YOUR MOST VALUABLE QA & DOSIMETRY TOOLS

Transcription

1 Product Solutions YOUR MOST VALUABLE QA & DOSIMETRY TOOLS Nederland België / Belgique T +31 (0) T +32 (0) info@gotopeo.com

2 PRODUCT SOLUTIONS // Table of Contents Contents Better Outcomes Through Technology...5 Innovation That Improves Outcomes While Saving Time...6 Total Solution Partner for Product Training & Support ArcCHECK MultiPlug TM CavityPlug TM DVH Respiratory MotionSim TM PlanIQ TM PerFRACTION TM 2D & 3D EPIDose TM MapCHECK MapPHAN TM IVD TM 2 / rf-ivd TM IsoRad TM QED TM I 2 SUN NUCLEAR CORPORATION // sunnuclear.com

3 ATLAS TM Daily QA TM 3 / rf-daily QA TM CHECKMATE TM StereoPHAN TM IC PROFILER TM PROFILER TM TomoDose TM SRS PROFILER TM IMF TM / GMF TM SNC Machine TM D SCANNER TM D MiniLift TM D Reservoir TM D TPR TM WaterProof PROFILER TM D SCANNER TM PC Electrometer TM EDGE Detector TM SNC350p TM SNC125c TM SNC600c TM sunnuclear.com // SUN NUCLEAR CORPORATION 3

4 PRODUCT SOLUTIONS // Introduction 1 I 4 SUN NUCLEAR CORPORATION // sunnuclear.com

5 MEDICAL PHYSICS NUCLEAR MEDICINE RADON MONITORING Better Outcomes THROUGH TECHNOLOGY Independent and relevant quality assurance is more important than ever. Choosing a partner with a record of clinically-proven solutions and a history of outstanding quality and service is just as important. Sun Nuclear deals with the challenges confronting every Radiation Oncology program: safe and effective delivery of the intended prescriptions and doses to patients. These challenges have implications including: Patient Safety Patient Clinical Outcomes Facility Continual Improvement Facility Employee Satisfaction Facility Reputation for Quality Facility and Employee Accreditations/ Certifications Facility Financial Health In choosing Sun Nuclear, you gain a partner with more than 30 years of proven experience and you become part of a world-wide network of cancer treatment facilities committed to improving QA and Dosimetry outcomes. Resource Depth Headquarter facilities and manufacturing are in Melbourne, Florida, USA 2 linacs with photons, electrons, MLC, and EPID 1 Cobalt 60 teletherapy system 5 treatment planning and oncology information systems sunnuclear.com // SUN NUCLEAR CORPORATION 5

6 PRODUCT SOLUTIONS // Innovation Innovation that IMPROVES OUTCOMES WHILE SAVING YOU TIME. Many companies claim to develop innovative products, but their products are not better or different than any other product. Our solutions are designed for you and the way you work, not the other way around. The result? Solutions that look and perform differently in a way that improves outcomes while saving you time. 1 I 6 SUN NUCLEAR CORPORATION // sunnuclear.com

7 The Right Detector for the Right Application Sun Nuclear manufactures both diode and ion chamber detectors and arrays. Sun Nuclear s SunPoint Diode Detectors offer the benefit of a smaller active area, better sensitivity, less drift and increased lifetime. SunPoint Diode Detectors are used for small field/ patient-specific applications due to smaller size and better performance characteristics for small and modulated fields. Ion chambers are used for large field/low-modulation applications where small size is not necessary. Sun Nuclear software also supports EPID, Gafchromic film, and CR detectors. Quick and Easy Setup Patented user calibration (Wide Field Calibration) USB communication with PC Single unit, lightweight designs Single cable for power and data No warm-up or pre-irradiation required Intuitive software for short learning curve Independent Checks and balances using diodes, ion chambers, EPIDs, and log files Independent from delivery and planning systems Measurement, and measurement-based calculations Not 100% reliant on calculation-only patient QA Data Integrity and Transparency Original raw and processed data available to user Data export to spreadsheets Independently analyze any measurement data All algorithms documented in online help Industry Firsts First Plan Quality Analysis Using Quantified Metrics c. 2015, Quality Reports First Dose on patient geometry without a TPS dose calculation c. 2010, 3DVH First EPID-based dose analysis for patient-specific IMRT QA c. 2007, EPIDose First Patient-specific respiratory and gating simulation system c. 2005, MotionSim First Electronic 2D Array for patient specific IMRT QA c. 2002, MapCHECK First Daily QA trending database c. 1996, Daily QA Check LEADER - Sun Nuclear #1 Worldwide Market Share Leader for Quality and Safety 4,000 Worldwide Cancer Treatment Facilities Use Sun Nuclear Solutions 90% of U.S. Cancer Centers Use Sun Nuclear Products 15 AAPM Task Group Memberships 4 Continents with Full-time Sun Nuclear Support Teams: Europe, Asia, South America, North America 60 Countries with Sun Nuclear Solutions Sun Nuclear Training Center in Melbourne, FL, Corporate Partnerships sunnuclear.com // SUN NUCLEAR CORPORATION 7

8 PRODUCT SOLUTIONS // Training and Education At Sun Nuclear we know THE VALUE OF EDUCATION Ongoing education is an important component of a successful continual improvement program, which ultimately helps to improve outcomes and patient safety. Sun Nuclear is a leader in the sharing of information and ideas from both industry and clinical perspectives. Our educational activities focus on both product and task-speci c subjects as well as broader issues in the radiation oncology industry. 1 I 8 SUN NUCLEAR CORPORATION // sunnuclear.com

