The present disclosure relates to radiotherapy device, and to a method of monitoring a radiotherapy device.
Radiotherapy is an important tool in modern cancer treatment. Radiotherapy devices are large, complex machines, with many moving parts and inter-operating mechanisms. Despite precision engineering and rigorous testing, some component parts of a radiotherapy device may start to degrade over its lifetime. This can sometimes lead to sub-optimal operation and even the occasional safety override.
If at any point during treatment a radiotherapy device starts to function outside of its normal operating parameters, a safety override or “interrupt” occurs, whereby the machine stops delivering radiation to ensure patient safety. Such an event is inconvenient, as it adds time to the treatment, and in some cases means the treatment session must finish prematurely. Unplanned equipment downtime can disrupt planned treatment schedules, and may be expensive for the machine owner, be it due to loss of revenue, servicing and repair costs, or both.
It has been surmised that predictive maintenance and/or remote diagnostic techniques could be applied to radiotherapy machines. Identifying the link between particular data patterns and the particular fault or degrading component is often non-intuitive even for experienced service engineers.
The present disclosure relates generally to collecting data from a radiotherapy device, particularly to collecting and remotely analysing data from a of radiotherapy device, and using analysis to determine if a magnetron of a radiotherapy device is nearing the time at which it should be replaced or repaired. To date, no such predictive approach has been possible, and existing methods of servicing and repair of a radiotherapy device require sending a field service engineer to inspect the machine, take measurements from the magnetron, and diagnose and fix the problem.
Since the type of problem or the component which is at fault is not known in advance, time consuming diagnostic testing must be performed on-site. Existing methods therefore result in a significant amount of machine down time. Also, in existing methods, a field service engineer is not made aware of a potential issue until the component has degraded to a point where the radiotherapy machine is undergoing safety interrupts, or even until the point where the radiotherapy machine cannot operate within its safety parameters. This means that the servicing of the radiotherapy machine is often scheduled at a time which is inconvenient, or inefficient in terms of both field service engineer resources and the resources of the hospital or other machine owner.
The present invention seeks to address these and other disadvantages encountered in the prior art by providing a method of determining, preferably remotely, whether repair or replacement of a magnetron in a radiotherapy device should be scheduled.
Aspects and features of the present invention are described in the accompanying claims.
Specific embodiments are described below by way of example only and with reference to the accompanying drawings in which:
Radiotherapy devices are an important tool in modern cancer treatment. Radiotherapy devices are large, complex machines, with many moving parts and inter-operating mechanisms. Despite precision engineering and rigorous testing, some component parts of a radiotherapy machines may start to degrade over the lifetime of the machine. This can sometimes lead to sub-optimal operation and even the occasional safety override.
If at any point during treatment a radiotherapy device starts to function outside of its normal operating parameters, a safety override or “interrupt” occurs, whereby the machine stops delivering radiation to ensure patient safety. Such an event is inconvenient, as it adds time to the treatment, and in some cases means the treatment session must finish prematurely. Unplanned equipment downtime can disrupt planned treatment schedules, and may be expensive for the owner, be it due to loss of revenue, servicing and repair costs, or both.
Radiotherapy machines are beginning to be configured to produce and record a large amount of data as they operate; for example radiotherapy machines are configured to provide sensor readings from a variety of different sensors. These sensors produce data which can be stored in a database. Radiotherapy devices may also be configured to allow remote connection, enabling service engineers to access a wealth of information about any connected machine without having to travel to the site where the machine is located. It is expected that, in many cases, machines may be returned to optimal performance without an engineer ever having to physically interact with the machine.
However, there will still be occasions where the fault cannot be fixed remotely, and an engineer must be sent to: inspect the machine; determine the nature of the fault; and perform any maintenance required. If the repair involves replacing a part, further machine downtime is required before the machine can be brought back online.
Currently, in medical imaging there is no data routinely recorded from the magnetron. If the magnetron malfunctions, or another component of the radiotherapy machine malfunctions, a mechanic may manually test components of the machine. This may involve testing the parameters of the magnetron through manually, and temporarily, attaching an oscilloscope to the magnetron. This is done during machine “downtime”, i.e. when the machine is not operational. The output parameters and behaviours of the magnetron therefore are only tested or recorded once the radiotherapy machine malfunctions. Unplanned equipment downtime can disrupt planned treatment schedules.
The behaviour of a magnetron over its lifetime is not tracked or recorded. Particularly, conditions a magnetron has been exposed to, or the behaviours of the magnetron, towards the end of its life are not tracked of analysed. There is no known way of identifying magnetrons which are approaching the end of their operational life.
Further, measurements of magnetron output are not taken during routine operation of a radiotherapy device, but are only taken by an onsite service engineer. This will be either during unplanned downtime or planned downtime. Since under normal operation the output of a magnetron is not measured, a magnetron may be operating within a performance range which, whilst acceptable to meeting the performance requirements, is not optimal. Performing outside optimal conditions may lead to a shortening of the life span of the magnetron, or to less efficient or suboptimal performance of the radiotherapy device.
