Novalis Brochure - Behestan Darman

Inspiring. Shaping.
Shaped by decades of innovation, powerful software and a dedication
to excellence, the Novalis Tx™ radiosurgery platform delivers. Together with
physicians, we are inspiring radiosurgery by shaping patient access to
improved, more consistent and more efficient treatment. Anchor your
program with the Novalis Tx radiosurgery platform from Varian Medical
Systems, Inc., and BrainLAB.
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PATIENTS BY TREATMENT TYPE / YEAR
ACCESS
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inspiring TECHNOLOGY shaping CARE
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RT
SBRT
SRS
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Radiosurgery offers new hope to cancer patients. The Novalis Tx™
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radiosurgery platform captures the rapid growth of this non-invasive
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C
CENTERS
ANNUAL TREATMENTS AT THREE SITES*
treatment option by maximizing throughput, offering flexibility in treatment
protocols, and providing fast planning, setup and treatment.
Higher Throughput
Treat consistently and rapidly—accommodating cases of varying complexity and tumor type, size and
location—due to the fundamental design and software familiarity of the Novalis Tx radiosurgery
TM
platform. Reach more patients by performing thousands of treatments annually, while perfectly
leveraging internal resources.
Expanded Treatment Protocols
Key complementary technologies and capabilities, from imaging to delivery, are fully embedded into the
Novalis Tx radiosurgery platform. Such careful integration is rapidly becoming recognized as the perfect
fusion of many standard radiation systems on the market. Experience freedom in implementing existing,
and designing future, treatment protocols with the versatile Novalis Tx radiosurgery platform.
IMPROVED Patient Comfort
Novalis Tx radiosurgery shaped-beam technology is fast and flexible, making it the benchmark in patient comfort. Treatments last only minutes, so patients can more easily tolerate the frameless, customfit stereotactic mask, as compared to being locked in invasive head rings for extended procedures. Every
minute counts—for patients as well as hospitals.
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‘09**
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‘08
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STANDARDIZE
inspiring LEARNING shaping OUTCOMES
Improve cancer care through consistent application of best practices.
The Novalis Tx™ radiosurgery platform, reinforced by the Novalis Circle
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‘07
4 circle meetings
97 scientific presentations
185 clinical papers
600 circle participants
3,600 circle clinicians
KNOWLEDGE CIRCLE
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‘06
80
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‘04
60
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40
‘02
‘00
‘01
20
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Novalis & Novalis Tx Radiosurgery platforms Worldwide
network of clinicians, jumpstarts programs with progressive and
rigorous training, structured and automated software workflows, and
proven technology.
Certified Training
Accelerate learning with the Novalis Tx radiosurgery blended training program, which has been
TM
continuously refined for over a decade: surgeon visitation programs; physics commissioning support;
organized, on-site training and certification; and, peer-to-peer on-site support of the first patient treatment.
Confidence soars as a result of this established program.
Novalis Circle
A worldwide network of clinicians dedicated to the advancement of radiosurgery, Novalis Circle
benefits each patient through members’ vast, collective and collaborative experience treating with Novalis
technology. Collaborate with this influential group of like-minded clinicians, cohesively working toward
evidence-based medicine and streamlining treatment protocols around the world. Innovation originates
from diversity within the Novalis Circle, making it the key driver shaping the future of radiosurgery.
Automated Processes
Novalis Tx radiosurgery treatment, driven by familiar, cross-disciplinary software, transforms even
the most complex treatment protocol into a streamlined, simplified procedure. In-room, integrated
x-ray imaging ensures consistent positioning for treatment; automatic segmentation promotes
consistent structure definition for each patient; and, template-based planning promotes consistent
results for a variety of indications.
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INTEGRATE
inspiring INFORMATION shaping TREATMENT
Better access to critical medical information results in better decisions.
The Novalis Tx™ radiosurgery platform integrates relevant patient data,
ensuring that important clinical aspects are incorporated into the care
path. Maintain complete control with registration, scanning, planning,
treatment and documentation, organized through a comprehensive
Data Enrichment
The exponential growth in volume and complexity of digital medical data increases the challenge of
fully leveraging pertinent information for better treatment outcomes. Novalis Tx radiosurgery software
TM
patient data server.
filters, processes, integrates and displays a plurality of anatomical, functional and metabolic data to
directly apply the information to the streamlined clinical workflow.
Remote Collaboration
Built for a hospital in motion, Novalis Tx radiosurgery software links all data to the clinical infrastructure,
integrating multiple types of treatments. The Novalis Tx radiosurgery platform establishes a system for
remote collaboration between team members to improve decision making and patient outcomes.
