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Thanks to advances in imaging technologypioneered by Varian, patients can bequickly and confidently aligned based onactual internal anatomy, rather than externallandmarks. Once the patient is aligned, Variankilovoltage imaging systems continue to trackthe target’s position through treatment.“Varian’s Dynamic Targeting IGRT solutionskeep exact track of the target’s position inseveral ways. Not only do they help positionpatients accurately, but their tools also makeit possible to monitor motion during treatment,minimizing dose to normal tissues.”Bruno Sorcini, PhDKarolinska University HospitalStockholm, SwedenTARGETED TREATMENTSMaking cancer a manageable diseaseVarian delivery systems provide numerous practical therapy choicesto clinicians, giving them the freedom to select the exact treatmentrequired. Unparalleled real-time position management and exactingdose output further add to treatment effectiveness.The ability to deliver such targeted and timely treatments makes Variandriventherapy the true realization of personalized patient care. Care thatis quickly approaching the goal of making cancer a manageable disease.THE RIGHT DOSE. Fewer MUs.The best radiation therapy systems output exactly what’s required todeliver a prescribed dose to the patient every time the accelerator is turnedon—without fail. Varian systems all do. And for both safety and efficiencyour systems use the lowest number of monitor units(MU) possible—without sacrificing efficacy.RIGHT DOSE: Unique patentedtechnology assures consistent,exact dose delivery.THE RIGHT PLACE. The highest conformality.In one treatment, Varian systems deliver more than 250 radiation intensitylevels to a sculpted and sharply defined field—while steering clear ofnormal structures and healthy tissue. Our tools use the smallest of beamlets,each controllable from full to zero intensity. “Painting the dose” in this wayachieves the highest possible conformality to the tumor and delivers theleast radiation to normal or critical structures.RIGHT PLACE: Pinpoint placementof the radiation beams is achievedthrough exquisite treatmentplanning and precise dose delivery.THE RIGHT TIME. The shortest beam-on time.Exact dose painting requires a precise knowledge of where the tumor is atall times, before and during treatment, even in the presence of respiratorymotion. With the most advanced range of image guidance tools—opticalguidance, x-ray guidance, respiratory monitoring and motion management—clinicians can be sure that the specified dose is always on target, always atthe right time.CONTINUOUS REAL-TIME VISIBILITYRIGHT TIME: Simultaneousgantry rotation and kV imageacquisition results in high-qualitycone-beam CT data for unerringpatient positioning.

ENGINEERED FOR CLINICAL BENEFITSUnique components, developed andpatented by Varian, advance theeffectiveness and the efficiency ofreliably delivering the prescribed dose.TARGETED TREATMENTSThe right doseWhen a Varian linear accelerator delivers a beam, clinicians havecome to trust that it is the exact dose they specified and thatthe accelerator will repeat the exact same dose deliverysequence, time and time again, in the blink of an eye, without fail.Here are just some of the reasons why:WAVEGUIDE. Steering the beam with precision.Real-time beam steering is a great example of Varian’s precise dosedelivery. Our waveguide, bending magnet, and other unique componentswork seamlessly together to steer Varian beams with great accuracy. Dualsealed ion chambers work as a feedback loop, keeping the steering mechanismtrue, so that every pulse ensures delivery of exactly the right dose tothe patient. Any asymmetry is automatically corrected in milliseconds.Gated radiotherapy beam-on pulses aresynchronized with tumor position andverified using On-Board Imager kVimaging system fluoro capability.GRIDDED ELECTRON GUN. Fastest beam-on, beam-off.Varian’s gridded electron gun provides 2 to 3 ms beam control (full ON tofull OFF). This true, gated radiotherapy “freezes” the patient’s respiratorymotion, restricting treatment to certain respiratory cycle phases andsparing normal tissue from irradiation.ENERGY SWITCH, TIGHTEST ISOCENTER. Highest dose and shortest time.Consistency, stability and alignment are all critical in delivery systems.Varian’s patented energy switch provides a full range of beam energies atconsistently high, stable dose rates—even with low-energy x-ray beams.It also boasts the industry’s tightest isocenter (±0.5 mm), enablingstereotactic radiosurgery.Pinpoint stereotactic treatments areenabled through tight mechanicaland electronic processes.RELIABLE DOSEYou can be certain that every timeyou turn on a Varian beam, dayafter day, second after second, you’llachieve the best possible therapeuticratio of tumor-to-normal-tissue dose.Varian’s real-time beam steering anddual sealed ion chamber ➊ ensurethat optimal beam symmetry,flatness and dosimetry is deliveredthroughout all gantry angles.FAST TREATMENT TIMESA unique energy switch ➋ optimizesthe guide length to deliver thehighest dose rates for all energies,up to 1000 MU per minute forstereotactic beams. That translatesto shorter treatment times, whichbenefit the patient as well as thetreatment facility.ACCURATE BEAM CONTROLBy coordinating an optimallydesigned system of gridded gun ➌,waveguide ➍, bending magnet ➎and solenoid ➏, Varian systemscreate an instantly controllable,tightly focused beam that makesmotion management possible, andresults in both the best conformalityto the tumor and the sharpestpossible images.BENDING MAGNET. Smallest, sharpest beam focal spot.Coupled with Varian’s 3D servo system, the achromatic three-field bendingmagnet provides for a 2 mm circular focal spot that’s optimal for portalimaging and allows high-dose treatment of diseased tissue even when it’snext to a critical structure.Targets located near critical organs are wellcovered while adjacent structures are spared.