9 Live Product Webinars Sun Nuclear hosts live educational Product Webinars as part of its educational program. The webinars are hosted online, and are presented by clinical users and product experts. All webinars last approximately 30 minutes, with a live Q&A session following the webinar. Visit us online to register for our upcoming webinars. CE credits are available for select webinars. Register at sunnuclear.com/webinars. & Dosimetry SYMPOSIUM Exploring the future of QA and Dosimetry Exploring the Future of QA and Dosimetry The QA & Dosimetry Symposium (QADS) is the only event for Medical Physicists and Dosimetrists that brings leading clinical innovators together to discuss the latest practices and issues related to QA and Dosimetry in Radiation Oncology. The symposium provides attendees with practical guidance from industry experts on new and relevant products, processes, and techniques in today s evolving Radiation Oncology environment. The talk schedule is supplemented by opportunities to interact with leading industry vendors and colleagues in both professional and social settings. Register at qasymposium.com Benefits Continuing education credits (CAMPEP, SAM, and MDCB) Presentations from the industry s leading authorities on the latest practices and future direction of Radiation Oncology QA and Dosimetry Major vendor participation Leading resort venues Free registration for students and residents Web access to presentations after the symposium Networking with peers Why the Sun Nuclear The Sun Nuclear Training Center opened its doors in The training center is purpose-built, demonstrating Sun Nuclear s commitment to patient safety and the effective use of QA solutions. Users can experience in-depth exploration of Sun Nuclear product functionality on a linac, as well as application-specific coursework such as IMRT QA, VMAT QA, Annual QA, and Commissioning. The training center offers this training in an environment that closely mimics an actual clinical setting for a realistic learning experience. Training courses on a variety of subjects are offered year round and are delivered by Sun Nuclear subject matter experts and experienced clinical users. Details on upcoming training courses are posted on the Sun Nuclear Support website. Take a virtural tour of the Training Center at sunnuclear.com/training Quality Content Hands-on Learning Peer-to-Peer Instruction State-of-the-Art Facility sunnuclear.com // SUN NUCLEAR CORPORATION 9

10 PRODUCT SOLUTIONS // Training and Education Total Solution Partner for PRODUCT TRAINING & SUPPORT We are committed to providing customers with the best possible support experience. Sun Nuclear s Support team includes over twenty professionals with diverse physics, teaching, engineering, customer support, and language skills. As always, Sun Nuclear customers receive complimentary standard technical support, and there is never a limit to the number of times you may contact us with a question. 1 I 10 SUN NUCLEAR CORPORATION // sunnuclear.com

11 Telephone Worldwide: Standard Sun Nuclear telephone support is o ered from 8am to 8pm ET, Monday through Friday. Regional: Standard extended regional telephone support hours are available. After hours/on-call telephone support options are available. Secure Remote Support Sun Nuclear users who have a current maintenance contract may request live online assistance. Online assistance allows trained Sun Nuclear support professionals to collaborate directly in the user s PC environment to evaluate and resolve issues, relieving the user of this task. Sun Nuclear Support Site All Sun Nuclear users have access to an exclusive, user-only Sun Nuclear Support Website which provides the following bene ts: Access to software, manuals, and software license keys in real time for your products. Exclusive instructional material including videos and FAQs. Sun Nuclear account management (inventory of products and product details). Ability to request information and support. Visit sunnuclear.com/support Product Training All Sun Nuclear products are designed for easy installation and setup. As an added service, Sun Nuclear o ers professional product installation and training for all products. Customers have three options to choose from: Option 1: On-site Installation and Training Option 2: Online Product Training Option 3: In-house Product Training at the Sun Nuclear Training Center Training Matrix On-site Online In-house On-site Online In-house Trained Sun Nuclear professional on site Y - Y Remote assistance with installation of software Y Y - Comprehensive syllabus Y Y Y Assist with acquisition of sample measurements Y - Y Provides users with in-depth and effi cient product use experience Y Y Y Train users on comprehensive product functionality Y Y Y Training on advanced features Y Y Y Question and answer (Q&A) session Y Y Y Training on real-time operation of the software Y Y Y Maximize benefi ts of the product(s) purchased Y Y Y Secure Internet connection with unlimited customer attendees Y Y - Shorten learning curve and begin using product(s) sooner Y Y Y Oversee and physically assist with installation of devices and software Y - Y sunnuclear.com // SUN NUCLEAR CORPORATION 11

12 PRODUCT SOLUTIONS // Patient QA Sophisticated Treatment Options Demand PATIENT SPECIFIC QA Sophisticated treatment options such as Arc, Helical, IGRT, IMRT, and SRS demand equally sophisticated patient specific QA. Modern patient plans are often collections of small beamlets with very steep dose gradients. Since these dose gradients are too tightly to conform to patient anatomy and PTV accurate veri cation of the dose gradient is critical. Using the right technology is critical. Sun Nuclear o ers a variety of sophisticated treatment options using our advanced diode detectors, which measure actual delivered dose without the misleading and often hidden e ects of dose volume averaging as seen in ionization chambers. 1 I 12 SUN NUCLEAR CORPORATION // sunnuclear.com

13 ArcCHECK Cavity Options MultiPlug Patient plan QA RapidArc /VMAT, FFF, SmartArc and TomoTherapy Routine IMRT and 3D conformal Machine and setup QA The world s first true 4D detector array The world s first cylindrical detector array The world s first electronic array designed specifically for rotational dosimetry ey Bene ts Utilizes SunPoint Diode Detectors Consistent BEV regardless of gantry angle High detector density in BEV 221 detectors in central 10 x 10 cm Easy setup and lightweight (16 kg) Measure both composite and per control point Real-time updates (50 ms) IMRT, Arc, SRS, SBRT dose distributions in cavity Supports 3DVH Precision fitted for ArcCHECK central cavity Accepts ion chambers, diodes, film detectors Position single detectors in any of 25 unique locations Position film sizes up to 13 x 21 cm in X or Y axis Angle indicator allows rotation to any angle within ArcCHECK cavity CavityPlug Detector Type: SunPoint Diode Detectors Detector Quantity: 1386 Detector Spacing (cm): 1.0 Array Diameter (cm): 21.0 Inherent Buildup (g/cm 2 ): 3.3 +/- 0.1 Inherent Backscatter (g/cm 2 ): 3.3 +/- 0.1 Array Geometry: Helical Grid, 1 cm offset Phantom Material: PMMA (Acrylic) Weight (kg): 16 Measures dose at isocenter Supports 3DVH sunnuclear.com // SUN NUCLEAR CORPORATION 13

