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Claims  |
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I claim:
1. For use in conjunction with a teletherapy machine in a room and having a
head supporting gantry mounted for rotation about an epicenter axis; and
right-angularly related coplanar pairs of spaced opposed lasers adjustably
mounted upon the room walls, the floor and above the epicenter axis, said
head in all rotated positions of said gantry adapted to direct a radial
high energy beam at right angles to and intersecting said epicenter axis
at the isocenter within the plane of beams of said lasers, said lasers
being adjusted so that their beams intersect at said isocenter, there
being a patient couch within said room having a universally adjustable
platform spaced from said head with a window in said platform;
a laser alignment fixture comprising a centrally apertured support based
mounted on said window;
a centrally-apertured turntable mounted and journalled upon said base;
a mount on said turntable having side walls, top and bottom walls, and a
longitudinal bore;
a visual alignment means mounted within said bore having a longitudinal
axis and visual means of aligning said longitudinal axis with the
epicenter of said teletherapy machine;
said support base being adjustably positioned by said platform whereby said
alignment means is visibly alignable with said epicenter axis;
and a mirror secured on each of said mount walls, with their central axes
passing through said longitudinal axis;
said mirrors being spaced from and opposed to each of said lasers
respectively, whereby, when the lasers are correctly adjusted so that the
respective laser beams impinge on said isocenter, the respective beams
reflected by said mirrors will coincide visibly with the corresponding
laser beams.
2. The laser alignment fixture defined in claim 1, characterized in that
said visual alignment means is a laser tube having a power supply, said
laser tube emitting a light beam of constant width in the longitudinal
axis of said laser tube for aligning said longitudinal axis with the
epicenter of said teletherapy machine.
3. In a room with floor, walls and ceiling adapted to enclose a teletherapy
machine having a head mounted for rotation about a horizontal epicenter
axis, said head adapted to direct a radial high energy beam at right
angles to and intersecting said epicenter axis at an isocenter, a
universally adjustable platform on said floor spaced from said head, and
opposed right angularly related pairs of lasers mounted on a pair of
walls, said floor and above said epicenter axis, said lasers being so
adjusted that their beams are coplaner and intersect said isocenter;
the improvement including an alignment fixture for said lasers comprising a
centrally apertured support base mounted on said platform;
a centrally apertured turntable mounted and journalled upon said support
base;
a mount on said turntable having side walls, top and bottom walls, and a
longitudinal bore;
a light emitting means supported within said bore having a longitudinal
axis, said means emitting a beam in said longitudinal axis, said support
base being adjustably positioned by said platform whereby said light beam
is visibly alignable with said epicenter axis;
and a mirror mounted on each of said mount walls, with their central axes
passing through said longitudinal axis;
said mirrors being spaced from and opposed to each of said lasers
respectively, whereby when the lasers are correctly adjusted so that the
respective laser beams impinge on said isocenter, the respective beams
reflected by said mirrors will coincide visibly with the corresponding
laser beam.
4. The laser alignment fixture defined in claim 3, characterized in that
said light emitting means is a laser tube having a power source and
emitting a beam of constant diameter in said longitudinal axis.
5. An alignment fixture particularly for alignment of high energy sources
including lasers, comprising a centrally apertured support base mountable
upon a support;
a centrally apertured turntable journalled upon said support base;
a mount on and secured to said turntable having side walls, top and bottom
walls and a longitudinal opening;
a visual alingment means supported within said opening having a
longitudinal axis, said visual alignment means adapted to visually align
said longitudinal axis with the epicenter axis of rotation of said
teletherapy machine, said support base being adjustably mounted for
rotational alignment of said visual alignment means; said head adapted to
direct a radial high energy beam at right angles to and intersecting said
epicenter axis at an isocenter;
and a mirror mounted on each of said mount walls, with their central axes
passing through said longitudinal axis;
said mirrors being adapted to reflect the beams of a series of
right-angularly related pairs of opposed light sources spaced therefrom to
verify by the reflection of said beams upon said mirrors with the
respective beams all intersecting said isocenter.
6. The alignment fixture defined in claim 5, characterized in that said
visual alignment means comprises a light emitting source directing a light
beam of constant diameter in said longitudinal axis.
