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WO2003074126A1 - Tracking type radiation shielding apparatus and radiation irradiation apparatus - Google Patents

Tracking type radiation shielding apparatus and radiation irradiation apparatus Download PDF

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Publication number
WO2003074126A1
WO2003074126A1 PCT/JP2002/002042 JP0202042W WO03074126A1 WO 2003074126 A1 WO2003074126 A1 WO 2003074126A1 JP 0202042 W JP0202042 W JP 0202042W WO 03074126 A1 WO03074126 A1 WO 03074126A1
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WO
WIPO (PCT)
Prior art keywords
radiation
shielding
irradiation
shielding block
pedestal
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/JP2002/002042
Other languages
French (fr)
Japanese (ja)
Inventor
Hiroshi Kawakami
Norihiro Hayashi
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Hitk Enterprise Corp
Original Assignee
Hitk Enterprise Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Hitk Enterprise Corp filed Critical Hitk Enterprise Corp
Priority to PCT/JP2002/002042 priority Critical patent/WO2003074126A1/en
Publication of WO2003074126A1 publication Critical patent/WO2003074126A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N2005/1092Details
    • A61N2005/1094Shielding, protecting against radiation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048Monitoring, verifying, controlling systems and methods
    • A61N5/1064Monitoring, verifying, controlling systems and methods for adjusting radiation treatment in response to monitoring

