Method and system for cancer treatment with radiation

1. A non-transitory computer-readable storage medium including instructions that, when executed by at least one processor of a computing device, cause the computing device to:

receive anatomical imaging data of one or more organs-at-risk and a target volume;

determine a two-dimensional, radiation-beam's-eye-view (BEV) centered on the target volume for each of a plurality of gantry positions;

for each BEV for the plurality of gantry positions, calculating a foreground/background weighting factor, the foreground/background weighting factor indicating a risk of exposing a respective organ-at-risk within the BEV as a function of a relative position of the respective organ-at-risk with respect to the target volume and the radiation source; and

determine a preferred gantry position from the plurality of gantry positions by:

calculating a respective overlapping volume for the one or more organs-at-risk for each BEV for the plurality of gantry positions multiplied by the foreground/background weighting factor.

2. The non-transitory computer readable storage medium of claim 1 , further comprising instructions that cause the computing device to:

determine that an organ is within a predetermined distance to the target volume; and

calculate an urgent sparing factor associated with the organ for each BEV, the urgent sparing factor based on a cosine of an angle between a line coincident with the BEV and a vector connecting the organ-at-risk and the target volume, wherein the urgent sparing factor is included in the calculating to determine the preferred gantry position.

3. The non-transitory computer readable storage medium of claim 1 , wherein determining the BEV centered on the target volume is for each of a plurality of patient support positions.

4. The non-transitory computer readable storage medium of claim 1 , wherein determining the BEV centered on the target volume is for each combination of a plurality of patient support positions and the plurality of gantry positions.

5. The non-transitory computer readable storage medium of claim 1 , wherein the foreground/background weighting factor is determined based on a ratio of the percent depth dose values of the organ-at-risk to the target volume.

6. The non-transitory computer readable storage medium of claim 1 , wherein the respective overlapping volume is associated with an overlap area between the each of the one or more organs-at-risk and the target volume as viewed from the BEV.

7. The non-transitory computer readable storage medium of claim 1 , wherein calculating the respective overlapping volume for the one or more organs-at-risk for each BEV is further at least based on a respective radiation sensitivity weighting factor indicating a radiation dose limitation of each of the one or more organs-at-risk.

8. The non-transitory computer readable storage medium of claim 1 , wherein the anatomical imaging data comprises at least one of computed tomography (CT) data, positron emission tomography (PET) data, magnetic resonance imaging (MRI) data, or 3D rotational angiography (3DRA) data.

9. The non-transitory computer readable storage medium of claim 1 , further comprising instructions that cause the computing device to:

generate a geometric overlap map for the one or more organs-at-risk from the respective overlapping volume for the one or more organs-at-risk for each BEV; and

generate a radiation trajectory using the geometric overlap map.

10. The non-transitory computer readable storage medium of claim 9 , wherein the radiation trajectory comprises a range of gantry angles suitable for a fixed patient support angle.

11. The non-transitory computer readable storage medium of claim 9 , wherein the radiation trajectory comprises a range of patient support angles suitable for a fixed gantry angle.

12. The non-transitory computer readable storage medium of claim 9 , wherein the radiation trajectory comprises a range of gantry angles in correspondence to a range of patient support angles.

13. The non-transitory computer readable storage medium of claim 1 , further comprising instructions that, when executed by the at least one processor of the computing device, cause the computing device to:

determine a maximum intensity projection based on geometric overlap maps generated by anatomical imaging data associated with a plurality of patients; and

generate a template geometrical map associated with the plurality of patients.

