Product Solutions Your Most Valuable QA & Dosimetry Tools

Transcription

1 Product Solutions 2014 Your Most Valuable QA & Dosimetry Tools

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3 Contents Better Outcomes Through Technology...4 Your Partner for QA & Dosimetry...5 The Sun Nuclear Advantage - Different by Design...6 Total Solution Partner...8 ArcCHECK...12 MultiPlug TM...12 CavityPlug TM DVH...13 Respiratory MotionSim TM...13 EPIDose TM...14 RadCALC...14 MapCHECK ImagePro TM Solution...20 ImagePro TM Phantoms...20 StereoPHAN TM...21 TomoDose TM...21 PROFILER TM IC PROFILER TM...22 SRS PFOFILER TM...23 IMF TM / GMF TM...23 MapPHAN TM...15 MotionSIM TM...15 IVD TM 2 / rf-ivd TM ISORAD TM...16 QED TM...16 SRS Film QA TM...17 EasyCube TM D SCANNER TM D MiniLift TM D Reservoir TM D TPR TM...25 EDGE Detector TM D SCANNER TM...26 PC Electrometer TM...26 ATLAS TM...18 Daily QA TM CHECKMATE TM

4 Better Outcomes Through Technology Independent and relevant quality assurance is more important than ever. Choosing a partner with a record of clinicallyproven 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 In choosing Sun Nuclear, you gain a partner with more than 25 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 >60,000 total square feet (5575 square meters) 2 linacs with photons, electrons, MLC, and EPID 1 Cobalt 60 teletherapy system 5 treatment planning and oncology information systems Facility Reputation for Quality Facility and Employee Accreditations/Certifications Facility Financial Health 4

5 Your Partner for QA & Dosimetry Worldwide Leader in QA & Dosimetry #1 worldwide market share leader >4,000 cancer treatment facilities worldwide use Sun Nuclear solutions >60 countries use Sun Nuclear solutions Quality and Support ISO ISO 9001 certifications 9 FDA 510(k) clearances 4 continents with full-time Sun Nuclear Support presence: Europe, Asia, South America, North America Built-In Expertise >20 experienced members of customer support team including clinical physicists >30% of Sun Nuclear is dedicated to Research and Development >15 AAPM Task Group memberships including TG-142, TG-106, and TG-100 Cooperative Partnerships >10 industry partnerships including all major OEMs: Varian, Elekta, Accuray, Philips, ViewRay, Mevion, RaySearch 5

6 The Sun Nuclear Advantage Many companies claim to develop innovative products, but their products are not better or different from any other product. At Sun Nuclear, innovation has a name. 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. 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 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 benefits of smaller active area, better sensitivity, less drift and increased lifetime. SunPoint Diode Detectors are used for small field/patientspecific 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. Independent Checks and balances using diodes, ion chambers, EPIDs, and log files Independent from delivery and planning systems Measurement, and measurementbased calculations No 100% reliance 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 6

7 Different by Design ArcCHECK The ArcCHECK has a patented cylindrical detector geometry that measures beams upon entry and again upon exit. The detector geometry is consistent for all gantry angles, is highly sensitive to errors, and enables dose calculation throughout the entire phantom. The ArcCHECK has a Virtual Inclinometer to ensure measurement at the correct angle. There are no additional cables or equipment to attach to the linear accelerator. The ArcCHECK geometry allows for a hollow central cavity which can be filled with inserts holding ion chambers, diodes, and film, and can be arranged in many different configurations. Reversing the trend towards ever heavier and awkward-to-use phantoms, ArcCHECK weighs only 16kg and uses only one cable for all power and data needs. 3D SCANNER TM The 3D SCANNER uses a patented design that allows consistent in-line, cross-line, and diagonal scans with no detector setup changes or tank shifts. The system improves data quality and reduces the risk of error. AutoSetup TM automatically and reproducibly sets the detector position at the water surface, and levels and aligns the tank, eliminating subjectivity. Save all scans in a searchable database, and preserve original raw scan data after applying processing layers to provide more data flexibility and easier inter-comparisons. ImagePro TM Solution for TG-142 No need to manually name files, or to identify the machine or tolerance. ImagePro s advanced algorithms do the work for you. ImagePro is delivered pre-installed on Sun Nuclear s Integrated Data Device (IDD). Simply connect the IDD to your network and ImagePro is ready to be used on as many computers as you wish. The ImagePro user interface (or client) does not need to be installed because it relies on a standard browser. It offers security, flexibility and less overhead for you. Industry firsts... > > First Daily QA trending database c. 1996, Daily QA Check > > First Electronic 2D Array for patient specific IMRT QA c. 2002, MapCHECK > > First Patient-specific respiratory and gating simulation system c. 2005, MotionSim > > First EPID-based dose analysis for patient-specific IMRT QA c. 2007, EPIDose > > First Dose on patient geometry without a TPS dose calculation c. 2010, 3DVH 7