Definitions

  • the present invention relates to a tracking radiation shielding device and a radiation irradiation device using the same. Specifically, when the irradiation area is moving, the shielding block that determines the radiation field is moved in an arc in accordance with the movement of the irradiation area.
  • the part to be irradiated with normal radiation (the affected part) 11 is fixed, and the radiation 13 emitted from the radiation source 12 is irradiated here.
  • the radiation field is determined by the aperture (radiation passing light) 14a of the shielding block 14 arranged on the radiation path.
  • the affected area moves with the patient's breathing. That is, as shown in FIG. 15, the affected part 11 moves right and left in this example of drawing in synchronization with respiration. The affected area when moved to the left most is 11a, and the affected area when moved to the far right is 11b.
  • the maximum irradiation field at this time is the hole diameter of the radiation passing light 14a of the shielding block 14 and the thickness of the block. It is decided by such things. Since the hole diameter of the radiation passing light 14a is uniquely determined by the size of the affected area, depending on the depth of respiration, it may deviate from the irradiation field of radiation 13 as shown in Fig. 15. Occur.
  • the irradiation position of the radiation 13 may be moved in the moving direction (horizontal direction) of the diseased part 11 in synchronization with respiration.
  • Techniques from this point of view have already been presented (for example, Japanese Patent Application Laid-Open No. 2000-27641 (Japanese Patent Application No. 91059/2000)). .
  • the shielding block 14 is moved by a predetermined amount in the direction of the arrow b in synchronization with the movement, thereby following the affected part 11.
  • the irradiation field of radiation 13 shifts to the right.
  • the shielding block 14 By moving the shielding block 14 itself so as to follow the movement of the diseased part 11 in this way, the irradiation field 16 does not come off the diseased part, and there is no risk that even normal cells will be irradiated with radiation. It will also be possible to deliver a prescribed amount of radiation to the affected area.
  • FIG. 17 is a simple conceptual diagram for realizing the movement of the shielding block.
  • the patient 22 is lying on his / her back on the gantry 2 1.
  • a radiation generator 24 is located right above the pedestal 21, from which radiation 13 is irradiated. Both the emission position and the direction of the radiation source 12 are fixed.
  • a shielding block 14 is attached via a sliding means 26.
  • the occlusion block 14 moves in the direction of the arrow p based on the output of detecting the patient's breathing.
  • the arrow p direction is a direction parallel to the surface of the gantry 21.
  • the shielding block 14 is a cube as shown in FIG. 18, and a radiation passage hole 14a is formed in the center thereof.
  • the radiation passage hole 14a has a hole diameter of about 5 mm to 30 mm depending on the size of the affected part 11.
  • the thickness H is usually 100 mm or more. In the case of 100 mm, a radiation dose of about 10 Gray (Gy) can be shielded.
  • FIG. 19 is a conceptual diagram showing an irradiation locus of the radiation 13 when the shielding block 14 is moved to the maximum in the direction of the arrow b. Due to the relatively large thickness H of the shielding block 14 and the large size of the affected area 11 and the need for the radiation passage hole 14a to increase accordingly, (Radiation flux) No longer completely orthogonal to 13.
  • a part of the radiation 13 hits the inner wall of the radiation passage hole 14a, so that the radiation 13 is diffused and diffused to the irradiation field 16 or more. That is, the irradiation field 16 at the affected part 11 is scattered and expanded like the irradiation field 16 ′.
  • Enlargement of the irradiation field 16 is not preferable. This is because even normal cells are exposed to radiation. Of course, it is difficult to irradiate the affected area with the prescribed radiation dose, which makes planning radiation treatment difficult.
  • the radiation dose is required to be 1 OGy or more as described above, the shielding block 14 itself has to have a thickness H larger than that in the above-described example, so that the scattering of radiation is further increased.
  • the present invention solves such a conventional problem.
  • the shielding block is moved in accordance with an external control signal, the shielding block is moved in an arc shape, thereby causing irregular reflection of radiation at the shielding block.
  • the present invention proposes a tracking type radiation shielding device and a radiation irradiating device that prevent the irradiation field from scattering. Disclosure of the invention
  • a tracking-type radiation shielding apparatus is a mobile radiation shielding apparatus provided on a radiation irradiation path, A shielding block having radiation transmitted light for determining the irradiation field of the radiation, a pedestal on which the shielding block is mounted,
  • the slide means In order to slide the pedestal in the direction of movement of the radiation-irradiated part, the slide means includes an arc-shaped guide portion so that the movement locus of the shielding block draws an arc shape, and the pedestal based on an external control signal.
  • a driving unit for applying a moving force In order to slide the pedestal in the direction of movement of the radiation-irradiated part, the slide means includes an arc-shaped guide portion so that the movement locus of the shielding block draws an arc shape, and the pedestal based on an external control signal.
  • a driving unit for applying a moving force for applying a moving force.
  • a tracking type radiation shielding apparatus which is provided immediately below the radiation source and is configured to be movable, and detects respiration of a patient placed on a gantry And a movement control device that moves the radiation shielding device in synchronization with the output of the respiration detection device.
  • the tracking type radiation shielding device has a shielding block for determining an irradiation field of the radiation
  • the shielding block is provided immediately below the radiation source, and moves in an arc in synchronization with the patient's breathing.
  • the shielding block is moved in an arc shape. At this time, scattering of the irradiation field at the radiation irradiation site is prevented by selecting the movement locus so that the radiation passing through the radiation passage hole is not irregularly reflected. This prevents the irradiation field from becoming larger.
  • the irradiation field can be moved according to the movement of the affected area. Even in such a case, the shielding block is moved in an arc shape so that the radiation passing through the radiation passage hole is not irregularly reflected. This makes it possible to achieve ideal radiation therapy. Strictly speaking, the size of the arc differs depending on the size and thickness of the shielding block, but the largest contributor is the mounting position of the shielding block. Usually, it is placed at a position about half the distance from the affected area. So that scattering does not occur at the mounting position
  • FIG. 1 is a conceptual diagram of a waist showing an embodiment of a radiation irradiation apparatus according to the present invention.
  • FIG. 2 is a plan layout diagram.
  • FIG. 3 is a use state diagram of the tracking radiation shielding device according to the present invention.
  • FIG. 4 is a central longitudinal sectional view of the tracking radiation shielding apparatus.
  • FIG. 5 is a partial longitudinal sectional view of FIG.
  • FIG. 6 is a diagram illustrating a moving state of the side plate.
  • FIG. 7 is a system diagram illustrating an example of a control unit of the radiotherapy apparatus.
  • FIG. 8A and 8B are waveform diagrams showing the amplitude relationship between respiration and occlusion blocks.
  • FIG. 9 is a diagram showing a relationship between a shielding block and an affected part for explaining the principle of the present invention.
  • FIG. 10 is a diagram showing a relationship with the shielding block when the affected part moves to the left.
  • FIG. 11 is a diagram illustrating a relationship with the shielding block when the affected part moves to the right.
  • FIG. 12 is a diagram showing the relationship between the shielding block and the radiation flux.
  • FIG. 13 is a perspective view of a shielding block that can be used in the present invention.
  • FIG. 14 is a diagram showing a relationship with the shielding block when the irradiation site is fixed.
  • FIG. 15 is a diagram showing the relationship between the irradiation area and the irradiation field when the irradiation area moves.
  • FIG. 16A and FIG. 16B are diagrams showing a relationship between the irradiation part and the movement of the irradiation part when the irradiation part moves right and left.
  • FIG. 17 is a conceptual diagram of the radiation therapy apparatus.
  • FIG. 18 is a perspective view of the irradiation site.
  • FIG. 19 is a diagram showing the relationship of the radiation flux in the radiation passage hole when the irradiation site is moved horizontally.
  • FIG. 1 et seq Show an embodiment of a radiation irradiation device according to the present invention equipped with a tracking type radiation shielding device according to the present invention.
  • the radiation shielding device is moved in synchronization with the movement of the radiation irradiation site.
  • the movement is not a simple movement in the horizontal direction but an arc-like movement.
  • FIG. 9 is a conceptual diagram for explaining this, in which the shielding block 14 is moved so that a circle having a radius R centered on the radiation source 12 is used as a scanning trajectory.
  • the shielding block 14 moves along the radius R in synchronization with the movement of the radiation irradiation site 11 as shown in FIG. move.
  • the irradiation area 11 moves to the right (arrow d)
  • the shielding block 14 moves along the radius R in synchronization with the movement of the irradiation area 11 as shown in FIG. .
  • the shielding block 14 since the shielding block 14 is slightly inclined, it faces the radiation irradiating part 11 in the direction of the radiation irradiating part 11, and the radiation blocking hole 14 of the shielding block 14 is formed. The radiation flux is almost parallel.
  • the radiation irradiation site 11 can be irradiated with a predetermined radiation dose. Therefore, even if the irradiated area 11 is a tumor such as a lung cancer, and the irradiated area 11 moves in the negative direction with respiration, it synchronizes with the movement of the affected area.
  • FIG. 13 shows an example of a shielding block 14 that can be used in the present invention.
  • a resin molded from a special resin capable of absorbing radiation is used as described later.
  • the thickness can be made thinner than the lead block.
  • FIG. 1 shows an embodiment of the radiation therapy apparatus 30.
  • the radiotherapy device 30 includes a lentogen device 3OA and a radiotherapy unit 30B.
  • the tracking radiation shielding device 20 described above is mounted on both the X-ray device 3OA and the radiotherapy unit 30B, and the tracking radiation shielding devices 20 are controlled so as to move synchronously. Therefore, the same configuration is used for the X-ray apparatus 3OA and the radiotherapy unit 30B. The difference is in the radiation dose emitted from each. This is because the X-ray apparatus 30A is used to obtain a projection image of the affected part 11 with a reduced radiation dose.
  • the movement of the affected area 11 is imaged by the X-ray apparatus 3OA, and the respiration movement of the patient (therapist) 22 is detected.
  • the purpose of detecting the movement of respiration is to move the radiation shielding device 20 in synchronization with the movement of the diseased part 11, and to image the movement of the diseased part 11, how much the diseased part moves in synchronization with respiration
  • the purpose of this study is to examine the relationship between the radiation and the respiration, and to check at what amplitude the radiation shielding device, specifically the shielding block 14, should be moved in conjunction with the respiration.
  • the amplitude of respiration is represented by a curve La as shown in FIG. 8A
  • the movement of the affected part 11 of a certain patient also moves in synchronization with it, so when the amount of movement of the affected part 11 is small, the chain line
  • the motion characteristics are as shown in Lb.
  • some patients may move significantly more than the proportion of the respiratory amplitude.
  • another patient may have the movement shown in Figure 8B.
  • the amount of movement of the shielding block 14 must be adjusted according to the amount of movement of the affected part 11 of the patient.
  • the actual radiotherapy section 30B is controlled based on the amplitude of the respiration obtained by the X-ray apparatus 30A and the data corresponding to the amount of movement of the affected area 11. That is, the shielding block 14 mounted on the radiotherapy unit 30B moves in conjunction with the patient's breathing. At this time, the amount of movement is adjusted to suit the patient.
  • the X-ray apparatus 3 OA will be described first.
  • the X-ray apparatus 3 OA has a substantially U-shaped apparatus main body 31, and a radiation source 33 is provided at a predetermined position of a head 32 of the apparatus main body 31. X-rays) 13 are irradiated.
  • the concave portion 32 a provided on the lower surface of the head 32 is formed so as to include the radiation source 33, and at an appropriate position on the radiation path of the radiation 13, in this example, the concave portion 32 a is closed.
  • the above-mentioned tracking radiation shielding device 20 is detachably attached. An embodiment of the tracking type radiation shielding device 20 will be described later.
  • a rotatable base 34 is placed directly below the radiation source 33, where the patient 22 is laid on his / her back. Thus, the affected area 11 of the patient 22 faces the radiation source 33 via the tracking-type radiation shielding device 20.
  • An X-ray force measurment 36 is fixed below the gantry 34, and an X-ray image around the affected area 11 is captured. Based on this imaging output, the amount of movement of the affected part 11 is detected as described above.
  • the X-ray camera 36 is fixed to the apparatus main body 31 side.
  • a length measuring element 38 is attached at a predetermined position on the upper surface side of the gantry 34 at a predetermined distance from the gantry 34.
  • a laser displacement meter is used as the length measuring element 38, and the laser displacement meter 38 is connected to the indicator rod 40 via the elevating means 39.
  • the indicator rod 40 is fixed to the gantry 34.
  • the position of the laser displacement meter 38 is adjusted by the lifting / lowering means 38 so as to be at a predetermined distance (for example, 100 to 200 mm) from the gantry 34. At this adjustment position, the displacement of the body surface due to the respiration of the patient 22 is measured. The result is the curve A in FIG. 8A.
  • a signal sinusoidal respiratory signal
  • the respiratory signal controls the shielding block 14 of the tracking radiation shielding device 20. For example, control is performed such that the shielding block 14 is advanced, for example, so as to follow the diseased part 11 when inhaling, and the shielding block 14 is retracted when exhaling.
  • the gantry 34 is configured to be freely rotatable and advanceable and retractable as described above. After the respiratory signal of the patient 22 is detected by the X-ray apparatus 3 OA and the amount of movement of the affected part 11 is detected, the gantry 34 is Is rotated 90 ° as also shown in FIG.
  • the radiotherapy unit 30B By rotating the gantry 34 by 90 ° and further moving it back and forth, the radiotherapy unit 30B is located immediately above the gantry adjustment position as shown in FIG.
  • the radiotherapy section 30B is configured in the same manner as the X-ray apparatus 30A as described above. The detailed explanation is omitted.
  • the tracking type radiation shielding device 20 is detachably attached to the radiotherapy unit 30B, so that the relative positional relationship is exactly the same as that of the X-ray device 30A. Therefore, radiation therapy can be started immediately by simply moving the gantry 34.
  • the affected part 11 is irradiated with radiation at a predetermined radiation dose and irradiation time, and radiation treatment of the affected part is performed.
  • an embodiment of the tracking type radiation shielding apparatus 20 includes a pedestal 50 on which the shielding block 14 is mounted, and a guide portion for sliding the pedestal 50. 6 and a driving unit 53 for sliding the pedestal 50. Further, the pedestal 50, the driving part 53 and the guide part 63 are fixed so that the pedestal 50 can be moved in the housing 46 as shown in FIG.
  • the box-shaped housing 46 is connected to a top plate 46 A, which also functions as a guide plate, and four side plates 46 C, which are provided so that a bottom plate 46 B surrounds the periphery. It is fixed to the top plate 46A.
  • a pair of guide blocks 45 A and 45 B having guide grooves are opposed to the lower surface of the head 32 and the left and right end surfaces of the recess 32 a such that the respective guide grooves face each other. It is attached and fixed in the state where it was set.
  • the left and right end surfaces of the top plate 46A slightly protrude from the left and right side surfaces as shown in FIG. 4, and the protrusions are fitted along the guide grooves.
  • the case 46 is fixed to the head 32 using screws or the like. If a hook or the like is used, the housing 46 can be fixed to the head 32 without screws. Therefore, the tracking radiation shielding device 20 is detachable. The reason why the tracking type radiation shielding device 20 is easily replaceable is that the tracking type radiation shielding device 20 can be easily replaced.
  • the drive section 53 described above has a drive motor 54 as shown in FIG.
  • As the drive motor 54 an AC drive motor that has good tracking performance to external control signals and is easy to control is used.
  • the drive motor 54 is fixed to the bottom plate 46B as shown in FIG.
  • a rack 55 is connected to the drive motor 54, and a pinion gear 56 is screwed into the rack 55, and the circular motion of the rack 55 is converted into a linear motion by the pinion gear 56.
  • the other end of the rack 55 is fixed to a fixing plate 56.
  • Fixing plate 5 6 is bottom Fixed to plate 4 6 B.
  • an auxiliary block 56a for height adjustment is attached to the pinion gear 56, and a transmission shaft 57 is supported by the auxiliary block 56a.
  • a side plate 51 is provided on the lower surface of the pedestal 50 and facing the transmission shaft 57, and a long hole 51a provided in the side plate 51 (see FIGS. 5 and 6)
  • the relationship between the side plate 51 and the pinion gear 56 is selected so that the transmission shaft 57 is engaged with the transmission shaft 57.
  • Position sensors 59 a and 59 b are provided at predetermined positions along the rack 55 with the pinion gear 56 interposed therebetween, so that the movement amount of the pinion gear 56 can be regulated.
  • a guide 63 is provided on the right side of the pedestal 50.
  • the guide portion 63 is an arcuate guide rail 64 having a predetermined arc shape as shown in FIG. 3, and in this example, as shown in FIG. 4 and FIG. This is the case where a V-groove sandwiching guide rail with a and 64 formed is used.
  • a steel material is used as the guide rail 64, and the sliding pieces 65 are fitted so as to sandwich these V grooves 64a and 64b. Therefore, the sliding piece 65 is provided with a pair of ridges 65a and 65b that engage with the V-grooves 64a and 64b, thereby making the sliding piece 65 less rugged. It has been made possible to slide. To achieve smoother sliding, grease or the like may be applied to the V-grooves 64a and 64b.
  • the guide rail 64 is fixed to a fixing plate 67 along the guide rail 64 with screws or the like.
  • the fixing plate 67 itself is firmly fixed to the bottom plate 46B.
  • the sliding piece 65 itself is fixed to a side plate 52 fixed to the pedestal 50.
  • the guide 63 is provided with a position sensor 70 for detecting the reference point when the slide piece 66 is located at the center position.
  • the sliding piece 66 is provided with a detector 70a of the position sensor and a detection body 70b for detecting the detector 70a.
  • a transmission type is used as the detection body 70b.
  • the radius of curvature R depends on the position between the radiation source 33 and the gantry 34. It differs depending on whether the radiation shielding device 20 is arranged. For example, when the distance from the radiation source 33 to the gantry 34 is 100 cm and the distance from the radiation source 33 to the tracking radiation shielding device 20 is 50 cm, which is half of that, the curvature is The radius R is 50 cm, ie the radiation source 33 can be chosen as the center of the radius of curvature. 3 to 5, the through hole 50a provided in the pedestal 50 has a sufficiently larger diameter than the radiation passage hole 14a. And it is a long hole configuration along the moving direction of the shielding block 14.
  • the top plate 46A is provided with a U-shaped notch that does not cause injury when the shielding block 14 is placed.
  • the bottom plate 46B is also provided with a through hole 46b so as not to hinder the passage of radiation.
  • the pedestal 50 is given a moving force in the direction of the arrow p shown in FIG. Since the pedestal 50 is only fixed to the guide rail 64, when a force is applied to the pedestal 50, the pedestal 50 moves along the guide rail 64. Since the guide rails 64 are slightly curved, the pedestal 50 moves while slightly tilting up along the guide rails 64 as shown in FIG. Accordingly, if a shielding block 14 as shown in FIG. 6 is placed on the upper surface of the lever base 50, the shielding block 14 also moves while slightly tilting. Thus, the inclination of the radiation passage hole 14a of the shielding block 14 can be adjusted so as to be substantially parallel to the radiation flux. That is, the movement of the shielding block 14 as shown in FIGS. 10 and 11 can be realized.
  • FIG. 6 shows the relationship between the side plate 51 and the transmission shaft 57 when the pedestal 50 has moved from the reference point (center position) to the maximum left and right movement points. Since the side plate 51 slightly moves up and down in this way, the shaft engaging hole 51a is formed as an elongated hole.
  • the size of the affected area 11 varies from about 5 mm to about 30 mm for large ones, and depends on the size of the affected area 11, that is, the size of the irradiation field 16.
  • the radiation passage hole 14a of the shielding block 14 is selected.
  • the amount of movement of the shielding block 14 is determined by the irradiation field 16. For example, 100 cm up to the affected area 11 and the tracking radiation shielding device 20 is installed at half the position.
  • the diameter of the radiation passage hole 14a of the shielding block 14 is about 15 mm
  • the displacement of the shielding block 14 from the reference point is It may be set to ⁇ 7.5 mm.
  • a lead block when used as the shielding block 14 as in the past, its thickness H is about 1 O Gy and about 10 O mm in thickness to absorb radiation.
  • a block made of a special resin that can absorb radiation if used, its thickness can be reduced to about 2/3. According to experiments, it can be reduced to about 70 mm at 10 Gy.
  • the smaller the thickness H the less the diffuse reflection of the radiation in the passage hole 14a, so that the scattering of the irradiation field 16 can be more effectively prevented.
  • FIG. 7 shows an embodiment of the movement control device 80 provided in the radiotherapy device 30.
  • the movement control device 80 is controlled by a computer, and includes a control unit 82 having a CPU as a central processing unit. All controls are performed via the control unit 82.
  • the X-ray image of the diseased part 11 taken by the X-ray force camera 36 is displayed on the X-ray monitor 83 via the control part 82, and the X-ray monitor 73 shows how much the diseased part 11 moves. Therefore, the movement can be grasped.
  • the respiratory signal detected by the laser displacement meter 38 is supplied to a respiratory monitor 75 via a control unit 82, and respiratory monitoring in the abdomen is monitored. Then, based on the amplitude of the respiration on the respiration monitor 85 and the movement of the diseased part 11, the control magnification of the extent to which the shielding block 14 should be moved is set.
  • the motor control signal having the set control magnification is supplied to the AC drive motor 54 through the motor driver 87 of the X-ray apparatus 3OA, and the rotation control in the forward and reverse directions is performed according to the motor control signal. Done.
  • the AC drive motor 54 has excellent control characteristics, and can realize forward / reverse rotation control following the motor control signal.
  • the motor control signal is further supplied to a motor driver 87 provided in the radiotherapy unit 30B, and the movement of the shielding block 14 is controlled in synchronization with the movement of the shielding block 14 of the lentogen device 3OA. You.
  • the irradiation position when radiation is actually irradiated can be monitored in advance with the X-ray device 3OA.
  • Regulation of the amount of movement of the shielding block 14, that is, control of the AC drive mode 54, is performed by sensor outputs from the detection sensors 69 a and 69 b.
  • the output of the position sensor 70 is used to return the shielding block 14 to the initial position (the initial position of the pedestal 50). This is because the initial position of the base 50 is when the detector 70a crosses the detection body 70b.
  • the lifting / lowering means 39 is controlled based on a control signal from the control unit 32 in order to adjust the position of the laser displacement meter 38.
  • Position control, etc. can be performed from the remote control 84.
  • the lung is exemplified as the moving part of the radiation irradiation.
  • the lung since the lung may be slightly moved if it is built-in, the irradiation may be performed in the evening.
  • the present invention can also be applied to the present invention.
  • the shielding block is moved so as to follow the movement of the radiation irradiation part, and the movement locus of the shielding block 14 is configured to be an arc. Things.
  • the radiation irradiating apparatus is configured by using a tracking type radiation shielding apparatus.
  • the radiation irradiation field can be moved in synchronization with the movement of the radiation irradiation part, even if the radiation irradiation part moves, the radiation can be irradiated without coming off the irradiation part. Therefore, when the irradiation site is an affected area, radiation treatment can be realized without damaging normal tissues.
  • the position and inclination of the shielding block can be changed little by little as the radiation irradiation part moves.
  • scattering of the radiation flux in the shielding block can be prevented.
  • the scattering of the irradiation field can be suppressed, so that there is no possibility that the radiation is irradiated to the normal part.
  • the affected area can be irradiated with an appropriate radiation dose, which has the effect that the affected area can be treated with a dose almost as planned for radiation therapy. Therefore, the present invention is extremely suitable for application to a radiotherapy device or the like.

