Radiotherapy Sourcebook

2012

Welcome to the 2012 OSL radiotherapysourcebookOSL supplies and develops innovative technology in the field of radiotherapy and medical imaging.

We provide the full range of clinical and technical radiotherapy equipment from thermoplastic to 4D simulation and imaging, in the areas of immobilisation,treatment planning, medical physics QA and beyond. We are able to fully equip a radiotherapy service from the ground up and offer turn-key solutions.

Contact OSL

tel: +44 (0)1743 462694

fax: +44 (0)1743 462695

enquiry@osl.uk.com

www.osl.uk.com

This brochure contains a selection of the vast product range available from OSL.

For more information and up to date product news visit our website: www.osl.uk.com

All systems can be ordered direct or through NHS Supply Chain.

Certificate No:20032387

Couchtops, indexing, Protura, SBRT, head & neck, breast & thorax, vacuum supports, paediatric, abdomen & pelvis, accessories & storage

OnQ rts™ new atlas-based auto contouring software with multi modality deformable image registration, ProSoma, RT PACS, ACCULOC/ Cortex/Gold Anchor patient markers, skin marking labels

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ImSimQA™, phantoms, electrometers, ion chambers, Dosimetry Check, Delta4, QA BeamChecker Plus, Iso-Align, IMSure, RIT113, Radia, eQA, PIPSPro, brachytherapy

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RFSuite and RT Workspace clinical and physics management software solutions

Radiotherapy ServicesRoom planning & design, remote planning, training, service & repair

Certificate No:20032387

Relocatable radiotherapy and remote planning services

Dosimetry/QA

Pioneer

Imaging & Planning

Patient Positioning & Immobilisation

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Workflow & Verification

Weighed down by contouring for IMRT? Want to do adaptive re-planning but contouring time prohibits?

OnQ rts

OnQ, developed by OSL, has been designed from day one to meet the growing demands placed on clinicians for contouring for IMRT and other techniques such as SBRT, and adaptive RT. OSL’s main goal has been to develop software that not only automates tasks, but also streamlines workflows. It is now possible to combine multi modality images for fusion, even when one is supine and one prone, or one image is longer than the other, with only a single click action. Atlas-based auto contouring is also initiated with a single command. The only intervention required is forclinicians to review and possibly edit the final contours. More than 60 structures can be automatically generated for a head and neck case.

OnQ rts has been developed by OSL to help you save time for contouring and √re-contouringOnQ has single click automation for atlas-based auto contouring and adaptive √re-contouringOnQ has a powerful task scheduler with full automation so contouring, fusion and √imaging tasks can be batched and timed off-line with no human intervention OnQ ‘learns’ as more cases are contoured, increasing consistency and accuracy √

Automate the complex. Reclaim your time.

Triple fusion formulti modalityimages

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Automate the complex. Reclaim your time.

Want to account for curved couch tops for MR or PET fusion? Want to perform elastic image registration for pre and post op planning?

OnQ performs rigid and deformable image registration for CT-MR, CT-PET and for √IGRT imagesOnQ automatically generates SUV-based GTVs on PET images √OnQ accounts for differences in curved and flat couch tops and anatomy shape √and size when co-registering imagesOnQ is valuable for tracking anatomy changes √during the whole clinical imaging process from diagnosis-planning-IGRT-followup

One click to contour. One click to fuse.

Not sure how to QA auto contouring and advanced fusion algorithms? Wondering how to QA the contour quality of the atlas library?

Contour analysis and QA tools at the heart of OnQ.

OnQ has integrated QA tools to commission and test the system, and your √contouring performance!OnQ analysis can be integrated into your workflow – with automated results √and error histograms

Having previously launched ImSimQA, the ground breaking QA software for atlas-based auto contouring and image fusion registration, we have now brought that know-how into the heart of OnQ. These analysis tools are integrated into the clinical software and can be used to compare user contouring performance, and also system commissioning. They can also be used to validate deformable image registrationperformance. A powerful and unique toolkit.

Triple fusion formulti modalityimages

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ProSomaProSoma continues to lead the market with powerful new functions to save time inadvanced clinical practice. In over 40 UK and Irish departments and several universities, ProSoma has become the cost effective ‘clinical front end’ of the planning process and an invaluable training tool.

