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ERICE APRIL 2009 Varian Particle Therapy – Why Varian? Volker Schirrmeister

Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

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Page 1: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

ERICE APRIL 2009

Varian Particle Therapy – Why Varian?

Volker Schirrmeister

Page 2: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Partnering with Varian

� Founded in 1959 & dedicated to Oncology

� Varian Medical Systems created by Varian Associates in April, 1999

� Varian Medical Systems� Varian Oncology

� Varian X-ray Tubes

� Varian Security Inspection Products� Varian Biosynergy� Ginzton Research Center

Varian History

Page 3: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

History of the Proton Program at Varian

� Proton program started in 1992

� Eclipse Proton treatment planning, VARiS and ARIA information management systems

� First Chinese proton center at Zibo uses Eclipse and VARiS

� MD Anderson, University of Florida; NCC Korea are on line

� Varian acquires ACCEL Instruments GmbH, 1/07

Page 4: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Clinac 600C/D

DBX, 6EXClinac DHX, DMX, 2100 C/D, 21EX

Clinac 2300C/D, 23EX, Silhoutte, iX, Trilogy

Single Photon Energy

4 or 6 MV

Dual Photon Energies

4 to 20 MV (25 MV)

5 or 6 Electron Energies4 to 22 MeV

Easy to operate

� Identical Collimator Head

� Identical Accessories

� Identical Treatment Couch

� Identical Operation

Identical Options

� Dynamic Wedge

� Asymmetric Jaws

� Multileaf Collimator

� PortalVision

� 4D Treatment Console

� Auto Field Sequencing

� ARIA Oncology Info System

Low Energy High Energy

Varian Clinac Family

Page 5: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Varian Oncology Products Overview

� Clinac®: Family of Linear accelerator treatment unit designed to provide quality radiation cancer therapy

� kV On-Board Imager®: Accelerator based kV radiographic, fluoroscopic and Cone-beam CT imaging capabilities for IGRT

� Millenium™ Multileaf Collimator (MLC):High-resolution beam shaping device used with Clinac to customize treatment dose

� PortalVision™: High-resolution, digital flat-panel megavoltage imaging device with robotic position capability

Page 6: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Varian Oncology Products Overview

� Trilogy™: Varian’s top-of-the-line, image-guided delivery system optimized for 3D-CRT, IMRT and Stereotactic Applications

� Novalis Tx®: The Power of Two. A dedicated solution for Neuro- and Radiosurgical procedures and applications, featuring gantry and room based imaging tools

� HD120™ MLC: Highest resolution beam shaping to achieve new levels if precision and accuracy(central region with 2.5 mm leaves)

Page 7: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Varian Oncology Products Overview

� Acuity: a comprehensive medical imaging system that integrates planning, simulation, and verification software for treating cancer with radiation therapy

� Eclipse, Helios & SomaVision: Computer systems for planning, calculating and visualizing dose distribution

� ARIA: the only fully integrated Oncology Information System (OIS) to manage all aspects of comprehensive cancer care, including radiation oncology, medical oncology and surgery.

� GammaMed / VariSource: HDR & PDR after-loading system that provides removable, implantable radiation for certain malignancies

Page 8: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Why Varian?

� Highest Uptime Logbook 2004

King Faisal Hospital, Riyadh, Saudi Arabia

Page 9: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Developmental Stages and Trends

in Radiation Therapy

Computerization of accelerators, development of MLCs and 3D planning

1980s

Why Varian?

The Technical Vision

Exploration of highenergies & electrons

1970sBasic Medical Accelerator designs developed & proved

1960s

Dynamic conformal techniquesStart Proton Therapy Program

1990s

IMRT, Integration and

process enhancement

1995

IGRT, full system integration and Dynamic Adaptive Radio Therapy

2000s

Biological Imaging & Targeting-Tumor Positioning

201x

RapidArc™ – Single Arc IMRT, Proton Therapy System ACCEL

Enhanced SBRT & Neurosurgical applications

2007

Page 10: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Strategic Acquisitions of Varian

in Oncology

TEM LtdSimulation

1984

Acquisitions

� The Strategic Vision

Basic Medical AcceleratorTeletherapy

1960s

ABBPortal Imaging & Data Management

1990

DosetekTreatment Planning

1993

OpTxMedOncology Software

2004

ACCEL Particle Therapy

2007

OmnitronBrachytherapy

1995

GammaMedBrachytherapy

2003

Sigma MicroOncology Information System

2005

Page 11: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

RPTC Munich

AcceleratorTreatment Rooms with Gantry

Eye Treatment

Beam Transfer Line

First European Commercial Clinical PT Center

Page 12: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Superconducting Proton Cyclotron

