ExacTrac Dynamic Key Visual: Technology displayed, highlighting different layers

ExacTrac DynamicPrecision Patient Monitoring
for Radiotherapy

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Achieve submillimetric radiotherapy positioning & monitoring accuracy

ExacTrac Dynamic unifies the power and precision of cutting-edge tracking technologies. Deliver high-precision treatments for a wide range of patient positioning and monitoring workflows including cranial and prostate. This all-in-one system’s revolutionary new thermal-surface camera technology works in tandem with real-time X-Ray tracking for extraordinary accuracy.

Merging surface & X-Ray tracking

Thermal surface tracking

The 4D Thermal Camera creates a highly accurate and reliable hybrid thermal surface by correlating the patient’s heat signature to their reconstructed 3D surface structure. To achieve this, 300,000 3D surface points are acquired and matched to the heat signal generated by the thermal camera, creating another dimension to track their position.

4D Thermal Camera of Exactrac Dynamic

Advanced X-Ray monitoring1

Larger panels show more anatomy for easier orientation and interpretation of X-Ray images. At the same time, improved soft tissue contrast and enhanced read-out speed prevent motion blurring effects. Thanks to higher heat capacity, ExacTrac Dynamic X-Ray tubes support more automated, high frequency imaging.

The Onfloor Boxes from ExacTrac Dynamic

Integration for greater automation1

Deep integration with Elekta Versa HD™ in combination with HexaPOD™ and Varian Edge™ or TrueBeam™ with Perfect Pitch™ enable automated beam hold—repositioning and restarting treatment—from the linac console. Based on the indication, protocol or patient, X-Rays can be automatically or manually triggered for greater freedom.

ExacTrac Dynamic gives us confidence to perform prostate SBRT with minimal PTV margins thanks to the X-Ray verification, robust auto-marker detection and intrafraction repositioning.

Thomas Kole, MD, Valley Health System, Paramus, NJ, USA

With ExacTrac Dynamic, we introduced skin marker free prepositioning for our treatments and can now handle a throughput of over 50 cases a day, whilst providing safer treatment than ever before.

Yoshiko Oshiro, MD, Tsukuba Medical Center, Tsukuba, Japan

The X-Ray tracking and shift correction of ExacTrac Dynamic allow for omission of individualized immobilization devices for spine SBRT, improving patient comfort during long high-dose treatments.

Stefanie Corradini, Dr., LMU Klinikum München, Germany

With the high accuracy that ExacTrac Dynamic enables for DIBH treatments, we’ve been able to reduce the number of CBCT acquisitions by 80% and complete them in an average of 12.5 minutes.

Yvonne Zissiadis, MD, GenesisCare Hollywood, Perth, Australia

ExacTrac Dynamic gives us confidence to perform prostate SBRT with minimal PTV margins thanks to the X-Ray verification, robust auto-marker detection and intrafraction repositioning.

Thomas Kole, MD, Valley Health System, Paramus, NJ, USA

With ExacTrac Dynamic, we introduced skin marker free prepositioning for our treatments and can now handle a throughput of over 50 cases a day, whilst providing safer treatment than ever before.

Yoshiko Oshiro, MD, Tsukuba Medical Center, Tsukuba, Japan

What types of radiation therapy treatments can be
performed using ExacTrac Dynamic?

ExacTrac Dynamic allows you to position and monitor all your SRS, SBRT, and conventional radiotherapy patients. Learn more about the variety of indication-specific workflows, such as cranial and spine SRS and SBRT, and Deep Inspiration Breath Hold (DIBH).

Image illustrating Cranial & Spine SRS

Proven submillimetric thermal-surface and X-Ray tracking enable planning target volume (PTV) margin reduction for your SRS patients, providing true dose sparing for critical structures.

Learn more about Cranial & Spine SRS
Image depicting the Deep Inspiration Breath Hold (DIBH) workflow with ExacTrac Dynamic

ExacTrac Dynamic addresses a wide range of clinical challenges and allows you to now treat indications such as breast cancer using our Deep Inspiration Breath Hold (DIBH) workflow. While this treatment technique typically requires multiple systems, ExacTrac Dynamic covers the full positioning and monitoring for DIBH patients.

Learn more about DIBH

Our brand new SGRT solution allows you to standardize patient positioning across multiple linacs

Illustration: Surface-guided Radiotherapy Treatment in Progress

ExacTrac Dynamic Surface2Streamline Your Workflow

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Additional Information

Potential and challenges of surface guidance in radiation therapy
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White Paper ExacTrac Frameless Radiosurgery
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  1. Compared to ExacTrac 6.5 or 6.2

  2. Not yet commercially available in several countries. Please contact your sales representative.

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