ABSTRACT

The robotic radiosurgery system, CyberKnife®, provides several technologies to achieve an accurate and precise treatment for lung cancer patients. The CyberKnife system is a frameless robotic stereotactic radiosurgery system. This chapter describes the motion management technologies of the CyberKnife system, as well as considerations specific to lung treatment. It provides an overview of how the CyberKnife system is applied clinically and explains workflow of its use in treating a lung tumor. Like a conventional C-arm linac, lung patients are scanned head first in the supine position. The chapter suggests that some techniques for performing quality assessment (QA) and quality control of lung tumor treatments. An anthropomorphic lung phantom called the Xsight Lung Tracking (XLT) Phantom is available for end-to-end QA testing. A QA plan is created on a computed tomography (CT) scan of the XLT phantom. Lung patients being treated with CyberKnife should be imaged using a fast spiral multiple slice CT scanner.