Linking Information
Fragmented digital data is typically provided through a variety of non-integrated systems and tools. The
Novalis Tx radiosurgery patient information system, ARIA , organizes routine program administration,
TM
connecting treatment planning with prescriptions, scheduling, delivery, billing and ongoing patient
monitoring, maintaining a secure record of all procedural tasks.
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Novalis Tx
Radiosurgery
Digital Lightbox
VectorVision2
PARTICIPATE
inspiring SOFTWARE shaping DECISIONS
Scanner
iPlan Net server
PACS
Home office
The success of a radiosurgery program is linked to the involvement
of surgical sub-specialties, for patient referrals and the contribution of
Tablet PC
iPlan workstation
critical multi-disciplinary knowledge and perspective. Novalis Tx™
radiosurgery software workflows are designed for structured surgeon
participation in a multi-disciplinary clinical team. Retain control throughout
Surgeon Defined
Apply specialized surgical training and knowledge of microanatomy when performing the initial
software outline of structures to be treated. The Novalis Tx radiosurgery user interface is designed
TM
the radiosurgery treatment and beyond.
expressly for surgeons to streamline the review and interactive manipulation of defined structures.
Surgeon Focused
Interactively refine the treatment plan with all team members through innovative Novalis Tx
radiosurgery informatics. An integrated planning process allows surgeons to electronically refer
patients to radiosurgery and even approve the dosimetry plan. Surgeons actively participate in key
patient treatment steps when and where necessary, on-site or remotely.
Surgeon Managed
The Novalis Tx radiosurgery platform is an important element in the continuum of options from which
surgeons may choose. Early disease management steps are similar for surgery or radiosurgery in
determining the best strategy for patients. Identify specific areas of interest during surgery, such as
residual tumor, and reference them during radiosurgery treatment, with the VectorVision® pointer and
other surgical tools.
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GENERATE
inspiring COMMUNICATION shaping SUCCESS
The Novalis Tx radiosurgery program strengthens the strategic
position of facilities dedicated to a comprehensive and focused vision for
19 marketing deliverables
130 referring physicians
150 site-specific marketing hours
1,000 patient brochures
500,000+ total web impressions
EXAMPLE PROGRAM LAUNCH*
excellence in patient care. Generate multi-layered results, from competitive
advantage to return on investment, through marketing activities directed
at referring physicians and patients.
Strategic Positioning
Investing in the Novalis Tx radiosurgery platform demonstrates a strategic commitment to becoming a
TM
center of excellence. The Novalis Tx radiosurgery platform elevates many comprehensive neurosurgery
programs to new heights, and can increase utilization and competitive advantage. A solid return on
investment translates into more long-term expansion opportunities.
Informing Audiences
Drive awareness and subsequent patient referrals through the powerful Novalis Tx radiosurgery
program. Marketing communication resources and tools can include local and national media relations,
clinical education lectures and patient advocacy events. Internationally renowned Novalis Circle members contribute to and enhance the impact of this program.
Increasing Returns
With fast treatment times, the Novalis Tx radiosurgery platform can consistently maximize throughput and
utilization. Draw in referring physicians to increase revenues and lower per-patient costs, while achieving
better results­—the benchmark for success.
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“
In my experience, this is
the most accurate technology
available for frameless
radiosurgery.
”
“
Since 2001, Novalis
technology has enabled us
to confidently treat over 750
spine patients.
”
Joseph Chen, MD
Kaiser Permanente Los Angeles Medical Center
Samuel Ryu, MD
Henry Ford Hospital
Frameless Radiosurgery
Spine Radiosurgery
Frameless stereotactic radiosurgery
Spine radiosurgery offers the capability
is replacing frame-based treatments
to treat a variety of indications, including
as the standard of care. The intuitive
inoperable
software and tools offered with the
beam shaping with the Novalis Tx
tumors.
High-definition
TM
Novalis Tx radiosurgery platform pro-
radiosurgery
vide better treatments at equivalent
conforms the treatment beam to even
accuracy, faster treatment delivery,
the most complex lesions. As the only
more flexible treatment scheduling,
combined room- and gantry-based
TM
platform
dynamically
and a higher level of patient comfort .
imaging solution available, the Nova-
A wide variety of fractionation schemes
lis Tx radiosurgery platform delivers
are possible to accommodate cases of
precise patient positioning for both
varying complexity and tumor type,
intra- and extra-cranial targets.
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size and location.
:: CT localizer for sub-millimeter accuracy
:: Localization without implanted fiducials
:: Verification of target position at all treatment angles before and during treatment
:: Precise multi-modality image fusion for selected target region
:: Fast functional treatment with 1000 MU/minute dose rate
:: Flexible patient positioning
:: Treatment of a variety of intra-cranial targets supported by specific software tools
:: The only complementary 2D-stereo x-ray and Cone Beam CT imaging for high-precision patient positioning
:: 6D robotic couch for image-guided patient positioning
:: Total treatment time as low as 20 minutes^
:: Total treatment time as low as 15 minutes^
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“
The intelligent design of this
system is ideal for tracking
moving targets in any
position, at anytime, enabling
quick and effective SBRT.
