Company Accuray Accuray Elekta Elekta Elekta Varian Varian Varian Varian

CyberKnife S7
VitalBeam Edge
Robotic ​ rueBeam
T
Product name Radixact Versa HD Elekta Infinity Elekta Synergy radiotherapy radiosurgery Halcyon system
Radiosurgery system
system system
System
FDA/CE mark
N/S 2016 Yes Yes Yes 2011 2015 2014 2017
(year)

The CyberKnife
S7 System is
designed for
robotic
radiosurgery
and stereotactic
body Helical delivery
radiotherapy; its of radiation
precise tumor with dose
tracking tightly
abilities enable conformed to
Clinics are
delivery of high the target; Elekta's
required to
doses of integrated daily premium linac,
deliver high
radiation in image guidance Versa HD with
quality, high
only a few before every high definition Infinity is a 2400 MU/min 2400 MU/min
volume 2400MU/min 100% IGRT,
fractions; it has treatment; dynamic truly dose rate, 2.5 dose rate, 2.5
treatments with dose rate, 5 4RPM grantry
the proven synchrony real- radiosurgery multifunctional cm HD 120 cm HD 120
increasingly cm,120 MLC, speed, 2RPM
ability of time tracking (HDRS) linac designed MLC, Free MLC, Free
challenging Free breathing RapidArc
delivering and motion delivers for high quality breathing breathing
What access to capital respiratory delivery, fast
thousands of synchronization absolute treatments respiratory respiratory
differentiates and resources; gating, motion imaging, dual
non-coplanar enabling real- reliability and powered by gating, motion gating, motion
your system Synergy Series management layer MLC, full
beam angles time adaptive accuracy for advanced management management
from is the perfect interface with system
while tracking treatment SRS/SBRT technology interface with interface with
competitors foundation; external motion integration,
and delivery; treatments to providing the external motion external motion
establish your tracking small footprint,
automatically treatment to confidently freedom to tracking tracking
pathway to the devices, remote self shielded,
correcting for target: a fast, treat complex or tailor your devices, remote devices, remote
innovations that kV imaging water cooled, 9
target motion interactive challenging solution to your kV imaging kV imaging
have arm control step workflow
enabling real- approach to cancers with clinical needs arm control arm control
revolutionized
time adaptive treatment submillimeter,
cancer care
treatment; the planning, end to end
around the
new supporting accuracy
world
CyberKnife S7 development of
brings the same the best plan
precision and possible to meet
accuracy and each patient's
introduces needs
speed,
delivering
SBRT
treatments in as
little as 15
minutes

BEAM
GENERATION

Accelerator
Standing wave Standing wave Traveling wave Traveling wave Traveling wave Standing wave Standing wave Standing wave N/S
type

Length (meters) 0.42 meters 0.42 meters 2.5 2.5 2.5 1.3 1.3 1.3 N/S

Microwave
N/S S-band Oscillator Oscillator Oscillator RF driver RF driver RF driver N/S
power
MG 6370E
Source Magnetron Magnetron Magnetron Magnetron Klystron Klystron Klystron N/S
Magnetron
Power, MW
1.8 MW 3.1 MW 5 5 5 5.5 5.5 5.5 N/S
(peak)
Electron gun,
Triode gun Triode Gun Diode Diode Diode Triode Triode Triode N/S
type

Bending Bending Bending

Energy magnet, gun magnet, gun magnet, gun Bending Bending Bending
variation Fixed energy N/A settings and RF settings and RF settings and RF magnet and magnet and magnet and N/S
method power power power energy switch energy switch energy switch
conditions conditions conditions
 No beam
Beam steering, 4 pairs of Two pairs Two pairs Two pairs of Electromagnetic Electromagnetic Electromagnetic
bending N/S
method electromagnets orthogonal orthogonal orthogonal coils coils coils
required
No beam No beam
Beam bending,
bending bending 45, 45, 112 45, 45, 112 45, 45, 112 270 270 270 N/S
degree
required required

Manual, Manual,
Manual,
Not required; automated, BH, automated, BH,
Beam gating N/A automated, BH, Yes Yes Yes N/S
Synchrony FB, exception FB, exception
FB
gating gating