Varian’s SmartBeam IMRT quickly “paints”the tumor with ultrafine, 2.5 by 5 mmresolution. The result is treatment that’smore efficient and has fewer complications,which is better for the patient and better forthe facility.“kV imaging has significantly improved ourability to accurately deliver high doses ofradiation to targets using highly conformalIMRT techniques.”Yoshia (Josh) Yamada, MDMemorial Sloan-Kettering Cancer Center,New York, NYTARGETED TREATMENTSThe right placeDelivering the dose to the right place is a function of our manyindustry-leading hardware and software technologies workingin concert. These innovations include the highest resolutionmultileaf collimator; the most capable dynamic control software; thebest treatment plan for driving delivery; and the most precise beamcontrol. Only Varian machines provide clinicians with the ability to useall three major IMRT methods—sliding window, step and shoot anddynamic conformal arc. With Varian technology, all three methodscan even be used together in the same treatment.TREATMENT PLANNING SOFTWARE. Reach plan goals quickly.Planned treatments actually get delivered thanks to Varian’s Eclipsesoftware, which provides fast, highly accurate dose calculations andadvanced leaf-motion sequencing. Interactive optimization lets cliniciansreach plan goals quickly and minimize critical-structure doses whileachieving the desired conformality.Eclipse treatment plan showshigh-dose conformality andcritical structure avoidance.MULTILEAF COLLIMATOR (MLC). Treat even the smallest lesions.Varian’s unique MLC design—up to 120 leaves and 5 mm leaf widths—permits treating even the smallest lesions, including those benefiting fromstereotactic techniques. IMRT fields up to 34 x 40 cm are quickly treatable,thanks to fast leaf speed, high precision, and interdigitation capabilities.STEREOTACTIC TREATMENTS. The highest dose and resolution.The versatile Trilogy system uses advanced imaging, patient immobilizationand treatment planning to deliver the right dose to the right place. Trilogyprovides the highest dose and resolution for intracranial and extracranialstereotactic radiosurgery and radiotherapy, and for diverse neurosurgicalapplications as well.Tight MLC tolerance and intelligentleaf motion trajectories result inaccurate dose deposition and fasttreatments.HIGH DOSE PLUS THE BEST CONFORMALITYStrong mechanical design keeps the gantrystiff and the isocenter tight with or withoutthe On-Board Imager kV imaging system.