Simulation and contouring on 4D CT data ensuring beam and PTV coverage of moving anatomy. Fuse 4D with 3Dplanning CTs. Generate mean, max and min images.

Review dose maps on your ProSoma workstation freeing up valuable TPS time.Compare plans, summate phases, and plans from different treatment modalities. View DVHs and isodoses on IGRT images - for dose guided adaptive RT.

Powerful automation of contouring tasks saves time and assures quality through consistency. Fully customisable for yourlocal protocols.

NEW Scripting functions

Monitor and record IGRT shifts during a course of treatment. Online and offline review of EPI and IGRT images. Powerful dose overlay for IGRT images.

NEW Image matching module with statistical trending

Dose Review

4D Motion Planning

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RT PACSRT PACS is designed for radiotherapy. The imaging and connectivity power of ProSoma has been harnessed to create a new RT PACS system. OSL offers both the software and a range of flexible hardware storage options to suit local department needs e.g. 14TB archive. This extremely cost effective system can also be used in conjunction with hospital wide PACS, but ensures that all dicom RT images and plans are properly archived and retrievable by any other RT system.

RT PACS is provided with RT Viewer licenses, ensuring all RT images and information is displayed and presented in a meaningful way, along with diagnostic images and other key clinical information.

RT PACS is available as an upgrade for existing ProSoma customers or as a standalone product.

Increasingly PTV contours are required for breast planning.

ProSoma allows virtual clinical markup with simultaneous visualisation of skin surface and internal markers, making it quick and easy to define clinical PTVs.

ProSoma harnesses up to date technology to enable you to work from any location. Take for example Liverpool University who recently installed ProSoma onto a Citrixnetwork, enabling the students to remotely access ProSoma from any PC in anylocation.

remote desktop and VPN solutions now in routine use across the country•remote technical support and training provided, including the most recent •installation in Africa

A second powerful option defines target volumes from beam edges including MLC shapes. Use this function for IMRT, field in field and conformal techniques.

Both methods combined with ProSoma’s superb visualisation and scripting allows you to create target volumes in seconds

Remote working for ultimate flexibility

The most complete clinical breast planning package

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Gold Anchor™This new fiducial marker is the next step in precise, accurateStereotactic Body Radiotherapy (SBRT). With its ultra fine needle, there is less trauma and greater reach.

Gold Anchor collapses and folds through insertion techniques to offer a straight strand, semi-folded with a strand, or a completely folded wire, minimising migration risk. The 25G needles minimise infection and travel deeper into tissues (0.53mm dia). Gold Anchor is visible on kV and MV x-ray/CT. Gold Anchor will soon be available as visible on MR.

Available as 10mm or 20mmmarkers in two different needle sizes.

ACCULOC® IGRTExternal mark setup introduces considerable targetuncertainty resulting from internal organ motion and patient position variability. ACCULOC IGRT eliminates this uncertainty using implanted gold fiducials or anatomic landmarks with EPID or CR images. The 3D transformation software (ISOLOCTM) outputs exact couch translations for high-accuracy, verifiable localisation.

NEW CortexNew to OSL, Cortex is an advanced implanted marker line (from the same people who brought you ACCULOC). Cortex markers offer a complete solution for all treatment sites and imaging modalities (including CT and MR). Cortex’s latest innovations include FlexiMarc, FlexiMarc G/T, FlexiCoil, PointCoil, PolyMark and SureLock.

Also available Suremark Tabs, Suremark Relief Tabs, Suremark Wire, Powermark, Clearline, Clearmarks and Visionmark

Bone MarkerBone Markers are pure gold 2mm spheres used in cranial and spinal applications.

Soft Tissue MarkerTiny gold rods easily implanted in numerous locations through pre-loaded needles at time of ultrasound. The unique gnarled surfaces inhibit migration.

Suture-type MarkerDesigned for high accuracy localisation in any clinician - designated location where migration is a concern.

Patient Markers

Skin Marking LabelsSuremark® MarkersSuremark markers are useful in distinguishing between a nipple, shadow and lesion.

Covermark LabelsCovermark Labels protect temporary tattoos with a watertight seal for up to six weeks.

