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Treatment Planning Software Support Radiotherapy Systems

By MedImaging International staff writers
Posted on 01 Jul 2021

Image: The CyberKnife S7 System (photo courtesy of Accuray)

A novel software solution enables clinicians to plan treatment plans for CyberKnife and conventional radiation therapy (RT) devices.

The RaySearch Laboratories AB (Stockholm, Sweden) RayStation is a unified treatment planning system (TPS) that supports Accuray (Sunnyvale, CA) CyberKnife M6 and S7 robotic stereotactic body RT (SBRT) systems, as well as other RT systems. It is compatible with all collimator types (fixed, Iris Variable Aperture, and InCise multileaf collimators). The software improves workflows, supports multiple RT prescriptions, multiple GPUs in photon Monte Carlo dose calculation, faster optimization, and more efficient memory allocation.

A new workflow feature defines tolerance tables, which are specifications of permitted deviations from various machine settings. The tolerance tables can be selected during planning and exported with the plan, which simplifies treatment delivery. Additional features include indication-specific motion tracking and adaptation with Accuray Synchrony technology; delivery of non-coplanar, isocentric, or non-isocentric treatment beams from potentially thousands of different angles; fast, accurate dose calculation that enables dose adjustment in real-time; and deformable registration and adaptive planning.

“The introduction of RayStation for the CyberKnife Systems will make it easier for providers with multiple radiotherapy systems to adopt and integrate Accuray technology seamlessly into their clinical operation,” said Suzanne Winter, chief commercial officer and senior vice president of R&D at Accuray. “Accuray CyberKnife, Radixact, and TomoTherapy systems interface with both RayStation and the Accuray Precision TPS, enabling our customers to optimize their experience and use of our technology over the long-term.”

“With the addition of CyberKnife planning support, RayStation becomes the first treatment planning system to support all major photon linacs,” said Björn Hårdemark, MSc, deputy CEO at RaySearch. “Both Radixact and CyberKnife are extremely versatile delivery platforms, and the ability to plan for these systems in parallel with conventional linacs makes it possible to easily assess which patients benefit the most from the capabilities of the Accuray systems.”

The CyberKnife System with the Synchrony motion synchronization technology uses artificial intelligence (AI) to adapt radiation delivery in real-time to patient and/or tumor movement throughout the course of treatment. The system's robotic design facilitates RT from potentially thousands of unique angles, maximizing radiation dose to the tumor and minimizing dose to surrounding healthy tissues.

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68 (38.14697265625): SELECT fid FROM jos_deeppockets WHERE id=294788839 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294788839 AND published='1' LIMIT 1

69 (34.093856811523): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=213 ORDER BY `ordering`

70 (233.88862609863): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294788839 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (273.9429473877): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294788839 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 6824.0165710449): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (81.062316894531): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (134.94491577148): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (51.021575927734): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294788839 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (27.894973754883): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294788839 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (32.186508178711): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.226043701172): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788839 AND published='1' LIMIT 1

105 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788839 AND published='1' LIMIT 1

106 (55.074691772461): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294788839 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (46.014785766602): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294788839 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788839 AND published='1' LIMIT 1

109 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788839 AND published='1' LIMIT 1

110 (46.014785766602): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294788839 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (454.18739318848): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294788839 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (548.8395690918): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (321.86508178711): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788839 AND published='1' LIMIT 1

115 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788839 AND published='1' LIMIT 1

116 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788839 AND published='1' LIMIT 1

117 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788839 AND published='1' LIMIT 1

118 (103.95050048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788839 AND published='1' LIMIT 1

119 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788839 AND published='1' LIMIT 1

120 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788839 AND published='1' LIMIT 1

121 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788839 AND published='1' LIMIT 1

122 (353.09791564941): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294788839 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294788839 AND type='deeppockets_item' AND published='1' LIMIT 1

123 (!!!!! 418643.95141602): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

124 (99.18212890625): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

125 (391.96014404297): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

126 (74.148178100586): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

127 (262.97569274902): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

128 (58.889389038086): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

129 (228.8818359375): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

130 (44.107437133789): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

131 (581.02607727051): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

132 (478.02925109863): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788839 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

133 (350.9521484375): SELECT name FROM jos_deeppockets WHERE id=213

134 (46.968460083008): SELECT name FROM jos_deeppockets WHERE id=213

135 (462.05520629883): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

136 (459.19418334961): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

137 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788839 AND published='1' LIMIT 1

138 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788839 AND published='1' LIMIT 1

139 (368.11828613281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

141 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788839 AND published='1' LIMIT 1

142 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788839 AND published='1' LIMIT 1

143 (!!!!! 1152.0385742188): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

144 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788839 AND published='1' LIMIT 1

145 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788839 AND published='1' LIMIT 1

146 (41.007995605469): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294788839 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294788839 AND type='deeppockets_item' AND published='1' LIMIT 1

147 (32.901763916016): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

148 (30.040740966797): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

149 (31.948089599609): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

150 (163.07830810547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788839 AND published='1' LIMIT 1

151 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788839 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788839 AND published='1' LIMIT 1

152 (108.00361633301): select jos_twitters.link from jos_twitters where cat=10

153 (27.894973754883): select jos_facebook.link from jos_facebook where cat=10

154 (26.941299438477): select jos_google_plus.link from jos_google_plus where cat=10

155 (26.941299438477): select jos_linkedin.link from jos_linkedin where cat=10

156 (282.04917907715): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

157 (!!!!! 1327.0378112793): insert into jos_banners_delta values (14615,'2025-04-29 23:26:11','18.219.31.133','view'),(14202,'2025-04-29 23:26:11','18.219.31.133','view'),(14203,'2025-04-29 23:26:11','18.219.31.133','view')

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