The CyberKnife® Robotic Radiosurgery System in 2010

被引:302
作者
Kilby, W. [1 ]
Dooley, J. R. [1 ]
Kuduvalli, G. [1 ]
Sayeh, S. [1 ]
Maurer, C. R., Jr. [1 ]
机构
[1] Accuray Inc, Sunnyvale, CA 94089 USA
关键词
CyberKnife System; Radiosurgery; Stereotactic Body Radiation Therapy; STEREOTACTIC BODY RADIOTHERAPY; RESPIRATORY TRACKING SYSTEM; LOCALIZED PROSTATE-CANCER; TUMOR MOTION COMPENSATION; LUNG-TUMORS; CLINICAL-EXPERIENCE; IMAGE REGISTRATION; RADIATION-THERAPY; PHASE-I; ACCURACY;
D O I
10.1177/153303461000900502
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
This review provides a complete technical description of the CyberKnife (R) VSI (TM) System, the latest addition to the CyberKnife product family, which was released in September 2009. This review updates the previous technical reviews of the original system version published in the late 1990s. Technical developments over the last decade have impacted virtually every aspect of the CyberKnife System. These developments have increased the geometric accuracy of the system and have enhanced the dosimetric accuracy and quality of treatment, with advanced inverse treatment planning algorithms, rapid Monte Carlo dose calculation, and post-processing tools that allow trade-offs between treatment efficiency and dosimetric quality to be explored. This review provides a system overview with detailed descriptions of key subsystems. A detailed review of studies of geometric accuracy is also included, reporting a wide range of experiments involving phantom tests and patient data. Finally, the relationship between technical developments and the greatly increased range of clinical applications they have allowed is reviewed briefly.
引用
收藏
页码:433 / 452
页数:20
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