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Offering Non-Invasive Treatment Options for Every Lung SBRT Patient, Regardless of Tumor Location. The CyberKnife ® System is uniquely able to detect and track the image intensity of the lung tumor itself as a landmark to guide beam targeting. By tracking the tumor directly, clinicians can use the CyberKnife System to confidently deliver SBRT treatment with high accuracy to lung tumors while minimizing dose to adjacent healthy tissue and critical structures – all in a non-invasive way. In 2011, 35% of European CyberKnife extracranial treatments were lung treatments. With Lung Optimized Treatment, physicians can choose the most appropriate tracking method for lung patients: - non-invasive Xsight ® Lung Tracking or 2-View Tracking when the target is clearly visible by both x-ray cameras, - non-invasive 1-View Tracking when the treatment target is clearly visible and can be tracked in only one X-ray projection during treatment, - or non-invasive Xsight Spine Tracking, when the target is not clearly visible in either X-ray projection, resulting in the need to track the bony anatomy of the vertebral column during treatment in which case fiducials might be implanted to have tight target margins. What your colleagues think of Lung Optimized Treatment Dr. C. Carrie, Head of Radiation Oncology department, Centre Léon Bérard, Lyon, France. “ [Lung Optimized Treatment] allows to track the tumor without fiducial even if it is only visible on one of the live x-ray images. Before we could only track 50% of lung tumors, now we have increased the number of lung tumor treated on the CyberKnife System with no fiducials using Synchrony Respiratory Tracking System by 30%.” Dr C. Antypas, Chief Physicist, Iatropolis center, Athens, Greece “According to our experience, Lung Optimized Treatment increases the number of lung cases that could be treated with CyberKnife SBRT. Indeed considering that 1-View cases could not have been treated without Lung Optimized Treatment, as a physicist I can say that there was approximately 30% increase in lung cases that we could treated with the CyberKnife System thanks to this product.” Lung Optimized Treatment
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Page 1: Lung Optimized Treatment - atfisica.comatfisica.com/site/upload/ficheros/501094_a_lungoptimizedtreatment(… · Offering Non-Invasive Treatment Options for Every Lung SBRT Patient,

Offering Non-Invasive Treatment Options for Every Lung SBRT Patient, Regardless of Tumor Location.

The CyberKnife® System is uniquely able to detect and track the image intensity of the lung tumor itself as a landmark to guide beam targeting. By tracking the tumor directly, clinicians can use the CyberKnife System to confidently deliver SBRT treatment with high accuracy to lung tumors while minimizing dose to adjacent healthy tissue and critical structures – all in a non-invasive way.

In 2011, 35% of European CyberKnife extracranial treatments were lung treatments.

With Lung Optimized Treatment, physicians can choose the most appropriate tracking method for lung patients:- non-invasive Xsight® Lung Tracking or 2-View Tracking when the target is clearly visible by both x-ray

cameras,- non-invasive 1-View Tracking when the treatment target is clearly visible and can be tracked in only

one X-ray projection during treatment,- or non-invasive Xsight Spine Tracking, when the target is not clearly visible in either X-ray projection,

resulting in the need to track the bony anatomy of the vertebral column during treatment in which case fiducials might be implanted to have tight target margins.

What your colleagues think of Lung Optimized Treatment

Dr. C. Carrie, Head of Radiation Oncology department, Centre Léon Bérard, Lyon, France.

“ [Lung Optimized Treatment] allows to track the tumor without fiducial even if it is only visible on one of the live x-ray images. Before we could only track 50% of lung tumors, now we have increased the number of lung tumor treated on the CyberKnife System with no fiducials using Synchrony Respiratory Tracking System by 30%.”

Dr C. Antypas, Chief Physicist, Iatropolis center, Athens, Greece

“According to our experience, Lung Optimized Treatment increases the number of lung cases that could be treated with CyberKnife SBRT. Indeed considering that 1-View cases could not have been treated without Lung Optimized Treatment, as a physicist I can say that there was approximately 30% increase in lung cases that we could treated with the CyberKnife System thanks to this product.”

Lung OptimizedTreatment

Page 2: Lung Optimized Treatment - atfisica.comatfisica.com/site/upload/ficheros/501094_a_lungoptimizedtreatment(… · Offering Non-Invasive Treatment Options for Every Lung SBRT Patient,

Intelligent workflow streamlines the Lung Optimized Treatment planning process.

