FLY WITH VOLO PLANNING

ULTRA-FAST TREATMENT PLANNING FOR THE TOMOTHERAPY® TREATMENT SYSTEM
Accuray’s VoLO™ technology is a new plan optimization system for the TomoTherapy® platform. It features high-end graphics processing unit (GPU) hardware paired with redesigned software that takes full advantage of the GPU’s parallel processing abilities to make treatment planning faster, more flexible and more interactive, making optimal TomoTherapy treatments available to more patients. With VoLO planning, dose calculation and optimization are performed at unbelievable speed. In just a few minutes, plans can be optimized, finalized and saved, ready for quality assurance and delivery. This includes plans for large, complicated treatment volumes, or simple cases – in fact, any case with which you are presented.

VOLO PLANNING FEATURES
• GPU hardware implementation using hundreds of parallel processors • Efficient 3D representation of the beam and patient geometry • Innovative dose calculation algorithms that combine speed with accuracy

VOLO PLANNING BENEFITS
• Ultra-fast plan optimization – just minutes from start to finish, even for clinically complex cases • Interactive monitoring of results and fine-tuning of plan parameters during the optimization process • No need for a non-interactive pre-planning step

INNOVATIVE NEW HARDWARE AND SOFTWARE
VoLO technology uses the latest GPU technology, designed primarily for calculations that involve very large numbers of mathematical operations. GPUs have come a long way since they were originally developed specifically for computer graphics applications. Today’s GPUs can be used for other purposes – not just drawing shapes and colors on a computer screen, but complex three-dimensional calculations. Optimizing the beam delivery sequence for a TomoTherapy System, using innovative algorithms and software development techniques, is a perfect GPU application. To take advantage of the GPU hardware’s inherent parallel processing abilities, Accuray has completely revamped the algorithms behind dose calculation and treatment plan optimization. Traditional TomoTherapy treatment planning involves the generation and storage of a large amount of data before actual beam optimization begins. The VoLO technology removes this step, as well as increasing the speed of the remaining optimization and dose calculation stages. Known as the non-voxel broad beam (NVBB) optimization framework1, these new software algorithms work hand-in-hand with the new hardware platform to revolutionize the TomoTherapy treatment planning experience.

The result of these hardware and software innovations is overall planning times that are typically many times less than for previous generations of TomoTherapy® treatment planning technology. In the context of the entire Radiation Oncology industry, the VoLO™ technology truly sets new standards for both the ease and speed with which complex treatment plans can be completed.

PLANNING EXAMPLES
The ease and simplicity of the treatment planning and delivery processes that have always set the TomoTherapy Treatment System apart now come with a new level of planning efficiency Clinical examples are the best illustration of the power of the VoLO technology. Although planning times will vary, the examples shown here show the speed of a specific planning strategy that has in each case achieved a very high-quality result. Plans include a prostate with nodes, a head and neck, and a complex craniospinal case.

Planning Times Prostate w/nodes Head & Neck Craniospinal
0 1 2 3 4 5 Minutes 6 7 8 9

Timing chart for three cases planned using the VoLO technology. In each case 100 ”iterations” of the optimization process were carried out and the final dose was calculated and saved to the central database.

83.5Gy 78.0Gy 74.1Gy 62.4Gy 54.6Gy 39.0Gy

70.6Gy 69.3Gy 66.0Gy 63.6Gy 54.0Gy 52.0Gy 49.4Gy 33.0Gy

44.0Gy 39.6Gy 23.4Gy 10.0Gy

Prostate with Nodes Plan: Planning time: 5 minutes 4 seconds Field width: 2.5 cm Helical pitch: 0.43 Number of gantry rotations: 13 Couch travel: 14 cm UNITED STATES Final dose grid resolution: fine
Accuray Corporate Headquarters 1310 Chesapeake Terrace Sunnyvale, CA 94089 USA Tel: +1.408.716.4600 Toll Free: 1.888.522.3740 Fax: +1.408.716.4601 Email: sales@accuray.com TomoTherapy 1240 Deming Way Madison, WI 53717 USA Tel: +1 608 824 2800 Fax: +1 608 824 2996

ASIA

Head and Neck Plan: Planning time: 6 minutes 14 seconds Field width: 2.5 cm Helical pitch: 0.43 Number of gantry rotations: 20 Couch travel: 21 cm Final dose grid resolution: fine
Accuray Asia Ltd. - Hong Kong Suites 1702 - 1704, Tower 6 The Gateway, Harbour City 9 Canton Road, T.S.T. Hong Kong Tel: +852.2247.8688 Fax: +852.2175.5799 Accuray Chengdu #39 Huatai Road, Longtan Industrial Zone, Section 2 East, 3rd Ring Road, Chengdu, Sichuan 610051 China

EUROPE

Treatment planners may choose to take advantage of their powerful new planning platform by experimenting with different machine parameters such as field width, helical pitch and modulation factor in order to achieve even simplier the best plan.