8 Total Solution Partner Training Modern radiation oncology techniques are complex, and their safety and effectiveness rely on the proper use of QA tools. Many groups, including ASTRO and AAPM, recommend that meaningful training solutions be incorporated into routine practices. Sun Nuclear opened a new customer training center, the Sun Nuclear Training Center, in The training center is a purpose-built training center with its own linear accelerator and demonstrates Sun Nuclear s commitment to patient safety and the effective use of QA tools. Users can experience in-depth exploration of Sun Nuclear product functionality on a linac, as well as applicationspecific coursework such as IMRT QA, VMAT QA, Annual QA, and Commissioning. The SNTC offers this training in an environment that closely mimics an actual clinical setting because a realistic experience ensures the best possible training outcome. 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. 8

9 On-site/Online Product Training All Sun Nuclear products are designed for easy installation and setup. As an added service, Sun Nuclear offers professional product installation and training for all products. Customers have two options to choose from: Option 1: On-site Installation and Training Option 2: Online Product Training On-site/Online Training Comparison On-site Online Trained Sun Nuclear professional on site Y - Comprehensive syllabus Y Y Provides users with in-depth and efficient product use experience Y Y Training on advanced features Y Y Training on real-time operation of the software Y Y Secure Internet connection with unlimited customer attendees Y Y Oversee and physically assist with installation of devices and software Y - Remote assistance with installation of software Y Y Assist with acquisition of sample measurements Y - Train users on comprehensive product functionality Y Y Question and answer (Q&A) session Y Y Maximize benefits of the product(s) purchased Y Y Shorten learning curve and begin using product(s) sooner Y Y 9

10 Total Solution Partner Support At Sun Nuclear we know the value of good support, and 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 linguistics backgrounds. 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. Telephone Worldwide: Standard Sun Nuclear telephone support is offered 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 Support Site All Sun Nuclear users have access to an exclusive, user-only Sun Nuclear Support Website which provides the following benefits: > > 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). Sun Nuclear users who have a current maintenance contract may request live online assistance. > > Ability to request information and support. Visit 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. I have to say the 3D SCANNER is a step above anything I ve used in the past. Even with my lack of hands on experience I was able to meet all of my deadlines and found that the system was exceptionally easy to pickup and use right out of the box. Sun Nuclear s trainer was also exceptional and by the end of the first afternoon I was navigating the software, processing scans and even exporting scans for outside analysis. The tank setup is by far and away 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 3D SCANNER, I ll be a Sun Nuclear tank user for all of my future sites. Mike Tallhamer, M.Sc St. Anthony s Hospital Denver, USA 10

11 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 specific subjects as well as broader issues in the radiation oncology industry. Weekly Product Webinars Sun Nuclear hosts weekly 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 Q&A session following the webinar. Visit us online to register for our upcoming webinars. Webinar recordings are also available upon request. Register at QA & Dosimetry SYMPOSIUM Exploring the future of QA and Dosimetry Exploring the Future of QA and Dosimetry 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. Benefits Continuing education credits (CAMPEP & MDCB) Presentations from the industry s leading authorities on the latest practices and future direction of Radiation Oncology QA & Dosimetry Major vendor participation Leading resort venues Free registration for students and residents Web access to presentations after the symposium Networking with peers Register at 11

12 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 Utilizes SunPoint Diode Detectors Consistent BEV regardless of gantry angle High detector density in BEV 221 detectors in central 10x10cm Easy setup and lightweight (16kg) Measure both composite and per control point Real-time updates (50ms) 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 21cm 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: 1.0cm Array diameter: 21.0cm Inherent buildup: 3.3 +/- 0.1g/cm 2 Inherent backscatter: 3.3 +/- 0.1g/cm 2 Array geometry: Helical Grid, 1cm offset Phantom Material: PMMA (Acrylic) Weight: 16kg Measure dose at isocenter Supports 3DVH 12

