Soluzioni Innovative per la Radioterapia - Highlights ...
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Soluzioni Innovative per la Radioterapia
GammaPod™
AlignRT® Advance
SpaceOAR™
Zephyr®
GammaPod ™
GammaPod™ è un’unità di radioterapia stereotassica specifica per
il trattamento del tumore della mammella.
La modalità di irraggiamento consiste in 25 archi radianti non co-
planari con collimatori conici focalizzati in un punto (“punto foca-
le”) all’interno della cavità di trattamento (“Pod”) in cui viene posi-
zionata la mammella. I collimatori sono di due dimensioni, 25 mm e
15 mm di diametro all’isocentro, interscambiabili automaticamente
in maniera dinamica.
3
Introducing the system designed to revolutionize
the management of early stage breast cancer
STEREOTACTIC BODY
RADIATION THERAPY
Noninvasive Breast Immobilization & Prone Positioning
4
Creating New Possibilities for Breast Cancer Treatment
Born out of the vision to extend the dosimetric benefits
of stereotactic radiotherapy to patients undergoing breast
conserving treatment, GammaPodTM is a new precision tool
with the potential to change the way early stage breast cancer
is managed. The ability to safely and confidently deliver a focal
dose of radiation to a target within the breast is giving clinicians
the opportunity to elevate the role of breast radiotherapy in
managing patients with early-stage disease.
With GammaPod, radiation oncologists have a new solution for
delivering ultra-accelerated courses of adjuvant stereotactic
partial breast irradiation, neoadjuvant treatments at ablative GammaPod combines a continuously rotating, 25-source irradiation
unit with 15 mm, 25 mm collimators and dynamic table motion
dose levels and reducing tumor bed boosts to a single fraction during treatment to paint the radiation dose to the target.
for WBI patients.
NONINVASIVE Immobilization and
Stereotactic Localization
The GammaPod breast cup system is designed to provide secure immobilization of
the affected breast and ensures setup reproducibility of the patient between imaging
and treatment. The two-cup design allows air from between the cups to be evacuated
using a suction pump to create a vacuum seal. Many cup sizes are available.
Inner Cup Silicone Flange
Affected breast conforms to the shape Adheres the breast cup system
of the lightweight inner cup when air is to the patient’s chest while joining the
evacuated from between the cups for inner and outer cups
vacuum-assisted immobilization
Outer Cup Fiducial Wire
Rigid construction to minimize breast Stereotactic localization tool embedded
motion when the cup is docked to the in the outer cup used to create a 3D
imaging and treatment tables stereotactic coordinate system
Efficient Clinical Workflow for Same D
• Breast cup locks to
• Breast cup adheres to
imaging couch
chest wall with adhesive
• Imager loader lifts,
• Suction pump creates a
rotates patient from
mild negative pressure,
standing to prone
minimizing breast motion
position and transfers
throughout imaging and
Immobilize treatment Scan patient couch to
CT table
5
DOSE DISTRIBUTIONS MATTER
A highly conformal dose distribution with
sharp falloff.
Uniform target coverage.
Low doses to the whole breast volume.
Low heart doses, even with minimal spacing
from the target.
It’s a difference you can see.
Heart
40 Gy (8 Gy x 5 fractions)
Dosimetric Example - Left Sided Case
Fraction 1
PTV: 53.37 cc Heart Chest Wall
Rx: 8 Gy to V5: 0.6% Dmax: 64 cGy
95% of PTV Dmean: 11 cGy Rib Dmax: 41 cGy
PTV
d
e Day Imaging, Planning and Treatment
• Single click stereotactic
localization • Breast cup locks to
treatment couch as
• Clinician contours VOIs, patient stands on
enters prescription treatment loader
• TPS develops plan with • Loader rotates patient
Plan optimal travel path of
table for delivery Treat • Treatment delivered
6
Rethinking “Value” in Breast Radiotherapy for
Providers and Patients
GammaPod aligns with the goals of today’s
USMK18GR01-1
initiatives to transform the healthcare
system. Consider the impact that the shift to
GammaPod stereotactic radiotherapy could
make in meeting the needs for high-quality,
cost-effective and patient friendly breast
cancer care. The shift to noninvasive external
beam treatments with highly conformal dose
distributions delivered in less time has the
potential to drive value for all stakeholders.
