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Radixact+RefleXion X1两款放疗设备全新上线!

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发表于 2020-10-14 12:42:19 | 显示全部楼层 |阅读模式

                    

                    

                    
                    
                    <section data-role="paragraph" data-color="rgb(182, 228, 253)" data-custom="rgb(182, 228, 253)"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section><p><p><img src="image/20201014/86b79d371e9862b01189f0252a03b2cd_1.png" /></p></p></section><section><section><span><strong></strong></span></section><p><span>医疗器械媒体报道先锋</span></p><p><span>分享专业医疗器械知识</span></p></section><section><section><section><span>关注</span></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section><p><br  /></p><p><span>TOMO刀(螺旋断层放射治疗系统)是光子放疗的一种,<span>2003年正式进入临床</span>,主要结构是将<span>医用直线加速器安装在螺旋CT的滑环机架上,反向利用CT成像原理,运用高能X射线进行放射治疗。区别于传统放疗设备,TOMO刀</span></span><span>通过旋转机架给出窄的调强束流,而治疗床上的患者随之同步移动。而传统调强放疗中,患者是静止不动的,给出的调强的束流也比较宽。</span></p><p><span><br  /></span></p><p><br  /></p><p><p><img src="image/20201014/fb372eb7d8312e3d75f78ef20d1abad5_2.jpg" /></p></p><p><br  /></p><p><span>TOMO刀原则上可以在人体内实现任何要求的剂量分布,突破了传统加速器的诸多限制,从而很容易达到放射治疗的理想目标:给予肿瘤区域足够高的致死剂量,而同时最大程度降低对周边关键器官和正常组织的照射伤害。对一些全身多发复杂、大面积、奇形怪状的肿瘤有“根治性”效果。</span></p><p><br  /></p><p><span>全球TOMO刀生产厂商中,安科锐名列前茅,近日安科锐自在中国成立新公司中核安科锐之后,又有新动作——日前,安科锐Radixact螺旋断层放射治疗系统正式通过NMPA审批,进入中国市场,该产品注册型号为RadixactX5,由治疗计划系统、治疗实施系统和数据管理系统3个部分组成。</span></p><p><br  /></p><p><span><p><img src="image/20201014/89ead470092b9039f68fe29bd7b87e46_3.png" /></p></span></p><p><span>Radixact螺旋断层放射治疗系统</span></p><p><br  /></p><p><span>治疗计划系统用于提供剂量分布估计值以及辐射输出系统使用的参数;治疗实施系统则由旋转机架(直线加速器、初级准直器、铅门、多叶准直器、MVCT成像系统、射束挡块)、治疗床、激光定位系统、治疗实施系统控制台工作站(TDCS)、状态控制台和电源分配单元组成;数据管理系统用于存储、检索和处理数据。</span></p><p><span><br  /></span></p><p><span>安科锐曾在<span>CHINA-HOSPEQ</span>2019发布过Radixact,它是最新第四代螺旋断层放疗系统,从治疗计划、治疗实施、到数据管理专门为智能自适应治疗(ART)而设计。</span></p><p><span><br  /></span></p><p><p><img src="image/20201014/691f5d6a99f52b7f9c950d3b4a97cee3_4.jpg" /></p></p><p><br  /></p><p><span>Radixact新一代TomoTherapy平台拥有多项亮眼数据:专门为智能自适应治疗而设计,搭载了全新的智能软硬件平台;机架最高转速提升66%;采用新型加速管,可达1000MU/min剂量率。为Radixact提供了各种可能的适应症提供治疗选择:TomoHelical螺旋断层照射和TomoDirect固定角度照射;图像引导调强放射治疗TomoEDGE?动态剂量雕刻模式。</span></p><p><span><br  /></span></p><p><p><img src="image/20201014/08a01f4b6f374b91aacd9ed9d6c7b10c_5.gif" /></p></p><p><p><img src="image/20201014/a5569ddc48c58f508a963a6ef044ad6a_6.gif" /></p></p><p><span><br  /></span></p><p><span>Radixact还配备了新型侧向磁控管、全新智能防沉降治疗床和CTrue IR迭代影像技术,临床治疗能力大大增强。</span></p><p><br  /></p><p><strong><span>全新的挑战者</span></strong><span><br  /></span></p><p><br  /></p><p><span>近日,安科锐的TOMO设备迎来了一个全新的竞争对手,美国<strong>RefleXion &nbsp;Medical</strong>公司宣布,其开发的<strong>RefleXion X1</strong>设备获得了FDA批准,<strong>可以用于立体定向体部放疗(SBRT)、立体定向放射外科(SRS)和调强适形放疗(IMRT)</strong>。</span></p><p><br  /></p><p><p><img src="image/20201014/1d66ed4803de6c7f4f6f2c9476efae1d_7.jpg" /></p></p><p><br  /></p><p><span>RefleXion X1也可以理解为<strong>扇形束CT+医用高能直线加速器</strong>。据RefleXion称RefleXion X1比其他线性加速器的旋转速度快60倍,并且每个扇形束的束点剂量调整幅度可达100倍。RefleXion X1可以让医生更好地定位肿瘤,并精确地将剂量输送到复杂的肿瘤靶区,同时避免损伤肿瘤附近的正常组织,从而减少放射治疗的副作用。值得一提的是,RefleXion通过将RefleXion X1与PET结合使用,还开发了一种被称作“BGRT”的新型放疗技术。BGRT通过“点亮”肿瘤靶区并向肿瘤靶区传递精准的治疗剂量,来达到治疗目的。</span></p><p><br  /></p><section><section powered-by="gulangu"><section><br  /></section></section><section powered-by="gulangu"><section><section><section><svg viewbox="0 0 1 1"></svg></section></section><section><section powered-by="gulangu"><section><p><span>BgRT设备构成</span></p><p><span><p><img src="image/20201014/ac5d9a77e7ba4d1d165b1d7a92ba8bd2_8.png" /></p></span></p><p><br  /></p><p><span><strong>1. 