Product Solutions YOUR MOST VALUABLE QA & DOSIMETRY TOOLS

Transcription

1 Product Solutions YOUR MOST VALUABLE QA & DOSIMETRY TOOLS

2 PRODUCT SOLUTIONS // Table of Contents Contents Better Outcomes Through Technology...5 Innovation That Improves Outcomes While Saving Time...6 Total Solution Partner for Product Training & Support ArcCHECK...13 MultiPlug TM...13 CavityPlug TM...13 PerFRACTION TM...14 DoseCHECK TM...15 PlanIQ TM DVH...16 Respiratory MotionSim TM...16 MapCHECK MapPHAN TM...16 IVD TM 2 / rf-ivd TM IsoRad TM SUN NUCLEAR CORPORATION // sunnuclear.com

3 SNC Machine TM...19 SNC PHANTOMS...20 IC PROFILER TM...21 QUAD WEDGE...21 PROFILER TM SRS PROFILER TM...22 TomoDose TM...23 ATLAS TM...23 Daily QA TM CHECKMATE TM StereoPHAN TM...25 IMF TM / GMF TM...26 Solid Water HE...26 CT SIM+ TM Moveable Lasers...27 MICRO TM Fixed Lasers D SCANNER TM D MiniLift TM D Reservoir TM D TPR TM...29 WaterProof PROFILER TM D SCANNER TM...30 PC Electrometer TM...31 EDGE Detector TM...31 SNC350p TM...32 SNC125c TM...32 SNC600c TM...33 Ultrasound Solutions...34 Doppler 403 TM & Mini-Doppler 404 TM Sono TM Family Phantoms...35 Mammography Solutions...36 Mammo 156 TM Phantom...37 Mammo 156D Stereo TM Phantom...37 Ultrasound Breast Biopsy Phantom...37 Stereotactic Breast Biopsy Phantom...37 CT Solutions...38 CT ACR Phantom...39 CT ACR 464 Phantom Plates & Ring...39 CT Characterization Phantoms...39 CTDI Phantoms...39 SUN NUCLEAR CORPORATION // sunnuclear.com 3

4 PRODUCT SOLUTIONS // Introduction 4 SUN NUCLEAR CORPORATION // sunnuclear.com

5 Better Outcomes THROUGH TECHNOLOGY Independent and relevant quality assurance is more important than ever. Choosing a partner with a record of clinically-proven solutions and a history of outstanding quality and service is just as important. Sun Nuclear helps with the challenges confronting every Radiation Oncology program: safe and effective delivery of the intended prescriptions and doses to patients. In choosing Sun Nuclear, you gain a partner with more than 30 years of proven experience and you become part of a world-wide network of cancer treatment facilities committed to improving QA and Dosimetry outcomes. LEADER - Sun Nuclear #1 Worldwide Market Share Leader for Quality and Safety >4,000 Worldwide Cancer Treatment Facilities Use Sun Nuclear Solutions >90% of U.S. Cancer Centers Use Sun Nuclear Products >15 AAPM Task Group Memberships >4 Continents with Full-time Sun Nuclear Support Teams: Europe, Asia, South America, North America >60 Countries with Sun Nuclear Solutions Sun Nuclear Training Center in Melbourne, FL, SUN NUCLEAR CORPORATION // sunnuclear.com 5

6 PRODUCT SOLUTIONS // Innovation Innovation that IMPROVES OUTCOMES WHILE SAVING YOU TIME. Many companies boast of innovation but few embrace it like Sun Nuclear. At Sun Nuclear innovation is more than a buzz-word. Our product goals are focused on improving outcomes and saving time. This results in the questioning of assumptions and existing methods, leading to breakthrough products that change the industry for the better. Industry Firsts 3D SCANNER First cylindrical 3D Water Scanner for consistent detector orientation and AutoSetup TM c. 2011, 3D SCANNER SNC Machine First fully automated browser based image analysis software for TG-142/Machine QA c. 2015, SNC Machine PlanIQ First plan quality analysis using quantified metrics c. 2014, PlanIQ 3DVH First dose on patient geometry without a TPS dose calculation c. 2010, 3DVH 6 1 I SUN NUCLEAR CORPORATION // sunnuclear.com