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Abstract

A tracking type radiation shielding apparatus comprising a shielding block (14) having transmitted radiation for determining a radiation field, a pedestal (50) for placing the shielding block thereon, and a slide means for allowing the pedestal to slide in the moving direction of an irradiation part of the radiation. The slide means comprises an arc-shaped guide part (63) in which a moving locus of the shielding block depicts an arc, and a drive unit (53) for providing a moving force to the pedestal based on the external control signal. Since the shielding block is moved in an arc shape, the radiation passing through block pores is hardly subjected to irregular reflection, the radiation field is prevented from scattering at the irradiation part of the radiation, and the radiation field is not expanded excessively. The irradiation field is allowed to follow the irradiation part without expanding the radiation field.

Description

トラツキング式放射線遮蔽装置および放射線照射装置 技術分野  Tracking type radiation shielding device and radiation irradiation device

この発明は、 トラッキング式放射線遮蔽装置およびこれを使用した放射線照射 装置に関する。 詳しくは、 放射線照射部位が動く部位であるとき、 この照射部位 の動きに合わせて、 放射線の照射野を決定する遮蔽ブロックを円弧状に動かすこ 明  The present invention relates to a tracking radiation shielding device and a radiation irradiation device using the same. Specifically, when the irradiation area is moving, the shielding block that determines the radiation field is moved in an arc in accordance with the movement of the irradiation area.

とで、 放射線照射部位に、 照射野を散乱させることなく正しく放射線を照射でき 田 With this, it is possible to correctly irradiate the irradiated area without scattering the irradiation field.

るようにすると共に、 呼吸に同期させて遮蔽ブロックを動かすことで、 放射線照 射部位が動いても、 目的の照射部位を外すことなく、 しかも照射野を散乱させる ことなく放射線を照射できるようにしたものである。 従来の技術 In addition, by moving the shielding block in synchronization with breathing, even if the irradiation area moves, the irradiation can be performed without removing the target irradiation area and without scattering the irradiation field. It was done. Conventional technology

'放射線を利用した治療装置では、 図 1 4に示すように通常放射線の照射部位 (患部) 1 1は固定され、 ここに放射線源 1 2から出射した放射線 1 3を照射す るようにしている。 このとき、 放射線の照射野を決定するのが、 放射線路上に配 された遮蔽ブロック 1 4の透孔 (放射線通過光) 1 4 aである。  '' In a treatment device using radiation, as shown in Fig. 14, the part to be irradiated with normal radiation (the affected part) 11 is fixed, and the radiation 13 emitted from the radiation source 12 is irradiated here. . At this time, the radiation field is determined by the aperture (radiation passing light) 14a of the shielding block 14 arranged on the radiation path.

ところが、 腫瘍が肺にある場合、 患部は患者の呼吸と共に動く。 つまり、 図 1 5に示すように患部 1 1は呼吸に同期して、 この作図例では左右に動く。 最も左 側に動いたときの患部が 1 1 aであり、 最も右側に動いたときの患部が 1 1 bで ある。  However, if the tumor is in the lungs, the affected area moves with the patient's breathing. That is, as shown in FIG. 15, the affected part 11 moves right and left in this example of drawing in synchronization with respiration. The affected area when moved to the left most is 11a, and the affected area when moved to the far right is 11b.

これに対して、 遮蔽ブロック 1 4は固定されているのが、 一般的であるので、 このときの最大照射野は遮蔽プロック 1 4の放射線通過光 1 4 aの孔径と、 プロ ックの厚みなどによって決まってしまう。 放射線通過光 1 4 aの孔径などは患部 の大きさによって一義的に決められてしまうので、 呼吸の深さによっては図 1 5 に示すように、 放射線 1 3の照射野からはずれてしまう場合が起こる。  On the other hand, since the shielding block 14 is generally fixed, the maximum irradiation field at this time is the hole diameter of the radiation passing light 14a of the shielding block 14 and the thickness of the block. It is decided by such things. Since the hole diameter of the radiation passing light 14a is uniquely determined by the size of the affected area, depending on the depth of respiration, it may deviate from the irradiation field of radiation 13 as shown in Fig. 15. Occur.

呼吸の深さと患部 1 1の動き量はほぼ比例しているので、 図 1 5の例のように 患部から外れて照射野が動く場合には、 正常な細胞 (健常組織) に対しても放射 線を照射していることになる。 正常な細胞はできるだけ、 放射線が照射されない ようにする必要があるのはもちろんであるが、 このように患部以外にも放射線が 照射されるということは患部自身にも規定の放射線量が照射されないことになり 放射線治療計画そのものを見直さなくてはならない。 Since the depth of respiration and the amount of movement of the affected area 11 are almost proportional, if the irradiation field moves away from the affected area, as in the example in Fig. 15, even normal cells (healthy tissue) are radiated. It is irradiating the line. It is, of course, necessary to ensure that normal cells are not exposed to radiation as much as possible. The radiation treatment plan itself must be reviewed.

このような問題を解決するには、 呼吸に同期させて放射線 1 3の照射位置を患 部 1 1の移動方向 (水平方向) に移動するようにすればよい。 このような観点か らの技術は既に提示されている (例えば、 特開 2 0 0 1— 2 7 6 2 4 1号公報 ( 2 0 0 0年特許願第 9 1 0 5 9号) など) 。  To solve such a problem, the irradiation position of the radiation 13 may be moved in the moving direction (horizontal direction) of the diseased part 11 in synchronization with respiration. Techniques from this point of view have already been presented (for example, Japanese Patent Application Laid-Open No. 2000-27641 (Japanese Patent Application No. 91059/2000)). .

この公報に開示された内容を簡単に説明すれば、 図 1 6 Αに示すように、 患部 1 1が左に動いたときには、 その動きに同期して遮蔽ブロック 1 4を矢印 a方向 に所定量だけ動かすことで、 患部 1 1に追従して放射線 1 3の照射野が左側にシ フ卜する。  Briefly explaining the contents disclosed in this publication, as shown in Fig. 16Α, when the affected part 11 moves to the left, the shielding block 14 is moved in a predetermined amount in the direction of arrow a in synchronization with the movement. By only moving, the radiation field of radiation 13 shifts to the left following the affected part 11.

同じく、 図 1 6 Bに示すように、 患部 1 1が右に動いたときには、 その動きに 同期して遮蔽ブロック 1 4を矢印 b方向に所定量だけ動かすことで、 患部 1 1に 追従して放射線 1 3の照射野が右側にシフ卜する。  Similarly, as shown in FIG. 16B, when the affected part 11 moves to the right, the shielding block 14 is moved by a predetermined amount in the direction of the arrow b in synchronization with the movement, thereby following the affected part 11. The irradiation field of radiation 13 shifts to the right.

このように遮蔽ブロック 1 4自体を患部 1 1の移動に追従するように移動させ れば、 照射野 1 6が患部から外れることがなくなり、 正常細胞までも放射線が照 射されるおそれはなく、 規定量の放射線を患部に照射することもできるようにな る。  By moving the shielding block 14 itself so as to follow the movement of the diseased part 11 in this way, the irradiation field 16 does not come off the diseased part, and there is no risk that even normal cells will be irradiated with radiation. It will also be possible to deliver a prescribed amount of radiation to the affected area.

図 1 7は遮蔽ブロック移動を実現するための簡単な概念図である。 架台 2 1の 上には患者 2 2が仰向けに横たわつている。 架台 2 1の真上には放射線発生装置 2 4が位置し、 ここより放射線 1 3が照射される。 放射線源 1 2の出射位置およ び方向は何れも固定されている。  FIG. 17 is a simple conceptual diagram for realizing the movement of the shielding block. The patient 22 is lying on his / her back on the gantry 2 1. A radiation generator 24 is located right above the pedestal 21, from which radiation 13 is irradiated. Both the emission position and the direction of the radiation source 12 are fixed.

この放射線路上に遮蔽ブロック 1 4がスライド手段 2 6を介して取り付けられ ている。 患者の呼吸を検知した出力に基づいて遮蔽ブロック 1 4は矢印 p方向に 動く。 矢印 p方向とは、 架台 2 1の面と平行な方向である。 遮蔽ブロック 1 4は 図 1 8に示すように立方体であり、 その中心部に放射線通過孔 1 4 aが穿設され ている。 放射線通過孔 1 4 aは患部 1 1の大きさに応じて、 5 mm〜3 0 mm程 度の孔径となされる。 放射線量によっても相違するが、 鉛ブロックを使用した場 合、 その厚み Hは通常 1 0 0 mm以上のものが使用される。 1 0 0 mmの場合に は 1 0グレイ (G y ) 程度の放射線量を遮蔽できる。 On this radiation path, a shielding block 14 is attached via a sliding means 26. The occlusion block 14 moves in the direction of the arrow p based on the output of detecting the patient's breathing. The arrow p direction is a direction parallel to the surface of the gantry 21. The shielding block 14 is a cube as shown in FIG. 18, and a radiation passage hole 14a is formed in the center thereof. The radiation passage hole 14a has a hole diameter of about 5 mm to 30 mm depending on the size of the affected part 11. Depending on the radiation dose, the use of lead blocks In this case, the thickness H is usually 100 mm or more. In the case of 100 mm, a radiation dose of about 10 Gray (Gy) can be shielded.