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ImSimQA

Deformable image registration and atlas-based auto contouring are growing fast.How do you use hard phantoms to test thesealgorithms?Answer: You can’t.

ImSimQA is an essential tool for testing modernauto contouring systems, IGRT, adaptive RT,deformable and rigid image registration, 4D planning software and more.

Edit, deform, transform any imported DICOM-3image to create new test images, export to testsystems, import results back into ImSimQA forquantifiable analysis and results.

Virtual phantoms for real QA

CBCT image deformed byImSimQA for IGRT QA

Use virtual phantoms or real DICOM images to create infinite test scenarios

Simple brain phantom with mask

Mask removed,tumour enlarged

CT of phantom generated by ImSimQA

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ImSimQAdform

Tools to QA deformable image registration include clinical visualisation andquantitative tests with pass/fail criteria.

ImSimQAcontour

Contour analysis tools to QA auto contouring systems and user contouringperformance.

ImSimQA4d

Create 4D CT test images for QA of resp motion and gating software. Import RPMsignals and apply to virtual phantom.

ImSimQA modules for quantitative testing

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Lucy® 3D QA PhantomThe Lucy® 3D QA Phantom performs image transfer QA, dosimetry and machine QA within the exact coordinate system of commercially available stereotactic head frames.

IMRT Dose Verification PhantomThe IMRT Dose Verification Phantom can combine absolute, relative and point dose measurements, with up to 16 chamber positions, five film positions and up to nine diodes or TLDs.

Programmable Respiratory Motion PhantomThe Programmable Respiratory Motion Phantom is a state-of-the-art breathing simulator for conducting quality assurance testing on radiotherapy systems.

Multi-Purpose Body PhantomA cost effective tool designed to perform both dosimetric and non-dosimetric tests on radiotherapy systems. The Multi-Purpose Body Phantom incorporates a wide variety of test objects in a solid acrylic housing.

Catphan® ShakerThe Catphan® Shaker is designed to enable 4D CT image quality assurance by moving a Catphan® phantom with programmable respiratory and sinusoidal motion profiles.

Phantoms

Penta-Guide PhantomDaily QA for linac mounted Cone Beam CT systems with tests for 3D cone beam registration, kV and MV system coincidence, kV and MV projection images, laser and light field coincidence, and remote table adjustments.

MLC Beam Geometry PhantomMLC Beam Geometry Phantom tests beam integrity from CT simulation.

Virtual WaterVirtual Water™ is an ideal alternative to traditional water tanks for performing routine QA checks of a linear accelerator using photon or electron beams.

NEW Penta-Guide softwarePenta-Guide software is designed to simplify and enhance daily cone beam CT QA through automated image analysis. This time saving application automates the analysis and reporting for kV-MV projection images as well as 3D cone beam CT images.

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MIMI PhantomIsocenter alignment IGRT QA - test the coincidence of the isocenter prescribed by the lasers, treatment beam and image guidance systems.

MiniPhantomMeasure head-scatter factors down to a 3cm x 3cm field size simply and easily, without side scatter from a water tank.

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SuperMAX

MAX 4000

A next generation, two channel, reference grade electrometer with an advanced, intuitive touchscreen interface, built-in chamber library for real-time dose and dose rate display, and 1 fA resolution.

A reference grade instrument for use in a wide range of radiation therapy applications, including external beam, low dose, high dose, intravascular brachytherapy, diagnostic x-ray, and mammographic x-ray.

Electrometers

DoseViewTM 3D coming soonThe DoseView 3D is a new 3-axis water phantom for performing comprehensive linear accelerator beam commissioning and quality assurance measurements quickly,accurately and intuitively.

Built for consistency and convenience:robust construction, accuracy and reliability•within 0.1mm per axis designed to minimise •degradation even after 30000 measurementsfast, easy to use hardware•minimise cable and instrument clutter•comprehensive positioning and reservoir system•powerful acquisition software•

CDX 2000BThe compact, stable, lightweight and easily transported CDX 2000B has wide amp and coulomb ranges for both external beam dosimetry measurements and precise HDR brachytherapy calibrations.

A19 ChamberClassic Farmer-type chamber designed to fit existing plastic phantoms.

