XSTRAHL A D VA N C I N G R A D I AT I O N T H E R A P Y

Xstrahl suite of specialist radiation therapy

systems - for medical practitioners and their
patients across the world
The value of radiotherapy

• Rising cancer incidence is driving an increased demand for radiotherapy.1

$ • Radiotherapy is a highly cost effective and clinically effective treatment.1,2

• Worldwide access to radiotherapy is low2 and across Europe there are

disparities in access which could be improved by increased capacity and better
management of services.3

% • Radiotherapy accounts for a small percentage of national spend on cancer

treatment in many European countries (5% UK, 6% Sweden), yet is the second
most effective treatment for cancer, next to surgery.1,4

• Studies have shown that investment in radiotherapy is critical and not only enables
treatment of large numbers of cancer cases, but also brings positive economic
benefits.5,2

• Additional capacity is required to meet radiotherapy demand6 and relieve pressure

on linear accelerators (LINACS).

Xstrahl
Advancing Radiation Therapy for Superficial Clinical Conditions
Working on the frontline of care in a
busy radiotherapy department, you
will fully appreciate the ever-increasing
demand for radiotherapy services. In
cancer alone, a rising incidence of the
disease, rapidly evolving therapies and
new indications for treatment, are all
driving demand. Xstrahl superficial and
orthovoltage radiation therapy systems
can help you improve treatment capacity,
the level of care, and range of treatment
options for your patients quickly, simply
and affordably.
Specialist clinical solutions for
radiation oncology & dermatology
Xstrahl is the leading designer and
manufacturer of superficial and ortho-
voltage radiotherapy systems. Xstrahl
state-of-the-art technology enables
radiotherapy teams to deliver highly
patient-centric care, more efficiently
and effectively.
A DVA N C I N G R A D I AT I O N T H E R A P Y | 3
Xstrahl technology represents the future
of bespoke radiation therapy giving
unparalleled ability to meet diverse
patient needs. Using an uncomplicated
technology, you can easily release LINAC
hours for patients with more complex
clinical needs.
Purchasing and commissioning Xstrahl
equipment is trouble free. We provide
a full service offering from design and
installation, right through to training,
24-hour customer service support and
maintenance.
Chosen by leading clinicians and specialists
around the world, Xstrahl radiotherapy
systems are designed for the treatment
of skin cancer, dermatological disorders,
certain types of benign disease and some
palliative care.
The Xstrahl 100, 150, 200 and 300
range of systems represent:
• Versatility – customised energy
selection to suit your clinical
requirements
• Performance – accuracy
and flexibility with multiple
treatment field size options and
easier methodologies
• Value & efficiency – cost
effective route to increasing
radiotherapy capacity
Xstrahl is committed to bringing you a
range of specialist solutions, which deliver
optimal clinical choice and give you the
flexibility and freedom to provide high
quality patient-centric care.
4 | A DVA N C I N G R A D I AT I O N T H E R A P Y

Why invest in Xstrahl specialist

radiotherapy solutions?
Xstrahl offer a range of solutions that fit with your needs and those of your patients. Xstrahl radiation therapy systems are
available across a spectrum of energy options to suit different clinical needs. The Xstrahl 100 and 150 low energy options
are ideal for treating superficial skin cancers, keloid scars and dermatological conditions.

The Xstrahl 200 and 300 enable deeper skin lesions to be treated and the additional orthovoltage capability makes them
ideal to provide palliative care and to treat benign inflammatory and degenerative disorders.

Leading patient-centred medical A wide range of clinical conditions can be

therapy treated with Xstrahl radiation therapy systems
Patient experience, precision and safety
are at the forefront of Xstrahl radio- Superficial and orthovoltage therapy:
therapy systems design. For example,
the Xstrahl 300 has variable tube output Basal cell carcinoma
of 40 kV to 300 kV and combined with
the correct filter option and applicator Squamous cell carcinoma
combinations, is highly suited to many
treatments including palliative care. Keloid scars
Full dosimetry control, applicator and
filter recognition is available with all Dermatological conditions including psoriasis
orthovoltage treatment units. Smooth
adjustment for patient set up is integral Mycosis fungoides and deeper benign plaques
and the Xstrahl 300 maneuverability allows
patients to be treated in the safest and Benign conditions
most comfortable position enhancing
patient comfort and satisfaction. Dupuytren’s

