This invention relates to a particle be am treatment-planning apparatus which determines irradiation parameters in a particle beam therapy system for treating cancer, etc. by irradiating a particle beam to an affected part.
A particle beam treatment is a method for treating a tumor in which a charged particle such as a proton or a carbon ion is accelerated to the degree of nucleon hundred mega electron volt by using equipment such as an accelerator, and a particle beam which is a bundle of charged particles which are accelerated is irradiated to a patient so as to give a dose to a tumor in a body. In actual irradiation, it is important to form a dose distribution with respect to a tumor which is proximate as much as possible to a dose distribution which is instructed by a doctor. A dose distribution which is instructed by a doctor is called a target dose distribution. In many cases, a target dose distribution is a dose distribution in which a dose is uniform in a tumor and a dose is made to be as low as possible outside a tumor.
Generally, in a case where a particle beam which is accelerated by an accelerator is irradiated to an object (including a human body), a three dimensional dose distribution in an object has a dose maximum peak at a certain point. This dose maximum peak is called a Bragg peak. Further, in a case where one point of dose maximum peak is provided in three dimensional space, a position of the peak is defined as an “irradiation position” of the particle beam. In order to form a three-dimensional target dose distribution by using a particle beam having the above-mentioned peak structure, some contrivances are necessary.
One of methods for forming a target dose distribution is a scanning irradiation method. In order to perform the above-mentioned method, a function for arbitrarily deflecting an irradiation direction of a particle beam to a two-dimensional direction of XY which is perpendicular to a Z direction which is a travelling direction of a particle beam by using an electromagnet, etc. and a function for arbitrarily adjusting a position where a Bragg peak is formed, that is, an irradiation position to a Z direction by adjusting particle energy are necessary. Generally, an accelerator which is a particle beam generating device has an energy adjusting function. Then, a plurality of irradiation positions (also called an irradiation spot) are set in a tumor, and by using the above-mentioned two functions, a particle beam is successively irradiated to each irradiation position. According to a scanning irradiation method, balance of an irradiation dose is determined in advance, each dose distribution which is formed when each irradiation position is irradiated is added up and accordingly, a target dose distribution is formed.
Then, in order to determine a dose of particle beam to be irradiated (a number of particle) to each irradiation position so as to make a three dimensional dose distribution which is added up to be a distribution which covers a tumor area for treating a tumor, it is necessary to obtain a dose distribution which is formed when a particle beam is irradiated to each irradiation position by simulation.
According to some conventional simulation devices which calculate a dose distribution, a beam is split to be a pulse function-shaped beamlet, an irradiation of each beamlet is overlapped so as to calculate a dose distribution in a patient's body. (For example, refer to Patent Document 1 and Patent Document 2)
[Patent Document 1] Japanese Patent Application Laid-Open No. 2011-217880 (
[Patent Document 2] International publication WO00/015299
According to a calculation method in which a dose distribution is calculated by splitting a beam into beamlets, in order to accurately calculate a three-dimensional dose distribution which is formed in a patient's body by irradiating one beam spot, it is necessary to generate many beamlets. Consequently, in a case where a calculation method in which a beam is split into beamlets is applied to a scanning irradiation method in which whole of an affected part is irradiated by a plurality of beam spots, there is a problem such that a great deal of calculation time is required.
In order to solve the above-mentioned problem, this invention is made, and an objective of this invention is to obtain a particle beam treatment-planning apparatus in which a three-dimensional dose distribution which is formed in a patient's body can be efficiently and accurately calculated by irradiating an irradiation spot successively while scanning an affected part with a particle beam.
