Image-guided radiation treatment with imaging data using imaging radiation at different energy levels

1. A method of image-guided radiation, the method comprising:

acquiring digitally reconstructed radiographs (DRRs) of a target of a patient;

generating a first set of image data of part or all of the target using imaging radiation at a first energy level and a second set of image data of part or all of the target using imaging radiation at a second energy level;

processing the first and second sets of image data to generate an enhanced image, wherein the enhanced image comprises a combination of the first and second sets of image data, wherein part or all of the image data comprises the target;

registering the enhanced image with the DRRs to obtain a registration result;

tracking the target using the registration result to generate tracking information; and

directing treatment delivery to the target based on the tracking information obtained from the enhanced image.

2. The method of claim 1 , wherein the tracking information obtained from the enhanced image comprises a position of the target.

3. The method of claim 2 , wherein directing treatment delivery comprises adjusting a collimator to direct a treatment delivery beam to the target based on the tracking information.

4. The method of claim 1 , wherein directing treatment delivery comprises:

generating a treatment delivery beam using a treatment delivery system comprising a radiation source; and

directing the treatment delivery beam to the target based on the tracking information.

5. The method of claim 4 , wherein directing treatment delivery comprises adjusting an angle at which the treatment delivery beam is directed to the target.

6. The method of claim 1 , wherein directing treatment delivery comprises moving a treatment couch to position the target of the patient.

7. A system, comprising:

a radiation source;

a processor, operatively coupled with the radiation source, to:

generate a first set of image data of part or all of a target of a patient using imaging radiation at a first energy level and a second set of image data of part or all of the target using imaging radiation at a second energy level;

process the first and second sets of image data to generate an enhanced image, wherein the enhanced image comprises a combination of the first and second sets of image data, wherein part or all of the image data comprises the target;

register the enhanced image with digitally reconstructed radiographs (DRRs) of the target to obtain a registration result;

track the target using the registration result to generate tracking information; and

direct treatment delivery, using the radiation source, to the target based on the tracking information obtained from the enhanced image.

8. The system of claim 7 , further comprising:

a diagnostic imaging system to acquire images; and

a diagnostic image processor to generate the DRRs using the acquired images.

9. The system of claim 7 , wherein to direct treatment delivery, the processor is to:

cause the radiation source to generate a treatment delivery beam; and

direct the treatment delivery beam to the target based on the tracking information.

10. The system of claim 9 , wherein to direct treatment delivery, the processor is further to adjust an angle at which the treatment delivery beam is directed to the target.

11. The system of claim 7 , further comprising a treatment couch, wherein the processor is operatively coupled with treatment couch to position the target of the patient based on the tracking information.

12. The system of claim 7 , further comprising a collimator, wherein the processor is operatively coupled with the collimator to adjust the collimator to direct the treatment delivery beam to the target based on the tracking information.

13. The system of claim 7 , wherein the first energy level is an energy level selected within the range of 50-100 kV and the second energy level is an energy level selected within the range of 100-150 kV.

14. A non-transitory machine readable medium that, when executed by a processor, causes the processor to:

generate a first set of image data of part or all of a target of a patient using imaging radiation at a first energy level and a second set of image data of part or all of the target using imaging radiation at a second energy level;

process the first and second sets of image data to generate an enhanced image, wherein the enhanced image comprises a combination of the first and second sets of image data, wherein part or all of the image data comprises the target;

register, by the processor, the enhanced image with digitally reconstructed radiographs (DRRs) of the target to obtain a registration result;

track the target using the registration result to generate tracking information; and

direct treatment delivery, using a radiation source, to the target based on the tracking information obtained from the enhanced image.

15. The non-transitory machine readable medium of claim 14 , wherein the processor is further to track information obtained from the enhanced image which comprises a position of the target.

16. The non-transitory machine readable medium of claim 14 , wherein to direct treatment delivery, the processor is to:

generate a treatment delivery beam using a treatment delivery system comprising a radiation source; and

direct the treatment delivery beam to the target based on the tracking information.

17. The non-transitory machine readable medium of claim 16 , wherein to direct treatment delivery, the processor is further to adjust an angle at which the treatment delivery beam is directed to the target.

18. The non-transitory machine readable medium of claim 14 , wherein to direct treatment delivery, the processor is to move a treatment couch to position the target of the patient.

19. The non-transitory machine readable medium of claim 14 , wherein to direct treatment delivery, the processor is to adjust a collimator to direct a treatment delivery beam to the target based on the tracking information.

20. The non-transitory machine readable medium of claim 14 , wherein the first energy level is an energy level selected within the range of 50-100 kV and the second energy level is an energy level selected within the range of 100-150 kV.