Accuray

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Accuray
1310 Chesapeake Terrace
Sunnyvale
California 94089
Tel: +1-(408)-716-4600
Fax: +1-(408)-716-4601
website: www.accuray.com
Accuray's history began when John R. Adler, M.D., professor of neurosurgery and radiation oncology at Stanford University Medical Center, developed the CyberKnife® System in 1987 after completing a fellowship in Sweden with Lars Leksell, M.D., the founder of radiosurgery. With the CyberKnife System, Adler’s vision was to develop a non-invasive robotic radiosurgery system with superior accuracy for treatment of tumors anywhere in the body. The revolutionary concept reached far beyond the practice of radiosurgery at the time, which restricted radiosurgery to the treatment of intracranial tumors.

After his initial work developing the CyberKnife System, Adler together with a group from Stanford and a manufacturer of linac technology teamed up and founded Accuray Incorporated in 1990. Cleared by the FDA for the treatment of head, neck and upper spine tumors in 1999, the CyberKnife System was the first and only commercially available radiosurgery system to combine image guidance and computer controlled robotics giving birth to the next generation in intelligent robotic radiosurgery.

In 2001, Accuray received FDA clearance to introduce enhancements to the CyberKnife System for the treatment of tumors anywhere in the body. Unlike traditional radiosurgery systems that can only treat tumors in the head and neck, the CyberKnife System was cleared to treat both intracranial and extracranial tumors. And because of its extreme precision, the CyberKnife System does not require invasive head or body frames to stabilize the patient’s movements.

In 2004, Accuray continued to show its leadership in the field of radiosurgery when it received FDA clearance for the Synchrony® Respiratory Tracking System. Synchrony System allows clinicians to continuously track, detect and correct for tumors that are affected by respiration such as those in the lung, liver and pancreas without breath-holding or gating techniques. Unlike with traditional radiation therapy, the Synchrony System enables patients to breathe normally throughout their treatment while maintaining extreme accuracy and minimizing damage to surrounding healthy tissue.

In 2005, Accuray introduced the Xsight® Spine Tracking System, which made it possible to automatically track, detect and correct for tumor movement throughout the treatment without implanting radiographic markers or fiducials. With Xsight, patients are given a comfortable treatment option for the delivery of radiosurgery with sub-millimeter accuracy along the entire spinal region, while physicians using this system could save time and provide better care to more patients.

Over the years Accuray has evolved the CyberKnife System to take advantage of new technologies and faster computers in order to provide the best system for radiosurgery treatments. In November 2005 Accuray introduced its fourth generation CyberKnife System which delivers faster treatments with greater flexibility making extracranial radiosurgery easier than ever before. In fact, in the quarter ended September 30, 2006, extracranial treatments represented more than 50 percent of CyberKnife System procedures in the United States, including those of the spine, lung, prostate, liver and pancreas.

To date, Accuray’s leadership in developing the most advanced robotic radiosurgery system has brought the superior tumor treatment capabilities of the CyberKnife System to more than 50,000 patients around the world. Since the launch of the CyberKnife System, Accuray has undertaken an aggressive strategy to develop system upgrades that facilitate clinicians’ ability to treat tumors anywhere in the body with the highest levels of accuracy. Currently, Accuray has more than 155 CyberKnife Systems installed worldwide and a large body of peer-reviewed papers supports its clinical practice. Today, Accuray is committed not only to continuing its tradition of advancing the field of robotic radiosurgery, but also to providing its customers with the highest level of support in their ongoing efforts to fight cancer

Cyberknife Treatment Delivery Systems

CYBERKNIFE TREATMENT DELIVERY SYSTEMS

Using robotic mobility combined with highly intelligent automation, even the most complex non-coplanar treatment plans can be delivered in simple, routine clinical practice with the CyberKnife® System.
Robotic Manipulator
The high precision robotic manipulator capable of delivering repeatable sub-millimeter accuracy, positions the linear accelerator in virtually any direction.
Linear Accelerator
This compact, light weight 6MV X-band linear accelerator with an output of 800 MU/min, precisely delivers highly collimated beams of radiation.
X-Ray Sources
The low-energy X-ray sources generate orthogonal X-ray images to determine the location of bony landmarks, implanted fiducials or soft tissue targets throughout the treatment.
Image Detectors
The flush mounted detectors capture high-resolution anatomical images throughout the treatment. These live images are continually compared to previously generated DRR's to determine real-time patient positioning and target location.

RoboCouch® Patient Postioning System
Robotically aligns patients precisely with six degrees of freedom, enabling faster patient setup. The Seated Load option enables simple and comfortable loading of mobility-limited patients.

