Varian eclipse external radiotherapy dose planning software. Varian medical systems aria oncology information system. Pdf rapidarc volumetric modulated therapy planning for. One key to our success with vmat rapidarc radiation therapy is the skill our radiation oncology team brings to treatment planning and delivery. Started investigation in june 2008 a research rapidarc planning station from varian clinical installation in october acceptance testing, commissioning, qa programs single arc, no couch rotation, partial arc first patient treatment december 2008 new versions in august 2009 and may 2011 allow multiple arcs, couch rotation, partial blocking, etc. Our radiation oncologists are leaders in their field, and every member of our team is a seasoned expert in radiation treatment. The eclipse treatment planning system eclipse tps is used to plan radiotherapy treatments for patients with malignant or benign diseases. Dec 31, 2007 the two fda clearances for rapidarc cover the treatment hardware and the rapidarc treatment planning software module in varians eclipse treatment planning system.
Differences in the studied parameters between treatment planning systems were analyzed using the general linear model in the. Pdf quality assurance methodology for varian rapidarc. Dec 23, 2015 with the same tomotherapy planning software version hd1. Varian medical systems eclipse treatment planning software. Quality assurance methodology for varian rapidarc treatment plans. Rapidarc has been employed for tumors in several other parts of the body, eg, in totalmarrow irradiation,6466 pancreatic malignancies,67 and breast cancer. Rapidarc is a radiotherapy technology that is among the most advanced forms of intensitymodulated radiation therapy imrt. Docrates cancer center is a pioneer in the field of radiotherapy and was the first to introduce the vmat rapid arc technology in the treatment of cancer in finland. Varian rapidarc delivers volumetric modulated arc therapy. With the same tomotherapy planning software version hd1. To evaluate the feasibility of using volumetric modulated arc therapy vmat using rapidarc to deliver total body irradiation tbi treatment. Aug 26, 2009 at rigshospitalet, the rapidarc technique was brought into clinical practice in may 2008 for treatment of prostate cancer patients.
Named a 20152016 category leader for treatment planning software for the third year in a row, the market and technologyleading eclipse software is in use at some 3,400 cancer treatment centers. Rapidarc technology rapidarc rotational radiation therapy brings together the most sophisticated technologies, including intensity modulated radiation therapy imrt, image guided radiation therapy igrt, on board imaging obi and cone beam ct scanning cbct, in a treatment which significantly reduces treatment times and radiation exposure for the patient. Rapidarc volumetric modulated therapy planning for prostate. Vmat planning was performed a whole body computed tomography ct data set using rapid arc. The software version of the varian calculation algorithms used in this investigation is 8. The two fda clearances for rapidarc cover the treatment hardware and the rapidarc treatment planning software module in varians eclipsetm treatment planning system. Commissioning and quality assurance of rapidarc delivery system. Rapidarc advanced radiotherapy technology improves dose conformity while significantly shortening treatment times.
Varians rapidarc radiation delivery system goes clinical. Our innovative tech gives you enhanced softtissue visualization and motion management to ensure your patients get exactly what they need, where they need it. To evaluate how the use of volumetricmodulated arc therapy vmat with. Another unique technique that rapidarc treatment planning has enabled is whole scalp treatment. Rapidarc inverse planning, dose calculation and clinical. Intensity modulated radiation therapy or imrt is a cancer treatment procedure that can deliver higher doses of radiation directly to cancer cells than is possible with conventional radiotherapy.
Patients receive rapidarc treatments according to various schedules, usually five days a week for six or seven weeks. Plan comparison of volumetricmodulated arc therapy rapidarc. In addition, imrt can deliver these higher doses while limiting the dose to healthy surrounding tissue. Intensity modulated radiation therapy imrt upstate. The rectum is a unique organ for which a nonsignificant difference between the planned and estimated dose values p 0. Volumetric modulated arc therapy vmat treatment planning.
