Service Contracts, Procuring Parts, and Timely Repairs

LINAC service contracts are used in hospitals and clinics on medical equipment and machines that are used in the process of treating cancer patients with radiation therapy.  LINAC service contracts are agreements between companies that state services will be performed on medical equipment as necessary for a specific time.

Linear accelerators are available in many medical facilities to be used in the treatment of cancer.  This machine allows radiation to conform to the size and shapes of tumors in patients with cancer.  This treatment is targeted to the cancerous tumors without affecting healthy tissues that are nearby.  Radiation oncology equipment is crucial to treatment.  This leads most hospitals and facilities to require regular service and maintenance on medical equipment throughout the radiation department.

Many companies servicing LINAC machines have replacement parts in stock and quick access to regularly needed replacement parts; this ensures that important equipment is serviced and repaired in a timely manner to avoid lengthy downtime.  The top five replacement parts kept on hand for linear accelerators maintenance and repair include:

  1. Thyratron

It is used as a high power electrical switch and as a controlled rectifier. It is a gas filled tube and it has the capacity to maintain much greater currents than similar hard-vacuum tubes. IT works according to the phenomenon known Townsend in which the gas becomes ionized on electron multiplication. The failure of thyratron can shut the entire system.

  1. Spare Pendant

Another of the important replacement parts of linear accelerators are spare pendants. They are used to control the motions on a linear accelerator machine. Control of linear set for a patient is limited if a spare pendant is not working.

  1. Hydraulic Actuator

A hydraulic actuator is a cylindrical or fluid motor which converts hydraulic power into mechanical energy used to do the mechanical work in the LINAC machine. It can produce linear, rotary or oscillatory motions. It has the capability for high outputs of force and can produce high power per unit of weight and volume measurement.

  1. MLC Motor

The multi- leaf collimator motors are known as MLC motor. These replacement parts of linear accelerators are used to accurately target the tumours in a radiation therapy by shaping the particle beams. They form a vital part in maintaining the capability of a LINAC machine to regulate the dosage of radiation for therapy sessions for different cancer patients. Hence, they are readily stocked to prevent the reduction of LINAC machine’s performance.

  1. Long/Lat drive for patient table

One of the most common but important replacement parts of linear accelerators are the devices used for moving/ driving the patient table in and out of the machine along with side-to-side movement during the therapy sessions. If these devices are not working LINAC machines cannot be operated due to the inability to move patient in the desired position to do the radiation therapy.

Medical repair companies offering service contracts on radiation oncology equipment maintain and keep replacement parts of linear accelerators on hand will prevent you from technical issues created by the last-minute equipment failure. If you need further information about the replacement parts of linear accelerators and from where to procure them feel free to contact us.

Learn more about Radparts and the variety of services and parts they offer to repair medical equipment including: linear accelerators parts, CT scanners parts, linac parts, and radiation oncology equipment at www.radparts.com.  To contact one of our medical equipment repair specialists for parts or service call toll free 877.704.3838 for 24/7/365 support.

 

Elekta Unity, World’s First High-Field MR-Linac, Receives CE Mark

New radiation therapy system will now be implemented clinically in Europe , ushering in a transformation in precision and personalized cancer treatment

STOCKHOLM, June 18, 2018 /CNW/ – Elekta (EKTA-B.ST) earlier today announced (14:15 CET) that its Elekta Unity magnetic resonance radiation therapy (MR/RT) system has received CE mark, clearing the technology for commercial sales and clinical use in Europe.

“Receiving CE mark for Unity is a big achievement in revolutionizing the field of radiation therapy and a real watershed moment for treating cancer,” said Richard Hausmann, President and CEO, Elekta. “The change that MR/RT will bring in cancer therapy is paramount in advancing patient treatment. I’m thankful to the MR-linac Consortium members, Philips (our MR technology partner) and our dedicated employees for helping us reach this important day.”

Unity has the potential to transform how clinicians treat cancer by enabling the delivery of the radiation dose while simultaneously visualizing the tumor and surrounding healthy tissue with high-quality MR images. Unity also integrates advanced tools that allow clinicians to adapt the patient’s treatment to this current anatomical information.