14 PRODUCT SOLUTIONS // Patient QA 3DVH 3DVH Options Respiratory MotionSim 3D or 4D patient dose QA using ArcCHECK, MapCHECK 2, EPIDose, or Film IMRT, VMAT, and Conventional Patient QA Effective tool for commissioning Coplanar and non-coplanar deliveries Create an estimated 3D or 4D patient dose volume for QA Structure-based analysis tools Intuitive and powerful user interface Generate easy-to-read QA reports Create high density, high resolution dose reconstruction in ArcCHECK volume with Virtual Gel Evaluate the effects of structure motion on estimated patient dose distribution with optional Respiratory MotionSim ey Bene ts Clinically relevant patient QA Eliminates dose to phantom guesswork No commissioning required Supports Coplanar & Non-Coplanar Beams: Yes Estimation of Absolute Patient Dose: Yes Analysis by Patient DVH: Yes Accounts for TPS error: Yes Accounts for Beam Delivery Error: Yes Statistics per Anatomical Structure: Yes DICOM RT Compatibility: Full integration VMAT and RapidArc Support: Yes Analysis of Beam by Beam Errors: Yes Respiratory dosimetric effects simulation Prostate and other non-cyclical motion simulation Gating dosimetric effects simulation IMRT, VMAT, and Conventional Patient QA Quantify and visualize the effects of structure motion on the estimated patient dose distribution, including DVH Patient-specific respiratory patterns imported from 4DCT - manual entry of trajectory data not required Interplay effect simulation - averages possible interplay effects over multiple fractions Track individual voxels as a function of time Movie mode features 4D playback of dose accumulation, motion, and time Customize moving target, margin, direction of motion, one-time/repeating motion, etc. ey Bene ts Allows quantification of patient-specific motion effects on 3D dose distribution in patient anatomy No additional setup or phantom required Motion effects are fully patient specific Dose distributions in patient anatomy and geometry No commissioning Fully integrated with 3DVH 1 I 14 SUN NUCLEAR CORPORATION // sunnuclear.com

15 PlanIQ PerFRACTION 2D & 3D Clinical goal feasibility and plan optimization Plan quality scorecards and improvement Commission auto-treatment planning systems Plan documentation Determine feasibility of the clinical goals before planning begins Optimize clinical goals with Feasibility DVH which show what DVH are feasbile for each target and OAR Plan Quality Metrics (PQM and APQM) provide patient specific plan quality scoring, for entire plan and for each target and OAR Choose from over 70 pre-defined quality protocols to score against and customize Single comprehensive report for complete patient treatment plan and quality scoring for compliance DVH QA to support TG-53 compliance Record patient quality metrics to quality library, and demonstrate continual improvmeent ey Bene ts No time wasted on treatment planning of ambiguous or unachievable goals Higher quality treatment plans Easier compliance with documentation and quality requirements More than simple pass/fail of objectives: Yes Takes into account patient specific challenges: Yes Drives continuous improvement: Yes Compatible with all TP and R&V Systems: Yes Supports all Treatment Modalities: Yes Vendor-Neutral DVH QA: Yes Dedicated DICOM Server: Yes Compatible with 3DVH : Yes Interactive visualization of DICOM Data: Yes Customizable Reports: Yes Fraction 0: Pre-Treatment IMRT QA without a phantom (3D) Fraction n: Treatment delivery QA for every fraction (2D & 3D) Completely automated workflow captures and analyzes all necessary files and s if a failure - no further work required 2D planar comparison to baseline and/or predicted images 3D dose reconstruction on patient CT using proprietary collapsed cone convolution superposition algorithm (3D) Point dose and region of interest calculations (3D) Clinical goals pass/fail calculation (3D) AutoCal TM - automated EPID response calibration feature corrects for EPID drift Included SNC Server streamlines installation Web-browser access from any computer on your network Works with Varian, Elekta, Aria, Mosaiq ey Bene ts Consistent system for both pre-treatment QA (Fraction 0) and per-fraction QA (Fraction n) Complete automation - no additional time requirements -simply approve results when ready Detects the most common types of errors - patient errors - as well as machine errors EPID-based Measurement QA solution maintains independence and billing compliance (US) Meets Reimbursement Requirements: Yes Supports all Treatment Modalities: Yes Independent Check: Yes Access From any Computer on Network: Yes Detects Patient Setup Errors: Yes Detects Patient Anatomy Changes: Yes Detects Output Fluctuations: Yes Detects Machine MLC, Jaws/Collimator Errors: Yes Commissioning Required: Browser Support: No Chrome, IE8, IE9 sunnuclear.com // SUN NUCLEAR CORPORATION 15

