IGRT | Treatment Process
Dynamic Targeting IGRT – We're there to help you manage it
To help address the issue of tumor movement during treatment, Varian has pioneered Dynamic Targeting® IGRT technology and developed fully integrated, customizable solutions designed to meet the needs of growing clinics, and to help doctors raise the quality of patient care.
Dynamic Targeting IGRT solutions support all stages of treatment—from planning to treatment delivery to health record management.
Localization and immobilization
Exact® couch and Exact® IGRT couch with Indexed Immobilization® patient positioning
- Exact repeat positioning for accurate set up every time
- Indexed immobilization reduces set-up times and ensures reproducibility
- Movable, carbon fiber support rails allow transition between oblique and posterior treatments without moving the patient
- Carbon fiber couch top for high-quality imaging
- Remote couch motion allows automated patient repositioning.
Treatment planning
Eclipse™ treatment planning system
- Fast, efficient planning workflow and standardization using Clinical Protocols and Smart Segmentation enables IGRT planning in seconds
- Automatically optimized dose objective beam orientation improves IMRT plans in less time
- Easy 4D viewing enables planning for organ motion for gated or non-gated treatments
- Plan for high resolution on small target volumes using the high-definition multileaf collimator (MLC) with 2.5mm leaf width
Plan verification
Acuity™ treatment planning, simulation and verification system
- Uniquely combines planning, simulation, and motion data for verifying patient plans.
- Planned field positions can be automatically set up for a more efficient verification process
- With image controlled simulation the localization process is more accurate and efficient
- A wide array of integrated in-room imaging tools provides cone-beam CT, and radiographic and fluoroscopic imaging.
Treatment delivery
Clinac® linear accelerator
- Proven standing wave guide technology for stable dosimetry and high dose rates
- Patented energy switch delivers a full range of therapeutic energies at consistently high dose rates
- Fastest beam on time to full stability at less than 500 milliseconds
- Klystron technology provides the most stable and reliable RF power source
- Auto field sequencing means efficiency in treatment delivery
On-Board Imager® kV imaging system with cone-beam CT
- Fully automated real-time imaging system enables clinicians to pinpoint tumor sites, adjust positioning, and complete a treatment all within the standard timeslot
- On-Board Imager operates along three axes of motion for optimum positioning
- High precision image tracker shows internal anatomic landmarks and tracks motion
- Toolkit includes radiographic 2D imaging, and fluoroscopic and 3D cone-beam CT for fine tuning patient positioning just prior to treatment
- Volumetric cone-beam CT provides a high-quality 3D image to help distinguish tumors from surrounding soft tissue and improve tumor targeting
Millennium™ MLC
- Highly accurate leaf positions mean greater precision for dynamic targeting
- Exclusive DynaLog™ files enable the analysis of planned versus actual leaf position
Real-time Position Management™ (RPM) system
- Non-invasive automated system synchronizes breathing motion with image acquisition
- Radiation beam is gated to when the target falls within the treatment field
- Patient can breathe naturally and remain comfortable, increasing compliance
Quality assurance and verification
IGRT QA solutions
- Faster and easier IGRT QA reduces time spent on QA
- Efficient pretreatment QA compares relative and predicted dose
- Quick verification enables analysis and documentation without film
- Exclusive DynaLog analysis for instant in depth analysis of dynamic MLC
PortalVision™ MV imaging system
- Integrated amorphous silicon imager allows immediate online visual confirmation of patient positioning
- Optimal system design for high clinical resolution with compact image files
Image and information management
ARIA™ Oncology Information System
- Oncology specific EMR provides instant access to the most current patient information and images
- Offline review of images acquired at treatment streamlines the IGRT process and guides future treatment decisions
- Enterprise wide connectivity enables automatic updates to the patient chart, allowing you to make more informed clinical decisions information