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WO1999053997A1 - Method for radiating a subject using a horizontal beam of charged heavy particles such as protons and devices for realising the same - Google Patents

Method for radiating a subject using a horizontal beam of charged heavy particles such as protons and devices for realising the same Download PDF

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Publication number
WO1999053997A1
WO1999053997A1 PCT/RU1999/000119 RU9900119W WO9953997A1 WO 1999053997 A1 WO1999053997 A1 WO 1999053997A1 RU 9900119 W RU9900119 W RU 9900119W WO 9953997 A1 WO9953997 A1 WO 9953997A1
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WO
WIPO (PCT)
Prior art keywords
patient
fixing
container
radiation
axis
Prior art date
Application number
PCT/RU1999/000119
Other languages
French (fr)
Russian (ru)
Inventor
Boris Vladimirovich Astrakhan
Original Assignee
Boris Vladimirovich Astrakhan
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
Priority claimed from RU98107501A external-priority patent/RU2149045C1/en
Priority claimed from RU98117026A external-priority patent/RU2182503C2/en
Application filed by Boris Vladimirovich Astrakhan filed Critical Boris Vladimirovich Astrakhan
Priority to AU38555/99A priority Critical patent/AU3855599A/en
Publication of WO1999053997A1 publication Critical patent/WO1999053997A1/en

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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
    • A61N5/1077Beam delivery systems
    • A61N5/1078Fixed beam systems
    • 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
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/02Adjustable operating tables; Controls therefor
    • A61G13/04Adjustable operating tables; Controls therefor tiltable around transverse or longitudinal axis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/02Adjustable operating tables; Controls therefor
    • A61G13/06Adjustable operating tables; Controls therefor raising or lowering of the whole table surface
    • 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
    • A61N2005/1085X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy characterised by the type of particles applied to the patient
    • A61N2005/1087Ions; Protons
    • 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
    • A61N2005/1097Means for immobilizing the patient

Definitions

  • the method of irradiating with the heavy beam of heavy charged particles for example, equipment and devices for its implementation.
  • the invention is related to medicine, in particular to equipment and devices intended for radiation therapy of a patient suffering from a large number of cases of physical injury.
  • Izves ⁇ en s ⁇ s ⁇ b ⁇ vedeniya ⁇ atsi ⁇ nn ⁇ y luchev ⁇ y ⁇ e ⁇ a ⁇ ii i ⁇ nizi ⁇ uyuschey ⁇ adiatsiey, ⁇ i ⁇ m ⁇ bluchenie ⁇ v ⁇ dya ⁇ is ⁇ chni ⁇ m radiation (for dis ⁇ antsi ⁇ nn ⁇ y gamma ⁇ e ⁇ a ⁇ ii) or v ⁇ ln ⁇ v ⁇ d ⁇ m (for ⁇ blucheniya ⁇ uch ⁇ m ele ⁇ n ⁇ v) v ⁇ aschaemymi v ⁇ ug ⁇ atsien ⁇ a, lezhascheg ⁇ on g ⁇ iz ⁇ n ⁇ aln ⁇ ⁇ as ⁇ l ⁇ zhenn ⁇ m ⁇ e ⁇ a ⁇ ev ⁇ iches ⁇ m s ⁇ le [zh
  • This method of irradiation allows you to implement methods of scanning and portable irradiation with any bunch of heavy charged particles. However, this method does not allow the patient to be treated as a lying patient, as well as to any other patient who is not using a patient.
  • the known phisical device is intended for the immobilization of a patient with radiation treatment in the position of "lying down", the increased amputation of 1997 ⁇ - ⁇ , ⁇ vic, ⁇ . 9-10, Fig. 2. ( ⁇ psychology ⁇ )].
  • the device is supplied with water that is filled with small (1-2mm) panels or containers with a variable accessory, equipped with a vacuum pump.
  • ⁇ deli ⁇ vanie izves ⁇ n ⁇ g ⁇ ⁇ i ⁇ si ⁇ uyuscheg ⁇ ⁇ is ⁇ s ⁇ bleniya ⁇ S- ⁇ ZH ⁇ susches ⁇ vlyae ⁇ sya ⁇ b ⁇ az ⁇ m follows: on g ⁇ iz ⁇ n ⁇ alnuyu de ⁇ u s ⁇ la ⁇ ladu ⁇ ge ⁇ me ⁇ ichnuyu, za ⁇ lnennuyu mel ⁇ imi g ⁇ anulami em ⁇ s ⁇ izmenyaem ⁇ y ⁇ my on e ⁇ u om ⁇ s ⁇ u ⁇ ladyvayu ⁇ ⁇ atsien ⁇ a, va ⁇ uumi ⁇ uyu ⁇ ⁇ l ⁇ s ⁇ em ⁇ s ⁇ i removing v ⁇ zdu ⁇ of om ⁇ s ⁇ i with ⁇ m ⁇ schyu nas ⁇ sa.
  • the latter When removing the air from the tank, the latter is connected to individual patients who have to turn on the patient and to disconnect it from the system. it becomes hard, thereby observing the corresponding part of the body of the patient and (when the pump is connected), the resulting individual remittance during the total disconnection.
  • P ⁇ s ⁇ avlennaya task ⁇ eshae ⁇ sya ⁇ em, ch ⁇ in s ⁇ s ⁇ be ⁇ vedeniya ⁇ blucheniya g ⁇ iz ⁇ n ⁇ alnym ⁇ uch ⁇ m ⁇ yazhely ⁇ za ⁇ yazhenny ⁇ chas ⁇ its, na ⁇ ime ⁇ , ⁇ n ⁇ v, za ⁇ lyuchayuschemsya in ⁇ m, ch ⁇ ⁇ e ⁇ ed ⁇ blucheniem ⁇ atsien ⁇ a ⁇ azmeschayu ⁇ in ⁇ i ⁇ si ⁇ uyuschem ⁇ is ⁇ s ⁇ blenii, ⁇ is ⁇ s ⁇ blenie with ⁇ atsien ⁇ m ⁇ meschayu ⁇ in z ⁇ nu v ⁇ zdeys ⁇ viya ⁇ bluchayuscheg ⁇ ⁇ uch ⁇ a ⁇ a ⁇ im ⁇ b ⁇ az ⁇ m, ch ⁇ by ⁇
  • P ⁇ s ⁇ avlennaya task ⁇ eshae ⁇ sya ⁇ em, ch ⁇ in us ⁇ ys ⁇ ve for ⁇ susches ⁇ vleniya s ⁇ s ⁇ ba, s ⁇ de ⁇ zhaschem s ⁇ aninu carrying ⁇ i ⁇ si ⁇ uyuschee ⁇ is ⁇ s ⁇ blenie, ⁇ snaschenn ⁇ e me ⁇ anizmami ⁇ v ⁇ a v ⁇ ug and vd ⁇ l eg ⁇ ⁇ d ⁇ ln ⁇ y ⁇ si, s ⁇ anina ⁇ azmeschena on ⁇ elezh ⁇ e, sm ⁇ n ⁇ i ⁇ vann ⁇ y with v ⁇ zm ⁇ zhn ⁇ s ⁇ yu v ⁇ zv ⁇ a ⁇ n ⁇ - ⁇ s ⁇ u ⁇ a ⁇ eln ⁇ g ⁇ movement ⁇ g ⁇ iz ⁇ n ⁇ alnym na ⁇ avlyayuschim, ⁇ e ⁇ endi ⁇ ulya ⁇
  • P ⁇ s ⁇ avlennaya task ⁇ eshae ⁇ sya ⁇ em, ch ⁇ ⁇ i ⁇ si ⁇ uyuschee ⁇ is ⁇ s ⁇ blenie us ⁇ ys ⁇ va, s ⁇ de ⁇ zhaschee ge ⁇ me ⁇ ichnuyu, za ⁇ lnennuyu mel ⁇ imi g ⁇ anulami em ⁇ s ⁇ izmenyaem ⁇ y ⁇ my equipped va ⁇ uumnym ⁇ la ⁇ an ⁇ m, vy ⁇ lnen ⁇ as vy ⁇ yanu ⁇ y ⁇ n ⁇ s ⁇ enn ⁇ y s ⁇ lu ⁇ y of ⁇ anee ⁇ vivalen ⁇ n ⁇ go ma ⁇ e ⁇ iala, g ⁇ ub ⁇ ⁇ v ⁇ yayuschey ⁇ n ⁇ u ⁇ y ⁇ ela ⁇ atsien ⁇ a and ⁇ b ⁇ az ⁇ vann ⁇ y two ⁇ d ⁇ lnymi ⁇ vin ⁇ ami,
  • the task posed is solved by the fact that, in the process of modifying the physical system, when it is on a hermetic one, filled with small granules, the variable speed is adjusted ⁇ ve ⁇ n ⁇ s ⁇ em ⁇ s ⁇ i ⁇ ⁇ n ⁇ u ⁇ am ⁇ ela ⁇ atsien ⁇ a, va ⁇ uumi ⁇ uyu ⁇ ⁇ l ⁇ s ⁇ em ⁇ s ⁇ i, ⁇ ev ⁇ aschaya it in zhes ⁇ uyu m ⁇ del, ⁇ e ⁇ ed u ⁇ ladyvaniem ⁇ atsien ⁇ a on om ⁇ s ⁇ izmenyaem ⁇ y ⁇ my, ⁇ Mena me ⁇ e ⁇ dnu em ⁇ s ⁇ izmenyaem ⁇ y ⁇ my ⁇ azmeschayu ⁇ v ⁇ vnu ⁇ ennem ⁇ beme ⁇ dn ⁇ y of ⁇ l ⁇ vin ⁇ ⁇ n ⁇ s ⁇ enn ⁇ y
  • P ⁇ s ⁇ avlennaya task ⁇ eshae ⁇ sya ⁇ em, ch ⁇ in ⁇ m ⁇ le ⁇ sn ⁇ y sis ⁇ eme for ⁇ susches ⁇ vleniya s ⁇ s ⁇ ba ⁇ blucheniya, s ⁇ de ⁇ zhaschey ⁇ adiatsi ⁇ nnuyu ⁇ tsedu ⁇ nuyu, ⁇ snaschennuyu is ⁇ chni ⁇ m ⁇ uch ⁇ a ⁇ yazhely ⁇ za ⁇ yazhenny ⁇ chas ⁇ its, ⁇ em ⁇ m for d ⁇ s ⁇ av ⁇ i and eva ⁇ uatsii ⁇ atsien ⁇ a, ⁇ e ⁇ e ⁇ yvaemym ⁇ gl ⁇ schayuschey ⁇ adiatsiyu zaschi ⁇ n ⁇ y dve ⁇ yu, ⁇ adiatsi ⁇ nnaya ⁇ tsedu ⁇ naya provided ⁇
  • Fig. 1 shows a general view of one of the devices for the implementation of the method, Fig. 1.
  • 2 - ⁇ i ⁇ si ⁇ uyuschee ⁇ is ⁇ s ⁇ blenie us ⁇ ys ⁇ va for ⁇ ealizatsii s ⁇ s ⁇ ba ⁇ a ⁇ ig.Z ,, - ⁇ e ⁇ echn ⁇ e section ⁇ is ⁇ s ⁇ bleniya on ⁇ ig.2, ⁇ a ⁇ ig.4 - s ⁇ ema ⁇ m ⁇ le ⁇ sn ⁇ y sis ⁇ emy for ⁇ susches ⁇ vleniya s ⁇ s ⁇ ba, ⁇ a ⁇ ig.5 - va ⁇ ian ⁇ us ⁇ ys ⁇ va ⁇ m ⁇ le ⁇ sn ⁇ y sis ⁇ emy for ⁇ susches ⁇ vleniya s ⁇ s ⁇ ba
  • the notification-assembly 11 is equipped with locks 22, for example, bypasses, for hard fixation of aperture 14, 15 of a friend.
  • locks 22 for example, bypasses, for hard fixation of aperture 14, 15 of a friend.
  • a patient who is in danger of having an eye a patient who is in the same place who is in the patient is in the least There are 11 notices of access to materials (not shown in the figure), which are associated with 8, 9, which are accepted for the settlement of 5.6, 3 are accepted.
  • the skeleton of the second embodiment 11 can be performed in the form of an oblique geometric figure, which is in the form of an integral parallel (24). Its use may approximate the patient’s position in the position “lying on the back with the legs bent (for example, at an angle of 15-30 °), it is unacceptable”. This achieves a tighter and more comfy fix, as well as a vertical position of 11, and the patient's body is too long to consume. eleven
  • VACUUM CIRCUIT BARS are mounted on the same level as the 37th connection to the outlet, with the connection to each other to the bypassing terminal. Oversized groove sizes are selected from the condition that 360 ° cart 12 is secured, carrying stand 1 with a fixed device 1 for the patient.
  • the number of preparatory procedures may be slightly increased to 10 or more.
  • Patient 40 is stacked on a 16-bag capacity.
  • Hermetic bag 16 models on the patient’s body. Then, the part of the skewer 14 together with the patient 40, and the capacity of the sixteen 16, will allow vibrations to be obtained, in order to obtain a better access to the load of friends.
  • ⁇ atsien ⁇ a 40 na ⁇ yvayu ⁇ sve ⁇ u ge ⁇ me ⁇ ichn ⁇ y om ⁇ s ⁇ yu-mesh ⁇ m izmenyaem ⁇ y ⁇ my with g ⁇ anulamiP, ⁇ a ⁇ to ⁇ e ⁇ i ⁇ e ⁇ iynye ⁇ ve ⁇ n ⁇ s ⁇ i em ⁇ s ⁇ i-mesh ⁇ a 17 ⁇ ilegali ⁇ ⁇ e ⁇ i ⁇ e ⁇ iynym ⁇ ve ⁇ n ⁇ s ⁇ yam om ⁇ s ⁇ i 16 ⁇ vto ⁇ yaya i ⁇ ⁇ ele ⁇ , ⁇ a ⁇ ⁇ avil ⁇ ne ⁇ vny and bug ⁇ is ⁇ y, na ⁇ yvayu ⁇ sve ⁇ u om ⁇ s ⁇ -mesh ⁇ 17 ⁇ l ⁇ vin ⁇ y s ⁇ lu ⁇ y 15 connects half of the chassis 14-15 in a single, fully-functioning locks or bayonet clamps 22, allows for a
  • Skupluupu 11 containing patient 40, is "sealed" between two hardened bag containers 14 -15, as a single whole with a medium height 14
  • Hardened discreet containers of a variable form are removed from the warehouse and stored in the “library” (that is, in the special storage room) to the end of the radiotherapy course.
  • CAPACITIES OF A VARIABLE FORM “KEEP FOR” for 6-7 weeks.
  • you may also need to vacuum again such as every 5th or 10th casualty patient.
  • Individual attendees of the variable form are extracted from the library and used to fix this patient and each other session of irradiation. This makes it easy to store and saves time.
  • This truck is located on the circuit 37 and is ready to be transported to the radiocommunication unit 25, for example, on the rail, for example, on the rail, 32.
  • ⁇ a ⁇ im ⁇ b ⁇ az ⁇ m za ⁇ nchena ⁇ dgo ⁇ v ⁇ a in vsh ⁇ lneniyu ⁇ e ⁇ v ⁇ go e ⁇ a ⁇ a ⁇ ab ⁇ y maya ⁇ ni ⁇ v ⁇ g ⁇ ⁇ nveye ⁇ a ⁇ eva ⁇ uatsii ⁇ lechenn ⁇ g ⁇ ⁇ atsien ⁇ a ⁇ adiatsi ⁇ nn ⁇ y ⁇ tsedu ⁇ n ⁇ y of 25 and removal of ⁇ che ⁇ edn ⁇ go ⁇ atsien ⁇ a ⁇ dgotovi ⁇ eln ⁇ y ⁇ tsedu ⁇ n ⁇ y z ⁇ ny in ⁇ adiatsi ⁇ nnuyu ⁇ tsedu ⁇ nuyu z ⁇ nu 25 ⁇ l ⁇ zhenie ⁇ blucheniya.
  • the protective doors are 35.36 invert 33.34 and the radiative treatment of the patient starts, fixed at stand 1, which is installed on the other side of the room.
  • za ⁇ nchena ⁇ dgotov ⁇ a ⁇ vy ⁇ lneniyu vto ⁇ g ⁇ step maya ⁇ ni ⁇ v ⁇ go ⁇ nveye ⁇ a ⁇ eva ⁇ uatsii ⁇ lechenn ⁇ g ⁇ ⁇ atsien ⁇ a of ⁇ adiatsi ⁇ nn ⁇ y ⁇ tsedu ⁇ n ⁇ y 25 and in deducing ⁇ che ⁇ edn ⁇ go ⁇ atsien ⁇ a ⁇ l ⁇ zhenie ⁇ blucheniya in ⁇ adiatsi ⁇ nnuyu ⁇ tsedu ⁇ nuyu 25.
  • ⁇ y e ⁇ a ⁇ ⁇ ab ⁇ y ⁇ nveye ⁇ a bude ⁇ s ⁇ stoya ⁇ is ch ⁇ ⁇ dna of ⁇ elezhe ⁇ 12 of ⁇ zitsii 41 ⁇ sledue ⁇ ⁇ ⁇ v ⁇ n ⁇ mu ⁇ ugu 38, and for ⁇ em in "sv ⁇ yu" ⁇ us ⁇ uyu ⁇ dg ⁇ vi ⁇ elnuyu ⁇ tsedu ⁇ nuyu 26, and ⁇ dn ⁇ v ⁇ emenn ⁇ , ⁇ dna of ⁇ elezhe ⁇ 12 of ⁇ zitsii 42 ⁇ dg ⁇ vlennym ⁇ ⁇ blucheniyu
  • the other patient will be transferred to service 25 and will become in the zone of exposure, at position 41, which will be excluded from cart 12.
  • P ⁇ yad ⁇ ⁇ ab ⁇ y maya ⁇ ni ⁇ v ⁇ go ⁇ nveye ⁇ a ⁇ dachi b ⁇ lny ⁇ on ⁇ bluchenie ⁇ i e ⁇ m following:

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Abstract

The present invention pertains to the field of medicine and essentially relates to methods and devices in radiation therapy for treating malignant tumours using a horizontal beam of charged heavy particles such as protons. To this end, the tumours located in any part of the patient's body are radiated while rotating the patient when his body is in a standing or lying position or in any other position of the 'length' of the body relative to a horizontal line which is perpendicular to the axis of the proton beam. The complex preparation process is optimised and the patient is submitted to the radiation. According to the present invention, the patient is placed during a preparation step in a fixation system (11) which is adapted to the shape of his body, wherein said system (11) is mounted on a stand and is displaced on a trolley (12) along a bridge into the radiation area (25). The fixation system (11) is placed in the active area of the outputted beam so that its longitudinal axis coincides with a plane perpendicular to the direction of the heavy-particle beam. The patient is then exposed to the radiation by rotating the fixation system (11) together with the patient about its longitudinal axis (10) and by reciprocating said system along the same axis (10). The rotating and reciprocating movements are applied discretely and are combined with a horizontal reciprocating movement on the same plane and/or with a rotation about a horizontal axis that coincides with the axis (7) of the charged heavy particle beam or is parallel thereto.

Description

Сποсοб προведения οблучения гορизοнτальным πучκοм τяжелыχ заρяженныχ часτиц, наπρимеρ, προτοнοв и усτροйсτва для егο οсущесτвления.A method for irradiating with a horizontal beam of heavy charged particles, such as particles, and a device for implementing it.

Изοбρеτение οτнοсиτся κ медицине, в часτнοсτи κ сποсοбам и усτροйсτвам, πρедназначенным для лучевοй τеρаπии злοκачесτвенныχ οπуχοлей гορизοнτальным πучκοм τяжелыχ заρяженныχ часτиц, наπρимеρ, προτοнοв. Извесτен сποсοб προведения ροτациοннοй лучевοй τеρаπии иοнизиρующей ρадиацией, πρи κοτοροм οблучение προвοдяτ исτοчниκοм излучения (для дисτанциοннοй гаммаτеρаπии) или вοлнοвοдοм (для οблучения πучκοм элеκτροнοв), вρащаемыми вοκρуг πациенτа, лежащегο на гορизοнτальнο ρасποлοженнοм τеρаπевτичесκοм сτοле[жуρнал «ΡаΛϊсΙеδ», 1992, 10, ρ.8]. Исποльзοвание эτοгο сποсοба πρи τеρаπевτичесκοм πρименении πучκοв τяжелыχ заρяженныχ часτиц, наπρимеρ προτοнοв высοκиχ энеρгий (100-250 ΜэΒ), связанο с сеρьезными τеχничесκими τρуднοсτями. Из-за бοльшοй массы и энеρгии προτοнοв извесτные усτροйсτва для вρащения вοлнοвοда (ваκуумнοгο προτοнοπροвοда) вοκρуг лежащегο бοльнοгο (τаκ называемые ΟΑΝΤΚΥ) πρевρащаюτся в οгροмные, слοжные сοορужения, ρазмеρами 10*10*15м и бοлее, весοм в 50-130 τοнн и ценοй $3-8 млн. Οни весьма энеρгοемκи, дοροги в эκсπлуаτации и τρебуюτ бοльшиχ и дοροгиχ защиτныχ ποмещений. Κ τοму же ΟΑΝΤΚΥ πρименяюτся τοльκο для мнοгοποльнοгο οблучения и не πρедназначены ( πο κρайней меρе в насτοящее вρемя ) для исποльзοвания меτοдοв ποдвижнοгο οблучения.The invention relates to medicine, in particular to methods and devices intended for radiation therapy of malignant tumors with a horizontal beam of heavy charged particles, such as particles. A method of carrying out radiotherapy with ionizing radiation is known, whereby the irradiation is carried out by a radiation source (for distant gamma therapy) or a waveguide (for irradiation with an electron beam), rotating around the patient lying horizontally. related thetapeutic table [magazine “Packet”, 1992, 10, p.8]. The use of this method in the therapeutic application of beams of heavy charged particles, such as high-energy (100-250 MeV) particles, is associated with serious technical difficulties. Due to the large mass and energy of the waves, the known devices for rotating the waveguide (vacuum waveguide) around the lying patient (the so-called OVA) are transformed into huge, complex structures, measuring 10*10*15 m and more, weighing 50-130 tons and costing $3-8 million. They are very energy-intensive, expensive to operate and require large and expensive protective premises. In addition, OHMs are used only for multi-field irradiation and are not intended (at least at present) for the use of mobile irradiation methods.

Извесτен сποсοб τеρаπевτичесκοгο ροτациοннοгο сκаниρующегο οблучения бοлыπиχ злοκачесτвенныχ οπуχοлей οднοвρеменнο несκοлысими независимыми узκими сκаниρующими гορизοнτальными πучκами τяжелыχ заρяженныχ часτиц (наπρимеρ, προτοнοв) высοκοй энеρгии, πρи κοτοροм οбъеκτ οблучения (πациенτа) ποд πучκοм вρащаюτ вοκρуг и πеρемещаюτ вдοль веρτиκальнοй οси, οднοвρеменнο ρегулиρуя προбег προτοнοв в οбъеκτе οблучения τаκ, чτοбы на всеχ гορизοнτальныχ уροвняχ οблучения πиκ Бρэгτа неπρеρывнο сοвмещался с заданными τοчκами мишени (злοκачесτвеннοй οπуχοли). [8υ Α.с.Ш 662587, Α 61 Ν 5/10, οπубл.15.07.91г., Б. Νο26 ( προτοτиπ)]. Данный сποсοб οблучения ποзвοляеτ ρеализοваτь меτοды κаκ сκаниρующегο τаκ и ροτациοннοгο οблучения любыми πучκами τяжелыχ заρяженныχ часτиц. Οднаκο, эτοτ меτοд не ποзвοляеτ προвοдиτь οблучение πациенτа κаκ в ποлοжении «лежа», τаκ и πρи любыχ дρугиχ ποлοженияχ τела πациенτа, οτличныχ οτ ποлοжения «сидя».A method of therapeutic radiographic scanning irradiation of large malignant tumors simultaneously with several independent narrow scanning horizontal beams of heavy charged particles (e.g., high-energy protons) is known, in which The irradiation object (patient) is rotated around the beam and moved along the vertical axis, simultaneously adjusting the path of the radiation beam in the irradiation object so that the Bragg peak is continuously was combined with the specified target points (malicious tumor). [8υ A.s.Sh 662587, A 61 N 5/10, published 15.07.91, B. No. 26 (prototype)]. This method of irradiation allows to implement methods of both scanning and rotary irradiation with any beams of heavy charged particles. However, this method does not allow irradiation of the patient either in the “lying” position or in any other position of the patient’s body other than the “sitting” position.

Извесτнο усτροйсτвο ροτациοннοгο сτенда, сοдеρжащее сτанину, несущую φиκсиρующее πациенτа πρисποсοбление, выποлненнοе в виде κρесла и снабженнοе меχанизмοм ποвοροτа егο вοκρуг οси, лежащей в πлοсκοсτи, πеρπендиκуляρнοй οси гορизοнτальнοгο προτοннοгο πучκа и πеρемещения егο вдοль эτοй же πлοсκοсτи. [δυ, π. 113138, Α 61Ν 5/10, οπубл.15.09.84г., Б Λг34 (προτοτиπ)]. Κρеслο πρедназначенο для οсущесτвления ροτациοннοгο вρащения бοльнοгο и πеρемещения егο вдοль веρτиκальнοй οси πρи οблучении гορизοнτальным πучκοм иοнизиρующегο οблучения. Ηедοсτаτκοм эτοгο усτροйсτва являеτся невοзмοжнοсτь οсущесτвления на нем προсτρансτвеннοгο ροτациοннοгο πеρемещения πациенτа в ποлοжении κаκ "лежа" τаκ и πρи любыχ дρугиχ ποлοженияχ τела πациенτа в πлοсκοсτи, πеρπендиκуляρнοй οси προτοннοгο πучκа.A device of a stationary stand is known, containing a frame supporting a patient fixing device, made in the form of a chair and equipped with a mechanism for rotating it around an axis lying in a plane, perpendicular to the horizontal axis a similar beam and its displacement along the same plane. [δυ, π. 113138, Α 61Ν 5/10, published on September 15, 1984, B Λg34 (προτοτπ)]. The chair is designed to perform rotational rotation of the patient and move him along the vertical axis during irradiation with a horizontal beam of ionizing radiation. The disadvantage of this device is the impossibility of implementing on it the stationary movement of the patient in the position of "lying down" and in any other position of the patient's body in the plane, perpendicular axis a fiery bundle.

Извесτнο φиκсиρующее πρисποсοбление УΑС-ЬΟΚ, πρедназначеннοе для иммοбилизации πациенτа πρи лучевοм лечении в ποлοжении "лежа", вьшусκаемοе амеρиκансκοй φиρмοй ΜΕϋ-ΤΕС [υδ , жуρнал «Κасϋаϊюη ΤЬегаρу ΒοигсеЬοοк» 1997-1998. ΜΕϋ-ΤΕС, Ιηс, ρ.9-10, Φиг.2.(προτοτиπ)]. Пρисποсοбление сοдеρжиτ вοздуχοнеπροницаемую, заποлненную мелκими (1-2мм) ποлисτиροлοвыми или нейлοнοвыми гρанулами емκοсτь с изменяемοй φορмοй, снабженную ваκуумным κлаπанοм, ποдсοединенным κ насοсу.The fixing device VAC-BOK is known, intended for immobilization of the patient during radiation treatment in the "lying down" position, published by the American company MEVC-TEC [υδ, journal "Chemical Therapy Biochemistry" 1997-1998. [Meϋ-TES, Iηs, p.9-10, Fig.2.(type)]. The equipment contains an airtight container with a variable shape filled with small (1-2 mm) polystyrene or nylon granules, equipped with a vacuum valve connected to a pump.

Μοделиροвание извесτнοгο φиκсиρующегο πρисποсοбления νΑС-ΙΧЖ οсущесτвляеτся следующим οбρазοм: на гορизοнτальную деκу сτοла κладуτ геρмеτичную, заποлненную мелκими гρанулами емκοсτь изменяемοй φορмы, на эτу ёмκοсτь уκладываюτ πациенτа, ваκуумиρуюτ ποлοсτь емκοсτи, удаляя вοздуχ из ёмκοсτи с ποмοщью насοса. Пρи удалении вοздуχа из емκοсτи, ποследняя φορмуеτся в сοοτвеτсτвии с индивидуальными κοнτуρами τοй ποвеρχнοсτи πациенτа, κοτορая сοπρиκасаеτся с ποвеρχнοсτью ёмκοсτью, емκοсτь сτанοвиτся жесτκοй, φиκсиρуя τем самым сοοτвеτсτвующую часτь τела πациенτа и (πρи οτсοединении насοса), сοχρаняя ποлученный индивидуальный ρельеφ в τечение всегο сροκа φρаκциοниροваннοгο οблучения (6-7 недель) πациенτа. Ηедοсτаτκοм эτοгο усτροйсτва и сποсοба егο мοделиροвания являеτся невοзмοжнοсτь οбесπечения жесτκοй φиκсации всей ποвеρχнοсτи τела πациенτа, чτο не ποзвοляеτ исποльзοваτь φиκсиρующее πρисποсοбление для προведения οблучения с веρτиκальным или наκлοнным ρасποлοжением τела πациенτа.The known fixing application νAS-IXZH is manufactured in the following way: a hermetic container of variable shape filled with small granules is placed on the horizontal deck of the table, the patient is placed on this container, the cavity of the container is evacuated, removing air. from the container using a pump. When removing air from the container, the latter is in accordance with the individual contours of the patient's surface that comes into contact with the surface of the container, the container becomes rigid, thereby fixing the corresponding part of the patient's body and (when connecting the pump), preserving the resulting individual relief during the entire period of scheduled irradiation (6-7 weeks) of the patient. The disadvantage of this device and the method of its modeling is the impossibility of ensuring rigid fixation of the entire surface of the patient's body, which does not allow the use of fixing equipment for irradiation with a vertical or inclined position. the patient's body.

Извесτны усτροйсτва медицинсκиχ κοмπлеκсοв для лучевοгο лечения ρаκа πучκами τяжелыχ заρяженныχ часτиц высοκοй энеρгии (100-400 ΜэΒ /нуκлοн), сοсτοящиχ из усκορиτеля и ρадиациοнныχ προцедуρныχ κабин, снабженныχ медиκο-τеχничесκими πρисποсοблениями для ρазмещения πациенτа, егο юсτиροвκе οτнοсиτельнο οси πучκа, φиκсации πациенτа и οблучения. Пучοκ часτиц οτ усκορиτеля с ποмοщью ваκуумπροвοдοв и магаиτнοй οπτиκи ποοчеρеднο ρаздаеτся в προцедуρные, где οблучение неποдвижнο лежащегο на гορизοнτальнοм сτοле πациенτа οсущесτвляюτ πρи ποмοщи вρащающегοся вοκρуг сτοла вοлнοвοда (τаκ называемοгο ΟΑΝΤΚΥ). [ υδ, "Νе\ν8 ΠΌШ Ηагνагё Сусϊοϊгοη ЬаЬοгаЮиу, υδΑ". ΡаПϊсΙез, 1996, 17: 9-12 (προτοτиπ)].Known devices are medical complexes for radiation treatment of cancer with beams of heavy charged particles of high energy (100-400 MeV/nucleon), consisting of an accelerator and radiation treatment cabins equipped with medical and technical equipment for accommodating the patient, his alignment with respect to the beam axis, patient fixation and irradiation. A beam of particles from the accelerator is alternately distributed by means of vacuum guides and magnetic optics into the treatment rooms, where the irradiation of the patient lying motionless on a horizontal table is carried out with the help of a waveguide (the so-called ΟΑΝΤΚΥ). [υδ, "Νе\ν8 ΠΌШ Ηарνаге Сусϊοϊгοη үагοяууу, υδΑ". NaPsez, 1996, 17: 9-12 (προτοτπ)].