“Although we are a highly technical Gynecomastia

company with over 30 years heritage
in radiation science, we believe that Peyronie’s Disease
the patient should be at the centre of
all medical therapy and the treatment Inflammatory disorders
of superficial skin conditions and
cancers is no exception. With over 700 Degenerative disorders
leading clinical centres worldwide using
our comprehensive range of radio- Hypertrophic disorders
therapy systems, we continue to provide
healthcare professionals with tailored, Palliative care
low-dose, non-surgical alternatives to
offer their patients. Our goal is to help Some bone metastases
meet the increasing therapeutic needs
of cancer and dermatology patients.” Secondary lesions for example in the skin/
Martin Robinson, Chairman, Xstrahl more superficial lymph nodes

“Orthovoltage treatment may be easier to use for small tumours and for frail patients. It is therefore important that radiotherapy
departments continue to provide access to such machines.” NICE Guidance on Cancer Services, Improving Outcomes
for People with Skin Tumours, including Melanoma 2006

“With Xstrahl equipment the procedure can be administered on treatment couches which are much more accessible and
comfortable for our often elderly patients.” Jenny Tomes, Head of Radiotherapy, Colney Centre, Norfolk & Norwich
University Hospitals, UK
 A DVA N C I N G R A D I AT I O N T H E R A P Y | 5

“The incidence of
both non-melanoma
and melanoma skin
cancers has been
increasing over the
past decades. One in
every three cancers
diagnosed is a skin
cancer”
World Health
Organisation, 2014.

Xstrahl delivers clinical advantages

Superficial radiotherapy is particularly useful for treating some types of skin cancer including basal cell carcinoma and
non-melanoma skin cancer. Radiotherapy is often preferable to surgery for cosmetic or functional purposes and can deliver
excellent outcomes, including pain management for numerous conditions.8,9,10,11,12

Ultimate control and usability

The set up and day-to-day use of Xstrahl radiotherapy equipment has a number of advantages:
• Real time monitoring of the prescribed treatment dose
• Customised energy selection to suit clinical requirements for percentage depth dose
• Multiple treatment fields delivered sequentially without delays between exposures
• Connectivity to patient management systems
• Integration with 3rd party clinical information systems.
• Meets safety requirements with fully encoded filters and treatment applicators
• Low energy so less construction and room shielding required
• Ergonomic control and space saving designs. Xstrahl 200 and 300 can be floor or ceiling mounted and has a small footprint
• Simple and intuitive clinical interface for ease of operation

Manage your patients and resources more efficiently

The quality of radiotherapy services and treatment capacity are increasingly in focus. Adding an Xstrahl x-ray solution to your
clinic is a cost effective way of increasing radiation treatment capability benefiting patients enormously.
• Relieve pressure on LINACS
• Save valuable hospital space with a ceiling mounted system which can be easily moved to allow the treatment room to
be deployed for other purposes
• Improve patient experience, comfort and satisfaction

Safety is paramount
Patient safety is our priority as well as yours. All Xstrahl medical systems have CE, FDA and Health Canada Clearance and
are certified to ISO 13485
6 | A DVA N C I N G R A D I AT I O N T H E R A P Y

Xstrahl systems: real world experience

Chosen by leading radiotherapy centres around the world, Xstrahl radiotherapy systems
provide treatment flexibility, improve treatment capacity and allow smarter, strategic
procurement to maximise savings.

Norfolk & Norwich University Hospital, Norfolk & Norwich, United Kingdom

The Colney Centre is home to the Radiotherapy Treatment Suite at the Norfolk and
Norwich University Hospitals, providing the best possible standards of treatment,
care and support for patients and carers affected by cancer and other diseases.
Efficiency and use of the latest technology and research available, is a priority for
the hospital so to meet patient demand and increase radiotherapy capacity, the
decision was taken to add an Xstrahl 150 to their department.

