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QADOS Theraview Demonstration

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Theraview's high resolution digital images allows oncologists to verify patient ... In all modes the high resolution image is automatically optimised, enhanced ... – PowerPoint PPT presentation

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Title: QADOS Theraview Demonstration


1
QADOS Theraview Demonstration
  • Radiation Therapy
  • Smart? integration
  • Real-Time Image Processing
  • TheraView Technology
  • by Cablon Medical BV
  • portal_at_theraview.com

2
An ISO related solution for any gantry
  • Attachable to any accelerator
  • Siemens
  • Elekta
  • Varian / GE
  • Scanditronix
  • Hitachi
  • Mitsubishi
  • Theratronics (MDS Nordion)

3
Siemens
  • Primus
  • Mevatron
  • BeamTheraView

4
Elekta / Philips
  • SL types 15,18,25
  • Sli types
  • SL 75

5
Varian / GE
  • GE OEM product Targetview
  • Saturne I II , Saturne 41
  • Saturne 42, Saturne 43
  • Varian
  • 600
  • 2100, 2300

6
Scanditronix
  • MM22
  • MM50
  • Hitachi Version

7
Clinical Value of Portal Imaging
  • Reduces field placement errors in respect to ISO
    centre
  • Checks Field shape / MLC and block errors
  • Theraviews high resolution digital images allows
    oncologists to verify patient positioning before
    AND throughout the entire treatment procedure

8
System Components
  • Detector Assembly
  • Scintillator Phosphor layer screen detects
    high quality images at low dose (1-3 mu)
  • Instant image access after initial exposure as
    treatment proceeds
  • Highly front-edge reflective mirror
  • High resolution video camera
  • Lowgtgt 10001 signal to noise ratio

9
Detector Specifications
  • Detector size up to 400 mm x 400 mm
  • field of view 280 x 280 mm
  • lt 0.8 LP/mm resolution
  • Contrast detectability of 1
  • Camera resolution of 1000 lines
  • Image frames of 512 V x 512 H x gt14 bit

10
Detector assembly
  • Assembly can be retracted and lowered for minimum
    interference during patient set-up
  • Remote control motorised positioning
  • After extension into field,
  • detector can be moved vertically to optimise
    viewing distance from iso-centre v.o.f..
  • gtV3.0 Data automatically transferred to input
    module

11
Workstation
  • SUN SPARC station
  • 21 Colour monitor
  • Keyboard and mouse

12
Reference Image
  • Simulator image
  • Film Digitizer
  • Flat bed scanner
  • Digital link
  • DRR
  • Dicom send/receive
  • Field size
  • Symmetric
  • Asymmetric
  • MLC
  • Blocks
  • Anatomical template

13
Reference Input Screen
  • Direct digital input and / or
  • Dicom RT SC / DRR
  • Scanner or Digitiser
  • Powerful drawing tools for reference input of
  • Field size and shape
  • Blocks / MLC info
  • Anatomical template

14
Image Smart Acquisition
  • Treatment -A sequence of images recorded and
    displayed for ON-Line verification and movie loop
    replay
  • Single exposure -Low dose (3 Mu or less) set-up
    image
  • Double Exposure -Treatment field open field
    image acquired in sequence and superimposed to
    display a composite image
  • In all modes the high resolution image is
    automatically optimised, enhanced and displayed

15
Smart Integration ( 3 steps)
  • Input Patient Field ID,
  • Gantry Angle, Detector Height
  • ( automated in late 2001 TheraView)
  • Pre calibrated dose rate setting for
  • Optimal beam start detection algorithm
  • Optimal low MU imaging
  • Push Begin

No patient related parameters are needed for
optimal imaging !!.
16
Acquisition
  • A Prostate field Lateral and AP
  • Acquired with treatment mode

17
Image verificationTargetCheck
  • Automatic field size shape detection
  • Position verification with use of anatomical
    template
  • Saves the results of field placement detection
  • Generates a graph with the patient position
    displayed in time
  • Produces a screendump with a Codonics or network
    printer

18
Target Check
19
Graph
20
TargetCheck window
21
Image Dose acquisition
  • V3.0 brings these modules
  • DISPLAY RELATED
  • Smart Acquisition
  • quasi 14bits frame acquisition by optimal AD
    conversion and filtering
  • Segmented histogram
  • Integration of N frames in 16bits
  • scaling to 8-bit by autogamma

22
Image Dose acquisition
  • V3.0 brings these modules
  • DOSE RELATED Minimal Sparc 5-170
  • Smart Acquisition
  • quasi 14bits frame acquisition by optimal AD
    conversion and filtering
  • Segmented histogram
  • Integration of N 16 bits frames in 32bits
    accumulator
  • Output through special channel
  • 16 bits weighted frames
  • 32 bits accumulator

23
Windows connectivity
  • Makes it possible to access TheraView as a file
    server, from a PC in a MS Windows Network
    environment

24
Windows connectivity
25
Local web browser.
  • Simple review functionality, password protected
    from anywhere in the hospital intranet
  • On-line manual(s)
  • Set-up of TheraView parameters and peripherals

26
Local web browser.
27
Postscript
  • Thank you !!!
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