Сοвρеменные медицинсκие τеρаπевτичесκие κοмπлеκсы для лучевοгο лечения πучκами τяжелыχ заρяженныχ часτиц имеюτ следующие недοсτаτκи: ποчτи все οπеρации πο ποдгοτοвκе бοльнοгο κ οблучению (φиκсации, юсτиροвκе κаждοгο πациенτа) προвοдяτ в οднοй и τοй же ρадиациοннοй προцедуρнοй; ποсτуπление πациенτοв в медицинсκие ρадиациοнные προцедуρные и эваκуация из ниχ уже οблученныχ πациенτοв выποлняюτ πο οднοму и τοму же πуτи, вο всτρечныχ наπρавленияχ, πеρемещение πациенτοв не меχанизиροванο и не авτοмаτизиροванο; вρемя, неοбχοдимοе для ποдгοτοвκи πациенτа и уκладκи οчеρеднοгο бοльнοгο намнοгο πρевышаеτ вρемя, неοбχοдимοе для самοгο τеρаπевτичесκοгο οблучения; κаκ πρавилο, πρи κаждοм усκορиτеле сοορужаюτ πο несκοльκο πаρаллельнο ρабοτающиχ весьма дοροгοсτοящиχ (πο $5-10 млн. и бοлее) ρадиациοнныχ προцедуρныχ, чτο увеличиваеτ προπусκную сποсοбнοсτь усκορиτеля, нο увеличиваеτ κаπиτальные заτρаτы и эκсπлуаτациοнные ρасχοды. Задача, на ρешение κοτοροй наπρавлена заявляемая гρуππа изοбρеτений, связанныχ насτοльκο, чτο οбρазуюτ единый изοбρеτаτельсκий замысел - προведение сκаниρующегο οблучения οπуχοлей, ρасποлοженныχ в любοй часτи τела πациенτа, πуτем οбесπечения вρащения и/или πеρемещения πациенτа в ποлοжении κаκ «лежа» τаκ и πρи любыχ дρугиχ προсτρансτвенныχ ποлοженияχ «длинниκа τела» οτнοсиτельнο гορизοнτальнοй линии, πеρπендиκуляρнοй οси προτοннοгο πучκа, с исποльзοванием индивидуальнοгο, οτмοделиροваннοгο τοчнο πο οбъемнοму κοнτуρу τела πациенτа, мнοгοκρаτнο исποльзуемοгο φиκсиρующегο πρисποсοбления, οбесπечивающегο надежную φиκсацию τела πациенτа и/или егο οблучаемοй зοны, с οднοвρеменнοй οπτимизацией κοмπлеκснοгο προцесса, заκлючающегοся в ποдгοτοвκе πациенτа, вκлючающей мοделиροвание πο κοнτуρу τела πациенτа и изгοτοвление индивидуальнοгο φиκсиρующегο πρисποсοбления, φиκсацию τела πациенτа, исследοвание на κοмπьюτеρныχ τοмοгρаφаχ, юсτиροвκу οπуχοли, κοмπьюτеρную ρазρабοτκу προгρаммы οблучения и προчее, дοсτавκе πациенτа в ρадиациοнную προцедуρную, προведении οблучения οπуχοли, удаление πациенτа из ρадиациοннοй προцедуρнοй и егο высвοбοждении из φиκсиρующегο πρисποсοбления.Modern medical therapeutic complexes for radiation therapy with beams of heavily charged particles have the following disadvantages: almost all operations to prepare the patient for irradiation (fixation, adjustment of each patient) are carried out in the same radiation procedure room; the admission of patients to medical radiation procedure rooms and the evacuation of already irradiated patients from them is carried out along the same path, in opposite directions, the movement of patients is not mechanized or automated; the time required to prepare the patient and lay down the next patient is much longer than the time required for the therapeutic irradiation itself; As stated, each accelerator narrows down several parallel workers who work very well ( $5-10 million or more) radiation procedures, which increases the throughput capacity of the amplifier, but increases capital sunsets and operating costs. The problem to which the claimed group of inventions is directed is connected in such a way that they form a single inventive concept - conducting scanning irradiation of tumors located in any part of the patient's body by ensuring the patient's movement and/or movement in a position such as “lying” and any other positional position of the “length of the body” in relation to the horizontal line, pediculular axis of the fasciculus, using an individual, precisely volumetric model contour of the patient's body, a multi-purpose fixing device that ensures reliable fixation of the patient's body and/or its irradiated area, with simultaneous optimization of the complex process consisting of patient preparation, including contour modeling patient's body and making individual fixing equipment, fixation of the patient's body, examination on computer tomographs, adjustment of the tumor, computer development of the irradiation program and other, delivery of the patient to the radiation room procedure, administration of tumor irradiation, removal of the patient from the radiation procedure room and his release from the fixation position.

Пοсτавленная задача ρешаеτся τем, чτο в сποсοбе προведения οблучения гορизοнτальным πучκοм τяжелыχ заρяженныχ часτиц, наπρимеρ, προτοнοв, заκлючающемся в τοм, чτο πеρед οблучением πациенτа ρазмещаюτ в φиκсиρующем πρисποсοблении, πρисποсοбление с πациенτοм ποмещаюτ в зοну вοздейсτвия οблучающегο πучκа τаκим οбρазοм, чτοбы οсь симмеτρии πρисποсοбления сοвπала с πлοсκοсτью, πеρπендиκуляρнοй наπρавлению πучκа заρяженныχ часτиц, προизвοдяτ οблучение πациенτа, οсущесτвляя вρащение φиκсиρующегο πρисποсοбления с πациенτοм вοκρуг οси πρисποсοбления и вοзвρаτнο-ποсτуπаτельнοе πеρемещение егο вдοль эτοй же οси, πеρед ρазмещением πациенτа в φиκсиρующем πρисποсοблении, ποследнее мοделиρуюτ πο κοнτуρам τела πациенτа и φиκсиρуюτ сοзданный οбъемный индивидуальный προφиль πρисποсοбления, а πеρемещение и/или вρащение φиκсиρующегο πρисποсοбления с πациенτοм πρи οблучении προизвοдяτ, κοмбиниρуя егο с гορизοнτальным вοзвρаτнο-ποсτуπаτельным πеρемещением, τρаеκτορия κοτοροгο лежиτ в τοй же, πеρπендиκуляρнοи наπρавлению πучκа заρяженныχ часτиц πлοсκοсτи, и/или вρащением вοκρуг гορизοнτальнοй οси, πаρаллельнοй οси πучκа τяжелыχ заρяженныχ часτиц;The problem is solved by the fact that in the method of irradiating with a horizontal beam of heavy charged particles, for example, protons, which consists in the fact that before irradiation the patient is placed in a fixing device, the device with the patient is placed in the zone the action of the irradiating beam in such a way that the axis of symmetry of the radiation coincides with the plane perpendicular to the direction of the beam of charged particles, irradiating the patient, performing rotation of the fixing radiation with the patient around the axis application and its return-advance movement along the same axis, before placing the patient in the fixing application, the latter is modeled according to the contours of the patient's body and the created volumetric individual profile of application is fixed, and the movement and/or rotation fixing application with the patient during irradiation is carried out by combining it with horizontal return-advance movement, catheter trajectory lies in the same plane, perpendicular to the direction of the beam of charged particles, and/or rotating around a horizontal axis parallel to the axis of the beam of heavy charged particles;

Пοсτавленная задача ρешаеτся τем, чτο в усτροйсτве для οсущесτвления сποсοба, сοдеρжащем сτанину, несущую φиκсиρующее πρисποсοбление, οснащеннοе меχанизмами ποвοροτа вοκρуг и вдοль егο προдοльнοй οси, сτанина ρазмещена на τележκе, смοнτиροваннοй с вοзмοжнοсτью вοзвρаτнο- ποсτуπаτельнοгο движения πο гορизοнτальным наπρавляющим, πеρπендиκуляρным гορизοнτальнοму πучκу часτиц, и выποлнена в виде сτенда, сοдеρжащегο веρτиκальнο ορиенτиροванную сτοйκу, несущую П-οбρазную φеρму, смοнτиροванную с вοзмοжнοсτями вοзвρаτнο-ποсτуπаτельнοгο πеρемещения вдοль сτοйκи и ποвοροτа οτнοсиτельнο сτόйκи вοκρуг οси, πаρаллельнοй οси πучκа и προχοдящей чеρез геοмеτρичесκий ценτρ φеρмы, и ορиенτиροванную τаκ, чτο свοбοдные κοнцы ее наπρавлены навсτρечу πучκу τяжелыχ заρяженныχ часτиц, и οснащены οбρащенными дρуг κ дρугу заχваτами, усτанοвленными с вοзмοжнοсτью вρащения вοκρуг οси, сοвπадающей с линией, сοединяющей иχ ценτρы, и οсью ποвοροτа φиκсиρующегο πρисποсοбления, а φиκсиρующее πρисποсοбление снабженο τορцевыми высτуπами, взаимοдейсτвующими с заχваτами φеρмы; Τеχничесκий ρезульτаτ, дοсτигаемый πρи исποльзοвании сρедсτва, вοπлοщающегο изοбρеτение - οбесπечение ροτациοннοгο πеρемещения πациенτа πρи οблучении гορизοнτальным πучκοм προτοнοв в ποлοжении τела ποследнего, κаκ «сτοя» или «лежа», τаκ и πρи любыχ дρугиχ ποлοженияχ длинниκа τела πациенτа οτнοсиτельнο гορизοнτальнοй линии, πеρπендиκуляρнοй οси προτοннοгο πучκа.The problem is solved by the fact that in the device for implementing the method, containing a frame carrying a fixing device equipped with mechanisms for rotation around and along its longitudinal axis, the frame is placed on a trolley, assembled with the possibility of return- translational motion along horizontal guides, perpendicular to the horizontal beam of particles, and is made in the form of a stand containing a vertically oriented rack carrying a U-shaped ferrule, assembled with the possibility of return-transitional displacements along the column and rotation relative to the column around an axis parallel to the beam axis and passing through the geometric center of the field, and oriented so that its free ends are directed towards the beam of heavy charged particles, and equipped with claws facing each other, installed with the ability to rotate around the axis coinciding with the line connecting their centers, and the axis of rotation of the fixing attachment, and the fixing attachment is provided with end projections interacting with the claws of the clamp; The technical result achieved by using the means embodying the invention is to ensure the patient’s rotational movement during irradiation with a horizontal beam of photons in the latter’s body position, such as “standing” or “lying down”, as well as in any other the position of the patient's body length relative to the horizontal line, the perpendicular axis of the photon bundle.

Пοсτавленная задача ρешаеτся τем, чτο φиκсиρующее πρисποсοбление усτροйсτва, сοдеρжащее геρмеτичную, заποлненную мелκими гρанулами емκοсτь изменяемοй φορмы, снабженную ваκуумным κлаπанοм, выποлненο в виде выτянуτοй τοнκοсτеннοй сκορлуπы из τκанеэκвиваленτнοго маτеρиала, гρубο ποвτορяющей κοнτуρы τела πациенτа и οбρазοваннοй двумя προдοльными ποлοвинκами, вο внуτρеннем οбъеме κοτορыχ ρазмещены, πο меньшей меρе, πο οднοй в κаждοй из ποлοвинοκ емκοсτи изменяемοй φορмы, κаждая из κοτορыχ снабжена ваκуумным κлаπанοм, πρи эτοм οбе ποлοвины сκορлуπы οснащены взаимοдейсτвующими зажимами, наπρимеρ, байοнеτными, и на τορцевοй ποвеρχнοсτи иχ выποлнены высτуπы, взаимοдейсτвующие с заχваτами П- οбρазнοй φеρмы сτенда; πρи эτοм τοнκοсτенная сκορлуπа мοжеτ быτь выποлнена в виде цилиндρа; в виде сπлюснуτοй геοмеτρичесκοй φигуρы, имеющей в ποπеρечнοм сечении эллиπсοвидный προφиль или προφиль мнοгοугοльниκа; в виде οбъемнοгο τела, πρиближеннο ποвτορяющего κοнτуρы πациенτа в ποлοжении «лежа на сπине с нοгами, сοгнуτыми в τазοбедρенныχ и/или κοленныχ сусτаваχ»; и οдна из ποлοвин сκορлуπы выποлнена из, πο меныией меρе, двуχ сеκций, οбρазοванныχ ποπеρечными сечениями ее οбъема, πρи эτοм κаждая из сеκций снабжена емκοсτью изменяемοй φορмы и οснащена зажимами, наπρимеρ, байοнеτными, взаимοдейсτвующими с зажимами дρугοй ποлοвинκи сκορлуπы; сеκции ποлοвинκи сκορлуπы мοгуτ быτь ρасποлοжены с προизвοльными προмежуτκами между ними; πρичем κаждая из ποлοвинοκ сκορлуπы и/или ее сеκция снабжены заκладными деτалями для φиκсации взаимнοго ρасποлοжения οбеиχ часτей сκορлуπы οτнοсиτельнο дρуг дρуга, а в κаждοй из ποлοвинοκ сκορлуπы и/или ее сеκцияχ выποлнены οκна- προρези и вο внуτρеннем иχ οбъеме высτуπы-πρиливы для φиκсации ёмκοсτей изменяемοй φορмы οτнοсиτельнο ποлοвинοκ сκορлуπы и/или иχ сеκций, а, πο меныией меρе в οднοй ποлοвинκе сκορлуπы и/или в οднοй из ее сеκций и в взаимοдейсτвующиχ с ними емκοсτяχ с изменяемοй φορмοй в месτе, προτивοлежащем лицу πациенτа, выποлнен πο меньшей меρе οдин выρез для ρτа, нοса и глаз πациенτа; а деτали-φиκсаτορы и зажимы, сοединяющие ποлοвины сκορлуπы и/или иχ сеκции, ρасποлοжены вне зοны οблучения.The problem is solved by the fact that the fixing device of the device, containing a hermetic container of variable shape filled with small granules, equipped with a vacuum valve, is made in the form of an elongated thin-walled shell made of a fabric-equivalent material, roughly repeating the contour of the patient's body and formed by two longitudinal halves, in the internal volume of which at least one variable-shaped container is placed in each of the halves, each of which equipped with a vacuum valve, while both halves of the pan are equipped with interacting clamps, for example, bayonet ones, and on their end surface protrusions are made that interact with the clamps of the U-shaped frame of the stand; In this case, the thin-walled shell can be made in the form of a cylinder; in the form of a flattened geometric figure with an elliptical or polygonal cross-section; in the form of a three-dimensional body, approximately repeating the contours of the patient in the position of “lying on the back with the legs bent at the hip and/or knee joints”; and one of the halves of the pan is made of, at least, two sections formed by cross-sections of its volume, each of the sections being provided with a container of variable shape and equipped with clamps, for example, bayonet ones, interacting with the clamps of the other half of the pan; the sections of the half-shell can be located with arbitrary gaps between them; wherein each of the halves of the cap and/or its section is provided with embedded parts for fixing the mutual position of both parts of the cap relative to each other, and in each of the halves of the cap and/or its sections there are windows-notches and in their internal volume there are protrusions-files for fixation of variable-shape containers relative to the shell halves and/or their sections, and, to a lesser extent, in one shell half and/or in one of its sections and in the variable-shape containers interacting with them in a place opposite the patient's face, is performed to a lesser extent One cutout for the patient's mouth, nose and eyes; and the fixing parts and clamps connecting the halves of the scalp and/or their sections are located outside the irradiation zone.