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A16 Chamber

A1SL ChamberFor relative dosimetry scanning and measuring points in water, air or other phantom material.

Micro chamber (0.007cc) ideal for IMRT, for assessingpinpoint radiation fields for IMRT, stereotactic,orthovoltage x-rays, and superficial skin therapy.

Exradin Ion Chambers

A18 ChamberMiniature Shonka thimble chamber for relativedosimetry scanning and measuring points in water, air or other phantom material.

A11 Chamber

A10 Chamber

A Spokas parallel plate chamber for use in routine electron beam measurements and depth-dose studies in electron,photon, proton, and neutron beams.

Parallel plate chamber for use in routine electron beam measurements and depth-dose studies in electron and high energy photon beams.

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QA NEW Dosimetry Check

Dosimetry Check IMRT QA software provides an independent check and works with any EPID and any treatment technique including VMAT and RapidArc™, to provide a volumetric measurement for IMRT QA.

Dosimetry Check IGQA eliminates the need for a phantom, by allowing physicists, therapists and doctors to see the dose distribution on the patient’s CT plan rather than through planar images. Some of the benefits and advantages of the Dosimetry Check IGQA technology over other phantom based systems include:

3D absolute dose calculation•works with any RTP System•supports VMAT and Rapid Arc™•works with Elekta iView™ portal imager, and Siemens Optivue™•works with Varian’s PortalVision™ using both R and E arms•measured Dose Verification using Patient CT image data•structured analysis: 3D dose volume (DVH) and gamma volume •histogramsactual 3D absolute dose (measured analysis) vs. 3D predicted dose from •any planworks with any linear ion chamber or diode 2D array to achieve full 3D •analysis

Frame screen centred on volume

Gamma 3D

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Delta4®PT

Delta4PT performs complete QC in just one single measurement.

Delta4PT imports the 3D dose calculation from the treatment planning system and makes a 3D analysis and comparison with the measured data. Users can select the prescription point from the plan or choose to normalise to any other point.

QC status is logged and clearly indicated for any stage in the process, and measurements are available from a comprehensive database.

NEW HexaMotion™ 6D moving platformHexaMotion 6D moving platform in combination with Delta4 allows:

simulation of the patient specific tumour •motion pattern in 6 dimensionsverification of the delivered dose in a •moving targettime resolved analysis of the delivery•detection of latencies in the delivery •systemfast positioning within sub-millimetre •accuracy

NEW Delta4®AT

Delta4AT at treatment is a new in vivo system for advanced RT consisting of a highly stable, high resolution, thin transmission detector. The system monitors the dose administrated to the patient during treatment and ensures that the correct dose is delivered to the patient at every fraction.

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Iso-Align™The Iso-Align™ is a multi-purpose, precision alignment device which assists in the routine quality control of lasers, linear accelerators and simulators. The Iso-Align™ accommodates a convenient film pack for radiation and light field verification. The Iso-Point Rotational Runout Toll on the Iso-Align™ allows you to accurately andeasily verify the mechanical isocentre of the gantry.

TG66 CT Simulation Laser QA DeviceThis unique device is an accessory designed specifically to check the performance of electromechanical components, simple geometric and imaging properties of CTscanners in accordance with AAPM protocol TG66. Gantry and vertical side-wall lasers can also be checked.

QA BeamChecker™ PlusThe QA BeamChecker Plus is a reliable and uncomplicated daily QA instrument for linear accelerators and TomoTherapy® systems. With wire-free technology,integrated build-up and automatic energy detectionradiotherapist can quickly and easily perform daily QA.

Up to nine treatment rooms can be managed with just one QA BeamChecker Plus.

Using the communication software, a complete set of linear accelerator orTomoTherapy Hi-Art® system baselines can be created for each room. Once a room has been created, it becomes selectable from the QA BeamChecker Plus in any mode, including wire-free. When performing daily QA, simply select the desired room and the QA BeamChecker Plus automatically detects the energies provided by the operator.

