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
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
%
Faster
• 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
TrueBeam™
Treatment Console
Fast and Precise
Synchronized
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
Varian
TrueBeam
Beam
Shaping
Cerrobend
Blocks
MLCs
MLCs
Imaging
Radiographic
films taken and
processed. Time.
Poor image quality.
OBI-CBCT/kV images.
IGRT-Image Guided
Radiation Therapy.
OBI- CBCT/kV images.
IGRT-Image Guided Radiation
Therapy.
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
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
Energies
Main Differences
Varian
2100C
Elekta
Infinity
Varian
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
First linear accelerator
developed with Stanford in 1959.
Dedicated to oncology.
Largest oncology specific
software provider of fully
integrated radiotherapy
systems.
Elekta no fully integrated
system. TPS is 3rd party
Thank you for your support.
Questions?