Clinical implementation of volumetric modulated arc therapy. Eclipse is a comprehensive treatment planning system that simplifies modern radiation therapy planning for all kinds of treatment, including 3d conformal, intensitymodulated radiation therapy imrt, electron, proton, and brachytherapy. Rapidarc volumetric modulated therapy planning for. Rapidarc v arian medical systems, palo alto, ca is a new treatment planning and delivery approach based on a volumetric intensitymodulated single arc technique originally investi gated by otto. It has been reported that imrt and rapid arc treatment plans. Initial experience of arccheck and 3dvh software for. High precision and integrated machine intelligence let you treat more patients with greater confidence. The hyperarc vmat havmat planning approach was newly developed to fulfill the demands of dose delivery for brain metastases stereotactic radiosurgery. Imaging software millennium 120 mlc or high definition mlc hdmlc with dynamic mlc option aria oncology information system v8. Aperture based inverse planning, intensity modulated radiation therapy the state. Because the creation of hybrid rapidarc plans is complex and laborintensive, we developed an automated treatment planning workflow using the scripting application programming interface of the eclipse treatment planning system.
Eclipse treatment planning system fort smith radiation. Fast helical tomotherapy in a head and neck cancer. Deliver imrt, sbrt, and vmat with ease and confidence. Nov 12, 2015 rapidarc has been employed for tumors in several other parts of the body, eg, in totalmarrow irradiation,6466 pancreatic malignancies,67 and breast cancer. The imrt utility allows you to import from your treatment planning system either static or dynamic mlc leaf sequences. Clinical utility of rapidarc radiotherapy technology. Linear accelerators and treatment planning software all measurements were performed on rapidarc capable varian trilogy linear accelerators with millennium mlcs. Rapidarc plans were compared to the imrt plans by which the patients were actually. Rapidarc volumetric modulated therapy planning for prostate cancer.
Varian radiotherapy device gets fda approval silicon valley. We have planned a whole scalp treatment with rapidarc, a treatment that would previously have required well over an hour of inroom time for the patient to setup. We compared the dosimetric parameters of the havmat plan with those of the conventional vmat cvmat. Imrt is a computerbased form of radiotherapy that allows radiation oncologists to send in small multiple doses with precision external beams in the 3d shape of tumors. Rapidarc treatment plans are produced using varians eclipse treatment planning software, which is cleared by the fda for planning photon, electron, and proton beam radiotherapy for patients with malignant or benign diseases. Integrate eclipse with varian solutions to provide more options for your patients. Upon completion of planarc, two plans, each containing one arc, were generated, each with one half. Treatment plans were optimized using objectives as given by standard guidelines for clinical treatment planning. Bundled as a module in philips pinnacle3 version 9 radiation treatment planning rtp software, the new planning option can be used with any vmatcapable. Breast cancer patients who require locoregional lymph node lln irradiation can be treated using a hybrid rapidarc technique combining 2 tangential and 3 rapidarc fields. The same ct image and structure set used for cvmat planning were loaded to the newly developed prototype tps eclipse, version 15. Varian radiotherapy device gets fda approval silicon. Rapidarc is used often in head and neck cancers, brain tumors, gi gastrointestinal cancers, prostate cancers, and lung cancers. The two fda clearances for rapidarc cover the treatment hardware and the rapidarc treatment planning software module in varians eclipse treatment planning.
Requires inverse treatment planning software to calculate dose distribution high precision radiation therapy as the trend to higher doses, smaller number of fractions, and tighter margins becomes an important part of radiotherapy, better verifiable localization is a necessity. Treating cancer northern illinois cancer treatment center. Personalized automated treatment planning for breast plus. The truebeam radiotherapy system offers flexible, highprecision treatment options for a broad range of patient needs. Harness the power of machine learning to improve treatment planning. Studies have shown that the longer the daily treatment time, the greater the chance that the tumor may move and not receive the full, planned dose. Rapidarc technology radiation treatment you can trust. Rapidarc treatments, created with varians eclipse treatment planning system and proprietary rapidarc software, are faster because they use a varian linear accelerator to deliver a complete volumetric imrt treatment with a single rotation of the treatment machine around the patient. In some cases, treatment planning includes a simulation session to further localize the cancer and finalize the radiation treatment plan. Var, today announced for the fourth year in a row, its eclipse treatment planning software has been named. A head and neck cancer treatment plan generated using eclipsetm treatment planning software. Fast helical tomotherapy in a head and neck cancer planning. Vmat puts a new spin on planning imaging technology news.