IMSure QA™ SoftwareUnprecedented accuracy from the patented “3-Source Model” algorithm, easystandard plan MU checks and uniquely comparative IMRT Plan QA - no film, nophantom, no linac time required.

intuitive MU dose calculations•CyberKnife plan verifications•accurate IMRT dose calculations•in-depth patient QA•

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mobileMOSFET Patient Dose Verification SystemSeamlessly integrated system to minimise QA time andsimplify dosimetry.

MOSFETSDynamic dose measurements and real-time, in vivo dosemonitoring for brachytherapy dosimetry.

Mosfets Dxposure SoftwareThe Dxposure software is a software program that works in harmony with themobileMOSFET Patient Dose Verification System to measure the real-time skin dose that patients receive during interventional and diagnostic x-ray procedures, such as fluoroscopy and CT.

Portable DosimeterThe Portable Dosimeter is an economical, compact, stand-alonesystem for radiation dose measurement. Measurements are available at the touch of a button and display on the integrated LCD, without the need for software or a computer.

In Vivo Dosimetry

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QA RIT 113

A mix of conventional therapy, advanced therapies, IMRT, IGRT, and RapidArc from digital and film images is becoming commonplace in cancer centres.Today’s medical physicist needs a single QA package that can provide solutions for every imaging option and every challenge faced. RIT113 does it all for you.

RIT RadiaRadia is RIT’s new diagnostic software for automated scoring and trending of image quality. Radia is built around a base module which includes a DICOM viewer, DICOM receiver, and an extensive tool box of features to view images and make measurements, as well as directory browsers and filters. Radia imports DICOM images and entire DICOM directories.

PIPSproPIPSpro helps ensure accuracy by showing you what you can’t see - the slow degradation in EPIDperformance over time. With PIPSpro and QC-3phantom test patterns, baselines are created that set the standard for future QA testing. Using these baselines you’ll recognise deviations in the data. That’s how you will know whether you should calibrate, repair or upgrade your system.

eQA SoftwareeQA Software is designed to simplify linac QA through automated EPID image analysis. This time-savingapplication automates the analysis and reporting for six important QA tests, most of which are recommended by TG142(1). Using eQA and your EPID eliminates the need to use film for these tests.

IMSure QA BrachytherapyUnprecedented accuracy from the patented 3-Source Model algorithm, easy standard plan MU checks and uniquely comparative IMRT Plan QA - no film, no phantom, no linac time required.

HDR 1000 Plus Well ChamberThe HDR 1000 Plus is an air-communicating chamber, so there is no inaccuracy due to undetected gas leakage as in a pressurised chamber. Performance of the HDR 1000 Plus has been validated in over 30 publications. The HDR 1000 Plus is ideal for low dose rate and high dose rate brachytherapy.

Source holdersOSL offers a complete line of source holders for calibrating iodine and palladium isotopes. This line includes:

single LDR seed sources•seed batch assay tool•IBt InterStrand source•Imagyn isosleeve sources•preloaded needle sources•

Mick Cartridge sources•RAPID Strand iodine seed sources•Nucletron SelectSeed sources•

Perform second checks of HDR, LDR and permanent implant plans on a single page interface.

Brachytherapy

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The MAX 4000 (see Electometers) has exceptional sensitivity and a wide range, making it the number one choice for brachytherapy measurements. It provides quickmeasurements of low activity isotopes. A 0.27 mCi iodine seed, measured in the HDR 1000 Plus Well Chamber, gives a typical signal of 1.458 pA. The MAX 4000 alsomeasures 10 Ci and higher activity iridium sources.

RT Workspace

electronic (paperless) workflow management tool for radiotherapy QA and •physicsguides the entire process from patient entry through to plan approval to plan •finalisationin-built workflow analysis tools to determine where productivity and •efficiency issues existphysics tools for scheduling, tracking calibration information and•notifying re-calibrations, collecting, analysing and storing machine QA data and patient specific QA dataelectronic sticky-notes (‘post-its’) for instant communication between users, •and To Do listsintegrated calendar and scheduling system•

Clinically proven workflow tools to save you time and money and improve communication and planning.

RFSuiteRFSuite is a comprehensive tracking system forimproving clinical workflow. RFSuite utilises RF (radio-frequency identification) technology to track patients, personnel, charts, film jackets and patient positioning/treatment devices.