Step 1: Acquire CTs (inhale/exhale pair) & Make simulation plan

Step 2: Perform simulation

1. Spine Alignment 2. Lung Alignment

3. X-ray technique 4. Acquire images/ give offsets

5. Correlate and confirm 6. Review results

Step 3: Review simulation results: determine tracking mode

Step 4: Use same CTs to make treatment plan

Step 5: Deliver treatment plan

Page 3: Lung Optimized Treatment - atfisica.comatfisica.com/site/upload/ficheros/501094_a_lungoptimizedtreatment(… · Offering Non-Invasive Treatment Options for Every Lung SBRT Patient,

Ex.: 1-View Plan

Lung Optimized Treatment Utilization in EIMEA**

* As of June 2011. Source: Accuray Incorporated data on file. Data is indicative of sites reporting, however not all sites report their data.

** Gathering data from our current EIMEA sites using Lung Optimized Treatment

Xsight© Lung TrackingRadiosurgical margins

1-View TrackingITV expansion in non-tracked direction

Xsight Spine TrackingITV expansion in all direction

~34 %** of Patients ~22 %** of Patients ~44 %** of Patients

Taken together, the components of Lung Optimized Treatment help clinicians provide the best,most accurate treatment option for each luna SBRT patient.

Acquiring Lung Optimized Treatment enabled centers to treat 22% ** more lung patients without the need to implant fiducial whilst keep tight target margins.

Page 4: Lung Optimized Treatment - atfisica.comatfisica.com/site/upload/ficheros/501094_a_lungoptimizedtreatment(… · Offering Non-Invasive Treatment Options for Every Lung SBRT Patient,

© 2013 Accuray Incorporated. All Rights Reserved. Accuray, the stylized logo, CyberKnife, Synchrony, Xsight, Xchange, RoboCouch, TomoTherapy, Hi·Art, and TomoHD are among the trademarks and/or registered trademarks of Accuray Incorporated in the United States and other countries. TomoTherapy is a wholly owned subsidiary of Accuray. 500986.A

UNITED STATES

Accuray Corporate Headquarters 1310 Chesapeake TerraceSunnyvale, CA 94089 USATel: +1.408.716.4600Toll Free: 1.888.522.3740Fax: +1.408.716.4601Email: [email protected]

Accuray Incorporated1240 Deming WayMadison, WI 53717 USATel: +1 608 824 2800Fax: +1 608 824 2996

ASIA

Accuray Japan K.K.Shin Otemachi Building 7F2-2-1 Otemachi, Chiyoda-kuTokyo 100-0004JapanTel: +81.3.6265.1526Fax: +81.3.3272.6166

Accuray Asia Ltd.Suites 1702 - 1704, Tower 6The Gateway, Harbour City9 Canton Road, T.S.T. Hong KongTel: +852.2247.8688Fax: +852.2175.5799

Accuray Accelerator Technology #39 Huatai Road, Longtan Industrial Zone,Section 2 East, 3rd Ring Road, Chengdu, Sichuan 610051People's Republic of China

EUROPE

Accuray International SarlRoute de la Longeraie 9 (3rd floor)CH – 1110 MorgesSwitzerlandTel: +41.21.545.9500Fax: +41.21.545.9501

© 2013 Accuray Incorporated. All Rights Reserved. Accuray, the stylized logo, CyberKnife, Synchrony, Xsight, Xchange, RoboCouch, TomoTherapy, TomoHD, Hi·Art, Iris, InCise, MultiPlan, M6 and InTempo are among the trademarks and/or registered trademarks of Accuray Incorporated in the United States and other countries. TomoTherapy is a wholly owned subsidiary of Accuray. Other trademarks used and identified herein are the property of their respective owners. 501094.A

UNITED STATES

Accuray Corporate Headquarters 1310 Chesapeake TerraceSunnyvale, CA 94089 USATel: +1.408.716.4600Toll Free: 1.888.522.3740Fax: +1.408.716.4601Email: [email protected]

Accuray Incorporated1240 Deming WayMadison, WI 53717 USATel: +1 608 824 2800Fax: +1 608 824 2996

ASIA

Accuray Japan K.K.Shin Otemachi Building 7F2-2-1 Otemachi, Chiyoda-kuTokyo 100-0004JapanTel: +81.3.6265.1526Fax: +81.3.3272.6166

Accuray Asia Ltd.Suites 1702 - 1704, Tower 6The Gateway, Harbour City9 Canton Road, T.S.T. Hong KongTel: +852.2247.8688Fax: +852.2175.5799

Accuray Accelerator Technology #39 Huatai Road, Longtan Industrial Zone,Section 2 East, 3rd Ring Road, Chengdu, Sichuan 610051People's Republic of China

EUROPE

Accuray International SarlRoute de la Longeraie 9 (3rd floor)CH – 1110 MorgesSwitzerlandTel: +41.21.545.9500Fax: +41.21.545.9501


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