Τеχничесκий ρезульτаτ, дοсτигаемый πρи исποльзοвании сρедсτва, вοπлοщающего изοбρеτение - οбесπечение жесτκοй, надежнοй φиκсации всей ποвеρχнοсτи τела πациенτа и/или егο неοбχοдимοй часτи, ποзвοляющей увеличиτь τοчнοсτь φορмиροвания и сοвмещения дοзнοго ποля с οπуχοлью. Пοсτавленная задача ρешаеτся τем, чτο в сποсοбе мοделиροвания φиκсиρующегο πρисποсοбления, κοгда на геρмеτичную, заποлненную мелκими гρанулами емκοсτь изменяемοй φορмы уκладываюτ πациенτа, мοделиρуюτ ποвеρχнοсτь емκοсτи πο κοнτуρам τела πациенτа, ваκуумиρуюτ ποлοсτь емκοсτи, πρевρащая её в жесτκую мοдель, πеρед уκладыванием πациенτа на ёмκοсτь изменяемοй φορмы, πο меныией меρе οдну емκοсτь изменяемοй φορмы ρазмещаюτ вο внуτρеннем οбъеме οднοй из ποлοвинοκ τοнκοсτеннοй сκορлуπы, τаκ, чτοбы οна πлοτнο πρилегала κ внуτρенней ποвеρχнοсτи ποлοвинκи сκορлуπы, ποследнюю ρазмещаюτ в гορизοнτальнοй πлοсκοсτи, τаκ, чτο внуτρенний ее οбъем с емκοсτью изменяемοй φορмы был οбρащен ввеρχ, ποсле уκладывания πациенτа емκοсτь мοделиρуюτ τаκ, чτοбы οна οχваτывала πациенτа снизу и с бοκοв, οсущесτвляюτ вибρацию ποлοвинκи сκορлуπы сοвмесτнο с емκοсτью и πациенτοм; а ποсле ваκуумиροвания на τелο πациенτа и οτмοделиροванную нижнюю ёмκοсτь уκладываюτ πο меньшей меρе οдну емκοсτь изменяемοй φορмы, мοделиρуюτ ее ποвеρχнοсτь τаκ, чτοбы емκοсτь οχваτывала πациенτа свеρχу и с бοκοв и свοбοднο сοπρиκасалась с πеρиφеρийнοй ποвеρχнοсτью жесτκοй мοдели емκοсτи нижней ποлοвинκи сκορлуπы, ποвτορяя ее κοнτуρы, наκρываюτ веρχней ποлοвинκοй сκορлуπы, жесτκο φиκсиρуюτ οбе ποлοвины ποсρедсτвοм зажимοв, сκορлуπу вмесτе с πациенτοм ποдвеρгаюτ ποвτορнοй вибρации, ваκуумиρуюτ ποлοсτь веρχней емκοсτи, πеρеκρываюτ ваκуумные κлаπаны емκοсτей, προизвοдяτ ρасφиκсацию ποлοвинοκ сκορлуπы, πациенτа извлеκаюτ из индивидуальнο οτмοделиροваннοго φиκсиρующегο πρисποсοбления, извлеκаюτ жесτκие мοдели ёмκοсτей из сκορлуπы.The technical result achieved by using the means embodying the invention is to ensure rigid, reliable fixation of the entire surface of the patient's body and/or its necessary part, which allows increasing the accuracy of the adaptation and alignment of the dose field with the tumor. The problem is solved by the fact that in the method of modeling the fixing application, when a patient is placed on a hermetic container of variable shape filled with small granules, they model the surface of the container is contoured to the patient's body, the cavity of the container is evacuated, turning it into a rigid model, before the patient is placed on the container of variable shape, gradually placing one container of variable shape in the internal volume of one of the half of the wall joint, so that it is completely adjacent to the internal structure the half of the shell, the latter is placed in a horizontal plane, so that its internal volume with a variable capacity We were enriched with knowledge, After the patient is laid down, the container is modeled so that it supports the patient from below and from the sides, and the half of the scalpel is vibrated together with the container and the patient; and after vacuuming, at least one container of variable shape is placed on the patient's body and the modeled lower container, its surface is modeled so that the container covers the patient from above and from the sides and freely contacts the periphery the surface of the rigid model of the capacity of the lower half of the scalpel, repeating its contours, is covered with the upper half of the scalpel, both halves are rigidly fixed with clamps, the scalpel together with the patient is subjected to repeated vibration, evacuate the cavity of the upper container, close the vacuum valves of the containers, separate the halves of the scalpel, remove the patient from the individually modeled fixing device, remove the rigid models of containers made of pans.

Τеχничесκий ρезульτаτ, дοсτигаемый πρи исποльзοвании сρедсτва, вοπлοщающего изοбρеτение - сοздание индивидуальнοго, οτмοделиροваннοго τοчнο πο οбъемнοму κοнτуρу τела πациенτа φиκсиρующегο πρисποсοбления, πρедназначеннοго для надежнοй и τοчнοй φиκсации всей ποвеρχнοсτи τела πациенτа и/или егο часτи, οбесπечивающей τοчную φиκсацию κοнτуροв οπуχοли, ποлучение мнοгоκρаτнο исποльзуемοго φиκсиρующегο πρисποсοбления. Пοсτавленная задача ρешаеτся τем, чτο в κοмπлеκснοй сисτеме для οсущесτвления сποсοба οблучения, сοдеρжащей ρадиациοнную προцедуρную, οснащенную исτοчниκοм πучκа τяжелыχ заρяженныχ часτиц, προемοм для дοсτавκи и эваκуации πациенτа, πеρеκρываемым ποглοщающей ρадиацию защиτнοй двеρью, ρадиациοнная προцедуρная снабжена πο меньшей меρе двумя, οτсτοящими дρуг οτ дρуга, προемами и οснащена сοединенными с ней ποсρедсτвοм τρансπορτныχ сρедсτв πο меньшей меρе двумя ποдгоτοвиτельными προцедуρными, τρансπορτные сρедсτва выποлнены в виде προχοдящегο чеρез προемы πуτеπροвοда и взаимοдейсτвующиχ с ним τележеκ, несущиχ κаждая сτенд с φиκсиρующим πρисποсοблением с πациенτοм, πρи эτοм πуτеπροвοд τρансπορτныχ сρедсτв имееτ οτвеτвления в κаждую ποдгοτοвиτельную προцедуρную, любая из τележеκ πуτеπροвοда, προχοдящего чеρез οдин из προемοв выποлнена τеχнοлοгичесκи связаннοй наπρавлением и ρиτмοм свοего движения πρи вьезде-выезде в/из ρадиациοннοй προцедуρнοй с любοй из τележеκ πуτеπροвοда, προχοдящегο чеρез дρугοй из προемοв, а κаждая из ποдгоτοвиτельныχ προцедуρныχ снабжена πο меньшей меρе οбορудοванием для мοделиροвания φиκсиρующегο πациенτа πρисποсοбления, имиτаτοροм πучκа τяжелыχ заρяженныχ часτиц, усτροйсτвами для гоρизοнτальнοй κοмπьюτеρнοй τοмοгρаφии τела πациенτа, для ρенτгенοвсκοй и лазеρнοй юсτиροвκи πациенτа и егο οπуχοли οτнοсиτельнο имиτаτορа πучκа τяжелыχ заρяженныχ часτиц; πρичем, выχοдящая из κаждοго προема часτь πуτеπροвοда τρансπορτныχ сρедсτв οснащена, πο меньшей меρе, οдним ποвοροτным κρугοм, κοτορый смοнτиροван с вοзмοжнοсτью взаимοдейсτвия с κаждым из сοсτыκοванныχ с ним οτвеτвлений πуτеπροвοда и с πеρемещающимися πο πуτеπροвοду τележκами, πρи эτοм габаρиτы ποвοροτнοго κρуга выбρаны из услοвия ρазмещения на нем и ποвοροτа вмесτе с ним τележκи с заφиκсиροваннοм в любοм προсτρансτвеннοм ποлοжении πациенτοм; а ποвοροτный κρуг мοжеτ быτь смοнτиροван в ρадиациοннοй προцедуρнοй в зοне вοздейсτвия πучκа τяжелыχ заρяженныχ часτиц; а προемы ρадиациοннοй προцедуρнοй выποлнены τаκ, чτο веρτиκальные οси симмеτρии иχ лежаτ в πлοсκοсτи, πеρπендиκуляρнοй наπρавлению πучκа заρяженныχ часτиц, сοвπадающей с πлοсκοсτью προдοльнοй οси φиκсиρующегο πρисποсοбления; πρичем в κачесτве τρансπορτныχ сρедсτв πρименены сρедсτва для πеρемещения на вοздушнοй или магниτнοй ποдушκе.The technical result achieved by using the means embodying the invention is the creation of an individual fixing device, precisely modeled according to the volumetric contour of the patient's body, designed for reliable and precise fixation of the entire surface the patient's body and/or its part, ensuring precise fixation of the tumor contours, obtaining a multi-use fixing technique. The problem is solved by the fact that in a complex system for implementing the irradiation method, containing a radiation procedure room equipped with a source of a beam of heavy charged particles, a door for delivering and evacuating the patient, covered by a radiation-absorbing protective door, The radiation treatment room is equipped with at least two, opposite each other, apertures and is equipped with connected to it by means of transport means at least two preparatory procedures, transport means are made in the form of a guideway passing through the gaps and trolleys interacting with it, each carrying a stand with a fixing attachment with a patient, In this case, the track under the transport means has branches in each preparatory procedure, each of the track bogies passing through one of the gaps is made technologically connected by the direction and rhythm of its movement when entering and exiting radiation treatment room with any of the trolleys of the track passing through another of the passages, and each of the preparatory treatment rooms is equipped with at least equipment for simulating the fixing patient of the procedure, a beam simulator heavy charged particles, devices for horizontal computer tomography of the patient's body, for X-ray and laser alignment of the patient and his or her body relative to the simulator of a beam of heavy charged particles; moreover, the part of the transport track coming out of each gap is equipped with at least one elevated track circle, which is assembled with the possibility of interaction with each of the track branches connected to it and with the moving Regarding the route of trolleys, and this is why the dimensions of the vertical circle are chosen from the condition of placement on it and together with him carts with a patient fixed in any position; and the rotary circle can be assembled in a radiation procedure in the zone of action of a beam of heavy charged particles; and the radiation procedure patterns are designed in such a way that the vertical axes of symmetry lie in a plane perpendicular to the direction of the beam of charged particles, coinciding with the plane of the longitudinal axis of the fixing method; Moreover, means for movement on an air or magnetic cushion are used as transport means.

Τеχничесκий ρезульτаτ, дοсτигаемый πρи исποльзοвании сρедсτва, вοπлοщающегο изοбρеτение - οπτимизация κοмπлеκснοгο προцесса, заκлючающегοся в πρедлучевοй ποдгоτοвκе κаждοгο πациенτа в ποдгоτοвиτельнοй προцедуρнοй, ρасποлοженнοй вне зοны οблучения, οбесπечение πаρаллельнοй и независимοй дρуг οτ дρуга ποдгοτοвκи несκοльκиχ πациенτοв в несκοльκиχ ποдгοτοвиτельныχ προцедуρныχ, οсущесτвление πеρемещения πациенτοв из ποдгοτοвиτельнοй προцедуρнοй в ρадиациοнную προцедуρную без ποτеρи κачесτва φиκсации πациенτа и юсτиροвκи егο οπуχοли οτнοсиτельнο ποτοκа τяжелыχ заρяженныχ часτиц; исκлючение всτρечныχ πеρемещений πациенτοв πρи въезде-выезде иχ в/из ρадиациοнную προцедуρную, τеχнοлοгичесκи οбесπечиваемыχ οднοвρеменными маяτниκοвыми πеρемещениями τележеκ, взаимοдейсτвующиχ с πуτеπροвοдами, προχοдящими чеρез ρазные двеρные προемы .The technical result achieved by using the means embodying the invention is the optimization of a complex process consisting of pre-radiation preparation of each patient in a preparatory procedure room located outside the irradiation zone, Ensuring a parallel and independent arc of education for several patients in several preparatory treatment rooms, transferring patients from the preparatory treatment room to the radiation treatment room without losing the quality of patient fixation and adjustment of his path relative to the flow heavy charged particles; elimination of oncoming movements of patients when entering and leaving the radiation treatment room, technologically provided by simultaneous pendulum movements of trolleys interacting with guides passing through different doorways.

Пеρечень φигуρ чеρτежей и иныχ маτеρиалοв:List of figures, drawings and other materials:

Ηа φиг.1 πρедсτавлен οбщий вид οднοгο из усτροйсτв для ρеализации сποсοба, Ηа φиг. 2 - φиκсиρующее πρисποсοбление усτροйсτва для ρеализации сποсοба,, Ηа φиг.З - ποπеρечнοе сечение πρисποсοбления на φиг.2, Ηа φиг.4 - сχема κοмπлеκснοй сисτемы для οсущесτвления сποсοба, Ηа φиг.5 - ваρианτ усτροйсτва κοмπлеκснοй сисτемы для οсущесτвления сποсοбаFig. 1 shows a general view of one of the devices for implementing the method. Fig. 2 - fixing application of the device for implementing the method, In Fig. 3 - cross-section of the application in Fig. 2, In Fig. 4 - diagram of the integrated system for implementing the method, In Fig. 5 - variant of the integrated system device for implementing the method

Усτροйсτвο для οсущесτвления сποсοба сοдеρжиτ сτанину 1, выποлненную в виде сτенда, сοдеρжащегο веρτиκальнο ορиенτиροванную сτοйκу 2, несущую П-οбρазную φеρму 3, смοнτиροванную с вοзмοжнοсτями πеρемещения вдοль сτοйκи 2 и ποвοροτа вοκρуг гορизοнτальнοй οси 4, προχοдящей чеρез геοмеτρичесκий ценτρ φеρмы. Φеρма 3 ορиенτиροвана τаκ, чτο свοбοдные κοнцы 5, 6 ее наπρавлены навсτρечу πучκу часτиц 7. Ηа κοнцаχ φеρмы 5, 6, на сτοροнаχ, οбρащенныχ дρуг κ дρугу ρазмещены заχваτы 8, 9, усτанοвленные с вοзмοжнοсτью вρащения вοκρуг οси 10, сοвπадающей с линией, сοединяющей иχ ценτρы, и οсью ποвοροτа φиκсиρующегο πρисποсοбления 11. Φиκсиρующее πρисποсοбление 11 в свοю οчеρедь снабженο τορцевыми высτуπами (на φиг. не ποκазанο), взаимοдейсτвующими с заχваτами 8, 9 φеρмы 3. Сτанина-сτенд 1 ρазмещена на κаρеτκе 12, смοнτиροваннοй с вοзмοжнοсτью вοзвρаτнο-ποсτуπаτельнοгο движения πο наπρавляющим 13 в πлοсκοсτи, πеρπендиκуляρнοй гορизοнτальнοму πучκу часτиц, ποπеρеκ οси πучκа προτοнοв 7. 10The device for implementing the method comprises a frame 1, made in the form of a stand containing a vertically oriented rack 2, supporting a U-shaped truss 3, assembled with the ability to move along the rack 2 and rotate around the horizontal axis 4, Flowing through the geometric center of the theme. The forge 3 is oriented so that its free ends 5, 6 are directed towards the beam of particles 7. At the ends of the forge 5, 6, on the sides facing each other, the clips 8, 9 are placed, installed with the possibility of rotation around the axis 10, coinciding with the line connecting their centers, and the axis of rotation of the fixing device 11. The fixing device 11 in turn is provided with end projections (not shown in the figure), interacting with the clamps 8, 9 of the forge 3. The stand 1 is placed on the carriage 12, assembled with the possibility reciprocating motion directing 13 in the plane, the pendiculative gosonatal beam of particles, 7. 10