Response Response Response

Auto beam hold N/S N/A Yes Yes N/S
gating interface gating interface gating interface

Recommended 602 x 463 x

6.5 x 6 x 3.2 6.5 x 6 x 3.2 6.5 x 6 x 3.2
typical room 274.3 5.8 x 4.9 x 3.1 5.8 x 4.9 x 3.1
732 x 640 x 305 (21.3 x 19.7 x (21.3 x 19.7 x (21.3 x 19.7 x N/S 5.9 x 5.5 x 2.8
size, L x W x H (minimum (19 x 16 x 10) (19 x 16 x 10)
10.5) 10.5) 10.5)
(cm) required)
Power 3 phase 208 400 VAC, 3 18 kVA2 or 15
30 kVa 30 kVa 30 kVA N/S N/S N/S
requirements VAC phase kVA
380 V: 50/60
200-240, 60 200-240, 60
Line voltage, 3 phase 208 380, 400, 415, 220/415, 3- 220/415, 3- 220/415, 3- HZ2 or 400–
Hz; 360-440, N/S Hz; 360-440,
VAC VAC 440, 460, 480 phase phase phase 480 V: 50/60
50 Hz 50 Hz
HZ

kVa (beam-on) N/S Not required 18 18 18 45 N/S 45 N/S

kVa (standby) N/S Not required 10 10 10 N/S N/S N/S N/S

6 MV robotic Peak power 30 Peak power 30 Peak power 30
Treatment unit Helical N/S N/S N/S N/S
accelerator kVA kVA kVA
470.5 x 280 x
L x W x H (cm) 244 x 122 x 214 356 x 387 x 248 356 x 387 x 248 356 x 387 x 248 372 x 124 x 264 372 x 124 x 264 372 x 124 x 264 340 x 280 x 260
255

Weight (kg) 2,094 Approx. 6,580 6,600 (14,551) 6,600 (14,551) 6,600 (14,551) 9,660 (21,297) 9,660 (21,297) 9,660 (21,297) N/S

GANTRY/BEA
M DELIVERY
Rotating Robotic
Ring gantry Yes Yes Yes N/S N/S N/S N/S
structure manipulator
SAD, cm Variable SAD 85 100 100 100 100 100 100 100

Rotation range,
3-D workspace 360 365 365 365 ±175 ±175 ±175 ± 180
degree

In room In room In room

Where Delivery
N/A Monitors Monitors Monitors monitor and monitor and monitor and N/S
displayed console
hand pendant hand pendant hand pendant

Collimation
Non coplanar
rotation range, Not required 365 365 365 ±175 ±175 ±175 ± 90
beam delivery
degree

In room In room In room

Where Treatment
N/A Monitors Monitors Monitors monitor and monitor and monitor and N/S
displayed console
hand pendant hand pendant hand pendant

5 to 60 mm
Field size range In room In room In room
with cones, 12 0.6 x 1 up to 40
at isocenter N/S N/S N/S monitor and monitor and monitor and 28 x 28 cm
x 11 with MLC x 135
(cm) hand pendant hand pendant hand pendant
and IRIS

2 kV X-ray
6 MV, single 0.5 x 0.5 cm to 0.5 x 0.5 cm to 0.5 x 0.5 cm to
X-Ray sources @1 40 x 40 40 x 40 40 x 40 28 x 28
energy 40 x 40 cm 40 x 40 cm 40 x 40 cm
kVp
Where Treatment
N/A Monitors Monitors Monitors N/S N/S N/S N/S
displayed console
6 x 6, 10 x 10, 6 x 6, 10 x 10, 6 x 6, 10 x 10,
Electron N/A Not required 14 x 14, 20 x 14 x 14, 20 x 14 x 14, 20 x 6 x 6 to 25 x 25 6 x 6 to 25 x 25 6 x 6 to 25 x 25 N/A
20 20 20