“At Norfolk and Norwich University Hospitals we are fortunate to have world class
facilities, extremely skilled staff and are rated highly by our patients for our quality
of care. Patient-focussed care is at the heart of everything we do in our radiotherapy
department. The addition of an Xstrahl 150 X-ray therapy system for treating
superficial skin conditions such as non-melanoma skin cancer, will not only allow
us to offer treatment to patients more efficiently, but also provide an enhanced
patient experience. The user experience is also very positive and the Xstrahl 150 is
particularly effective for targeting superficial tumours in hard to reach places. By
adding this technology to our department, we will be able to free up valuable time
on our linear accelerators for more complex clinical conditions. We are constantly
striving to meet patient demand which is ever increasing and we are excited to
have this option available to our patients.”

Jenny Tomes, Head of Radiotherapy,

Colney Centre, Norfolk & Norwich University Hospitals
 A DVA N C I N G R A D I AT I O N T H E R A P Y | 7

Fondazione IRCCS Ca’Granda Ospedale Maggiore Policlinico, Milan, Italy

“Our Dermatology centre relies on Xstrahl 100 and 150 systems to treat skin
malignant neoplasms. We are seeing an increasing number of patients with basal
cell and squamous cell carcinomas due to ageing of the general population. The
Xstrahl radiotherapy systems help us to respond to this growing treatment demand
and we treat these patients on an outpatient basis, helping us to reduce surgical
and hospitalisation costs. The team find the Xstrahl technology easy to use and
helps them to deliver safe and effective radiotherapy to our patients.”
Roberta Piccinno, MD, Photoradiotherapy Department, Dermatology Unit, Fondazione
IRCCS Ca’Granda Ospedale Maggiore Policlinico, Milan, Italy

Valley View Hospital, Glenwood Springs, Colorado, USA

“Here at Valley View, we have been using the Xstrahl 150 model to treat a high
proportion of our patients with skin cancers and keloids for over 3 years now.
When we were deciding which superficial radiotherapy unit to purchase, we were
attracted to the Xstrahl models because they offered higher energies compared
to competitor units. We also liked detailed features of the machine such as the
water-cooling system and the interlock option on the filter selection.
We love using the Xstrahl radiotherapy system to treat our patients because of its
user-friendly technology and the variety of energy levels available. The system is
very reliable and we have had 100% up time.”
John Sweet, Medical Physicist, Valley View Hospital, Glenwood Springs, USA

The Christie Cancer Centre, Manchester, United Kingdom

“We have been using Xstrahl radiotherapy systems for 4 years and have successfully
treated over 230 patients with this technology. We currently use the Xstrahl 100
machine and we find the system beneficial for treating basal cell and squamous
cell carcinomas, as well as a wide range of other skin lesions and conditions. The
Xstrahl system is easily transported between treatment rooms and has the added
benefit of enabling us to effortlessly reconfigure our department layout. Our
annual service contract cost is reduced because our engineers conduct the first-line
maintenance of the Xstrahl machine directly.”
Libby Mills, Principal Radiographer, The Christie NHS Foundation trust, Manchester, UK
8 | A DVA N C I N G R A D I AT I O N T H E R A P Y

Xstrahl solutions make business sense

Xstrahl radiotherapy systems are a cost effective way of increasing radiotherapy capacity and enhancing your service. Treating
superficial conditions on an Xstrahl machine can free up valuable LINAC hours for more complex conditions. In the current
global economic climate with widespread pressures on health systems, Xstrahl solutions represent value, key to hospital
procurement and clinical decision making.

Choosing to invest in radiotherapy makes long-term clinical and economic sense. Cost-effective and efficacious, it is a
treatment choice that could help to save millions of lives.2 Currently a significant global shortfall of access to and investment
in radiotherapy treatments, and planning for radiotherapy in cancer treatment is often only considered as an afterthought.2
More investment in radiotherapy systems in hospitals globally could produce a net benefit of $278·1 billion in 2015–35 and
help to save 26·9 million life-years over the lifetime of patients who receive treatment2.

The Xstrahl Service Promise

Xstrahl provides an unsurpassed level of service from initial specification and suite design through to installation and ongoing
training, education and maintenance. The Xstrahl team’s unique in-depth understanding of the clinical environment and
radiography techniques ensures an unrivalled level of clinical training to users of its products.