ACCOUNTING FOR TIME AND MOVEMENTTARGETED TREATMENTSThe right timeClinicians can trust that Varian systems will deliver treatment at theright time, the instant that the tumor is on target. Whether it’sday-to-day repositioning of the patient or managing motion thatoccurs during treatment, Varian has developed the necessary DynamicTargeting IGRT process tools: cone-beam CT, radiographic, fluoroscopic,ultrasound, optical and gating. With Varian systems you can personalizethe care for each patient based on that patient’s condition and yourindividual clinical protocol.BREAST, RESPIRATORY GATING. Better targeting of dose.Varian systems provide respiratory gating and fluoroscopic field verificationof the tumor’s exact pretreatment location. These technologies effectively“freeze” the motion caused by a patient’s breathing during treatment.The heart is protected from unnecessaryradiation during breast treatment with theRPM respiratory gating system.“For some women, when we use standard breast tangent techniques,a fair bit of cardiac volume gets encompassed in the treatment field,” saysFrancine Halberg, MD, Marin Cancer Institute, Greenbrae, CA, “We havemade a commitment to our breast cancer patients to no longer treat theirhearts.”Tumors change position, both during andbetween treatments. With image-guidedradiotherapy (IGRT), clinicians must be ableto quickly reposition patients relative to both thenew tumor location and the machine’s isocenter.Cone-beam CT images are acquired to accountfor inter-fraction movement of the patient,based upon the positioning of soft tissues,while Varian’s RPM respiratory gating systemkeeps track of intra-fraction movement.“IGRT will be especially important for ensuring aprecision treatment, particularly when we areperforming IMRT and/or escalating the dose.”Fang-Fang Yin, PhD, Director of Medical PhysicsDuke University Medical Center, Durham, NCHEAD AND NECK. Position, verify, monitor quickly.The use of cone-beam CT with automated matching allows fastrepositioning of head and neck patients. And with infrared opticaltechnology, secondary setup verification and patient positionmonitoring can be done during treatment.PROSTATE. All the right tools.Prostate lesions can be positioned using optically guided, infrared-basedpositioning with ultrasound images. Ultrasound-based guidance permitsmore accurate positioning of the prostate under the beam compared totraditional positioning methodology.Using Varian’s On-Board Imager, 3D - 3Dcone-beam CT image registration facilitatesaccurate day-to-day patient positioning.Specialized IGRT tools add tocomprehensive treatment options.Here, guided prostate localizationpermits accuracy.

Designed to follow your workflow,Varian’s advanced monitoring andcontrol console displays optimalviews of the treatment target and other vitalinformation. Patients can be repositionedautomatically at the touch of a button tomaintain exact alignment of tumor andradiation beam.“Implementing new technology requires aninformation infrastructure that supports allcapabilities—and does so efficiently. WithVarian’s 4D console and Inspirationenvironment, we have been able to reduce setupand treatment times on the order of 30 percent.”Randy Holt, PhD, Chief Medical PhysicistEnloe Medical Center, Chico, CAEFFICIENT AUTOMATIONVarian software-driven delivery systems represent the zenith ofinnovation in cancer care, while maintaining rigorously highstandards for patient safety. And with each automation innovation,Varian has compressed treatment times so that you can treat more patientseffectively every day. Using Varian tools, for example, clinicians can nowaccomplish sophisticated IGRT and IMRT in a normal treatment window.There’s more:DART (Dynamic Adaptive Radiotherapy).Optimal treatment at the moment of care.For the first time, dynamic adjustments at the treatment console are notonly possible, but practical. DART is the seamless convergence of advancedIMRT, IGRT and dose guidance. Its powerful information platform lets youimmediately integrate up-to-the-second patient information, interpretthat information and adapt dose and delivery on the spot.Argus® IMRT assures fast trackingof MLC performance.FAST, AUTOMATED QA. Minutes instead of hours.Complex treatment techniques require efficient automation of qualityassurance processes. With Varian’s Argus® and Portal Dosimetry applications,rigorous QA can be done with confidence in minutes, not hours. Machine QA,IMRT plan verification and dose guidance are all supported.FULL-MOTION ROBOTICS. Arms move for optimal views.Full-motion robotically controlled arms automatically position Varian’sOn-Board Imager kV imaging system to render optimal tumor views whilemaintaining coincidence between imaging and treatment isocenters. Varianrobotics, software and remote couch all work in unison to make the IGRTprocess efficient and clinically practical for cancer patients.Once the patient is on the treatment couch,everything can be done from outside thetreatment room.TREATING MORE PATIENTS, MORE EFFICIENTLYREMOTE COUCH CONTROL. Simplifying workflow.Enhancing treatment accuracy while maximizing clinical efficiency, Varian’sExact Couch can be moved remotely with great precision, simplifyingpatient positioning and improving workflow. It uses a patented IndexedImmobilization patient-positioning system to minimize patient setup times.Command center aids high-resolution monitoringand efficient treatment decisions: one keyboard,one mouse and all the information necessary atone glance.