13 3DVH 3DVH Options Respiratory MotionSim DVH QA - Estimate impact on patient dose and DVH - Works with ArcCHECK, MapCHECK, EPIDose, and film Dose to phantom planar QA is converted to a heterogeneous dose to patient for DVH QA Use with arc delivery or IMRT Overlay dose on patient CT Does not require a secondary dose algorithm Virtual Gel: High density, high resolution dose reconstruction in ArcCHECK volume Quick Stat Templates: Flexible, easy plans for data analysis Respiratory/breathing dosimetric effects simulation Prostate motion simulation (including non-cyclical) Gating dosimetric effects simulation Patient-specific respiratory patterns imported from 4DCT 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 Track individual voxels as a function of time Customize moving target, margin, direction of motion, one-time/repeating motion, etc. Clinically relevant patient QA Eliminates dose to phantom guesswork No commissioning required Supports coplanar and non-coplanar beams: Estimation of absolute patient dose: Analysis by Patient DVH: Accounts for TPS error: Accounts for beam delivery error: Statistics per anatomical structure: DICOM RT compatibility: VMAT and RapidArc support: Analysis of beam by beam errors: Full integration 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 Up to 5 dose reconstructions per second No commissioning Supports coplanar and non-coplanar beams: Estimation of absolute patient dose: Analysis by Patient DVH: Accounts for TPS error: Accounts for beam delivery error: Statistics per anatomical structure: DICOM RT compatibility: VMAT and RapidArc support: Analysis of beam by beam errors: Full integration 13

14 EPIDose RadCALC EPID based patient plan QA - MV EPID images to absolute dose - Comparison, subtraction, overlay, profiles, more - Rotational delivery support Flatness and symmetry Independent of TPS and linac - Dose QA audits the TPS and linac - Catch errors image QA would miss - Independent algorithms and software Tests output of TPS dose algorithms Easy to use - No buildup on EPID required - Combine split fields into one - Maximize the benefits of MV EPID Supports any EPID distance and dose plane setup Use SNC Patient TM software for complete analysis Performs conventional 2D and 3D, IMRT and compensator based IMRT treatment plans Robust VMAT support using Regions of Interest (ROI) BrachyTherapy support for HDR, HDR (Xoft), LDR, and Permanent Implant treatment plans Intuitive and customizable user interface Flexible installation architecture - local or server based Flexible site licensing Capable of importing from RTP or R&V Systems and Exporting to R&V or RTP Systems Fast, easy, and accurate dosimetric verification Rapid commissioning (configuration of up to two (2) machines is included with every package) Professional calculation printouts and powerful administrative and physics data reporting tools Increases throughput, relieves workload pressure, and reduces costs department wide 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: Linac/EPID Photon energy Source to EPID Source to Dose plane Dose plane depth RTP import and export: Verify and record export: Independent IMRT verification: Electron and photon calculations: Rapid commissioning: VMAT support with ROI: PC requirements: Windows NT4, 2000, XP, Vista, and MHz processor or faster 128MB RAM 14

15 MapCHECK 2 MapPHAN Patient plan QA for rotational delivery - RapidArc /VMAT, FFF and TomoTherapy - Coronal and sagittal orientation 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 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 (50ms) Interfaces with the IMF Detector type: SunPoint Diode Detectors Detector quantity: 1527 Detector spacing: 7.07mm Array size: 32.0 x 26.0cm Inherent buildup: 2.0 ± 0.1g/cm 2 Inherent backscatter: 2.7 ± 0.1g/cm 2 Array geometry: Phantom Material: Weight: Detector spacing parallel to X and Y axes: 1.0cm Row spacing: 0.5cm PMMA (Acrylic) 7.1kg Construction: Virtual Water TM Available depths: 5.0cm, 10.0cm Area: 35.0 x 38.0cm 2 Weight: 8.0kg (5cm), 21.0kg (10cm) MotionSIM Dose QA for moving targets Assess interplay effects in MLC-based IMRT QA Compare gated versus non-gated delivery Gating system commissioning and QA Platform: Maximum travel: Motors: Max velocity: Resolution: Repeatability: Communication: Power: Weight: Carbon Fiber X-Axis: 4in (10.2cm); Y-Axis: 4in (10.2cm) 2 phase bipolar steppers 2in/second (5.08 cm/second) 0.13μm 0.13μm bidirectional RS-232, 19,200kbps V, single-phase, 47-63Hz, 4A 15kg 15

