Alamance Regional Cancer Center 2012 Varian TrueBeam Alamance Regional Cancer Center 2012

Varian TrueBeam

Why Varian TrueBeam? New platform technology Improved imaging Efficiency Fast and precise Upgradability Most reliable equipment Unlocks treatments Enhanced patient comfort

Varian TrueBeam

New Beam Generation System All new accelerator guide Variable energy switch Simplified and integrated bend magnet New energy/foil carousel and target system Real-time electron gun gating Maximum flexibility in dosimetry <5 MU/min up to 2400 MU/min

New Beam Generation System The TrueBeam system has been designed from the ground up to optimize radiotherapy and radiosurgery Delivers powerful cancer treatments with pinpoint accuracy and precision Seamless integration of treatment, imaging and motion management

Radically Different Future Designed to optimize radiotherapy and radiosurgery Integrates and choreographs powerful imaging and treatment systems Unparalleled accuracy Unlocks new treatment options Allows patients to receive radiation with less treatments Treats new cancers that were previously untreatable

More Treatment Options Provide more options for treating complex cancer cases including lung, breast, liver, abdomen, head and neck IMRT, IGRT, RapidArc, Gated RapidArc, SBRT, SRS

Gated RapidArc Next evolutionary step Compensates for tumor motion Expands application of RapidArc treatments to moving tumors Enables fast treatments of tumors that move with respiration Minimizes exposure to healthy tissues

Gated RapidArc

Multiple Energy Support 6 X-ray energies 8 electron energies Tailor treatments to individual patients Select optimal energy for specific clinical need The TrueBeam system has been completely redesigned and is fully customizable with seven flat-field X-ray energies and two flattening filter free energies(High-Intensity Mode), and gives you the ability to choose the number of electron energies from zero to eight. Additionally, you can do energy upgrades in the field without a guide change, giving you unmatched versatility. You can buy what you need now and add more later or exchange energies if appropriate. You can now tailor your radiation treatment program almost without limitation. This type of flexibility can only be found in the TrueBeam system.

Improved CBCT Quality Overall, better image uniformity Cupping artifact has been minimized - apparent when performing window and level Improvement in the skin line definition Better HU accuracy under all conditions

Imaging on Demand Higher capacity X-ray tube Acquire a radiograph, CBCT image, or perform fluoroscopy, anytime Automated filter management Variable collimation

New Standards in Accuracy Mechanical and Imaging Isocenter Accuracy < 0.75 mm Gantry rotational: < 0.3 degrees Collimator rotational: < 0.5 degrees

Submillimeter Couch Accuracy Compensates for mechanical deflection Rotational accuracy for patient positioning 0 to + 6 degrees: < 0.4 degrees Spatial translational accuracy for patient positioning + 5 cm shift: < .5 mm

Unrivaled Treatment Precision All within 10 milliseconds Accuracy in increments of less than a millimeter Submillimeter alignment for imaging and treatment isocenter

50 One button image acquisition and full automation of beam delivery make treatments 50% faster* Changing imaging procedures and protocols is simple and fast Position and treat in less time than RapidArc benchmark % Faster

TrueBeam™ Treatment Console Single source 4 computers and monitors down to single computer and 2 monitors Future New technology easily integrated with TB

= Fast and Precise Synchronized Fast & Precise Treatments Imaging & Delivery Fast & Precise Treatments

Enhanced Image Guidance Simplified, Automated Imaging Modes Image Acquisition during Treatment—kV and MV Respiration synchronized kV and MV Imaging

TrueBeam

TrueBeam

Enhanced Patient Comfort

Built with Patient Comfort in Mind Quiet operation provides for more comfortable environment Shorter treatment times, less interruption to patient’s daily lives Music can be played during treatments to increase patient comfort

Enhanced Patient Interaction Constant interaction between the patient and therapist New communication system enables the therapist to monitor the patient from outside the treatment room

Allow More Time with Patient Guided workflow Streamlined tasks Prompted and predicted next steps Common user interface for Console, Pendant and Couch controls

Why Varian TrueBeam?

Varian 2100C Elekta Infinity TrueBeam Shaping Cerrobend Blocks MLCs Imaging Radiographic films taken and processed. Time. Poor image quality. OBI-CBCT/kV images. IGRT-Image Guided Radiation Therapy. OBI- CBCT/kV images. Precision Only 3-D and simple treatments available due to manual blocking requirement Offers MLCs, but No FFF energies MLCs , image quality and FFF energies allows SBRT, SRS and Rapid Arc treatments Speed of Treatment Slow due to manual blocking. 600MU/min Std speed for IMRT and Arc Therapy, but No FFF capability State-of-the-art platform, SBRT and SRS speed using 2400 MU/min Energies Up to 7 Energies from 4 to 25 Mv 8 Electron Energies 5 Flattened Photon Energies Fast High Intensity Mode–6X FFF: max ~1400 MU/min–10X FFF: max ~2400 MU/min Taking films allows more time for patient movement. Elekta has developed its Gamma Knife for Stereotactic Radiosurgery. Varian’s new platform allows for energies to be switched or added with software upgrades only. Allows for future technology to be added w/software vs hardware additions. Other companies are usually trying to catch up w/Varian’s technology. Varian systems are typically working for 15-20 years. The useful life of systems is usually 8-12 years.

Main Differences Varian 2100C Elekta Infinity TrueBeam Retired platform Platform comparable to Varian’s C series. New platform allowing software enhancements to extend product life to the upper limit of typical. Imaging poor quality due to mV imaging No High Intensity energies for SBRT/SRS. High Intensity energies Full 1st digital linear accelerator intro 1985 Elekta no fully integrated system. TPS is 3rd party First linear accelerator developed with Stanford in 1959. Dedicated to oncology. Largest oncology specific software provider of fully integrated radiotherapy systems. Taking films allows more time for patient movement. Elekta has developed its Gamma Knife for Stereotactic Radiosurgery. Varian’s new platform allows for energies to be switched or added with software upgrades only. Allows for future technology to be added w/software vs hardware additions. Other companies are usually trying to catch up w/Varian’s technology. Varian systems are typically working for 15-20 years. The useful life of systems is usually 8-12 years.

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