7 The Right Detector for the Right Application Sun Nuclear manufactures both diode and ion chamber based solutions. Sun Nuclear s SunPoint Diode Detectors offer the benefit of a smaller active area, better sensitivity, less drift and increased lifetime. SunPoint Diode Detectors are used for small field and patient-specific applications due to smaller size and better performance for characterization of small and modulated fields. Ion chambers are used for large field and low-modulation applications where small size is not necessary. Sun Nuclear software also supports measurements from EPID, Gafchromic film, and CR detectors. Quick and Easy Setup User Calibrated. All Sun Nuclear detector arrays are user calibrated in around 15 minutes, using our patented Wide Field Calibration method (#6,125,335). USB Communication. All Sun Nuclear devices communicate with your PC through standard USB connections. Single Power/Data Cable. All Sun Nuclear devices share a universal power/data cable that provides all power and data needs for the device. Starting in 2015 an upgraded cable is being introduced which features higher capacity. Single Unit Designs. All Sun Nuclear devices feature integrated designs that minimize cable connections and setup time, making it easier and more efficient to do quick and accurate QA. Minimized Warm-Up. Most Sun Nuclear devices require no warm up or pre-irradiation, and those that do require 1 minute or less. Independent Measurements. Proper checks and balances must be maintained in a QA program. All Sun Nuclear measurements are completely independent and make no assumptions regarding machine performance. Software. Sun Nuclear employs numerous software applications, algorithms and dose calculation engines to perform QA analysis, all of which are completely independent of linac and TPS manufacturers. Log Files. Sun Nuclear utilizes linac log files in some QA tests, however they are not considered independent and their use is supplemental to other measurement based techniques. Transparent Raw Data. All Sun Nuclear raw measurement data is available for export and independent analysis. Algorithms. All Sun Nuclear algorithms are documented and available for independent verification. EPIDose MapCHECK First EPID-based dose analysis for patient-specific IMRT QA c. 2007, EPIDose MotionSim First patient-specific respiratory and gating simulation system c. 2005, MotionSim ArcCHECK First true 3D Detector Array Geometry for entrance and exit dose measurement c. 2009, ArcCHECK First Electronic 2D Array for patient-specific IMRT QA c. 2002, MapCHECK Daily QA 3 First Daily QA trending database c. 1996, Daily QA Check Take a virtural tour of the Training Center at sunnuclear.com/trainin SUN NUCLEAR CORPORATION // sunnuclear.com 7

8 PRODUCT SOLUTIONS // Training and Education At Sun Nuclear we know THE VALUE OF EDUCATION. Ongoing education is an important component of a successful continual improvement program, which ultimately helps to improve outcomes and patient safety. Sun Nuclear is a leader in the sharing of information and ideas from both industry and clinical perspectives. Our educational activities focus on both product and task-specific subjects as well as broader issues in the radiation oncology industry. 8 1 I SUN NUCLEAR CORPORATION // sunnuclear.com