Page 13: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

ERICE APRIL 2009

Proton Beamline for guiding the beam to thetreatment rooms

Page 14: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

The RPTC Gantries

Constructed by Schär Engineering

Page 15: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Mechanical precisionrequirements as verified in production:

Beam axis within 0,5 mm radius volume aroundIsocenter

Gantry and Patient Positioner

Page 16: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Gantry Treatment Room

Page 17: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

ERICE APRIL 2009

Unique Proton BeamScanning Nozzle

���� PRECISE BEAM

���� LOWEST NEUTRON DOSE

Page 18: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Why Varian ?

Monitor chambersVacuum chamber

Scanner-Magnet 1 (y)

Scanner-Magnet 2 (x)

Page 19: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Test of Scanning System at HMI, Berlin

Nozzle 3D-View

Scanning Magnets

Dose and Position Monitors

Vacuum Chamber

Diagnostic Flat Panels(Position Verification)

Patient Specific Devices(Range Shifter, RippleFilter, Collimator, etc.)

Scanning Nozzle

Page 20: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Scanning Method

Irradiation of 1-l-Tumor with 2 Gy/min:� Spot scanning with continuous transition in row

� Beam diameter (FWHM): 10 mm

� Voxel spacing: 5 mm (20 ×××× 20 ×××× 20 voxels)

� 5 ms per spot (max. ~ 20 ms, min. ~ 3 ms)

� Beam switching on/off: 50 µs

� 1-10 s irradiation period per layer

� Layer switching time: 1 s

30 cm

40 cm

y-View

x-View

30cm

40cm

lSC1 d lSC2

SADSC1SADSC2

y-Scanner x-Scanner

Page 21: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

X: 195 cm (mech. 200 cm)Y: 252 cm (mech. 256 cm)

50 cm beforeisocenter

20 cm behindisocenter

Effective Proton Source

Page 22: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Leakage and neutron doses (Hall, 2006)

Page 23: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Scanning: Key Specifications & Measurements

� Range: Up to 37.6 g/cm²

� Field size: Up to 30 × 40 cm²

� Dose Compliance: better than ± 2.5%

� Beam spot size (FWHM): 4 to 7 mm

� Repainting

Dose Distributions measured at HMI, Berlin End-to-end test, RPTC Gantry-1

Page 24: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Test Cases Dose Results

doses [Gy]

- measured

- calculated

Deviations in homogeneousregions ≈≈≈≈1% !!!

1,0071,007

1,0001,010

1,0081,004

0,7500,698

0,0300,000

14.5 cm1.007 / 1.007

1.025 / 1.024

1.035 / 1.033

0.750 / 0.698

0.030 / 0

depthMeasured vs. calculated doses [Gy]

1.008 / 1.010

0.952 / 0.927

19.5 cm

6 cm

0.845 / 0.881

0.046/ 0.040

0.007 / 0.002

0.002 / 0

0.882 / 0.919

0.779 / 0.748

0.379 / 0.376

0.008 / 0

Page 25: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

System Performance Test („END TO END“)

� according to the DIN 6875-1, “Special radiotherapy equipments - Part 1: Percutaneous stereotacticradiotherapy, basic performance characteristics and essential test methods”

� Demonstration of the overall system performance

� specification of dose and dose distributions in a t arget volume, simulated in a phantom, for a simple and sophisticated geometry

� Focus on agreement between planned and measured dos es

Test steps:

� CT imaging

� Therapy Planning System:

� contouring of target volume

� definition of irradiation fields

� dose calculations

� positioning of the phantoms at Gantry 1 using the X -ray based position verification system

� Beam application

� dose measurements

� comparison between measured and calculated dose dis tributions.

(published at PTCOG 44, Zurich, June 2006)

Page 26: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Test Cases

RPTC :

Field 1: 30°, table rotation 90°

11 layers, ≈≈≈≈1000 spots

Field 2: 90°, with 57 mm w.e. range shifter

10 layers, ≈≈≈≈ 800 spots

QA plan generated for homogeneous PMMA phantom

Field 1

Field 2

Page 27: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Test Case – Results

Measured vs. calculated doses [Gy]

0.529 / 0.547

Beam 11.148 / 1.161

0.975 / 0.995

1.057 / 1.060

0.910 / 0.851

Field 1

Page 28: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Test Case - Results

Field 2

Beam 2 0.286 / 0.323

0.832 / 0.890

0.893 / 0.944

0.838 / 0.888

0.674 / 0.575

Measured vs. calculated doses [Gy]

Page 29: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

�Target Repainting, e.g. 17 scans / 2 min.