In room In room In room

Where
N/A Not required Monitors Monitors Monitors monitor and monitor and monitor and N/A
displayed
hand pendant hand pendant hand pendant
 6 x 6, 10 x 10, 6 x 6, 10 x 10, 6 x 6, 10 x 10,
14 x 14, 20 x 14 x 14, 20 x 14 x 14, 20 x
20; also see 20; also see 20; also see
options: 25 x options: 25 x options: 25 x
Standard
25, 20 x 10, 16 25, 20 x 10, 16 25, 20 x 10, 16
applicator sizes, N/A Not required 6 x 6 to 25 x 25 6 x 6 to 25 x 25 6 x 6 to 25 x 25 N/A
x 8, 14 x 6, 10 x 8, 14 x 6, 10 x 8, 14 x 6, 10
cm
x 6; cone x 6; cone x 6; cone
applicators 2, 3, applicators 2, 3, applicators 2, 3,
4 and 5 cm 4 and 5 cm 4 and 5 cm
diameter diameter diameter

Variable
applicator N/A Not required No No No Contact Varian Contact Varian Contact Varian N/A
available?

43 x 43 cm MV 43 x 43 cm MV 43 x 43 cm MV
imager, high- imager, high- imager, high-
Cone size from intensity portal intensity portal intensity portal
Up to 40 cm x 40 x 40 cm (35 40 x 40 cm (35 40 x 40 cm (35
5 to 60 mm, dosimetry dosimetry dosimetry
MV Field Size 135 cm x 35 cm true x 35 cm true x 35 cm true 28 x 28
MLC up to 12 x capable (7,000 capable (7,000 capable (7,000
treatment square) square) square)
11 cm MU/min MU/min MU/min
dosimetry dose dosimetry dose dosimetry dose
rate capacity) rate capacity) rate capacity)

Yes; 2-D, 3-D, Yes; 2-D, 3-D, Yes; 2-D, 3-D,

kV imaging 2 kV orthognal
3-D MVCT 4-D IGRT 4-D IGRT 4-D IGRT Yes Yes Yes Optional
system X-rays
available available available

X-ray tubes
kV / kV mounted
Not required Yes Yes Yes Yes Yes Yes N/A
imaging orthagonally to
ceiling
kV / MV
N/A 3-D MVCT Yes Yes Yes Yes Yes Yes N/A
imaging

Time based
Triggered
imaging defined N/A Yes Yes Yes Yes No Yes N/A
imaging
or Intempo

kV X-rays
Yes; 2-D, 3-D,
Intrafraction taken
N/A 4-D IGRT No No Yes No Yes N/S
Imaging throughout
available
treatment

Planning Target and

structure tracking N/A Yes Yes Yes Yes Yes Yes N/S
projections volumes
2D 2D
Fluoro N/A N/A MotionView, MotionView, N/A Yes Yes Yes N/S
4D Symmetry 4D Symmetry

X-ray volume X-ray volume

imager (XVI) imager (XVI)
w/critical w/critical
Helical fan- structure structure X-ray volume
Cone beam CT N/A Yes Yes Yes Yes
beam avoidance avoidance imager (XVI)
technology technology
(dual IGRT (dual IGRT
registration) registration)

Robotic
N/A Not required Yes Yes Yes Yes Yes Yes No
imaging arms

Fully enclosed
Synchrony gantry protects
Clarity 4D real- Clarity 4D real-
respiratory patients from
Other time soft tissue time soft tissue
tracking collision with N/S N/S N/S N/S
specifications prostate prostate
camera, LED beam delivery
monitoring monitoring
diodes and imaging
system

MULTILEAF
COLLIMATO
R
Number of 64 binary 160 (agility 160 (agility
52 80 120 80, 120 120 Not specified
leaves leaves configuration) configuration)
Maximum field
115 x 100 mm 40 x 5 cm 40 x 40 cm 40 x 40 cm 40 x 40 cm 400 x 400 401 x 400 400 x 400 280 x 280
size
Minimum field 5 mm iris/fixed leaf end to leaf leaf end to leaf leaf end to leaf
0.6 x 1 cm 0.5 x 0.5 cm 0.5 x 0.5 cm 0.5 x 0.5 cm N/S
size cone end end end
Maximum leaf 10 mm for 10 mm for 2.5-5 mm for
3.85 mm 0.6cm 5 mm 5 mm 10 mm 10 mm
width Millennium Millennium HD120 MLC