ところで、 このように遮蔽ブロック 1 4を患者 2 2の呼吸に合わせて動かした としても、 放射線源 1 2の出射方向が固定であるので、 遮蔽ブロック 1 4の動か し方が従来技術のように架台 2 1と同じ水平方向では、 患部に対して適切な照射 野で照射できるとは限らない。 図 1 9を参照して説明する。  By the way, even if the shielding block 14 is moved in accordance with the respiration of the patient 22 in this way, since the radiation direction of the radiation source 12 is fixed, the manner of moving the shielding block 14 is the same as in the prior art. In the same horizontal direction as the gantry 21, it is not always possible to irradiate the affected part with an appropriate irradiation field. This will be described with reference to FIG.

図 1 9は遮蔽ブロック 1 4を矢印 b方向に最大動かしたときの、 放射線 1 3の 照射軌跡を示す概念図である。 遮蔽ブロック 1 4の厚み Hが比較的あることおよ び患部 1 1が大きく、 放射線通過孔 1 4 aもそれに応じて大きくしなければなら ないことなどの理由によって、 遮蔽ブロック 1 4が放射線 (放射線束) 1 3に対 して完全に直交しなくなる。  FIG. 19 is a conceptual diagram showing an irradiation locus of the radiation 13 when the shielding block 14 is moved to the maximum in the direction of the arrow b. Due to the relatively large thickness H of the shielding block 14 and the large size of the affected area 11 and the need for the radiation passage hole 14a to increase accordingly, (Radiation flux) No longer completely orthogonal to 13.

その結果として、 図 1 9に示すように放射線 1 3の一部が放射線通過孔 1 4 a の内壁に当たってしまうために、 乱反射してその放射線 1 3が照射野 1 6以上に 拡散してしまう。 つまり患部 1 1での照射野 1 6が照射野 1 6 'のように散乱して 拡大してしまう。  As a result, as shown in FIG. 19, a part of the radiation 13 hits the inner wall of the radiation passage hole 14a, so that the radiation 13 is diffused and diffused to the irradiation field 16 or more. That is, the irradiation field 16 at the affected part 11 is scattered and expanded like the irradiation field 16 ′.

照射野 1 6の拡大は好ましくない。 正常な細胞までも放射線を照射してしまう ことになるからである。 もちろん、 規定値の放射線量を患部に照射できないから、 放射線の治療計画も難しくなる。 放射線量を上述したように 1 O G y以上必要と するときには、 遮蔽ブロック 1 4自体、 その厚み Hを上述した例よりも厚くしな ければならないので、 放射線の散乱はさらにおおきくなる。  Enlargement of the irradiation field 16 is not preferable. This is because even normal cells are exposed to radiation. Of course, it is difficult to irradiate the affected area with the prescribed radiation dose, which makes planning radiation treatment difficult. When the radiation dose is required to be 1 OGy or more as described above, the shielding block 14 itself has to have a thickness H larger than that in the above-described example, so that the scattering of radiation is further increased.

そこで、 この発明はこのような従来の課題を解決したものであって、 特に遮蔽 ブロックを外部制御信号に追随して動かす際、 これを円弧状に動かすことで、 遮 蔽ブロックでの放射線の乱反射を防止して、 照射野が散乱しないようにしたトラ ッキング式放射線遮蔽装置および放射線照射装置を提案するものである。 発明の開示  Therefore, the present invention solves such a conventional problem. In particular, when the shielding block is moved in accordance with an external control signal, the shielding block is moved in an arc shape, thereby causing irregular reflection of radiation at the shielding block. The present invention proposes a tracking type radiation shielding device and a radiation irradiating device that prevent the irradiation field from scattering. Disclosure of the invention

上述の課題を解決するため、 請求の範囲 1に記載したこの発明に係るトラツキ ング式放射線遮蔽装置では、 放射線の照射路上に設けられる移動式放射線遮蔽装 置であって、 上記放射線の照射野を決定する放射線透過光を有する遮蔽プロックと、 この遮蔽ブロックを載置する台座と、 In order to solve the above-mentioned problems, a tracking-type radiation shielding apparatus according to the present invention described in claim 1 is a mobile radiation shielding apparatus provided on a radiation irradiation path, A shielding block having radiation transmitted light for determining the irradiation field of the radiation, a pedestal on which the shielding block is mounted,

この台座を放射線照射部位の移動方向にスライドさせるため、 上記スライド手 段は、 上記遮蔽ブロックの移動軌跡が円弧状を描くように円弧状をなすガイド部 と、 外部制御信号に基づいて上記台座に移動力を付与する駆動部とを有すること を特徴とする。  In order to slide the pedestal in the direction of movement of the radiation-irradiated part, the slide means includes an arc-shaped guide portion so that the movement locus of the shielding block draws an arc shape, and the pedestal based on an external control signal. A driving unit for applying a moving force.

また、 請求の範囲 6に記載したこの発明に係る放射線照射装置では、 放射線源 の直下に設けられ、 移動式に構成されたトラッキング式放射線遮蔽装置と、 架台 に載置された患者の呼吸を検知する呼吸検知手段と、 この呼吸検知手段の出力に 同期して上記放射線遮蔽装置を移動させる移動制御装置とで構成され、  In the radiation irradiating apparatus according to the present invention described in claim 6, a tracking type radiation shielding apparatus which is provided immediately below the radiation source and is configured to be movable, and detects respiration of a patient placed on a gantry And a movement control device that moves the radiation shielding device in synchronization with the output of the respiration detection device.

上記トラッキング式放射線遮蔽装置は、 上記放射線の照射野を決定する遮蔽ブ ロックを有し、  The tracking type radiation shielding device has a shielding block for determining an irradiation field of the radiation,

この遮蔽プロックが上記放射線源の直下に設けられると共に、 上記患者の呼吸 に同期して円弧状に移動するようになされたことを特徴とする。  The shielding block is provided immediately below the radiation source, and moves in an arc in synchronization with the patient's breathing.

この発明では、 遮蔽ブロックを円弧状に動かす。 このとき、 放射線通過孔内を 通過する放射線が乱反射しないように、 その移動軌跡を選定することで、 放射線 照射部位での照射野の散乱を防止する。 これによつて、 照射野が以上に大きくな つたりすることがなくなる。  In the present invention, the shielding block is moved in an arc shape. At this time, scattering of the irradiation field at the radiation irradiation site is prevented by selecting the movement locus so that the radiation passing through the radiation passage hole is not irregularly reflected. This prevents the irradiation field from becoming larger.

また、 遮蔽ブロックを呼吸の動きに連動させることで、 照射野を患部の動きに 合わせて動かすことができる。 その場合でも放射線通過孔内を通過する放射線が 乱反射しないように、 遮蔽プロックを円弧状に動かすので、 放射線照射部位での 照射野の散乱を防止できる。 これによつて、 理想的な放射線治療を実現できる。 円弧の大きさは、 厳密には遮蔽ブロックの大きさ、 厚みなどによって相違するが、 最も大きく寄与するのは、 遮蔽ブロックの取り付け位置である。 通常は患部との 距離のほぼ半分位の位置に配置される。 その載置位置で散乱が発生しないように  In addition, by linking the shielding block with the movement of respiration, the irradiation field can be moved according to the movement of the affected area. Even in such a case, the shielding block is moved in an arc shape so that the radiation passing through the radiation passage hole is not irregularly reflected. This makes it possible to achieve ideal radiation therapy. Strictly speaking, the size of the arc differs depending on the size and thickness of the shielding block, but the largest contributor is the mounting position of the shielding block. Usually, it is placed at a position about half the distance from the affected area. So that scattering does not occur at the mounting position

'移動軌跡の半径が選定される。 図面の簡単な説明  'The radius of the trajectory is selected. BRIEF DESCRIPTION OF THE FIGURES

図 1は、 この発明に係る放射線照射装置の実施形態を示す腰部の概念図である。 図 2は、 その平面的配置図である。 FIG. 1 is a conceptual diagram of a waist showing an embodiment of a radiation irradiation apparatus according to the present invention. FIG. 2 is a plan layout diagram.

図 3は、 この発明に係るトラッキング式放射線遮蔽装置の使用状態図である。 図 4は、 トラッキング式放射線遮蔽装置の中央縦断面図である。 FIG. 3 is a use state diagram of the tracking radiation shielding device according to the present invention. FIG. 4 is a central longitudinal sectional view of the tracking radiation shielding apparatus.

図 5は、 図 3の一部縦断面図である。 FIG. 5 is a partial longitudinal sectional view of FIG.

図 6は、 側板の移動状態を示す図である。 FIG. 6 is a diagram illustrating a moving state of the side plate.

図 7は、 放射線治療装置の制御部の一例を示す系統図である。 FIG. 7 is a system diagram illustrating an example of a control unit of the radiotherapy apparatus.

図 8 A及び図 8 Bは、 呼吸と遮蔽ブロックの振幅関係を示す波形図である。 図 9は、 この発明の原理を説明するための遮蔽ブロックと患部との関係を示す図 である。 8A and 8B are waveform diagrams showing the amplitude relationship between respiration and occlusion blocks. FIG. 9 is a diagram showing a relationship between a shielding block and an affected part for explaining the principle of the present invention.

図 1 0は、 患部が左側に動いたときの遮蔽ブロックとの関係を示す図である。 図 1 1は、 患部が右側に動いたときの遮蔽ブロックとの関係を示す図である。 図 1 2は、 遮蔽ブロックと放射線束との関係を示す図である。 FIG. 10 is a diagram showing a relationship with the shielding block when the affected part moves to the left. FIG. 11 is a diagram illustrating a relationship with the shielding block when the affected part moves to the right. FIG. 12 is a diagram showing the relationship between the shielding block and the radiation flux.

図 1 3は、 この発明で使用できる遮蔽ブロックの斜視図である。 FIG. 13 is a perspective view of a shielding block that can be used in the present invention.

図 1 4は、 照射部位が固定されているときの遮蔽ブロックとの関係を示す図であ る。 FIG. 14 is a diagram showing a relationship with the shielding block when the irradiation site is fixed.

図 1 5は、 照射部位が動くときの照射部位と照射野との関係を示す図である。 図 1 6 A及び図 1 6 Bは、 照射部位が左右側に動いたときの照射部位の動きとの 関係を示す図である。 FIG. 15 is a diagram showing the relationship between the irradiation area and the irradiation field when the irradiation area moves. FIG. 16A and FIG. 16B are diagrams showing a relationship between the irradiation part and the movement of the irradiation part when the irradiation part moves right and left.

図 1 7は、 放射線治療装置の概念図である。 FIG. 17 is a conceptual diagram of the radiation therapy apparatus.

図 1 8は、 照射部位の斜視図である。 FIG. 18 is a perspective view of the irradiation site.