9 Live Product Webinars Sun Nuclear hosts live educational Product Webinars as part of its educational program. The webinars are hosted online, and are presented by clinical users and product experts. All webinars last approximately 30 minutes, with a live Q&A session following the webinar. Visit us online to register for our upcoming webinars. CE credits are available for select webinars. Register at sunnuclear.com/webinars. & Dosimetry SYMPOSIUM Exploring the future of QA and Dosimetry Exploring the Future of QA and Dosimetry The QA & Dosimetry Symposium (QADS) is the only event for Medical Physicists and Dosimetrists that brings leading clinical innovators together to discuss the latest practices and issues related to QA and Dosimetry in Radiation Oncology. The symposium provides attendees with practical guidance from industry experts on new and relevant products, processes, and techniques in today s evolving Radiation Oncology environment. The talk schedule is supplemented by opportunities to interact with leading industry vendors and colleagues in both professional and social settings. Register at qasymposium.com Benefits Continuing education credits (CAMPEP, SAM, and MDCB) Presentations from the industry s leading authorities on the latest practices and future direction of Radiation Oncology QA and Dosimetry Major vendor participation Leading resort venues Free registration for students and residents Web access to presentations after the symposium Networking with peers Why the Sun Nuclear The Sun Nuclear Training Center opened its doors in The training center is purposebuilt, demonstrating Sun Nuclear s commitment to patient safety and the effective use of QA solutions. Users can experience in-depth exploration of Sun Nuclear product functionality on a linac, as well as application-specific coursework such as IMRT QA, VMAT QA, Annual QA, and Commissioning. The training center offers this training in an environment that closely mimics an actual clinical setting for a realistic learning experience. Training courses on a variety of subjects are offered year round and are delivered by Sun Nuclear subject matter experts and experienced clinical users. Details on upcoming training courses are posted on the Sun Nuclear Support website. Quality Content Hands-on Learning Peer-to-Peer Instruction Take a virtural tour of the Training Center at sunnuclear.com/training State-of-the-Art Facility SUN NUCLEAR CORPORATION // sunnuclear.com 9

10 PRODUCT SOLUTIONS // Training and Education Your Total Solution Partner for PRODUCT INSTALLATION, TRAINING & SUPPORT. We are committed to providing customers with the best possible support experience. Sun Nuclear s Support team includes professionals on four continents with diverse physics, teaching, engineering, customer support, and language skills. As always, Sun Nuclear customers receive complimentary standard technical support, and there is never a limit to the number of times you may contact us with a question. 10 SUN NUCLEAR CORPORATION // sunnuclear.com

11 Telephone +1 (321) Option 3 Worldwide: Standard Sun Nuclear telephone support is offered from 8am to 8pm ET, Monday through Friday. Regional: Standard extended regional telephone support hours are available. After hours/on-call telephone support options are available. Secure Remote Support Sun Nuclear users who have a current maintenance contract may request live online assistance. Online assistance allows trained Sun Nuclear support professionals to collaborate directly in the user s PC environment to evaluate and resolve issues, relieving the user of this task. Sun Nuclear Support Site sunnuclear.com/support All Sun Nuclear users have access to an exclusive, user-only Sun Nuclear Support Website which provides the following benefits: Access to software, manuals, and software license keys in real time for your products. Exclusive instructional material including videos and FAQs. Sun Nuclear account management (inventory of products and product details). Ability to request information and support. Product Training All Sun Nuclear products are designed for easy installation and setup. As an added service, Sun Nuclear offers professional product installation and training for all products. Customers have three options to choose from: Option 1: On-site Installation and Training Option 2: Online Product Training Option 3: In-house Product Training at the Sun Nuclear Training Center Training Matrix On-site Online In-house On-site Online In-house Trained Sun Nuclear professional on site Y - Y Remote assistance with installation of software - Y - Comprehensive syllabus Y Y Y Assist with acquisition of sample measurements Y - Y Provides users with in-depth and efficient product use experience Y Y Y Train users on comprehensive product functionality Y Y Y Training on advanced features Y Y Y Question and answer (Q&A) session Y Y Y Training on real-time operation of the software Y Y Y Maximize benefits of the product(s) purchased Y Y Y Secure Internet connection with unlimited customer attendees - Y - Shorten learning curve and begin using product(s) sooner Y Y Y Oversee and physically assist with installation of devices and software Y - Y SUN NUCLEAR CORPORATION // sunnuclear.com 11

