D3 SRS
Optimizing the Clinical Application of Technology

The Advantages of SRS

Stereotactic Radiosurgery (SRS) offers substantial clinical benefits in comparison to conventional radiotherapy such as:

	Greater geometrical precision improving sparing during the treatment of even the smallest tumors in close proximity to normal structures
	Hypo-fractionization allows patients to be treated in 1-5 days, compared to 4-6 weeks for conventional radiotherapy
	Higher fractional doses may be more effective in treating radio-resistant cancers

Versatility

The latest vendor technologies offer enhanced application of SRS related to: integrated, on-board imaging; non-invasive immobilization; optical guided set up; and the ability to choose between cone and MLC-based treatment approach with one machine. These advancements in technology afford the opportunity to apply the clinical benefits of SRS to extra-cranial sites.

The Benefits of D3

Although the benefits of the latest application of SRS with advanced technology are substantial, clinicians struggle with the learning curve associated with applying the new technology and integrating advanced clinical practice into workflow.

Clinical processes that must be modified include:

• Patient selection
• Immobilization
• Imaging
• Simulation
• Treatment planning
• Set up
• Quality assurance
• Treatment delivery

While vendor training focuses on the operation of technology, D3 focuses on assisting clinicians with the optimal clinical application to improve quality and efficiency of workflow.

D3 offers an SRS Program with optional ongoing planning and consultative services to enable radiation therapy staff to attain the full benefits of the latest technology.  Our services can be customized according to the unique needs of your clinic.

Stereotactic Radiosurgery Program Components

The D3 SRS program prepares the entire clinical team to treat patients with SRS considering the change in clinical processes that are required for physicians, therapists, dosimetrists and physicists.

Services include the following:

• Clinic site assessment with recommendations regarding requirements for immobilization, quality assurance equipment, and network integration
  
  
• Implementation project management and consultation regarding procurement, patient selection and optimal network integration between technology components in the clinic
  
  
• Provision of SRS physics policies/procedures and clinical guidelines for the treatment of:

• Arterio-Venous Malformations (AVMs)
• Benign tumors-acoustic neuroma, pituitary adenoma
• Meningioma
• Metastatic tumors
• Malignant glioma
• Spine

• On-site training for the entire staff for cone-based or MLC SRS. Topics include principles of SRS, treatment approaches for various sites, imaging, simulation, contouring, planning, quality assurance and treatment delivery.
  
  
• Two SRS treatment plans following training including D3’s physician and physics consultation regarding the planning and treatment approach. Optional ongoing remote treatment planning is available.
  
  
• On-site consultation during the first session of patient treatments to assure principles are applied appropriately.
  
  
• Consultation by our physicists and physicians for your first ten patients.

Trilogy acceptance testing and commissioning services are also available.

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