Imaging Technology News 9/08

N/A = Not applicable N/S = Not specified Editor’s Note: Due to space constraints, Imaging Technology News was not able to include all submitted product information in the printed version of this chart. However, all submitted information appears on our Web site at www.ITNonline.net. The “+” at the end of entries signifies more information is available online. Integra Radionics Modus Medical Devices Inc. Nucletron B.V. CIVCO Medical Solutions Elekta Inc. The C-Qual Breastboard combines the latest in IGRT-enabling design w/ an enhanced emphasis on patient comfort. The C-Qual's advanced features bring new efficiencies to breast setup BodyFIX for non-invasive, accurate patient positioning w/patented dual vacuum technology. HexaPOD evo RT system for sub-millimeter robotic positioning in 6 degrees of freedom Cranial (BRW, GTC, TLC), head & neck (HNL), & body (BL-SYS) stereotactic frames & localizers SWIFT & FIRST (ultrasound based 3D planning systems): patient in lithotomy position, prostate in middle of scan window. Prostate fixed by stabilising (anchor) needles. N/A VISIR Image Based Verification links detected positioning variantions to corrective action w/in the verification process & automatically adapts treatment delivery N/A Images/structures imported via DICOM into Elekta Synergy for comparison w/VolumeViewTM images. CT Images & DRR’s imported via DICOM RT Image & stored w/in the IMPAC’s image enabled oncology EMR CT, MR, PET & angiographic imaging QUASAR Penta-Guide; QUASAR Respiratory Motion Phantom, QUASAR Multi-Purpose Body Phantom Live ultrasound imaging for SWIFT & FIRST. For advanced CT HDR brachy, possible to obtain high acccurate target & organ at risk definition utilizing CT/MR/PET image registration/fusion Oncentra MasterPlan is a Microsoft Windows-based suite of oncology solutions providing greater functionality & flexibility. The system integrates seamlessly into multi- vendor environments w/ extensive connectivity options based on DICOM standards. The physics of MasterPlan is based on the calculation engines of Helax TMS plus superior dose algorithms such as Monte Carlo for electrons. The system includes contouring & image fusion tools to define the target volume & critical organs as well as an excellent virtual simulation package & IMRT + VISIR Record & Verify w/ Image Based Verification provides a complete system for image guided radiotherapy. Adjustments in patient positioning are detected & corrected in subsequent fractions. N/A MOSAIQ RTP, ERGO++, Monaco, XiO, Focal, Focal 4D, PrecisePlan Radionics XKnife Stereotactic Planning System QUASAR Respiratory Motion Phantom, QUASAR Multi-Purpose Body Phantom ACCULOC reduces setup uncertainties using implanted fiducials or bony landmarks w/ EPID or CE images. CIVCO's fiducial offering includes gold soft tissue, bone, suture-type & carbon markers Verification of patient position & dose placement w/VolumeView imaging on Elekta Synergy. MOSAIQ V&R automatically set up treatment based on planning information either imported or generated in EMR Plan verification can be done via DICOM-RT DRR Export. Cone Beam ImageFusion is currently being evaluated & is a work in progress QUASAR Penta-Guide; QUASAR Respiratory Motion Phantom, QUASAR Multi-Purpose Body Phantom Plan verification in SWIFT & FIRST by live ultrasound imaging, adaption of needle postions according to the live image information c.q. virtual needle positions, physician has immediate feedback on needle positions, adaptation can be made using live US imaging N/A Low dose acquisition, in line reconstruction & comprehensive registration tools for full image guidance w/ Elekta Synergy. 3D & 2D protocols supported w/VolumeView, PlanarView & MotionView N/A QUASAR Penta-Guide; QUASAR Respiratory Motion Phantom, QUASAR Multi-Purpose Body Phantom Live ultrasound imaging for inter fraction evaluation of needle positions/plan evalaution, as well as CT/MR imaging N/A DynaTRAC, infrared based optical tracking system enables real time patient monitoring. Clear warning displayed for out of tolerance movement. User can interrupt & re-image w/ Elekta Synergy N/A QUASAR Respiratory Motion Phantom Live Ultrasound imaging for intra fraction evaluation of needle positions/plan evaluation RFSuite provides a comprehensive tracking & verification system improving workflow & quality control. RFSuite gives you the tools to verify patient accessories, manage assets & improve workflow. MOSAIQ EMR integrates clinical & administrative data w/ intelligent process management. MOSAIQ Oncology PACS system provides the means to manage large data sets & improves efficiency over conventional archive methods Radionics XKnife system exports to all standard record & verify systems commercially available N/A Oncentra offers complete information & image management. The system includes an electronic patient folder, resource scheduling system and integrated DICOM archive www.civco.com www.elekta.com, www.impac.com, www.cmsrtp.com www.radionics.com , www.integra-ls.com www.modusmed.com www.nucletron.com Standard Imaging Inc. Sun Nuclear Corporation TheraView Technology TomoTherapy Inc. Varian Medical Systems N/S N/A N/A Provided w/ the TomoTherapy Hi-Art treatment system is an indexed carbon fiber tabletop that can accommodate various commercially available immobilization devices (including relocatable head/neck & full