12 PRODUCT SOLUTIONS // Patient QA Critical Advantages For PATIENT-SPECIFIC QA SRS, VMAT, and IMRT treatments demand stringent, efficient and meaningful QA. Sun Nuclear is at the forefront of patient-specific QA with solutions that consistently push the technology envelope to improve patient QA effectiveness and efficiency. Sun Nuclear combines leading software and hardware measurement designs with automation to develop patient QA solutions that do not compromise quality in the quest for efficiency. Sun Nuclear utilizes the right detector for the right application, which is why all Sun Nuclear patient QA devices utilize SunPoint Diode Detectors, and not ion chambers. SunPoint Diode Detectors accurately measure the fine dose gradients found in today s modern treatments, and therefore more accurately characterize the true delivery, and avoid the misleading dose volume averaging effects of ion chambers. Sun Nuclear was the first company to introduce a 2D electronic detector array MapCHECK to replace tedious and problematic film dosimetry. MapCHECK was followed by MapCHECK 2, which remains the gold standard for 2D patient-specific QA arrays. ArcCHECK provides a further leap forward with true 4D measurements that accurately and consistently measure entrance and exit dose measurements throughout a continuous VMAT delivery. Both MapCHECK and ArcCHECK are compatible with 3DVH software, another first which provides clinically relevant QA on 3D patient anatomy. And Sun Nuclear continues to push the envelope for patient QA with PerFRACTION a fully automated EPID based QA solution for both pre-treatment and per-fraction patient-specific QA. 12 SUN NUCLEAR CORPORATION // sunnuclear.com

13 ArcCHECK CavityPlug Patient plan QA - RapidArc /VMAT, FFF, SmartArc and TomoTherapy - Routine IMRT and 3D conformal Machine and setup QA The world s first true 4D detector array Patented cylindrical detector geometry Designed specifically for rotational delivery Utilizes SunPoint Diode Detectors Consistent BEV regardless of gantry angle High detector density in BEV Measures entrance and exit dose Easy setup and lightweight (16 kg) Measure both composite and per control point Real-time updates (50 ms) Measure dose in ArcCHECK cavity (CavityPlug) Precision fitted for ArcCHECK central cavity Measures dose at isocenter with detector of your choice MultiPlug Detector Type: SunPoint Diode Detectors Detector Quantity: 1386 Detector Spacing (cm): 1.0 Array Diameter (cm): 21.0 Inherent Buildup (g/cm 2 ): 3.3 +/- 0.1 Inherent Backscatter (g/cm 2 ): 3.3 +/- 0.1 Array Geometry: Helical Grid, 1 cm offset Phantom Material: PMMA (Acrylic) Weight (kg): 16 (MultiPlug) Precision fitted for ArcCHECK central cavity Accepts ion chambers, diodes, film detectors Position single detectors in any of 25 unique locations Position film sizes up to 13 x 21 cm in X or Y axis Angle indicator allows rotation to any angle within ArcCHECK cavity SUN NUCLEAR CORPORATION // sunnuclear.com 13

14 PRODUCT SOLUTIONS // Patient QA PerFRACTION AUTOMATE YOUR QA PerFRACTION listens for and captures your pre-treatment and in-vivo QA files, processes and analyzes them, and saves the results to the database. Failed result notifications are automatically ed to the clinician. Simply log in and immediately view a dashboard of results and drill down as desired. Trend any piece of data against any other piece of data. It is that simple, and that powerful. Fraction 0 : Pre-Treatment IMRT QA without a phantom Fraction n : Treatment delivery QA for every fraction Automated workflow captures and analyzes all necessary files and s if a failure - no further work required 2D planar comparison to baseline and/or predicted images 3D dose reconstruction on patient CT using proprietary collapsed cone convolution superposition algorithm Point dose and region of interest calculations Clinical goals pass/fail calculation Automated EPID response calibration feature corrects for EPID drift Web-browser access from any computer on your network Works with Varian, Elekta, ARIA, MOSAIQ Consistent system for both pre-treatment QA (Fraction 0) and per-fraction QA (Fraction n) No additional time requirements - simply approve results when ready Detects the most common types of errors - patient errors - as well as machine errors EPID-based measurement QA solution maintains independence and billing compliance (US) Meets Reimbursement Requirements: Supports all Treatment Modalities: Independent Check: Access From any Computer on Network: Detects Patient Setup Errors: Detects Patient Anatomy Changes: Detects Output Fluctuations: Detects Machine MLC, Jaws/Collimator Errors: Commissioning Required: Browser Support: No Chrome, IE11, IE9 14 SUN NUCLEAR CORPORATION // sunnuclear.com

