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The Development of Real Time Automatic Patient Position Correction System during the Radiation Therapy Based on CCD: A Feasibility Study

CCD기반의 방사선치료 중 실시간 자동 환자 위치보정 시스템 개발: 타당성 연구

  • Shin, Dongho (Proton Therapy Center, National Cancer Center) ;
  • Chung, Kwangzoo (Department of Radiation Oncology, Samsung Medical Center) ;
  • Kim, Meyoung (Proton Therapy Center, National Cancer Center) ;
  • Son, Jaeman (Proton Therapy Center, National Cancer Center) ;
  • Yoon, Myonggeun (Department of Bio-convergence Engineering, Korea University College of Health Science) ;
  • Lim, Young Kyung (Proton Therapy Center, National Cancer Center) ;
  • Lee, Se Byeong (Proton Therapy Center, National Cancer Center)
  • 신동호 (국립암센터 양성자치료센터) ;
  • 정광주 (서울삼성의료원 방사선종양학과) ;
  • 김미영 (국립암센터 양성자치료센터) ;
  • 손재만 (국립암센터 양성자치료센터) ;
  • 윤명근 (고려대학교 보건대학 바이오융합공학과) ;
  • 임영경 (국립암센터 양성자치료센터) ;
  • 이세병 (국립암센터 양성자치료센터)
  • Received : 2013.08.26
  • Accepted : 2013.09.06
  • Published : 2013.09.30

Abstract

Upon radiation treatment, it is the important factor to monitor the patient's motion during radiation irradiated, since it can determine whether the treatment is successful. Thus, we have developed the system in which the patient's motion is monitored in real time and moving treatment position can be automatically corrected during radiation irradiation. We have developed the patient's position monitoring system in which the patient's position is three dimensionally identified by using two CCD cameras which are orthogonal located around the isocenter. This system uses the image pattern matching technique using a normalized cross-correlation method. We have developed the system in which trigger signal for beam on and off is generated by quantitatively analyzing the changes in a treatment position through delivery of the images taken from CCD cameras to the computer and the motor of moving couch can be controlled. This system was able to automatically correct a patient's position with the resolution of 0.5 mm or less.

방사선 치료 시 방사선이 조사되는 동안 환자의 움직임을 모니터링하는 것은 치료의 성공을 결정 하는 중요한 요인이다. 따라서 방사선이 조사되는 동안 환자의 움직임을 실시간으로 감시하고 움직인 치료위치를 자동으로 보정 할 수 있는 시스템을 개발 하였다. 원점을 중심으로 직교하게 위치한 2개의 CCD 카메라를 이용하여 3차원적 환자의 위치를 확인 하고, 틀 맞춘 상호교차 비교법(normalized cross-correlation method)을 이용한 영상 본 맞춤(image pattern matching) 방법을 이용한 환자위치 모니터링 시스템을 개발하였다. CCD카메라로부터 촬영된 영상을 컴퓨터로 전달하여 위치 변화를 정량적으로 분석 하여 빔 켜고 끔(beam on and off)를 위한 방아쇠신호(trigger signal)를 발생시키고, 이동치료대(moving couch)의 모터를 제어할 수 있는 시스템을 개발하였다. 이 시스템은 0.5 mm 이하의 분해능으로 환자의 위치를 자동으로 보정할 수 있었다.

Keywords

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