“Unity is a tremendous innovation in patient care, one that enables a scan-plan-treat approach to developing tailored regimens that should yield substantive clinical benefits,” said Bas Raaymakers, PhD, Professor of experimental clinical physics in the Department of Radiotherapy at University Medical Center (UMC) Utrecht. UMC Utrecht is a founding member of the Elekta MR-linac Consortium and the inventor of the high-field MR-linac concept. Raaymakers adds: “I am thrilled that our vision of personalized radiation therapy is becoming a clinical reality.”

About Elekta Unity
Unity employs a premium high-field diagnostic-quality (1.5 Tesla) MRI that provides unparalleled image clarity, giving clinicians greater flexibility in their approach to radiation therapy and ensuring that each patient receives optimal care based on individual tumor characteristics. Unity integrates MR imaging, linear accelerator technologies and advanced treatment planning into a single platform, allowing clinicians to see and track difficult-to-visualize soft tissue anatomies while radiation dose is being delivered. For the first time, this new technology addresses an unmet need in cancer therapy, enabling clinicians to confidently see and track the target during treatment and respond accordingly, personalizing therapy for each patient every time they are treated.

Elekta Unity has CE mark but is not available for commercial distribution or sale in the U.S.

About Elekta
Elekta is proud to be the leading innovator of equipment and software used to improve, prolong and save the lives of people with cancer and brain disorders. Our advanced, effective solutions are created in collaboration with customers, and more than 6,000 hospitals worldwide rely on Elekta technology. Our treatment solutions and oncology informatics portfolios are designed to enhance the delivery of radiation therapy, radiosurgery and brachytherapy, and to drive cost efficiency in clinical workflows. Elekta employs 3,600 people around the world. Headquartered in Stockholm, Sweden, Elekta is listed on NASDAQ Stockholm. http://www.elekta.com.

Original Source: https://www.pharmiweb.com/pressreleases/pressrel.asp?ROW_ID=281217

Original Date: June 18 2018

Published By:  PR Newswire

Choosing Replacement Parts For LINACS

LINACS, which is short for linear accelerator, is a very important piece of equipment in the medical world.  Linear accelerators utilize external beam radiation to destroy abnormal cells in the body, preventing the regrowth of tumors and most importantly, treating cancer without harming the healthy cells around it. LINAC technology is a combination of physics and engineering that is vital for saving lives, therefore, any hitches or glitches with the equipment is unacceptable.

Owing to the simple fact that most medical equipment needs regular maintenance to stay running properly and that a new linear accelerator will set you back a few thousands, if not millions of dollars, depending on the city, country of installation, as well as on the upgrades and features of each system, it helps to have around the clock access to a distributor of replacement parts for LINACS.

A linear accelerator contains hundreds of sensitive and sophisticated parts.  If one LINAC part gets damaged, it can easily cause a ripple effect and bring an oncologist’s clinic to a halt for a few good days, especially if they don’t have instant access to a professional maintenance team let alone replacement parts for LINACS. This is why having a linear accelerator part supplier at the touch of a button is important.   While buying a refurbished LINAC system may seem like the best way forward, oncologists can save thousands of dollars and get excellent value on quality replacement parts for LINACS when they buy them from a quality distributor who not only replaces the parts but will also offer regular repair services and solutions.

Cancer patients have to deal with a lot of life-threatening situations during their path to recovery such as infections. They need the reassurance that their doctors are taking every precaution necessary to ensure their safety. Radiation therapy has proven to be a highly effective method of cancer treatment, including relieving symptoms caused by more advanced cancers. Being a highly-targeted treatment that aims accurately at the cancer wherever it is in the body, radiotherapy contributes to about forty percent of all cancer cures and does a great job of alleviating cancer-related symptoms such as pain and in so doing, improves the quality of life for many cancer patients.

A linear accelerator is designed to deliver high does with precision and accuracy through photon beams to destroy cancer cells and diminish their ability to reproduce, which is why any malfunction should be addressed immediately to prevent any mishaps during treatments.

Learn more about Radparts and the variety of services and parts they offer to repair medical equipment including: linear accelerators parts, CT scanners parts, linac parts, and radiation oncology equipment at www.radparts.com.  To contact one of our medical equipment repair specialists for parts or service call toll free 877.704.3838 for 24/7/365 support.