Our promise to you References

Whatever the facility, from the initial planning phase, 1. Radiotherapy Services in England 2012 Report. National Radiotherapy Implementation Group
(NRIG). 6 November 2016. Available at: https://www.gov.uk/government/uploads/system/
our expert engineers will be able to assess and advise uploads/attachment_data/file/213151/Radiotherapy-Services-in-England-2012.pdf.Last
on all aspects of the room preparation including access accessed 14 January 2016.

routes and logistical advice. 2. Atun R et al. Expanding global access to radiotherapy. Lancet Oncology, Volume 16, No.
10, p1153–1186, September 2015. Available at: http://www.thelancet.com/journals/lanonc/
article/PIIS1470-2045(15)00222-3/fulltext. Last accessed January 2016
Efficient and complete installation is ensured by 3. Rosenblatt E et al. Radiotherapy capacity in European countries: an analysis of the Directory

every Xstrahl engineer as they undertake regular of Radiotherapy Centres (DIRAC) database. Lancet Oncology, Volume 14, No. 2, e79–e86,
February 2013. Available at: http://www.thelancet.com/journals/lanonc/article/PIIS1470-
manufacturing and systems training to maximize 2045(12)70556-9/abstract Last accessed January 2016
familiarity of every product right down to the 4. Wagstaff A. Radiotherapy report sets new targets for Europe. Cancerworld.org. Available at: http://

individual components. www.cancerworld.org/pdf/6424_32_36_cw9_Spotlighton.pdf Last accesses 20 January 2016

5. Union for International Cancer Control. Global Task Force on Radiotherapy for Cancer
Control. April 2014. Available at: http://www.uicc.org/sites/main/files/private/GTFRCC%20
Tailored training to enhance professional development Introduction.pdf. Last accessed January 2016.

and support treatment excellence and patient care. 6. National Radiotherapy Advisory Group Report. Radiotherapy: developing a world class
service for England. 26 February 2007. Available at: http://webarchive.nationalarchives.gov.
uk/20130107105354/http:/www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@
We are committed to maximizing system up time in busy dh/@en/documents/digitalasset/dh_074576.pdf. Last accessed 14 January 2016

oncology and dermatological clinics. Xstrahl offers online
service engineer support and regular training courses
for customers’ on-site engineers.
Xstrahl also supports Gulmay industrial systems, Pantak
and Therapax units and has the capabilities to provide
7. National Institute for Health and Clinical Excellence. Guidance on Cancer Services - Improving
Outcomes for People with Skin Tumours including Melanoma. February 2006. Available at:
http://www.nice.org.uk/guidance/csg8/evidence/full-guideline-2006-2191950685 Last
accessed 14 January 2016
8. Veness MJ. The important role of radiotherapy in patients with non-melanoma skin cancer
and other cutaneous entities. Journal of Medical Imaging and Radiation Oncology (2008)
52, 278-286
9. Zagrodnik B et al. Superficial radiotherapy for patients with basal cell carcinoma: recurrence rates,

service for a wide range of radiation therapy systems, histologic subtypes, and expression of p53 and Bcl-2. Cancer. 2003 Dec 15;98(12):2708-14.
10. Tward JD, Anker CJ, Gaffney DK and Bowen GM (2012). Radiation Therapy and Skin
irrespective of supplier. Cancer, Modern Practices in Radiation Therapy, Dr. Gopishankar Natanasabapathi (Ed.),
ISBN: 978- 953-51-0427-8, InTech, Available from: http://www.intechopen.com/books/

Xstrahl operates 24 hour customer support through its modern-practices-in-radiation- therapy/radiation-therapeutic-options-for-skin-cancer. Last
accessed 14 January 2016.
UK offices and international distributor network. 11. Ott OJ, Jermias C et al. Radiotherapy for Calcaneodynia Results of a single center prospective 
randomized dose optimization trial. Strahlentherapie trahOnkologie (2013) 189: 329-334.

For more information contact the Xstrahl Medical team. 12. Ott OJ, Jermias C et al. Benign painful shoulder syndrome Initial results of a single-center 
prospective randomized radiotherapy dose-optimization trial. Strahlentherapie und Onkologie
(2012) 188:1108–1113
t: +44 (0)1276 462 696

e: support@xstrahl.com

Xstrahl - Specialist clinical solutions for medical

practitioners and patients across the world

www.xstrahl.com