図 1 9は、 照射部位を水平移動させたときの放射線通過孔内の放射線束の関係を 示す図である。 発明を実施するための最良の形態 FIG. 19 is a diagram showing the relationship of the radiation flux in the radiation passage hole when the irradiation site is moved horizontally. BEST MODE FOR CARRYING OUT THE INVENTION

続いて、 この発明に係るトラッキング式放射線遮蔽装置および放射線照射装置 の一実施形態を図面を参照して詳細に説明する。  Next, an embodiment of a tracking radiation shielding apparatus and a radiation irradiation apparatus according to the present invention will be described in detail with reference to the drawings.

図 1以下はこの発明に係るトラツキング式放射線遮蔽装置を搭載したこの発明 に係る放射線照射装置の実施の形態を示すものであるが、 この発明の理解を容易 にするため、 図 9以下を参照してこの発明の原理的説明から始める。 この発明では放射線照射部位の動きに応じて、 その動きに同期して放射線遮蔽 装置を動かす。 特にこの発明ではその動きを単なる水平方向への移動ではなく、 円弧状の動きとする。 FIG. 1 et seq. Show an embodiment of a radiation irradiation device according to the present invention equipped with a tracking type radiation shielding device according to the present invention. To facilitate understanding of the present invention, refer to FIG. 9 et seq. Let us start with the principle description of the present invention. According to the present invention, the radiation shielding device is moved in synchronization with the movement of the radiation irradiation site. In particular, in the present invention, the movement is not a simple movement in the horizontal direction but an arc-like movement.

図 9はこのことを説明するための概念図であって、 放射線源 1 2を中心とした 半径 Rの円を走査軌跡とするように遮蔽ブロック 1 4を動かす。 つまり、 放射線 照射部位 (患部) 1 1が左側 (矢印 c ) に動いたときには図 1 0に示すように遮 蔽ブロック 1 4を半径 Rに沿って、 放射線照射部位 1 1の動きに同期して動かす。 同じように、 放射線照射部位 1 1が右側 (矢印 d ) に動いたときには図 1 1に示 すように遮蔽ブロック 1 4を半径 Rに沿って、 放射線照射部位 1 1の動きに同期 して動かす。  FIG. 9 is a conceptual diagram for explaining this, in which the shielding block 14 is moved so that a circle having a radius R centered on the radiation source 12 is used as a scanning trajectory. In other words, when the radiation irradiation site (affected part) 11 moves to the left (arrow c), the shielding block 14 moves along the radius R in synchronization with the movement of the radiation irradiation site 11 as shown in FIG. move. Similarly, when the irradiation area 11 moves to the right (arrow d), the shielding block 14 moves along the radius R in synchronization with the movement of the irradiation area 11 as shown in FIG. .

こうすると、 放射線照射部位が 1 1 aや 1 1 bの位置に動いたとしても、 放射 線 1 3の照射野が放射線照射部位 1 1から外れることはない。 これに加えて遮蔽 ブロック 1 4が僅かではあるが傾くので、 放射線照射部位 1 1の方向を向いて放 射線照射部位 1 1と対峙することになり、 遮蔽プロック 1 4の放射線通過孔 1 4 と、 放射線束がほぼ平行する。  In this way, even if the irradiation site moves to the position of 11a or 11b, the irradiation field of the radiation 13 does not deviate from the irradiation site 11. In addition, since the shielding block 14 is slightly inclined, it faces the radiation irradiating part 11 in the direction of the radiation irradiating part 11, and the radiation blocking hole 14 of the shielding block 14 is formed. The radiation flux is almost parallel.

その結果、 図 1 2に示すように放射線束が放射線通過孔 1 4 a内を通過すると き、 その内壁で乱反射する確率が非常に少なくなり、 照射野 1 6の散乱を抑える ことができる。 そのため、 照射野 1 6が予め設計された照射野を大きく越えるこ とはないので、 予め定められた放射線量を放射線照射部位 1 1に照射することが できる。 したがって、 放射線照射部位 1 1が肺ガンなどのような腫瘍であって、 呼吸と共に照射部位 1 1がー方向に動くような場合であっても、 その照射部位で ある患部の動きに同期して遮蔽プロック 1 4を円弧状に動かすトラッキング方式 を採用することでことで、 常に患部に放射線を照射することができると共に、 そ の照射野 1 6も大幅に拡大することはない。 図 1 3はこの発明で使用できる遮蔽 ブロック 1 4の一例を示す。 この例では、 後述するように放射線を吸収できる特 殊な樹脂を成型したものを使用している。 この場合、 その厚みを鉛ブロックより 薄くできる。  As a result, as shown in FIG. 12, when the radiation flux passes through the radiation passage hole 14a, the probability of irregular reflection on the inner wall thereof is extremely reduced, and the scattering of the irradiation field 16 can be suppressed. Therefore, since the irradiation field 16 does not greatly exceed the irradiation field designed in advance, the radiation irradiation site 11 can be irradiated with a predetermined radiation dose. Therefore, even if the irradiated area 11 is a tumor such as a lung cancer, and the irradiated area 11 moves in the negative direction with respiration, it synchronizes with the movement of the affected area. By adopting a tracking method in which the shielding block 14 is moved in an arc shape, it is possible to always irradiate the affected area with radiation, and the irradiation field 16 is not greatly expanded. FIG. 13 shows an example of a shielding block 14 that can be used in the present invention. In this example, a resin molded from a special resin capable of absorbing radiation is used as described later. In this case, the thickness can be made thinner than the lead block.

続いて、 この発明に係るトラッキング式放射線遮蔽装置およびこれを備えた放 射線照射装置を、 放射線治療装置に適用した場合につき図 1以下を参照して説明 する。 Next, the case where the tracking type radiation shielding apparatus according to the present invention and the radiation irradiation apparatus including the same are applied to a radiation therapy apparatus will be described with reference to FIG. I do.

図 1はこの放射線治療装置 3 0の実施の形態を示す。 放射線治療装置 3 0はレ ントゲン装置 3 O Aと、 放射線治療部 3 0 Bとで構成される。 レントゲン装置 3 O Aにも放射線治療部 3 0 Bにも、 上述したトラッキング式放射線遮蔽装置 2 0 が搭載され、 それぞれのトラッキング式放射線遮蔽装置 2 0が同期して動くよう に制御される。 したがって、 レントゲン装置 3 O Aと放射線治療部 3 0 Bとは同 一構成のものが使用される。 相違するのは、 それぞれから照射される放射線量の 違いである。 レントゲン装置 3 0 Aは放射線量を少なくして、 患部 1 1の投影像 を得るために使用されるからである。  FIG. 1 shows an embodiment of the radiation therapy apparatus 30. The radiotherapy device 30 includes a lentogen device 3OA and a radiotherapy unit 30B. The tracking radiation shielding device 20 described above is mounted on both the X-ray device 3OA and the radiotherapy unit 30B, and the tracking radiation shielding devices 20 are controlled so as to move synchronously. Therefore, the same configuration is used for the X-ray apparatus 3OA and the radiotherapy unit 30B. The difference is in the radiation dose emitted from each. This is because the X-ray apparatus 30A is used to obtain a projection image of the affected part 11 with a reduced radiation dose.

この放射線治療装置 3 0を使用するに当たっては、 まずレントゲン装置 3 O A で患部 1 1の動きを撮像すると共に、 患者 (治療者) 2 2の呼吸の動きを検知す る。 呼吸の動きを検知するのは、 患部 1 1の動きに同期させて放射線遮蔽装置 2 0を動かすためであり、 患部 1 1の動きを撮像するのは、 呼吸に同期して患部が どの程度動くのか、 呼吸との関連を調べ、 呼吸に連動してどの程度の振幅で放射 線遮蔽装置、 具体的には遮蔽ブロック 1 4を動かせばよいかをチェックするため である。  In using the radiotherapy apparatus 30, first, the movement of the affected area 11 is imaged by the X-ray apparatus 3OA, and the respiration movement of the patient (therapist) 22 is detected. The purpose of detecting the movement of respiration is to move the radiation shielding device 20 in synchronization with the movement of the diseased part 11, and to image the movement of the diseased part 11, how much the diseased part moves in synchronization with respiration The purpose of this study is to examine the relationship between the radiation and the respiration, and to check at what amplitude the radiation shielding device, specifically the shielding block 14, should be moved in conjunction with the respiration.

例えば、 図 8 Aのように呼吸の振幅を曲線 L aで示したとき、 ある患者の患部 1 1の動きもこれに同期して動くから、 患部 1 1の動き量が少ないときには鎖線 図示の曲線 L bに示すような動き特性となる。 しかし患者によっては呼吸の振幅 の割合よりもかなり大きく動く場合がある。 例えば別の患者は図 8 Bのような動 き量となることがある。 この場合には、 患者の患部 1 1の動き量に応じて遮蔽プ ロック 1 4の動き量を調整しなければならないからである。  For example, when the amplitude of respiration is represented by a curve La as shown in FIG. 8A, the movement of the affected part 11 of a certain patient also moves in synchronization with it, so when the amount of movement of the affected part 11 is small, the chain line The motion characteristics are as shown in Lb. However, some patients may move significantly more than the proportion of the respiratory amplitude. For example, another patient may have the movement shown in Figure 8B. In this case, the amount of movement of the shielding block 14 must be adjusted according to the amount of movement of the affected part 11 of the patient.

レントゲン装置 3 0 Aで得た呼吸の振幅や患部 1 1の動き量に対応したデータ に基づいて、 実際の放射線治療部 3 0 Bが制御される。 つまり、 放射線治療部 3 0 Bに搭載された遮蔽ブロック 1 4が患者の呼吸に連動して動く。 このとき患者 に合うようにその動き量が調整される。  The actual radiotherapy section 30B is controlled based on the amplitude of the respiration obtained by the X-ray apparatus 30A and the data corresponding to the amount of movement of the affected area 11. That is, the shielding block 14 mounted on the radiotherapy unit 30B moves in conjunction with the patient's breathing. At this time, the amount of movement is adjusted to suit the patient.

レントゲン装置 3 O Aから説明する。 レントゲン装置 3 O Aはほぼコ字状をな す装置本体 3 1を有し、 その頭部 3 2の所定位置に放射線源 3 3が設けられ、 こ の放射線源 3 3から真下に向けて放射線 (X線) 1 3が照射される。 頭部 3 2の下面に設けられた凹部 3 2 aは放射線源 3 3を含むように形成され ると共に、 放射線 1 3の放射線路上の適宜な位置、 この例では凹部 3 2 aを塞ぐ ような位置に、 上述したトラッキング式放射線遮蔽装置 2 0が着脱自在に取り付 けられる。 トラッキング式放射線遮蔽装置 2 0の実施の形態については後述する。 放射線源 3 3の真下には回転自在な架台 3 4が置かれ、 ここに患者 2 2が仰向 けの状態で寝かされる。 これで患者 2 2の患部 1 1はトラツキング式放射線遮蔽 装置 2 0を介して放射線源 3 3と対峙することになる。 The X-ray apparatus 3 OA will be described first. The X-ray apparatus 3 OA has a substantially U-shaped apparatus main body 31, and a radiation source 33 is provided at a predetermined position of a head 32 of the apparatus main body 31. X-rays) 13 are irradiated. The concave portion 32 a provided on the lower surface of the head 32 is formed so as to include the radiation source 33, and at an appropriate position on the radiation path of the radiation 13, in this example, the concave portion 32 a is closed. At the position, the above-mentioned tracking radiation shielding device 20 is detachably attached. An embodiment of the tracking type radiation shielding device 20 will be described later. A rotatable base 34 is placed directly below the radiation source 33, where the patient 22 is laid on his / her back. Thus, the affected area 11 of the patient 22 faces the radiation source 33 via the tracking-type radiation shielding device 20.