A particle beam treatment-planning apparatus;
which is provided in a particle beam therapy system in which by scanning a particle beam so as to shift and stay repeatedly using a scanning device for deflecting the particle beam to two-dimensional direction of XY which is perpendicular to a travelling direction of the particle beam, every stay of the particle beam, where a position of a depth corresponding to energy of the particle beam in an affected part of a patient which is an irradiation objective is set to be each irradiation position, each irradiation spot is formed, and by changing a position in a depth direction of the irradiation spot by changing energy of the particle beam, a three dimensional dose distribution is formed inside the patient including the affected part;
comprises a calculation unit which obtains each irradiation dose of the particle beam which is irradiated to the each irradiation position,
wherein the calculation unit comprises a sub beam approximation unit in which the particle beam is approximated by a collection of a plurality of sub beams having a Gaussian distribution, individually, a sub beam dose distribution calculation unit in which a dose distribution of each sub beam of the plurality of sub beams which is formed in the patient by deflecting each sub beam by a scanning device and by adding up the dose distribution of each sub beam which is calculated, and each dose distribution which is formed inside the patient by the particle beam which is irradiated to each irradiation position is obtained, and an irradiation dose optimization unit in which each irradiation dose of the particle beam which is irradiated to the each irradiation position is obtained by an optimization calculation so as for the total dose distribution which is formed inside the patient and which is obtained by adding up each dose distribution which is formed inside the patient by the particle beam which is irradiated to the each irradiation position to be a target dose distribution which is set in a treatment plan.
Further a method for simulating a particle beam irradiation comprises a sub beam approximation step in which the particle beam is approximated by a collection of a plurality of sub beams having Gaussian distribution and a sub beam dose distribution calculation step in which by simulating the state in which each sub beam of the plurality of sub beams which is deflected by the scanning device and travelled, each sub beam dose distribution which is formed by the each sub beam inside the patient is calculated and the each sub beam dose distribution which is calculated is added up so as to obtain a dose distribution which is formed inside the patient by the particle beam.
According to this invention, a particle be am treatment-planning apparatus which can efficiently and accurately calculate a three dimensional dose distribution which is formed in a patient's body when a particle beam is irradiated according to a scanning irradiation method can be obtained.
First, referring to
On the other hand,
As above mentioned, a dose distribution is formed in a three dimensional affected part by changing energy of a particle beam in a depth direction and by shifting a particle beam by a scanning device 2 in a lateral direction so as to irradiate a particle beam to each irradiation position of an affected part. Regarding a particle beam treatment, in a treatment-planning apparatus, each parameter of a particle beam to be irradiated is determined so as for a dose distribution to be a target dose distribution. In order to determine each parameter in a treatment-planning apparatus, it is necessary to obtain an absorbed dose which is absorbed in an affected part by calculation, that is, it is necessary to perform a simulation. It is necessary to perform a simulation accurately as much as possible. This invention is made so as to provide a treatment-planning apparatus which can perform a simulation accurately and effectively as much as possible.
Then, a particle beam which is a pencil beam is approximated by a collection of a plurality of sub beams having Gaussian distribution, individually.
A distribution F (x, y) of a real beam is approximated by N sub beams f (x−xi, y−yi) (i=1 to N). When f (a, b) is a function of a Gaussian distribution, f (x−xi, y−yi) is a function of a Gaussian distribution centering a position (xi, yi). That is, f(x−xi, y−yi) represents ith sub beam, that is, a distribution of sub beam #i. As shown in
F(x, y)≅ΣWi*f(x−xi, y−yii) (1)
According to a particle beam treatment plan of this invention, each dose distribution which is formed in a patient's body by a particle beam which is irradiated to each irradiation position is simulated by using each sub beam in a right side of a formula (1). In calculating a three dimensional dose distribution, simulation is performed according to a flow shown in
Then, calculation of a three dimensional dose distribution of the particle beam 3 in a patient's body which is scanned is performed as follows. A three dimensional dose distribution in a patient's body is obtained by calculation (weighted convolution calculation) in which each calculation result of a three dimensional dose distribution which is formed in a body by each sub beam is multiplied by each weight coefficient Wi (i=1, 2, 3 . . . N) and added up. For example, as shown in
Regarding all sub beams, each three dimensional dose distribution is calculated, a result is multiplied by each weight coefficient Wi and the total is a three dimensional dose distribution of a real beam (Step ST4). In Step ST4, regarding each real beam which is irradiated to each irradiation spot, the above-mentioned calculation is performed. In Step ST4, for example, each three dimensional dose distribution in a case where each irradiation spot is irradiated with unit irradiation dose is calculated. By using each three dimensional dose distribution in a case where each irradiation spot is irradiated with unit irradiation dose, when an irradiation dose of a particle beam to be irradiated to each irradiation spot is set to be MUj(j=1, 2, 3 . . . M:M indicates a number of spots in spot scanning irradiation), by adding up a three dimensional dose distribution in a case where each irradiation spot is irradiated, a three dimensional dose of whole of an affected part can be calculated. Here, each MUj is determined by optimization calculation. Optimization calculation is performed by using an optimization algorithm which is input together with other parameter in Step ST1 and Step ST2 and by determining each MUj so as for a dose distribution of whole of an affected part to be a dose distribution which is close to a target dose distribution (Step ST5). A list of irradiation dose MUj (j=1, 2, 3 . . . M) which is determined, a dose distribution in a patient's body, etc. are outputted (Step ST6). In actual particle beam treatment, based on an irradiation dose of a particle beam which is outputted at each spot MUj (j=1, 2, 3 . . . M), a particle beam is irradiated to a patient.