5 mm, virtual
5 for 5 for
Minimum leaf 1mm for
3.85 at 800 mm Millenium-120; 10 mm for Millenium-120;
width projected 0.6 cm dynamic 5 mm 10 mm 5 or 10 mm
SAD 2.5 for HD120 Millennium 2.5 for HD120
at isocenter treatments (with
MLC MLC
Monaco TPS)

Maximum
60 mm Square field Square field Square field
circular field N/A 35 cm 35 cm 35 cm N/S
iris/fixed cone only only only
size
Clearance to Full enclosed
800 mm 45 cm 45 cm 45 cm N/S N/S N/S N/S
isocenter gantry

With accessory Shielding block Shielding block Shielding block

holder attached, N/A Not required to isocenter: to isocenter: to isocenter: 34.6 34.6 34.6 N/A
cm 35.6 35.6 35.6

With accessory
holder N/A Not required 45 45 45 42.6 42.6 42.6 N/A
removed, cm

Integrated
interface for N/A, all
Not required Not offered Not offered Not offered No No No N/S
third party included
MMLC

IMRT, VMAT,
3-D conformal,
SRS, SBRT
IMRT, VMAT
delivery, virtual IMRT, VMAT,
active leakage
1 mm for SRS, SBRT
reduction (auto
dynamic delivery,
tracking x, y
treatments (with IntelliBeam
Special MLC Internal optical Pneumatic jaws),
Monaco TPS), high definition N/A N/A N/A N/S
features camera binary MLC IntelliBeam
IntelliBeam modulation
high definition
high definition VMAT (up to
modulation
modulation 1,024 control
VMAT (up to
VMAT (up to points per arc)
1,024 control
1,024 control
points per arc)
points per arc)

Binary MLC Up to 6.5 cm/s Up to 6.5 cm/s 0 to 2

Position every speed 250 combined with combined with cm/continuousl 25 mm/sec at 25 mm/sec at 25 mm/sec at
Leaf speed Up to 5 cm/sec
500 ms cm/sec at dynamic leaf dynamic leaf y variable for isocenter isocenter isocenter
Isocenter guide guide dynamic

CLINICAL
CAPABILITIE
S
Single or dual Yes, optional Yes, optional Yes, optional
Single 6 MV photon Variable photon Variable photon Variable photon Single
photon 3rd photon 3rd photon 3rd photon

Up to 3 flat plus Up to 3 flat plus Up to 3 photon 4; 6; 8; 10; 4; 6; 8; 10; 4; 6; 8; 10;

Energies
6 MV Single 2 HDRM (high 1 HDRM (high and 9 electron 15/16; 18/23; 15/16; 18/23; 15/16; 18/23; 6 FFF
available
dose rate mode) dose rate mode) energies 20/25 20/25 20/25

Flat: 6 MV, 10
Flat: 6 MV, 10
MV, optional Flat: 6 MV, 10 4; 6; 8; 10; 4; 6; 8; 10; 4; 6; 8; 10;
MV, optional
3rd energy 15 MV, optional 15/16; 18/23; 15/16; 18/23; 15/16; 18/23;
Photon energies 6 MV 6MV 3rd energy 15 6 FFF
Mv or 18 MV; 3rd energy 15 20/25 + 2 FFF 20/25 + 2 FFF 20/25 + 2 FFF
Mv or 18 MV;
HDRM: 6 MV, MV or 18 MV (10, 6) (10, 6) (10, 6)
HDRM: 6 MV
10 MV
 Up to 9 electron
Up to 6 electron Up to 6 electron energies: 4
energies: 4 energies: 4 MeV, 6 MeV, 8 4; 6; 6 HDTSE; 4; 6; 6 HDTSE; 4; 6; 6 HDTSE;
Electron MeV, 6 MeV, 8 MeV, 6 MeV, 8 MeV, 9 MeV, 9; 9 HDTSE; 9; 9 HDTSE; 9; 9 HDTSE;
N/A Not required N/A
energies MeV, 9 MeV, MeV, 9 MeV, 10 MeV, 12 12; 15; 16; 18; 12; 15; 16; 18; 12; 15; 16; 18;
10 MeV, 12 10 MeV, 12 MeV, 15 MeV, 20; 22 20; 22 20; 22
MeV, 15 MeV MeV, 15 MeV 18 MeV, 20
MeV