16 IVD 2 / rf-ivd 2 IsoRad Detector 1-4 MV 6-12 MV MV Cylindrical design for isotropic response Accurate and stable SunPoint Diode Detector 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 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 Real-time dose reading ELECTRON Detector area: 1.54mm 2 Active dimension: Dose rate dependence: SKIN 1.4mm diameter Detector sensitivity: 27nC/Gy Detector stability: ± 1%, cm SSD 0.5%/kGy at 6MV QED Detector 1-4MV 6-12MV 15-25MV Channels: Temperature compensation: Repeatability: Polarity: Leakage: Warm-up time: Power: Weight: Standard: 4 (IVD 2) / 8 (rf-ivd2) Maximum: 52 Automatic-within C (Negative polarity only) ± 0.2% or ± 0.1cGy Bipolar (negative or positive polarity detectors) Automatic compensation < 30 sec rf-ivd 2 : Rechargeable NiMH battery (12 hr) IVD 2 : Power supply 0.34kg Flat design for easy placement on patient Accurate and stable SunPoint Diode Detector Real-time dose reading Detector area: 0.64mm 2 Active dimension: 0.8 x 0.8mm Dose rate dependence: ± 1%, cm SSD Detector sensitivity: 32nC/Gy Detector stability: 0.5%/kGy at 6MV 16

17 SRS Film QA EasyCube Comprehensive SRS Patient Plan QA and analysis Convert scanned film image data to dose on any stereotactic modality Compare film dose information to an imported patient plan Co-developed with Accuray Analyze from within the SNC Patient software Analyze film as if it were MapCHECK measured data Compatible with all SRS modalities Extract a 3D dose plane at any arbitrary angle and save Extract from a CT data set or dose volume Use as a reference for film alignment and analysis Vidar and EPSON flatbed scanner support Scan film and save as RAW or TIFF images Dose measurements - Ionization chambers, TLDs and Film Simulation of heterogeneities - Bones/adipose/muscle/lung/titanium CT scanner QA - Calibration of Hounsfield scale Stereotactic QA RW3 construction - 15 slabs Options available - Body Phantom Package - provides head and neck phantoms and body shaped scattering blocks that can hold up to 15 films - Cylindrical Phantom Package - provides four cylindrical extensions to hold dosimeters and heterogeneities - Oval Phantom Package - provides two oval extensions to hold dosimeters and heterogeneities Scanner/film requirements: Epson flatbed scanner for EBT film Compatible with: DICOM RT, IMRT, VMAT and Stereotactic Regional settings: All Windows supported regions Operating system: Windows XP or Windows 7 (32 or 64 bit) Processor: Intel Dual Core 2.4GHz or higher RAM: 4GB RAM Drive space: 5GB Open GL, 32MB RAM, Video card: 1280x1024 resolution Density (g/cm 3 ): EasyCube dimensions (cm): 18.0 x 18.0 x 18.0 EasyCube internal dimensions (cm): 16.0 x 16.0 x 16.0 Wall thickness (cm): 1.0 Film distance plate quantity and thickness (mm): (16) 10.0 (1) 5.0 (2) 2.0 (1) 1.0 Film size (cm): 16.0 x 16.0 Number of films: 16 17

18 ATLAS 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 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) 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 Detector type: Sun Point Diode Detectors Vented Ion Chambers Detector quantity: Diodes: 12 total Chambers: 13 total Detector spacing: Diodes: 5.0 Chamber active area: Electron: 0.6cm 3 ; Photon: 0.3cm 3 Inherent buildup: Chambers: 1.0 ± 0.1g/cm 2 Inherent backscatter: 2.3g/cm 2 Field Size: Weight: 20.0 x 20.0cm 5.7kg 18

19 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 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 Detector spacing: 5.0mm Field sizes: 10 x 10 and 20.0 x 20.0cm Detector volume: 0.6cm 3 Inherent buildup: 1.0 ± 0.1g/cm2 Inherent backscatter: Acrylic, 3.6cm Weight: 4.9kg 19