 

Profiling extreme beams: Scientists devise new diagnostic for particle accelerators

Research team aims to measure micron-sized beams at Berkeley Lab’s BELLA Center


An electron beam passes through a mixture of hydrogen and xenon gases that it ionizes, transforming the mixture into a plasma of protons, xenon ions, and electrons. Cold plasma electrons appear as green dots and ionized xenon ions appear as red dots in this image.
Credit: Jean-Luc Vay and Rémi Lehe

The world’s cutting-edge particle accelerators are pushing the extremes in high-brightness beams and ultrashort pulses to explore matter in new ways.

To optimize their performance — and to prepare for next-generation facilities that will push these extremes further — scientists have devised a new tool that can measure how bright these beams are, even for pulses that last only femtoseconds (quadrillionths of a second) or attoseconds (quintillionths of a second). Comparing 1 attosecond to 1 second is like comparing 1 second to 31.7 billion years.

This tool can also measure beam sizes to within a few tens of nanometers (billionths of a meter) — without disrupting experiments that rely on these beams.

The new tool, dubbed a “charge density monitor,” could also provide more precise measures of fundamental physics in high-energy and high-field beam experiments, and help guide R&D efforts that seek to shrink the size and cost of particle collider and accelerator facilities while ramping up their capabilities.

The research using this proposed diagnostic could also impact disciplines ranging from plasma science to atomic physics, and could lead to new applications and reveal new physics.

At the U.S. Department of Energy’s Berkeley Lab Laser Accelerator (BELLA) Center, researchers hope to test this tool by measuring particle properties in the aftermath of an intense laser beam drilling through a jet of gas. In doing so, they hope to learn about the electron beam pulse emerging from this interaction.

“BELLA provides an ideal test bed for evaluating the potential of the beam-measuring method at a state-of-the-art advanced accelerator, since we aim at producing the brightest possible ultrashort bursts of electrons with our compact accelerator technology,” said Wim Leemans, director of the BELLA Center and the Accelerator Technology & Applied Physics Division at Lawrence Berkeley National Laboratory (Berkeley Lab).

“It would provide a powerful tool for measuring and improving BELLA’s beams.”

Leemans led the Berkeley Lab team of contributors as part of an international team in a technical study detailing the new method, published in the May 10 issue of the journal Physical Review X.

Roxana Tarkeshian, a researcher at the University of Bern and previously at the Paul Scherrer Institute, served as the lead author of the study and has pursued the new diagnostic method since 2015, with support from Thomas Feurer, a professor at the University of Bern and an expert in laser-based technology and space physics.

“Its ultrasensitive measurements at high resolution, and its low cost and compactness are among its assets,” Tarkeshian said.

The study details how intense particle beams can barrel through a low-density neutral gas, stripping away electrons from gas atoms through the strong electric fields associated with intense particle beams. An ionized (charged) cloud of matter known as a plasma — containing ions and electrons — forms in the process.

The technique’s “unprecedented” resolution for the duration and size of individual pulses for both electron beams and positron beams relates to an effect in which small changes in beam brightness of just a few percent to tens of percent can result in tens to hundreds of times more ions generated in the presence of an electric field, Tarkeshian noted.

The process is similar to what happens when a very intense, focused laser beam or X-ray pulse interacts with a gas and ionizes the atoms. But there are important differences in the physics of this ionization process for beams of light (photons) vs. other types of particle beams.

With beams of light, electrons and ions (charged particles) are produced throughout the beam’s footprint, and the plasma-associated electrons have a relatively low velocity and tend to hang around the column of ions until they are pulled away by an external electric field. Ions with positive charges then drift in the opposite direction and can be measured.

For electron (negatively charged) or positron (positively charged) particle beams, the shape of the electric field resembles a doughnut and produces a ring-shaped plasma column, with no ions initially left in the beam path — the hole of the doughnut. These particle beams can supply a powerful kick to electrons, which can leave a ring-shaped column of ions behind. And those ions can be guided away by an electric field to a detector that measures the number of ions, their speed, and their charged state.

The latest study shows that the new measurement tool can also glean more information about the beam itself from this “ion doughnut” under the right operating conditions — with the right density and mix of gases, for example.