14. A system for determining a trajectory of a radiation source in radiotherapy, comprising:

a radiation source associated with a gantry angle;

a patient support system associated with a patient support angle;

one or more computer systems configured to:

receive anatomical imaging data of one or more organs-at-risk and a target volume;

determining a two-dimensional, radiation-beam's-eye-view (BEV) centered on a target volume for each of a plurality of gantry positions;

calculate a respective foreground/background weighting factor for each BEV of the plurality of gantry positions, the foreground/background weighting factor indicating a risk of exposing a respective organ-at-risk within the BEV as a function of the relative position of the organ-at-risk with respect to the target volume and the radiation source;

calculate a respective overlapping volume for the each of the one or more organs-at-risk at each suitable gantry angle and each suitable patient support angle;

modify the respective overlapping volume of the each of the one or more organs-at-risk based at least in part on the respective foreground/background weighting factor and a radiation sensitivity weighting factor associated with each of the one or more organs-at-risk;

generate a geometric overlap map for the one or more organs-at-risk by summing the modified overlapping volume of the each of the one or more organs-at-risk; and

generate a radiation trajectory using the geometric overlap map.

15. The system of claim 14 , further configured to:

determine that an organ is within a predetermined distance to a target volume or receives a measure of excess dose; and

calculating an urgent sparing factor associated with the organ for each BEV, the urgent sparing factor based on a cosine of an angle between a line coincident with the BEV and a vector connecting the organ and the target volume, wherein the urgent sparing factor is used to modify the respective overlapping volume of the each of the one or more organs-at-risk.

16. The system of claim 14 , wherein the anatomical imaging data is associated with a specific patient.

17. The system of claim 14 , wherein the respective foreground/background weighting factor is determined based at least in part on respective percent depth dose values of the respective organ-at-risk and the target volume.

18. The system of claim 14 , wherein the respective overlapping volume is associated with an overlap area between each of the one or more organs-at-risk and the target volume as viewed from the BEV.

19. The system of claim 14 , wherein the radiation sensitivity weighting factor indicates a radiation dose limitation of the each of the one or more organs-at-risk.

20. The system of claim 14 , wherein the anatomical imaging data comprises at least one of computed tomography (CT) data, positron emission tomography (PET) data, magnetic resonance imaging (MRI) data, or 3D rotational angiography (3DRA) data.

21. A computer-implemented method for determining a trajectory of a radiation source in radiotherapy, comprising:

receiving anatomical imaging data of one or more organs-at-risk and a target volume;

determining a two-dimensional, radiation-beam's-eye-view (BEV) centered on the target volume for each of a plurality of gantry positions;

for each BEV for the plurality of gantry positions, calculating a foreground/background weighting factor, the foreground/background weighting factor indicating a risk of exposing a respective organ-at-risk within the BEV as a function of a relative position of the respective organ-at-risk with respect to the target volume and the radiation source;

determining a preferred gantry position from the plurality of gantry positions by:

calculating a respective overlapping volume for the one or more organs-at-risk for each BEV for the plurality of gantry positions multiplied by the foreground/background weighting factor;

generating a geometric overlap map for the one or more organs-at-risk from the respective overlapping volume for the one or more organs-at-risk for each BEV; and

generating a radiation trajectory using the geometric overlap map.

22. The computer-implemented method of claim 21 , wherein calculating the respective overlapping volume is further at least based on a urgent sparing factor associated with each of the one or more organs-at-risk, the urgent sparing factor based on a cosine of an angle between a line coincident with the BEV and a vector connecting the organ-at-risk and the target volume.

23. The computer-implemented method of claim 21 , wherein calculating the respective overlapping volume is further at least based on a radiation sensitivity weighting factor associated with each of the one or more organs-at-risk, the radiation sensitivity weighting factor indicating a radiation dose limitation of the each of the one or more organs-at-risk.

24. The computer-implemented method of claim 21 , further comprising:

determining a maximum intensity projection based on geometric overlap maps generated by anatomical imaging data associated with a plurality of patients; and

generating a template geometrical map associated with the plurality of patients.

25. The computer-implemented method of claim 21 , further comprising:

comparing a plurality of geometric overlap maps, each of the plurality of geometric overlap maps associated with a respective patient; and

identifying one or more similar anatomical characteristics in the plurality of geometric overlap maps.

26. The computer-implemented method of claim 25 , further comprising:

modifying the radiation trajectory based at least in part on the one or more similar anatomical characteristics in the plurality of geometric overlap maps.