20 ImagePro SOLUTION FOR TG-142 Software Cone Beam CT QA MV and kv QA Winston Lutz using film and EPID MLC log file analysis Radiation-isocenter Congruence Light Field Congruence Starshot Beam Flatness and Symmetry Comprehensive and focused TG-142 QA Tests output of TPS dose algorithms Original software built from the ground up Intuitive, Secure User Interface Includes Integrated Data Device (IDD) with pre-installed ImagePro software, database and web server. Transparent and documented algorithms No software installation No equipment requirement One-click batch reports Future trend analysis Phantoms MV-QA Easy setup, alignment clearly marked on overlay and image Automatic QA: image scaling, positioning offset, spatial resolution, contrast, uniformity and noise MV Line pairs/mm: 0.1, 0.2, 0.4, 0.7 MV ROI: 9 (4 spatial, 4 contrast, 1 center) MV Dimensions (cm): 12.7 x 10.2 x 1.9 kv-qa Easy setup, alignment clearly marked on overlay and image Automatic QA: image scaling, positioning offset, spatial resolution, contrast, uniformity and noise kv Line pairs/mm: 0.6, 1.2, 1.8, 2.4 kv ROI: 28 (4 spatial, 23 contrast, 1 center) kv Dimensions (cm): 12.7 x 10.8 x

21 StereoPHAN FS-QA: Field Size QA and Constancy 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 field edge) Dimensions (cm): 17.8L x 17.8W x 0.6D 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 Design allows for interference-free dose measurements Target volumes in CT/MRI cube eliminate need for CT/MRI markers Ion chamber cube geometry enables easy ion chamber cross-calibration to water Support for stereotactic frame and frameless systems No tools required for assembly Phantom stand holds the inserts, making them easily accessible during testing Multi-functional cube inserts increase efficiency All components fit into a durable rolling case suitable for storage and air travel Stand base can be mounted to a couch that uses the Lok-Bar system 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 Material: Weight (including all inserts): Measurement cubes: StereoPHAN dimensions: PMMA (Acrylic) 11.1kg (24.6 lbs) 85mm x 85mm x 85mm 518mm x 276mm x 323mm 21

22 TomoDose PROFILER 2 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 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 Detector type: SunPoint Diode Detectors Detector quantity: 223 total on X and Y Detector spacing: X: 5.0, Y: 4.0, Y Off-axis: 8.0mm Array size: 53.0 x 9.8cm Array geometry: X: 53.0 Y: 9.8cm (8.0cm at ±19.0) Inherent buildup: 1.0g/cm 2 Inherent backscatter: 2.8g/cm 2 Phantom Material: Weight: PMMA (Acrylic) 5.0kg 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 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: Array size: 4.0mm 22.4 x 32.8cm Inherent buildup: 1.0g/cm 2 Inherent backscatter: 2.0g/cm 2 Phantom Material: Weight: Virtual Water top plate 5.0kg 22

23 IC PROFILER SRS PROFILER All PROFILER 2 applications plus: Linac manufacturing and field service Annual QA Comprehensive linac QA and benchmarking against linac manufacturer measurements 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%) 45cm length diagonals 40 x 40cm field measurement at 75cm SDD Interfaces with the GMF Detector type: Parallel plate Ion Chamber Detector quantity: 251 Total: X Axis: 63 / Y Axis: 65 -Diagonal: 63 / +Diagonal: 63 Detector spacing: 5.0mm Array size: 32.0 x 32.0cm Detector volume: 0.046cm 3 Detector sensitivity: 1.4nC/Gy Inherent buildup: 0.9g/cm 2 Inherent backscatter: 2.3g/cm 2 Phantom Material: Weight: PMMA (Acrylic) 7.0kg SRS cone based radiation therapy - On Accuray Recommended QA Equipment list Daily, monthly, and annual machine QA including commissioning Only array 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 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: 125 total on four axes Detector spacing: 4mm with radial offset Radial field size: 10, 20, 40, 60, 80, 100, and 120mm Axes length: 143 (X), 127 (Y), 124mm (Diagonals) Inherent buildup: 0.5g/cm 2 Phantom Material: PMMA (Acrylic) Weight: 1.5kg 23