7. The alignment fixture defined in claim 6, characterized in that said
light emitting source is a laser tube having a power supply directing a
laser beam in the longitudinal axis of said laser tube.
8. In a room with floor, walls and ceiling adapted to enclose a machine
tool, said machine tool having a head supporting gantry mounted for
rotation about a longitudinal epicenter axis, said head mounting a tool
which extends at right angles to and intersects said epicenter axis at an
isocenter, there being a manually adjustable support on said floor spaced
from said head;
a first pair of spaced opposed alignment lasers respectively mounted on a
pair of opposed walls, and an alignment laser mounted upon said ceiling,
said alignment lasers lying in a plane extending at right angles to said
epicenter axis and passing through said isocenter;
said alignment lasers being so adjusted that their respective beams are
adapted to intersect said isocenter;
the improvement comprising an alignment fixture for said alignment lasers
comprising a centrally apertured support base mounted on said adjustable
support;
a centrally apertured turntable mounted and journalled upon said support
base;
a laser tube mount on said turntable having side walls, top and bottom
walls and a longitudinal bore;
a laser tube supported within said bore and having a longitudinal axis,
said laser tube directing a beam of light in said longitudinal axis, said
support base being adjustably mounted whereby said laser light beam is
visibly alignable with said epicenter axis;
and mirrors mounted upon said laser tube mount side walls and upon the top
thereof, with their central axes passing through said longitudinal axis;
said mirrors being spaced from and opposed to each of said alignment lasers
respectively, whereby when the alignment lasers are correctly adjusted so
that the respective laser beams impinge on said isocenter, the respective
beams reflected by said mirrors will coincide visibly with the
corresponding alignment laser beam. |
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Claims  |
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Description  |
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BACKGROUND OF THE INVENTION
It is of utmost importance and an absolute requirement that the lasers and
their corresponding beams are correctly focused so as to register with and
to intersect the isocenter of a teletherapy machine which corresponds to
the point at which the high energy beams from the radiation head intersect
the epicenter axis of rotation. It is the correct and accurate focusing of
the laser beams, or light beams, upon said isocenter which will assure
that throughout rotation of the accelerator high energy head throughout
360 degrees about the aforesaid epicenter axis, the high energy rays will
impinge upon the isolated area of the patient to be treated when said
isolated area is likewise located at said isocenter.
Accordingly, when the patient in a horizontal position rests upon the
universally adjustable platform of the patient couch adjacent and spaced
from the teletherapy head, and the isolated area to be treated has
impinged thereof the respective rays of at least three of the four laser
beams, it is then assured that the high energy beam from said head will
impinge upon only said isolated area regardless of its position of
rotation with respect to the epicenter axis.
It is important, therefore, that the laser beams be focused and that they
are, at all times, directed to and intersect said isocenter. Since these
lasers are adjustable, it is often possible that they may be accidentally
moved out of adjustment and thus, would give an incorrect registry and
their beams would no longer be in focus with the above-described
isocenter. The problem, therefore, is to have assurance that the lasers or
other light sources are so adjusted for use in conjunction with the linear
accelerator that the beams are correctly and accurately focused upon said
isocenter.
SUMMARY OF THE INVENTION
It is an object of the present invention to provide a laser alignment
fixture to thus provide a visible means of predetermining that the
respective laser beams are accurately focused upon the isocenter in order
that the linear accelerator and its head will deliver high energy beams at
said isocenter when the isolated area of a patient to be treated is
positioned at said isocenter.
It is another object to provide a laser alignment fixture for use in
conjunction with a teletherapy machine which has a head supporting gantry
mounted for rotation upon an epicenter axis and wherein, the head is
adapted to direct a radial high energy beam at right angles to and
intersect the epicenter axis at the isocenter. The present alignment
fixture includes a visual alignment means such as a telescope or portable
laser tube having a longitudinal axis which, upon suitable adjustment of
the support for the alignment fixture, permits visual alignment of the
longitudinal axis with the epicenter axis of the teletherapy machine. A
series of right-angularly related mirrors are mounted upon the visual
alignment means in such a manner that the respective axes of the mirrors
are coplanar and pass through said longitudinal axis, whereby the wall
mounted laser beams are correctly focused upon said isocenter to assure
high energy treatment only at the designated area of the patient's body.