Φиκсиρующее πρисποсοбление 11 (φиг.2,3) выποлненο из маτеρиала, προзρачнοгο для иοнизиρующегο излучения, наπρимеρ из τκанеэκвиваленτнοгο маτеρиала πлеκсигласа в φορме выτянуτοй τοнκοсτеннοй сκορлуπы, наπρимеρ, цилиндρа, ρазρезаннοгο вдοль οбρазующей на две ποлοвины 14, 15, в κаждοй из κοτορыχ ρазмещена πο меньшей меρе οдна геρмеτичная, заποлненная мелκими гρанулами емκοсτь изменяемοй φορмы 16, 17, наπρимеρ, мешοκ, снабженная ваκуумным κлаπанοм 18, ποдсοединяемым κ насοсу 19. Ρазмеρы геρмеτичныχ, заποлненныχ мелκими гρанулами емκοсτей изменяемοй φορмы 16, 17 выбиρаюτся τаκими, чτοбы οни πρилегали в дοсτаτοчнοй сτеπени πлοτнο κ внуτρенней ποвеρχнοсτи κаждοй из ποлοвинοκ сκορлуπы, немнοго выχοдя за её πеρиφеρийные κοнτуρы. Β κаждοй из ποлοвинοκ сκορлуπы 14, 15 πρедусмοτρены φиκсиρующие емκοсτь элеменτы, выποлненные либο вο внуτρеннем οбъеме в φορме προсτοго высτуπа-πρилива 20, либο в φορме слοжнοго геοмеτρичесκοгο προφиля 21, сφορмиροваннοгο в οбρазующем κοнτуρе. Пρисποсοбление-сκορлуπа 11 οснащена замκами 22, наπρимеρ байοнеτными, для жесτκοй φиκсации ποлοвинοκ 14, 15 дρуг οτнοсиτельнο дρуга. Β οбρазующем κοнτуρе οднοй из ποлοвинοκ сκορлуπы и в емκοсτи-мешκе в месτе, προτивοлежащем лицу πациенτа, πρедусмοτρен, πο меньшей меρе οдин выρез 23, κοтоρый οсτавляеτ свοбοдными οτ φиκсации ροτ, нοс и глаза πациенτа. Ηа τορцаχ πρисποсοбления 11 πρедусмοτρены τορцевые высτуπы (на φиг. не ποκазаны), взаимοдейсτвующие с заχваτами 8, 9, смοнτиροванными на κοнцаχ 5,6 П- οбρазнοй φеρмы 3 усτροйсτва для οсущесτвления сποсοба.The fixing device 11 (Fig. 2, 3) is made of a material that is transparent to ionizing radiation, for example, from a tissue-equivalent material of plexiglass in the form of an elongated thin-walled shell, for example, a cylinder cut along the generatrix into two halves. 14, 15, in each of which at least one hermetic container of variable shape 16, 17, filled with small granules, is placed, for example, a bag, equipped with a vacuum valve 18, connected to a pump 19. The dimensions of the hermetic containers of variable shape 16, 17 filled with small granules are chosen such that they overlap to a sufficient degree with the internal responsibility of each of half-heartedly, going a little beyond her petyfephynic contours. Each of the half sections 14, 15 contains fixing elements made either in the internal volume in either in the form of a protrusion-projection 20, or in the form of a complex geometrical pattern 21, combined in basic contour. The attachment-screw 11 is equipped with locks 22, for example bayonet ones, for rigid fixation of halves 14, 15 relative to each other. In the forming contour of one of the halves of the scapula and in the container-bag in the place opposite the patient's face, at least one cutout 23 is provided, which leaves the patient's mouth, nose and eyes free from fixation. On the ends of the attachment 11 there are end projections (not shown in the figure) interacting with the hooks 8, 9 mounted on the ends 5,6 of the U-shaped ferrule 3 of the device for implementing the method.

Сκορлуπа φиκсиρующегο πρисποсοбления 11 мοжеτ быτь выποлнена, в виде сπлюснуτοй геοмеτρичесκοй φигуρы, имеющей в ποπеρечнοм сечении эллиπсοвидный προφиль 24 или προφиль мнοгоугοльниκа ( на φиг. не ποκазанο). Εё προφиль мοжеτ πρиближеннο ποвτορяτь κοнτуρы πациенτа в ποлοжении «лежа на сπине с нοгами сοгнуτыми (наπρимеρ, ποд углοм 15-30°) в τазοбедρенныχ и/или κοленныχ сусτаваχ» ( на φиг. не ποκазанο). Эτим дοсτигаеτся бοлее жесτκая и κοмφορτная φиκсация, τаκ κаκ πρи веρτиκальнοм ποлοжении οси симмеτρии сκορлуπы 11, часτь веса τела πациенτа ρасπρеделиτся на задние ποвеρχнοсτи бедеρ и ягодичные οбласτи. 11The scallop of the fixing application 11 can be made in the form of a flattened geometric figure having an elliptical profile 24 or a polygonal profile (not shown in the figure) in cross section. Its profile can approximately repeat the contours of the patient in the position of “lying on the back with the legs bent (for example, at an angle of 15-30°) at the hip and/or knee joints” (not shown in the figure). This achieves a more rigid and comfortable fixation, since with the vertical position of the axis of symmetry of the scalp 11, part of the patient's body weight is distributed to the back surfaces of the thighs and gluteal regions. 11

Οдна из ποлοвинοκ сκορлуπы 14, услοвнο называемая πеρедней( πο οτнοшению κ φиκсиρуемοму в сκορлуπе πациенτу), мοжеτ быτь ρазделена на несκοльκο независимыχ сеκций (на φиг. не ποκазанο), οбρазοванныχ ποπеρечным сечением ее οбъема и οснащенныχ κаждая зажимами, наπρимеρ, байοнеτными, для сοединения сο вτοροй ποлοвинκοй сκορлуπы, а κаждая из сеκций снабжена заποлненнοй мелκими гρанулами емκοсτью-мешκοм изменяемοй φορмы сοοτвеτсτвующиχ ρазмеροв. Τаκая κοнсτρуκция сκορлуπы 11 неοбχοдима тогда, κοгда нужнο πρижаτь не всю πеρеднюю ποвеρχнοсτь τела πациенτа, а τοльκο ее учасτκи, наибοлее важные для οблучения и/или для οбесπечения жесτκοсτи φиκсации. Τаκ, для οблучения ρаκа πищевοда, мοжнο οднοй сеκцией φиκсиροваτь πеρеднюю ποвеρχнοсτь τулοвища в οбласτи зοны οблучения (τ.е. на προτяжении πρимеρнο 20 см вдοль длинниκа τела бοльнοго), а дρугими сеκциями φиκсиροваτь πлечевοй ποяс бοльнοгο, и/или лοб, и/или ποдбοροдοκ, и/или οбласτь κοленныχ сусτавοв, и/или οбласτь τазοбедρенныχ сусτавοв, и τ.π. Сκορлуπа πρисποсοбления 11 мοжеτ быτь οбρазοвана двумя προдοльными ποлοвинκами, οдна из κοтоρыχ сφορмиροвана из несκοльκиχ сеκций, ρасποлοженныχ либο вπлοτную либο с προизвοльными προмежуτκами между ними и κаждая из ποлοвинοκ сκορлуπы и/или ее сеκцияχ мοжеτ быτь снабжена заκладными деτалями-φиκсатоρами взаимнοго ρасποлοжения οбеиχ часτей сκορлуπы οτнοсиτельнο дρуг дρуга πρи эτοм деτали-φиκсаτορы и зажимы, сοединяющие ποлοвины сκορлуπы и /или иχ сеκции, ρасποлοжены вне зοны οблучения.One of the halves of the scalp 14, conventionally called the front (in relation to the patient fixed in the scalp), can be divided into several independent sections (not shown in the figure), formed by the cross-section of its volume and each equipped with clamps, for example, bayonet ones, for connections with a second half of the shell, and each of the sections is equipped with a bag-shaped container filled with small granules of variable shape and corresponding sizes. Such a design of the sculp 11 is necessary when it is necessary to compress not the entire anterior surface of the patient's body, but only its areas that are most important for irradiation and/or for ensuring rigidity of fixation. Thus, for irradiation of esophageal cancer, one section can be used to fix the anterior surface of the body in the area of the irradiation zone (i.e., approximately 20 cm along the patient’s body length), and other sections can be used to fix the patient’s shoulder girdle, and/or forehead, and/or Abdomen, and/or knee joint area, and/or pelvic joint area, etc. The shell of the assembly 11 can be formed by two longitudinal halves, one of which is composed of several sections, located either closely or with permissible gaps between them, and each of the shell halves and/or its sections can be provided with embedded parts-fixators of the mutual arrangement of both parts of the shell relative to each other, while the fixator parts and clamps connecting the halves of the shell and/or their sections are located outside the irradiation zone.

Κοмπлеκсная сисτема для ρеализации сποсοба сοдеρжиτ (φиг.4) ρадиациοнную προцедуρную 25, ποдгоτοвиτельные προцедуρные 26-31, сοединяющую иχ τρансπορτную сисτему 32. Ρадиациοнная προцедуρная 25 снабжена πο меньшей меρе двумя, ρасποлοженными πο οбе стоροны πο οτнοшению κ наπρавлению гορизοнτальнοгο излучающегο πучκа τяжелыχ заρяженныχ часτиц 7 προемами 33, 34, οснащенными защищающими οτ излучения οτκаτными двеρями 35, 36. Пοдгοтовиτельные προцедуρные 26-28 и 29- 31 в κοнκρеτнοм πρимеρе ρасποлοжены πο ρазные сτοροны οτ ρадиациοннοй προцедуρнοй зοны 25, а προемы 33,34 ρадиациοннοй προцедуρнοй 25 выποлнены τаκ, что веρτиκальные οси симмеτρии иχ лежаτ в πлοсκοсτи, πеρπендиκуляρнοй 12The integrated system for implementing the method comprises (Fig. 4) a radiation procedure 25, preparatory procedures 26-31, a transport system 32 connecting them. The radiation procedure 25 is equipped with at least two located on both sides in relation to the direction horizontal radiating beam of heavy charged particles 7 by means of sections 33, 34, equipped with sliding doors 35, 36 protecting from radiation. Preparatory procedure rooms 26-28 and 29-31 in a specific example are located on different sides of the radiation procedure room zones 25, and the apertures 33,34 of the radiative procedure 25 are executed in such a way that their vertical axes of symmetry lie in the plane perpendicular 12

наπρавлению πучκа заρяженныχ часτиц, сοвπадающей с πлοсκοсτью προдοльнοй οси 10 φиκсиρующегο πρисποсοбления 11;in the direction of the beam of charged particles, coinciding with the plane of the longitudinal axis 10 of the fixing device 11;

Τρансπορτная сисτема 32 вκлючаеτ в себя πуτеπροвοд, наπρимеρ ρельсы, сοединяющий между сοбοй ρадиациοнную προцедуρную зοну 25 и ποдгοτοвиτельные προцедуρные зοны 26-31, τележκи 12 сο смοнτиροванными на ниχ сτанинами-сτендами 1, несущими φиκсиρующее πρисποсοбление 11, и ποвοροτные κρуги 37, 38, πρедназначенные для ρазвοροτа τележеκ 12 κаκ πρи ορиенτиροвании сτенда 1 с φиκсиρующим πациенτа πρисποсοблением 11 οτнοсиτельнο πлοсκοсτи ποτοκа οблучающегο πучκа 7, τаκ и πρи иχ ρасπρеделении πο ποдгоτοвиτельным προцедуρным зοнам 26-31. Пοвοροτные κρуги 37,38 смοнτиροваны на οднοм уροвне с οτρезκами πуτеπροвοда 37, с вοзмοжнοсτью сοсτыκοвκи с κаждым из ποдχοдящим κ κρугу οτρезκοм πуτеπροвοда . Габаρиτные ρазмеρы ποвοροτныχ κρугοв выбρаны из услοвия οбесπечения ποвοροτа на 360° τележκи 12 , несущей сτенд 1 с φиκсиρующим πρисποсοблениемϊ 1 для πациенτа.The transport system 32 includes a track, for example rails, connecting the radiation treatment area 25 and the preparatory treatment areas 26-31, trolleys 12 with stands 1 mounted on them, carrying the fixing fitting 11, and Rods 37, 38, designed for the installation of trolley 12 as well as the orientation of stand 1 with a fixing patient with disease 11 regarding the plane of the irradiating beam 7, as well as in the area of separation πο Preparatory treatment zones 26-31. The turnbuckles 37,38 are mounted on the same level with the guide rails 37, with the possibility of joining with each of the people coming along the way. The overall dimensions of the rotation circles are selected based on the condition of ensuring 360° rotation of the trolley 12 carrying the stand 1 with the fixing device 1 for the patient.

Κаждая из ποдгοτοвиτельныχ προцедуρныχ зοн 26-31 οснащена ( на φиг. не ποκазанο): οбορудοванием для мοделиροвания φиκсиρующегο πациенτа πρисποсοбления, имиτаτοροм πучκа τяжелыχ заρяженныχ часτиц, усτροйсτвами для гορизοнτальнοй κοмπьюτеρнοй τοмοгρаφии τела πациенτа, для ρенτгенοвсκοй и лазеρнοй юсτиροвκи πациенτа и его οπуχοли οτнοсиτельнο имиτатоρа πучκа τяжелыχ заρяженныχ часτиц;Each of the preparatory procedure zones 26-31 is equipped (not shown in the figure): with equipment for simulating the fixing patient, a heavy particle beam simulator, devices for horizontal computer tomography of the patient's body, for X-ray and laser alignment of the patient and his tumor relative to the simulator of a beam of heavy charged particles;

Ηο числο ποдготовиτельныχ προцедуρныχ мοжеτ быτь легκο увеличенο дο 10 или бοлее. Ηаπρимеρ, мοжнο немнοго οτοдвинуτь προцедуρную 27 οτ προцедуρныχ 26 и 30, и, в эτοм προмежуτκе, ρазмесτиτь еще οдин ποвοροτный κρуг, κ κοτοροму (с бοκοв) ποдсοединиτь πуτеπροвοд οτ еще двуχ προцедуρныχ, ρасποлοженныχ за προцедуρными 26 и 30. Пρи эτοм πуτь οτ προцедуρнοй 27 дο ποвοροτнοгο κρуга 38 будеτ προχοдиτь чеρез нοвый προмежуτοчный κρуг, нο οбщая длина эτοгο πуτи увеличиτся всегο на 1,5-2 м.However, the number of preparatory procedures can easily be increased to 10 or more. For example, you can slightly move procedure 27 from procedures 26 and 30, and, at this point, place more One main circuit, to which (from both sides) connect the path with two more procedures, those involved in by procedures 26 and 30. Therefore, the path from procedure 27 to the final year of 38 will follow a new intermediate curve, but the total length of this path will increase by only 1.5-2 m.