TEACHING ADVANCED TECHNOLOGIESRELIABLE PARTNERSHIPSTraining. Service. Support.Varian’s reputation for excellent customer support is wellestablished. From our earliest days we decided that customerswho made a commitment to our quality systems would enjoy anequally strong commitment from us to support their work in every way.For us, customer support services take many forms, from site planningto customer seminars, on-site training, help desk and logistical assistance,and the industry’s most comprehensive program of research grants andpartnerships.At Varian such support is a lifetime commitment. And it’s one of the mainreasons why, for the last five years, our customer service has been ratednumber one by trade journals, and such independent evaluations as theIMV ServiceTrak Imaging survey.Installation engineers workingclosely with physicists ensurefast machine evaluation andacceptance testing.Varian helps educate thousands ofphysicians and clinicians every year atnumerous symposia and seminars thatwe sponsor; at customers’ treatment centersaround the world; and at our own 50,000square-foot Education Center in Las Vegas.Many who are trained at these venues go onto instruct their own colleagues, spreadingnew radiation therapy techniques and advancedtechnology information. Whether it’s acceptancetesting, clinical operations, or physics support forIMRT, SRS, SRT or IGRT, Varian serves the medicalcommunity’s educational needs, conductingthe most courses of any manufacturer on thebroadest range of subjects.SKILLED RESPONSE TEAMS. Ensuring efficiency and throughput.Varian’s customer support organization fields over 800 engineers insuch technical specialties as networking, software, imaging, electronics,microwave technology, physics, and mechanical engineering. This teammakes sure Varian’s radiotherapy systems are performing at peakefficiency and maximum throughput.REMOTE SERVICE. The power of SmartConnect.Varian’s unique remote service capability, SmartConnect technology,monitors Varian systems’ performance and alerts you when conditions mayrequire service. Varian then calls and works with your staff to isolate,diagnose and repair any system problem. SmartConnect is completelysecure and provides controlled, customizable access privileges.TECHNICAL EXPERTISE. The leader in support.Varian support engineers are backed by more than 500 others who providehelp for site planning, installation, education and training, help desk,upgrades and technical bulletins.Our help desk is staffed Monday through Friday,5:00 am to 5:00 pm Pacific Standard Time, withphysicists, dosimetrists and therapists providingthe most rapid and informative responses.Educational courses cover all the details of newequipment.

TURNING RESEARCH INTO REALITYINNOVATIVE PARTNERSHIPSResearch. Collaboration. Funding.Varian’s commitment to innovation is demonstrated in the millionsof dollars we spend each year to support research collaborationsand business partnerships with leading universities, medical centers,hospitals and community cancer centers. Our goal has always been toestablish or advance intellectual property for cancer therapy, diagnosisand imaging. Three key innovations sparked by our collaborations:AMORPHOUS SILICON IMAGING (aSi) PANEL TECHNOLOGY.These MV and kV panels, developed in conjunction with a leading USuniversity, produce a very high-resolution image of both soft tissuesand bony anatomy, allowing clinicians to guide treatment as precisely aspossible. And because Varian manufactures its own aSi panels, we arecontinuously improving our products to meet the specific needs of theoncology community.Megavoltage imager is moved into place toperform IMRT plan verification.The diverse talent pool of Varian’s worldwideengineering team, researchers at GinztonTechnology Center (GTC), and a vast networkof clinical partners are transforming promisingresearch into significant advances in radiationoncology. Visionaries, every one, they are inconstant search of breakout opportunities—emerging biotechnologies, for example—thatmay provide the foundation for the next leapforward in radiation care.HIGH-RESOLUTION SMARTBEAM IMRT.This beam-shaping technology permits ultra-specific shaping and targetingof tumors and is the result of a partnership with one of the world’spreeminent cancer research centers.RPM RESPIRATORY GATING SYSTEM.This system, which allows clinicians to more accurately monitor andcompensate for tumor motion during a single treatment, came out of aresearch collaboration with universities in both the United States and Japan.Ongoing work with our research partners throughout the world is alsofacilitating new breakthroughs in areas such as biosynergy, fluorobasedgating, IMRT, inter- and intra-fraction motion management.Millennium MLC technologyenables both sliding window andstep-and-shoot treatment duringIMRT delivery.“Practical execution of innovative solutions hasalways been, and will always be, Varian’s mainmission.”Richard Levy, PhD, Chairman of the BoardVarian Medical SystemsGating technology with audio and videocoaching can effectively freeze tumormotion during beam-on.