As shown in a block diagram of
As above mentioned, in order to form a predetermined three dimensional distribution in an affected area by irradiating a particle beam according to a scanning irradiation method, an intensity distribution of a particle beam is approximated to be a Gauss shape, and further, the Gauss shape is approximated by a collection of a plurality of sub beams having the Gaussian distribution. By simulating the state in which each sub beam of the plurality of sub beams are deflected by a scanning device and travelled, a three dimensional dose which is formed in a patient's body is calculated. Consequently, when a sub beam passes in the vicinity of the bone area 22 which exists in a patient's body, a three dimensional dose distribution of a particle beam can be calculated accurately taking account of an effect in the bone area. Further, a position of each sub beam (xi, yi) and its weight coefficient Wi (i=1, 2, 3 . . . N) is obtained by optimization calculation and a distribution of a real beam is approximately reproduced by the combined shape. Consequently, as approximation of a real beam, the accuracy can be certified, and a three dimensional dose distribution which is formed by a real beam which is scanned can be calculated with high accuracy. Regarding the approximation, the points, that is, an intensity distribution of a sub beam is a Gaussian distribution and a distribution width of the Gaussian distribution is smaller than a distribution width of a real beam, are especially important. According to the above mentioned points, an intensity distribution of a real beam can be approximated with high accuracy and high calculation accuracy can be obtained.
In this invention, the state in which each sub beam of a plurality of sub beams is deflected and travelled by a scanning device is simulated. That is, by calculating a trajectory of each sub beam separately, a simulation can be performed so as for each sub beam to travel different positions, therefore, the phenomena in which as a real beam travels toward travelling direction, a size of a beam becomes larger can be accurately reproduced. Especially in a case where a medium is non-uniform, the phenomena, that is, the process that a beam size becomes larger along with travelling of beam is changed depending on a position, can be accurately reproduced. Further, in general, it is well known such that a distribution in an XY direction of a particle beam which travels in a medium can be accurately approximated by a Gaussian distribution, (For example, a formula of Highland, (Refer to V. L. Highland, “Some practical remarks on multiple scattering”, Nucl. Instrum & Method b,74,497,1993)), by using a Gaussian distribution as a distribution of a sub beam, a three dimensional dose distribution which is formed in a patient's body can be calculated more accurately. From the view of the above-mentioned, a particle beam treatment-planning apparatus which is highly accurate can be obtained.
In the above-mentioned, a case in which an intensity distribution of a real beam is approximated to a Gaussian distribution is described, however, an actual real beam distribution is not necessarily limited to be a Gaussian distribution. Especially, in a case where a particle beam is a carbon ion beam, in the vicinity of an axis of a real beam, an intensity distribution of a beam can be approximated by a Gaussian distribution, however at a position which is far away from an axis, a distribution which is largely trailed to both ends, which is called “large angle component” exits, and due to this influence, in a method in which a real beam is approximated by a Gaussian distribution, it is possible such that a final dose distribution can not be accurately calculated. Even in the above-mentioned case, as shown in
Then, calculation of a three dimensional dose distribution of the particle beam 3 which is scanned in a patient's body will be performed as follows. A three dimensional dose distribution in a patient's body can be obtained by multiplying each calculation result of the three dimensional dose distribution of each sub beam which is formed in a body by each its weight coefficient Wi (i=, 2, 3, . . . N) and adding up (weighted convolution calculation). For example, as shown in
As above mentioned, regarding all sub beams of a first collection of sub beams, each three dimensional dose distribution is calculated, the result is multiplied by each weight coefficient Wi, and the total is a three dimensional dose distribution of a real beam (Step ST12). In Step ST12, regarding each real beam which is irradiated to each spot, the above-mentioned calculation is performed. In Step ST12, for example, each three dimensional dose distribution in a case where each irradiation spot is irradiated with a unit irradiation dose is calculated. By using each three dimensional dose distribution in a case where each irradiation spot is irradiated with an unit irradiation dose and by adding up a three dimensional dose distribution in a case where each irradiation spot is irradiated when an irradiation dose of a particle beam to be irradiated to each irradiation spot is set to be MUj (j=1, 2, 3, . . . M:M is a number of spots in a spot scanning irradiation), a three dimensional dose distribution of whole of an affected part can be calculated. Then, each MUj is determined by optimization calculation. Optimization calculation is performed by using an optimization algorithm which is input with other parameter in Step ST1 and Step ST2 and determining each MUj so as for a dose distribution in a whole of an affected part to be close to a target dose distribution (Step ST13).