16 PRODUCT SOLUTIONS // Patient QA EPIDose MapCHECK 2 Quick conversion of MV EPID images to absolute dose Absolute Dose Commissioning using MapCHECK 2 EPID based patient plan QA MV EPID images to absolute Comparison, subtraction, overlay, profiles Rotational delivery support Supports all delivery modalities and linacs Any EPID distance or dose plane setup Independent of treatment planning system and linac Patented algorithm tests TPS calculations - Catch errors missed by image QA Use with 3DVH software ey Bene ts Easy to Use No buildup on EPID Combine split fields Maximize the benefits of MV EPID Absolute Dose Commissioning using MapCHECK 2 Corrections of per segment output factor variation and phantom scatter Independent Dose Comparisons: Increased Data Density for QA: Audit the TPS and Delivery System: No Buildup on EPID: Measure at Any Gantry Angle: One Model Works with Each: Yes Yes Yes Yes Yes Linac/EPID Photon energy Source to EPID Source to Dose plane Dose plane depth Patient plan QA IMRT QA RapidArc /VMAT, FFF and TomoTherapy (with accessories) Machine, MLC, and setup QA Most detectors of any 2D array Highest detector density of any 2D array Largest field size of any 2D array MapCHECK 2 is a turn-key solution ey Bene ts Proven solution for film-less rotational and IMRT delivery Utilizes SunPoint Diode Detectors Easy to use and efficient software Single click comparisons Rotational capable when used with MapPHAN option Real-time updates (50 ms) Interfaces with the IMF Detector Type: SunPoint Diode Detectors Detector Quantity: 1527 Detector Spacing (mm): 7.07 Array Size (cm): 32.0 x 26.0 Inherent Buildup (g/cm 2 ): 2.0 ± 0.1 Inherent Backscatter (g/cm 2 ): 2.7 ± 0.1 Detector spacing parallel Array Geometry (cm): to X and Y axes: 1.0 Row spacing: 0.5 Phantom Material: PMMA (Acrylic) Weight (kg): I 16 SUN NUCLEAR CORPORATION // sunnuclear.com

17 MapCHECK 2 Options MapPHAN PerFRACTION Patient plan QA for rotational delivery RapidArc /VMAT, FFF and TomoTherapy Coronal and sagittal orientation Construction: Virtual Water TM Available Depths (cm): 5.0 cm, 10.0 Area (cm 2 ): 35.0 x 38.0 Weight (kg): 8.0 (5 cm), 21.0 (10 cm) Over the duration of the study, multiple MLC positional errors were detected using the EPID based software but these same errors were not detected using the trajectory log les. Monitoring daily MLC positional errors using trajectory log les and EPID measurements for IMRT and MAT deliveries, A. Agnew, et al., 2014 Phys. Med. Biol. 59 N49 sunnuclear.com // SUN NUCLEAR CORPORATION 17

18 PRODUCT SOLUTIONS // Patient QA IVD 2 / rf-ivd 2 ISORAD Detector 1-4 MV 6-12 MV MV Dose verification during treatment Final check of complete system Total Body Irradiation (TBI) Real-time wireless option available (rf-ivd 2) Use with control module or PC software Expandable to 52 channels, 4 channels standard Record and verify interface ey Bene ts Simple to install and easy to use Automatic patient temperature compensation 12 calibration keys Patient database Correction factor tools Accuracy and reliability proven worldwide Use with industry standard re-usable detector options QED - Flat for easy patient placement ISORAD - Cylindrical for isotropic response Channels: Temperature Compensation: Standard: 4 Maximum: 52 Automatic-within C (Negative polarity only) Repeatability (cgy): ± 0.2% or ± 0.1 Polarity: Leakage: Warm-Up Time: Bipolar (negative or positive polarity detectors) Automatic compensation < 30 sec rf-ivd 2 : Rechargeable NiMH Power: battery (12 hr) IVD 2 : Power supply Weight (kg): 0.34 Cylindrical design for isotropic response Accurate and stable SunPoint Diode Detector ey Bene ts Real-time dose reading Detector Area (mm 2 ): 1.54 Active Dimension (mm): 1.4 diameter Dose Rate Dependence (cm): ± 1%, SSD Detector Sensitivity (nc/gy): 27 Detector Stability: 0.5% /kgy at 6 MV ELECTRON QED Detector SKIN Flat design for easy placement on patient Accurate and stable SunPoint Diode Detector ey Bene ts Real-time dose reading 1-4MV 6-12MV Detector Area (mm 2 ): 0.64 Active Dimension (mm): 0.8 x 0.8 Dose Rate Dependence (cm): ± 1%, SSD Detector Sensitivity (nc/gy): 32 Detector Stability: 0.5% /kgy at 6 MV 15-25MV 1 I 18 SUN NUCLEAR CORPORATION // sunnuclear.com

19 ArcCHECK We are using the ArcCHECK for about a year now for QA of our clinical IMRT plans. On the basis of our experiences we can conclude that the ArcCHECK is not only suitable for the QA of Elekta linacs, but also for small stereotactic elds up to x cm 2 ) from a Novalis linac Brainlab). Dr. Paul Rietveld, Ph.D. Radiotherapiecentrum, The Netherlands sunnuclear.com // SUN NUCLEAR CORPORATION 19

20 PRODUCT SOLUTIONS // Routine Maximize Data Integrity and ANALYSIS OPTIONS Routine daily, monthly, and annual tests are prescribed as part of a robust QA and Dosimetry program. For the person taking the routine measurement, tools must be easy to use and reliable. The physics goal of routine QA is to maximize the data integrity and analysis options. Sun Nuclear is the only company to achieve this goal by o ering a daily device with 25 detectors that performs ve uni ue tests in a single measurement. This goal is carried a signi cant step further with ATLAS, which centralizes all routine QA and Dosimetry test data in one location, o ering new opportunities in reporting, analysis, and e ciency. 1 I 20 SUN NUCLEAR CORPORATION // sunnuclear.com

