Dra Amendola

The CyberKnife Robotic Radiosurgery System is the world's first and only radiosurgery system designed to treat tumors anywhere in the body. Using image guidance and computer controlled robotics, the CyberKnife System is designed to continuously track, detect and correct tumor and patient movement throughout the treatment. Because of its extreme precision, the CyberKnife System does not require invasive head or body frames to stabilize patient movement, making the system very flexible.

Unlike traditional radiosurgery systems, CyberKnife radiosurgery can treat both intracranial and extracranial tumors. More than 50 percent of CyberKnife System procedures in the United States include spine, lung, prostate, liver and pancreas. The CyberKnife System provides an additional option to patients diagnosed with previously inoperable or surgically complex tumors.

Advantages of CyberKnife:

Treats tumors anywhere in the body
Continuously tracks, detects and corrects tumor and patient movement throughout the treatment
Delivers treatments with sub-millimeter accuracy, minimizing damage to surrounding healthy tissue
Utilizes the skeletal structure of the body as a reference, eliminating the need for bone fiducials or invasive frames
An option for inoperable or surgically complex tumors
Successfully treats patients in single or multiple fractions
Provides unsurpassed linac maneuverability and complete access and coverage for any tumor volume
Boasts a patient-centric design providing a relaxed treatment experience
Enables superior flexibility in treatment planning:
- forward or inverse treatment planning
- isocentric or non-isocentric treatment plans
- simultaneous treatment of multiple tumors
Allows for the flexible scheduling of treatments
Attracts a new patient population to a physician’s practice
Complements existing radiation therapy, IMRT or IGRT programs

Cyris InView

Cyris MultiPlan

CyberKnife Treatment Planning:

The CyberKnife System’s treatment planning capabilities are designed to support the clinician in determining the optimal plan for each patient.

The tools available to clinicians include some of the most advanced treatment planning technologies available today. The CyRIS™ MultiPlan™ Treatment Planning System and the CyRIS™ InView™ Image Fusion and Contouring Station combine to enable easy and quick design of dose optimization programs as well as sophisticated and convenient image fusion and contouring.

These tools enable clinicians to design both an isocentric and non-isocentric concentration of beams to the tumor, optimizing tumor ablation. Forward and inverse treatment planning are also options, allowing for dose optimization for individual patients based on the location of the tumor, minimizing damage to surrounding healthy tissue.

CyberKnife Tumor Tracking

The CyberKnife® Robotic Radiosurgery System is the world's first and only radiosurgery system designed to treat tumors anywhere in the body with sub-millimeter accuracy. It uses a combination of image guidance technology and computer controlled robotics to continuously track, detect and correct for tumor and patient movements throughout the treatment. Because of its extreme precision, the CyberKnife System does not require invasive head or body frames to immobilize the patient for tumor tracking.

During treatment, the CyberKnife System correlates live radiographic images with pre-operative CT or MRI scans in real time to determine patient and tumor position repeatedly over the course of treatment.

With the CyberKnife System’s revolutionary Xsight™ Spine Tracking System it is now possible to treat tumors in or near spinal structures without implanting radiographic markers or fiducials.

The CyberKnife System’s Synchrony™ Respiratory Tracking System technology allows patients to breathe normally throughout their treatment without breath-holding or gating techniques enabling the system to continuously track, detect and correct for tumor and patient movement throughout the treatment.

CyberKnife Anatomy:

Ceiling-mounted diagnostic X-ray sources
Compact linear accelerator mounted on multi-jointed manipulator
Amorphous silicon image detectors mounted flush to the floor
Automatic patient positioning system with 5 degrees of freedom (up / down, left/right, superior/inferior, pitch and roll)