cyberknife medanta
DESCRIPTION
Cyberknife Introduction & System overviewTRANSCRIPT
Questions ???
1. What is Cyberknife ?
2. For what it is ?
3. How it differs from Linac?
4. What it contains ?
5. What is the mould room procedure?
6. How to take the CT for this ?
7. Do we need 4D CT ?
8. Is it real time tracking machine?
9. What is the tracking tool ?
10. Is there 3D imaging ?
11. Is there iso centre /Refernce point ?
12.How to setup the patient without reference ?
13.Can we use the fiducial ?
14.What is field sizes?
15.Fixed field sizes ?
16. Is there MLC ?
17. Irregular tumor and maximum /Minimum tumor size ?
18.What kind of cases we can treat ?
19.What is the dose rate ?
20.How much MU /fraction ?
21. Is there any record and verify as MOSAIQ ?
22.6D couch ?
23.Treatment time ?
24.What is the planning system
25 . How to contour ?
26. Fusion ?
27 .Invasive ?
28 . Frame/Frameless ?
29.DRR ?
30.How many DRR?
31.Every beam will have DRR ?
32.How many degrees of freedom ?
33.What is the reference field sizes ?
34.What is the daily QA ?
35.How to do the warm up ?
36.
……………………………………etc
1. What is Cyberknife ? (Robotic radiosurgery )
2. For what it is ? (Full body stereotactic radio surgery /therapy)
3. How it differs from Linac?
4. What it contains ? (Robot/linac/x Ray/Imager/laser/couch/modulator/chiller)
5. What is the mould room procedure? (Different)
6. How to take the CT for this ? (Standard technique for all cases)
7. Do we need 4D CT ? (No)
8. Is it real time tracking machine? (Yes)
9. What is the tracking tool ? ( 6 Types)
10. Is there 3D imaging ? (No)
11. Is there iso centre /Refernce point ? ( Yes for dosimetry purpose)
12.How to setup the patient without reference ? (DRR)
13.Can we use the fiducial ? (Yes but not necesary)
14.What is field sizes? (60 mm)
15.Fixed field sizes ? (Yes)
16. Is there MLC ? (IRIS)
17. Irregular tumor and maximum /Minimum tumor size ? (Yes)
18.What kind of cases we can treat ?
19.What is the dose rate ? ( 1000MU)
20.How much MU /fraction ? ( 10000-15000 MU)
21. Is there any record and verify as MOSAIQ ? ( No )
22.6D couch ? ( Yes)
23.Treatment time ? ( 40 minutes)
24.What is the planning system ( Multiplan)
25 . How to contour ?
26. Fusion ? ( fiducial/auto)
27 .Invasive ? ( No)
28 . Frame/Frameless ? ( frameless)
29.DRR ? (Yes)
30.How many DRR? (Depends on site)
31.Every beam will have DRR ? ( No)
32.How many degrees of freedom ? ( 6)
33.What is the reference field sizes ? (60 mm)
34.What is the daily QA ? (Yes)
35.How to do the warm up ? ( 2000MU)
36.
……………………………………etc
Accuray/Cyberknife/VSI
Versatile/Simple/Intelligent
Cyberknife robotic radiosurgery
• Revolutionary piece of technology which delivers the radiation with sub millimeter accuracy
• Worlds first & only robotic radiosurgery to treat tumors anywhere in the body
• Single /Multiple fractions
• Fullbody radiosurgery /Radiotherapy
state
Cases
Acoustic neuroma
Anaplastic astrocytoma
Arteriovenous malformation (AVM)
Craniopharyngioma
DNET
Ependymoma
Epidural hematoma
Gangliocytoma
Germinoma
Glioblastoma multiforme
Glioma
Glomus jugulare tumor
Hemangioblastoma
Meningioma
Neurocytoma
Neurofibroma
Neurofibromatosis
Oligodendroglioma
PNET
Pituitary adenoma
Schwannoma
Trigeminal neuralgia
Vestibular schwannoma
Osteosarcoma
Nasopharyngeal carcinoma
Squamous cell carcinoma
Non-small cell lung cancer
Small-cell lung cancer
Pancreatic cancer
Hepatocellular carcinoma
Prostate cancer
Renal cell carcinoma
Colon cancer
Ovarian cancer
Uterine cancer
Arteriovenous malformation (AVM)
http://www.accuray.com/sites/default/files/demos/vsi/index.html
http://www.accuray.com/sites/default/files/demos/vsi/index.html
Synchrony™
camera
Treatment couch
Linear
accelerator
Manipulator
Image
detectors
X-ray sources
Targeting System
Robotic Delivery System
History
Computer controlled robot
Kuka robot KR240
The name derived from the initial letters of “Keller und
Knappich Augsburg”.
Founded in 1898
Millimeter ==========Sub millimeter
MECHANICAL PRECISION <+/- 0.06 millimeter
Sub millimeter accuracy
GM, Chrysler, Ford, Porsche, BMW, Audi, Mercedes-
Benz, Volkswagen, Ferrari, Harley-Davidson, Boeing,
Siemens, IKEA, Swarovski, Wal-Mart, Budweiser, BSN
Medical as well as Coca-Cola and others,
Computer controlled robot
Kuka robot KR240
derived from the initial letters of the company name
“Keller und Knappich Augsburg”.
Founded in 1898 &
John Adler – American Neurosurgeon who
Invented cyberknife – fellowship at karolinska
Institute sweden with Larslekshell in radiosurgery
2001 FDA approved for cyberknife
MECHANICAL PRECISION <+/- 0.06 millimeter
Sub millimeter accuracy
Computer controlled robot
Head & Neck
Collimator Assembly
12 directions in each nodes
Proximity prediction program & Proximity detection Program
Proximity prediction program & Proximity detection Program
Workflow
Tracking •6D Skull Tracking
•Synchrony Tracking
•Fiducial tracking
•Xsight lung tracking
•Xsight spine tracking
•In tempo adaptive tracking
http://www.accuray.com/sites/default/files/demos/vsi/index.html
http://accuray.learn.com/files/scorm/Fiducial%20Placement%20Guidel
ines/index_lms.html
1. What is Cyberknife ?
2. For what it is ?
3. How it differs from Linac?
4. What it contains ?
5. What is the mould room procedure?
6. How to take the CT for this ?
7. Do we need 4D CT ?
8. Is it real time tracking machine?
9. What is the tracking tool ?
10. Is there 3D imaging ?
11. Is there iso centre /Refernce point ?
12.How to setup the patient without reference ?
13.Can we use the fiducial ?
14.What is field sizes?
15.Fixed field sizes ?
16. Is there MLC ?
17. Irregular tumor and maximum /Minimum tumor size ?
18.What kind of cases we can treat ?
19.What is the dose rate ?
20.How much MU /fraction ?
21. Is there any record and verify as MOSAIQ ?
22.6D couch ?
23.Treatment time ?
24. QA
25.What is the planning system
26 . How to contour ?
27. Fusion ?
28 .Invasive ?
29 . Frame/Frameless ?
30.DRR ?
31.How many DRR?
32.Every beam will have DRR ?
33.How many degrees of freedom ?
……………………………………etc
Thanks
