Stereotactic Radiosurgery with the CyberKnife® System

Precise robotic treatment as individual as every patient

With the first-and-only robotic-arm-mounted linear accelerator, stereotactic radiosurgery with the CyberKnife® System enables uniquely precise and versatile radiosurgical treatments of neurological indications and functional disorders, and spine tumors.

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PRECISION

Accurate, sub-millimeter stereotactic treatments anywhere in the body

MOTION SYNCHRONIZATION

Personalized delivery in sync with target motion for brain and spine indications

SPEED

Fast installation, planning and delivery

Learn more about Stereotactic Radiosurgery with the CyberKnife® System

What Makes the CyberKnife® System Unique?

True Robotic Delivery Precision

Non-coplanar delivery with sub-millimeter accuracy from virtually any angle

Integrated Intrafraction imaging

Continuous visibility of target position throughout treatment — without interrupting delivery

AI-Driven Tracking & Correction

Automatic real-time synchronization to    target motion

An Unprecedented Combination

  • Speed
  • Precision
  • Motion Synchronization

Proven Efficacy in Radiosurgical Conditions

CONTINUOUS SUB-MILLIMETER PRECISION AND ACCURACY

CyberKnife® frameless radiosurgery offers the least invasive technique for certain functional disorders with clinical outcomes comparable to frame-based radiosurgery.

Romanelli et al. Image-Guided Robotic Radiosurgery for Trigeminal Neuralgia. Neurosurgery. 2017 Dec 23.

138 trigeminal neuralgia patients treated to median dose 75 Gy and median target length 5.7 mm

Actuarial pain control rate at 6, 12, 24, and 36 months
were 93.5%, 85.8%, 79.7%, and 76% respectively

Pain relief was achieved in 93.5% of patients

Monthly tests demonstrated a median Total Treatment Error (TTE) of 0.30 ± 0.12 mm

Enabling Better Patient Outcomes

Robotic Precision

MITIGATING SIDE EFFECTS

CyberKnife robotic delivery allows for multiple beams of radiation for excellent dose distribution, reduced margins and minimized dose to radiosensitive structures to reduce the risk of side effects.

Frameless Delivery

INCREASING COMFORT & CONVENIENCE

Frameless delivery allows convenient treatment in more than one session — without requiring constrictive patient immobilization techniques.

Conti A et al. Image-Guided Multisession Radiosurgery of Skull Base Meningiomas. Cancers (Basel). 2020 Nov 29;12(12):E3569

Real-Time Adaptive Delivery

Automatic Motion Synchronization Technology

Synchrony® Skull Tracking™

CyberKnife robotic delivery allows for multiple beams of radiation for excellent dose distribution, reduced margins and minimized dose to radiosensitive structures to reduce the risk of side effects.

Synchrony® Spine Tracking
Supine™ Spine Tracking Prone™

Frameless delivery allows convenient treatment in more than one session — without requiring constrictive patient immobilization techniques.

CyberKnife System + Brainlab Radiotherapy Planning Solutions

The powerful partnership between Accuray and Brainlab brings a new level of precision in neurologic treatment planning for the CyberKnife® System, improving functional preservation for patients. Clinicians using the CyberKnife have seamless access to the full Brainlab Elements suite of radiotherapy planning solutions, which set an industry standard for accuracy, speed and verification for image fusion, combining highly automated workflows a high degree of customization — without sacrificing clinical efficiency.

Highly Automated Customization

Clinicians can use the Elements suite to quickly customize and personalize treatment plans, leveraging highly automated workflows with easy manual intervention — all fully integrated with the CyberKnife technology.

Enhanced Precision

The Elements suite drives more customized treatment planning, allowing clinicians to fully leverage the ultra-precise treatment delivery capabilities of the CyberKnife to protecting surrounding healthy tissues and maximize treatment efficacy.

Practical Clinical Efficiency

The combination of Elements intelligently automated treatment planning workflows and the efficient robotic precision of the CyberKnife makes it practical for clinicians to create and deliver highly personalized treatments for every patient, without sacrificing clinical efficiency.

Clinical Evidence

Real-world outcomes of CyberKnife radiosurgery

Case 1. Recurrent glioblastoma after postoperative chemoradiotherapy

Image 1: Recurrent glioblastoma CyberKnife treatment plan – Courtesy of Huashan Hospital

Image 2: Recurrent glioblastoma CyberKnife treatment course and follow up – Courtesy of Huashan Hospital

Case 2. Treatment of arteriovenous malformation using CyberKnife

Image 1: DSA of right frontoparietal AVM before CyberKnife treatment – Courtesy of Huashan Hospital

Image 2: DSA of right frontoparietal AVM CyberKnife treatment plan – Courtesy of Huashan Hospital

Image 3: DSA showed complete obliteration of the malformed vessel 5 years after CyberKnife treatment – Courtesy of Huashan Hospital

Case 3. A case of CyberKnife treatment to brain metastases (2 sites)

Image 1: Brain metastases imaging results – Courtesy of Huashan Hospital

Image 2: Brain metastases CyberKnife treatment plan – Courtesy of Huashan Hospital

Image 3: Follow-up of the patient after 3 years of treatment – Courtesy of Huashan Hospital

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