Embed Size (px)
Citation preview
The Netherlands+31 (0)24 648 86 88
Belgium +32 (0)3 309 32 09 [email protected] www.gotoPEO.com
Near 360 degree treatment access
TM
kVue™ Access 360™
Prone Breast Couch Top Insert
PATENT PENDING
TMAccess360
The Netherlands+31 (0)24 648 86 88
Belgium+32 (0)3 309 32 09 [email protected] www.gotoPEO.com
Due to its potential to significantly reduce dose to heart and lung, prone breast treatment is becoming an important option in the battle against breast cancer. Growing evidence suggests that, for many women, it may have considerable advantages over the supine position. 1-4
The kVue™ Access 360™ is designed to allow breast cancer treatment for both left and right breast, including whole breast, partial breast and accelerated breast treatments. Placing the patient in prone position helps increase separation of the breast from critical organs at risk. This means that exposure to the heart, lung and surrounding healthy tissue may be minimized, while providing the potential for: • More uniform dose delivery • Less skin toxicity • Reduced respiratory motion
The sleek, cantilever design provides both oblique and non-coplanar access, potentially enabling higher dose per fraction. Since the beam path is primarily through the breast with minimal couch top interference, artifacts and scattering may be minimized.
kVue™ Access 360™
Prone Breast Devicewith Supraclavicular Access
Typical cross-section of patient on the Access 360™
Near 360 Degree Treatment Access
Supraclavicular Access
The unique grid window provides full access to treat the supraclavicular nodes. The supraclavicular access allows patient treatment to be accomplished in one setup if desired.
Supraclavicular accesskVue™ Access 360™ with Varian Linear Accelerator
The Netherlands+31 (0)24 648 86 88
Belgium+32 (0)3 309 32 09 [email protected] www.gotoPEO.com
CT Simulation
CT Risers allow for seamless transition from simulation to treatment
• 13 cm CT risers index to existing Overlays with 2-pin locating bars• 2.5 cm CT riser shims attach to the CT risers to raise the insert• Rigid, lightweight CT risers are coated for easy cleaning
Alignment
• Virtual Indexing™ provides confirmation of patient alignment.• Contralateral scale aligns with Virtual Indexing for laser alignment.• Knee alignment marks aid in patient positioning during setup.
CT risers and CT riser shims
Virtual Indexing
“0” Marking on scale lines up with center of Virtual Indexing
Fiducial markers
Laser alignment
Inferior millimeter scale
Knee alignment marks
Ipsilateralscale
The Netherlands+31 (0)24 648 86 88
Belgium+32 (0)3 309 32 09 [email protected] www.gotoPEO.com
RT-4551CART kVue Storage Cart (included)
RT-4544KV - Access 360™ Package• 2 Couch Top Inserts with Foam Cushions• 2 Headrests (1 Prone and 1 Contour)• 2 Hand Grips (1 Dual and 1 Ipsilateral)• 1 Set of CT Risers with stackable CT Riser Shims• 1 kVue Storage Cart
Near 360 degree treatment access
Two Hand GripsUsing either the ipsilateral hand grip for individuals with limited arm mobility or the ergonomically designed dual hand grip, which helps relieve wrist stress, the arms are positioned above the head in a natural, comfortable position.
Two HeadrestsTwo special head cushions, the prone headrest and contour headrest, also help with patient comfort and positioning. When using the contour headrest the patient faces sideways. This may provide additional separation of the breast from critical organs, specifically the heart and lung. The prone headrest design allows free breathing and may be more comfortable for some individuals.
M038Rev 8/13
References1. Buijsen, Jeroen, et al. “Prone Breast Irradiation for Pendulous Breasts.” Radiotherapy and oncology : Journal of the European Society for Therapeutic Radiology and Oncology 82.3 (2007): 337-40.2. Formenti, Silvia C., et al. “Prone Accelerated Partial Breast Irradiation after Breast Conserving Surgery: Preliminary Clinical Results and Dose-Volume Histogram Analysis.” IJROBP 60.2 (2004): 493-504.3. Morrow, Natalya V., et al. “Intra- and Interfractional Variations for Prone Breast Irradiation: An Indication for Image-Guided Radiotherapy.” IJROBP 69.3 (2007): 910-17.4. Grann, Alison, et al. “Prone Breast Radiotherapy in Early-Stage Breast Cancer: a Preliminary Analysis.” IJROP 47.2 (2000): 319-25.