Accuray Japan K.K. - Tokyo Shin Otemachi Building 7F 2-2-1 Otemachi, Chiyoda-ku Tokyo 100-0004 Japan Tel: +81.3.6265.1526 Fax: +81.3.3272.6166

Accuray Europe

Pegasuslaan 5 Tour Atlantique 25e Planning time: 7 minutes 41 seconds 1831 Diegem 1 Place de la Pyramide Field cm Belgium 92911 Paris width: La Défense 5 Cedex Helical pitch: 0.43 Tel: +32 (0)2 400 4400 France Number of gantry rotations: 34 Fax: +32 (0)2 400 4401/02 Tel: +33.1.5523.2021 Couch travel: 73 cm Fax: +33.1.5523.2039

Craniospinal Plan:

Tomotherapy Belgium BVBA

Final dose grid resolution: fine

© 2012 Accuray Incorporated. All Rights Reserved. Accuray, the stylized logo, CyberKnife, Synchrony, Xsight, Xchange, RoboCouch, TomoTherapy, Hi·Art, and TomoHD are among the trademarks and/or registered trademarks of Accuray Incorporated in the United States and other countries. TomoTherapy is a wholly owned subsidiary of Accuray. 500916.A

AVAILABLE CONFIGURATIONS

Each GPU card used by the VoLO technology contains 448 processors that work simultaneously to calculate dose and optimize the parameters that control the treatment delivery system. There are two cards per GPU node mounted in the cluster. The standard configuration features a single node and enables planning of up to four cases at one time. The high performance configuration includes two nodes and enables planning of up to five cases at one time, with further increased efficiency. This simultaneous usage includes both dose calculation and optimization. Planning stations may be EUROPE UNITED STATES ASIA local – within the clinic – or remote via the TomoTherapy System’s Remote Software Solutions product.
TomoTherapy Accuray Corporate Headquarters 1240 Deming Way 1310 Chesapeake Terrace 1. Lu W. A non-voxel-based broad-beam Madison, WI 53717 Sunnyvale, CA 94089 USA USA Tel: +1 608 824 2800 Tel: +1.408.716.4600 Fax: +1 608 824 2996 Toll Free: 1.888.522.3740 Fax: +1.408.716.4601 Email: sales@accuray.com Accuray Asia Ltd. - Hong Kong Accuray Japan K.K. - Tokyo Suites 1702 - 1704, Tower 6 Shin Otemachi Building 7F (NVBB) framework for IMRT treatment planning. The Gateway, Harbour City 2-2-1 Otemachi, Chiyoda-ku 9 Canton Road, T.S.T. Tokyo 100-0004 Hong Kong Japan Tel: +852.2247.8688 Tel: +81.3.6265.1526 Fax: +852.2175.5799 Fax: +81.3.3272.6166 Accuray Chengdu #39 Huatai Road, Longtan Phys Med Biol. 2010 Industrial Zone, Section 2 East, 3rd Ring Road, Chengdu, Sichuan 610051 China

Accuray Europe
Tour Atlantique 25e Dec 1 7;55(23):7175-210. Place de la Pyramide 92911 Paris La Défense Cedex France Tel: +33.1.5523.2021 Fax: +33.1.5523.2039

Tomotherapy Belgium BVBA
Pegasuslaan 5 1831 Diegem Belgium Tel: +32 (0)2 400 4400 Fax: +32 (0)2 400 4401/02

© 2012 Accuray Incorporated. All Rights Reserved. Accuray, the stylized logo, CyberKnife, Synchrony, Xsight, Xchange, RoboCouch, TomoTherapy, Hi·Art, and TomoHD are among the trademarks and/or registered trademarks of Accuray Incorporated in the United States and other countries. TomoTherapy is a wholly owned subsidiary of Accuray. 500916.A

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