The RFSuite software, RFTrakTM, provides a snapshot of where people and items are located in your facility.

How it works: when a patient checks in, he or she is issued a customised RF tag; these same tags can be issued to staff to enable personnel tracking. RF readers positioned throughout your facility automatically detect the tags and indicate their location using the RFTrak software.

CIVCO’s RFSeriesTM line provides a broad array of products with RF tagsincluding: thermoplastic masks, headrests, bellyboards, breastboards and vac-lok cushions. The RFTrak software allows you to see where devices are located in equipped areas of the department.

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Universal CouchtopThin, homogeneous, lightweight, rigid indexed carbon fibre couch-top with minimal build-up, ideal for IGRT, utilising the same couch top for CT scanner and treatment machine.

NEW Universal Couchtop One PieceThe Universal Couchtop One Piece is a strong rigid and lightweight couchtop with low attenuation, ideal for IGRT tracking. This is equivalent in length to the original UCT plus the rectangular extension.

ProdigyThe Prodigy™ indexing system features protrudinghemisphere style indexing notches and is the mostversatile system for your treatment plans.

InterlocThe Interloc® indexing system features notched styleindexing points.

ExactThe Exact® indexing system is designed for the Varian Exact notched style indexing couchtops.

Also available Prodigy-2 and PinnPoint indexing

Couchtops

Indexing

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Protura™ Robotic Patient Positioning SystemCIVCO’s Protura 6 degrees of freedom couch is the next generation in robotic patient motion management. Sleek and elegant, Protura combines with CIVCO’s Universal Couchtop and SBRT Body Pro-Lok™ to become an all-in-one motion management solution. Available for use on all vendor platforms including Varian, Elekta and Siemens, using linac couch top supplied or CIVCO Universal Couchtop. The integrated feedback encoders eliminate the need for any external arches, fiducials or cameras to verify couch position. Movements in all six planes are made at the same time (x, y, z, pitch, roll and yaw) all in one smooth movement so the patient is often unaware that they are actually moving.

Protura features:•virtualpivotpointalwaysatisocentreallowsforaccurateadjustment•in-roomtouchscreencontrols•controlpanelwithindicatorlightsonthecouch•supportspatientsupto200kg•15cmheightforeasypatientloading•compatiblewithallIGRTcoordinatesystems•adjustablespeedfrom4-16mm/second

Protura technical specifications:•+/-5cmtravelinX&Ydirections,+/-2.5cmtravelinZdirection•+/-3°rotationinpitch,rollandyaw•adjustablespeedfrom4-16mm/second

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Body Pro-LokThe Body Pro-Lok™ system provides an easy to use modular structure for setting up complex Stereotactic Body Radiotherapy Treatments (SBRT). Highly adaptable to the individual patient, the Body Pro-Lok provides a new level of confidence for SBRT treatment.

Body Pro-Lok has numerous accessories which attach directly to the bridges or to the Body Pro-Lok platform with CIVCO’s T-pin locking mechanism. The systemutilises your existing CIVCO immobilisation devices in combination with BodyPro-Lok Lok Bars™.

NEW Body Pro-Lok Rails OnlyCIVCO’s new Body Pro-Lok Rails-Only system utilises Body Pro-Lok Bridges and accessories without the full Body Pro-Lok Platform or the Universal Couchtop.

bridges clam-lokcushion

foreheadrestraint

patienthandles

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respiratorybelt

Selection of available accessories

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ZENTEC™ ThermoplasticThe soft-drape effect results in a high-contouring mask. These masks also require less heating and setup time, providing increased efficiency. Each mask has a thickness of 2.4mm.

NEW Now also available for the Uni-Frame system.

Posicast® ThermoplasticPosicast thermoplastic provides excellent positioning and reproducibility during treatment. It does not stick to the skin or hair. If needed, Posicast adheres to itself byapplying local pressure. The patented composition of this unique product results in minimal shrinkage after cooling.

Posifix® BaseplatePosifix head and neck baseplates are designed for use with the Posicast thermoplastic masking system. Posifixbaseplates are available in two sizes, head-only baseplates and larger T-shaped head, neck and shoulders baseplates.

Shoulder Support CushionThis wedge shaped cushion supports the shoulders andupper body of the patient.

