following steps:
Preferably, the EM steering parameter set includes current directions and intensities of the multi-stage EM steering coil set; and the EM steering parameter set
is subjected to vectorially encoded,
={
x1,
y1,
x2,
y2,
x3,
y3, . . . }, where
x1 and
y1 are normalized currents of two pairs of orthogonal magnetic field coils in the first-stage EM steering coil set, the normalized currents being obtained using certain preset values, such as corresponding maximum load currents, with values ranging from −1.0 to +1.0, and positive and negative signs indicating current directions, and
x2 and
y2, and
x3 and
y3 represent normalized currents in the second-stage EM steering coil set and in the third-stage EM steering coil set, respectively.
Preferably, λ ranges from 5.0 to 15.0.
Preferably, the optimization algorithm without gradient information is a Bayesian black-box optimization algorithm or a metaheuristic algorithm.
Preferably, the preset number of iterations is 300 or more.
Compared with the prior art, the present disclosure has the following beneficial effects.
The MR-guided charged particle beam radiotherapy device provided by the present disclosure can generate the charged particle beams parallel to the main magnetic field of MR, greatly reducing the effect of the Lorentz force on the charged particle beams, reducing the difficulty of locating the tumor target spots by the MR-guided charged particle beams, and improving the treatment precision; and by means of the main magnetic field of MR imaging, the lateral confinement to the charged particle beams is realized to improve their lateral dose fall-off gradient, better protecting the normal tissues around the tumor and reducing the probability of complications caused by radiotherapy.
Reference numerals and denotations thereof: 1—vacuum tube, 2—first-stage EM steering coil set, 3—second-stage EM steering coil set, 4—third-stage EM steering coil set, 5—upper group of main magnetic field coils of MR, and 6—lower group of main magnetic field coils of MR.
Technical solutions in the examples of the present disclosure will be clearly and completely described below by reference to the accompanying drawings in the examples of the present disclosure. Obviously, the examples described are only some rather than all examples of the present disclosure. On the basis of the examples of the present disclosure, all other examples obtained by those ordinary skilled in the art without creative efforts fall within the scope of protection of the present disclosure.
In the description of the present disclosure, it is to be noted that, the orientation or state relations indicated by the terms “up”, “down”, “inner”, “outer”, “top/bottom end”, etc., are based on those shown in the accompanying drawings and merely for the ease of describing the present disclosure and simplifying the description, rather than indicating or implying that a device or element referred to must be in a specific orientation or constructed and operated in a specific orientation, and therefore cannot be interpreted as limiting the present disclosure. In addition, the terms “first” and “second” are only used to describe the objective, not to be understood as indicating or implying relative importance.
In the description of the present disclosure, it is to be noted that unless otherwise clearly specified and limited, the terms “mounted”, “arranged”, “sleeved”, and “connected” are to be understood in a broad sense. For example, the “connected” can be fixedly connected, detachably connected, integrally connected, mechanically connected, electrically connected, directly connected, indirectly connected through an intermediate medium, or connected between two components. For those of ordinary skill in the art, the specific meanings of the above terms in the present disclosure can be understood according to specific circumstances.
The existing MR-guided radiotherapy technologies have the following problems.
(1) Charged particles are greatly affected by a main magnetic field and a fringe magnetic field of MR, and a trajectory of a beam is deflected or twisted, which makes it difficult for the beam to accurately locate a tumor target area, resulting in missing or false irradiation.
(2) Compared with photons, the charged particles are more likely to scatter laterally with air or human tissues, especially for lighter charged particles, such as electrons, which will scatter a lot during transport, resulting in an increased lateral penumbra, and it is not conducive to the protection of normal tissues.
The present disclosure provides an MR-guided charged particle beam radiotherapy device, which is capable of generating charged particle beams parallel to a main magnetic field of MR and includes:
The details are shown in
The device can greatly reduce the deflection or distortion of an incident trajectory of the charged particle beam caused by the main magnetic field and fringe magnetic field of MR, and at the same time, confine the lateral scattering of the charged particle beam and reduce a lateral penumbra, realizing the precise localization by an MR-guided charged particle beam, and improving the radiotherapy precision.
In the present disclosure, the multi-stage EM steering coil set is a triple-stage EM steering coil set arranged sequentially from top to bottom with each stage containing two pairs of coils that can generate orthogonal steering magnetic fields.