HDRM: 6 MV
1400 MU/min, HDRM: 6 MV
10 MV 2,200 1400 MU/min; HDRE (high 1,400 MU/min 1,400 MU/min 1,400 MU/min
MU/min; HDRE (high dose rate 6 MV HIM, 6 MV HIM, 6 MV HIM, Up to 800
High dose rates 1,000 MU 1,000 MU FFF
HDRE (high dose rate electrons): 2,400 MU/min 2,400 MU/min 2,400 MU/min mu/min
dose rate electrons): 3,000 MU/min 10 MV HIM x 10 MV HIM x 10 MV HIM x
electrons): 3,000 MU/min
3,000 MU/min

Dose rate @ Nominal Nominal Nominal Up to 800

1,000 MU/min 1,000 MU N/S N/S N/S
isocenter MU/min MU/min MU/min mu/min

30 (6, 10MV) 30 (6, 10MV) 5 for 4 - 10 5 for 4 - 10 5 for 4 - 10

40 (15, 18MV); 40 (15, 18MV); MV; 20 for 15 - MV; 20 for 15 - MV; 20 for 15 -
Minimum X- 40 Kvp, 10 Ma, 30 (6,10MV)
850 MU HDRM: 200 (6 HDRM: 200 (6 20 MV (BJR11) 20 MV (BJR11) 20 MV (BJR11) N/S
ray 40 Ms 40 (15, 18MV)
MV) 400 (10 MV) 400 (10 ; 400 for 6 -10 ; 400 for 6 -10 ; 400 for 6 -10
MV) MV) MV HIM MV HIM MV HIM

250 for 4 MV; 250 for 4 MV; 250 for 4 MV;

600 for 6-23 600 for 6-23 600 for 6-23
500 (6, 10MV) 500 (6, 10MV)
MV, 1,400 MV, 1,400 MV, 1,400
600 (15, 600 (15,
500 (6, 10MV) MU/min for 6 MU/min for 6 MU/min for 6
Maximum X- 150 Kvp, 400 18MV); 18MV);
1,000 MU 600 (15, MV high MV high MV high N/S
ray Ma, 500 Ms HDRM: 1400 HDRM: 1400
18MV) intensity mode intensity mode intensity mode
(6 MV) 2200 (6 MV) 2200
(HIM) and (HIM) and (HIM) and
(10 MV) (10 MV)
2,400 MU/min 2,400 MU/min 2,400 MU/min
10 MV HIM 10 MV HIM 10 MV HIM

Minimum
N/A N/A 37.5 37.5 37.5 100 100 100 N/A
electron
Maximum 1,000 - HDTSE 1,000 - HDTSE 1,000 - HDTSE
N/A N/A 600 600 600 N/A
electron 2,500 2,500 2,500
Continuous to
Beam matching N/A Yes Yes Yes Yes Yes Yes Yes
135 cm

Full 360 robotic TomoHelical

ARC therapy Yes Yes Yes Yes Yes Yes
non-coplanar delivery mode

2 tubes
mounted to
ceiling aligned
X-Ray N/A Yes Yes Yes Yes Yes Yes
to digital
detectors in the
floor

Direction Orthagonal N/A Bi-directional Bi-directional Bi-directional Bi-directional Bi-directional Bi-directional N/S
Electron N/A N/A Yes Yes Yes Yes Yes Yes N/S
Direction N/A N/A Bi-directional Bi-directional Bi-directional Bi-directional Bi-directional Bi-directional N/S

Physical wedge Yes, virtual Yes, virtual Yes, virtual

N/A N/A Yes Yes Yes N/A
alternative wedge wedge wedge

Real time
Gated therapy
tracking all N/A Yes Yes Yes Yes Yes Yes N/S
option
patients