21 ATLAS Daily QA 3 / rf-daily QA 3 Radiotherapy center QA management Scheduling, equipment, and messaging management A front end for data acquisition A back end for reporting and analysis Suitable for both small and large facilities Upload documents to the Attachment Center Audit Log shows overdue/failed test Searches Attachment Center for documents that have expired or are about to expire Tests can be cloned either as a group or individually to a new machine ey Bene ts Integrated test libraries Customizable tests Resource tracking management Facility and user management Attachments TG-142 and TG-51 libraries Daily linac monitoring and trending Output, flatness, symmetry, energy, light-radiation field coincidence Rotational delivery supported Utilizes both ion chambers and diodes for optimal results Measure output, flatness, symmetry, field size, energy in a single exposure Trend analysis database software included No warm-up or pre-irradiation required Real-time wireless available (rf-daily QA 3) ey Bene ts No buildup or flipping required Automatic temperature and pressure correction Real-time measurements Simple two-step operation Start and then Record Interfaces with the IMF Organization Structure: Test Libraries: Customize Tests: Resource Tracking: User Management: Communication Center: Data Management: Networkable: Daily, monthly, annual, dosimetry, mechanical, safety, and imaging TG-40, TG-142, TG-51 Manufacturer recommended Yes Yes Yes Yes Yes Yes Detector Type: Sun Point Diode Detectors Vented Ion Chambers Detector Quantity: Diodes: 12 total Chambers: 13 total Detector Spacing (mm): Diodes: 5 Chamber Active Value (cm 3 ): Electron: 0.6; Photon: 0.3 Inherent Buildup (g/cm 2 ): Chambers: 1.0 ± 0.1 Inherent Backscatter (cm): 2.3 Field Size (cm): 20 x 20 Weight (kg): 5.7 sunnuclear.com // SUN NUCLEAR CORPORATION 21

22 PRODUCT SOLUTIONS // Routine CHECKMATE 2 Daily central axis output Repeatability Monitor chamber linearity Built-in rechargeable batteries Precision alignment template User calibration Stores up to 15 calibration values Automatic memory position advance ey Bene ts Cost effective solution Simple to use Automatic temperature and pressure correction Large, easy to read display Detector Type: Vented Ion Chamber Detector Quantity: 1 - CAX Parallel Plate Separation (mm): 4.0 Field Sizes (cm): 10 x 10 and 20 x 20 Detector Volume (cm 3 ): 0.6 Inherent Buildup (g/cm 2 ): 1.0 ± 0.1 Inherent Backscatter (cm): PMMA, 2.3 Weight (kg): I 22 SUN NUCLEAR CORPORATION // sunnuclear.com

23 IC PROFILER The chamber to chamber variation, combined with the IC PROFILER 2D array s calibration stability with time feature has been proven to be suf ciently stable for the device to be used to signature water phantom performance in line with Elekta s manufacturing needs. Craig Hunt Services Product Specialist Oncology Services Development Elekta Ltd. sunnuclear.com // SUN NUCLEAR CORPORATION 23

24 PRODUCT SOLUTIONS // Machine QA Improve Machine Output STABILITY AND OVERALL QA Machine QA should be performed with three primary goals in mind. The first is to foresee an issue before it occurs; the second is to identify an issue as soon as it is measureable; and the third is to apply prior understanding to improve the machine output and stability, and the overall QA program. Many of these goals are re ected in international QA guidelines, and many are easily and accurately accomplished using Sun Nuclear s line of Machine QA tools. Since the introduction of the PROFILER in 1996, through PROFILER 2, TomoDose, SRS PROFILER, StereoPHAN, IC PROFILER, and SNC Machine, Sun Nuclear is committed to meeting and exceeding the goals of Machine QA regardless of the challenge or delivery modality. 1 I 24 SUN NUCLEAR CORPORATION // sunnuclear.com

25 StereoPHAN StereoPHAN Options SRS/SBRT Headframes Stereotactic (SRS/SRT/SBRT) end-to-end testing Quality assurance of image fusion algorithms for CT and MRI imaging modalities Absolute, relative and point dose dosimetry QA measurements at isocenter with ion chambers; relative dose distribution using film Consistent orientation allows for interference-free dose measurement regardless of measurement plane Target volumes in CT/MRI cube eliminate need for CT/MRI markers Flat surface of ion chamber cube geometry enables easy cross-calibration to water Support for stereotactic frame and frameless systems Key Benefits Phantom stand holds the inserts, making them easily accessible during testing Multi-functional cube inserts increase efficiency No tools required for assembly Stand base can be mounted to a couch that uses the Lok-Bar system All components fit into durable rolling case suitable for storage and travel Brainlab Fraxion GammaKnife CyberKnife Film MRI Signal Generator StereoPHAN Inserts Ion chamber Universal Spacer CyberKnife Support CT/MRI Material: PMMA (Acrylic) Weight (Including all Inserts) (kg): 11.1 Measurement Cubes (mm): 85 x 85 x 85 StereoPHAN Dimensions (mm): 518 x 276 x 323 Film CT Ion Chamber sunnuclear.com // SUN NUCLEAR CORPORATION 25

26 PRODUCT SOLUTIONS // Machine QA IC PROFILER PROFILER 2 Full field measurement instead of a single point Beam constancy, steering, diagnostics Comprehensive linac QA With appropriate calibration, the IC PROFILER has an accuracy within 0.5% of a water tank Unique curved ion chamber design maximizes signal and minimizes volume averaging Very low noise to signal ratio (0.15%) Key Bene ts 45 cm length diagonals 0 x 40 cm field measurement at 75 cm SDD Maximum dose rate of 6660 cgy/min Detector Type: Parallel plate Ion Chamber Detector Quantity: 251 Total: X Axis: 63 / Y Axis: 65 -Diagonal: 63 / +Diagonal: 63 Detector Spacing (mm): 5.0 Array Size (cm): 32.0 x 32.0 Detector Volume (cm 3 ): Detector Sensitivity (pc/cgy): 14.4 Inherent Buildup (g/cm 2 ): 0.9 Inherent Backscatter (g/cm 2 ): 2.3 Phantom Material: PMMA (Acrylic) / PC Weight (kg): 8.8 Alternative to a water phantom for many tests Flatness, symmetry, field size, beam center, penumbra width, light-radiation field coincidence Real-time beam constancy, steering, diagnostics Evaluate collimator and rotational sag Profile comparison, subtraction, and overlay Identify startup/time dependent anomalies Quick and precise beam QA measurement Sets up in minutes versus hours for a typical water tank Multiple real-time parameter calculations No warm-up or pre-irradiation required Import water tank data and compare to PROFILER files Key Bene ts Real-time beam measurements Fast and efficient setup One measurement checks multiple parameters Interfaces with the IMF Detector Type: SunPoint Diode Detectors Detector Quantity: 139 Total: X Axis: 57 / Y Axis: 83 Detector Spacing (mm): 4 Array Size (cm): 22.4 x 32.8 Inherent Buildup (g/cm 2 ): 1.0 Inherent Backscatter (g/cm 2 ): 2.0 Phantom Material: Virtual Water top plate Weight (kg): I 26 SUN NUCLEAR CORPORATION // sunnuclear.com