COMPREHENSIVE PRODUCT SUITEComplete. Customizable. Committed to the future.Varian’s wide selection of radiotherapyplanning, delivery and informationsystems is designed to satisfy thespecific needs of each facility, from the smallestclinic to the largest healthcare networks.Engineered to be easily customized, easilyintegrated and easily upgraded, the Variansystem that’s installed today can be expectedto deliver emerging treatments for yearsto come. In every way, Varian systems aredesigned to operate at peak performanceday-to-day, and protect the investmentof their owners year in and year out.TRILOGY SYSTEMCLINAC® iX LINEAR ACCELERATORWith the following technologies and solutions,Varian alone satisfies the clinician’s need todeliver the most effective, personalized carein the most efficient, cost-effective manner.SILHOUETTE EDITIONCLINAC® 6EX LINEAR ACCELERATORCLINAC® UPGRADESBEST FOR YOUR PATIENT. BEST FOR YOUR PRACTICE.

TRILOGY SYSTEMAll In One. Best In One.Built on the solid foundation of the Clinac® iX platform, the Trilogy is a fast, versatile andcomprehensive delivery system. With the Trilogy system, clinicians can choosefrom a broad range of external beam therapies, including 3D CRT, IMRT, IGRT, or DART,as well as all intracranial and extracranial stereotactic techniques. The Trilogy system uses kV,MV and optical image guidance to pinpoint targets and verify treatment delivery; a dynamic,high-resolution MLC for exquisite beam sculpting; frame or frameless immobilization for patientpositioning and respiratory gating for perfectly timed beam delivery. What’s more, the Trilogysystem’s remote control robotics offer the highest level of efficiency and automation for themost sophisticated treatments.HIGHEST DOSE RATE. For shorter sessions.At 1000 monitor units (MU) per minute, the Trilogy system delivers a stereotactic doserate that is 20% higher than any comparable system, and twice as high as most linacs.A higher dose rate translates into shorter sessions, combining patient convenience andcomfort with higher throughput.TIGHT ISOCENTER ALIGNMENTS ON ALL THREE AXES. Targets the smallest lesions.Trilogy leads in beam accuracy for treating increasingly smaller tumors. On two axes(the gantry and the collimator), Trilogy's isocenter radius measures 0.5 mm or less.Add the third rotational axis (the couch) and the isocenter radius is 0.75 mm or less,the tightest alignment available in a dual-energy system.RAPID ON-BOARD IMAGING. Reposition patients faster and more accurately.With Trilogy's On-Board Imager kV imaging system, it's fast and easy to acquirekilovoltage images for high-precision repositioning of most patients. Daily online setupcorrections typically can be achieved in just a few minutes. Respiratory-gated radiographsand fluoroscopic verification let clinicians check patient position accuracy, even in the caseof tumors in motion.TRILOGY COMPONENTSDelivery System• The Trilogy configuration of the Clinac iX accelerator• Exact Couch• Millennium 120-leaf MLC with dynamicMLC capability• RPM respiratory gating system• LaserGuard collision detection system• 4D Integrated Treatment ConsoleImage Guidance• On-Board Imager patient positioningand targeting systemTreatment Verification and Quality Assurance• PortalVision aS1000 MV imager for treatmentverification• Portal Dosimetry for IMRT plan verificationDelivery Verification and Quality Assurance• Argus® Linac and Argus IMRT qualityassurance softwareStereotactic ComponentsThe Trilogy system is compatible with stereotacticcomponents from Varian and other vendors.Varian stereotactic components include:• Conical collimators• Stereotactic headring, CT localizer, andCouch Mount• Frameless stereotactic immobilization forintracranial treatments, including CT localizerand Couch Mount• Stereotactic treatment planning capability with120-leaf MLC and conical collimator• Optical positioning systemCONE-BEAM CT. Fine-tune patient setups with ultra-precise CT scans.With Trilogy's On-Board Imager, high-resolution cone-beam CT scans (3D volumetric images)can be acquired and used to correct patient positioning based on soft-tissue. Usingsophisticated image analysis tools, the cone-beam CT scans can be automatically matched toreference CT scans to fine-tune the setup of the patient.