15 DoseCHECK PlanIQ Independent, secondary 3D dose calculation Clinically relevant 3D and point dose analysis Seamless integration with SNC Machine and Patient QA modules Highly automated system requiring minimal user interaction Proprietary Collapsed Cone Convolution Superposition algorithm Custom beam models included for Elekta and Varian machines Works with Monaco, Eclipse, Pinnacle, RayStation Compatible with Conformal, IMRT, VMAT plans Per-beam and composite 2D point dose analysis 3D analysis, including DVH, isodose display, clinical goals and 3D gamma comparison Web-browser access from any computer on your network Comprehensive PDF report generation Full, independent 3D dose reconstruction provides more clinically relevant information Automated, integrated system for efficient planned vs. calculated dose comparison Satisfies billing compliance (US and international requirements) Clinical goal feasibility and plan optimization Plan quality scorecards and improvement Commission auto-treatment planning systems Plan documentation Peer Review Determine feasibility of the clinical goals before planning begins Optimize clinical goals with Feasibility DVH which show what DVH are feasbile for each target and OAR Plan Quality Metrics (PQM and APQM) provide patient-specific plan quality scoring, for entire plan and for each target and OAR Choose from over 70 pre-defined quality protocols to score against and customize Single comprehensive report for complete patient treatment plan and quality scoring for compliance DVH QA to support TG-53 compliance Record patient metrics to quality library, and demonstrate continual improvement No time wasted on treatment planning of ambiguous or unachievable goals Higher quality treatment plans Easier compliance with documentation and quality requirements More than simple pass/fail of objectives: Takes into account patient-specific challenges: Meets reimbursement requirements: Supports all treatment modalities: Independent 3D dose calculation: Provides clinically relevant 3D and point dose analysis: Access from any networked computer: Commissioning required: Browser support: No Chrome, IE11, IE9 Drives continuous improvement: Compatible with all TPS and R&V Systems: Supports all Treatment Modalities: Vendor-Neutral DVH QA: Dedicated DICOM Server: Compatible with 3DVH : Interactive visualization of DICOM Data: Customizable Reports: SUN NUCLEAR CORPORATION // sunnuclear.com 15

16 PRODUCT SOLUTIONS // Patient QA 3DVH MapCHECK 2 & MapPHAN 3D or 4D patient dose QA using ArcCHECK, MapCHECK 2 IMRT, VMAT, and Conventional Patient QA Effective tool for Treatment Planning System (TPS) commissioning Structure-based DVH analysis tools Create high density, high resolution dose reconstruction in ArcCHECK volume with VirtualGel Clinically relevant patient QA No commissioning required Respiratory MotionSim : Licensable module integrated with 3DVH Evaluate motion impacts on 3D Dose and DVH Determine if motion management is necessary Avoid bulky mechanical motion phantoms : Allows quantification of patient-specific motion effects No additional setup, phantom, or commissioning required Supports Coplanar & Non-Coplanar Beams: Estimation of Absolute Patient Dose: Analysis by Patient DVH: Accounts for TPS error: Accounts for Beam Delivery Error: Statistics per Anatomical Structure: DICOM RT Compatibility: VMAT and RapidArc Support: Analysis of Beam by Beam Errors: Full integration Patient plan QA Machine, MLC, and setup QA Patient plan QA for rotational delivery (MapPHAN) - RapidArc /VMAT and TomoTherapy - Coronal and sagittal orientation Most detectors of any 2D array Highest detector density of any 2D array Largest field size of any 2D array Compatible with FFF beams Utilizes SunPoint Diode Detectors Easy to use and efficient software Single click comparisons Rotational capable when used with MapPHAN option Real-time updates (50 ms) Interfaces with the IMF MapCHECK 2 Detector Type: SunPoint Diode Detectors Detector Quantity: 1527 Detector Spacing (mm): 7.07 Array Size (cm): 32.0 x 26.0 Inherent Buildup (g/cm 2 ): 2.0 ± 0.1 Inherent Backscatter (g/cm 2 ): 2.7 ± 0.1 Weight (kg): 7.1 MapPHAN Construction: Solid Water TM HE Available Depths (cm): 5.0 cm, 10.0 Weight (kg): 8.0 (5 cm), 21.0 (10 cm) 16 SUN NUCLEAR CORPORATION // sunnuclear.com