27 TomoDose SRS PROFILER Use for Machine QA on TomoTherapy Hi-Art Post component replacement verification Daily QA tests Only array designed for TomoTherapy Hi-Art Measure entire Hi-Art beam in a single measurement Accessibility to raw data Import water tank data and compare to TomoDose files Key Bene ts Fast and efficient setup Ten measurement axes for both X and Y direction Measure output, symmetry, flatness, field size, penumbra, beam center Analyze and compare up to 15 profiles at once Instantaneous dose rate plot SRS cone based radiation therapy On Accuray Recommended QA Equipment list Daily, monthly, and annual machine QA Array is designed for cone based SRS Accepted and proven for clinical and factory settings Import water tank data and compare to PROFILER files Real-time analysis Key Bene ts Fast and efficient setup Identify startup/time dependent anomalies One measurement checks multiple parameters Attaches to the CyberKnife birdcage Detector Type: SunPoint Diode Detectors Detector Quantity: 223 total on X and Y Detector Spacing (mm): X: 5.0, Y: 4.0, Y Off-axis: 8. Array Size (cm): 53.0 x 9.8 Array Geometry (cm): X: 53.0 Y: 9.8 (8.0 at ±19.0) Inherent Buildup (g/cm 2 ): 1.0 Inherent Backscatter (g/cm 2 ): 2.8 Phantom Material: PMMA (Acrylic) Weight (kg): 5.0 Detector Type: SunPoint Diode Detectors Detector Quantity: 125 total on four axes Detector Spacing (mm): 4 Radial Field Size (mm): 10, 20, 40, 60, 80, 100, and 120 Axes Length (mm): 143 (X), 127 (Y), 124 (Diagonals) Inherent Buildup (g/cm 2 ): 0.5 Phantom Material: PMMA (Acrylic) Weight (kg): 1.5 sunnuclear.com // SUN NUCLEAR CORPORATION 27

28 PRODUCT SOLUTIONS // Machine QA IMF / GMF SNC Machine Measure output, symmetry, flatness, field size, penumbra, beam center, and more at any angle. Determine gravity-induced dose constancy, symmetry, flatness, MLC and jaw shift changes Holds cones of 20 x 20 cm or less for performing electron measurements Hold device measurement planes at machine isocenter: IMF: MapCHECK, MapCHECK 2, PROFILER 2, Daily QA 3, rf-daily QA3, and SRS PROFILER with adapter plat GMF: MapCHECK 2, PROFILER 2 and Daily QA 3 (adapter plate required) Key Bene ts Fast, efficient, reproducible setup Measure at 100 cm SDD +/- 1.0 mm Supports electron cone (GMF) Aluminum alloy construction Adjustable buildup clamps Compatible Linacs: (IMF) Elekta, Siemens, Varian Weight (kg): (IMF-E) 7.9, (IMF-S) 8.1, (IMF-V) 7.4 Maximum Buildup (cm): (IMF) Dimensions (cm): (IMF-E) 39.4 x 28.7 x 48.8 (IMF-S) 39.4 x 31.5 x 48.0 (IMF-V) 39.4 x 31.5 x 39.1 Compatible Linacs: (GMF) Elekta, Varian Weight (kg): (GMF-E) 16.8, (GMF-V) 3.7 Maximum Buildup (cm): Dimensions (cm): (GMF-E, ICP only) 3 (GMF-V, ICP only) 1.5 (GMF-E) 56.5 x 56.5 x 56.0 (GMF-V) 40.0 x 47.1 x 42.2 TG-142 imaging and mechanical QA VMAT mechanical and dosimetric QA Comprehensive pre-defined test library for TG-142 and VMAT QA Completely automated workflow captures and analyzes all necessary files - no further work required Easy phantom baseline setup with automatic ROI registration Trend any test or test parameter against any other test or test parameter for any number of machines Included SNC Server streamlines installation Supports most common imaging and mechanical QA phantoms for TG-142 Web-browser access from any computer on your network Works with Varian, Elekta, Aria, Mosaiq Bene ts Complete library of most common TG-142 imaging and mechanical tests Complete automation - no additional time requirements - simply approve results when ready Tests TG-142 Imaging: TG-142 Mechanical: CBCT Image Quality & Accuracy, kv Image Quality & Accuracy, MV Image Quality & Accuracy MLC Picket Fence, MLC Positioning & Leaf Speed, Winston-Lutz Radiation & Machine Isocenter, Gantry/Couch/Collimator Starshot, Light/Radiation Congruence, Field Size Beam: Beam Flatness, Beam Symmetry VMAT: Dose Rate versus Gantry Speed, Leaf Speed, Arc Point Dose, DMLC Point Dose 1 I 28 SUN NUCLEAR CORPORATION // sunnuclear.com