CLINAC ® iX LINEAR ACCELERATORAn innovative platform for today.A solid foundation for the future.CLINAC® iX FEATURES AND CAPABILITIESNew Clinical Capabilities• Cone-beam CT–based imaging andrepositioning• High-dose-rate stereotactic radiosurgery• Low-dose-rate therapy• Respiration-synchronized image acquisitionThe Clinac ® iX, our flagship delivery system, is a streamlined, high performanceand reliable platform that incorporates a broad range of imaging andtreatment options, including dynamic motion management.Each Clinac iX is easily installed, customized, configured and upgraded tosupport every type of radiotherapy treatment process, from conventional and3D treatments to the most sophisticated forms of IMRT and IGRT, as well asemerging stereotactic treatments and DART. In this way, the Clinac iX is aperfect expression of Varian's "partner for life" philosophy. With the Clinac iX,treatment centers can meet specific needs today and ensure that futuretechnological breakthroughs can be easily incorporated.SIMPLE, EFFICIENT WORKFLOW. Perform sophisticated treatments withinnormal treatment windows.With a streamlined, ergonomically designed command center and truehardware and software integration, the Clinac iX platform has efficiencybuilt in. Full automation of imager deployment and retraction, remotecouch motion, and autofield sequencing provide maximum treatmentdelivery efficiency. Such efficiency allows clinicians to deliver more exactingtreatments faster, using image guidance every step of the way.AFFORDABLE CUSTOMIZATION. For faster ROI and maximum technologyinvestment protection.Every Clinac iX accelerator features industry-leading beam performance, stability,and dynamic dose delivery. And every system can be custom configured to meetyour clinical needs today while ensuring that you meet your future clinical goals.Varian’s extensive upgrade program extends the lifetime of your system, protectingyour valuable investment through convenient and affordable upgrades.Exact Alignment• Tight isocenter alignment of gantry, couch,collimator and imagers• Reproducible, stable and accurate positioningAutomated Imaging• Automated image acquisition• Reproducible online image matching• Remote control of imager positionExact Couch• Improved position accuracy• Remote control of patient positionCompact Stand• At-a-glance system monitoring• Easy upgrade to On-Board Imager kV imagingEfficient Command Center• Fewer controls to manage• Designed to follow the clinical workflow• Ergonomically designed for therapist’s comfort• Packaged for easy installationEXACT ALIGNMENT ONLY VARIAN CAN DELIVER. Treat the smallest lesionswith ultra-precise therapies.The Clinac iX features Exact Alignment, a powerful combination of a tightlycontrolled treatment beam isocenter with precisely coaligned Exact roboticimager positioning for maximum patient positioning accuracy and on-targettreatment delivery.

SILHOUETTE EDITION CLINAC ® iX and TRILOGY High performance in tight spacesCLINAC ® 6EX LINEAR ACCELERATORCost efficient, full-functionThe Silhouette’s compact size makes it possible for any cancer carefacility to expand treatment capabilities even when space is limited.Just as important, Silhouette promises a calming patient experiencewith a 50% reduction in machine noise and an optional array ofphotomurals and illustrations.SILHOUETTE FEATURES AND CAPABILITIESCompact, Efficient Design• Perfect for tight spaces—minimum roomrequirements are only 16 ft (4.9 m) x 19 ft (5.8 m)• Six panel doors provide direct access for servicingWith the 6EX, clinicians can augment their multi-energy machines witha single energy configuration optimized for small rooms where spaceand shielding design are an issue. And, since Varian photon beams can bematched from one Varian accelerator to another, patients may be easilytransferred, without plan changes, to maximize departmental efficiency.CLINAC 6EX FEATURES AND CAPABILITIESStandard Features• Industry-leading beam output, stabilityand dynamic dose delivery• Compact design for easy site preparation• Enhanced noise shielding for patient comfort• Available per Clinac iX and Trilogy specifications• Selection of 4 MV or 6 MV photon energyconfiguration• Dose rates up to 600 MU/minRange of Photomurals, Illustrations, and SingleColor Panels• Wide selection of high-resolution photos orartist illustrations allow customization of yourtreatment environment• Tight treatment isocenter for stereotacticapplications• Exact Couch• SmartBeam IMRT capability, featuringdynamic dose-sculpting software• AutoField SequencingThe Silhouette Edition fits into an existing treatment vault with aminimum room size of 16 ft (4.9 m) in width by 19 ft (5.8 m) in length.Optional Features• High-resolution MLC (80-leaf or 120-leaf)• High-speed beam gating for respirationmotion management• Low-dose, high-resolution PortalVisionMV imaging system with automatedimager positioning• Stereotactic components