The present laser alignment fixture is adapted for use in conjunction with
a teletherapy machine having a head mounted for rotation about a
longitudinal epicenter axis and with the head adapted to direct radial
high energy beams at right angles to and intersecting said epicenter axis
at an isocenter. Right-angularly related pairs of opposed lasers are
mounted upon a corresponding pair of room walls which enclose the machine,
the floor of the room, at a point above the epicenter axis, either from
the ceiling or from the linear accelerator head with the respective laser
beams lying in a single plane extending at right angles to the epicenter
axis and with the respective wall mounted laser beams intersecting the
isocenter. The present laser alignment fixture includes a support base
which is normally mounted upon a window forming a part of a universally
adjustable platform for a patient couch, normally spaced from the head of
said machine. The turntable on said support base mounts the visual
alignment means, which is adjusted vertically on the patient support to
align the longitudinal axis with the epicenter axis of the teletherapy
machine.
A series of right-angularly related mirrors are mounted upon each of the
mount walls of the visual alignment means so that their central axes align
with the longitudinal axis of the visual alignment means, the said mirrors
being spaced from and opposed to the corresponding wall, floor and ceiling
mounted lasers. Accordingly, when the mounted lasers are correctly
adjusted so that the respective laser beams impinge on said isocenter, the
respective reflected beams from the corresponding mirrors will coincide
visually with the corresponding laser beam.
In one embodiment of the alignment fixture of this invention, the visual
alignment means is a telescope having cross hairs defined in a plane
perpendicular to the longitudinal axis of the telescope. Thus, the fixture
is aligned by adjusting the telescope vertically and aligning the cross
hairs with the epicenter axis of the teletherapy machine. The lasers
should be aligned with the alignment fixture. In a second embodiment, the
alignment fixture is a light emitting device, preferably a laser tube. The
laser is aimed at the epicenter of the teletherapy machine and the support
is raised or lowered to align the laser beam on the epicenter axis. The
wall mounted lasers are then aligned with the mirrors as described.
These and other objects will be seen from the following specification and
Claims in conjunction with the appended drawings.
THE DRAWINGS
FIG. 1 is an end elevational view of a teletherapy machine with rotative
head supporting gantry mounted and disposed within a room with shielded
walls, one broken away and sectioned for illustration, and including a
universally adjustable patient support platform and couch normally spaced
from the head of said machine.
FIG. 2 is a side elevational view of the machine and platform taken in the
direction of arrows 2--2 of FIG. 1.
FIG. 3 is a side elevational view of the laser alignment fixture of FIG. 1.
FIG. 4 is a fragmentary end view taken in the direction of arrows 4--4 of
FIG. 3.
FIG. 5 is a fragmentary end view taken in the direction of arrows 5--5 of
FIG. 3.
FIG. 6 is a plan view thereof.
FIG. 7 is a bottom plan view thereof taken in the direction of arrows 7--7
of FIG. 3.
FIG. 8 is a vertical section of the alignment fixture shown in FIG. 3 with
the adjustable legs omitted, taken in the direction of arrows 8--8 of FIG.
7.
FIG. 9 is a fragmentary schematic plan view illustrating the side wall
lasers and their beams focused upon the alignment fixture side mirrors,
said Figure being on the sheet of drawings which includes FIG. 1.
FIG. 10 is a similar schematic and fragmentary view illustrating the
reflected laser beams when they are out of focus with respect to said
mirrors.
FIG. 11 is a fragmentary elevational view illustrating the universal
adjustment of a laser upon a room wall.
FIG. 12 is a side elevation of a teletherapy machine, similar to FIG. 2,
using an alternative embodiment of the laser alignment fixture of this
invention.
FIG. 13 is a side elevational view of the embodiment of the laser alignment
fixture of this invention shown in FIG. 12.
FIG. 14 is a top plan view of the laser alignment fixture shown in FIG. 13.
FIG. 15 is a fragmentary end view of the laser alignment fixture shown in
FIG. 13 in the direction of view arrows 15--15.