OPTIMIZED FOR
BREAST CANCER
NONINVASIVE
SHORT COURSE
POTENTIAL BENEFITS
Quality Comfort
• Minimizing dose to the whole breast • Noninvasive immobilization and treatment
volume, heart and lungs
• Automated prone positioning
• Confidence in targeting accuracy
Efficiency Convenience
• Shortening treatment to between one and
five fractions • Fewer visits to the clinic
• Improving patient throughput • Once daily treatments
www.xcision.com
7
AlignRT Advance ®
AlignRT® Advance rappresenta lo stato dell’arte dei sistemi per Surface
Guided Radiation Therapy (SGRT).
Grazie all’utilizzo di 6 telecamere stereoscopiche HD permette di trac-
ciare la posizione del paziente in tempo reale, sia prima che durante il
trattamento, con precisione sub-millimetrica. Il set-up del paziente sarà
notevolmente più rapido con la sicurezza di rispettare il posizionamento
corretto.
8
BREATHTAKING SPEED.
FROM THE LEADERS IN SGRT.
A NEW PLATFORM, A BETTER FIT WITH YOUR WORKFLOW
• Frame rates up to 3x faster providing improved real time performance
A NEW PARADIGM • One-click SSD reporting
• Auto-default to preferred setup option (plan or previous reference
AlignRT® Advance transforms the AlignRT user interface and capture) and view
workflow with a faster, more streamlined and intuitive experience,
whilst enhancing patient safety.
STREAMLINED PATIENT PREPARATION
From the leaders in SGRT, AlignRT Advance is the result of • Auto-alert for new or replanned patients
invaluable feedback received from hundreds of AlignRT users
• Auto-patient creation when plan sent from treatment planning system
whilst treating thousands of cancer patients.
• Streamlined import of plan to intuitive patient planning structure
MORE FLEXIBLE TREATMENT MANAGEMENT
• Option to change to any surface while monitoring
• Add and edit regions of interest at any time
• Improved bolus workflow
I promise you won’t ever look back! AlignRT
Advance is very quick & easy to use and
means treatment times are minimized.
Postural Video makes patient setup and
monitoring in real-time much easier.
Kyle Woods, Lead Therapy Radiographer, Genesis Care Cambridge
9
FREEDOM TO TRY.
FREEDOM TO CHOOSE.
With AlignRT® Advance, new horizons open in the field
of Surface Guided Radiotherapy. Now you have the
option to explore additional functionality before
choosing what to purchase.
POSTURAL VIDEOTM
• Gain clear positional guidance from multiple angles during
setup and monitoring
• High resolution and fast frame rate to make patient set up
and correction much faster
3D PHOTOTM DISPLAY
• Make selecting regions for tracking easier, faster and more accurate
• Clearly identify and avoid hair, clothing, and other obstructions
NOT ENABLED ENABLED
©2019 Vision RT Ltd. All rights reserved.
1016-0299 Issue 3.0
10BREATHTAKING SPEED.
FROM THE LEADERS IN SGRT.
ALIGNRT® A NEW PLATFORM,
A NEW PARADIGM
IMPROVED ACCURACY FOR
ALL TREATMENTS
A BETTER FIT WITH YOUR WORKFLOW
• Dramatic improvement in frame rate, providing ADVANCED CAMERA
MEASURED DATA
real-time performance OPTIMIZATION TEST
• One-click SSD reporting Absolute positioning
≤0.5mm / ≤0.5°
accuracy
• Auto-default to preferred setup option (plan or
previous reference capture) and view Motion monitoring
≤0.2mm / ≤0.1°
accuracy
STREAMLINED PATIENT PREPARATION Non-coplanar tracking
≤0.3mm / ≤0.2°
accuracy*
• Auto-alert for new or replanned patients
* Includes the most challenging, clinically realistic configurations: couch rotations,
pod occlusions, and deep isocenters.
• Auto-patient creation when plan sent from
treatment planning system
• Streamlined import of plan to intuitive patient
planning structure
MORE FLEXIBLE TREATMENT MANAGEMENT
• Option to change to any surface while monitoring
• Add and edit regions of interest at any time
• Improved bolus workflow
Specifications subject to change.
11FREEDOM TO TRY.
FREEDOM TO CHOOSE.
With AlignRT 6, new horizons open in the field of Surface Guided
Radiotherapy. Now you have the option to explore additional functionality
before choosing what to purchase.
3D PHOTO DISPLAY
NOT ENABLED
Make selecting regions for tracking easier and faster
Clearly identify and avoid hair, clothing, and other obstructions
POSTURAL ALIGNMENT
ENABLED
Gain clear direction for setup to maximize efficiency
Pink guidelines to preserve patient dignity
©2019 Vision RT Ltd. All rights reserved.