架台 3 4の下側には X線力メラ 3 6が固定され、 患部 1 1周辺の X線像が撮像 される。 この撮像出力に基づいて上述したように患部 1 1の動き量が検出される。 X線カメラ 3 6は装置本体 3 1側に固定されている。  An X-ray force measurment 36 is fixed below the gantry 34, and an X-ray image around the affected area 11 is captured. Based on this imaging output, the amount of movement of the affected part 11 is detected as described above. The X-ray camera 36 is fixed to the apparatus main body 31 side.

架台 3 4に関連して、 架台 3 4の上面側の所定位置には架台 3 4から所定距離 を隔てて測長子 3 8が取り付けられる。 この例では測長子 3 8としてレーザ変位 計が使用され、 このレーザ変位計 3 8が昇降手段 3 9を介して指示棒 4 0に連結 されている。 指示棒 4 0は架台 3 4に固定される。  In connection with the gantry 34, a length measuring element 38 is attached at a predetermined position on the upper surface side of the gantry 34 at a predetermined distance from the gantry 34. In this example, a laser displacement meter is used as the length measuring element 38, and the laser displacement meter 38 is connected to the indicator rod 40 via the elevating means 39. The indicator rod 40 is fixed to the gantry 34.

レーザ変位計 3 8を架台 3 4から所定距離 (例えば 1 0 0〜 2 0 0 mm) とな るように昇降手段 3 8によってその位置が調整される。 この調整位置で患者 2 2 の呼吸による体表面の変位を測定する。 その結果が図 8 A曲線 L aとなる。 腹式 呼吸の場合、 息を吸うことで腹部が膨れて凸となり、 息を吐くことで腹部がへこ んで凹となるので、 この患者の呼吸に合わせた信号 (正弦波状の呼吸信号) が呼 吸特性として得られる。 呼吸信号によってトラッキング式放射線遮蔽装置 2 0の 遮蔽ブロック 1 4が制御される。 例えば、 息を吸うとき患部 1 1に追従できるよ うに遮蔽ブロック 1 4を例えば進行させ、 息を吐くとき遮蔽ブロック 1 4を後退 させるような制御がおこなわれる。  The position of the laser displacement meter 38 is adjusted by the lifting / lowering means 38 so as to be at a predetermined distance (for example, 100 to 200 mm) from the gantry 34. At this adjustment position, the displacement of the body surface due to the respiration of the patient 22 is measured. The result is the curve A in FIG. 8A. In the case of abdominal breathing, when you inhale, the abdomen expands and becomes convex, and when you exhale, the abdomen becomes concave and concave, so a signal (sinusoidal respiratory signal) that matches this patient's breathing is called. Obtained as absorption characteristics. The respiratory signal controls the shielding block 14 of the tracking radiation shielding device 20. For example, control is performed such that the shielding block 14 is advanced, for example, so as to follow the diseased part 11 when inhaling, and the shielding block 14 is retracted when exhaling.

架台 3 4は上述したように回転自在および進退自在に構成されており、 レント ゲン装置 3 O Aによって患者 2 2の呼吸信号を検出し、 患部 1 1の動き量を検出 した後は、 架台 3 4を図 2にも示すように 9 0 ° 回転させる。  The gantry 34 is configured to be freely rotatable and advanceable and retractable as described above. After the respiratory signal of the patient 22 is detected by the X-ray apparatus 3 OA and the amount of movement of the affected part 11 is detected, the gantry 34 is Is rotated 90 ° as also shown in FIG.

架台 3 4を 9 0 ° 回転させ、 さらに進退させることによって、 その架台調整位 置の直上には図 2にも示すように放射線治療部 3 0 Bが位置している。 この放射 線治療部 3 0 Bは上述したようにレントゲン装置 3 0 Aと同じように構成されて いるので、 その詳細な説明は割愛する。 By rotating the gantry 34 by 90 ° and further moving it back and forth, the radiotherapy unit 30B is located immediately above the gantry adjustment position as shown in FIG. The radiotherapy section 30B is configured in the same manner as the X-ray apparatus 30A as described above. The detailed explanation is omitted.

放射線治療部 3 0 Bにも図 1に示すようにトラッキング式放射線遮蔽装置 2 0 が着脱自在に取り付けられているので、 相対的な位置関係はレントゲン装置 3 0 Aと全く同じである。 そのため、 架台 3 4を移動するだけで、 直ぐに放射線治療 を開始できる。 放射線治療計画に沿って、 定められた放射線量と照射時間で患部 1 1に放射線が照射されて患部の放射線治療が行われる。  As shown in FIG. 1, the tracking type radiation shielding device 20 is detachably attached to the radiotherapy unit 30B, so that the relative positional relationship is exactly the same as that of the X-ray device 30A. Therefore, radiation therapy can be started immediately by simply moving the gantry 34. In accordance with the radiation treatment plan, the affected part 11 is irradiated with radiation at a predetermined radiation dose and irradiation time, and radiation treatment of the affected part is performed.

トラッキング式放射線遮蔽装置 2 0は、 図 3および図 4にその実施の形態を示 すように、 遮蔽ブロック 1 4を載置する台座 5 0と、 この台座 5 0をスライドさ せるときのガイド部 6 3と、 台座 5 0をスライドさせるときの駆動部 5 3とで構 成される。 さらに、 この台座 5 0, 駆動部 5 3およびガイド部 6 3はそれぞれ図 4に示すように筐体 4 6内に台座 5 0が移動できるように固定されている。 箱状をなす筐体 4 6は、 ガイド板としても機能する天板 4 6 Aの他に、 底板 4 6 Bが周囲を囲繞するように設けられた 4枚の側板 4 6 Cを介してこの天板 4 6 Aに取り付け固定されている。  As shown in FIGS. 3 and 4, an embodiment of the tracking type radiation shielding apparatus 20 includes a pedestal 50 on which the shielding block 14 is mounted, and a guide portion for sliding the pedestal 50. 6 and a driving unit 53 for sliding the pedestal 50. Further, the pedestal 50, the driving part 53 and the guide part 63 are fixed so that the pedestal 50 can be moved in the housing 46 as shown in FIG. The box-shaped housing 46 is connected to a top plate 46 A, which also functions as a guide plate, and four side plates 46 C, which are provided so that a bottom plate 46 B surrounds the periphery. It is fixed to the top plate 46A.

一方、 頭部 3 2の下面側であって凹部 3 2 aの左右両側端面側には、 ガイド溝 を有する一対のガイドブロック 4 5 A、 4 5 Bがそれぞれのガイド溝が対向する ように向き合った状態で取り付け固定されている。 天板 4 6 Aの左右両端面は、 図 4に示すように左右両側面側に僅かに突出しており、 この突出部をこのガイド 溝に沿わせて嵌め込む。 終端まで嵌め込んだ後は、 ビスなどを使用して筐体 4 6 を頭部 3 2に固定する。 フックなどを使用すれば、 ビスなしで筐体 4 6を頭部 3 2に固定できる。 したがつてこのトラッキング式放射線遮蔽装置 2 0は着脱自在 となっている。 着脱自在にしたのはトラッキング式放射線遮蔽装置 2 0の交換を 容易にするためである。  On the other hand, a pair of guide blocks 45 A and 45 B having guide grooves are opposed to the lower surface of the head 32 and the left and right end surfaces of the recess 32 a such that the respective guide grooves face each other. It is attached and fixed in the state where it was set. The left and right end surfaces of the top plate 46A slightly protrude from the left and right side surfaces as shown in FIG. 4, and the protrusions are fitted along the guide grooves. After fitting to the end, the case 46 is fixed to the head 32 using screws or the like. If a hook or the like is used, the housing 46 can be fixed to the head 32 without screws. Therefore, the tracking radiation shielding device 20 is detachable. The reason why the tracking type radiation shielding device 20 is easily replaceable is that the tracking type radiation shielding device 20 can be easily replaced.

上述した駆動部 5 3は、 図 3に示すように駆動モータ 5 4を有する。 駆動モー 夕 5 4としては外部制御信号に対する追従性が良好で、 制御が容易な A C駆動モ 一夕が使用される。 駆動モータ 5 4は図 4のように底板 4 6 Bに固定される。 駆動モー夕 5 4にはラック 5 5が連結され、 このラック 5 5にピニオンギア 5 6が螺合されて、 ラック 5 5の円運動がピニオンギア 5 6によって直線運動に変 換される。 なお、 ラック 5 5の他端は固定板 5 6に固定される。 固定板 5 6は底 板 4 6 Bに固定される。 The drive section 53 described above has a drive motor 54 as shown in FIG. As the drive motor 54, an AC drive motor that has good tracking performance to external control signals and is easy to control is used. The drive motor 54 is fixed to the bottom plate 46B as shown in FIG. A rack 55 is connected to the drive motor 54, and a pinion gear 56 is screwed into the rack 55, and the circular motion of the rack 55 is converted into a linear motion by the pinion gear 56. The other end of the rack 55 is fixed to a fixing plate 56. Fixing plate 5 6 is bottom Fixed to plate 4 6 B.

ピニオンギア 5 6には図 4および図 5に示すように、 高さ調整用の補助プロッ ク 5 6 aが取り付けられ、 この補助ブロック 5 6 aに伝達軸 5 7が軸支されてい る。 一方、 台座 5 0の下面であって伝達軸 5 7と対向する面側には側板 5 1が設 けられ、 この側板 5 1に設けられた長孔 5 1 a (図 5および図 6参照) に伝達軸 5 7が係合するように、 側板 5 1とピニオンギア 5 6との関係が選ばれている。 ピニオンギア 5 6を挟んだラック 5 5に沿う所定位置には、 それぞれ位置セン サ 5 9 a、 5 9 bが設けられ、 ピニオンギア 5 6の移動量を規制できるようにな されている。  As shown in FIGS. 4 and 5, an auxiliary block 56a for height adjustment is attached to the pinion gear 56, and a transmission shaft 57 is supported by the auxiliary block 56a. On the other hand, a side plate 51 is provided on the lower surface of the pedestal 50 and facing the transmission shaft 57, and a long hole 51a provided in the side plate 51 (see FIGS. 5 and 6) The relationship between the side plate 51 and the pinion gear 56 is selected so that the transmission shaft 57 is engaged with the transmission shaft 57. Position sensors 59 a and 59 b are provided at predetermined positions along the rack 55 with the pinion gear 56 interposed therebetween, so that the movement amount of the pinion gear 56 can be regulated.

