Radiology Oncology Systems

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Elekta Synergy Linear Accelerator Installed

Sydney, Australia
Elekta Synergy - Australia
Pictured: Elekta Synergy Linear Accelerator installed at the University of Sydney

The Project Management Team at Radiology Oncology Systems (known as R.O.S. for short) recently completed a major project involving installation of a refurbished Elekta Synergy linear accelerator system at a major public institution in Australia.  Such an installation generally takes between eight to twelve weeks.  In this case, ROS’s team provided an “expedited installation” and completed the work in just under four weeks.

Jason Feder, Sr. Project Manager at ROS, stated, “we received full acceptance to OEM standards by the facility’s physics & medical staff in under four weeks—this is a record for our company, and a big accomplishment for our team”.

The Elekta linear accelerator was removed from clinical operation from a hospital in the United States.  Acquiring good quality, second-hand machines is one of the principle tasks at ROS.  ROS’s acquisition team, spearheaded by Ed Brown and Jared Coates, looks for equipment that can be repurposed all over the world.  “We have to stay on top of every opportunity to acquire good machines, as competition for good, pre-owned equipment is fierce” added Tommy Hughes, a member of that team.

For this particular project, the ROS-provided refurbished Elekta Synergy Linear Accelerator System boasts impressive features including a KV Imaging System (XVI), iView GT Portal Imager (MV), Intensity-modulated radiation therapy (IMRT), and CBCT (Cone Beam CT).  Patient-positioning lasers and patient monitoring accessories were included in the installation. This well-appointed machine will allow its new ownder phenomenal capabilities for years to come.

Relocating radiotherapy equipment internationally adds another layer of complexity.  A domestic relocation of a linear accelerator is complicated enough.  Dealing with and planning for the logistics of international projects is an additional element that the ROS Team prides itself with. ROS has close to two full decades of experience dealing with such complexities.  Without cutting corners, ROS is able to navigate through importation and customs and move systems half way around the world and have successful outcomes at the other end.

Varian 21EX Linear Accelerator De-Installation & Removal

Zurich, Switzerland
Varian 21EX - Switzerland
Pictured: Varian 21EX Linear Accelerator De-Installation & Removal from Hirslanden Klinik in Zurich

Recently, a facility in north-central Switzerland reached out to ROS for help, we were happy to assist. The Swiss facility had purchased a Varian TrueBeam radiotherapy treatment machine and needed to have their existing Linear Accelerator removed – a Varian 21EX Linear Accelerator, which weighs roughly 21,000 pounds (around 9,600 kg). The facility had upgraded the machine to the newer iX model with OBI (on-board imaging) and RapidArc. This newer technology did not dramatically change the weight of the machine, but it did pose some logistical problems later on.

There was a lot of work to do before the machine could be de-installed.

The Logistics

Prior to removing the machine, R.O.S. first got authorization and approval from the Swiss government for the de-installation. Second, R.O.S. needed to get approvals from its client in the Dominican Republic, where the de-installed Varian linac would be. This necessitated having the linac inspected by an inspector from the Dominican Republic. As one can imagine, there were already three languages involved in the discussions so far but something that can become challenging with all of the technical terminology being used throughout the project.

Once the authorizations and inspections were completed, the next step involved logistics. The facility was only accessible for the de-installation on a weekend. (It is common for businesses in many European countries to be closed on weekends.) However, a weekend project in Switzerland now presented additional requirements: a special permit is needed to use freight trucks on a weekend, and another special permit is needed to use a crane on a weekend.

Now a fourth country enters the story. R.O.S. was working with a German rigging company to move the Linear Accelerator using its shipping frames. EU regulations required the frames to be shipped directly to the facility rather than brought with the riggers. So if the frames were delayed, the project’s small window could expire. A further complication occurred when the riggers were delayed at the German/Swiss border, but thankfully they got there in time, as did our frames.

After a final inspection, it was only a small matter to visit Coop Cooperative (a large Swiss retailer) to pick up the last few supplies needed to finish the de-installation and move the equipment to the crating facility. Now another deadline was looming: the crating facility was only open for a two-hour window on Saturday afternoons.

With no time to spare, the Linear Accelerator system was loaded and off to the crating facility.