� 7 s for a 1 liter volume/scan�The faster the more important is a stable and continuous beam

Spot scanning: step & shoot

0 time (ms) 10in

tens

ity

Cont. scanning “TV” mode

kHz-Intensity modulation

Courtesy of M. Schippers,PSI

Integrating dose delivery per spot

Scan Modes of new Gantry-2 at PSI – Aimingfor Continuous Scanning

Page 30: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Position Verification System

Features

� Field-of-view 20 × 28 cm²

� 30 × 40 cm² amorphous silicon panels

� Semi-automated image matching and position correction procedure

� Only 2 X-ray axes needed

� Position correction possible for any treatment position

� Total accuracy: ± 0.5 mm

Page 31: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

ERICE APRIL 2009

User Interface Position Verification System

Page 32: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Why Varian?

� Partnership in R & D

�Varian Medical Systems has about 200 technical, research, and process partnerships with the Radiotherapy community throughout the world!

Page 33: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

US Top 50 Cancer Centers 2007 (Varian=78% )

1. University of Texas, M. D. Anderson Cancer Center2. Memorial Sloan - Kettering Cancer Center3. Johns Hopkins Hospital, Baltimore4. Mayo Clinic, Rochester, Minn.5. Dana - Farber Cancer Institute, Boston 6. University of Washington Medical Center, Seattle 7. University of Chicago Hospitals8. UCLA Medical Center, Los Angeles9. Duke University Medical Center, Durham, N.C.10. Massachusetts General Hospital, Boston11. Fox Chase Cancer Center, Philadelphia 12. University of Pittsburgh Medical Center 13. Stanford Hospital and Clinics, Stanford, Calif. 14. University of California, San Francisco Medical

Center 15. Ohio State University James Cancer Hospital 16. H. Lee Moffitt Cancer Center and Research Inst 17. Cleveland Clinic18. University of Alabama Hospital at Birmingham19. Barnes - Jewish Hospital/Washington University 20. University of Wisconsin Hospital and Clinics21. University of Michigan Medical Center, Ann Arbor22. Vanderbilt University Medical Center, Nashville23. Yale - New Haven Hospital, New Haven, Conn. 24. University of Minnesota Medical Center 25. University Hospitals Case Medical Center

Cleveland

26. Beth Israel Deaconess Medical Center, Boston27. University of Virginia Medical Center28. Brigham and Women's Hospital, Boston29. Hospital of the University of Pennsylvania30. City of Hope, Duarte, CA31. University Medical Center, Tucson, Ariz.32. University of Utah Hospitals and Clinics 33. Rush University Medical Center, Chicago34. Mayo Clinic Hospital Phoenix35. University of Colorado Hospital, Denver 36. Dartmouth - Hitchcock Medical Center 37. Oregon Health and Science University Hosp.38. William Beaumont Hospital, Royal Oak, Mich. 39. University of California, San Diego Medical Center 40. University of North Carolina Hospitals, Chapel Hill 41. New York - Presbyterian Univ. Hosp. of Columbia

and Cornell42. Evanston, Northwestern Healthcare43. Abbott Northwestern Hospital, Minneapolis, MN44. Loyola University Medical Center, Maywood, IL45. Sarasota Memorial Hospital, Fla. 46. University of Kentucky Chandler Hospital47. Methodist Hospital, Houston, TX48. Lehigh Valley Hospital, Allentown, PA49. Lancaster General Hospital, Lancaster, PA50. Inova, Fairfax Hospital, Falls Church, VA

Source: US News and World Report 2007

Page 34: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

The unique Varian Oncology Solution

Cancer Treatment

IMRT & RapidArc

IGRT & DART

BrachyTherapy

Radiosurgery

Proton Therapy

Page 35: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Ground Floor RPTC Munich

StairwaysShaftsPreparation Area

PT and Building SystemsTreatment

42.6

95.2

13.4 2.4 11.2 2.0 11.2 2.0 11.2 2.0 11.2 2.0 10.8 2.9 11.0 1.9

2.0

4.2

1.7

13.6

2.2

1.8

1.2

AA

A

A B

B

CyclotronPosition

Page 36: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Cross Section RPTC Munich