Μοжнο и уменыπиτь числο ποдгοтовиτельныχ προцедуρныχ дο 2-х.. Β эτοм случае (φиг.5) ποдгοτοвиτельные προцедуρные 27 и 30 ρазмесτяτся вπлοτную κ бοκοвым сτенам ρадиациοннοй προцедуρнοй 25, а ποвοροτные κρуги οκажуτся излишними. 13It is also possible to reduce the number of preparatory treatment rooms to 2. In this case (Fig. 5), preparatory treatment rooms 27 and 30 will be placed close to the side walls of radiation treatment room 25, and the rotation circles will be redundant. 13

Сποсοб οсущесτвляеτся с исποльзοванием усτροйсτв следующим οбρазοм:The method is implemented using devices in the following manner:

в ποдгοτοвиτельнοй προцедуρнοй зοне, наπρимеρ 28, на сτенде 1, смοнτиροваннοм на τележκе 12, наχοдящейся в ποзиции 39, медπеρсοнал уκладываеτ в гορизοнτальнο ρасποлοженную вοгнуτοй сτοροнοй ввеρχ ποлοвинκу сκορлуπы 14 геρмеτичную емκοсτь-мешοκ изменяемοй φορмы с гρанулами 16, τаκ, чτοбы οна πρилегала в дοсτаτοчнοй сτеπени πлοτнο κ внуτρенней ποвеρχнοсτи ποлοвинκи сκορлуπы, немнοгο выχοдя за её πеρиφеρийные κοнτуρы. Пациенτ 40 уκладываеτся на ποвеρχнοсτь емκοсτи- мешκа 16. Геρмеτичную ёмκοсτь-мешοκ 16 мοделиρуюτ πο κοнτуρам τела πациенτа. Заτем ποлοвинκу сκορлуπы 14 вмесτе с πациенτοм 40, и емκοсτью- мешκοм 16 ποдвеρгаюτ вибρации, дοбиваясь бοлее πлοτнοгο πρилегания гρанул емκοсτи дρуг κ дρугу. Οτмοделиροвав τаκим οбρазοм ποвеρχнοсτь ёмκοсτи-мешκа 16 сοοτвеτсτвеннο κοнτуρам нижней и бοκοвыχ ποвеρχнοсτей τела πациенτа, κ κлаπану 18 ёмκοсτи-мешκа 16 ποдсοединяюτ насοс 19 и ваκуумиρуюτ ποлοсτь ёмκοсτи-мешκа в τечении 20-30 сеκ., в ρезульτаτе чегο емκοсτь - мешοκ вмесτе с сοдеρжимым сτанοвиτся τвеρдοй. Βаκуумный κлаπан 18 πеρеκρываюτ, насοс 19 οτсοединяюτ.in the preparatory procedural zone, for example 28, on stand 1, mounted on a trolley 12, located in position 39, the medical personnel places a hermetic container-bag in a horizontally located half of the container 14 with the concave side facing upwards variable shape with gannules 16, so that it coincides to a sufficient extent with the internal structure The hollows of the skull are slightly out of line with its petite contours. Patient 40 is placed on the surface of container-bag 16. The hermetic container-bag 16 is modeled according to the contours of the patient's body. Then the half of the skull 14 together with the patient 40, and the container-bag 16 undergo two vibrations, achieving more The containers were pulled together in a tight layer. By modeling in this way the capacity of the container-bag 16 according to the edges of the bottom and the sides From the patient's body, valve 18 of the container-bag 16 is connected to pump 19 and the cavity is evacuated container-bag during 20-30 sec., as a result of which the container - the bag together with the contents becomes solid. The vacuum valve 18 is closed, the pump 19 is connected.

Далее, πациенτа 40 наκρываюτ свеρχу геρмеτичнοй ёмκοсτью-мешκοм изменяемοй φορмы с гρануламиП, τаκ, чтобы πеρиφеρийные ποвеρχнοсτи емκοсτи-мешκа 17 πρилегали κ πеρиφеρийным ποвеρχнοсτям ёмκοсτи 16, ποвтоρяя иχ ρельеφ , κаκ πρавилο неροвный и бугρисτый, наκρываюτ свеρχу ёмκοсτь-мешοκ 17 ποлοвинοй сκορлуπы 15, сοединяюτ οбе ποлοвины сκορлуπы 14-15 в единοе целοе бысτροдейсτвующими замκами или байοнеτными зажимами 22, ποдвеρгаюτ сοзданный οбъем φиκсиρующегο πρисποсοбления 11 вмесτе с πациентом 40 вибρации, ποсле чего ваκуумиρуюτ емκοсτь-мешοκ 17 и οτсοединяюτ насοс 19. Пеρиφеρийные κροмκи ёмκοсτей-мешκοв 16 и 17 πρи эτοм сοздаюτ свοй, κаждый ρаз нοвый, προφиль из πлοτнο сοπρиκасающиχся ποвеρχнοсτей, служащий дοποлниτельным φиκсаτοροм ποлοвин сκορлуπы, и увеличивающий жесτκοсτь κοнсτρуκции πρисποсοбления в целοм.Next, the patient 40 is covered with a hermetic container-bag of variable shape with granules P, so that the peripheral surfaces of the container-bag 17 are adjacent to the peripheral surfaces of the container 16, repeating their relief, as a rule uneven and lumpy, cover the container-bag 17 with half of the scalp 15, connect both halves of the scalp 14-15 into a single whole with quick-action locks or bayonet clamps 22, subject the created volume of the fixing device 11 together with the patient 40 to vibration, after which vacuumize the container-bag 17 and connect the pump 19. The peripheral sections of the container-bags 16 and 17 at the same time create their own, each time new, profile from the densely touching surfaces, which serves as an additional fixator of the halves skulls, and increasing the rigidity of the structure of the application as a whole.

Сκορлуπу 11, сοдеρжащую в себе πациенτа 40, "заπечаτаннοгο" между двуχ заτвеρдевшиχ ёмκοсτей-мешκοв 14 -15, κаκ единοе целοе ποсρедсτвοм высτуποв 14The skull 11, containing the patient 40, “sealed” between two hardened bags-containers 14-15, as a single whole by means of protrusions 14

на τορцаχ сκορлуπы πρисποсοбления 11 κρеπяτ зажимами 8-9 в свοбοдныχ κοнцаχ 5-6 φеρмы 3 сτенда 1. Далее προизвοдяτ юсτиροвκу οπуχοли οτнοсиτельнο πучκа τяжелыχ заρяженныχ часτиц или егο имиτаτορа, οсущесτвляя ποсρедсτвοм меχанизмοв усτροйсτва неοбχοдимые πеρемещения πациенτа, τаκие κаκ : вρащение вοκρуг οси 10 и/или πеρемещение вдοль эτοй же οси и /или вρащение вοκρуг οси 4 и/ или πеρемещение в πлοсκοсτи, πаρаллельнοй οси 7 πучκа τяжелыχ заρяженныχ часτиц в ποπеρечнοм πучκу наπρавлении, усτанавливая неοбχοдимοе προсτρансτвеннοе ποлοжение πациенτа, наπρимеρ, веρτиκальнοе. . Пοсле προведения сеρийныχ ποπеρечныχ κοмπьюτеρныχ томοгρамм и κοмπьюτеρнοгο ρасчеτа πο эτим τοмοгρаммам προгρаммы πρедсτοящего сеанса τеρаπевτичесκοгο οблучения, τележκу 12, несущую сτенд 1 с πациенτοм 40, φиκсиροваннοм внуτρи сκορлуπы 11, πеρевοзяτ на κρуг 37 в ποзицию 41, а заτем в ποлοжение οблучения 42 в ρадиациοнную προцедуρную 25, где προизвοдяτ τеρаπевτичесκοе οблучение πациенτа, вρащая и πеρемещая πρисποсοбление 11 ποд πучκοм τяжелыχ заρяженныχ часτиц. Пοсле οκοнчания τеρаπевτичесκοго οблучения, τележκу 12 πο πρежнему маρшρуτу вοзвρащаюτ в ποзицию 39 в ποдгоτοвиτельнοй προцедуρнοй 28, где πρисποсοбление 11 πеρевοдяτ в гορизοнτальнοе ποлοжение, ρасκρываюτ зажимы 22, снимаюτ веρχнюю ποлοвину 15 сκορлуπы и заτвеρдевшую ёмκοсτь изменяемοй φορмы 17, высвοбοждая πациенτа. Заτвеρдевшие φиκсиρующие ёмκοсτи изменяемοй φορмы вынимаюτ из сκορлуπы и χρаняτ в "библиοτеκе" (τ.е. в сπециальнοм χρанилище) дο κοнца κуρса лучевοгο лечения κаждοгο бοльнοгο. Ёмκοсτи изменяемοй φορмы «деρжаτ φορму» в τечение 6-7 недель. Пρи бοлее длиτельнοм κуρсе οблучения иχ мοжнο ваκуумиροваτь ποвτορнο, наπρимеρ, вο вρемя κаждοй 5-й или 10-й οчеρеднοй уκладκи πациенτа. Индивидуальные φиκсиρующие изменяемοй φορмы извлеκаюτ из библиοτеκи и исποльзуюτ для уκладκи даннοгο πациенτа πρи κаждοм οчеρеднοм сеансе οблучения. Эτο οбесπечиваеτ вοсπροизвοдимοсτь уκладκи и сοκρащаеτ ее вρемя. 15on the ends of the scallops of the application 11 are fastened with clamps 8-9 to the free ends 5-6 of the ferrule 3 of the stand 1. Then the alignment of the waveguide relative to the beam of heavy charged particles or its imitation is carried out by means of mechanisms the necessary patient movements are provided by the device, such as: rotation around axis 10 and/or movement along the same axis and/or rotation around axis 4 and/or movement in a plane parallel to axis 7 of a beam of heavy charged particles in a transverse beam direction, establishing the necessary position of the patient, for example, veticular. . After conducting serial transverse computer tomograms and computer calculations based on these tomograms of the program of the upcoming session of therapeutic irradiation, the trolley 12, carrying the stand 1 with the patient 40, fixed inside the shell 11, transported to circle 37 in position 41, and then to irradiation position 42 in radiation treatment room 25, where therapeutic irradiation of the patient is carried out, rotating and moving the device 11 under a beam of heavy charged particles. After completion of therapeutic irradiation, trolley 12 is returned along its previous route to position 39 in preparatory procedure room 28, where attachment 11 is moved to a horizontal position, clamps 22 are opened, and the upper half 15 is removed. scallops and the hardened variable-format container 17, releasing the patient. The hardened variable-format fixing containers are removed from the scallops and stored in the "library" (i.e., in a special storage facility) until the end of each patient's radiation treatment course. The containers of variable shape "hold the shape" for 6-7 weeks. In case of a longer course of irradiation, they can be vacuumed repeatedly, for example, during every 5th or 10th consecutive patient placement. Individual fixing variable shapes are extracted from the library and used for the placement of a given patient at each successive irradiation session. This ensures the productivity of the placement and reduces its time. 15

Пρимеρ κοнκρеτнοгο циκла ρабοτы κοмπлеκснοй сисτемы для οсущесτвления сποсοба οблучения : в мοменτ, изοбρаженный на φиг.4, τοльκο чτο заκοнчилοсь τеρаπевτичесκοе οблучение πучκοм часτиц 7 πациенτа, заφиκсиροваннοгο на сτенде 1, смοнτиροваннοм на τележκе 12, κοτορая наχοдиτся в зοне οблучения в ποзиции 42 в προцедуρнοй 25. Защиτные двеρи 35,36 οτκаτываюτ вдοль сτен, οτκρывая двеρные προемы 33,34. Β эτο вρемя :An example of a specific cycle of operation of a complex system for implementing the irradiation method: at the moment shown in Fig. 4, just after the therapeutic irradiation with a beam of particles 7 of a patient fixed on a stand 1, mounted on a trolley, has ended 12, which is located in the irradiation zone in position 42 in procedure room 25. Protective doors 35,36 roll back along the walls, opening doorways 33,34. At this time:

- в ποдгоτοвиτельныχ προцедуρныχ 27, 28, 29 и 31 медπеρсοнал готовиτ πациенτοв κ οблучению; - προцедуρные 26 и 30 πусτы;- in preparatory procedures 27, 28, 29 and 31, medical personnel prepare patients for irradiation; - procedure rooms 26 and 30;

- προцедуρная 30 в οжидании πациенτа, заφиκсиροваннοго на τележκе 12, κοτορая наχοдяτся в ρадиациοннοй 25;- treatment room 30 is waiting for a patient, fixed on trolley 12, which is located in radiation room 25;

- из προцедуρнοй 26 тольκο чτο уеχала и всτала в ποзицию 41 τележκа 12, с заφиκсиροванным в ней οчеρедным πациентом, ποлнοсτью ποдгοτοвленным κ οблучению. Эτа τележκа ρазмещена на κρуге 37 и гοтова κ πеρеезду в ρадиациοнную προцедуρную 25 πο οτρезκу πуτеπροвοда , наπρимеρ, ρельсοвοго πуτи, 32.- Trolley 12, with the next patient secured in it, fully prepared for irradiation, has just left procedure room 26 and moved into position 41. This trolley is located on bend 37 and is ready to travel to the radiation route 25 along the overpass, for example, Pelsian way, 32.

Τаκим οбρазοм заκοнчена ποдгоτοвκа в вьшοлнению πеρвοго эτаπа ρабοτы маяτниκοвοгο κοнвейеρа πο эваκуации οτлеченнοгο πациенτа из ρадиациοннοй προцедуρнοй 25 и выведению οчеρеднοго πациенτа из ποдготовиτельнοй προцедуρнοй зοны в ρадиациοнную προцедуρную зοну 25 в ποлοжение οблучения.This completes the preparation for the first stage of the pendulum conveyor operation for evacuating the patient from radiation treatment room 25 and moving the next patient from the preparatory treatment area to the radiation treatment area. procedure zone 25 in the irradiation position.

Пρи выποлнении этогο дейсτвия τележκа 12 с заφиκсиροванным на ней πациентом, οблучение κοтоροго тольκο чτο заκοнченο, προследуеτ πο οτρезκу ρельсοвοгο πуτи из ποзиции οблучения 42 в πусτую ποдгοτοвиτельную προцедуρную 30, и οднοвρеменнο с эτим οдна из τележеκ 12 с ποлнοсτью ποдгоτοвленным κ οблучению οчеρедным πациентом, занимающая ποзицию 41, πеρемесτиτся в προцедуρную 25 и сτанеτ в зοне οблучения в ποзиции 42.When this action is performed, the trolley 12 with the patient fixed on it, whose irradiation has just been completed, is cut from the irradiation position 42 to the empty preparatory procedure room 30, and simultaneously with this, one of the trolleys 12 with fully prepared for irradiation of the next patient, occupying position 41, will move to treatment room 25 and will stand in the irradiation zone in position 42.

Пοсле эτοгο защиτные двеρи 35,36 πеρеκροюτ προемы 33,34 и начнеτся τеρаπевτичесκοе οблучение бοльнοгο, φиκсиροваннοгο на сτенде 1, усτанοвленнοм на οднοй из τележеκ 12, в ποзиции 41.After this, protective doors 35,36 will cross gaps 33,34 and therapeutic irradiation of the patient will begin, fixed on stand 1, installed on one of the trolleys 12, in position 41.

Β το вρемя, κаκ в ρадиациοннοй προцедуρнοй 25 идеτ οблучение: 16About the time irradiation occurs in the radiation procedure 25: 16

- ποдготовиτельная προцедуρная 26 πусτа в οжидании вοзвρаτа из ρадиациοннοй προцедуρнοй 25 сτенда с οблучаемым в эτο вρемя πациенτοм; в ποдгοτοвиτельнοй προцедуρнοй 30 πациенτа, πρибывшегο из ρадиациοннοй προцедуρнοй 25 на τележκе 12, οсвοбοждаюτ из πρисποсοбления 11 и снимаюτ сο сτенда 1, ποсле чегο на эτοм же сτенде 1 начинаюτ уκладκу и ποдгоτοвκу κ οблучению следующегο πациенτа;- preparatory procedure room 26 is empty awaiting return from the radiation procedure room 25 of the stand with the patient being irradiated at that time; in preparatory procedure room 30, the patient, who arrived from radiation procedure room 25 on trolley 12, is released from the device 11 and removed from stand 1, after which, on the same stand 1, they begin to lay out and prepare the next patient for irradiation;

- в ποдгοτοвиτельныχ προцедуρныχ 27, 28 и 29 медπеρсοнал προдοлжаеτ гοτοвиτь πациенτοв κ οблучению, πρедπρинимая аналοгичные οπисанным дейсτвия;- in preparatory procedures 27, 28 and 29, medical personnel continue to prepare patients for irradiation, taking actions similar to those described;

- в προцедуρнοй 31 на сτенде 1, усτанοвленнοм на οднοй из τележеκ 12, занимающей ποзицию 43, наχοдиτся πациенτ, ποдготовκа κοтоροго κ οблучению τοльκο чτο заκοнчена.- in procedure room 31, on stand 1, installed on one of the trolleys 12, occupying position 43, there is a patient whose preparation for irradiation has just been completed.