Finally, since measurements of the output of the magnetron can currently only be taken with a service engineer on site, and are not taken during routine operation of the radiotherapy device, there is a lack of data relating to performance of a magnetron in a radiotherapy device over its lifetime. It has to date not been possible to establish patterns relating to the performance of a magnetron. Under the present set up, there is not enough data to determine particular data patterns which are may indicative of a particular fault.
A high-level overview radiotherapy decide according to the disclosure is illustrated in
The source of radiofrequency waves 122, such as a magnetron, produces radiofrequency (RF) waves. The source of radiofrequency waves is coupled to the waveguide, and is configured to pulse radiofrequency waves into the waveguide.
The source of electrons 112 may be an electron gun. The source of electrons is configured to inject electrons into the waveguide 114. The waveguide 114 comprises a plurality of interconnected acceleration cavities (not shown) forming a channel through which the electron beam passes. The injection of electrons into the waveguide 114 is synchronised with the pumping of the radiofrequency waves into the waveguide 114.
The design and operation of the radiofrequency wave source 122, electron source 112 and the waveguide 114 is such that the radiofrequency waves accelerate the electrons to very high energies as they propagate through the waveguide 114 down the acceleration path 118. The waveguide is designed in order that a suitable electric field pattern is produced which accelerates electrons propagating through the waveguide 114.
A magnetron comprises a cathode that also serves as filament. A magnetic field causes electrons emitted by the cathode to spiral outward through a cavity. As the electrons pass the cavity they induce a resonant, RF field in the cavity through the oscillation of charges around the cavity. The RF field can then be extracted with a short antenna attached to one of the spokes.
The device further comprises an oscilloscope 124. The oscilloscope is configured to measure the output of the magnetron. The oscilloscope 124 may be a micro-oscilloscope. The oscilloscope 124 is configured to measure current and anode of the magnetron anode.
The oscilloscope is configured to send signals indicative of the output of the magnetron to the linear accelerator (linac) network. The linac network is the computer network in the linac, which connects the controllers and sensors of the linac. As is explained below, the oscilloscope is configured to send the measurements of the output of the magnetron to a central server (cloud solution). This is done through sending the measurements to the linac network. In another embodiment the oscilloscope is connected to a network and transmits the data to the cloud.
A processor receives signals from the oscilloscope and sends data to the central server. The data is based on the signals received from the oscilloscope. The processor sends data indicative of the output of the magnetron to the central server.
The linear accelerator has a control until 220 which is configured to control the linear accelerator to deliver a treatment plan to a patient. The control until 220 controls the magnetron 230 to output a required amount of rf energy to the waveguide. The control unit 220 also controls the other components of the linear accelerator 240. Controlling the other components 240 can include: controlling the electron gun to feed electrons to the waveguide; controlling the gantry to rotate according to the treatment plan to provide the angle which radiation is delivered to the patient; and controlling a collimator, such as a multi leaf collimator, MLC, to collimate the beam according to the treatment plan.
The control unit 220 sends information on the linac network 210. The linac network 210 may send the treatment plan to the control unit 220 ahead of the treatment delivery.
The magnetron 240 is controlled by the control unit to 220 to provide rf energy to the waveguide of the linac. The output of the magnetron 230 is measured by oscilloscope 250. The oscilloscope sends the measurements to the linac network. The measurements may be sent through wired or wireless connections to the linac network. The oscilloscope may be a headless oscilloscope which sends the data to an ARM based micro-computer. This micro-computer is connected to the linac network.
The control 220 also controls other components 240 of the linac, for example the electron gun, the gantry and/or the multi-leaf collimator. Outputs of each of these components are sent to the linac network 210. The outpours are measured by different measurement devices. The output of the beam itself may also be measured, and the measurement sent to the linac network 240. The measurements of the beam and of the outputs of the components of the linac are sent to the linac network as electrical signals through an electrical connection, or are sent wirelessly.
The linac network 210 has a wireless connection to the internet. The linac network can send information to a central server such as Axeda or Thingworx. The data can then be automatically analyzed and stored.
The data may be sent—that is transmitted—over a wireless network such as an internet or intranet, WLAN connection or a peer-to-peer connection. Data from the linac network can be sent to a central server storage. The central server, such as a cloud solution, can be accessed remotely, for example from a computer at a central location which is also connected to the internet.
That is, the linac network is configured to send data to the central server, and data on the central server can be accessed from a device which is located at a location remote from the linear accelerator.
The data which is transmitted to the cloud in the system of
The data can be used in the following ways.