紧凑型直线加速器(Compact Linear Accelerator):</strong></span></p><p><span><strong><br  /></strong></span></p><p><span>一款重力优化磁控管(g-force optimized magnetron)为直线加速器提供能量源,与其他电子束发生部件以精确的方式结合,产生非均整(flattening-filter-free)的脉冲 6MeV电子束。</span></p><p><br  /></p><p><span><strong>2. 二元多叶准直器(Binary Multileaf Collimator):</strong></span></p><p><span><strong><br  /></strong></span></p><p><span>MLC以每秒100次的速度转换,实现了与直线加速器脉冲频率的同步对准。</span></p><p><br  /></p><p><span><strong><span>3. PET探测器弧(PET Detector Arcs):</span></strong></span></p><p><span><strong><span><br  /></span></strong></span></p><p><span>由最先进的固态SiPM阵列组成的双90度弧状PET探测器,当放射性示踪剂在肿瘤中积累时,可实时收集数万的放射性示踪剂排放物。</span></p><p><br  /></p><p><span><strong><span>4. 旋转环形机架(Rotating Ring Gantry):</span></strong></span></p><p><span><strong><span><br  /></span></strong></span></p><p><span>Reflexion X1的关键部件安装在环形机架上,以60转/分的速度连续旋转,得以在输出射线的同时进行PET发射探测。</span></p><p><br  /></p><p><span><strong><span>5. 兆伏电压探测器(Megavoltage Detector):</span></strong></span></p><p><span><strong><span><br  /></span></strong></span></p><p><span>兆伏电压探测器是评估束线和准直操作的诊断工具。它的硅平板设计以非常高的帧率对兆伏电压视野(megavoltage field)进行成像。</span></p><p><br  /></p><p><span><strong><span>6. 扇形束kV CT(Fan-beam kV Computed Tomography):</span></strong></span></p><p><span><strong><span><br  /></span></strong></span></p><p><span>16层kVCT探测器以60转/分的转速进行真正的扇形束成像,比锥形束成像提供更高的图像质量,改进IMRT和SBRT,并支持BgRT。</span></p></section></section></section><section><section><svg viewbox="0 0 1 1"></svg></section></section></section></section><section powered-by="gulangu"><section><br  /></section></section></section><p><br  /></p><section><video width="100%" height="580" controls="controls"><source src="http://mpvideo.qpic.cn/0bf2nqaakaaalqabakdto5pfa3gdavwaabia.f10002.mp4?dis_k=ed0de154963b57598da4e69ebfc1c066&dis_t=1602650538" type="video/mp4"></source></video></section><p><br  /></p><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><br  /></section></section><section powered-by="gulangu"><section><br  /></section></section></section></section></section><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><br  /></section></section><section powered-by="gulangu"><section><br  /></section></section></section></section></section></section></section><section powered-by="gulangu"><section><p><strong>关于RefleXion Medical:</strong>公司成立于2009年,致力于推进癌症护理的新模式,尤其是处于癌症第四阶段的晚期患者。</p><p><br  /></p><p>迄今为止,该公司已经获得四轮投资,总金额达到2.236亿美元,投资者包括:TPG Growth / The Rise基金、Sofinnova Partners、KCK Group、辉瑞(Pfizer Venture Investments)、Venrock、强生(Johnson &amp; Johnson Innovation)、T. Rowe Price Associates、GT Healthcare Capital Partners和Oxford Capital等。</p></section></section><section powered-by="gulangu"><section><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><br  /></section></section><section powered-by="gulangu"><section><br  /></section></section></section></section></section><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><br  /></section></section><section powered-by="gulangu"><section><br  /></section></section></section></section></section></section></section></section></section></section><p><br  /></p><p><strong><span>结语:</span></strong><span>相比于Radixact,RefleXion X1的BGRT技术能够将PET影像与立体定向放射治疗相结合,在注射相应的示踪剂后,BGRT可以基于示踪剂信号实时地在一个或多个靶区引导放疗。与PET的结合也是RefleXion X1的主要优势。该产品预计会在2020年2季度出货(是否会受到疫情影响尚不明朗),期待临床表现,另外更加期待竞争对手们的反击手段,我们拭目以待。</span></p><p><br  /></p><p><span>来源:器械汇、思宇智库、<span>健康最新焦点</span> 整理</span><br  /></p><p><br  /></p><section data-role="outer" label="Powered by 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