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IrisTM Variable Aperture Collimator
Rapidly manipulates beam geometry to deliver up to 12 beam sizes from each LINAC position with characteristics virtually identical to that of fixed circular collimators.

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XchangeTM Robotic Collimator Changer
Automatically exchanges collimators robotically, enabling highly conformal treatments delivered with greater efficiency.

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The CyberKnife System and CyberKnife options may not be available in some countries. For a complete list of CyberKnife Systems and options available, please contact Accuray at sales@accuray.com.

Cyberknife Tracking Systems

CYBERKNIFE TRACKING SYSTEMS

Using advanced robotic technology, the CyberKnife® System is the only radiation delivery system to utilize continual image guidance to automatically track, detect and correct for intra-fraction target movements throughout the treatment.
6D Skull Tracking
Rendering invasive stereotactic headframes obsolete, 6D Skull Tracking uses bony anatomy to continually track intracranial targets and automatically correct for even the slightest translational or rotational shift that might occur during treatment delivery.

Xsight® Spine Tracking System
Eliminates the need for surgical implantation of fiducials by using the bony anatomy of the spine to automatically locate and track tumors, making radiosurgery more precise and less invasive.

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Synchrony® Respiratory Tracking System
Continuously synchronizes beam delivery to the motion of the tumor, allowing clinicans to significantly reduce margins while eliminating the need for gating or breath-holding techniques.

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Xsight Lung Tracking System
Directly tracks the movement of lung tumors without fiducials while maintaining precision, reliability and self-adjusting repeatability.*

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InTempoTM Adaptive Imaging System
With the InTempo System, "image age" - the time between when the last image was captured and beam delivery is complete - automatically adapts based on the exhibited rate and extent of intra-fraction prostate movement.

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* Limited to tumors of specific size and location.

The CyberKnife System and CyberKnife options may not be available in some countries. For a complete list of CyberKnife Systems and options available, please contact Accuray at sales@accuray.com.

Cyberknife Treatment Planning

CYBERKNIFE TREATMENT PLANNING

With the latest generation of the MultiPlan® Treatment Planning System, sophisticated treatment plans can be easily developed in a fraction of the time often required with gantry-based treatment planning systems.

MultiPlan Treatment Planning System
An Intuitive workflow-based application designed specifically for radiosurgery, allowing for the simple and efficient creation of even the most complex treatment plans.

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Sequential Optimization
An intuitive and intelligent advancement for rapidly developing custom tailored treatment plans specific to the unique clinical characteristics of each patient.

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Monte Carlo Dose Calculation
Often considered the gold standard when treating lung tumors, the CyberKnife® System's Monte Carlo Dose Calculation produces results in minutes compared to what commonly requires hours or days with other systems.

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4D Treatment Optimization and Planning System
True 4D treatment planning that takes into account not only the movement of the target but also the movement and deformation of the surrounding healthy tissue and critical structures.

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MultiPlan MD Suite
Using MultiPlan MD Suite, a comprehensive set of planning tools for image fusion, contouring and treatment plan review can be remotely accessed by secure connection from outside the clinic.

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Treatment Planning Service
With a team of highly experienced CyberKnife System medical physicists, Accuray’s Treatment Planning Service works together with your on-site staff to immediately manage temporary or permanent personnel shortages. Contact: 408-789-4410 or email atps@accuray.com.

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The CyberKnife System and CyberKnife options may not be available in some countries. For a complete list of CyberKnife Systems and options available, please contact Accuray at sales@accuray.com.

Cyberknife Data Management

CYBERKNIFE DATA MANAGEMENT

Centralization of patient oncology data into an easily-accessible electronic source is essential for state-of-the-art cancer care. The CyberKnife® System's data management tools better enable clinicans to make timely and informed medical decisions that rely on up-to-date clinical information while eliminating the need for paper charting or manual data re-entry.

CyberKnife Data Management System
The CyberKnife Data Management System provides CyberKnife System support, data management and user rights administration in an easy to use, single database solution.

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Radiosurgery DICOM Interface
Using industry-standard protocols, the Radiosurgery DICOM Interface completes the 3rd party oncology electronic medical record by exchanging CyberKnife System treatment planning and delivery data.

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The CyberKnife System and CyberKnife options may not be available in some countries. For a complete list of CyberKnife Systems and options available, please contact Accuray at sales@accuray.com.
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Touch Neurology is for informational purposes and should not be considered medical advice, diagnosis or treatment recommendations.