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    • 1. 发明授权
    • Apparatus for and method of carrying out stereotaxic radiosurgery and
radiotherapy
    • 立体定向放射外科手术和放射治疗仪器及方法
    • US5427097A
    • 1995-06-27
    • US989045
    • 1992-12-10
    • Joseph G. Depp
    • Joseph G. Depp
    • A61N5/00A61B5/05A61B6/00A61B19/00A61N5/10
    • A61N5/1049A61B2090/101A61B34/30A61N2005/1061
    • There is disclosed herein a technique for carrying out stereotaxic radiosurgery or radiotherapy on a particular target region within a patient by a radiosurgical/radiotherapeutic beam of radiation which is at least intermittently directed along a beam path through the target region. One particular beam generating arrangement illustrated is carried by a robotic arm which is movable in at least three dimensions. In accordance with one embodiment disclosed herein, a method and apparatus are provided for moving the robotic arm and beam generating arrangement along a predetermined, non-circular and non-linear path transverse to the beam path while, at the same time, the beam path is directed into the target region. In this way, the radiosurgical/radiotherapeutic beam can be directed through the target region from particular treatment points along the transverse path so as to define a non-spherical target region. In accordance with a second embodiment, the apparatus disclosed herein includes an emergency stop arrangement separate from and independent of the controlling the robotic arm controller for automatically stopping all movement of the robotic arm and turning off the beam if the robotic arm deviates from its intended transverse path. In a third embodiment, the apparatus utilizes a plurality of target locating beams of radiation apart from but cooperating with the radiosurgical/radiotherapeutic beam to accurately and continuously locate the target region in substantially real time.
    • 这里公开了一种用于通过辐射外科/放射治疗的辐射束对患者内的特定目标区域进行立体定位放射外科手术或放射治疗的技术,其至少间断地沿着通过目标区域的束通路定向。 所示的一个特定的光束产生装置由可在至少三个维度上移动的机器人手臂携带。 根据本文公开的一个实施例,提供了一种方法和装置,用于沿着横向于光束路径的预定的非圆形和非直线路径移动机器人臂和光束产生装置,同时将光束路径 被引导到目标区域。 以这种方式,放射外科/放射治疗光束可以沿着横向路径从特定治疗点引导到目标区域,以便限定非球面目标区域。 根据第二实施例,本文公开的装置包括紧急停止装置,其与控制机器人臂控制器分离且独立于用于自动停止机器人臂的所有运动并且如果机器人臂偏离其预期横向 路径。 在第三实施例中,该设备利用多个目标定位辐射束,而不是与辐射外科/放射治疗波束配合,以基本上实时准确地和连续地定位目标区域。