From Europe to Latin America

Crating a radiotherapy machine for international shipment requires special care and materials.  The wood used must be heat-treated and ISPM-15 approved (the ISPM-15 measures are to prevent accidental transport of disease and insects from one country to another). R.O.S. also needed special crating for the KV-Imaging Device and the Portal Imaging devices, important components of the Varian Linear Accelerator. Such highly specialized equipment could easily become damaged on the long journey across the Atlantic. R.O.S. crossed these last few hurdles for the de-installation project and the upcoming shipment to the Dominican Republic. Working across cultures and language barriers, and working within each country’s regulations, takes an experienced vendor.

New Radiation Therapy with RapidArc® Delivery

Nebraska, USA

James Madison University
Pictured: Linear Accelerator installed at Radiation Oncology Systems

Radiology Oncology Consultants announced that it has installed a linear accelerator system for cancer treatment.  This new radiation therapy machine allows some of the most advanced cancer treatment technology available today.  Radiation therapy is used to treat over 50% of all cancer cases in the United States, and this new machine manufactured by Varian Medical Systems has “On-Board Imaging” and RapidArc®, two cutting-edge technologies that will allow Radiology Oncology Consultants to treat patients with unprecedented speed and accuracy.

“We are thrilled to have a machine capable of RapidArc® delivery available to treat our patients,” stated Dr. P.R. Hynes.  “This treatment technology delivers the prescribed dose of radiation to patients faster than ever before.  The result is a more powerful treatment of radiation with greater patient comfort.  Some treatments can be done is as little as three minutes”.

The equipment was supplied by Radiology Oncology Systems, Inc. of California.  The project took several months to plan and the 25,000 lb. machine itself took over a month to install.  The machine rests under a large steel structure referred to as a base frame, under the floor of the room, to support its weight.  The room is shielded for radiation andvarious underground conduits carry dozens of feet of cabling.  “It’s quite an endeavor to install one of these machines” stated Erin Kruse, Facility Director, “and we are thrilled that our project was seamless.”

James Madison University Project

Virginia, USA

James Madison University
Pictured: The James Madison University Campus / Quad

When James Madison University (“JMU”) of Virginia contacted R.O.S., we were excited.  After all, two R.O.S. associates are graduates of JMU--Michael Teague and Ashley Saunders. 

JMU received a linear accelerator and two conventional simulators as a gift from a local clinic.  They needed a radiation oncology equipment company to perform an evaluation of the donated equipment to determine its viability for continued use, and asked if we could help.  The project involved (1) assessing the current state of the equipment and (2) later relocating it to a repurposed building housing physics research.

ROS rigged out & removed the older equipment first, and then revived the Siemens Linear Accelerator and Nucletron Simulator to the point of patient-ready use.  JMU’s physics department is eager to use the equipment for advanced research projects, and R.O.S.’s associates are happy to have supported their alma mater in a professional capacity.


Turnkey MRI Project

Texas, USA


Hitachi Airis Elite ready for crating and removal  Hitachi Airis Elite removal, crane lifting the machine

Pictured: The Hitachi Airis Elite 0.3T (all 40,000 pounds of it) is being hauled away from its Kentucky home in April 2015. This Open MRI model was then stored for a few months before being installed in a Fort Worth, TX, facility in August. This project represented a turnkey project in which R.O.S. oversaw the purchase and deinstallation of the used MRI, as well as its subsequent storage, sale to a new facility, refurbishment and installation.

The Airis Elite 0.3T is an Open MRI model, which means it is built to accommodate a larger range of body types, as well as to be more comfortable for claustrophobic patients. This model also offers "fat separation" technology, which provides more image clarity by separating fat from other tissue.


Accuray Cyberknife Removal

USA


Accuray Cyberknife Removal - USA  Accuray Cyberknife Removal - USA

Accuray CyberKnife systems have recently come onto the secondary market. These expensive, sophisticated devices are considered “cutting edge” in the fight against cancer, as they target very small tumors in very sensitive areas, like the brain. The CyberKnife competes with other advanced systems like the Elekta Gamma Knife and the Varian Edge. ROS removed this particular device from a cancer hospital in the U.S. in December 2014.

