Performance of a Motion Tracking System During Cyberknife Robotic Radiosurgery

Cyberknife (Accuracy Inc., Ca) is a robotic radio‐surgery system that includes a compact 6 MV linac delivering up to 800 cGy per minute, and an automate arm to aim at any part of the body from any angle. An essential tool is the guidance system based on x‐ray imaging cameras located on supports around the patient. A Cyberknife system has been operational at the Vicenza (Italy) Hospital for years and is mainly employed for treating benign and malignant tumors, and Arterior‐Venous Malformations. In radiation therapy, delivery of high doses to targets that move with respiration is challenging because of possible spatial inaccuracies. The purpose of this work was to estimate the accuracy of the prediction algorithm used to compensate for system latency in a real‐time respiratory tracking system. We have analyzed respiratory signals of 30 patients who had lung or liver Cyberknife treatments. The “Synchrony” (Accuracy Inc.) motion tracking system we use is based on the correlation between the position of LED ma...