29 SNC Machine Options MV-QA FS-QA: Field Size QA and Constancy Image scaling, positioning offset, spatial resolution, contrast, uniformity and noise Easy setup, alignment clearly marked on overlay and image MV Line Pairs (mm): 0.1, 0.2, 0.5, 1.0 ± MV ROI: 9 (4 spatial, 4 contrast, 1 center) MV Dimensions (cm): 12.7 L x 10.2 W x 2.5 D Symmetric and asymmetric light field/radiation field coincidence and jaw positioning Flatness and symmetry for photon and electron beam profile constancy Field Sizes (cm): 10 x 10; 15 x 15 Markers (±0.1mm): 56 - Field size (7 per fi eld edge) Dimensions (cm): 17.8 L x 17.8 W x 0.6 D kv-qa I mage scaling, positioning offset, spatial resolution, contrast, uniformity and noise Easy setup, alignment clearly marked on overlay and image kv Line Pairs (mm): 0.6, 1.2, 1.8, 2.4 ± 0.01 kv ROI: 28 (4 spatial, 23 contrast, 1 center) kv Dimensions (cm): 12.7 L x 12.7 W x 1.6 D WL-QA: Isocenter QA and Constancy Winston-Lutz measurements Imaging and radiation field isocenter coincidence Cone-beam CT positioning/repositioning End-to-end IGRT positioning tests 3D isocenter offset results Dimensions (cm): 6.0 x 6.0 x 6.0 Sphere Size (mm): 7.0 Sphere Center Accuracy (mm): 0.2 SNC Machine Compatability R&V Systems: kv: MV: CBCT: ARIA and MOSAIQ with Varian linacs ImagePro kv, LEEDS TOR 18FG, Standard Imaging QC-kV1 ImagePro MV, Varian Las Vegas, Standard Imaging QC-3 Varian CATPHAN (Model 504), Elekta CATPHAN (Model 503), CATPHAN 600, Gammex 464 Winston-Lutz: ImagePro WL-QA, custom phantom Field Size: ImagePro FS-QA, custom phantom Log Files: Varian Dynalog IE9 with Windows 7; IE 11 with Windows Browsers: 8.1; Google Chrome sunnuclear.com // SUN NUCLEAR CORPORATION 29

30 PRODUCT SOLUTIONS // Dosimetry Maximize Measurement Accuracy While MINIMIZING INCORRECT USE Tools used for dosimetry and commissioning must be carefully selected. Equal care must be taken to use the tools properly, otherwise incorrect information could be used with serious consequences. It is with this understanding that Sun Nuclear designs dosimetry solutions. Our goal for dosimetry is to maximize the accuracy of the measurement while minimizing the possibility of incorrect use. 1 I 30 SUN NUCLEAR CORPORATION // sunnuclear.com

31 3D SCANNER 3D SCANNER Options 3D MiniLift TPS commissioning Linac acceptance Annual QA Patented cylindrical design scans on any axis Ring drive positions detector in any relevant 3D location Automated leveling and beam center positioning Built-in control box/electrometer Works with both diodes and ion chambers Key Bene ts 0.1 mm positioning accuracy Reproducible setup Less than 20 minute setup 65 cm scan range; no need for tank shift The Cylindrical Advantage Maintains ideal orientation of the detector during inline, crossline and diagonal scans More scanning area - up to 65 cm in any direction Less volume means faster fill and drain time No need to shift the tank and risk setup inconsistencies during shifting Water riples settle faster because of curved walls AutoSetup No more guess work, highly reproducible setup result. Ready to setup in less than 20 minutes Straddles linac couch ring for stability Fits through standard doorways Legs fold for compact storage Quick and easy disassembly or transport 3D Reservoir 187 L (49.5 gal) capacity Less than 6 minute fill time Less than 3 minute drain time Easily maneuverable 3D TPR Vertical (mm): 400 Diameter (mm): 650 Ring (Degrees): 330 Motors: Encoded stepper/servo Scanning Modes: Continuous and step Scanning Speed Range (mm/sec): Variable up to 8 Scanning Accuracy (mm): 0.1 in all dimensions Diameter inner, Height / Width (mm): 676 / 673 / 875 Supports Varian, Elekta, Siemens and CyberKnife delivery systems Less than 5-minute installation with no additional tools 200 mm TPR drain measurement: 1.2 minutes 200 mm TPR fill measurement: 2.7 minutes sunnuclear.com // SUN NUCLEAR CORPORATION 31

32 PRODUCT SOLUTIONS // Dosimetry 3D SCANNER Options WaterProof PROFILER 1D SCANNER Scanning Dosimetry - relative dose measurements, acceptance testing, TPS commissioning Open Fields and Electronic Wedges Single power/data cable connects directly to 3D SCANNER Oversampling feature provides accurate results Best specification detector spacing, count, and array length of any water-proof array SunPoint Diode Detectors provide the sharpest penumbra for the highest accuracy in beam modeling Calibration is fully automated and performed in the 3D SCANNER with no need to go in and out of bunker Key Bene ts Speed capture complete beam profiles instantly, and with a fraction of the MU s needed when using a single detector Accuracy data is comparable to data collected when using a single ion chamber Ease of use attaches directly to 3D SCANNER in seconds with no tools, warm-up, or external electrometer needed Detector positioning in water Output factors and dose calibrations Annual and routine QA Suitable for TG-51 Automatic water level detection Places the detector at the water surface Pendant and PC software control 30 cm scan depth Advanced scanning software option available Key Bene ts Fast and efficient detector positioning Accommodates all common electron cones Multi-function pendant Horizontal ruler for off-axis detector positioning Farmer type, universal, and reference detector holders included Leveling platform available Detector Type: SunPoint Diode Detectors Quantity: 127 Spacing: (mm): 4 Overall Active Length (mm) 504 Active Volume (mm 3 ): Inherent Buildup Depth (mm): 8.1 Physical Buildup Depth (mm): 5.8 Sensitivity (nc/gy): 32 Inner Dimensions (cm): 35 x 39 x 36 Inner Volume (cm): 48 liters at 34.5 Arm positioning Increments (cm): 0.01, 0.1, 1.0 & 10 Arm positioning Accuracy (cm): ± 0.01 Scan Depth Maximum (cm): 30 Tank Material: PMMA (Acrylic) Weight Empty with Arm (kg): I 32 SUN NUCLEAR CORPORATION // sunnuclear.com

