Image-based radiation therapy quality assurance

1. A computer program product comprising a non-transitory, machine-readable medium storing instructions which, when executed by at least one programmable processor, cause the at least one programmable processor to perform operations comprising:

acquiring images during delivery of a radiation beam, the images capturing at least a portion of a shape representative of a radiation pattern generated by a radiation delivery system that includes a radiation source configured to deliver the radiation beam, wherein the images are acquired from a camera aimed at a computer monitor displaying the shape representative of the radiation pattern.

2. The computer program product of claim 1 , wherein the camera is mounted in a fixed relationship to the computer monitor by mounting to the computer monitor itself or to another location nearby.

3. The computer program product of claim 2 , wherein the camera is fixed to the computer monitor so that the camera will be at an angle of between 1 and 10 degrees relative to a screen of the computer monitor.

4. The computer program product of claim 3 , wherein the camera is fixed to the computer monitor so that the camera will be at an angle of between 4 and 8 degrees relative to the screen of the computer monitor.

5. The computer program product of claim 2 , wherein the camera is fixed at a location that maximizes the angle between the camera and the screen.

6. The computer program product of claim 5 , wherein the location is a wall generally opposite the monitor.

7. The computer program product of claim 2 , wherein the images are acquired at an angle not perpendicular to the computer monitor.

8. The computer program product of claim 2 , the operations further comprising receiving conversion information entered by a user after measuring a geometric relationship between the camera and the computer monitor.

9. The computer program product of claim 2 , the operations further comprising determining conversion information based on utilizing imaging of markers placed at known locations.

10. The computer program product of claim 2 , the operations further comprising determining conversion information that establishes a relationship between image intensity and delivered dose.

11. A computer program product comprising a non-transitory, machine-readable medium storing instructions which, when executed by at least one programmable processor, cause the at least one programmable processor to perform operations comprising:

acquiring images during delivery of a radiation beam, the images capturing at least a portion of a shape representative of a radiation pattern generated by a radiation delivery system that includes a radiation source configured to deliver the radiation beam;

applying an edge detection algorithm to a radiation pattern present in the images, the edge detection algorithm determining at least one edge of the radiation pattern corresponding to a leaf of a multi-leaf collimator; and

determining a leaf position based at least on a location of the determined edge.

12. The computer program product of claim 11 , the operations further comprising comparing the leaf position during delivery of the radiation beam with a planned leaf position, the comparing utilized in radiation therapy quality assurance.

13. The computer program product of claim 12 , the operations further comprising calculating a fluence map based at least on the leaf position and beam output data obtained from the radiation therapy system.

14. The computer program product of claim 13 , the operations further comprising calculating a dose at a target location based at least on the fluence map and a patient image obtained from an imaging system.

15. The computer program product of claim 14 , wherein the dose is a three-dimensional dose delivered at the target location.

16. A method comprising:

placing a graticule with markers that have known dimensions between the markers;

initiating delivery of a radiation beam;

imaging the graticule with a radiation detector during delivery of the radiation beam;

acquiring images, the images capturing at least a portion of the graticule; and

determining a conversion factor based on at least the known dimensions of the graticule and the acquired images.

17. The method of claim 16 , wherein the acquiring of images comprises obtaining images of a computer monitor with a camera aimed at the computer monitor or with screen capture of the computer monitor.