Accuray
Precision 2.0
Automated Full system
contains a series
productivity integration; Yes Yes Yes N/S N/S N/S Yes
of automated
tools TQA package
productivity
tools
 Automatic from
Automatic set-
the treatment Fully integrated
up of motorized Yes Yes Yes N/S N/S N/S Yes
console in 6 system
functions
degrees

IMRT capable Yes Integrated Yes Yes Yes Yes Yes Yes Yes
Maximum
28 cm x 36.5
treatment field No maximum 40 x 135 cm 40 x 40 cm 40 x 40 cm 40 x 40 cm 400 x 400 400 x 400 400 x 400
cm
size

VMAT capable Yes Yes Yes Yes Yes Yes Yes Yes Yes

Static
VMAT variable
manipulator Not required Yes Yes Yes Yes Yes Yes Yes
gantry speed
speed

VMAT variable
N/A MLC Yes Yes Yes Yes Yes Yes Yes
dose rate

VMAT
Yes Not required Yes Yes Yes Yes Yes Yes Yes
dynamic MLC
VMAT
cllimator Yes Not required Yes Yes Yes Yes Yes Yes N/S
rotation

Single arc Multiple nodes Yes Yes Yes Yes Yes Yes Yes Yes

Multiple arc Multiple nodes Yes Yes Yes Yes Yes Yes Yes Yes

Move only Move only Move only

Arc avoidance Node avoidance
Not required segments segments segments Yes Yes Yes Yes
sectors sectors
possible possible possible

Elekta Mosaiq,
Varian Aria,
Interfaces Varian Aria, N/S N/S N/S N/S N/S N/S N/S
Elekta Mosaiq
OncoChart

All tracking
modalities
Proprietary including DICOM Yes Yes Yes N/S N/S N/S N/S
Synchrony are
proprietary

Import and Import and

DICOM -3 Yes Yes Yes N/S N/S N/S N/S
export export
Import and Import and
DICOM RT Yes Yes Yes N/S N/S N/S N/S
export export

Electronic
portal imaging N/A MVCT iViewGT iViewGT iViewGT Yes Yes Yes Yes
Device

Variable dose Variable dose Variable dose

DCAT, DCAT, DCAT,
IntelliBeam IntelliBeam IntelliBeam
high definition high definition high definition
Special delivery Delivery modulation modulation modulation
N/S N/S N/S N/S N/S
features analysis VMAT (up to VMAT (up to VMAT (up to
1,024 control 1,024 control 1,024 control
points per arc points per arc points per arc
with Monaco with Monaco with Monaco
TPS) TPS) TPS)

Active Active Active

Real time Real-time
Respiratory Breathing Breathing Breathing
tracking, better tracking, better Yes Yes Yes N/S
gating Coordinator Coordinator Coordinator
than gating than gating
(ABC) (ABC) (ABC)

Motion
Synchrony real Synchrony real-
management Yes Yes Yes Yes Yes N/S
time tracking time tracking
capabilities
Third party
Yes, MOSAIQ Yes, MOSAIQ Yes, MOSAIQ
couch shift N/S N/S Yes No Yes N/S
PPS interface PPS interface PPS interface
interface
Third party Not required,
Response Response Response
beam gating fully integrated N/S Yes No Yes N/S
gating interface gating interface gating interface
interface system

Research
platform Yes N/A N/S N/S N/S Yes No Yes N/S
capability
TREATMENT
PLANNING

Treatment
Accuray Monaco and Monaco and Monaco and
planning
Accuray Precision, industry industry industry
systems Yes Yes Yes Yes
Precision RaySearch standards standards standards
compatible with
RayStation interfaces interfaces interfaces
system