17 IVD 2 / rf-ivd 2 ISORAD Detector 1-4 MV 6-12 MV MV Dose verification during treatment Final check of complete treatment setup Total Body Irradiation (TBI) Real-time wireless option available (rf-ivd 2) Use with control module or PC software Expandable to 52 channels, 4 channels standard Record and verify interface - Cylindrical design for isotropic response - Accurate and stable SunPoint Diode Detector Real-time dose reading Detector Area (mm 2 ): 1.54 Active Dimension (mm): 1.4 diameter Dose Rate Dependence (cm): ± 1%, SSD Simple to install and easy to use Automatic patient temperature compensation 12 calibration settings Patient database Correction factor tools Use with industry standard patient diode detectors - QED - Flat for easy patient placement - ISORAD - Cylindrical for isotropic response Detector Sensitivity (nc/gy): 27 Detector Stability: 0.5% /kgy at 6 MV ELECTRON SKIN QED Detector 1-4MV 6-12MV 15-25MV Channels: Standard: 4 Maximum: 52 Temperature Compensation: Automatic-within C (Negative polarity only) Repeatability (cgy): ± 0.2% or ± 0.1 Polarity: Leakage: Warm-Up Time: Bipolar (negative or positive polarity detectors) Automatic compensation < 30 sec rf-ivd 2 : Rechargeable NiMH Power: battery (12 hr) IVD 2 : Power supply Weight (kg): 0.34 Flat design for easy placement on patient Accurate and stable SunPoint Diode Detector Real-time dose reading Detector Area (mm 2 ): 0.64 Active Dimension (mm): 0.8 x 0.8 Dose Rate Dependence (cm): ± 1%, SSD Detector Sensitivity (nc/gy): 32 Detector Stability: 0.5% /kgy at 6 MV SUN NUCLEAR CORPORATION // sunnuclear.com 17

18 PRODUCT SOLUTIONS // Machine QA Improving By Measuring MACHINE QA More than just checking boxes, meaningful Machine QA foresees an issue before it occurs, identifies opportunities for improvement, and improves clinical outcomes through better functioning systems. Like our line of patient QA systems, Sun Nuclear combines leading software and hardware measurement designs with automation to develop machine QA solutions that do not compromise quality in the quest for efficiency. Sun Nuclear utilizes the right detector for the right application, which is why Sun Nuclear machine QA devices utilize both SunPoint TM Diode Detectors and ion chambers based on the application at hand. With the PROFILER 2, SunPoint Diode Detectors are spaced every 4 mm to provide precision measurement of small to large fields up to 30 cm. With the IC PROFILER, uniquely shaped ion chambers minimize dose volume averaging and provide the characteristics necessary to match water phantoms to within 0.5%. With the Daily QA 3, a combination of SunPoint Diode Detectors and ion chambers are used to most accurately measure flatness, symmetry, output, energy, and field size all in a single beam delivery. With SNC Machine software, Sun Nuclear continues to push the envelope for machine QA with a fully automated EPID based QA solution that provides TG-142 and VMAT machine QA testing. 18 SUN NUCLEAR CORPORATION // sunnuclear.com