The present methods involve evaluating the condition and/or performance of a magnetron during its operation in order to identify and determine, preferably remotely, whether the magnetron is nearing the end of its operational life and thus whether the magnetron should be replaced or repaired. In particular, the present application relates to taking measurements of the output of a magnetron in a radiotherapy device, and sending the data to a cloud. Analysis of the measurement of the magnetron can be performed and, if the magnetron is not performing optimally, or if the magnetron requires replacement or repair, a service engineer can be sent to the site.
Further, the measurements from the magnetron can be analysed along with other data from the radiotherapy device, such as treatment plans which the device has delivered, to determine patterns in the data. These patterns may be used in predictive maintenance of magnetrons. For example, certain outputs of the magnetron may be indicative that the magnetron may soon need service or repair. Additionally or alternatively, certain types of treatment plans in combination with outputs of the magnetron may be indicative that the magnetron may soon need service or repair.
Such techniques are advantageous as they allow a manufacturer or maintenance service provider to attend the machine knowing what will be required to fix the machine prior to arrival. The disclosed techniques allow the operation of the magnetron to be monitored, and hence magnetrons which are approaching the end of their operational life but which are still operating within required safety parameters can be identified. This in turn allows, for example, repair and/or replacement of the electron gun to be scheduled for the next convenient service point.
The disclosed methods help to reduce machine downtime and thereby minimise disruption to the machine's normal operation. The disclosed techniques can also be used to more effectively plan machine downtime for times which are more convenient or cost-effective for the owner of the equipment and/or the patients. Data collected from the magnetron can also be used in the future for trending and to learn how a magnetron behaves during its lifespan. Data can also be used in further research and development of magnetrons for radiotherapy devices.
Steps 340 and 350 are not performed on site by the linear accelerator or the associated network, but remotely on the central server.
The data is then used to determine whether repair or replacement of the magnetron should be scheduled 340. For example, if the magnetron is malfunctioning, or if the signals received indicate that the magnetron is operating outside of its optimal parameters, the process determines that a repair or replacement of the magnetron should be scheduled.
At step 350, the determination is output. This may be in the form of an automated message being sent to a service engineer. When this information is analysed it can trigger automatic messages for service engineers and managers to perform a service intervention on the affected machine/s.
These automated messages include diagnostics flowcharts and instructions to aid the engineer during fault finding in order to reduce mean time to repair.
If an incorrect configuration of the magnetron related settings is detected, the engineer receives an automated message which prompts him to adjust these parameters. These parameters can be adjusted remotely.
If the magnetron is showing signs of deterioration, the engineer receives an automated message which prompts him to replace the magnetron.
Both of these activities can be scheduled outside clinical hours to minimise clinical downtime. Scheduling activities outside of clinical hours can also reduce travel time, as well as the mean time to repair.
It would also be possible to automatically create a customer lifecycle management case in parallel to the automated message so that a task it's created and the engineer needs to take action.
The method includes: receiving 410, from multiple magnetrons, signals comprising data indicative of the output of each magnetron prior to failure of that magnetron.
The output of the magnetron measured can include a voltage trace and a current trace.
The method further includes processing the data to determine a threshold measurement of a magnetron prior to failure.
Processing the data could take the following form:
The server then receives data from a first magnetron, the data indicative of the output of the first magnetron. Based on the data, the server determines that the measurements are within the threshold measurement to determine whether repair or replacement of the electron gun should be scheduled. Finally, the determination is output. The output may be in the form of an automated message.
There is also proved computer readable medium configured to perform the method of
At step 510 at least one of the following measurements are stored in the cloud:
At step 520, the data is processed to determine values. This includes:
At step 530, the data is compared to a threshold. At step 540, a determination is made as to whether the repair or replacement the magnetron should be scheduled based on the comparison. If any two or more of the following conditions are satisfied, it is determined that the magnetron is nearing the end of its life cycle the repair or replacement the magnetron should be scheduled;
The determination is then output. This may be in the form of an automated message being sent to a service engineer. When this information is analysed it can trigger automatic messages for service engineers and managers to perform a service intervention on the affected machines. These automated messages include diagnostics flowcharts and instructions to aid the engineer during fault finding in order to reduce mean time to repair.
One of the advantages is that it will be possible to automatically analyse all of the machines connected to the cloud solution and reduce number of failures due to human error as well as number of unplanned service activities. The data from magnetrons will provide a new source of information which can help for future development of linear accelerators. In addition to the previous advantages and as a result of removal of human factor, the life of magnetrons will be increased because they will always be operating within specification limits.
Features of the above aspects can be combined in any suitable manner. It will be understood that the above description is of specific embodiments by way of aspect only and that many modifications and alterations will be within the skilled person's reach and are intended to be covered by the scope of the appendant claims.
Number | Date | Country | Kind |
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1903820.7 | Mar 2019 | GB | national |
Filing Document | Filing Date | Country | Kind |
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PCT/EP2020/057706 | 3/19/2020 | WO | 00 |