The team carried out sophisticated simulations using a Berkeley Lab-refined computer code known as WARP and another code known as VSim. Researchers modeled the interaction of particle and photon beams with gases and the ensuing plasma-related dynamics.

“The simulations allowed us to zoom in space and time — from the centimeter scale down to the submicron size of the beam, and to follow the dynamics and distributions of electrons and ions at different timescales,” said Jean-Luc Vay, a senior scientist at Berkeley Lab who contributed to the WARP code and leads the Accelerator Modeling Program in the Lab’s ATAP Division.

Vay noted that aspects of the code proved key in the accurate modeling and understanding of differences between the effects of particle beams versus photon beams, and in finding the best way to tune and operate the system.

Once the full diagnostic system is implemented at accelerator systems, simulations will help to reality-check the actual measurements in experiments and help to develop a path for optimizing beam performance.

“Small changes could be resolved very precisely,” she said, based on measurements of individual beam pulses.

The proposed technique also opens up the possibility to study charge-induced dynamics in matter, and may provide more insight into timescales of fundamental atomic or molecular processes being studied with attosecond photon pulses, she said, including a property known as quantum tunneling in which a particle can appear to spontaneously “tunnel” through the potential barrier of the atom in defiance of classical physics.

And Tarkeshian points out that the proposed diagnostic could prove useful for existing X-ray free-electron lasers (XFELs) such as the Linac Coherent Light Source (LCLS) X-ray FEL at SLAC National Accelerator Laboratory, the FLASH facility at DESY in Germany, the SwissFEL at the Paul Scherrer Institute (PSI) in Switzerland, among others, and facilities under construction like the LCLS-II at SLAC.

For example, a prototype has been installed at LCLS with the support and contributions of SLAC scientist Patrick Krejcik and a team at PSI to diagnose the ultrashort, high-energy electron bunches produced by its accelerator.

Tarkeshian noted that other tools have been developed to provide measurements of accelerator and XFEL beam properties, but as the beams’ pulses pack more and more intensity and energy into shorter and shorter pulses, new tools will be needed to keep pace with these extreme beams.

She credited some decades-old work on a proposed diagnostic for a test accelerator project at SLAC known as the Final Focus Test Beam, or FFTB, in paving the way for this new design concept.

“In our latest work, we have studied not only the concepts but also have addressed the challenges that this technique may face experimentally,” Tarkeshian said.

“It’s great to revive this unfinished concept from decades ago with new ideas, and with continued support we can realize its potential,” she added. “This is a very open path, and we are just beginning.”

Leemans said, “We think that the practical realization of this innovative technique will ultimately be of broad interest to the international high-energy physics and the general accelerator-driven science communities.”

The work was supported by the DOE Office of Science’s Office of High Energy Physics, the European Union’s Seventh Framework Program, and the Swiss National Science Foundation.

Original Source: https://www.sciencedaily.com/releases/2018/05/180510145942.htm

Original Date: May 10 2018
Written by: DOE/Lawrence Berkeley National Laboratory

The Importance of On-Time Medical Equipment Repair

When you have a business in the medical field, you need to make sure that your equipment is running smoothly. When something breaks, you need to call a repair person quick or else you’ll have to reschedule appointments, which can hurt your bottom line. When your equipment needs new linear accelerator parts, you need a trustworthy repair company that will come out and fix it so that you can go back to running your healthcare clinic.

When you hire the right company, you want to make sure that they come out when they say they will because if they are late or not following the schedule, you’re not only losing money, patient care suffers. Your medical equipment is what makes your practice or clinic money and is imperative for seeing patients. When it’s broken, you need it up and running fast! You have no time to waste because broken medical equipment can take a while to repair, especially if you need to order special linear accelerator parts.

Finding a reliable medical equipment repair company is so important, you might want to look into having some back up refurbished linear accelerators just in case anything happens. This way, you’ll be able to still see patients while your other equipment is being fixed. You won’t have to shut down for the day or reschedule your patients since the refurbished linear accelerators in your office will work just as good as your primary ones.