Variable Axis BaseplateCarbon fibre tilting baseplate for comfortable patientfixation in the prone and supine positions.

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MT350N BreastboardThe popular MT350N carbon fibre breastboard islightweight, has low attenuation and a positive locking angulation system. The board features carbon fibre grid treatment panels for rigid support for the bi-lateraltreatment windows.

C-Qual™ BreastboardThe low-attenuating C-Qual breastboard provides a treatment zone ideal for the imaging demands of IGRT. The Sure-Set angulation support provides quick, secure elevation while the C-Qual’s ergonomic design delivers a new level of patient comfort.

NEW Horizon™ Prone BreastboardThe Horizon Prone breastboard assists in providingcomfortable, reproducible patient positioning for prone breast treatments. The modular design and variety ofaccessories allow you to customise your patient setups including overall height adjustments.

Posirest™-2 Arm SupportThe Posirest-2 arm support is designed to create proper and comfortable upper extremity positioning.

Thorawedge™Unique positioning device allowing the patient toincline at multiple fixed angles.

Extended WingboardCT compatible and indexable for enhancedreproducibility - from imaging to treatment.

Breast & Thorax

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AccuForm™ CushionsIdeal for head and neck treatments, this soft, cloth-covered pillow is filled with tiny beads coated in water. When sprayed with water it becomes pliable, allowing it to be formed to the patient’s anatomical contours. After a few minutes the cushion forms a rigid, yet comfortable custom mould.

Vac-Lok™ CushionsEasy-to-use, reusable Vac-Lok cushions form a custom mould of the patient’s contours. Available in a variety of shapes and sizes.

Paediatric Type-S™For children, a narrower thermoplastic radiotherapy frame for the CIVCO Type-S system is offered.

Posifix Paediatric HeadrestsSpecially designed for radiotherapy treatments withpaediatric patients. A prone headrest and a supineheadrest are each available in bright, glossy colours.

Paediatric Posifix®The Posifix Paediatric baseplate is narrower than astandard Posifix baseplate and accepts PR33 and PR55 precut thermoplastic.

Paediatric

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Contoura™ BellyboardAllows for customised bowel displacement with the use of three interchangeable padded inserts.

Carbon Fibre BellyboardRadio-transparent, lightweight, rigid and indexable with two apertures.

HipFix®Versatile hip and pelvis immobilisation system for prone and supine set-ups.

Better stability and reproducibility in the supine position.

Feetfix™ 2Feetfix 2 contributes to better stability andreproducibility in the supine position for radiotherapy and diagnostic procedures.

Multi-Purpose Support CushionsMulti Purpose Support Cushions are exclusive closed cell PE foam which will not stain or absorb liquids. The CIVCO supplied cushions are more firm than regular, coated radiotherapy support cushions. Six different shapes are sold separately or as a complete set.Available in red, yellow, or blue.

Abdomen & Pelvis

Kneefix™ 2

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BolusThe ideal choice for applications above 1MV whereadditional tissue-equivalent thickness is required. Available with or without skin.

Tungsten Eye ShieldsProven to provide adequate protection of the ocular structure for electrons up to 9MeV. Available in three sizes: small (19.5mm), medium (23mm) and large (25mm).

Accessories & Storage

Water Bath available soonThe Water Bath accommodates all thermoplastic sizes including Type-S head, neck and shoulders and HipFix thermoplastics.

Water Bath CartThe Water Bath Cart provides an easy, efficient way to transfer a water bath from room to room.

Cold MittContains a pliable gel that conforms easily to bodycontours, speeding the cooling of formed thermoplastic.

Pan LinerThe pan liner helps prevent thermoplastic from sticking to the bottom of thewater bath.

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Mobile Accessory CartHolds a variety of patient positioning and fixation devicesweighing up to 135kg.

Storage is available for cushions and supports, bellyboards, baseplates, overlays, Body Pro-Lok, and the Mastercouch. Contact OSL for more

information. A selection is shown below.

Posifix Baseplate StorageCompatible with Posifix Baseplates with attached aluminium rails.

Carbon Fibre Bellyboard StorageCompatible only with the Carbon Fibre Bellyboard. Not compatible with the Contoura Bellyboard.