It will be understood that the above drawings illustrate merely preferred
embodiments of the invention, and that other embodiments are contemplated
within the scope of the Claims hereafter set forth.
DETAILED DESCRIPTION OF THE INVENTION
Referring to the drawings, FIG. 1, there is shown a room whose walls are
shielded against the transmission of high energy radiation and which
include side walls 11, a ceiling 12 and a floor 13 and within which is
positioned and enclosed a high energy teletherapy machine 15. Said machine
has a gantry 19, in the preferred embodiment of L shape, mounting the
radially directed head 21 of a conventional construction and which
includes internal mechanism for directing high energy rays radially
inward, such as cobalt rays, X-rays or gamma rays used for the therapeutic
treatment of patients.
The head mounting gantry 19 is rotatably supported and journalled at 23,
FIG. 2, upon the upright stand 17 within said room and has the
longitudinally disposed axis of rotation defined as epicenter axis 25. The
stand includes conventional power and control mechanism with remote
controls for rotating the gantry 19 and the connected head 21 throughout
360 degrees about the epicenter axis. Said gantry includes upon its inner
face and coaxial of said epicenter axis, circular dial 29 with peripheral
calibrations from 0 to 360 degrees for rotation about a fixed upright
pointer 31. This provides an exact indication of the angle of rotation of
said gantry with respect to the upright position shown in FIG. 2. This is
a conventional construction.
Within the room upon the floor 13 there is provided a treatment couch 33
having a top platform 35 which is universally adjustable in three
directions as designated by the arrows X, Y and Z of FIGS. 1 and 2. The
platform includes a transparent window 37 intermediate its ends to permit
the passage of a laser beam therethrough.
As further conventional construction, mounted upon a pair of opposed walls
11 are the corresponding lasers 41 whose beams are designated at 43. An
additional pair of lasers 45 and 47 are arranged in opposed relation upon
the ceiling and floor, whose corresponding beams 49 and 51 are shown
schematically in FIG. 1.
When the respective lasers 41, 45 and 47 are correctly adjusted, their
corresponding beams will lie in a single upright plane which extends at
right angles to the epicenter axis 25. Said beams will intersect the
epicenter axis at the isocenter designated at 53, FIG. 1.
In the use of the foregoing apparatus, lasers have been provided at 41, 45
and 47 for providing the respective focusing beams. It is understood that
any other light source could be provided which will provide a
non-expanding type of focusing beam such as the beams schematically shown
at 43, 49 and 51, FIG. 1.
As schematically shown in FIG. 11, the present lasers include the
universally adjustable mounting 121 by which the corresponding beams are
angularly and linearly adjusted. The corresponding beams are adjusted so
that the respective laser beams will directly impinge upon the epicenter
axis 25 at a point hereafter referred to as the isocenter 53.
The teletherapy machine 15 and the head 21, direct a high energy
therapeutic beam, whether it be cobalt rays, X-rays or gamma rays or any
other therapeutic ray. The function of the machine is to direct those rays
radially inward, as shown schematically in FIG. 2, so that the rays
impinge upon and intersect the epicenter axis 25 at a point referred to as
the isocenter 53, FIG. 1. If it is determined that the high energy beam is
so directed with respect to an isolated or defined area of the patient's
body to be treated, then it is assured that throughout rotation of the
head supporting gantry 19 throughout 360 degrees about said epicenter axis
25, that all said therapeutic high energy rays will impinge only upon the
designated area of the patient.
It, therefore, is the objective of the therapist that the patient normally
in a prone or supine position upon the platform 35 be so positioned with
respect to the axes X, Y and Z FIGS. 1 and 2, that the designated area to
be treated be positioned that the radially directed high energy beam will
engage only that designated area.
As a common practice, some means is required for assuring that the
designated area of the patient's body is correctly located so that said
designated area will, in effect, coincide with or register with the
isocenter 53.
