BRACHYTHERAPY SYSTEM

Treatment Delivery Unit

• Mobile treatment delivery unit with built-in source container for approved storage of up to 444 GBq
(12 Ci) Ir-192
• Dose equivalent rate at a 50 mm distance from the surface of the TDU: ≤ 0.01 mSv h× −1
• Source container material: tungsten
• Leak testing meets ISO 2919 requirements
• Forward stepping source technology
• Source position accuracy: 0.5 mm
• Source movement: incremental stepper motor at 50 cm/sec
• Cable drive for check cable with dummy source
• Channels 30 or more
• Number of dwell positions: 401 with 1 mm step sizes
• Maximum treatment length: 400 mm
• Reference zero at entrance of applicator
• Height: 975 mm
• Width: 445 mm
• Dept: 631 mm
• Weight: 98 kg
• Power requirements: 200 W
• Line voltage: 100V-240 V & 50-60 Hz
• Uninterruptable Power Supply (UPS)
• Integrated back-up battery
Radioactive Source
• Isotope type: Ir-192
• Source with flexible metal cable construction with a partially reduced diameter at the distal end
• Nominal source strength at delivery: 10 Ci +/-10% (9.0-11.0 Ci)
• Source capsule: stainless steel, 0.86 x 4.6 mm
• Pellet construction: single solid Iridium rod, 0.6 x 3.5 mm
• Laser welded source to cable connection with additional protective collar for extra durability
• Maximum number of source transfers: 30,000 transfers
• Source cable: main part O 0.85 mm; highly flexible end part O 0.5 mm
• Minimal catheter curvature: R = 13 mm
• Finished device test includes 100% visual inspection and dimensional verification
• Surface contamination test according to ISO 9978
• International standards to which sources conform: ISO 2919, ISO 9978, IAEA ST1
Quality Assurance
• Built-in QA components to ensure safe and reliable system operation
–– check cable to detect catheter obstructions in connected transfer tubes and applicators
–– modular precision source drives that permanently monitor all source steps made
–– channel selector that permanently monitors all transfer tube connections to afterloader
–– battery powered DC motor source retraction system
–– detection of source retraction by proximity switches
–– detection of source retraction by mechanical end stop
–– integrated radiation detector for source return confirmation
–– manual source retraction option with drive motor disconnection mechanism
• Source position accuracy verification
–– using a source position check ruler and digital camera
–– source position adjustable by user (+/- 2 mm)
• Source activity verification by well chamber for source calibration
• Source wipe procedure for detection of radiation contamination using the source exchange and wipe
tool
• Independent room radiation monitoring system with radiation warning lights column outside the
treatment room to detect radiation in the treatment room
• User ID and password protection
Treatment Control Console
• Time-saving intuitive user interface provides clear treatment delivery workfl ow guidance for operator
• Clear module selection
– treatment
– plan manager
– maintenance
– reports
– QA
• Patient plan and system information at a glance
• Information bar shows system status and next steps in workflow
• System checklist provides continuously status and safety information
• Visual display of channels and dwell positions using a color scheme showing exact status of source and
dwell positions
• Supports import of DICOM treatment plans and treatment records via network or external storage
devices
• Connects seamlessly with MOSAIQR and other DICOM unified worklist compliant oncology information
systems
• Simple creation and editing of plans via Plan Manager module
• Pre- and post treatment report generation
• Local database for patient plans and reports
• Individual user permission and password protection
• All TCC functionality is delivered on a standard desktop PC, with 22” TFT display
Treatment Control Panel
• Separate touch screen interface to control treatment delivery
• Powered by and directly connected to the treatment delivery unit
• Displays an alarm and code in alarm conditions
• Produces an audio alarm in alarm conditions
• Table top panel with emergency button
• During treatment, the remaining treatment time and radiation status are displayed
• Height: 219 mm
• Width: 195 mm
• Depth: 150 mm
• Weight: 5 kg (11 lbs)

• Multiple service options to support you and maintain your system for optimum reliability and safety
• An unprecedented range of brachytherapy training and education options that bring you up to speed
with current practice and novel brachytherapy approaches
• Upgradable design to future innovations
TREATMEMT PLANNING SYSTEM SPECIFICATIONS

2D and 3D imaging (Support of X-ray, CT, MR, US and PET/CT Images)

Image registration / fusion
• Identity registration
• Mutual information (intensity-based) registration
• Landmark-based registration using three or more userdefined points
• 3D surface-matching registration
• Manual registration
• Static ultrasound images can be imported via US DICOMizer
Film based reconstruction methods

Contouring
(3D) contouring on fused images
• Slider to scroll between images
• Spyglass
• Checkerboard, rectangle and blended images display
• Continuous or polygon drawing
• Contouring on transverse, sagittal and coronal planes
• Contouring on any arbitrary plane
• Contour extrapolation and interpolation
• Boolean operations:
- Union (composition for PTV)
- Subtraction (wall extraction, e.g. bladder)
• 3D and 2D magic wand tool for automatic contouring
• Rapid volume contouring
• Magnifying glass to measure distance and angles
• Pearl tool
• Support for bifurcating structures