1016-0299 Issue 1.2
12SpaceOAR ™
Il sistema SpaceOARTM è un dispositivo ideato allo scopo
di allontanare temporaneamente la parete anteriore del
retto dalla prostata durante la Radioterapia per il
carcinoma della prostata.
SpaceOARTM consiste in idrogel derivato da glicole
polietileni-co (PEG) ottenuto in situ: è biocompatibile,
sintetico, idroso-lubile, non tossico e non immunogeno. Lo
spazio prodotto da SpaceOARTM prende forma mediante la
sua iniezione diretta tra prostata e retto.
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1. Hamstra DA, Mariados N, Sylvester J, et al. Continued benefit to rectal separation for prostate radiation therapy: Final results of a phase III trial. Int J Radiat
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DA, Mariados N, Sylvester J, et al. Sexual quality of life following prostate intensity modulated radiation therapy (IMRT) with a rectal/prostate
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15Ze ph yr ®
16Zephyr®
Zephyr®Positioning and
Patient
Patient Positioning
Transfer Systems and
Transfer Systems
Implementing Image-Guided
Radiotherapy
Implementingwith Zephyr
Image-Guided
Radiotherapy with Zephyr
Zephyr®
Patient Positioning and
Transfer Systems
Zephyr Patient Positioning and Transfer Systems
The Zephyr systems utilize patented hover technology to allow patient transfer from imaging
to treatment while maintaining patient positioning. The Zephyr family consists of the
following:
Zephyr High Dose Rate for Image Guided Brachytherapy
Zephyr HDR
Zephyr External Beam series for Image Guided Radiotherapy
Zephyr XL
Zephyr HP
Zephyr HP PRO
17Zephyr®
Patient Positioning and
Transfer Systems
The Zephyr systems allow transfers of immobilized patients
from imaging to treatment couch with ease.
Departments can utilize EXISTING CT/MR scanners and
treatment machines to bring image-guided radiation
therapy to the market TODAY.
Patients can be setup and immobilized prior to treatment in
a separate staging area, which will maximize machine
imaging/treatment time to increase patient throughput.
Zephyr®
Patient Positioning and
Transfer Systems System Components
Zephyr Hover Boards Zephyr Stretchers
Zephyr XL
Zephyr HDR For external beam Zephyr MR Conditional Zephyr Procedural
For HDR GYN/Prostate thoracic/pelvic Stretcher Stretcher
Zephyr Blower
Zephyr HP Zephyr HP PRO
For external beam H/N For external beam H/N
Zephyr Blower
18Zephyr®
Patient Positioning and Ͳ KǀĞƌǀŝĞǁ
Transfer Systems Image-Guided Brachytherapy
The Zephyr HDR system utilizes patented hover technology to
allow patient transfer from procedure to imaging to treatment
while maintaining patient positioning and minimizing the risk of
needle/applicator displacement. Integrating the Zephyr HDR
allows the incorporation of highly accurate planning for image-
guided brachytherapy (IGBT).
Zephyr HDR Highlights
Allows GYN and prostate HDR procedures
Side rails for mounting of stirrups and steppers
Footrest permits supine positioning
Fits small bore CT and MR systems
Capable of multi-directional transfers: lateral (side to side)
and/or longitudinal (head to foot) transfers
Benefits of the Zephyr HDR Solution
Incorporate IGBT Treatment planning
Improve accuracy of HDR treatment
Reduce staff requirements and injuries
Utilize in CT or MR for IGBT
Zephyr®
Patient Positioning and
Transfer Systems Image-Guided Brachytherapy
Incorporate IGBT Treatment Planning
Deliver a higher dose to the target volume
Deliver a reduced dose to the surrounding tissue and organs-at-risk
Reduce the occurrence of side-effects
Improve Accuracy of HDR Treatment
Minimizes risk of applicator/needle movement during transfer utilizing hover
technology
Stirrups mounted directly to Zephyr side rails enable the patient to remain in
the same position throughout imaging and treatment reducing procedure
start to finish time
Easily adjust and remove applicators/needles without repositioning patient
while providing enhanced access to implant area
Reduce Staff Requirements & Injuries
Meets No-Lift Policy standards
Virtually effortless lateral and longitudinal movement alleviating undue
burden and physical strain on staff
Two people can safely and easily transfer a patient between implant
procedure, imaging, and treatment
Increase patient comfort and safety by hovering rather than lifting
19Zephyr®
Patient Positioning and
Transfer Systems HDR Accessories
A wide range of accessory items allow customization of the Zephyr HDR system to meet the unique needs of
your department.
