Radiation therapy patient platform

1. A radiotherapy patient platform system comprising:

a radiotransparent patient platform coupled to a base, wherein the patient platform comprises an upper portion coupled to a lower portion;

an axial drive system coupled to the patient platform, wherein the axial drive system is configured to move the patient platform in an axial direction relative to the base;

a lateral drive system coupled to the patient platform, wherein the lateral drive system is configured to move the patient platform in a lateral direction relative to the base;

a vertical drive system coupled to the patient platform, wherein the vertical drive system is configured to move the patient platform in a vertical direction relative to the base, wherein the vertical drive system comprises a first and second scissor element coupled to the patient platform;

a yaw pivot coupling the upper portion to the lower portion at first ends of the upper and lower portions;

a yaw drive system coupled to the first end of the upper portion, wherein the yaw drive system is configured to yaw the upper portion relative to the lower portion about the yaw pivot; and

a pitch drive system coupled to the platform, wherein the pitch drive system is configured to pitch the upper portion relative to the lower portion about a pitch pivot.

2. The system of claim 1 wherein the pitch drive system comprises a first wedge coupled to the yaw drive system and a second wedge coupled to the upper portion.

3. The system of claim 1 wherein the axial drive system is coupled between the lower portion and the lateral drive system, the lateral drive system is coupled between the axial drive system and the yaw drive system, the yaw drive system is coupled between the lateral drive system and the pitch drive system, and the pitch drive system is coupled between the yaw drive system and the upper portion.

4. The system of claim 1 wherein the axial drive system comprises an axial drive element coupled to the first end of the lower portion and an axial rail coupled to the axial drive element.

5. The system of claim 1 wherein the lateral drive system comprises a lateral drive element coupled to the patient platform and a lateral rail coupled to the lateral drive element.

6. The system of claim 1 wherein the vertical drive system comprises a vertical drive element comprising a first linear screw coupled to the first scissor element.

7. The system of claim 6 wherein the vertical drive element comprises a second linear screw coupled to the second scissor element.

8. The system of claim 1 , further comprising a handheld controller comprising a switch, wherein the switch is configured to generate a movement signal to control movement of the radiotransparent patient platform.

9. The system of claim 8 , wherein the switch comprises at least one of a button, an analog stick, a trackball, a touch screen, a directional pad, a jog dial, a motion detector, an image sensor, and a microphone.

10. The system of claim 8 , wherein the handheld controller comprises a docking port configured to dock with a radiotherapy system.

11. The system of claim 10 , wherein the radiotherapy system is configured to deliver radiotherapy treatment only when the handheld controller is docked to the radiotherapy system.

12. The system of claim 8 , wherein the handheld controller comprises a safety switch.

13. The system of claim 8 , wherein the handheld controller comprises a proximity sensor, and wherein the handheld controller is configured to generate different output signals based on the proximity of the handheld controller relative to the radiotransparent patient platform.

14. The system of claim 8 , wherein the handheld controller comprises a wireless transmitter configured to transmit the movement signal to control one or more of the drive systems.

15. The system of claim 1 , wherein the radiotransparent patient platform comprises a conformable substrate.

16. The system of claim 15 , wherein the conformable substrate has a plurality of enclosures and a pressure sensor coupled to the conformable substrate, and wherein the system further comprises a controller configured to independently control a height of each of the plurality of enclosures using the pressure sensor.

17. The system of claim 16 , further comprising a pressure channel coupling a pressure source to each of the plurality of enclosures.

18. The system of claim 17 , wherein the pressure channel comprises a radiotransparent material substantially transparent to high energy photons.

19. The system of claim 16 , wherein the plurality of enclosures comprise a fluid.

20. The system of claim 16 , further comprising a thermoelectric layer and a heating element each coupled to the radiotransparent patient platform.

21. The system of claim 20 , wherein the thermoelectric layer transitions the conformable substrate between a compliant configuration and a rigid configuration based on temperature.

22. The system of claim 20 , further comprising a thermal insulating layer coupled to the thermoelectric layer.

23. The system of claim 1 , further comprising a head fixation device comprising a hinge coupled to a head fixation base, a head rest coupled to the hinge, and a head rest drive system coupled to the head rest, wherein the head rest drive system is configured to extend substantially perpendicularly to the head fixation base, wherein the head rest and the head rest drive system each comprise a radiotransparent material substantially transparent to high energy photons.

24. The system of claim 23 , wherein the head rest drive system comprises a pneumatic element.

25. The system of claim 23 , wherein the head rest drive system comprises an electromechanical element.

26. The system of claim 23 , further comprising an actuator coupled to the head rest drive system, wherein the actuator is coupled to a first end of the radiotransparent patient platform.

27. The system of claim 23 , wherein the hinge comprises a lock, wherein the lock comprises a plurality of detents and a pin.