33 PC Electrometer EDGE Detector Reference class dosimetry for absolute dose calibration Mobility intensive assignments Lightweight and portable; weighs only 1 lbs USB powered no batteries or power cord Intuitive user interface Fully configurable software interface Key Bene ts Pocket size, lightweight design Two independent measurement channels Interfaces with the 1D SCANNER Less than 1-minute warm-up time Single USB cable connection Fast sampling interval 500 ms Detector library SRS and IMRT beam modeling TPS commissioning Accurate penumbra characterization for all fields Ideal for steep dose gradients and small fields On Accuray Recommended QA Equipment list 842 times smaller in volume than micro ion chambers 100 times more signal than micro ion chambers Key Bene ts No dose volume averaging Accuracy for critical penumbra measurements Works with all common water phantoms Charge (mca): 2 pc 10 Current Range Continuous (na): 2 pa 50 Current Range Pulsed (pc/pulse): Leakage (fa): < 10 A/D Converter: 16 bit Non-Linearity: <+/- 0.1% of full scale Long Term Stability: <+/- 0.5% Measured Repeatability: <+/- 0.25% of full scale Connector: TNC or BNC Weight (kg): 0.4 Current Range Pulsed (pc/pulse): Detector type: SunPoint Diode Detector 0.3 from top 4.72 from end Diode Die Location (mm): 2.7 from side Indicated by cross hairs on top of housing Water Depth Equivalent (mm): 0.5 Housing Wall Thickness (mm): 0.13, brass External Dimensions (mm): 3.8 x 5.5 x 38 Impedance: >200 Mohm at 10 mv reverse bias Output Polarity: Negative Cable: 3.4 mm dia. x 1.8 m long, triax Connector: TNC or BNC sunnuclear.com // SUN NUCLEAR CORPORATION 33

34 PRODUCT SOLUTIONS // Dosimetry SNC350p SNC125c Reference, field, and scanning dosimetry of electron beams TDD/TPS Commissioning and QA Conforms to the design principles as stated by Dr. M. Roos Meets AAPM TG-51 and IAEA TRS-398 requirements for low-energy beams Reference dosimeter can be used to cross calibrate field dosimeters Meets highest standards of performance (IEC 60731) Key Bene ts Well-guarded to reduce in-scattering perturbation effects Vented to provide air-density correction and eliminate need for radioactive stability check device White chamber body allows easy visualization of the setup relative to the crosshairs and lasers Reference, Field, Scanning dosimetry of electron and photon beams IMRT/VMAT Quality Assurance Intended for use in scanning, field and reference dosimetry Enhanced penumbra without loss of signal strength Key Bene ts Waterproof and fully guarded Vented to provide air-density correction and eliminate the need for radioactive stability check device White chamber body gives a clear line of sight to the crosshairs and lasers during set up and set up verification Sensitive Volume (cm 3 ): Reference Point (mm): 1.07 Below Window Surface Collection Volume Height (mm): 2.0 Collector Diameter (mm): 15.6 Guard Ring Width (mm): 4.1 Polarity Effect: Within (±) 0.01 Max Dose Rate for (Gy/s): 99.5 % Saturation 99.0 % Saturation Max Dose Per Pulse for (mgy): 99.5 % Saturation 99.0 % Saturation Radiation Quality: Connector: Photons: 60 Co to 25 MV Electrons: 5 MeV to 25 MeV TNC or BNC Active Volume (cm 3 ): Active Length (mm): 7.05 Active Diameter (mm): 4.75 Sensitivity (nc/gy): 3.4 Paint 0.05 Wall Material (mm): PMMA 0.30 Graphite 0.25 Electrode (mm): 0.8 diameter aluminum Vented: To atmosphere through waterproof tubing Waterproofing: Viton Tubing Polarizing Voltage: ±400V Max Cable Length (m): 1.5 Cable Connector: TNC or BNC 1 I 34 SUN NUCLEAR CORPORATION // sunnuclear.com

35 SNC600c 3D SCANNER Photon and electron dosimetry Reference dosimetry - treatment delivery device calibration, cross calibration of other ionization chambers Field dosimetry - output stability checks for QA Scanning dosimetry - relative dose measurements, acceptance testing, treatment planning system commissioning Reference class ionization chamber (IEC 60731) Follows industry classic Farmer chamber design Fully guarded Vented Waterproof White thimble provides cross hair contrast Rotational orientation indicator mark Included Co-60 cap allows for air KERMA calibration The tank setup is by far the easiest setup of a scanning tank I have ever used and a testament to the ground up approach to the engineering of this scanning system. From my experience with D SCANNER, I ll be a Sun Nuclear tank user for all of my future sites. Mike Tallhamer, M.Sc Chief of Physics Centura Health, Colorado, USA Key Bene ts Compatiability for existing Farmer chamber phantoms due to classic Farmer chamber design Highest performance for reference dosimetry Improved setup and accuracy from white chamber body gives a clear line of sight to the crosshairs and lasers during set up and set up verification Active Volume (cm 3 ): 0.6 Active Length (mm): 22.7 Active Diameter (mm): 6.1 Sensitivity (nc/gy): 20 Wall Material (mm): Paint 0.05, Graphite 0.43 Electrode (mm): 1.1 diameter aluminum Vented: To atmosphere through waterproof tubing Buildup Cap (mm): 4.5 Polarizing Voltage: ±400V Max Cable Length (m): 1.5 Cable Connector: TNC or BNC sunnuclear.com // SUN NUCLEAR CORPORATION 35

36 Nederland 2015 Sun Nuclear Corporation. All Rights Reserved. België All data / Belgique used is best available at time of publication. Data is subject to change without notice. T +31 (0) T +32 (0) info@gotopeo.com ProSol_B