24 IMF GMF 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 Hold device measurement planes at machine isocenter: MapCHECK, MapCHECK 2, PROFILER 2, Daily QA3, rf-daily QA3, and SRS PROFILER with adapter plate Key Benefit Fast, efficient, reproducible setup Measure at 100cm SDD +/- 1.0mm Supports electron cone (GMF) 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 Hold device measurement planes at machine isocenter: MapCHECK 2, PROFILER 2 and Daily QA 3 (adapter plate required) Key Benefit Fast, efficient, reproducible setup Measure at 100cm SDD +/- 1.0mm Supports electron cone (GMF) Construction: Aluminum Alloy Construction: Aluminum Alloy Buildup clamps: Adjustable Buildup clamps: Adjustable Compatible linacs: (IMF) Elekta, Siemens, Varian Compatible linacs: (GMF) Elekta, Varian Weight: Maximum buildup: Dimensions: (IMF-E) 7.9kg (IMF-S) 8.1kg (IMF-V) 7.4kg (IMF) 5cm (IMF-E) 39.4cm x 28.7cm x 48.8cm (IMF-S) 39.4cm x 31.5cm x 48.0cm (IMF-V) 39.4cm x 31.5cm x 39.1cm Weight: Maximum buildup: Dimensions: (GMF-E) 16.8kg (GMF-V) 3.7kg (GMF-E, ICP only) 3cm (GMF-V, ICP only) 1.5cm (GMF-E) 56.5cm x 56.5cm x 56.0cm (GMF-V) 40.0cm x 47.1cm x 42.2cm 24

25 1D SCANNER PC Electrometer 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 30cm scan depth Advanced scanning software option available 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 Reference class dosimetry for absolute dose calibration Mobility intensive assignments World s smallest reference class electrometer USB powered no batteries or power cord Quick to setup and easy to use Fully configurable software interface Pocket size, lightweight design Two independent measurement channels Interfaces with the 1D SCANNER Less than 1-minute warm-up time Temperature probe input Single USB cable connection Fast sampling interval (100-1,000 μs) Detector library Inner dimensions: Inner volume: Arm positioning increments: Arm positioning accuracy: Scan depth maximum: Tank material: Weight empty with arm: 35.0 x 39.0 x 36.2cm 48 liters at 34.5cm 0.01, 0.1, 1.0 & 10.0cm ± 0.01cm 30.0cm PMMA (Acrylic) 10.9kg Charge: 2pC 10mC, 15fC resolution Rate: Continuous: 2pA 50nA PC/Pulse Leakage: < 10fA A/D Converter: 16 bit Non-linearity: +/- 0.1% Long term stability: <+/- 0.5% Repeatability: <+/- 0.25% Connector: TNC or BNC Weight: 0.4kg 25

26 3D SCANNER 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 0.1mm positioning accuracy Reproducible setup Less than 20 minute setup 65cm scan range, no need for tank shift The Cylindrical Advantage Maintains ideal orientation of the detector during in-line, cross-line and diagonal scans Amount of cable being irradiated remains constant during scan, diminishing cable effect More scanning area up to 65cm in any direction Less volume than traditional tanks with smaller scanning area Less volume means faster fill and drain time No need to shift the tank and risk setup inconsistencies during shifting Water ripples settle faster because of curved walls Circular design makes 3D SCANNER a stronger shape than a traditional tank with 8 seams Better design for acquiring numerous and various diagonal scans as with Cyberknife Detector travels the same path for multiple measurement angles, allowing for self diagnostics AutoSetup No more guesswork, highly reproducible setup results; 3D SCANNER setup results from users with no experience compared to 3D SCANNER setup results from experts yield maximum variation of only 0.3mm. Automatically levels tank by sensing water level relative to vertical Z-axis. Automatically aligns ring center to beam axis with motor-driven tank shift +/- 3cm Automatically establishes in-line and cross-line home positions for ring drive using a series of beam measurements Ready to scan in less than 20 minutes 3D SCANNER: 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 Water Tank: Diameter inner, Height / Width (mm): 676 / 673 / 875 Water capacity (L): 166 Weight empty / full (kg): 44 /

27 3D MiniLift EDGE Detector Straddles linac couch ring for stability Fits through standard doorways Legs fold for compact storage Quick and easy disassembly for transport 3D Reservoir 187L (49.5gal) capacity 6 minute fill time 3 minute drain time Easily maneuverable 3D TPR Supports Varian, Elekta, Siemens and CyberKnife delivery systems Less than 5-minute installation with no additional tools 20cm TPR drain measurement: 1.5 minutes 20cm TPR fill measurement: 3.5 minutes 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 No dose volume averaging Accuracy for critical penumbra measurements Works with all common water phantoms Detector type: Diode die location: Water depth equivalent: Housing wall thickness: External dimensions: Impedance: Output polarity: Cable: Connector: SunPoint Diode Detector 0.3mm from top 4.3mm from end 2.7mm from side Indicated by a target on top of housing 0.5mm 0.13mm, brass 3.8 x 5.5 x 38mm >200Mohm at 10mV reverse bias Negative 3.4mm dia. x 1.8m long, triax TNC or BNC 27

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