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The TomoTherapy Hi-ART Technology Difference

Being designed from the outset to deliver ADAPTIVE radiotherapy, gave the developers of Hi-ART® the opportunity to really design a machine for the demands of the future, and not rely on trying to continually modify and add to old technology.

TomoTherapy Technology Design Features

Increased Treatment Conformality

  • Reduced penumbra from thick CT-type primary collimators
  • Reduced penumbra from inter-leaved binary MLCs
  • Reduced scatter of binary MLCs (also important for 4D motion tracking)
  • Tens of thousands of beamlets per plan (compared to hundreds for conventional IMRT)
  • Reduced radiation leakage from collimators and MLCs 
Imaging, Adaptive RT & Accuracy
  • MVCT images showing high definition soft tissue anatomy for positional adaptive RT
  • MVCT images reduced scatter allowing high density objects to be seen & planned accurately
  • Highly accurate CT numbers from MVCT numbers to re-calculate dose for dose adaptive RT - UNIQUE
  • Onboard automatic image fusion for soft and bony tissue
  • Fast on-line, on treatment image fusion and adaptive RT, compared to retrospective off-line analysis
  • High precision CT couch movements
  • High precision gantry rotation movements
  • Smaller defined, high precision isocentre
  • Share source/target for treatment and imaging beam
Safety
  • Fully integrated system, from planning to imaging to treatment & QA
  • Reduced leakage radiation through primary collimators
  • Reduced leakage through binary MLCs...usually not accounted for in conventional IMRT
  • Low imaging dose from MVCT
  • Reduced scatter radiation from MVCT (compared to cone beam CT)
  • Primary radiation beam stopper/barrier in-built in gantry
  • Fully digital machine automatically monitoring every action & pulse of machine
  • Reduced errors - minimised transcription errors for fully integrated database - plus integrated R&V 
ReferencesThe use of megavoltage CT (MCVT) images for dose recomputations.Phys Med Biol 50 (2005), 4259-4276