CyberKnife Robotic Radiosurgery System Delivers Sub-Millimeter Accuracy

CyberKnife ® Robotic Radiosurgery

Radiosurgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CyberKnife ® Robotic Radiosurgery System ,[object Object],[object Object],[object Object]

CyberKnife ® Robotic Radiosurgery System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Photo courtesy of St.Joseph’s Hospital

Accuray Incorporated ,[object Object],[object Object],[object Object],[object Object]

CyberKnife ® Robotic Radiosurgery System ,[object Object],[object Object],[object Object],[object Object],[object Object],World’s Most Accurate Radiosurgery System

Synchrony ™ camera Treatment couch Linear accelerator Manipulator Image detectors X-ray sources Targeting System Robotic Delivery System

CyberKnife ® Accuracy ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],CyberKnife ® The Next Generation in Robotic Radiosurgery

CyberKnife ® G4: Linear Accelerator *Higher dose rate compared to the previous generation of CyberKnife ,[object Object],[object Object],Powerful 600 MU/min X-band Linear Accelerator

CyberKnife ® G4: Image Guidance System ,[object Object],[object Object],Flush-mounted, In-floor X-ray Image Detectors

CyberKnife ® G4: Contact Detection ,[object Object],[object Object],[object Object]

CyberKnife ® Conformality ,[object Object],[object Object],[object Object],[object Object],[object Object]

CyberKnife ® Conformality ,[object Object],[object Object],[object Object]

Synchrony ™ Respiratory Tracking System ,[object Object],[object Object],[object Object],[object Object]

CyberKnife ® Treatment with Synchrony

CyberKnife ® Treatment with Synchrony ,[object Object],[object Object],[object Object],[object Object],[object Object],*Reference: Dieterich S, Taylor D, Chuang C, Wong K, Tang J, Kilby W, Main W. The CyberKnife Synchrony Respiratory Tracking System: Evaluation of Systematic Targeting Uncertainty

CyRIS ™ MultiPlan ™ Treatment Planning ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CyRIS ™ MultiPlan ™ Treatment Planning

CyberKnife ® G4: Treatment Planning Wizard ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Load Patient Select Study Select Exams Anatomical Planning Template

Xsight ™ Spine Tracking System ,[object Object],[object Object],[object Object]

Xsight ™ Spine Tracking System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Xsight ™ Key Features ,[object Object],[object Object],Standard X-ray Xsight Process Standard DRR Xsight Process

Xsight ™ Key Features ,[object Object],[object Object],[object Object],Optimal ROI Default ROI

[object Object],[object Object],[object Object],[object Object],Xsight ™ Key Features Step 3 Step 2 Step 1

Defining Accuracy ,[object Object],[object Object],Tumor motion Patient setup Patient movement Imaging (CT, MRI, etc.) Treatment planning Beam delivery Clinical Accuracy

CyberKnife ® Robotic System Accuracy ,[object Object],[object Object],[object Object],[object Object],[object Object],Clinical Accuracy CyberKnife Clinical Accuracy

CyberKnife ® System Accuracy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Reference: Yu C, Main W, Taylor D, Kuduvalli G, Wang M, Apuzzo M, Adler J. An Anthropomorphic Phantom Study of the Accuracy of CyberKnife Spinal Radiosurgery. Neurosurgery , November 2004 .

Targeting Accuracy Using Synchrony ™ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Reference: Dieterich S, Taylor D, Chuang C, Wong K, Tang J, Kilby W, Main W. The CyberKnife Synchrony Respiratory Tracking System: Evaluation of Systematic Targeting Uncertainty 0.28 0.48 0.31 SD 0.76 0.63 0.71 Mean 0.64 0.11 0.46 Site 3 0.55 0.74 0.62 Site 2 1.08 30 deg 1.05 15 deg 1.05 0 deg Site 1

Clinical Benefits ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CyberKnife ® Treatment Overview

Patient Setup ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Photo courtesy of Naples Community Hospital

CyberKnife ® Treatment Procedure ,[object Object],[object Object],[object Object],[object Object],[object Object],Photos courtesy of Stanford University Hospital, Naples Community Hospital, University of Southern California, St. Joseph’s Hospital

CyberKnife Robotic Radiosurgery System Delivers Sub-Millimeter Accuracy

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CyberKnife Robotic Radiosurgery System Delivers Sub-Millimeter Accuracy