Patent Positioning and Monitoring [PPM] System


US Patent # 5,446,548 (1995)

Patient and camera set up

The Patient Position Monitoring (PPM) system has been developed in cooperation with Ottawa Regional Cancer Centre with financial support from Siemens Medical Laboratories - Oncology Care Systems of Concorde, California. It is a computerized video based system capable of measuring the Cartesian coordinates of small optical targets placed on the surface of a patient. When the patient moves between measurements, the system determines the change in target position and reports a change in patient position. If the targets are placed in the same position on the patient from day to day, the reproducibility of the patient setup can be determined. There are several advantages to such a system. The position of the targets (hence the patient) can be accurately determined before radiation is delivered. The system can determine the relative motion (setup position) of the patient from day to day, and unlike real-time portal imaging, it is sensitive (better than 0.1 mm) to motion in any of the 3 principal axes and to patient rotation in any plane.

The system consists of two CCD cameras mounted in the treatment room and focused on the treatment unit isocentre. They are interfaced to a PC via a video board. Special targets, placed on the patient are automatically recognized and extracted by our vision software. The three coordinates of each target are determined using photogrammetry. System accuracy, stability and reproducibility were tested in the laboratory as well as in the radiation therapy room. Beside accuracy, the system must ensure the highest reliability and safety in the actual application environment.
Selected References:
  • The Development and Clinical Application of a Patient Position Monitoring System. Videometrics III, Proc. SPIE 2350, Boston, MA, Nov. 2-4, 1994 (PDF 114 KB).