A first-stage EM steering coil set 2 deflects the charged particle beam in a direction of a target spot. A second-stage EM steering coil set 3 has a current opposite to that of the first-stage EM steering coil set 2 to correct a deflection angle of the charged particle beam. A third-stage EM steering coil set 4 further adjusts an incidence direction of the charged particle beam to compensate for the effect of a fringe magnetic field of MR on an incident charged particle beam, allowing the incidence direction of the charged particle beam to be consistent with the direction of the main magnetic field of the MR imaging area.
In the present disclosure, the accelerating device is a linear accelerator, a cyclotron or a synchrotron.
In the present disclosure, an interval between the upper group of main magnetic field coils of MR 5 and the lower group of main magnetic field coils of MR 6 is greater than 60 cm.
In the present disclosure, charged particles in the charged particle beam are electrons, protons, carbon ions or helium ions.
In another aspect, the present disclosure provides an EM steering parameter commissioning method aiming at target spot coordinates by an MR-guided charged particle beam radiotherapy device, including the following steps.
A phase space of a particle beam corresponding to EM steering parameters is simulated on the basis of a Monte Carlo particle transport algorithm. Specifically, a phase space plane in which particle information is recorded is preferably a treatment isocenter plane (at a rotational isocenter of tot, including a position cost function
pos and a direction cost function
dir, is constructed by means of a difference between a phase space of an ideal particle beam bombarding a target spot and the phase space of the simulated particle beam based on EM steering parameters of a current iteration. These functions are calculated as Formulas (1)-(3):
Optimization of the EM steering parameters on the basis of an optimization algorithm without gradient information
Due to the stochastic nature of a particle transport process, it is difficult to determine an analytical expression of the functional relationship tot[
;λ], and it is not possible to obtain gradient information of the cost function
tot[
;λ] with respect to the input parameter set
. Therefore,
is randomly corrected according to historical optimization results rather than using gradient information of the cost function
tot[
;λ] with respect to the EM steering parameter set
during optimization, a corresponding
tot[
;λ] is calculated, and an optimization space of
is searched for or explored.
An EM steering parameter set with a smallest value of
tot[
;λ] is taken as an optimal after the preset number of iterations is reached, and an optimal EM steering parameter set of the target spot is outputted.
In the present disclosure, the EM steering parameter set includes current directions and current intensities of the multi-stage EM steering coil set; and the EM steering parameter set
is vectorically encoded,
={
x1,
y1,
x2,
y2,
x3,
y3, . . . }, where
x1 and
y1 are normalized currents of the two pairs of orthogonal magnetic field coils in the first-stage EM steering coil set, the normalized currents being obtained using certain preset values, such as corresponding maximum load currents, with values ranging from −1.0 to +1.0, and positive and negative signs indicating current directions, and
x2 and
y2, and
x3 and
y3 represent normalized currents in the second-stage steering coil set and in the third-stage EM steering coil set, respectively.
In the present disclosure, λ ranges from 5.0 to 15.0.
In the present disclosure, the optimization algorithm without gradient information is a Bayesian black-box optimization algorithm or a metaheuristic algorithm.
In the present disclosure, the preset number of iterations is 300 or more.
The technical solutions of the present disclosure is stated in detail in combination with a specific example.
An MR-guided charged particle beam radiotherapy device as shown in
The MR-guided parallel charged particle beam radiotherapy device as shown in
The multi-stage EM steering coil set is a triple-stage EM steering coil set, including a first-stage EM steering coil set 2, a second-stage EM steering coil set 3, and a third-stage EM steering coil set 4.
The main magnetic field coil of MR includes an upper group of main magnetic field coils of MR 5 and a lower group of main magnetic field coils of MR 6.
A copper wire used for each of the above coils is 2 mm wide and has a maximum current of 80 A.
A main magnetic field B0 of MR has a magnetic field intensity of about 0.35 T in an imaging and treatment area. A magnetic field intensity in central areas of the first-stage EM steering coil set 2 and the second-stage EM steering coil set 3 is about 0.22 T. A magnetic field intensity in a central area of the third-stage EM steering coil set 4 is about 0.028 T.
A cost function is constructed on the basis of the above method, and a particle transport simulation method used for each iteration is preferred to a Monte Carlo simulation particle transport algorithm, which uses a TOPAS library based on an open-source Geant4 code, and uses a C++ code to write linear combination extension packages of multiple magnetic field distributions.