CLINAC ® UPGRADESProtecting your investment from year to yearEvery Varian delivery system is built with an eye toward the futureand how the machine can accommodate new treatment technologies.Upgrade instrumentation protects your capital investment and keepscurrent systems delivering state-of-the-art treatments for years to come.ARIA offline review enables physicians to analyze MV and kV images andprovide instructions to therapists for further treatment refinements.PORTALVISION MV IMAGING SYSTEMPortalVision aS500-II and aS1000 use the latest amorphoussilicon imaging technology to produce the high-quality MVimages needed for accurate patient positioning and tumorlocalization. Our fully retractable Exact arm provides thewidest range of movement, facilitating setup for complextreatment techniques. Image enhancement and processingtools allow clinicians to focus on regions of interest in orderON-BOARD IMAGER kV IMAGING SYSTEMOur On-Board Imager for the high-energy Clinac, Clinac iXand Trilogy linear accelerators is designed to improvethe precision and effectiveness of cancer treatments bygiving clinicians the ability to target and track tumors moreaccurately. The On-Board Imager provides kV imaging attreatment and includes radiographic, fluoroscopic andoptional cone-beam CT image acquisition and patientMULTILEAF COLLIMATORSWith the Millennium 120-leaf MLC, Varian brings a new levelof resolution to full-field beam shaping. The 120-leaf MLCfeatures a full 40 x 40 cm 2 field and is the first MLC for generalclinical use that offers 0.5 cm resolution for high precisiontreatment of small and irregular fields. The Millennium MLC isalso available in an 80-leaf configuration.SONARRAY 3D ULTRASOUND PATIENT POSITIONING SYSTEMThe SonArray module is an advanced, high-precisionpatient-positioning platform designed for IMRT radiationtherapy. SonArray integrates infrared SRS/SRT optical trackingdevices with 3D ultrasound reconstruction technology toposition the patient so that for each fraction, the internaltarget is precisely at isocenter.to make delivery verification fast and easy.repositioning applications.STEREOTACTIC RADIOSURGERYSMARTBEAM IMRTThe Clinac iX is available with a special-proceduresSmartBeam components, including Millennium MLC,stereotactic dose rate of 800 MU/min at 6-MV for field sizesDynamic MLC, Auto Field Sequencing, and Argus IMRT,up to 15 cm x 15 cm. This mode produces a 6-MV beam wellsupport all types of IMRT delivery: segmental, dynamic,matched to the conventional 6-MV full-field beam whichcombined dynamic and segmental in the same field, andmakes for easier commissioning. Stereotactic componentsdynamic conformal arc.such as headrings, frameless immobilization, cone andMLC-based treatment planning and optical monitoringARIA ONCOLOGY INFORMATION SYSTEMare also available.The ARIA information system makes it possible for clinicsto link all treatment systems, staff members, and functionsRPM RESPIRATORY GATING SYSTEMin a single, paperless, and filmless network for fast, efficientPhysiological functions, such as respiration, can change theand sound decision-making. All patient data and imagestumor position during treatment, requiring the use of a largerare easily accessed anywhere in the department for reviewtreatment volume to compensate for tumor movement.and analysis.The RPM Respiratory Gating system synchronizes deliveryof treatment with respiration motion, allowing minimizationECLIPSE INTEGRATED TREATMENT PLANNING SYSTEMof motion margins.Eclipse dramatically simplifies the complexity of virtualsimulation and image-guided treatment planning forEXACT COUCH WITH REMOTE COUCH MOTIONtherapies such as 3D conformal, IMRT, electron, proton,Exact Couch, with patented Indexed Immobilization,and brachytherapy. Efficient contouring tools and planningenables clinicians to rapidly, reproducibly, and accuratelyalgorithms permit structural segmentation and planningposition patients for simulation and treatment. Using Remotein minutes rather than hours, while industry-leading high-Couch Motion, the operator can move the couch from theresolution IMRT planning enables delivery of complextreatment console area for image-guided corrective motionsIMRT treatments in typical 15-minute time slots. Eclipseor plan-based couch shifts.also supports advanced techniques such as IGRT andmakes DART a seamless process.ARGUS® LINAC, ARGUS® IMRT AND PORTAL DOSIMETRYOur QA solutions consist of Argus Linac, Argus IMRT andPortal Dosimetry. Together these tools make IMRT QA fasterand easier through customizable process automation andreduced dependency on film.