台座 5 0の右側面側にはガイド部 6 3が設けられている。 このガイド部 6 3は 図 3に示すような所定の円弧状をなす弓形をしたガイドレール 6 4であって、 こ の例では図 4および図 5にそれぞれ示すようにその上下に V溝 6 4 a、 6 4 が 形成された V溝挟持型ガイドレールを使用した場合である。 ガイドレール 6 4と しては鋼材が使用され、 そしてこれら V溝 6 4 a、 6 4 bを挟持するように摺動 駒 6 5が嵌合される。 そのため、 摺動駒 6 5には V溝 6 4 a、 6 4 bに係合する 一対の突条 6 5 a、 6 5 bが設けられおり、 これらによって摺動駒 6 5がガ夕な くスライドできるようになされている。 より一層、 スムーズなスライドを実現す るには V溝 6 4 a、 6 4 bにグリスなどを塗布しておけばよい。  A guide 63 is provided on the right side of the pedestal 50. The guide portion 63 is an arcuate guide rail 64 having a predetermined arc shape as shown in FIG. 3, and in this example, as shown in FIG. 4 and FIG. This is the case where a V-groove sandwiching guide rail with a and 64 formed is used. A steel material is used as the guide rail 64, and the sliding pieces 65 are fitted so as to sandwich these V grooves 64a and 64b. Therefore, the sliding piece 65 is provided with a pair of ridges 65a and 65b that engage with the V-grooves 64a and 64b, thereby making the sliding piece 65 less rugged. It has been made possible to slide. To achieve smoother sliding, grease or the like may be applied to the V-grooves 64a and 64b.

ガイドレール 6 4はビスなどによって、 ガイドレール 6 4に沿って沿在する固 定板 6 7に固定される。 固定板 6 7自体は底板 4 6 Bに強固に固定されている。 摺動駒 6 5自体は、 台座 5 0に固定された側板 5 2に固定されている。  The guide rail 64 is fixed to a fixing plate 67 along the guide rail 64 with screws or the like. The fixing plate 67 itself is firmly fixed to the bottom plate 46B. The sliding piece 65 itself is fixed to a side plate 52 fixed to the pedestal 50.

なお、 ガイド部 6 3には摺動駒 6 6が中央位置にあるときを摺動基準点とした とき、 この基準点を検知するため、 位置センサ 7 0が設けられる。 そのため摺動 駒 6 6には位置センサの検出子 7 0 aが設けられると共に、 この検出子 7 0 aを 検出する検出本体 7 0 bが設けられる。 検出本体 7 0 bとしては透過式ものが使 用される。 この位置センサ 7 0を利用することで、 台座 5 0の初期位置を中央位 置に固定できる。  The guide 63 is provided with a position sensor 70 for detecting the reference point when the slide piece 66 is located at the center position. For this purpose, the sliding piece 66 is provided with a detector 70a of the position sensor and a detection body 70b for detecting the detector 70a. As the detection body 70b, a transmission type is used. By using this position sensor 70, the initial position of the pedestal 50 can be fixed at the center position.

ガイドレール 6 4自体は上述したように円弧状に湾曲したレールが使用される。 その曲率半径 Rは、 放射線源 3 3と架台 3 4との間のどの位置 放射線遮蔽装置 2 0が配置されるかによって相違する。 例えば、 放射線源 3 3か ら架台 3 4までの距離が 1 0 0 c mで、 放射線源 3 3からトラッキング式放射線 遮蔽装置 2 0までの距離がその半分の 5 0 c mであるようなときには、 曲率半径 Rは 5 0 c m、 つまり放射線源 3 3を曲率半径の中心に選ぶことができる。 図 3〜図 5において、 台座 5 0に設けられた透孔 5 0 aは放射線通過孔 1 4 a よりも十分大きな孔径とされる。 そして、 遮蔽ブロック 1 4の移動方向に沿った 長孔構成である。 天板 4 6 Aには遮蔽ブロック 1 4を載置するときの傷害となら ないような U字状の切り欠きが設けられている。 底板 4 6 Bにも放射線の通過を 妨げないような透孔 4 6 bが設けられている。 As the guide rail 64 itself, a rail curved in an arc shape as described above is used. The radius of curvature R depends on the position between the radiation source 33 and the gantry 34. It differs depending on whether the radiation shielding device 20 is arranged. For example, when the distance from the radiation source 33 to the gantry 34 is 100 cm and the distance from the radiation source 33 to the tracking radiation shielding device 20 is 50 cm, which is half of that, the curvature is The radius R is 50 cm, ie the radiation source 33 can be chosen as the center of the radius of curvature. 3 to 5, the through hole 50a provided in the pedestal 50 has a sufficiently larger diameter than the radiation passage hole 14a. And it is a long hole configuration along the moving direction of the shielding block 14. The top plate 46A is provided with a U-shaped notch that does not cause injury when the shielding block 14 is placed. The bottom plate 46B is also provided with a through hole 46b so as not to hinder the passage of radiation.

以上のように構成した場合、 駆動モータ 5 4を駆動してラック 5 5を所定方向 に回転させれば、 その回転力がピニオンギア 5 5に伝達されるので、 回転運動が 直線運動に変換されるから、 台座 5 0には図 3に示す矢印 p方向への移動力が付 与される。 台座 5 0はガイドレール 6 4に固定されているだけであるので、 台座 5 0に力が加わると、 この台座 5 0はガイドレール 6 4に沿って移動する。 ガイドレール 6 4は僅かに湾曲しているので、 図 6に示すようにガイドレール 6 4に沿って台座 5 0は僅かに上傾きながら移動することになる。 したがつてこ の台座 5 0の上面に図 6に示すような遮蔽ブロック 1 4を載置しておけば、 この 遮蔽ブロック 1 4も僅かに傾きながら移動することになる。 これによつて放射線 束とほぼ平行となるように遮蔽ブロック 1 4の放射線通過孔 1 4 aの傾きを調整 できる。 つまり図 1 0および図 1 1に示すような遮蔽ブロック 1 4の移動を実現 できる。  In the above configuration, if the drive motor 54 is driven to rotate the rack 55 in a predetermined direction, the rotational force is transmitted to the pinion gear 55, so that the rotational motion is converted to a linear motion. Therefore, the pedestal 50 is given a moving force in the direction of the arrow p shown in FIG. Since the pedestal 50 is only fixed to the guide rail 64, when a force is applied to the pedestal 50, the pedestal 50 moves along the guide rail 64. Since the guide rails 64 are slightly curved, the pedestal 50 moves while slightly tilting up along the guide rails 64 as shown in FIG. Accordingly, if a shielding block 14 as shown in FIG. 6 is placed on the upper surface of the lever base 50, the shielding block 14 also moves while slightly tilting. Thus, the inclination of the radiation passage hole 14a of the shielding block 14 can be adjusted so as to be substantially parallel to the radiation flux. That is, the movement of the shielding block 14 as shown in FIGS. 10 and 11 can be realized.

図 6は台座 5 0が基準点 (中央位置) から左右の最大移動点まで移動したとき の側板 5 1と伝達軸 5 7との関係を示す。 このように側板 5 1は僅かに上下する から軸係合孔 5 1 aは長孔となされている。  FIG. 6 shows the relationship between the side plate 51 and the transmission shaft 57 when the pedestal 50 has moved from the reference point (center position) to the maximum left and right movement points. Since the side plate 51 slightly moves up and down in this way, the shaft engaging hole 51a is formed as an elongated hole.

なお、 実際問題として、 患部 1 1の大きさは 5 mmぐらいから大きいものでは 3 0 mm程度のものまで様々であり、 患部 1 1の大きさに応じて、 つまり照射野 1 6のサイズに応じて遮蔽ブロック 1 4の放射線通過孔 1 4 aが選ばれる。 そし て、 照射野 1 6によって遮蔽ブロック 1 4の移動量が決まる。 例えば患部 1 1ま で 1 0 0 c m、 トラッキング式放射線遮蔽装置 2 0がその半分の位置に設置され ている場合には、 患部 1 1が直径 3 0 mmであるときには、 遮蔽ブロック 1 4の 放射線通過孔 1 4 aの直径は約 1 5 mmで、 遮蔽ブロック 1 4の基準点からの移 動量は ± 7 . 5 mmとすればよい。 As a practical matter, the size of the affected area 11 varies from about 5 mm to about 30 mm for large ones, and depends on the size of the affected area 11, that is, the size of the irradiation field 16. Thus, the radiation passage hole 14a of the shielding block 14 is selected. The amount of movement of the shielding block 14 is determined by the irradiation field 16. For example, 100 cm up to the affected area 11 and the tracking radiation shielding device 20 is installed at half the position. When the affected area 11 has a diameter of 30 mm, the diameter of the radiation passage hole 14a of the shielding block 14 is about 15 mm, and the displacement of the shielding block 14 from the reference point is It may be set to ± 7.5 mm.

遮蔽プロック 1 4としては通常従来のように鉛プロックを使用するときには、 放射線を吸収するためにその厚み Hは 1 O G y程度で 1 0 O mm程度の厚みが必 要になる。 これに対して、 放射線を吸収できる特殊な樹脂を使用してブロック化 したものを使用すると、 その厚みを 2 / 3程度まで薄くできる。 実験したところ によると、 1 0 G yで 7 O mm程度にできる。 厚み Hが薄くなればそれだけ放射 線の通過孔 1 4 a内での乱反射が少なくなるから、 照射野 1 6の散乱をさらに効 果的に防ぐことができる。  Normally, when a lead block is used as the shielding block 14 as in the past, its thickness H is about 1 O Gy and about 10 O mm in thickness to absorb radiation. On the other hand, if a block made of a special resin that can absorb radiation is used, its thickness can be reduced to about 2/3. According to experiments, it can be reduced to about 70 mm at 10 Gy. The smaller the thickness H, the less the diffuse reflection of the radiation in the passage hole 14a, so that the scattering of the irradiation field 16 can be more effectively prevented.

図 7は放射線治療装置 3 0に設けられた移動制御装置 8 0の実施の形態を示す。 移動制御装置 8 0はコンピュータによる制御であって、 中央処理装置である C P Uを備えた制御部 8 2を有する。 この制御部 8 2を介して全ての制御がおこなわ れる。  FIG. 7 shows an embodiment of the movement control device 80 provided in the radiotherapy device 30. The movement control device 80 is controlled by a computer, and includes a control unit 82 having a CPU as a central processing unit. All controls are performed via the control unit 82.

まず、 X線力メラ 3 6で撮像した患部 1 1の X線画像は制御部 8 2を介して X 線モニタ 8 3に映し出され、 患部 1 1がどの程度動くのか、 X線モニタ 7 3によ つてその動きを把握できる。 また、 レーザ変位計 3 8で検知された呼吸信号は制 御部 8 2を介して呼吸モニタ 7 5に供給されて腹部での呼吸がモニタリングされ る。 そして、 呼吸モニタ 8 5での呼吸の振幅と患部 1 1の動きから、 どの程度遮 蔽ブロック 1 4を動かせばよいか、 その制御倍率が設定される。  First, the X-ray image of the diseased part 11 taken by the X-ray force camera 36 is displayed on the X-ray monitor 83 via the control part 82, and the X-ray monitor 73 shows how much the diseased part 11 moves. Therefore, the movement can be grasped. The respiratory signal detected by the laser displacement meter 38 is supplied to a respiratory monitor 75 via a control unit 82, and respiratory monitoring in the abdomen is monitored. Then, based on the amplitude of the respiration on the respiration monitor 85 and the movement of the diseased part 11, the control magnification of the extent to which the shielding block 14 should be moved is set.