Elekta Precise Linear Accelerator Removal

Antwerp, Belgium


Elekta Precise Removal - Antwerp Elekta Precise Removal- Antwerp

Removal of an Elekta Precise linear accelerator system in Antwerp. ROS specializes in helping facilities around the globe make room for new equipment by taking on the complex tasks of removing existing equipment.


De-Installation of Varian Clinac 600C

California, USA


1997 Varian 600C Gantry Varian 600C Partially Deconstructed

Removing a Linear Accelerator Through a Window

New York, NY


Linear Accelerator Removed From Building in New York City Linear Accelerator Removed From Building in New York City


Elekta Synergy Platform is on its Way to a New Home

Midwest US (September, 2014)


Elekta Gantry Removal Elekta Synergy Platform is on its way to a new home


ROS Completes the Installation of a CT Scanner

QX/i CT Scanner, Connecticut. (August, 2014)


R.O.S. completes the installation of a GE model QX/i CT Scanner in Connecticut.


Base Frame Installation

Tampico, Mexico (July, 2014)


Elekta Gantry Removal


Linear Accelerator for a Cancer Hospital in Peru

A radiation oncology facility in Peru seeking to replace an older and failing linear accelerator decided to replace it with a relatively newer and more reliable system. Reimbursement rates in Peru make the purchase of a brand new system ineffective, so R.O.S. was able to provide affordable equipment to suit their needs. The machine was installed underground, in the basement at the center, which is not uncommon in many locations to minimize the cost of expensive vault shielding by using surrounding earth as shielding. R.O.S. has an extensive network of global resources to perform installations around the globe. The end-result is that patients that otherwise could not receive cancer treatment are able to do so now, in large part due to doctors and clinicians that understand the need to serve their communities, and companies like R.O.S. that can provide cost-effective and reliable equipment solutions. (April 2014)


Lowering the linac into the vault Lowering the linac into the vault
Linac inside the vault

IMRT and IGRT in Chile

ROS recently installed a refurbished Siemens Oncor linear accelerator with a Theraview IGRT system at a hospital in Chile, South America.  Although Siemens has exited the linear accelerator market, refurbished Siemens machines are still in demand, with hospitals taking advantage of available systems to add, update or expand their existing radiation oncology clinics.  Siemens equipment remains a viable option for cancer hospitals in need of high-quality, low cost equipment. (February, 2013)

Linear Accelerator for a Cancer Hospital in Mexico

The United States has more state-of-the-art medical equipment than any other nation on earth.  Rather than disposing of older/used equipment, ROS specializes in refurbishing it and shipping it to areas where the equipment is badly needed.  Recently, ROS shipped a low-energy Varian 6EX linear accelerator to Mexico, where it will be installed in a cancer center that treats close to 100 patients per day.  We hope this equipment brings care and hope to thousands of patients in the region for years to come. (January, 2013)

CT Simulator Installation at a Regional Cancer Center in the Chicagoland Area.

A radiation oncology clinic in a suburb of Chicago was in need of replacing an older CT Simulator, and didn’t have the budget, or the patient flow, to justify an expensive, new multi-slice large bore system.  With a phone call to ROS, a refurbished Philips AcQSim large-bore CT Simulator became the solution.  The installation of three moveable lasers completed the room, and patients are now being simulated efficiently and effectively in preparation for their treatment. (December, 2012)

New CYRPA Lasers Revolutionize Patient Positioning

Patient positioning lasers are an integral part of the radiation therapy equipment portfolio.  The CYRPA laser company developed an all-new laser system that leapfrogs current market offerings with an exciting new technology.  A level of precision never seen before of 0.1 millimeters.  An auto-calibrating, wireless calibration feature that does the work of the therapist/physicist in a fraction of the time.  And dual-diode red/green lasers to allow the clinician her choice of color. ROS, in collaboration with CYRPA America, is a proud distributor of this exciting new technology.  (October, 2012)

Refurbished Varian 6EX with IMRT Installed in Southern California

ROS is pleased to announce the recent completion of the sale and installation of a Varian Clinac 6EX linear accelerator in Southern, California.  The unit was installed at a newly constructed free standing oncology clinic. The clinic required a cost-effective equipment solution in order to bring cancer care to the local community.  With this equipment the new center is up and running, providing treatment including IMRT technology. In the future, as the practice grows, the clinic will be in a position to add brand new equipment with even more advanced technology. (October, 2012)

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