To accomplish this result, the lasers 41, 45 and 47 are preset and adjusted
so that their corresponding beams 43, 49 and 51 are directed radially
inward, not only within a single upright plane which passes at right
angles to the epicenter axis but, wherein all of the rays intersect the
isocenter 53. Once it is known that the rays so intersect the isocenter,
then by adjustment of the platform 35 with the patient thereon, the
designated portion of the patient's body may be universally adjusted so
that at least three out of the four rays 43, 49 and 51 will impinge upon
the designated area for treatment. Therefore, assuming that the lasers are
correctly adjusted and the rays, thus, impinge upon the marked area of the
patient, then it will be guaranteed that the high energy beam, FIG. 2,
from the teletherapy machine head 21 will be applied only to that
designated area.
While lasers are shown at 41, it is contemplated as equivalent that any
other light beam source may be employed which is non-expanding in
character and which will provide the focusing rays 43, 49 and 51. The
preferred embodiment shows the lasers 41, 45 and 47 for generating the
laser beams 43, 49 and 51.
Each of the respective lasers has a universal mounting such as shown at
121, FIG. 11, for angularly and linearly adjusting the lasers so that the
respective beams may be focused upon the isocenter 53.
LASER ALIGNMENT FIXTURE
The present invention is, therefore, directed to an alignment fixture for
the respective wall, ceiling or machine mounted lasers which will assure
that the corresponding lasers and their beams are preset so that they do
accurately impinge and intersect the isocenter 53.
Referring to the embodiment of the fixture shown in FIGS. 3 through 7, the
laser alignment fixture is generally indicated at 55, FIG. 3, and includes
the support base 57 having a series of depending equi-angularly spaced
adjustable legs 59. Each leg includes a threaded shank 61 to threadedly
extend into the undersurface of the support base. Each of the legs
includes an enlarged knurled collar 63 to facilitate rotary adjustment of
the legs as they rest upon the window 37 as shown in FIGS. 1 and 2.
An adjustment of the legs provides a means of leveling the alignment
fixture, utilizing the level 115 upon the turntable 77.
Said support base has a precision machined flat top 65, FIG. 8, a central
bore 67 and a counterbore 69.
The bushing 71 of inverted T-shap is projected up into said bore and
counter bore with a portion of the bushing of reduced diameter extending
above flat top 65 and into a corresponding bore 75 upon the under surface
of turntable 77 and secured thereto by the fasteners 79. Said turntable
has a precision machined flat bottom 81 for cooperative registry with the
corresponding machined flat top 65 of the support base.
The telescope mount 83 is generally rectangular in cross section, has
upright side walls and flat top and bottom walls and a longitudinal bore
87. The telescope, generally indicated at 89, FIG. 8, includes the
telescope tube 91 which is nested within the bore 87 and includes the wide
angle lens system 95 shown. For illustration, the present lens system
focuses at approximately forty two inches; namely, at the epicenter axis
25, marking the center of rotation of the gantry 19, FIG, 2.
Said telescope includes the tube extension 97 within tube 91 and terminates
in the eyepiece 99 mounting cross hairs 101, FIGS. 4 and 5.
Bushing 71 has a central bore 103 in alignment with the corresponding
central bore 105 in turntable 77 providing access to the bottom mirror 109
mounted within a corresponding circular aperture in the bottom surface of
telescope mount 83. Mounted upon the telescope mount 83 upon or within the
side walls, the top wall and the bottom wall are a series of mirrors
designated as bottom mirror 109, top mirror 111 and the side mirrors 113.
These are suitably nested and secured within corresponding apertures in
the respective walls of the mount. These mirrors are employed in the
operation of the alignment fixture for verifying the correct setting and
adjustment of the respective lasers as shown in FIG. 1 and in the
schematic illustrations 9, 10 and 11.
The level 115 is mounted upon or within the top surface of the turntable 77
as shown in FIG. 6 and includes a graticule 117 and the conventional
bubble 119. Accordingly the alignment fixture is leveled by manual
adjustment of the respective legs 61.
The present alignment fixture is particularly used by engineers,
therapists, installers, and the maintenance people for the teletherapy
machine shown in FIGS. 1 and 2.
OPERATION
While this embodiment of the laser alignment fixture has above been
described with respect to its use in connection with teletherapy machines,
said fixture is adapted for use in conjunction with other devices such as
machine tools. For example, the corresponding lasers such as the lasers
41, 45 and 47, may be used upon opposed walls, floor and ceiling, such as
shown in FIG. 1 for use in conjunction with a machine tool which has a
longitudinal axis, and about which a head is rotatable throughout 360
degrees with the axis of rotation corresponding to the epicenter axis 25
shown in FIG. 2.
