patient imaging and treatment can be performed with the patient positioned in a number of ways , including supine ( on the back ) or prone ( face down ) positions . as an example , we will use ct - based breast imaging and subsequent radiation therapy to describe one possible application . today , when it comes to radiotherapy most patients with breast cancer are still being imaged and treated in the supine position . although some diagnostic imaging procedures such as biopsy and mri can be done in the prone position , the radiotherapy departments typically perform ct scans ( simulations ) and treatment delivery in the supine position . recently , there has been a trend to move from supine to prone as this increases the separation of the anatomy to be treated with radiation from critical structures within the patient and reduces target motion due to breathing . when the patient undergoes a ct scan in the prone position to obtain the data required for treatment planning and delivery , an undesired shadow artifact can be present in the breast of interest if there are planar features in the patient support . this artifact can be caused by the typically planar structure of the patient support structure or table , which can be specifically designed for breast imaging and treatment . in the case of breast cancer treatment , only one breast is treated and it needs to be isolated from the rest of the body in order to allow for direct , non - obstructed radiation beam access . the other breast as well as the patient are supported above the breast to be treated and are not in the way of the treatment beam . the observed image artifact is created by the planar support structure around the pendant breast that supports the patient . the planar surface which supports the patient at the level of the chest is in line with the x - ray beam during a ct scan and an artifact is created during the ct image reconstruction process which creates the appearance of a shadow within the breast of interest . most of these prone patient support structures are add - on devices that are placed directly on top of existing imaging and treatment tables , but in some cases they can be directly integrated into the imaging or treatment table . the undesired image artifacts can result in small errors in radiation treatment planning . for example , the artifact can influence the hounsfield number used to estimate the absorption properties of the therapy beam . devices and methods described herein can greatly reduce or eliminate the level of the artifact and , thus , improve the radiation treatment planning . multiple implementations of a patient support component are described . in one example , the patient support component can be used for prone breast radiotherapy and / or imaging . during the process of preparing a patient for prone breast radiotherapy , the patient is placed face down on top of the patient support table or device and imaged using a ct scanner . the breast of interest to be examined and / or treated is pendant below the patient support surface , and the other breast rests on the same relative plane as the rest of the body . in this case , at the time of ct simulation the surface supporting the patient can introduce an image artifact , which looks like a straight shadow cutting the image of the breast of interest . the appearance of the artifact ( also referred to as the edge induced streaking ) can resemble a shadow . in one implementation , the described patient support component can reduce or eliminate the artifact by eliminating the planar geometry of the patient support in the region to be imaged . fig1 demonstrates one possible design of the patient support component 10 where the radiation beam path direction 20 is indicated with an arrow . the patient support 10 may be of any non - linear shape and / or density variation , but one possible design is a wave - like configuration where the radiation beam path 20 does not travel along a prolonged straight line of the patient support component 10 resulting in the artifact projection . the patient support 10 can be made from any material such as carbon fiber , composite , plastic , wood , metal and the like . in some implementations , the patient support 10 can be implemented from a plurality of different materials , thereby creating a non - uniform density section for any given beam path . the wave form does not have to be uniform or of the same amplitude . fig2 shows the side view of the patient support component , where one possible design of the patient support 10 is placed along the radiation beam path 20 . the patient support component 10 may be of any non - linear shape , but one possible design is a wave - like configuration where the radiation beam path 20 does not travel along a prolonged straight line of the patient support component 10 resulting in the artifact projection . the beam 20 enters the beam entrance region 30 and passes through the density of the material used to implement the patient support component 10 . after the beam exits the material of the patient support component 10 , it passes through a different density region 60 . for example , the different density region can be made of air . after the different density region 60 , the beam enters the material 70 of the patient support component 10 for a small interval . the lack of a long straight section of material reduces or eliminates the artifact seen in images of supports that incorporate long straight or planar elements . the patient support 20 can be made for any materials such as carbon fiber , composite , plastic , wood , metal and the like . fig3 shows the top view of the patient support component shown in fig2 fig4 demonstrated one possible use of the patient support component 10 in conjunction with a patient support add - on system 100 , which may be used with an imaging or treatment couch 90 . in this example the patient 120 is placed on top of the patient support system 100 , and the anatomy 130 , in this case a breast is pendant below the patient support component 10 . patient support system 100 illustrates one example of a prone breast imaging and treatment platform used in radiation therapy and imaging . some forms of the patient support system 100 are currently manufactured by civco , bionix , orbital therapy and others . in some implementations , the patient support system 100 comprises an upper surface , a lower surface and an aperture for the patient &# 39 ; s anatomy . the lower surface of the patient support table can be further adapted for placement on imaging or treatment tables / couches . fig4 also illustrates the imaging or treatment table / couch 90 . the imaging or treatment table / couch 90 is a support structure that can be used to position the patient during medical procedures . the patient support component 10 can be made from any material such as carbon fiber , composite , plastic , wood , metal and the like . in some implementations , the patient support 10 can be implemented from a plurality of the aforementioned materials . fig5 demonstrates one possible use of the patient support component 10 directly with the imaging or treatment couch 90 . in this example the patient 120 is placed on top of the imaging or treatment table couch 90 , and the anatomy 130 , in this case a breast , is pendant below the patient support component 10 . fig6 demonstrates one possible use of the patient support component 10 with a prone position table 220 , and an aperture 200 for anatomy of interest , such as breast , to pass through . the patient support component 10 can be made from any materials such as carbon fiber , composite , plastic , wood , metal and the like . in some implementations , the patient support component 10 can be implemented from a plurality of the aforementioned materials . in some implementation , the patient support component 10 can be placed on the top layer of the prone patient positioning table 220 . the aperture 200 can be used to insert and position the anatomy of interest , such as breast , for medical imaging and / or treatment . the aperture 200 can be implemented within the patient support component . the aperture 200 can also be implemented adjacent to a side of the patient support component .
a patient support system for diagnostic and / or therapeutic radiologic procedures with geometric features that eliminate or reduce imaging artifacts created by the patient support is described . the artifact reducing features can be incorporated into an add - on patient positioning device , or directly within the standard diagnostic and / or therapeutic treatment table / couch . one possible configuration is to use a wave - like design of the portion of the patient support that remains in the radiation beam path where the anatomy to be imaged is located . other configurations may include other geometric shapes or material distributions that serve the same purpose of eliminating artifacts in radiologic images .