19.42

1.2

1.9

3.1

2.4

15.8

2.4

11.0

2.4

2.1

4.5

1.5

2.9

1.8

0.3

3.8

0.4

4.2

0.4

4.7

0.3

4.7

1.0

Technical LevelPT Treatment Level

Diagnostic LevelOffice Level

Page 37: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

3 Gantry – 1 Fixed Beam

Iso-center

G

H

I

F

E

D

C

B

A

waiting areabed

recovery

surveillance

anaesthesia/immob. bed/add. pos.verification

el. sub-div./data

facilitymanagement

varian/accel

workshop maincontrol room

storageVarian

vacuumworkshop

technical delivery

entrance staff/general delivery

administration

waiting area

main entrance

entranceambulance

mob.

immob.

ct

contr.

techn.

exit_1 entrance_1

mob.

immob.

ct

contr.

techn.

exit_2 entrance_2

mob.

immob.

mrt

contr.

techn.

exit_3 entrance_3

reception

lavatory_w

lavatory_m

dosimetry/qs

control_1 control_2 control_3

treatment gantry_1 treatment gantry_2 treatment gantry_3

cyclotron/ess

fixed beam

control_4

changingfixed beam

medicalconsultation

varian/accel

secretary

headclinical service

administration

preparation

staff

el. sub-div./data

supply

disposal

changinganaesth.

reception areabedded patients

treatment corridor

immo.devices

immo.devices

rad.act.devices(deflectors)

labyrinthcyclotron

labyrinth_1 labyrinth_2 labyrinth_3

labyrinth_4

+ 0,00

+ 0,00

bed/ immo.elevator

freightelevator

entrance hall

installationaccess

platformelevator

patientselevator

Iso-center

Beam Transport System (BTS) / Strahlengang

Roof opening

Iso-center

Clinical area

Building Requirements

Page 38: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

Clinical Workflow – Increasing Challenges

Cons

ulta

tion

Imag

ing f

or st

aging

Imag

ing f

or T

x Plan

ning

Post Plan.

Ver

ifica

tion

Patie

nt Se

tup Man

agem

ent

Tx D

eliver

y

…………

…………

…………

…………

…………

……….

……

…………

…………

…………

…………

…………

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……

…………

…………

…………

…………

…………

……….

……

…………

…………

…………

…………

…………

……….

……

Immob

iliza

tion

Trea

tmen

t Plann

ing

Data

& Im

age Mgt

.

Tx Im

aging &

QA

QA

………

……,…

………

…….………

……,…

………

…….

………

……,…

………

……. ………

……,…

………

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…….

Page 39: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

ARIAOncology Information System

featuring a single unified Data Base

Clinical Workflow – Increasing Challenges

Patie

nt M

anag

er

SomaV

ision

SomaV

ision

Acuity

Cone

Bea

m C

T

Clinac

, MLC

, Pro

ton Th

erap

y

On-Bo

ard Im

ager

Exac

t Cou

ch, R

PM G

ating,

Optical Tra

cking

Eclip

se H

elios

ARIA A

pplic

ations

PortalVisio

n &

Portal D

osim

etry

Argu

s

Page 40: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

What Matters Most?

� Technology?

� Innovation?

� ….

Page 41: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

What Matters Most? Save 100,000 more people.

Page 42: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

ERICE APRIL 2009

Our Vision

Make Cancer a manageable, chronic disease that can be treated by our products better and more cost-effectively

Make advanced therapy affordable for many around the world, not few

Page 43: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

DICOM 3.0 DICOM-RT

HL7

LISLab Information

System

HISHospital Information

SystemPVS

Position Verification

System

PTSProton Therapy Control System

Cone Beam CT & Portal

Imaging

Machine Control

Cone Beam CT & Simulator

Imaging

Machine Control

Protons

Linac

Simulator

CT MRPET-CT

VSIMVirtual

Simulation

RT-PACS

EMRElectronic

Medical Record

Charge Capture

VSIMVirtual

Simulation

ARIAOncology

Information System

Scheduler

ECLIPSE Treatment

Planning System

The Integrated Oncology Service

Page 44: Volker Schirrmeister ERICE APRIL 2009erice2009.na.infn.it › TalkContributions › Varian.pdfVolker Schirrmeister Partnering with Varian Founded in 1959 & dedicated to Oncology Varian

ERICE APRIL 2009

Varian at a Glance

Thank you very much for your interest and attention