| CPC A61B 6/466 (2013.01) [A61B 6/5217 (2013.01); A61B 6/5264 (2013.01); A61N 5/1037 (2013.01); A61N 5/1049 (2013.01); A61N 5/1067 (2013.01); G06T 7/0012 (2013.01); G06T 7/277 (2017.01); G06T 7/70 (2017.01); A61B 2576/00 (2013.01); G06T 2207/10116 (2013.01); G06T 2207/30081 (2013.01)] | 8 Claims |

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1. A method of estimating 3D target position during radiotherapy, the method comprising:
acquiring one or more two-dimensional (2D) image positions of one or more treatment targets or one or more surrogates from a (kilovoltage) kV imager on a linear accelerator;
implementing a Kalman filter framework using one or more computers to estimate a three-dimensional (3D) motion of the one or more treatment targets or the one or more surrogates from 2D image projection measurements in real-time during a radiotherapy treatment, wherein the Kalman filter is an iterative framework that allows for estimation of the measurement and estimation of a process error to be re-estimated from current and past measurements, wherein a population covariance of prostate motion is defined as:
![]() updating a target motion covariance with every image frame based on a last observed position of the one or more treatment targets or the one or more surrogates on a previous kV image; and
outputting to a display during the radiotherapy treatment the updated target motion.
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5. A method of monitoring movement of an organ or portion of an organ or one or more surrogates of the organ during irradiation, comprising:
directing radiation energy at, at least a portion of an organ in a body part of a human or an animal subject;
imaging multiple two dimensional images of the organ from varying positions and varying angles relative to the body part;
digitally processing at least a plurality of the multiple two dimensional images using a one or more computers with a software application running a Kalman filter algorithm, wherein the digital processing is initialized with a population covariance matrix of prostate motion defined as
![]() displaying estimated three dimensional motion of the organ or portion of the organ in the body part based on output from the digital processing.
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