Systems for internal motion monitoring during RT delivery are shown. (a)
Elekta (Elekta AB, Stockholm Sweden) (top, image courtesy of Elekta) and
Varian (Varian Medical Systems, Palo Alto, CA) (bottom, image provided
courtesy of Varian) standard linacs with a deployed MV imager opposite
the treatment head and a perpendicularly mounted kV imaging system. (b)
BrainLab ExacTrac (BrainLab AG, Feldkirchen, Germany) with stereoscopic
kV imaging and external breathing monitoring (top, here mounted on an
Elekta linac) and the RTRT system with four kV imaging systems (bottom,
reproduced from https://rad.med.hokudai.ac.jp/en/research/treatment/tracking/
with permission). (c) The robotic CyberKnife® (Accuray Inc,
Sunnyvale, CA) system and Vero Gimbal (BrainLab and Mitsubishi Heavy
Industries, Japan) incorporate stereoscopic kV imaging and external
breathing monitoring. (d) Unity (top, image courtesy of Elekta) and
MRIdian (Viewray Inc, Cleveland, OH) (bottom) are the two commercially
available MR-guided linacs (see section 2.5).