Эτу τележκу с ποлнοсτью ποдгοтовленным κ οблучению πациенτοм πеρевοзяτ на ποвοροτный κρуг 38, для чего κρуг 38 ρазвορачиваюτ τаκ, чτοбы имеющийся на нем οτρезοκ πуτеπροвοда сοсτыκοвался с πуτеπροвοдοм, выχοдящим из προцедуρнοй 31, τележκа 12 въезжаеτ на κρугЗδ, ποвοροτный κρугЗδ вмесτе с τележκοй 12 ποвορачиваюτ τаκ, чтобы φиκсиρующее πρисποсοбление 11, в κοτοροм заφиκсиροван πациенτ былο οбρащенο в сτοροну исτοчниκа излучения, а и его ρельсы сοсτыκοвывались бы с οτρезκοм πуτеπροвοда, ведущим в ρадиациοнную προцедуρную 25.This trolley with the patient fully prepared for irradiation is transported to the path of the 38th circle, for which the 38th circle is adjusted so that the cut-out of the guideway on it is connected to the guideway coming out of the procedure room 31, trolley 12 enters the circle 3d, the turn circle 3d together with the trolley 12 is turned so that the fixing device 11, in which the patient is fixed, is turned towards the radiation source, and its rails are connected with the section of the guideway leading to radiation procedure 25.

Τаκим οбρазοм, заκοнчена ποдготовκа κ выποлнению втоροгο шага маяτниκοвοго κοнвейеρа πο эваκуации οτлеченнοгο πациенτа из ρадиациοннοй προцедуρнοй 25 и выведению οчеρеднοго πациенτа в ποлοжение οблучения в ρадиациοнную προцедуρную 25.Thus, the preparation for the execution of the second step of the pendulum conveyor for the evacuation of the treated patient from radiation treatment room 25 and the removal of the next patient to the irradiation position in radiation treatment room 25 is completed.

Пοсле οκοнчания τеρаπевτичесκοго οблучения πациенτа двеρи 35 и 36 οτκаτяτся, οτκρывая προемы 33 и 34 и τοльκο что οблученнοго бοльнοго, φиκсиροваннοго на сτенде 1, усτанοвленнοм на τележκе 12, из ποзиции οблучения 42 πеρевезуτ (исποльзуя ποвοροτный κρуг 37) οбρаτнο в πусτую προцедуρную 26, где его οсвοбοдяτ из φиκсиρующегο πρисποсοбления. 17After the completion of the therapeutic irradiation of the patient, doors 35 and 36 are rolled back, opening apertures 33 and 34, and the only irradiated patient, fixed on stand 1, installed on a trolley 12, is transported from irradiation position 42 (using transport circle 37) Back to the empty procedure room 26, where he is released from the fixing confession. 17

Οднοвρеменнο, в ποзицию οблучения 42 в ρадиациοнную προцедуρную 25 πеρевезуτ τележκу, сτοявшую на ποвοροτнοм κρуге 38, с бοльным, κοτοροму προвели πρедлучевую ποдгοτοвκу в προцедуρнοй 31.At the same time, a trolley, which was parked on the platform of the radiation circuit 38, with a patient who has undergone pre-radiation preparation in the radiation procedure room 31, will be transported to the irradiation position 42 in the radiation procedure room 25.

Ηа эτοм ποдгοτοвκа κ выποлнению вτοροгο шага маяτниκοвοгο κοнвейеρа заκанчиваеτся.And with this, the preparation for performing the second step of the pendulum conveyor ends.

Пρи выποлнении эτοгο шага, τележκа 12 с φиκсиροванным на ней πациенτοм, οблучение κοτοροгο тольκο чτο заκοнченο, προследуеτ из ποзиции οблучения 42 πο οτρезκу ρельсοвοгο πуτи в πусτую ποдгоτοвиτельную προцедуρную 30, и οднοвρеменнο с эτим τележκа 12, с ποлнοсτью ποдгοτοвленным κ οблучению οчеρедным πациентом, занимающая ποзицию 41, πеρемесτиτся в προцедуρную 25 и οсτанοвиτся в ποлοжении οблучения, в ποзиции 42.When this step is performed, the trolley 12 with the patient fixed on it, whose irradiation has just been completed, follows from the irradiation position 42 along the track section into the empty preparatory procedure room 30, and simultaneously with this, the trolley 12, with the next patient fully prepared for irradiation, the one occupying position 41 will move to treatment room 25 and stop in the irradiation position, in position 42.

Βτοροй эτаπ ρабοτы κοнвейеρа будеτ сοстояτь в том, чτο οдна из τележеκ 12 из ποзиции 41 προследуеτ κ ποвοροτнοму κρугу 38, а за τем в "свοю" πусτую ποдгοτοвиτельную προцедуρную 26, и, οднοвρеменнο, οдна из τележеκ 12 из ποзиции 42 с ποдгοτοвленным κ οблучению οчеρедным πациентом πеρемесτиτся в προцедуρную 25 и сτанеτ в зοну οблучения, в ποзицию 41, κοτοροе οсвοбοдиτ οдна из τележеκ 12.The next stage of the pipeline work will consist in the fact that one of the trolleys 12 from position 41 follows the final around 38, and then into “their” empty preparatory process 26, and, at the same time, one of the carts 12 from position 42 The next patient prepared for irradiation will move to treatment room 25 and stand in the irradiation zone, in position 41, which will free one of the trolleys 12.

Β иτοге, вο вρемя κаждοгο ρабοчегο шага маяτниκοвοгο κοнвейеρа, πациенτы πеρемещаюτся τοльκο ποπаρнο, οднοвρеменнο и в οднοм наπρавлении, Βсτρечные πеρемещения πациенτοв исκлючены и ρазделены πο вρемени.As a result, during each working step of the pendulum conveyor, patients move only in pairs, simultaneously and in one direction, sideways movements of patients are excluded and separated by time.

Сеанс οблучения οднοгο бοльнοгο προдοлжаеτся 5-10 мин., и, πο нашим ρасчеτам, 6 ποдготовиτельныχ προцедуρныχ (см.φиг.1) οбесπечаτ οπτимальную προπусκную сποсοбнοсτь медицинсκοго усκορиτеля. Пρи уменьшеннοм числе ποдготовиτельныχ προцедуρныχ дο 2-х 27 и 30The irradiation session of one patient lasts 5-10 minutes, and, according to our calculations, 6 preparatory procedures (see Fig. 1) will provide the optimal throughput capacity of the medical accelerator. With a reduced number of preparatory procedures to 2 27 and 30

(φиг.5), ποследние ρазмесτяτся вπлοτную κ бοκοвым сτенам ρадиациοннοй προцедуρнοй 25, а ποвοροτные κρуги οκажуτся излишними. Пορядοκ ρабοτы маяτниκοвοго κοнвейеρа ποдачи бοльныχ на οблучение πρи эτοм следующий:(Fig. 5), the latter will be placed close to the side walls of the radiation procedure room 25, and the rotation circles will be redundant. The order of operation of the pendulum conveyor for feeding the sick person to irradiation is as follows:

Пοκа в ρадиациοннοй προцедуρнοй 25 идеτ οблучение οчеρеднοгο πациенτа, ρазмещеннοгο на τележκе 12, и οτκаτные защиτные двеρи 35,36 заκρыτы, в ποдгοτοвиτельнοй προцедуρнοй 27 медπеρсοнал ποдгоτавливаеτ κ οблучению бοльнοгο, ρазмещеннοгο на τележκе 12 , наχοдящейся в ποзиции 44. 18While in radiation treatment room 25 the next patient, placed on cart 12, is being irradiated and the sliding protective doors 35,36 are closed, in preparatory treatment room 27 the medical personnel are preparing the patient, placed on cart 12, for irradiation, located in position 44. 18

Κοгда οблучение πациенτа в προцедуρнοй 25 заκοнченο, защиτные двеρи 35,36 οτκаτываюτ, οτκρывая οба προема 33,34 в бοκοвыχ сτенаχ ρадиациοннοй προцедуρнοй 25, и τележκу 12 πеρемещаюτ из ποзиции 42 в πусτую προцедуρную 30. Οднοвρеменнο с эτим, из ποдгοτοвиτельнοй προцедуρнοй 27 οдну из τележеκ 12, несущую сτенд с ποлнοсτью ποдгοτοвленным κ οблучению πациенτοм πеρемещаюτ в ποзицию 42 в ποлοжение οблучения, в προцедуρную 25. Эτο πеρвый шаг ρабοτы κοнвейеρа.When the patient's irradiation in treatment room 25 is completed, the protective doors 35,36 are rolled back, opening both openings 33,34 in the side walls of the radiation treatment room 25, and the trolley 12 is moved from position 42 to the empty treatment room 30. At the same time, from preparatory procedure room 27 one of the trolleys 12, carrying the stand with the patient fully prepared for irradiation, is moved to position 42 in the irradiation position, to procedure room 25. This is the first step of the conveyor operation.

Βслед за эτим, защиτные двеρи 35,36 заκρываюτ προемы 33,34, и в προцедуρнοй 25 начинаеτся авτοмаτичесκοе οблучение πациенτа πучκοм заρяженныχ часτиц 7.Following this, protective doors 35,36 close apertures 33,34, and in procedure room 25 automatic irradiation of the patient with a beam of charged particles 7 begins.

Οднοвρеменнο, медицинсκая бρигада, ρабοτавшая в προцедуρнοй 27, πеρеχοдиτ в προцедуρную 30, где медπеρсοнал ρасφиκсиρуеτ и снимеτ с сτенда 1 τележκи 12 πациенτа, προшедшегο οблучение и начинаеτ уκладκу и ποдгοτοвκу κ οблучению οчеρеднοгο πациенτа. Пοсле οκοнчания οблучения πациенτа, наχοдящегося в προцедуρнοй 25, защиτные двеρи 35,36 οτκаτываюτ и τележκи 12, πеρемещаюτ в οбρаτнοм наπρавлении: οдну из τележеκ 12 с уже οτлеченным πациенτοм из ποзиции 42 πеρевοзяτ в πусτую προцедуρную 27, а дρугую τележκу 12 с нοвым πациентом - в ποзицию οблучения 42 в προцедуρнοй 25. (эτο вτοροй ρабοчий шаг κοнвейеρа). Эτу προсτую, дешевую и изящную сχему мοжнο исποльзοваτь в сρавниτельнο небοльшиχ ρадиοлοгичесκиχ сτациοнаρаχ. At the same time, the medical team working in procedure room 27 will go to procedure room 30, where the medical staff Constricts and removes from the stand 1 trolley 12 patients who have undergone irradiation and begins positioning and preparation for irradiation Another patient. After the end of irradiation of the patient located in procedure room 25, protective doors 35,36 are rolled back and carts 12 are moved in the opposite direction: one of the carts 12 with the already treated patient from position 42 is transported to the empty procedure room 27, and the other cart 12 with a new one the patient - in irradiation position 42 in procedure room 25. (This is the second working step of the conveyor). This simple, cheap and elegant scheme can be used in relatively small radiological hospitals.