設定された制御倍率を有するモー夕制御信号はレントゲン装置 3 O Aのモー夕 ドライバ 8 7を介して A C駆動モータ 5 4に供給されて、 モ一夕制御信号に応じ て正逆方向に対する回転制御が行われる。 A C駆動モータ 5 4はその制御特性が 優れ、 モー夕制御信号に追随した正逆回転制御を実現できる。 モータ制御信号は さらに放射線治療部 3 0 Bに設けられたモ一タドライバ 8 7にも供給され、 レン トゲン装置 3 O Aの遮蔽ブロック 1 4の動きに同期して遮蔽ブロック 1 4の動き が制御される。  The motor control signal having the set control magnification is supplied to the AC drive motor 54 through the motor driver 87 of the X-ray apparatus 3OA, and the rotation control in the forward and reverse directions is performed according to the motor control signal. Done. The AC drive motor 54 has excellent control characteristics, and can realize forward / reverse rotation control following the motor control signal. The motor control signal is further supplied to a motor driver 87 provided in the radiotherapy unit 30B, and the movement of the shielding block 14 is controlled in synchronization with the movement of the shielding block 14 of the lentogen device 3OA. You.

このような同期制御 (トラッキング制御) を行うことで、 実際に放射線を照射 したときの照射位置を予めレントゲン装置 3 O Aでモニタリングすることができ る。 By performing such synchronous control (tracking control), the irradiation position when radiation is actually irradiated can be monitored in advance with the X-ray device 3OA. You.

遮蔽ブロック 1 4の動き量の規制、 つまり A C駆動モー夕 5 4への制御は、 検 出センサ 6 9 a、 6 9 bからのセンサ出力によって行う。 また、 遮蔽ブロック 1 4を初期位置 (台座 5 0の初期位置) に戻すため、 位置センサ 7 0の出力が利用 される。 検出子 7 0 aが検出本体 7 0 bを横切ったときが、 台座 5 0の初期位置 となるからである。  Regulation of the amount of movement of the shielding block 14, that is, control of the AC drive mode 54, is performed by sensor outputs from the detection sensors 69 a and 69 b. The output of the position sensor 70 is used to return the shielding block 14 to the initial position (the initial position of the pedestal 50). This is because the initial position of the base 50 is when the detector 70a crosses the detection body 70b.

なお、 レーザ変位計 3 8の位置調整のため、 この例では制御部 3 2からの制御 信号に基づいて昇降手段 3 9が制御される。 位置制御などは遠隔操作用のリモコ ン 8 4から行うことができる。  In addition, in this example, the lifting / lowering means 39 is controlled based on a control signal from the control unit 32 in order to adjust the position of the laser displacement meter 38. Position control, etc., can be performed from the remote control 84.

上述した実施の形態では、 放射線照射部位が動くものとして、 肺を例示した が、 この他にも内蔵であれば多少の動きを伴うものであるため、 これらを夕ーゲ ットとする放射線照射にもこの発明を適用できる。  In the above-described embodiment, the lung is exemplified as the moving part of the radiation irradiation. However, since the lung may be slightly moved if it is built-in, the irradiation may be performed in the evening. The present invention can also be applied to the present invention.

以上説明したようにこの発明にかかるトラッキング式放射線遮蔽装置では、 遮 蔽ブロックを放射線照射部位の動きに追従するように動かすと共に、 遮蔽プロッ ク 1 4の移動軌跡を円弧状となるように構成したものである。 また、 この発明に 係る放射線照射装置では、 トラッキング式放射線遮蔽装置を利用して放射線照射 装置を構成したものである。 産業上の利用可能性  As described above, in the tracking radiation shielding apparatus according to the present invention, the shielding block is moved so as to follow the movement of the radiation irradiation part, and the movement locus of the shielding block 14 is configured to be an arc. Things. In the radiation irradiating apparatus according to the present invention, the radiation irradiating apparatus is configured by using a tracking type radiation shielding apparatus. Industrial applicability

この発明によれば、 放射線照射部位の動きに同期して放射線の照射野を動かす ことができるので、 放射線照射部位が動いたとしても、 照射部位を外れることな く放射線を照射できる。 そのため、 放射線照射部位が患部であるときは、 正常組 織にダメージを与えることなく放射線治療を実現できる。  According to the present invention, since the radiation irradiation field can be moved in synchronization with the movement of the radiation irradiation part, even if the radiation irradiation part moves, the radiation can be irradiated without coming off the irradiation part. Therefore, when the irradiation site is an affected area, radiation treatment can be realized without damaging normal tissues.

また、 遮蔽ブロックの移動軌跡は円弧状であるため、 放射線照射部位の移動に 伴つて遮蔽プロックの位置および傾きが僅かずつ変えることができる。 これで、 遮蔽ブロック内での放射線束の散乱を防止できる。 結果として照射野の散乱を抑 えることができるから、 正常部位まで放射線が照射されるおそれはない。 これに 伴って、 患部には適切な放射線量を照射できるため、 ほぼ放射線治療計画通りの 線量で患部を治療できるなどの効果を有する。 したがつてこの発明は放射線治療装置などに適用して極めて好適である。 In addition, since the movement trajectory of the shielding block is arc-shaped, the position and inclination of the shielding block can be changed little by little as the radiation irradiation part moves. Thus, scattering of the radiation flux in the shielding block can be prevented. As a result, the scattering of the irradiation field can be suppressed, so that there is no possibility that the radiation is irradiated to the normal part. Along with this, the affected area can be irradiated with an appropriate radiation dose, which has the effect that the affected area can be treated with a dose almost as planned for radiation therapy. Therefore, the present invention is extremely suitable for application to a radiotherapy device or the like.

Claims

請 求 の範 囲 The scope of the claims 1 放射線の照射路上に設けられる移動式放射線遮蔽装置であって、 上記放射線の照射野を決定する放射線透過光を有する遮蔽プロックと、 この遮蔽ブロックを載置する台座と、 1A movable radiation shielding device provided on a radiation irradiation path, a shielding block having radiation transmitted light for determining the radiation irradiation field, and a pedestal on which the shielding block is mounted, この台座を放射線照射部位の移動方向にスライドさせるため、 上記遮蔽ブロッ クの移動軌跡が円弧状を描くように円弧状をなすガイド部と、 外部制御信号に基 づいて上記台座に移動力を付与する駆動部とを有することを特徴とするトラツキ ング式放射線遮蔽装置。  In order to slide this pedestal in the direction of movement of the radiation-irradiated part, a guide section that forms an arc so that the trajectory of the shielding block draws an arc, and a moving force is applied to the pedestal based on an external control signal A tracking type radiation shielding device, comprising: 2 上記ガイド部は、 上記放射線通過孔内を通過する放射線が乱反射しないよ うに、 その移動軌跡を選定することで、 上記放射線照射部位での照射野の散乱を 防止したことを特徴とする請求の範囲 1記載のトラツキング式放射線遮蔽装置。 (2) The guide section has selected a movement locus thereof so as to prevent the radiation passing through the radiation passage hole from being irregularly reflected, thereby preventing the irradiation field from being scattered at the irradiation area. The tracking type radiation shielding device according to range 1. 3 上記ガイド部は、 V溝挟持型のガイドレールが使用されたことを特徴とす る請求の範囲 1記載のトラッキング式放射線遮蔽装置。 3. The tracking type radiation shielding apparatus according to claim 1, wherein the guide section uses a V-groove sandwiching type guide rail. 4 上記駆動部は、 A Cモータが使用されたことを特徴とする請求の範囲 1記 載のトラッキング式放射線遮蔽装置。 4. The tracking type radiation shielding device according to claim 1, wherein the driving unit uses an AC motor. 5 上記外部制御信号は、 患者の呼吸に関連した信号であることを特徴とする 請求の範囲 1記載のトラッキング式放射線遮蔽装置。 5. The tracking type radiation shielding apparatus according to claim 1, wherein the external control signal is a signal related to respiration of a patient. 6 放射線源の直下に設けられ、 移動式に構成されたトラッキング式放射線遮 蔽装置と、 架台に載置された患者の呼吸を検知する呼吸検知手段と、 この呼吸検 知手段の出力に同期して上記放射線遮蔽装置を移動させる移動制御装置とで構成 され、 (6) A tracking type radiation shielding device which is provided directly below the radiation source and is configured to be movable, respiration detection means for detecting the respiration of the patient placed on the gantry, and synchronized with the output of the respiration detection means And a movement control device for moving the radiation shielding device. 上記トラッキング式放射線遮蔽装置は、 上記放射線の照射野を決定する遮蔽ブ ロックを有し、 この遮蔽ブロックが上記放射線源の直下に設けられると共に、 上記患者の呼吸 に同期して円弧状に移動するようになされたことを特徴とする放射線照射装置。 The tracking type radiation shielding device has a shielding block for determining an irradiation field of the radiation, The radiation irradiating apparatus, wherein the shielding block is provided immediately below the radiation source, and moves in an arc in synchronization with respiration of the patient. 7 上記トラッキング式放射線遮蔽装置は、 上記遮蔽ブロックを載置する台座 と、 7 The tracking type radiation shielding device includes a pedestal on which the shielding block is placed, この台座を放射線照射部位の移動方向にスライドさせるため、 上記スライド手 段は、 上記遮蔽ブロックの移動軌跡が円弧状を描くように円弧状をなすガイド部 と、 上記台座に移動力を付与する駆動部とを有し、  In order to slide the pedestal in the direction of movement of the radiation-irradiated portion, the sliding means includes a guide portion having an arc shape so that the movement locus of the shielding block draws an arc shape, and a drive for applying a moving force to the pedestal. Part and 上記移動制御手段からの外部制御信号によって上記駆動部が制御されることを 特徴とする請求の範囲 6記載の放射線照射装置。  7. The radiation irradiation apparatus according to claim 6, wherein the driving unit is controlled by an external control signal from the movement control unit. 8 上記ガイド部は、 上記放射線通過構内を通過する放射線が乱反射しないよ うに、 その移動軌跡を選定することで、 上記照射野の散乱を防止したことを特徴 とする請求の範囲 6記載の放射線照射装置。 8. The radiation irradiation device according to claim 6, wherein the guide portion prevents scattering of the irradiation field by selecting a movement locus of the radiation so as to prevent the radiation passing through the radiation passage site from being irregularly reflected. apparatus. 9 上記ガイド部は、 V溝挟持型のガイドレールが使用されたことを特徴とす る請求の範囲 6記載の放射線照射装置。 9. The radiation irradiation apparatus according to claim 6, wherein the guide section uses a V-groove sandwiching type guide rail. 1 0 上記駆動部は、 A Cモータが使用されたことを特徴とする請求の範囲 6 記載の放射線照射装置。 10. The radiation irradiation apparatus according to claim 6, wherein an AC motor is used as the driving unit.
PCT/JP2002/002042 2002-03-05 2002-03-05 Tracking type radiation shielding apparatus and radiation irradiation apparatus Ceased WO2003074126A1 (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2017029690A (en) * 2015-07-29 2017-02-09 株式会社リコー Collimator device, radiation therapy system using the same, control method and program

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0291562U (en) * 1989-01-05 1990-07-20
JPH0698944A (en) * 1992-09-21 1994-04-12 Hitachi Medical Corp Fixed position radiation treatment device
JPH09131412A (en) * 1995-11-09 1997-05-20 Hitachi Medical Corp Multi-split spot device for radiotherapeutic apparatus

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0291562U (en) * 1989-01-05 1990-07-20
JPH0698944A (en) * 1992-09-21 1994-04-12 Hitachi Medical Corp Fixed position radiation treatment device
JPH09131412A (en) * 1995-11-09 1997-05-20 Hitachi Medical Corp Multi-split spot device for radiotherapeutic apparatus

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2017029690A (en) * 2015-07-29 2017-02-09 株式会社リコー Collimator device, radiation therapy system using the same, control method and program

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