NEW Dual Function Vacuum CompressorPump which provides both a vacuum and inflate cycle with a convenient hand control or foot control. It provides an audible alarm when your optimum vacuum level is reached.

Storage RacksThese space giving racks hold moulded and inflatedcushions. Plastic ‘S’ hooks are available for hangingcushions.

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NEW Pioneer

Oncology Systems Limited has developed the only relocatable radiotherapytreatment suite outside of North America, Pioneer. Pioneer can be used as a satellite radiotherapy centre, a support suite during new build or refurbishment, as anexpansion to an existing centre or a stand alone service. Pioneer can be delivered with OSL Remote, a high quality commissioning, remote outlining, treatment planning and QA service.

The relocatable, stand alone radiotherapy treatment suite accommodates aTomoTherapy Hi-Art® or TomoHD™ treatment machine and any necessary treatment planning software, patient positioning accessories and quality assurance systems.

Relocatable radiotherapy

Removing the need for expensive capital expenditure for new treatment bunkers,Pioneer can be rapidly deployed complete with all the patient and equipmentaccessories necessary to run a clinical service. The small scanner-like footprint ofTomoTherapy, plus its inherent radiation shielding, provide the world’s firstmega voltage external beam radiotherapy system capable of being rapidly installed and deployed for all types of cancer cases, both routine and more challenging.

No build

Planning, designing and building a new radiotherapy facility, can take several years. Pioneer opens up the possibility of no loss of clinical service and revenue whilst existing treatment machines are decommissioned and new ones installed. TomoTherapy with its complete integrated solution, as utilised worldwide, has seen the most rapid start-up of radiotherapy of any modern technology.

Rapid start-up and service continuity

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Pioneer’s relocatable potential means that the complete suite can be relocated after a minimum period, meeting the needs of currently under-served populations with poor access to, and uptake of radiotherapy. The sheer quality of IG-IMRT delivered by TomoTherapy ensures that the best radiotherapy available in the world today, reaches more people.

Access

Technology advances mean that many time consuming tasks, critical to delivering radiotherapy, can be performed remotely, away from the treatment suite. Pioneer, offers the potential for remote planning services, such as outlining and plan creation, to be provided off-site. Plan QA results can be measured on-site but analysed off-site. A main cancer centre can manage these remote services for a satellite.

Remote planning

The TomoTherapy radiotherapy treatment system was built for simplicity and ease of use. Smart design and a single, common database drive a completely integratedprocess for delivering state-of-the-art radiotherapy treatments.

Combining image-guided and intensity-modulated radiotherapy (IG-IMRT), the treatment system offers greater precision, accuracy and assurance to cancer care.

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Remote PlanningOSL Remote eases the burden and costs associated with the time consuming yet critical tasks required to plan and check a patient’s radiotherapy course prior to the start of treatment. These complex tasks do not require direct patient contact and so can, with modern technology, be performed remote from the hospital.

With decades of experience in clinical treatment planning, medical physics, IT andnetworking and education of radiotherapy professionals, OSL is perfectly placed to deliver this option. Experienced clinical staff employed by OSL, provide remote outlining and treatment plan options, plus analysis of plan QA results. All images, plans and reports are then reviewed electronically back at the hospital for approval.

Room Planning & Design

Support & Training

Service & Repair

OSL offers training and comprehensive clinical and technical support services for all supplied products. This is on both a contracted and one-off basis. Delivered by our team of dedicated clinical specialists and technical engineers located throughout the UK, with close links to the clinical, scientific and technical departments of all our suppliers to ensure high quality support and a comprehensive response.

OSL can arrange for the service or repair on a wide selection of supplied products. For a quote please contact us.

OSL works closely with customers, architects, services and structural engineers and contractors in planning, designing and the building of bunkers and associated rooms for installation of linear accelerators. OSL will work closely with the design team or alternatively we can use our own design team for a full turnkey solution. OSL’sinvolvement continues through the construction phase with regular site visits and key stage inspections to ensure that works are correct and finished on time.

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Contact OSLtel: +44 (0)1743 462694fax: +44 (0)1743 462695enquiry@osl.uk.comwww.osl.uk.com

Certificate No:20032387