Refurbished linear accelerators are merely older models that have been refurbished with new linear accelerator parts so that they’re in working condition. In fact, many run smoother than brand new equipment as it has had time for the kinks to be worked out. Having more than one machine in your practice means you won’t be rushed into finding an on-time medical equipment repair company. You won’t have to stress about not being able to accommodate patients and your repair person can take their time figuring out when your primary machine isn’t working properly. Although you ideally want to find an on-time medical equipment company to come out to service your machines, you won’t have as much of a headache knowing that you have a backup refurbished linear accelerator to handle your patient load in the meantime.

Learn more about Radparts and the variety of services and parts they offer to repair medical equipment including: linear accelerators parts, CT scanners parts, linac parts, and radiation oncology equipment at www.radparts.com.  To contact one of our medical equipment repair specialists for parts or service call toll free 877.704.3838 for 24/7/365 support.

 

World’s fastest water heater: 100,000 degrees Celsius in less than a tenth of a picosecond

Scientists explore exotic state of liquid with X-ray laser


Screen shot of a simulation of water molecules and atoms in the first 70 femtoseconds of the intense X-ray pulse. The experimental data were used to validate the theoretical modelling of the dynamics.
Credit: Carl Caleman, CFEL/DESY and Uppsala University

Scientists have used a powerful X-ray laser to heat water from room temperature to 100,000 degrees Celsius in less than a tenth of a picosecond (millionth of a millionth of a second). The experimental set-up, that can be seen as the world’s fastest water heater, produced an exotic state of water, from which researchers hope to learn more about the peculiar characteristics of Earth’s most important liquid. The observations also have practical use for the probing biological and many other samples with X-ray lasers. The team of Carl Caleman from the Center for Free-Electron Laser Science (CFEL) at DESY and Uppsala University (Sweden) reports its findings in the journal Proceedings of the National Academy of Sciences (PNAS).

The researchers used the X-ray free-electron laser Linac Coherent Light Source LCLS at the SLAC National Accelerator Laboratory in the U.S. to shoot extremely intense and ultra-short flashes of X-rays at a jet of water. “It is not the usual way to boil your water,” said Caleman. “Normally, when you heat water, the molecules will just be shaken stronger and stronger.” On the molecular level, heat is motion — the hotter, the faster the motion of the molecules. This can be achieved, for example, via heat transfer from a stove, or more directly with microwaves that make the water molecules swing back and forth ever faster in step with the electromagnetic field.

“Our heating is fundamentally different,” explained Caleman. “The energetic X-rays punch electrons out of the water molecules, thereby destroying the balance of electric charges. So, suddenly the atoms feel a strong repulsive force and start to move violently.” In less than 75 femtoseconds, that’s 75 millionths of a billionth of a second or 0.000 000 000 000 075 seconds, the water goes through a phase transition from liquid to plasma. A plasma is a state of matter where the electrons have been removed from the atoms, leading to a sort of electrically charged gas.

“But while the water transforms from liquid to plasma, it still remains at the density of liquid water, as the atoms didn’t have time to move significantly yet,” said co-author Olof Jönsson from Uppsala University. This exotic state of matter is nothing that can be found naturally on Earth. “It has similar characteristics as some plasmas in the sun and the gas giant Jupiter, but has a lower density. Meanwhile, it is hotter than Earth’s core.”

The scientists used their measurements to validate simulations of the process. Together, the measurements and simulations allow to study this exotic state of water in order to learn more about water’s general properties. “Water really is an odd liquid, and if it weren’t for its peculiar characteristics, many things on Earth wouldn’t be as they are, particularly life,” Jönsson emphasised. Water displays many anomalies, including its density, heat capacity and thermal conductivity. It it these anomalies that will be investigated within the future Centre for Water Science (CWS) planned at DESY, and the obtained results are of great importance for the acivities there.

Apart from its fundamental significance, the study also has immediate practical significance. X-ray lasers are often used to investigate the atomic structure of tiny samples. “It is important for any experiment involving liquids at X-ray lasers,” said co-author Kenneth Beyerlein from CFEL. “In fact, any sample that you put into the X-ray beam will be destroyed in the way that we observed. If you analyse anything that is not a crystal, you have to consider this.”

