1. Alamance Regional Cancer Center 2012
Varian TrueBeam
Alamance Regional
Cancer Center 2012

2. Varian TrueBeam

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

4. Varian TrueBeam

5. 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

6. 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

7. 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

8. 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

9. 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

10. Gated RapidArc

11. 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.

12. 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

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

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

15. 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

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

17. 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

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

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

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

22. TrueBeam

23. TrueBeam

24. Enhanced Patient Comfort

25. 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

26. 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

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

28. Why Varian TrueBeam?

29. 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 years. The useful life of systems is usually 8-12 years.

30. 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 years. The useful life of systems is usually 8-12 years.

31. Thank you for your support. Questions?