Additionally, there may be an operative mechanism connected with the head
21 such as a tool or the like, which is directed radially inward so as to
normally intersect the epicenter axis at a point above described as the
isocenter.
With such a tool, the present laser alignment device could be used with the
corresponding lasers 41 and their beams 43 adjusted so as to impinge upon
the point above described as the isocenter such as point 53 of FIG. 1 and,
further, that the corresponding lasers 45 and 47 and their respective
beams 49 and 51 are adapted to similarly impinge upon said isocenter.
The present laser alignment fixture would be equally applicable for
aligning the lasers so that all beams thereof intersect the isocenter as
above described.
In operation of the present laser alignment fixture, it becomes necessary
to verify that the laser beams are correctly angled and adjusted to assure
that they intersect the isocenter. This means that the respective laser
beams would lie in a unit plane which extends at right angles to the
epicenter axis and intersects the epicenter axis at the isocenter. In
order to check the adjustment of the respective lasers the present
alignment fixture 55 of FIG. 1 is mounted upon and over the window 37 of
platform 35 on the patient couch 33.
As a first step, the gantry is positioned precisely to the vertical
position, so that the beam axis is directed vertically downward.
The next step is to position the axis 93 of the telescope at the height of
the epicenter 25. This is accomplished by use of an optical distance
marking device which usually is built into the treatment machine.
Alternatively, an accurate measuring rule is used to set the distance.
This latter setting is facilitated by the information always provided by
the manufacturer. The distance from the target or source to some
accessible external surface is always provided. Thus, if the reference
mark is 60 cm from the target or source, and the epicenter is 80 cm from
the cource, then the telescope axis must be 80 minus 60 or 20 cm from the
reference mark. The top surface of mount 83 is precisely 2 cm from the
telescope axis. Accordingly, the spacing between the reference mark and
the top surface of mount 83 is set at 20 cm minus 2 cm or 18 cm.
As a next step, the alignment fixture is leveled. This is accomplished by
such manual adjustment of the respective legs 61 of the support base such
that the bubble 119 of the level is central with respect to the
corresponding graticule 117 shown in FIG. 6.
As a next step, the telescope is adjusted, if necessary, by rotating table
77 until a sighting through the telescope 89 shows the corresponding cross
hairs 101 of the eyepiece 99 in longitudinal alignment and registry with
epicenter axis 25 shown as a dot at 25, for example, FIG. 2.
With the alignment device now set up and with the telescope and its
longitudinal axis in alignment with the epicenter axis 25, the device is
now ready to test the adjusting or focusing of the respective lasers. If
the lasers are correctly set, as shown in FIG. 9, the laser beam 43 will
engage the corresponding lateral mirrors 113 and the reflection of the
laser beam will coincide with the beam 43 as shown in FIG. 9, indicating
that the laser and its beam are correctly set. It is to be kept in mind,
furthermore, that the central axes of the mirrors 113, as well as the
central axes of the top and bottom mirrors 111 and 109 are in alignment
with the longitudinal axis 93 of the telescope.
The same thing is true with respect to the laser 45 which is shown in the
ceiling in FIG. 1 but which may, in accordance with the present
embodiment, be incorporated into and within the head 21.
The corresponding beam 49, whether it be directed from the laser 45 on the
ceiling or within a corresponding laser upon the interior of and coaxial
of head 21 will nevertheless impinge upon the top mirror 111 upon the
telescope mount shown in FIG. 8.
The arrangement of the apertures within the telescope mount and the side
walls and top and bottom walls which receive the respective mirrors are
arranged such that the central longitudinal axis of the corresponding
mirrors always passes through the longitudinal axis 93 of the telescope.
Accordingly, with all lasers properly adjusted with respect to the laser
alignment fixture, and with the fixture in alignment with the epicenter
axis as above described, it is then verified that the respective laser
beams are each and all passing through the isocenter. Accordingly, once it
is known that the laser beams are accurately adjusted when the alignment
device is removed and the patient replaces such alignment device, the
platform 35 is universally adjusted until the image of the respective
laser beams of at least three of the four beams is applied to that
designated area of the patient desired to be treated by the high energy
beam in the teletherapy machine.