The measurements show almost no structural changes in the water up to 25 femtoseconds after the X-ray pulse starts to hit it. But at 75 femtoseconds, changes are already evident. “The study gives us a better understanding of what we do to different samples,” explained co-author Nicusor Timneanu from Uppsala University, one of the key scientist developing the theoretical model used. “Its observations are also important to consider for the development of techniques to image single molecules or other tiny particles with X-ray lasers.”

Original source: https://www.sciencedaily.com/releases/2018/05/180514151923.htm

Original Author: Deutsches Elektronen-Synchrotron DESY

Written Date: May 14 2018

Analyzing Linear Accelerators and Their Major Components

Linear accelerators are widely used for the treatment of cancer using high radio-frequency electromagnetic waves to speed up electrons to increased energy in a linear path inside of an accelerator waveguide.  The frequency is medical LINACs is around 3 billion Hertz.  As the most common form of external beam radiation treatment after a cancer diagnosis it is crucial for end users to have a basic understanding of what a LINAC is.  As well as how the major components within LINAC systems work in conjunction with one another to produce radiation treatment.

Consider how a microwave oven works.  This is in the most basic sense how a linear accelerator operates.  A LINAC uses microwave technology to accelerate charged particles within a waveguide, tube like structure.  These electrons then strike a metal target producing photons. It is these photons that are focused on the cancerous tumor.  This radiation is delivered in the shape of the tumor to avoid contact with healthy tissues with the use of a variety of positioning devices.   Now that we have a general understanding of the linear accelerator lets take a look into the major components that allow LINAC systems to operate as we know them to as of today.

Drive Stand:

A drive stand is a rather large cabinet, usually rectangular in shape, that secures the LINAC machine to the floor of the treatment room that houses the gantry.

Gantry:

The gantry is a moveable frame of the LINAC that is located in the drive stand and rotates on a horizontal axis.  It helps direct the photon beams directly into the patient’s tumor.  The gantry rotates 360 degrees on its axis.  There are three components that are found within the gantry: the electron gun, accelerator structure, and treatment head.

Klystron:

The klystron is a major component that is located within the drive stand that delivers the microwave energy that is used to accelerate the electrons through amplified RF electromagnetic waves.

Accelerator Guide:

The energy from the klystron moves to the accelerator structure to speed up electrons.

Treatment Head:

The treatment head of a LINAC encases the components that shape the radiation to the specific size of the cancerous tumor.  This can include: bending magnets, primary collimator, beam flattening filter, wedges, blocks, and compensators.

Cooling System:

The water cooling system in a linear accelerator is located within the drive stand and gantry to regulate the temperature in the space.

In our next installment we will look in greater detail to the treatment head of a LINAC system and the variety of components housed within that help shape radiation beams into the shape of different cancerous tumors.

Learn more about Radparts and the variety of services and parts they offer to repair medical equipment including: linear accelerators parts, CT scanners parts, linac parts, and radiation oncology equipment at www.radparts.com.  To contact one of our medical equipment repair specialists for parts or service call toll free 877.704.3838 for 24/7/365 support

Advantages of Purchasing Refurbished Radiation Oncology Equipment

Purchasing refurbished medical equipment is never a bad idea. Despite the allure of buying new radiation oncology equipment, purchasing a refurbished linear accelerator for your practice might be a better choice. There is a lot to consider when you’re getting ready to purchase radiation oncology equipment for your practice like space, budget, and personnel impacts.  Before you purchase all-new equipment consider just a few of the advantages of buying refurbished medical equipment below:

  1. Costs

The biggest advantage when buying refurbished linear accelerator equipment is the cost. Buying new can really blow your entire budget, but used ones can actually make your budget stretch more, allowing you to do other things for your practice. By going for the cheaper option, you still get a quality piece of equipment at a fraction of the cost of what you would pay for a new model.

 

  1. Buy More Equipment

If you’d like to offer more services to your patients, you can easily buy two or more pieces of radiation oncology equipment for your practice instead of just buying one new linear accelerator. This allows you to treat more patients for the price of what you would have spent if you only bought one machine. This way your practice can offer more appointments, getting more patients on the books and increasing your ROI.

 

  1. Use That Money Elsewhere

For the price you’ll buy for a refurbished linear accelerator, you can use that extra money to do other things that will benefit your practice. You can use that money to redesign the patient waiting room area or hire more staff for better customer service. If buying a used machine is just as good as a new one and will get the job done, why not use that extra money for good somewhere else? This way you’ll be able to grow your practice and expand its success.

