Comparison of Novalis Tx with Cyberknife

 

Novalis TX Radiosurgery is now emerging as the most preferred treatment of choice for Brain & Spine Tumors and is considered more advanced than CyberKnife. Read more on how Novalis TX is superior to CyberKnife in many aspects:

Feature
 CyberKnife		  
  Novalis Tx™		 Added benefits of Novalis Tx
Immobilization Frameless1 Frameless and Frame-BasedA
  • Decide which treatment is bestFrameless or Frame-Based
Treatment Planning












 MultiPlan treatment planning system with SRS2

iPlan treatment planning with SRSB and IMRS & IMRT and Conformal  Arcs and Dynamic  Conformal and IGRT and  Eclipse treatment planning system  with RapidArcC   treatment
  • Plan for radiosurgery with cone planning or MLC planning

  • Do IMRT, 3D conformal, IGRT and other standard techniques when  the machine is not doing SRS or SBRT
  • Have the power  to do RapidArc™ radiotherapy technology treatments for radiosurgery or IGRT
Setup Localization





 Room-based stereo x-ray with 2D KV-KV match1,4

Room-based stereo x-ray with 2D-3D KV matchH and machine-based imagingD and cone-beam CTD    (CBCT) 3D imaging and  MV-BEVE  (beam’s eye-view) and True KV-fluoroD
  • Visualize soft tissue via cone-beam CT on a radiosurgical device
  • Localize with image matching using 2D-KV,
  • 2D-MV, 3D-KV or KV-fluoro
Treatment Delivery

6 MV
8003,4  MU at 80 cm

12 Cones4    + “variable” iris collimator with 12 fixed apertures5

Fixed Beam Positions4 Anterior Beam Delivery4 [severely limited (22°) posterior beams4]

6 MV and HighX (10 – 20 MV)
1000 MU at 100 cmA

Cones  and HD120 MLCF,G  with
Shaped Beam Radiosurgery

Fixed Beam PositionsA
and  Continuous arc delivery with RapidArcA

Anterior Beam DeliveryA and full 180° posterior beams
  • Have a powerful  linear accelerator
  • Have up to 3 energies, including high X, to penetrate deeper into tissues more efficiently
  • Use cones for SRS or shaped beams that conform to complex shapes of tumors from all beam angles
  • Continuously and  optimally modulate the beam power,  gantry  speed, and HD120
    MLC leaf shape
  • Design  the treatment to deliver dose and spare tissue from any direction

Intra-Fraction Motion Management

Room-Based x-ray shots4   (brain and body)

Optical tracking via infrared6    (body only)

Room-Based x-ray shotsH
(brain and  body)

6D Optical  GatingI
(brain and  body)
and Gated  Marker BlockJ

and Machine-based MV-BEVE
  • Provides intra-fraction localization via

  • Snap Verification
    Treat what you planned to treat with respiratory gating. With tracking  you may treat  structures you did not intend  to treat
  • See  what you treat  while you treat  and minimize any doubt about “how much” and  “where”
Information Systems






 DICOM RT Image, Dose,  Import-Export2

DICOM RT Image, Dose,  Import-Export
Sophisticated data baseK

with record  and  verify
  • Provides a comprehensive DICOM-RT based information system with the ARIA oncology information
  • Provides a sophisticated networked & wireless system for plan review with iPlan Net
Treatment Times 35 – 90 minute treatments typical3, 7 2 – 20 minute treatments typicalL,M,N,O
  • Novalis Tx treats efficiently with shaped beams, RapidArc and high linac output

     

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