Houdek P V, Schwade J G, Serago C F, Landy H J, Pisciotta V, Wu X D, Markoe A M, Lewin A A, Abitbol A A, Bujnowski J L
Department of Radiation Oncology (D-31), University of Miami School of Medicine, FL 33101.
Int J Radiat Oncol Biol Phys. 1992;22(1):175-80. doi: 10.1016/0360-3016(92)90997-v.
A computer-controlled stereotaxic radiotherapy system based on a low-frequency magnetic field technology integrated with a single fixation point stereotaxic guide has been designed and instituted. The magnetic field, generated in space by a special field source located in the accelerator gantry, is digitized in real time by a field sensor that is six degree-of-freedom measurement device. As this sensor is an integral part of the patient stereotaxic halo, the patient position (x, y, z) and orientation (azimuth, elevation, roll) within the accelerator frame of reference are always known. Six parameters--three coordinates and three Euler space angles--are continuously transmitted to a computer where they are analyzed and compared with the stereotaxic parameters of the target point. Hence, the system facilitates rapid and accurate patient set-up for stereotaxic treatment as well as monitoring of patient during the subsequent irradiation session. The stereotaxic system has been developed to promote the integration of diagnostic and therapeutic procedures, with the specific aim of integrating CT and/or MR aided tumor localization and long term (4- to 7-week) fractionated radiotherapy of small intracranial and ocular lesions.
一种基于低频磁场技术并集成单点固定立体定向引导装置的计算机控制立体定向放射治疗系统已被设计并投入使用。由位于加速器机架内的特殊场源在空间中产生的磁场,由作为六自由度测量装置的场传感器实时数字化。由于该传感器是患者立体定向头环的一个组成部分,所以在加速器参考坐标系内患者的位置(x、y、z)和方位(方位角、仰角、滚动角)始终是已知的。六个参数——三个坐标和三个欧拉空间角——被连续传输到计算机,在那里它们被分析并与靶点的立体定向参数进行比较。因此,该系统有助于快速、准确地为立体定向治疗进行患者摆位,并在后续照射过程中对患者进行监测。立体定向系统的开发旨在促进诊断和治疗程序的整合,具体目标是整合CT和/或MR辅助的肿瘤定位以及对颅内和眼部小病变进行长期(4至7周)的分次放射治疗。