Catheter Reconstruction / Applicator Placement

Catheter / implant reconstruction techniques on films and
CT/MR data sets
• 3D tomographic catheter reconstruction
• Reconstruction on arbitrary planes (Multi Planar)
• Slice by slice reconstruction
• Auto-recognition of catheters (plastic or metal)
• Definition of catheter offset
• Connector end / tip end
• Support of non-reconstructed catheters
• Reconstruction on registered datasets, using image fusion (optional)
• Supports film data entry from film scanner in JPEG and Bitmap format
• Describing points
• Tracking method / tracking between ends
• Use of correspondence lines
Applicator modeling
• Applicator library manager
• Supports our gynecological applicators, including shielded applicators
• Supports projective films, CT and MR data
• Measured source paths for ring applicators
Dose Calculation
• AAPM TG-43 and TG-186
• Active length: maximum 47 cm
• Implant size: maximum 90 catheters
• Display of source strength and apparent source activity at calibration date and current date
Advanced Collapsed cone Engine (ACE)
• Model-based dose calculation algorithm
• Allows to follow the AAPM TG-186 recommendations
Dose Optimization
Forward optimization
• Manual
• Geometrical
• Graphical
• Dose point
Inverse planning / optimization
• Inverse Planning Simulated Annealing (IPSA), with Dwell Time Deviation Constraint (DTDC)
• Hybrid Inverse Planning Optimization (HIPO), with
Dwell Time Gradient Restriction (DTGR) and needle locking
Dose Evaluation
Plan evaluation and analysis
• DVH presets
• Live dose display tool in any plane and 3D
• Cold and hot spot display on any slice
• Cold and hot spot display in 3D view
• Multiple plan comparison
• Synchronized plans comparison
Import / Export
Reporting
• Treatment plan printout
• Output manager
• Hardcopy isodose distributions
• User defined scaling
• Source decay tables
• Screenshots of current views
DICOM connectivity and export possibilities
• Comprehensive DICOM implementation
• DICOM RT import and export for:
-- DICOM RT images
-- DICOM RT structure sets
-- DICOM RT plans
-- DICOM RT doses
-- DICOM query and retrieve
-- DICOM gateway to other DICOM compliant treatment planning systems
-- Plan export to Treatment Communication Console
Source loading
• Individual placements
• Step size (1.0 mm)
• Activation of all positions, every second, every nth position
• Copy / paste source positions
• Auto activation in target with definable margin
• Indexer length definition
Special points
• Patient points
• Applicator points
• Dose points of different types (axis, catheter, basal, on distance at lowest dose, on target surface)
Coordinate system definition
• Extra coordinate systems such as applicator coordinate system and other user defined coordinate
systems
Library plan
• Storage of treatment plans in a library
• Sorting tools like body site and applicator type
Selection of system units
• Source strength
• Dose
• Distance
• Apparent source activity as secondary unit (optional)
User interface customization options
• Sets of isodose lines for multiple body sites
• Customizable workspaces
• Shortcut key combinations
• Displayed text information, scale markers, legends
Region of Interest catalog manager
• Institution-wide shared dictionary
• Contains structure labels, color, mass density and ROI type
• Implements standard DICOM structure types
• Structure set approval
Margining tools
• 3D margining: allows user-defined expansion margins in all 6 directions
• Differential margining: allows asymmetric margining
3D advanced (volume-based)
• Includes IPSA and image registration
• Includes image registration
APPLICATORS SPECIFICATIONS

Safety features
The respondent shall supply details of the connection design and safety
features that ensure that the applicator lines are attached to both the
treatment unit and applicators or catheters in a fail safe manner.

All applicators shall provide a continuous and operator failure proof pathway
for the radioactive source with connection outside the patient's body only

For all applicators supplied by the respondent, the respondent must take
responsibility for warranty and validation with the afterloading unit.

The respondent shall specify if these items are disposable or reusable.

Connection to afterloader
An interlock shall inhibit the movement of the radioactive source from the
radiation shielded position if the applicator is not correctly connected. An
appropriate warning indication shall occur in this case. The respondent shall
provide full details of the interlock sensing design and the procedure to follow
when such error occurs.

All treatment tubes used to connect needles and applicators must be of a

constant length and have some method that maintains a constant and
verifiable treatment length, to ensure precise source positioning.

Disconnection / connection of the transit tube to the applicator should be

easy

Body site specific

The HDR system must have an extensive range of applicators available to
treat all body sites including intraluminal, interstitial, superficial and
intracavitary as well as those required for intraoperative treatments.

Body sites specific