Thus far, an operation flow of a particle beam treatment-planning apparatus is basically same as that shown in Embodiment 1. In Embodiment 2, next, the number of sub beams is set to be N2 which is larger than N1, by a second collection of sub beams whose number is N2 which is larger than the number of a first collection of sub beams whose number is N1, a real beam is approximated (Step ST14). Then, in the same way as that of Step 12, regarding the second collection of sub beams, each three dimensional dose distribution is calculated, the result is multiplied by each weight coefficient Wi (i=1, 2, 3, . . . N2) and the result which is added up is set to be a three dimensional dose distribution of the real beam 3. Regarding each real beam to be irradiated to each spot, the above-mentioned calculation is performed (Step ST15). Then, in Step ST16, in the same way as that of Step ST13, an irradiation dose of each real beam is calculated by optimization calculation. In Step ST16, as an initial irradiation dose of each real beam of optimization calculation, MU1j (j=1, 2, 3, . . . M) which is obtained in ST13 is used. An irradiation dose which is obtained by optimization calculation is set to be MU2j (j=1, 2, 3 . . . M), a list of MU2j and a dose distribution in whole of an affected part is outputted (Step ST17). In actual particle beam treatment, based on an irradiation dose of a particle beam MU2j (j=1, 2, 3 . . . M) at each spot which is outputted, a particle beam is irradiated to a patient.
As shown in
As above mentioned, in Embodiment 2, first, the number of sub beams is set to be N1 which is a relatively small number, and roughly, an irradiation dose of each real beam MU1j (j=1, 2, 3 . . . ) is calculated. Then, the number of sub beams is set to be N2 which is a relatively large number, by calculating a three dimensional dose distribution in an affected part accurately, finally, an irradiation dose MU2j of each particle beam with high accuracy can be calculated. Here, N1 is set to be a relatively small number such as 1 or 3, and N2 is set to be a relatively large number such as 21, for example. N1 which is the number of a first collection of sub beams is small. The time which is required for calculating a three dimensional dose distribution is substantially proportional to N1, therefore, the first step ST11 to ST13 can be performed at high speed. Once an irradiation dose of a particle beam which is approximately irradiated to each irradiation position MU1j (j=1, 2, 3 . . . M) is obtained, in Step ST14, the number of sub beams of N2 is set to be larger than that of N1 and a second collection of sub beams is determined, in Step ST16, by performing optimization calculation in which an irradiation dose MU1j (j=1, 2, 3 . . . M) is set to be an initial value, converged MU2j (j=1, 2, 3 . . . M) can be obtained by the smaller number of times. By doing the above mentioned, a compromise between a calculation accuracy and a calculation speed can be reached, more effectively and in a comparatively short time, an irradiation dose of a particle beam MU2j (j=1, 2, 3 . . . M) can be obtained. Consequently, according to this invention, a particle beam treatment plan in which calculation speed is fast and an calculation accuracy is high can be obtained.
2: scanning device
3: real beam
10: particle beam treatment-planning apparatus
11: sub beam approximation unit
12: sub beam dose distribution calculation unit
13: irradiation dose optimization unit
20: calculation unit
Filing Document | Filing Date | Country | Kind |
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PCT/JP2014/060089 | 4/7/2014 | WO | 00 |