Jackie wu, phd duke university medical center acknowledgements team efforts from staff at duke radiation oncology, especially to dr. Rapidarc frequently asked questions unitypoint health. The presence of highdensity material in the oral cavity creates dose perturbation in both. The two fda clearances for rapidarc cover the treatment hardware and the rapidarc treatment planning software module in varians eclipse treatment planning system. Rapidarc delivers treatments two to eight times faster than most dynamic treatments while increasing precision a winning. The scans are read by computer software to find changes in a tumors size and location. Imageguided radiotherapy igrt during treatment with igrt, imaging scans are done over and over to guide treatment.
We have planned a whole scalp treatment with rapidarc, a treatment that would previously have required well over an hour of inroom time for the patient to setup multiple, matched electron fields, skinner explained. Docrates offers specialised radiotherapy expertise in the treatment of, for example, challenging cases, such as head and neck area cancer. The measurements were performed on our varian trilogy machine serial number 3560, with the 4d treatment console version 8, build 8. A rapidarc treatment was planned for a varian clinac 2100 cd upgraded with on board imaging obi and rapidarc. Varian medical systems receives fda 510k clearance for. The varian millennium mlc is capable of the dynamic modulation necessary for rapidarc delivery using a sliding window technique. Jan 02, 2008 varian medical systems receives fda 510k. The impacts of dental filling materials on rapidarc. Varian medical systems aria oncology information system and. At rigshospitalet, the rapidarc technique was brought into clinical practice in may 2008 for treatment of prostate cancer patients. All rapidarc treatment plans described in this paper were generated using the varian eclipse treatment planning software version 8. Optimal treatment planning procedures play a key role in achieving cancer care goals.
Recent improvements in computer systems and treatment planning software allow physicians to visualize a patients anatomy in three dimensions relative to the radiation treatment machines. Std dev absolute standard deviation, ns not significant. Rapidarc s volumetric modulated arc therapy delivers a complete imrt treatment in a single rotation of the treatment machine around the patient. The qa gamma analysis 3%3 mm showed that in nearly every case, there was only a weaktomoderate correlation between the gp% and the absolute %dds pearson r. Scarbroughs team planned the rapidarc treatment using varians eclipse treatment planning software, which allowed them to visualize how the dose would be distributed within the patients. A treatment planning study comparing volumetric arc modulation. Varians eclipse treatment planning system uses a progressive resolution optimizer pro, version 8. The first truly complete igrtimrt solution, tomotherapy combines integrated ct imaging for exceptional. Because the pro is a fast optimizer, optimization convergence errors oces produce dose nonuniformity in the superficial area of the ptv. On the sensitivity of common gammaindex evaluation. We report here our experiences with performing treatment planning using the eclipse rapidarc optimization software for this patient group. Customer interest in rapidarc is tremendous, said wilson. Hyperarc vmat planning for single and multiple brain.
Initial experience of arccheck and 3dvh software for rapidarc. Rapidarc technology advanced radiation centers of new york. This can be performed either on a beambybeam basis using 2dimensional 2d measurement or on a whole treatment basis using a 2dmeasured dose plane or a 3dimensional 3d measurement. The planning target volumes included entire body trimmed to 3 mm below the skin. On the sensitivity of common gammaindex evaluation methods. However, the vmat treatment planning software with eclipse rapidarc varian medical systems, inc, palo. The pretreatment dosimetric verification comprises a comparison of a measurement dose with the treatment planning system tpscalculated dose. Varian will begin taking orders for rapidarc immediately, and will begin delivering it to customers in the spring of 2008. Treatment plans were designed for the same linear accelerator 2. The imrt validation module provides the verification of mu or point dose calculations for imrt based treatment plans. Challenges and solution, author mail, noor and alghamdi, s. During a rapidarc treatment, the linear accelerator rotates around the.
Varian medical systems aria oncology information system and eclipse treatment planning software named 20152016 category leaders in the 20152016 best in klas. Eclipse tps is used to plan external beam irradiation with photon, electron and proton beams, as well as for brachytherapy treatments. Integrate with the aria oncology information system and the eclipse treatment planning system to simplify planning and manage treatment workflows. Imrt plans were generated using commercial inverse planning software eclipse, helios, version 7. Pdf rapidarc volumetric modulated therapy planning for prostate. Interface with multiple technologies for imaging and diseasespecific solutions on the truebeam systems flexible open architecture.
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