Patent Number: 
Section: claims

1. A method of controlling a two-bank multileaf collimator (MLC) of a radiation treatment delivery system, comprising:determining a plurality of radiation beam delivery positional sections to contain MLC leaf control instructions while a radiation beam is active, wherein each of the plurality of radiation beam delivery positional sections corresponds to a range of radiation beam positions over a discrete time interval, wherein the discrete time interval is based on an average open-time and a modulation factor;generating a plurality of openings for each of the plurality of radiation beam delivery positional sections, each of the plurality of openings corresponding to one of a plurality of leaf pairs of the MLC, wherein two or more of the plurality of openings correspond to different widths;generating a plurality of leaf open-time fractions for each of the plurality of radiation beam delivery positional sections, each of the plurality of leaf open-time fractions corresponding to one of the plurality of leaf pairs of the MLC; andcontrolling, by a processing device, the plurality of leaf pairs of the MLC such that each leaf pair of the plurality of leaf pairs is opened to a corresponding opening of the plurality of openings for a corresponding leaf open-time fraction of the plurality of leaf open-time fractions during the discrete time interval corresponding to the range of radiation beam positions, while the radiation beam of the radiation treatment system is active. 2. The method of claim 1, wherein the plurality of radiation beam delivery positional sections corresponds to the radiation beam delivered from at least one of: a different position or a different direction. 3. The method of claim 1, wherein two or more of the plurality of leaf open-time fractions during the discrete time interval are different. 4. The method of claim 2, wherein the different direction remains constant while the different position follows a linear trajectory that sweeps the radiation beam over a length of a treatment target. 5. The method of claim 2, wherein the different directions are non-coplanar. 6. The method of claim 2, wherein the plurality of openings and the plurality of leaf open-time fractions form overlapping radiation fields of different intensities that combine to result in an intensity modulated fluence field delivered to a treatment target. 7. The method of claim 1, wherein the plurality of openings conform to an outline of a treatment target, projected back along the radiation beam to the MLC, and within a maximum range of travel of the plurality of leaf pairs within the MLC. 8. The method of claim 1, wherein the range of radiation beam positions is along an arc of a gantry of the radiation treatment system. 9. The method of claim 8, wherein the arc corresponds to approximately seven degrees of gantry rotation. 10. A radiation treatment delivery system, comprising:a linear accelerator (LINAC) to output a radiation beam at a distal end;a multileaf collimator (MLC), coupled with the distal end of the LINAC, wherein the MLC has two banks of leaves, organized into a plurality of opposing leaf pairs; anda processing device, operatively coupled to the LINAC and the MLC, to:control the plurality of leaf pairs of the MLC such that for each of a plurality of radiation beam delivery positional sections corresponding to a range of radiation beam positions over a discrete time interval, wherein each leaf pair of the plurality of opposing leaf pairs is open to a fixed opening for a fraction of time in the discrete time interval and closed for the remaining fraction of time in the discrete time interval, while the radiation beam of the radiation treatment system is active, wherein the discrete time interval is based on an average open-time and a modulation factor. 11. The system of claim 10, wherein the MLC is an electromagnetically actuated multileaf collimator (eMLC). 12. The system of claim 10, wherein the LINAC is mounted on a rotating gantry, and wherein radiation beams delivered from the range of radiation beam positions rotate around a treatment target. 13. The system of claim 12, wherein the treatment target is moved axially through a bore of the rotating gantry, and wherein the radiation beams delivered from the range of radiation beam positions follow a helical path about the treatment target. 14. The system of claim 10, wherein the LINAC and the MLC are mounted on a robotic arm, and wherein the radiation beam delivered from the range of radiation beam positions is non-coplanar. 15. The system of claim 10, wherein the fixed opening and the fraction of time form overlapping radiation fields of different intensities that combine to result in an intensity modulated fluence field delivered to a treatment target. 16. The system of claim 10, wherein the fixed opening conforms to an outline of a treatment target, projected back along the radiation beam to the MLC, and within a maximum range of travel of plurality of leaf pairs within the MLC. 17. The system of claim 10, wherein the plurality of radiation beam delivery positional sections corresponds to the radiation beam delivered from at least one of: a different position or a different direction, and wherein the at least one of: the different position or the different direction follows a helical trajectory about a treatment target. 18. The system of claim 10, wherein the system is a helical radiation treatment delivery system. 19. The system of claim 10, wherein the system is a robotic-based LINAC radiation treatment system. 20. The system of claim 10, wherein the system is gantry-based radiation treatment delivery system. 21. A non-transitory computer readable medium comprising instructions that, when executed by a processing device of a radiation treatment delivery system, cause the processing device to:generate a plurality of radiation beam delivery positional sections to contain MLC leaf control instructions while a radiation beam is active, wherein each of the plurality of radiation beam delivery positional sections corresponds to a range of radiation beam positions over a discrete time interval, wherein the discrete time interval is based on an average open-time and a modulation factor;generate a plurality of openings for each of the plurality of radiation beam delivery positional sections, each of the plurality of openings corresponding to one of a plurality of leaf pairs of the MLC;generate a plurality of leaf open-time fractions for each of the plurality of radiation beam delivery positional sections, each of the plurality of leaf open-time fractions corresponding to one of the plurality of leaf pairs of the MLC; andcontrol, by the processing device, the plurality of leaf pairs of the MLC such that each leaf pair of the plurality of leaf pairs is opened to a corresponding opening of the plurality of openings for a corresponding leaf open-time fraction of the plurality of leaf open-time fractions during the discrete time interval corresponding to the range of radiation beam positions, while the radiation beam of the radiation treatment system is active. 22. The non-transitory computer readable medium of claim 21, wherein the plurality of radiation beam delivery positional sections corresponds to the radiation beam delivered from at least one of: a different position or a different direction. 23. The non-transitory computer readable medium of claim 22, wherein the at least one of: the different position or the different direction follows a helical trajectory about a treatment target. 24. The non-transitory computer readable medium of claim 22, wherein the different direction remains constant while the different position follows a linear trajectory that sweeps the radiation beam over a length of a treatment target. 25. The non-transitory computer readable medium of claim 22, wherein the different directions are non-coplanar. 26. The non-transitory computer readable medium of claim 21, wherein the plurality of openings and the plurality of leaf open-time fractions form overlapping radiation fields of different intensities that combine to result in an intensity modulated fluence field delivered to a treatment target. 27. The non-transitory computer readable medium of claim 21, wherein the plurality of openings conform to an outline of a treatment target, projected back along the radiation beam to the MLC, and within a maximum range of travel of the plurality of leaf pairs within the MLC. 28. The non-transitory computer readable medium of claim 21, wherein the range of radiation beam positions is along an arc of a gantry of the radiation treatment system. 29. The non-transitory computer readable medium of claim 28, wherein the arc corresponds to approximately seven degrees of gantry rotation.