Oncology
MOSAIQ and MOSAIQ and MOSAIQ and
information Elekta Mosaiq,
industry industry industry
systems N/A Varian Aria, Yes Yes Yes Yes
standard standard standard
compatible with OncoChart
interfaces interfaces interfaces
system
Therapy option
or InCise
allows users to
MultiLeaf
track delivered
(MLC)
dose relative to
collimators; it
planned dose
allows plan
over the course
optimization up
of a multi-
to 90% faster
fraction
and treatment
treatment using
delivery up to
the daily
an estimated
MVCT data and
50% faster than
patient setup
previous
information;
version;
PreciseRTX
interactive tools
Re-treatment
to explore
option allows
tradeoffs
import of
between OAR
patient plan
and target
data from both
coverage;
Accuray and
Monte Carlo
non-Accuray
dose
systems;
computation
Synchrony is an
with
artificial
optimization for Monte Carlo Monte Carlo Monte Carlo
intelligence
MLC, fixed and algorithm, algorithm, algorithm,
driven motion
Iris collimators; IntelliBeam IntelliBeam IntelliBeam
management
support for an high definition high definition high definition
Other features solution that N/S N/S N/S N/S
unlimited modulation modulation modulation
enables
number of VOI; VMAT (up to VMAT (up to VMAT (up to
continuous real-
Synchrony is an 1,024 control 1,024 control 1,024 control
time treatment
artificial points per arc) points per arc) points per arc)
delivery for
intelligence
tumors that
driven motion
move with no
management
need for ITV,
solution that
additional 3rd
enables
party ad-ons, or
continuous real-
invasive patient
time treatment
immobilization
delivery for
devices;
tumors that
Synchrony
move with no
automatically
need for ITV,
adapts
additional 3rd
treatment
party ad-ons, or
delivery by
invasive patient
synchronizing
immobilization
the treatment
devices;
deliver beam
Synchrony
with the targets
automatically
detected or
adapts
predicted
treatment
motion
delivery by
(Synchrony
synchronizing
used to treat
the treatment
TREATMENT indications such
sdf
COUCH

236 x 53 (93 x 236 x 53 (93 x

21) EXACT 21) EXACT
Table top
Approx. 53 cm couch, optional couch, optional
dimensions, L x 2,240 x 530 200 x 53 cm 200 x 53 cm 200 x 53 cm N/S N/S
width 200 x 53 (79 x 200 x 53 (79 x
W, cm
21 EXACT 21 EXACT
IGRT couch IGRT couch
 Point-
6 degrees - 3 degrees - 3 degrees -
Movement 6 degrees point,translation Motorized Motorized Motorized Motorized
motorized motorized motorized
al

Vertical range, Approx. 70- HexaPOD evo: iBEAM evo: 63 iBEAM evo: 63
42 106 N/S 106 N/S
cm 114.9 76 - 186 cm - 173 cm - 173 cm

Motorized or Motorized Motorized Motorized

Robotic Motorized Motorized Motorized Motorized Motorized
manual control control control
Longitude Superior/inferio
Approx. 135 100 100 100 ≥145 N/S ≥145 165.5 cm
range, cm r >91
Motorized or Manual and Manual and Manual and
Robotic Motorized Motorized Motorized Motorized Motorized
manual motorized motorized motorized
Lateral range, Anterior/posteri
Max. +/-2.5 ±25 ±25 ±25 ±24.5 N/S ±24.5 41.8 cm
cm or 28
Motorized or Manual and Manual and Manual and
Motorized Motorized Motorized Motorized Motorized Motorized
manual motorized motorized motorized

Iso rotation Iso rotation Iso rotation

Base rotation, Virtually ±95; column ±95; column ±95; column
Not required ±95 ±95 ±95 N/A
degree unlimited rotation, 360 rotation, 360 rotation, 360
with indent at 0 with indent at 0 with indent at 0

Iso rotation Iso rotation Iso rotation

motorized or motorized or motorized or
manual; column manual; column manual; column
Motorized or
Motorized Not required rotation manual rotation manual rotation manual Motorized Motorized Motorized N/A
manual
with with with
electromagnetic electromagnetic electromagnetic
brake brake brake

Non coplanar
beams delivered Gantry-based,
Isocentric at unlimited up to 360
3-D or 6-D, ±95 3-D, ±95 3-D, ±95 N/S N/S N/S N/A
rotation, degree angles to an degrees without
alignment moving patient
center