If the lasers 41 are out of adjustments, the beam reflected back from the
corresponding mirror will diverge from the main beam 43, such as
schematically shown at 44. The image of the reflected beam 44 will show up
on the laser housing or the wall as spaced from the laser beam 43 itself,
thus, indicating that the laser is out of adjustment. Accordingly, the
laser must be adjusted in such a manner that the reflected beam coincides
with and registers with the basic laser beam 43 shown in FIG. 9.
The present laser alignment fixture, thus, initially verifies or permits
correction of the adjustment of the wall lasers 41 so that the beams 43
thereof are, in effect, impinging upon the isocenter 53.
The floor laser 47 is likewise checked with its beam 51 in registry with
the bottom mirror 109, FIG. 8, with access thereto through the central
apertures 103 and 105 of bushing 71 and turntable 77. By the same
procedure, the reflected beam corresponding to the laser beam 49 must be
in registry with and in impingement upon the source of such beam in the
same manner as shown in FIG. 9 to verify that the beam is passing through
the isocenter.
It therefore can be safely concluded that when the designated area on the
patient to be treated is impinged upon by the respective laser beams or at
least three of the four, then it is known and verified that the platform
has been correctly adjusted and the patient located so that high energy
beam from the linear accelerator throughout all positions of rotation of
the gantry 19 around epicenter axis 25 will impinge upon the predesignated
area of the patient's body to be treated.
SECOND EMBODIMENT OF ALIGNMENT FIXTURE
The embodiment of the laser alignment fixture 155 shown in FIGS. 12 to 15
substitutes a laser tube 189 for the telescope 89 described above. The
laser tube 183 is nested and supported in a rectangular mount 183. As
described above, the mount is fixed to the turntable 177 and includes a
top mirror 211, side mirrors 213 and a bottom mirror 209 defining planes
perpendicular to the longitudinal axis of the laser tube. The turntable
177 is mounted for rotation on a support base 157, which in turn is
supported on three equally spaced adjustable legs 159. It will thus be
seen that the embodiment of the laser alignment fixture shown in FIGS. 12
to 14 operates substantially as described above, except that the visual
alignment device or fixture is a laser tube rather than a telescope. Like
elements are therefore numbered in the same sequence as above. Further, it
will be understood that other visual alignment devices may be used in the
laser alignment fixture of this invention, provided that the device
permits accurate alignment of the longitudinal axis of the device with the
epicenter axis 25 of the teletherapy machine 15.
The method of operation then includes aligning the longitudinal axis of the
laser tube with the epicenter axis 25 of the machine with the upper and
lower mirrors, 209 and 211 aligned with the vertical lasers 49 and 51. As
described, the patients support 35 is adjusted vertically to align the
longitudinal axis of the laser with the epicenter of the machine. The
laser tube includes a light emitting aperture 250 which may be focused on
the epicenter axis of the machine. A portable power supply 251 is
connected to the laser tube by a power line 253 (FIG. 12). When the
fixture is accurately aligned with the isocenter of the machine, the
mirrors 209, 211 and 213 reflect the wall, floor and machine mounted
lasers to the light emitting source. If not, the lasers must be adjusted
as described above.
As described, various light emitting sources, preferrably of constant beam,
may be used for the visual alignment device 189. In this embodiment, the
preferred light emitting source is a laser tube, such as a Class 2
randomly polarized helium neon plasma tube. A suitable tube is available
from CW Radiation, Inc. of Pittsburgh, Pa., model LTR-05R. A suitable
power supply is available from the same manufacturer as model PSR-05. The
power supply delivers 1100 volts with a trigger voltage of 6,000 volts at
4 miliamps. The laser tube has a nominal diameter of one inch and is seven
inches long. It will be understood that the laser tube 189 and power
source 251 will be substantially more expensive than the telescope 89
described above. The use of a laser tube does however reduce the chance of
error and is actually simpler to operate, which are important advantages
in the laser alignment fixture of this invention.
Having described my invention, reference may now be had to the following
claims.
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