body frames). The system's onboard CT imaging capabilities aid significantly in patient positioning, as do available robotic lasers integrated across the treatment planning & delivery functions IGRT or Exact couch w/ remote motion; Indexed Immobilization; infrared optical system used w/ custom fixation devices for Intra-/extra- cranial RT to provide both initial positioning & real time monitoring N/S N/A We sell refurbished CT & MRI scanners An onboard, integrated, high energy CT (MVCT) unit is included. The low dose MVCT images, which eliminate the artifacts due to metallic prostheses & dental fillings, are used for set-up registration & can also be used for treatment & adaptive planning 4DCT w/ GE Advantage 4D & Varian RPM; GE LightSpeed RT wide-bore & wide-view multislice CT; GE Discovery ST high sensitivity PET/CT w/ 2D/3D/4D imaging; GE Signa MR compatible w/ RT immobilization Respiratory Gating Phantom for commissioning & verification of plans that utilize respiratory gating N/A We can integrate w/ all current treatment planning systems including ADAC/Pinnacle, Prowess, Eclipse, CMS, & Topslane The TomoTherapy Hi-Art IMRT Inverse Treatment Planning system is an integral part of the single database system architecture & is capable of dose conformity & uniformity utilizing convolution/superposition algorithm. It is the only commercially available treatment planning system that takes into account the physical & geometrical characteristics of the MLC in optimization parameters Eclipse integrates the entire department: interactive IMRT (sliding window, segmental or arc), RapidArc,Proton planning, 3D-CRT; HDR/LDR brachy. CT, MR, PET, 4DCT/4DPET registration; all fully integrated w/ ARIA PIPSpro software & the QC-3 & NEW QCkV-1 phantoms for quantitative QA of both MV & kV imaging systems MotionSim - simulates patient motion based on actual patient 4D image sets, for dose plan verification to a programmable moving target, w/ & w/out motion effects & w/ or w/out a gating surrogate Plan verification through TheraView Technology. We can do MV or KV imaging The helical IMRT plan can be verified by using the onboard CT imaging feature & robotic lasers for positioning of the QA phantom. The calculated dose can be analyzed on the reconstructed phantom image & superimposed patient contours. Spatial verification of the isodoses w/in the patient volume can be verified by superimposing the simulated plan on daily MVCT images prior to the treatment Patient: Acuity kV CBCT verification in 3D, or 2D + isocenter. Fluoro for gated, breath-hold or freebreathing w/ RPM. Plan only: Plan verification on Linac compares predicted dose, fluence to actual EPID dose image, Dynalog fluence PIPSpro software & the QC-3 & NEW QCkV-1 phantoms for quantitative QA of both MV & kV imaging systems N/A The TheraView detector is outside the treatment field, offering the unique ability to image before, during & throughout the entire treatment procedure w/out damage to major hardware/ software components The onboard, integrated low dose (1 cGy delivered) MVCT imaging system is designed to acquire CT images daily, prior to each fraction. This daily acquired data set is routinely compared in real time w/ the planning images to obtain patient position offsets which are automatically adjusted prior to treatment On-Board Imager (OBI) kV CBCT or paired radiographs auto/manual match to ref CT; PortalVision (PV) aSi MV system; infrared optical markers; SonArray 3D US w/ IR-calibrated position. Integrated couch shift to (auto) reposition to isocenter PIPSpro software & the QC-3 & NEW QCkV-1 phantoms for quantitative QA of both MV & kV imaging systems N/A TheraView has built in statistical calculation algorithms to reduce the influence of systematical errors which take also into account organ translations & rotations At any given moment during the fraction, the treatment may be paused to obtain MVCTs to reevaluate patient &/or target positioning OBI pretreatment fluoroscopic kV studies, including verification of RPM-gating window; PV MV cinesequences. Both OBI & PV synch w/ RPM for gated radiographs. Real-time position monitoring of Optical IR markers allows therapists to gate off during unexpected motion N/S N/A TheraView can integrate w/ any current record & verify information management system, including hospital information system (HIS), PACS, Impac, Varis, Mosaic or Oncentra The unique single database architecture of the TomoTherapy Hi-Art treatment system integrates complete patient treatment history, including treatment plans, daily CT images, registered images, the http://www.ITNonline.net http://www.elekta.com http://www.impac.com http://www.nucletron.com http://www.civco.com http://www.radionics.com http://www.integra-ls.com http://www.modusmed.com http://www.cmsrtp.com http://www.standardimaging.com http://www.sunnuclear.com http://www.theraviewusa.com http://www.TomoTherapy.com http://www.varian.com

Table of Contents Feed for the Digital Edition of Imaging Technology News 9/08

Imaging Technology News 9/08 Contents IGRT How IGRT Targets the Prostate ASTRO Oncology Information Management Systems (OIMS) Imaging Leading the Intense Race Against Cancer SBRT - The New Treatment of Choice Top IMRT/IGRT Centers to Watch Molecular Imaging: Ready for the Limelight CR or DR in the ER? Have You Hit the Glass Ceiling?

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