Available Accessories Include:
Premium adult and pediatric stirrups
Arm board with full articulation
Universal clamp bracket for mounting
articulating arm on the Zephyr HDR hover board
Stirrups
Side rails for mounting of additional accessory
items
Extended rails for mounting dual mount
steppers Armboard
Docking kits available for a variety of image
tables
Zephyr®
Patient Positioning and Universal Clamp Bracket
Transfer Systems Image-Guided Radiotherapy
Zephyr External Beam Series allows physicians to implement Image-guided
radiotherapy and adaptive therapy strategies using their existing external beam
treatment equipment and imaging equipment to bring IGRT to the market today.
With the Zephyr series, maximum use of image-based planning data is possible.
The patient is scanned and treated in the same position, which will minimize the Zephyr XL
risk of translational and/or rotational positional changes during transfer between for thoracic/pelvic
imaging and treatment devices.
Zephyr External Beam Highlights
Designed specifically for proton/photon therapy’s unique requirements
Utilization of industry standard patient immobilization and positioning devices
via Varian’s Exact™ Technology
Internal design minimizes imaging artifacts, as well as treatment attenuation
Zephyr HP
Hover technology allows for multi-directional transfers: lateral (side to side) for head and neck
and/or longitudinal (head to foot) transfers
Benefits of the Zephyr External Beam Solution
Enabling Adaptive Radiotherapy techniques
Increase patient throughput without sacrificing treatment accuracy
A variety of Zephyr systems are available which are uniquely tailored to meet
the requirements in the radiation therapy environment
Zephyr HP PRO
for proton head and neck
20Zephyr®
Patient Positioning and
Transfer Systems Image-Guided Radiotherapy
Enable adaptive radiotherapy techniques
Incorporating MR imaging enhances visibility of soft tissue differentiation and
improves identification of structures
Lowers rate of acute and late toxicities and organs at risk
Improves tumor coverage with a more efficient dose delivery
Increase patient throughput without sacrificing treatment accuracy
Maximizes machine utilization by removing patient setup time from the
treatment room
Maintains patient immobilization and clinical accuracy throughout the
patient workflow
Increases patient comfort and staff safety utilizing patented hover
technology
A variety of Zephyr systems are available which are uniquely tailored to
meet the requirements in the radiation therapy environment
Zephyr XL for general patient transfer/treatment
Zephyr HP for head and neck treatments using industry standard thermoplastics
Zephyr® Zephyr HP PRO for use with Orfit’s HP PRO® thermoplastic photon and proton
solution
Patient Positioning and
Transfer Systems External Beam Accessorie
A wide range of accessory items allow customization of external beam Zephyr systems to meet the unique
needs of your department.
Available Accessories Include:
Docking kits compatible with industry standard
indexing solutions
MRI coil torso supports
MRI coil support for head and neck imaging
MRI flat table tops for major OEM MRI systems
MR Head Coil Supports
Docking Kits
MR Torso Coil Supports
21Zephyr®
Patient Positioning and
Transfer Systems Stretchers
Benefits of the Zephyr Procedural Stretcher
Continuous flat surface with translating top enables smooth
patient transfer from imaging/treatment to stretcher
Safety stops at head/foot stretcher surface
Customizable end stops are available
Brake and steer activated foot pedals with true direction steering
Benefits of the Zephyr MR Conditional Stretcher
Procedural Stretcher
MR conditional up to 3T
Continuous flat surface with folding bridge enables smooth
patient transfer from imaging/treatment to stretcher
Four-wheel braking system
Zephyr®
Patient Positioning and MR Conditional Stretcher
Transfer Systems Blowers and Hose
The Zephyr Blowers and Hoses are designed
specifically for the Zephyr Patient Positioning and
Transfer Systems, allowing ease of movement by
providing air flow to the hover board.
Zephyr Blower
Provides low pressure, high volume air flow to the
hover boards
Blower harnesses designed for various Wall Mount
configurations such as wall mount or stretcher
mount
Zephyr Blower Hose
Integrated on/off button provides easy access for
controlling airflow
Quick release design
Varying lengths available
Blower Hose Stretcher Mount
22Zephyr®
Patient Positioning and
Transfer Systems Zephyr Systems
Zephyr HDR Zephyr XL
Zephyr HP PRO Zephyr HP
23w w w.te m asi ne rg i e . i t
TEMA SINERGIE S.P.A.
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