Optimization of EM Steering Parameters on the Basis of an Optimization Algorithm without Gradient Information
The optimization algorithm for the EM steering parameter commissioning method is a Bayesian black-box optimization with the following steps. (i) Initial setting of 0={0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0} is performed, and a cost function
tot[
0;λ] corresponding to
0 is calculated using Formulas (1)-(3); and according to an initial point (
0,
tot[
0;λ]), a surrogate model is initialized on the basis of a Gaussian process, i.e., the prior distribution of
tot[
;λ] in a space (
(−1.0,+1.0)2×N) of a parameter set
, and an acquisition function is initialized based on the upper confidence bound. (ii) Considering the local exploration and global search comprehensively, a point
1 is selected from the space of the parameter set
to maximize the acquisition function for this iteration. (iii) According to
i, the Monte Carlo particle transport simulation is performed, a phase space file of a particle beam corresponding to
i is obtained, and a cost function
tot[
i;λ] corresponding to
i is calculated using Formulas (1)-(3). (iv) The surrogate model and the acquisition function are updated according to a new data point (
i,
tot[
i;λ]). (v) Steps (ii) to (iv) are repeated until the number of iterations is maximum.
An EM steering parameter set with a smallest value of tot[
;λ] is outputted as an final optimization result after the preset number of iterations is reached. The number of iterations in this example is set to 500.
In this example, 25 target spots are preset in an isocenter plane for all three energies of high-energy electron beams, with coordinates of (0.5, 0.5), (0.5, 1.5), (0.5, 2.5), (0.5, 3.5), (0.5, 4.5), (1.5, 0.5), (1.5, 1.5), (1.5, 2.5), (1.5, 3.5), (1.5, 4.5), (2.5, 0.5), (2.5, 1.5), (2.5, 2.5), (2.5, 3.5), (2.5, 4.5), (3.5, 0.5), (3.5, 1.5), (3.5, 2.5), (3.5, 3.5), (3.5, 4.5), (4.5, 0.5), (4.5, 1.5), (4.5, 2.5), (4.5, 3.5), and (4.5, 4.5). All components in the device provided by the present disclosure have a symmetrical structure on the central axis, and the target spots selected in this example are all located in the first quadrant, and the results from the rest of the quadrants can be obtained by symmetrical operation.
On the basis of the MR-guided charged particle beam radiotherapy device and the EM steering parameter commissioning method aiming at target spot coordinates provided by the present disclosure, a positional deviation and an angular deviation of a parallel charged particle beam are calculated. A mean value of positional errors of the parallel charged particle beam ranges from 0.2 mm to 0.3 mm, and a mean value of angular errors ranges from 0.4 deg to 0.6 deg. The two kinds of errors are smaller and can meet the clinical requirements, as shown in Table 1. Meanwhile, the lateral confinement effect on the parallel charged particle beams generated based on the present disclosure in Example 1 is verified, as shown in Table 2.
In summary, the present disclosure has provided the MR-guided charged particle beam radiotherapy device and the EM steering parameter commissioning method aiming at target spot coordinates, by coupling the multi-stage EM steering coil set and the main magnetic coils of MR and combined with the EM steering parameter commissioning method aiming at the target spot, the parallel charged particle beams in the same direction as the main magnetic field of MR can be generated, which greatly reduces the effect of the Lorentz force on treatment beams, reducing the difficulty of locating the tumor target spots by the MR-guided charged particle beam and improving the treatment precision; and by means of the main magnetic field of MR, the lateral confinement to the charged particle beams is realized to improve their lateral dose fall-off gradient, better protecting the normal tissues around the tumor and reducing the probability of complications caused by radiotherapy.
The above mentioned is only the better embodiment of the present disclosure, rather than the limitation to the scope of protection of the present disclosure. Within the technical scope disclosed by the present disclosure, any equivalent replacements or variations made by any skilled familiar with the technical field of the present disclosure shall be covered by the scope of protection of the present disclosure.
Number | Date | Country | Kind |
---|---|---|---|
202410039974.4 | Jan 2024 | CN | national |
This application is a continuation of PCT/CN2024/071715, filed Jan. 11, 2024 and claims priority of Chinese Patent Application No. 202410039974.4, filed on Jan. 11, 2024, the entire contents of which are incorporated herein by reference.
Number | Date | Country | |
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Parent | PCT/CN2024/071715 | Jan 2024 | WO |
Child | 18742751 | US |