Motorized or Manual and Manual and Manual and

Motorized Automatic Motorized Motorized Motorized N/A
manual motorized motorized motorized

Robotic couch
Number of
with six degrees 1 2 2 2 4 or 6 4 6 N/A
rotation axis
of freedom

Automatic set- Robotic

Automatic roll
up of motorized functionality Yes Yes Yes N/S N/S N/S Yes
correction
functions? with 6 degrees

0.1 mm
translational
and 0.1 degree
Verification of
rotational Automatic
table Yes Yes Yes N/S N/S N/S Yes
verification and registration
parameters?
application
from treatment
console

Table top Carbon fiber or Carbon fiber or Carbon fiber or

Carbon fiber Carbon fiber Carbon fiber Carbon fiber Carbon fiber Carbon fiber
material kevlar kevlar kevlar

High strength
Not required, couch top with
Patient recommend indexing Qualified with Qualified with Qualified with
positioning/ thermoplastic system, Yes Yes Yes select third- N/S select third- select third-
immobilization mask/vacbag accommodates party devices party devices party devices
for localization immobilization
systems
 Integrated Integrated Integrated
Collision Fully enclosed collision model, collision model, collision model,
Yes, multiple Yes Yes Yes Yes
avoidance gantry laser and touch laser and touch laser and touch
guards guards guards

228 for IGRT 228 for IGRT

Maximum couch top on 228 for IGRT couch top on
patient weight 225 200 250 250 250 4DoF, 200 for couch top on 4DoF, 200 for 228 kg
(kg) IGRT couch on 4DoF couch IGRT couch on
6DoF 6DoF

EPID non-
N/A N/A N/S N/S N/S N/S N/S N/S N/S
obsolescence

Fully robotic, 6
degrees of
Silent drive
freedom, fixed Silent drive Silent drive
Special system for all Qualified with Qualified with
and dynamic system for all system for all
couch/table N/A movements, select third- N/S select third- N/S
safety zones, movements, movements,
features rotatable, true 6 party devices party devices
proximity rotatable rotatable
DOF axis
detection
program

Qualified with Qualified with

Optional Fully integrated 3rd party
Yes Yes Yes select third- N/S select third- N/S
accessories system immobilization
party devices party devices
Website
Varian

Ethos therapy

FDA 2020 / CE
2019

AI driven
Adaptive
Therapy linear
accelerator;
ability to
deliver adaptive
therapy within a
typical 15-
minute timeslot;
AI-driven
segmentation
and treatment
planning; multi-
modality
images at any
stage

N/S

N/S

N/S

N/S

N/S

N/S

N/S
N/S

N/S

N/S

N/S

5.9 x 5.5 x 2.8

18 kVA2 or 15
kVA
380 V: 50/60
HZ2 or 400–
480 V: 50/60
HZ

N/S

N/S

N/S

340 x 280 x 260

N/S

N/S

100

± 180

N/S

± 90

N/S

28 x 28 cm

28 x 28

N/S

N/A

N/A
N/A

N/A

28 x 28

Optional

N/A

N/A

N/A

N/S

N/S

N/S

Yes

No

N/S
Not specified

280 x 280

N/S

10 mm

5 or 10 mm

N/S

N/S

N/A

N/A

N/S

N/S

Up to 5 cm/sec

Single

6 FFF

6 FFF
N/A

Up to 800
mu/min

Up to 800
mu/min

N/S

N/S

N/A

N/A

Yes

Yes

Yes

N/S
N/S
N/S

N/A

N/S

Yes
Yes

Yes

28 cm x 36.5
cm

Yes

Yes

Yes

Yes

N/S

Yes

Yes

Yes

N/S

N/S

N/S

N/S

Yes

On-couch
adaptive
therapy

N/S

N/S

N/S
N/S

N/S

Ethos

Ethos

Interfacing
capabilties to
ARIA

N/S
Motorized

N/S

Motorized

165.5 cm

Motorized

41.8 cm

Motorized

N/A

N/A

N/A

N/A

N/A

Yes

Yes

Carbon fiber

Qualified with
select third-
party devices
Yes

228 kg

N/S

N/S

N/S