 

  1. New Equipment For Half The Price

Refurbished pieces have been fixed by professionals to function like new, so you’ll get a practically brand-new linear accelerator affordably! Every refurbished piece is seen by a skilled medical technician before getting discharged back into service, so everything that needed fixing was fixed and you get something practically new without the new price tag.

As with any piece of medical equipment new or refurbished, there are times when equipment fails or needs maintenance.  For these instances there are professionals offering service and parts to repair and maintain linear accelerators.  Companies such as Radparts offer a huge selection of linear accelerator parts and innovative replacement and repair solutions that in many cases can save you up to 50% or more on your linear accelerator parts costs.

Learn more about Radparts and the variety of services and parts they offer to repair medical equipment including: linear accelerators parts, CT scanners parts, linac parts, and radiation oncology equipment at www.radparts.com.  To contact one of our medical equipment repair specialists for parts or service call toll free 877.704.3838 for 24/7/365 support.

Correcting tiny differences in patient’s position for radiotherapy could increase survival chances

Barcelona, Spain: Very small differences in the way a patient lies during radiotherapy treatment for lung or oesophageal cancer can have an impact on how likely they are to survive, according to research presented at the ESTRO 37 conference.

These differences of only a few millimetres can mean that the radiation treatment designed to target patients’ tumours can move fractionally closer to the heart, where it can cause unintentional damage and reduce survival chances.

The finding suggests that survival could be improved by tightening up treatment guidelines to ensure patients are positioned more accurately.

Radiotherapy plays an important role in cancer care in, amongst others, hard to treat tumours such as lung and oesophageal cancer. However, it can cause side-effects and previous research shows that radiotherapy to the chest can have negative long-term effects on the heart, for example, increasing the risk of heart disease.

When planning radiotherapy treatment, cancer specialists create a CT image of their patient. This reveals the exact position and size of the tumour within the body. At each subsequent treatment, another image is created and used to check that the patient and, therefore, the tumour is in the same position, within a certain threshold, before the treatment is delivered.

The new research was presented by Corinne Johnson, a medical physics PhD student at the Manchester Cancer Research Centre, part of the Christie NHS Foundation Trust and the University of Manchester, UK.

She and her colleagues studied a group of 780 patients with non-small cell lung cancer who were treated with radiotherapy. For each treatment, patients were positioned on the treatment machine and an image was taken to confirm that they lay within 5mm of their original position. They used the data from these images to gauge how accurately the radiotherapy dose was delivered over the course of treatment, and whether it was shifted slightly closer or slightly further away from the patient’s heart.

When they compared these data with how likely patients were to survive, they found that patients with slight shifts towards their hearts were around 30 per cent more likely to die than those with similar sized shifts away from their hearts.

When they repeated the research with a group of 177 oesophageal cancer patients, they found an even greater difference of around 50 per cent. In both groups the pattern of survival remained even when researchers took other factors such as the patient’s age into account.

Johnson explains: “We already know that using imaging can help us to target cancers much more precisely and make radiotherapy treatment more effective.

“This study examines how small differences in how a patient is lying can affect survival, even when an imaging protocol is used. It tells us that even very small remaining errors can have a major impact on patients’ survival chances, particularly when tumours are close to a vital organ like the heart.

“By imaging patients more frequently and by reducing the threshold on the accuracy of their position, we can help lower the dose of radiation that reaches the heart and avoid unnecessary damage.”

Johnson and her colleagues are now looking at the data in more detail to see whether particular regions of the heart are more sensitive to radiation than others, and they hope to investigate the effect of differences in patient position in other types of cancer.

President of ESTRO, Professor Yolande Lievens, head of the department of radiation oncology at Ghent University Hospital, Belgium, said: “Radiotherapy treatments are given according to strict protocols to ensure that patients get the most effective treatment with the fewest possible side-effects. This research suggests that changes to lung and oesophageal cancer protocols could positively impact the overall survival of patients with these cancers, both of which have relatively high mortality rates.”

Original Source: https://eurekalert.org/pub_releases/2018-04/esfr-ctd041918.php

Original Date: April 21 2018