”
“
Novalis technology enables
us to participate in current
radiation protocols without
limiting our capabilities for
developing trends.
”
Paul Monsour, MD
East Jefferson General Hospital
Reinhard Wurm, MD
Klinikum Frankfurt, Oder
Lung SBRT
Prostate Radiotherapy
Stereotactic Body Radiotherapy (SBRT)
Drive clinical efficiency and outcomes
for early-stage lung cancer is becoming
in prostate radiotherapy with the
the standard of care. Novalis Tx
Novalis Tx
TM
TM
radiosurgery platform.
radiosurgery software tools and accu-
Real-time image guidance, combined
rate dose calculations allow for better
with Cone Beam CT soft tissue local-
targeting of tumors, while providing
ization, can improve throughput and
motion management for precise dose
control setup quality. Image prostate
delivery. The lung gating technique
patients during treatment delivery to
pauses radiation delivery until the
increase confidence that the target
tumor is in the optimal position, spar-
area is covered and to help avoid
ing normal tissue.
organs at-risk.
:: 4D CT-data integration with advanced elastic morphing for automatic ITV contouring
:: Flexibility to choose between a variety of treatment protocols
:: Precise Monte Carlo dose calculations
:: Real-time intra-fraction motion detection
:: Daily internal adaptation of patient breathing cycle
:: Cone Beam CT soft tissue localization
:: Real-time detection and compensation of tumor motion
:: Total treatment time as low as 12 minutes^
:: Total treatment time as low as 15 minutes^
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Delivery System
Powerful DOSE DELIVERY
Offering a high dose rate of 1,000 MU per minute, and a range
of high energies—6 to 20 MV—the Novalis Tx radiosurgery
TM
platform is powerful, reaching the most deep-seated tumors.
Beam Shaper
With highly precise dose conformality, HD120 multi-leaf collimator
TM
delivers improved margins, dose escalation and versatility, providing more optimal normal tissue sparing.
Volumetric Linac-Based Imaging
On-Board Imager® is a machine-based imager, providing Cone
Beam CT for volumetric soft tissue discrimination and kV fluoroscopic imaging for respiratory motion verification. Acquire
hundreds of CT slices in less than a minute.
Robotic 6D Couch
Automated 6D robotics corrects for directional inaccuracies
and rotational misalignments. ExacTrac® provides accurate and
automated patient positioning. Efficient setup saves time and
improves clinical throughput.
Portal Imaging
PortalVision
TM
provides treatment verification during dose
delivery so you can “see what you treat while you treat.”
PortalVision provides dosimetry quality assurance to accurately
and automatically verify system performance.
Room Based X-Ray Imaging
ExacTrac delivers straightforward patient setup in two minutes.
X-ray IGRT images are verified automatically and patient setup, including rotational corrections, is accurately adjusted for
streamlined workflow and throughput.
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Technology Suite
ARIA Patient Management
Frameless Radiosurgery
ARIA combines patient records into a single oncology
A patient friendly head-to-shoulder mask facilitates a
EMR (electronic medical record)—images, admin-
streamlined workflow, overcoming the restrictions of
istrative, clinical and financial information—linking
frame-based radiosurgery and improving scheduling
medical, radiation and surgical oncology processes.
flexibility for imaging, planning and treatment.
Eclipse
Stereotactic Hardware
Eclipse provides treatment planning technologies
The Novalis Tx radiosurgery platform includes a full
familiar to radiation oncologists involved in radio-
range of stereotactic hardware for immobilization, set-
surgery. In addition, Eclipse enables the use and
up and quality assurance. Stereotactic head rings,
operation of RapidArc®, PortalVision , Cone Beam
conical collimators and target positioning hardware
CT, 4D planning and portal dosimetry.
complete the comprehensive solution.
RapidArc
ExacTrac Snap Verification
RapidArc volumetric arc therapy delivers precisely
ExacTrac® Snap Verification software uses x-ray images
sculpted 3D dose distribution by simultaneously
acquired during treatment delivery or between fields to
modulating gantry speed, MLC leaf position and linac
instantly detect and visualize target displacement.
TM
TM
TM
TM
output. RapidArc further increases oncology throughput, leaving the Novalis Tx radiosurgery platform
TM
accessible to more stereotactic patients.
RPM Respiratory Gating
ExacTrac Adaptive Gating
RPM is available for both your CT and PET imaging
ExacTrac addresses changes in daily respiration
systems and for the Novalis Tx radiosurgery plat-
and intra-fraction variation with continuous optical
form, offering both prospective and retrospective
infrared patient tracking and IGRT x-ray verification of
gating, and 3D monitoring.
internal tumor position during gated treatment.
