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?