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ACCUKNIFE - ADD-ON FOR OLD
AND NEW LINACS |
GENERAL AccuKnife
is an integrated family of products including AccuLeaf, the world's
first 4 Bank (cross-leaves) Micro Multi-Leaf Collimator (mMLC) and AccuSoft XL
Treatment Planning system. AccuKnife offers a comprehensive solution for advanced
treatments which avoids the necessity to upgrade the LINAC.
The integrated
solution offers safety, accuracy and ease of use, enabling users of existing LINACS
to join the elite group of IMRT, IMAT and SRS users. Software interface to the
Linac is not required. 
BEV of AccuLeaf aperture showing both levels
Industry's
First 4 Bank (cross-leaves) MMLC An important clinical goal in
Radiotherapy is to spare normal tissue and minimize irradiated volume to best
fit the defined Target volume. A single-axis mMLC must compromise optimal shaping
in more irregular shaped tumors. AccuLeaf is the worlds first 4 Bank (X and Y
axis) Micro Multi-Leaf Collimator. AccuLeaf's patented technology performs the
"best-fit" by covering the second dimension of the beam's eye view (BEV)
shaping. With AccuLeaf you also get better resolution and the lowest leakage for
delivery of Intensity Modulated Arc Therapy (IMAT), Intensity Modulated
Radiotherapy (IMRT), Stereotactic Radiosurgery and Fractionated Radiotherapy.
AccuLeaf is (practically?) compatible with all Linacs which incorporates simple
interfacing. ODD SHAPES IN HIGH RESOLUTION
Improved Beam Sharpness Tumor sites have varied
shapes and differing critical structure relationships. Whether treating small
brain lesions or large pelvis lesions, AccuLeaf has the flexibility to encompass
most target sizes and shapes while delivering ideal margins. AccuLeaf's 4 bank
technology provides improved beam sharpness. The system's small inner leaves ensure
conformity even around tightly margined lesions. Using the perpendicular set of
leaves, AccuLeaf excels in forming irregular shapes.
Conformity - Cloverleaf
Lowest Interleaf Leakage The
most important function of any blocking device is to minimize dosage outside the
desired aperture. This concern is amplified when fields are small. In current
MLC systems, the area of maximum transmission is the interleaf region. AccuLeaf
cancels this interleaf region by crossing perpendicularly with the opposite set
of leaves. This factor combined with the use of high quality Tungsten leaf material
enables AccuLeaf to deliver the lowest interleaf leakage in the industry today.

IlIustration of shapes, posible using AccuLeaf
DYNAMIC
IMAT AND IMRT Unique IMAT Delivery AccuKnife provides
the most advanced IMAT capability, resulting from the unique 4-bank collimation
system. The AccuSoft XL utilizes an automated, forward-planning, aperture-based
algorithm. The AccuLeaf provides, quickly and efficiently, the full range of aperture
shapes with high-resolution aperture conformity, without the need for linac collimator
rotation. The result is no-compromise treatment delivery with exacting precision
to the treatment plan.
Dynamic Arc Treatment
Advanced DIMRT
Delivery When delivering IMRT after optimization, Intensity Map
beam-lets, whether large or smooth, can be highly irregular. Ultimately these
maps must be segmented for leaf delivery. The resulting "peaks and valleys" affect
the leaf path of travel. The intensity map becomes more irregular as the structure
dose requirements are more complex, which results in greater compromise of the
actual deliverable dose. In a single axis MLC, which has only one path (X or Y
Axis), this compromise will be much more substantial. AccuLeaf ensures the best
DIMRT delivery because it provides two paths of leaf travel rather than one path,
so there is a better likeness of "optimized dose" to "deliverable dose".
Larger defined
Intensity Beam-Lets
3D
Treatment Planning 3D Treatment Planning has become an essential
part of Radiotherapy today. Unfortunately many centers must purchase treatment
planning systems for each treatment modality, including Stereotactic Radiosurgery,
MMLC Planning and/or Standard External Beam. The AccuSoft XL Treatment
Planning system can incorporate your complete teletherapy delivery strategy for
IMAT, IMRT, Radiosurgery and Conformal treatment in a single comprehensive External
Beam Treatment Planning Unit. AccuSoft XL is a fast, simple and comprehensive
planning system available today for contouring, calculating, optimizing or viewing.
AccuSoft XL is PC-based and provides advanced dose planning with the
unique 4 bank AccuLeaf geometry. The system's single level user interface allows
fast access to all planning tools. Networked workstations can be easily added
to include physician contouring, as well as a virtual simulation.*
Imaging Tools BEV and REV
AccuFuse
Image Fusion - AccuSoft XL allows you to localize critical points
and structures on DICOM-compliant multi-image formats. Use MR, PET or SPECT to
delineate your target and structures, fuse the images and contours to CT, evaluate,
optimize and finalize your treatment plan.
| CT
scan hostng contours superimposed from MRI |
Positioning System
AccuMount, a non-invasive head
fixation system, allows for superior sub-millimeter positioning. AccuMount offers
multi-modality fiducial localization markers and repositioning for stereotactic
treatment.
AccuMount's V4 fiducial pattern for localization ensures true
3D spatial localization and positioning.
AccuMount is compatible with
other fixation and localization systems, including invasive head frames.

AccuMount
non invasive head fix fixation system *
certain features mentioned are W.I.P. Specifications are
subject to change without notice.
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