With the development of the precise radiotherapy, the accuracy of radiotherapy equipment is gradually improved. The gantry, the carrier of the treatment head and various testing devices, is the most important component that determines the accuracy of the entire equipment. In this paper, the layout of the O-ring linear accelerator and the structure of the gantry are optimized to reduce the weight of the gantry by 50% and the moment of inertia by 60%. A mechanical isocenter detection method based on the laser tracker is proposed to conduct a rapid and accurate isocenter measurement for the optimized gantry. The experimental results show that the maximum deformation of the optimized gantry under load is 0.13 mm during rotation and the maximum intersection distance between the gantry axis and the treatment head axis at the isocenter position is 0.21 mm.

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