PORTAL DOSIMETRY
Digital Lightbox
Portal Dosimetry allows quick verification that the
Digital Lightbox© makes exceptionally organized
planned dose is the dose delivered.
digital mapping come to life through touch. From
TM
diagnosis to multiple treatments and follow-up,
effortlessly pull and review clinical data for advanced
information management.
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Radiosurgery Planning
Angiographic Localization
Automatic Segmentation
A straightforward combination of advanced
Achieve one-button definition of relevant
imaging data—3D rotational angiography, MRI
critical structures. Premier atlas-based seg-
and digitally subtracted angiography—provides
mentation maps—for brain, spine, head &
clinicians with more complete and accurate
neck, and prostate—developed in close
target volume definition and visualization.
collaboration with expert users, elevates
clinical efficiency and planning consistency.
Transform your department with more predictable results and time savings.
Image Fusion
Stereotactic Planning
iPlan offers highly advanced image fusion
The iPlan® user-centered design is built on
capabilities. Automatic co-registration of ana-
more than 20 years of focused radiosurgery
tomic, metabolic and functional data ensures
experience.
the highest accuracy throughout the entire
displays and templates help meet clinical
procedure and provides the critical precision
demands of circular arcs, conformal beams,
necessary for stereotactic treatments.
dynamic conformal arcs and IMRT. iPlan
®
Straightforward
automation,
offers clinicians a precise and simple process
for completing the most sophisticated plans.
Smart Brush Contouring
Monte Carlo Dose Calculation
Touch-defined contouring intelligently converts
High performance iPlan Monte Carlo dose
two-dimensional information into enhanced
calculation software delivers fully integrated
3D structure visualization. Smart Brush
forward and inverse planning capabilities
delivers a fast and precise planning tool for
for photon beam treatment. Providing pre-
automated clinical processes.
cise dose distribution for each patient and
procedure, Monte Carlo better accommodates heterogeneous tissues commonly found
in extra-cranial treatments.
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Center of Excellence
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The Power of Two
Varian Medical Systems
Varian Medical Systems, Inc., of Palo Alto, California, is the world’s leading manufacturer of medical
devices and software for treating cancer and other medical conditions with radiotherapy, radiosurgery,
proton therapy, and brachytherapy. The company supplies informatics software for managing comprehensive cancer clinics, radiotherapy centers and medical oncology practices. Varian is a premier
supplier of tubes and digital detectors for X-ray imaging in medical, scientific, and industrial applications
and also supplies X-ray imaging products for cargo screening and industrial inspection.
Varian Medical Systems employs approximately 5,100 people who are located at manufacturing
sites in North America, Europe, and China and approximately 79 sales and support offices around
the world. varian.com
BrainLAB
A pioneer in the field of radiosurgery, BrainLAB develops, manufactures and markets software-driven
medical technology, enabling more precise, less invasive procedures. Among the core products
are image-guided systems and software that provide highly accurate real-time information used for
surgical navigation and radiosurgical planning and delivery. BrainLAB systems and software are
leveraged to provide clinicians with an information portal to more effectively access and interpret
diagnostic scans and other digital medical information for better informed decisions.
BrainLAB solutions allow for expansion from a single system to operating suites to digitally integrated
hospitals, covering all subspecialties from neurosurgery, orthopedics, ENT, CMF to spine & trauma and
oncology.
With more than 3,300 systems installed in more than 75 countries, BrainLAB is a market leader in
image-guided technology. The privately held BrainLAB group, founded in 1989, is headquartered
in Munich, Germany, and today employs more than 950 people in 15 offices across Europe, Asia,
Australia, and North and South America. brainlab.com
©
2009 BrainLAB AG. All rights reserved. NOV-BR-E-PORTFOLIO-0809 Q:8000 ®Registered trademark of BrainLAB in Germany and/or US. ©Copyright BrainLAB AG in Germany and/or the US. ™ Novalis Tx is a trademark of Varian Medical Systems, Inc., and BrainLAB AG. ARIA, Eclipse,
RapidArc, RPM and PortalVision are either trademarks or registered trademarks of Varian Medical Systems, Inc.
1 Breneman JC et al. Frameless Image-Guided Intracranial Stereotactic Radiosurgery: Clinical Outcomes for Brain Metastases. Int J Radiat Oncol
Biol Phys. July 2009 74(3):702-706.
Documentation available upon request. *Based on specific site(s). Results may vary by site and/or market. **Estimate. ^Treatment times may vary.
Depending on the specific market and/or region, products mentioned herein on the Novalis Tx radiosurgery platform may be standard or optional.
Contact your sales representative for further information regarding standard and optional products included for your geographical region.
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