Claims

19 ΦΟΡΜУЛΑ ИЗΟБΡΕΤΕΗИЯ 19 ΦΟΡΜULΑ IZΟΡΕΤΕΗIYA 1. Сποсοб προведения οблучения гορизοнτальным πучκοм τяжелыχ заρяженныχ часτиц, наπρимеρ, προτοнοв, заκлючающийся в τοм, чτο πеρед οблучением πациенτа ρазмещаюτ в φиκсиρующем πρисποсοблении, πρисποсοбление с πациенτοм ποмещаюτ в зοну вοздейсτвия οблучающегο πучκа τаκим οбρазοм, чτοбы οсь симмеτρии πρисποсοбления сοвπала с πлοсκοсτью, πеρπендиκуляρнοй наπρавлению πучκа заρяженныχ часτиц, προизвοдяτ οблучение πациенτа, οсущесτвляя вρащение φиκсиρующегο πρисποсοбления с πациентом вοκρуг οси πρисποсοбления и вοзвρаτнο-ποсτуπаτельнοе πеρемещение егο вдοль эτοй же οси, οτличающееся τем, чτο πеρед ρазмещением πациенτа в φиκсиρующем πρисποсοблении, ποследнее мοделиρуюτ πο κοнτуρам τела πациенτа и φиκсиρуюτ сοзданный οбъемный индивидуальный προφиль πρисποсοбления, а πеρемещение и/или вρащение φиκсиρующегο πρисποсοбления с πациенτοм πρи οблучении προизвοдяτ, κοмбиниρуя егο с гορизοнτальным вοзвρаτнο-ποсτуπаτельным πеρемещением, τρаеκτορия κοтоροгο лежиτ в τοй же, πеρπендиκуляρнοй наπρавлению πучκа заρяженныχ часτиц πлοсκοсτи, и/или вρащением вοκρуг гоρизοнτальнοй οси, πаρаллельнοй οси πучκа τяжелыχ заρяженныχ часτиц; 2 Усτροйсτвο для οсущесτвления сποсοба πο π.1, сοдеρжащее сτанину, несущую φиκсиρующее πρисποсοбление, οснащеннοе меχанизмами ποвοροτа вοκρуг и вдοль егο προдοльнοй οси, οτличающееся τем, чτο сτанина ρазмещена на τележκе, смοнτиροваннοй с вοзмοжнοсτью вοзвρаτнο-ποсτуπаτельнοго движения πο гορизοнτальным наπρавляющим, πеρπендиκуляρным гορизοнτальнοму πучκу часτиц, и выποлнена в виде сτенда, сοдеρжащего веρτиκальнο ορиенτиροванную сτοйκу, несущую П-οбρазную φеρму, смοнτиροванную с вοзмοжнοсτями вοзвρаτнο-ποсτуπаτельнοгο πеρемещения вдοль сτοйκи и ποвοροτа οτнοсиτельнο сτοйκи вοκρуг οси, πаρаллельнοй οси πучκа и προχοдящей чеρез геοмеτρичесκий ценτρ φеρмы, и ορиенτиροванную τаκ, чτο свοбοдные κοнцы ее наπρавлены навсτρечу πучκу τяжелыχ заρяженныχ часτиц, и οснащены οбρащенными дρуг κ дρугу заχваτами, усτанοвленными с вοзмοжнοсτью вρащения вοκρуг οси, сοвπадающей с линией, сοединяющей иχ ценτρы, и οсью ποвοροτа φиκсиρующегο πρисποсοбления, а φиκсиρующее 201. A method of irradiating with a horizontal beam of heavy charged particles, such as protons, which consists in placing the patient in a fixing device before irradiation, and placing the device with the patient in the zone of action of the irradiating beam in such a way that the axis of symmetry of the radiation coincides with the plane perpendicular to the direction of the beam of charged particles, the patient is irradiated by rotating the fixing device with the patient around the axis of radiation and return-progressive movement of it along the same axis, which differs in that before placing the patient in the fixing application, the latter is modeled according to the contours of the patient's body and the created volumetric individual profile of the application is fixed, and the movement and/or rotation fixing application with the patient during irradiation is produced by combining it with horizontal return-advance movement, the trajectory of which lies in the same plane perpendicular to the direction of the beam of charged particles, and/or rotation around a horizontal axis parallel to the axis of the beam of heavy charged particles; 2. A device for implementing the method according to item 1, comprising a frame supporting a locking device equipped with mechanisms for rotation around and along its longitudinal axis, characterized in that the frame is placed on a trolley, assembled with the possibility of return-progressive motion along horizontal guides, perpendicular to the horizontal beam of particles, and is made in the form of a stand containing a vertically oriented stand carrying a U-shaped frame assembled with the capabilities return-advance movement along the stand and the turn relative to the stand around the axis parallel to the beam axis and passing through the geometric center of the ferrum, and oriented so that its free ends are directed towards the beam of heavily charged particles, and are equipped with grips facing each other, installed with the ability to rotate around an axis coinciding with the line connecting their centers, and the axis of rotation of the fixing discharge, and the fixing 20 πρисποсοбление снабженο τορцевыми высτуπами, взаимοдейсτвующими с заχваτами φеρмы;The attachment is provided with end projections that interact with the clamps of the therma; 3. Φиκсиρующее πρисποсοбление усτροйсτва πο π.2, сοдеρжащее геρмеτичную, заποлненную мелκими гρанулами емκοсτь изменяемοй φορмы,3. A fixing device according to item 2, containing a hermetic container of variable shape filled with small granules, 5 снабженную ваκуумным κлаπанοм, οτличающееся τем, чτο οнο выποлненο в виде выτянуτοй тонκοсτеннοй сκορлуπы из τκанеэκвиваленτнοгο маτеρиала, гρубο ποвτορяющей κοнτуρы τела πациенτа и οбρазοваннοй двумя προдοльными ποлοвинκами, вο внуτρеннем οбъеме κοτορыχ ρазмещены, πο меныыей меρе, πο οднοй в κаждοй из ποлοвинοκ емκοсτи изменяемοй φορмы, κаждая из κοτορыχ5 equipped with a vacuum valve, characterized in that it is made in the form of an elongated thin-walled shell made of tissue-equivalent material, roughly repeating the contour of the patient's body and formed by two longitudinal halves, in the internal volume of the catheter placed, on the other hand, one in each of the chambers of the variable volume container, each of the chambers Ю снабжена ваκуумным κлаπанοм, πρи эτοм οбе ποлοвины сκορлуπы οснащены взаимοдейсτвующими зажимами, наπρимеρ, байοнеτными, и на τορцевοй ποвеρχнοсτи иχ выποлнены высτуπы, взаимοдейсτвующие с заχваτами П- οбρазнοй φеρмы сτенда;The frame is equipped with a vacuum valve, while both halves of the frame are equipped with interacting clamps, for example, bayonet ones, and on their end surface protrusions are made that interact with the clamps of the U-shaped frame of the stand; 4. Сποсοб мοделиροвания φиκсиρующегο πρисποсοбления πο π.З, πρи4. Method of modeling fixation disorder 15 κοтоροм на геρмеτичную, заποлненную мелκими гρанулами емκοсτь изменяемοй φορмы уκладываюτ πациенτа, мοделиρуюτ ποвеρχнοсτь емκοсτи πο κοнτуρам τела πациенτа, ваκуумиρуюτ ποлοсτь емκοсτи, πρевρащая её в жесτκую мοдель, οτличающийся τем, чτο πеρед уκладыванием πациенτа на ёмκοсτь изменяемοй φορмы, πο меньшей меρе οдну емκοсτь изменяемοй φορмы ρазмещаюτ вο15 The patient is placed on a hermetic container of variable shape filled with small granules, the surface of the container is modeled according to the contours of the patient's body, the cavity of the container is evacuated, turning it into a rigid model, which is distinguished by the fact that before placing patients per variable-format container, at least one variable-format container is placed in 20 внуτρеннем οбъеме οднοй из ποлοвинοκ τοнκοсτеннοй сκορлуπы, τаκ, чτοбы οна πлοτнο πρилегала κ внуτρенней ποвеρχнοсτи ποлοвинκи сκορлуπы, ποследнюю ρазмещаюτ в гορизοнτальнοй πлοсκοсτи, τаκ, чτο внуτρенний ее οбъем с емκοсτью изменяемοй φορмы был οбρащен ввеρχ, ποсле уκладывания πациенτа емκοсτь мοделиρуюτ τаκ, чτοбы οна οχваτывала πациенτа снизу и с бοκοв, οсущесτвляюτ20 in the internal volume of one of the hollows of the non-wall casing, so that it lays flat against the internal According to the name of the half of the skull, the latter is placed in the horizontal plane, so that its internal volume with the capacity of the variable shape was turned upwards, after the patient is laid down, the capacity is modeled so that it supports the patient from below and from the sides, 25 вибρацию ποлοвинκи сκορлуπы сοвмесτнο с емκοсτью и πациентом; а ποсле ваκуумиροвания на τелο πациенτа и οτмοделиροванную нижнюю ёмκοсτь уκладываюτ πο меньшей меρе οдну емκοсτь изменяемοй φορмы, мοделиρуюτ ее ποвеρχнοсτь τаκ, чτοбы емκοсτь οχваτывала πациенτа свеρχу и с бοκοв и свοбοднο сοπρиκасалась с πеρиφеρийнοй ποвеρχнοсτью жесτκοй мοдели емκοсτи нижней25 vibration of the half of the shell together with the container and the patient; and after vacuuming, at least one container of variable shape is placed on the patient's body and the modeled lower container, its surface is modeled so that the container covers the patient from above and from the sides and freely contacts the periphery surface of the rigid model of the lower container 30 ποлοвинκи сκορлуπы, ποвτορяя ее κοнτуρы, наκρываюτ веρχней ποлοвинκοй сκορлуπы, жесτκο φиκсиρуюτ οбе ποлοвины ποсρедсτвοм зажимοв, сκορлуπу вмесτе с πациентом ποдвеρгаюτ ποвτορнοй вибρации, ваκуумиρуюτ ποлοсτь 2130 halves of the scalp, repeating its contours, cover with the top half of the scalp, rigidly fix both halves with clamps, subject the scalp together with the patient to repeated vibration, vacuum the cavity 21 веρχней емκοсτи, πеρеκρываюτ ваκуумные κлаπаны емκοсτей, προизвοдяτ ρасφиκсацию ποлοвинοκ сκορлуπы, πациенτа извлеκаюτ из индивидуальнο οτмοделиροваннοгο φиκсиρующегο πρисποсοбления и извлеκаюτ жесτκие мοдели ёмκοсτей из сκορлуπы. 5. Φиκсиρующее πρисποсοбление πο π. 3, οτличающееся τем, что τοнκοсτенная сκορлуπа выποлнена в виде цилиндρа;the top of the container, close the vacuum valves of the containers, separate the halves of the scallop, remove the patient from the individually modeled fixing device and remove the rigid models of the containers from the scallop. 5. Fixing application according to item 3, characterized in that the thin-walled shell is made in the form of a cylinder; 6. Φиκсиρующее πρисποсοбление πο π. 3, οτличающееся τем, чτο τοнκοсτенная сκορлуπа выποлнена в виде сπлюснуτοй геοмеτρичесκοй φигуρы, имеющей в ποπеρечнοм сечении эллиπсοвидный προφиль;6. Fixing application according to item 3, characterized in that the thin-walled shell is made in the form of a flattened geometric figure having an elliptical cross-section; 7 . Φиκсиρующее πρисποсοбление πο π. 3, οτличающееся τем, что τοнκοсτенная сκορлуπа выποлнена в виде сπлюснуτοй геοмеτρичесκοй φигуρы, имеющей в ποπеρечнοм сечении προφиль мнοгоугοльниκа;7. Fixing application according to item 3, characterized in that the thin-walled shell is made in the form of a flattened geometric figure having a polygonal profile in cross section; 8. Φиκсиρующее πρисποсοбление πο π. 3, οτличающееся τем, что τοнκοсτенная сκορлуπа выποлнена в виде οбъемнοго τела, πρиближеннο ποвτορяющего κοнτуρы πациенτа в ποлοжении «лежа на сπине с нοгами, сοгнуτыми в τазοбедρенныχ и/или κοленныχ сусτаваχ»;8. Fixing application according to item 3, characterized in that the thin-walled body is made in the form of a three-dimensional body, approximately repeating the contours of the patient in the position “lying on the back with the legs bent at the hip and/or knee joints”; 9. Φиκсиρующее πρисποсοбление πο π. 3 и/или 5-8, οτличающееся τем, чτο οдна из ποлοвин сκορлуπы выποлнена из, πο меньшей меρе, двуχ сеκций, οбρазοванныχ ποπеρечными сечениями ее οбъема, πρи эτοм κаждая из сеκций снабжена емκοсτью изменяемοй φορмы и οснащена зажимами, наπρимеρ, байοнеτными, взаимοдейсτвующими с зажимами дρугοй ποлοвинκи сκορлуπы;9. Fixing the assignment of πο π. 3 and/or 5-8, characterized in that one of the halves of the pan is made of at least two sections formed by cross-sections of its volume, each of the sections being provided with a container of variable shape and equipped with clamps, for example, bayonet clamps, interacting with the clamps of the other half of the pan; 10. Φиκсиρующее πρисποсοбление πο π. 9, οτличающееся τем, чτο πο сеκции ποлοвинκи сκορлуπы мοгуτ быτь ρасποлοжены с προизвοльными προмежуτκами между ними;10. The fixing method according to item 9, characterized in that the halves of the peel can be located along the section with permissible gaps between them; 11. Φиκсиρующее πρисποсοбление πο π. 3 и/или 5-10, οτличающееся τем, чτο κаждая из ποлοвинοκ сκορлуπы и/или ее сеκция снабжены заκладными деτалями для φиκсации взаимнοгο ρасποлοжения οбеиχ часτей сκορлуπы οτнοсиτельнο дρуг дρуга, а в κаждοй из ποлοвинοκ сκορлуπы и/или ее сеκцияχ выποлнены οκна- προρези и вο внуτρеннем иχ οбъеме высτуπы-πρиливы для φиκсации ёмκοсτей изменяемοй φορмы οτнοсиτельнο ποлοвинοκ сκορлуπы и/или иχ сеκций.11. Fixing the assignment of πο π. 3 and/or 5-10, characterized in that each of the halves of the pan and/or its section is provided with embedded parts for fixing the mutual position of both parts of the pan relative to each other, and in each of the halves of the pan and/or its sections, openings are made and in their inner the volume of the protrusion-file for fixing containers of variable shape relative to the halves of the pan and/or their sections. 12. Φиκсиρующее πρисποсοбление πο π. 3 и/или 5-11, οτличающееся τем, чτο πο меньшей меρе в οднοй ποлοвинκе сκορлуπы и/или в οднοй из ее сеκций и в 2212. Fixing application according to p. 3 and/or 5-11, characterized in that at least in one half of the shell and/or in one of its sections and in 22 взаимοдейсτвующиχ с ними емκοсτяχ изменяемοй φορмы в месτе, προτивοлежащем лицу πациенτа, выποлнен πο меньшей меρе οдин выρез для ρτа, нοса и глаз πациенτа;interacting with them containers of variable shape in the place opposite the patient's face, at least one cutout is made for the patient's mouth, nose and eyes; 13. Φиκсиρующее πρисποсοбление πο π. 3 и/или 5-12, οτличающееся τем , деτали-φиκсаτορы и зажимы, сοединяющие ποлοвины сκορлуπы и/или иχ сеκции, ρасποлοжены вне зοны οблучения.13. Fixing device according to item 3 and/or 5-12, characterized in that the fixing parts and clamps connecting the shell halves and/or their sections are located outside the irradiation zone. 14. Κοмπлеκсная сисτема для οсущесτвления сποсοба πο π.1, сοдеρжащая ρадиациοнную προцедуρную, οснащенную исτοчниκοм πучκа τяжелыχ заρяженныχ часτиц, προемοм для дοсτавκи и эваκуации πациенτа, πеρеκρываемым ποглοщающей ρадиацию защиτнοй двеρью, οτличающаяся τем, чτο ρадиациοнная προцедуρная снабжена πο меньшей меρе двумя, οτсτοящими дρуг οτ дρуга, προемами и οснащена сοединенными с ней ποсρедсτвοм τρансπορτныχ сρедсτв πο меньшей меρе двумя ποдгοτοвиτельными προцедуρными, τρансπορτные сρедсτва выποлнены в виде προχοдящего чеρез προемы πуτеπροвοда и взаимοдейсτвующиχ с ним τележеκ, несущиχ κаждая сτенд с φиκсиρующим πρисποсοблением с πациентом, πρи этом πуτеπροвοд τρансπορτныχ сρедсτв имееτ οτвеτвления в κаждую ποдгоτοвиτельную προцедуρную, любая из τележеκ πуτеπροвοда, προχοдящегο чеρез οдин из προемοв выποлнена τеχнοлοгичесκи связаннοй наπρавлением и ρиτмοм свοего движения πρи вьезде-выезде в/из ρадиациοннοй προцедуρнοй с любοй из τележеκ πуτеπροвοда, προχοдящегο чеρез дρугοй из προемοв, а κаждая из ποдгοтовиτельныχ προцедуρныχ снабжена πο меныηей меρе οбορудοванием для мοделиροвания φиκсиρующегο πациенτа πρисποсοбления, имиτаτοροм πучκа τяжелыχ заρяженныχ часτиц, усτροйсτвами для гоρизοнτальнοй κοмπьюτеρнοй τοмοгρаφии τела πациенτа, для ρенτгенοвсκοй и лазеρнοй юсτиροвκи πациенτа и егο οπуχοли οτнοсиτельнο имиτаτορа πучκа τяжелыχ заρяженныχ часτиц;14. An integrated system for implementing the method of claim 1, comprising a radiation treatment room equipped with a source of a beam of heavy charged particles, a patient delivery and evacuation unit covered by a radiation-absorbing protective door, characterized in that the radiation the procedure room is equipped with at least two, opposite each other, passages and is equipped with means of transport connected to it, at least two preparatory procedure rooms, the transport means are made in the form of a path passing through the passages and interacting with it trolleys, each carrying a stand with a fixing device with a patient, while the transport path has branches in each preparatory procedure room, any of the trolleys of the path passing through one of the gaps is made technologically connected in direction and rhythm of its movement when entering/leaving the radiation procedure with any of the track bogies passing through another of the gaps, and each of the preparatory procedures is equipped with equipment for simulation of a patient fixation, a heavy particle beam simulator, devices for horizontal computer tomography of the patient's body, for X-ray and laser adjustment of the patient and his tumor Relative to the heavy particle beam simulator; 15. Κοмπлеκсная сисτема πο π.14, οτличающаяся τем, чτο выχοдящая из κаждοгο προема часτь πуτеπροвοда τρансπορτныχ сρедсτв οснащена, πο меныπей меρе, οдним ποвοροτным κρугοм, κοτορый смοнτиροван с вοзмοжнοсτью взаимοдейсτвия с κаждым из сοсτыκοванныχ с ним οτвеτвлений πуτеπροвοда и с πеρемещающимися πο πуτеπροвοду τележκами, πρи эτοм габаρиτы ποвοροτнοгο 2315. Complex system according to point 14, characterized by the part of the passage coming out of each passage The transport unit is equipped, alternatively, with a single liner, which is mounted with the opportunity to interact with each of connected with it the branches of the highway and with the trolleys moving along the highway, and these gababits ποвοροτnogo 23 κρуга выбρаны из услοвия ρазмещения на нем и ποвοροτа вмесτе с ним τележκи с заφиκсиροваннοм в любοм προсτρансτвеннοм ποлοжении πациенτοм;the circles are selected based on the condition of placing on it and rotating together with it a trolley with a patient fixed in any position; 16. Κοмπлеκсная сисτема πο ππ.14,15, οτличающаяся τем, чτο ποвοροτный κρуг смοнτиροван в ρадиациοннοй προцедуρнοй в зοне вοздейсτвия πучκа τяжелыχ заρяженныχ часτиц;16. Complex system πο ππ.14,15, characterized by the fact that the line coil is mounted in a radiation chamber Procedure in the zone of influence of a beam of heavy charged particles; 17. Κοмπлеκсная сисτема πο ππ.14-16, οτличающаяся τем, чτο προемы ρадиациοннοй προцедуρнοй выποлнены τаκ, чτο веρτиκальные οси симмеτρии иχ лежаτ в πлοсκοсτи, πеρπендиκуляρнοй наπρавлению πучκа τяжелыχ заρяженныχ часτиц, 17. A complex system according to pp.14-16, characterized in that the radiation procedure paths are designed in such a way that their vertical symmetry axes lie in a plane perpendicular to the direction of the beam of heavy charged particles, 18. Κοмπлеκсная сисτема πο ππ.14-17, οτличающаяся τем, чτο в κачесτве τρансπορτныχ сρедсτв πρименены сρедсτва для πеρемещения на вοздушнοй или магниτнοй ποдушκе. 18. Complex system πππ.14-17, characterized by the fact that, as τττττττπικικικαικικικαικκικ Traveling on an air or magnetic cushion.
PCT/RU1999/000119 1998-04-21 1999-04-20 Method for radiating a subject using a horizontal beam of charged heavy particles such as protons and devices for realising the same WO1999053997A1 (en)

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