19 SNC Machine AUTOMATE YOUR QA SNC Machine listens for and captures your QA files, processes and analyzes the files, and saves the results to the database. Simply login to SNC Machine and immediately view a dashboard of results. Accept results that pass, and drill down into the analysis details for results that fail. Trend any piece of data against any other piece of data. It is that simple, and that powerful. TG-142 imaging and mechanical QA VMAT mechanical and dosimetric QA Comprehensive pre-defined test library for TG-142 and VMAT QA Completely automated workflow captures and analyzes all necessary files - no further work required 1 Easy phantom baseline setup with automatic ROI registration Trend any test or test parameter against any other test or test parameter for any number of machines Supports most common imaging and mechanical QA phantoms for TG-142 Web-browser access from any computer on your network Works with Varian, Elekta, ARIA, MOSAIQ Complete library of most common TG-142 imaging and mechanical tests Complete automation - no additional time requirements - simply approve results when ready Tests TG-142 Imaging: TG-142 Mechanical: Beam: VMAT: CBCT Image Quality & Accuracy, kv Image Quality & Accuracy, MV Image Quality & Accuracy MLC Picket Fence, MLC Positioning & Leaf Speed, Winston-Lutz Radiation & Machine Isocenter, Gantry/Couch/Collimator Starshot, Light/ Radiation Congruence Field Size, Beam Flatness, Beam Symmetry Dose Rate versus Gantry Speed, Leaf Speed, Arc Point Dose, DMLC Point Dose Phantom Compatability Gammex: CT ACR 464 Sun Nuclear: MV-QA, kv-qa, FS-QA, WL-QA Standard Imaging: PipsPro Phantoms Phantom Laboratory: CatPhan 503, 504, 600 Leeds: TOR 18FG Varian: Las Vegas Phantom PTW: EPID QC Phantom 1 Automated MOSAIQ processing requires manual export of DICOM fles from MOSAIQ to the SNC Machine DICOM listener. SUN NUCLEAR CORPORATION // sunnuclear.com 19

20 PRODUCT SOLUTIONS // Machine QA SNC PHANTOMS MV-QA Image scaling, positioning offset, spatial resolution, contrast, uniformity and noise Easy setup, alignment clearly marked on overlay and image MV Line Pairs (mm): 0.1, 0.2, 0.5, 1.0 ± FS-QA: Field Size QA and Constancy Symmetric and asymmetric light field/radiation field coincidence and jaw positioning Flatness and symmetry for photon and electron beam profile constancy Field Sizes (cm): 10 x 10; 15 x 15 MV ROI: 9 (4 spatial, 4 contrast, 1 center) Markers (±0.1mm): 56 - Field size (7 per field edge) MV Dimensions (cm): 12.7 L x 10.2 W x 2.5 D Dimensions (cm): 17.8 L x 17.8 W x 0.6 D kv-qa I mage scaling, positioning offset, spatial resolution,contrast, uniformity and noise Easy setup, alignment clearly marked on overlay and image kv Line Pairs (mm): 0.6, 1.2, 1.8, 2.4 ± 0.01 WL-QA: Isocenter QA and Constancy Winston-Lutz measurements Imaging and radiation field isocenter coincidence Cone-beam CT positioning/repositioning End-to-end IGRT positioning tests 3D isocenter offset results Dimensions (cm): 6.0 x 6.0 x 6.0 kv ROI: kv Dimensions (cm): 28 (4 spatial, 23 contrast, 1 center) 12.7 L x 12.7 W x 1.6 D Sphere Size (mm): 7.0 Sphere Center Accuracy (mm): SUN NUCLEAR CORPORATION // sunnuclear.com

21 IC PROFILER QUAD WEDGE Alternative to a water phantom for many tests - Flatness, symmetry, field size, beam center, penumbra width, light-radiation field coincidence Real-time beam constancy, steering, diagnostics Evaluate collimator and rotational sag Profile comparison, subtraction, and overlay Identify startup/time dependent anomalies Unique curved ion chamber design maximizes signal and minimizes volume averaging With appropriate calibration, the IC PROFILER has an accuracy within 0.5% of a water tank Very low noise to signal ratio (0.15%) 32 cm length X/Y, and 45 cm length diagonals 40 x 40 cm field measurement at 75 cm SDD Maximum dose rate of 6660 cgy/min Accessory for IC PROFILER Photon and Electron energy measurements, independent of wedge positioning Suitable for a wide range of energies Aluminum-based design for electrons supports 4MeV to 22MeV Copper-based design for photon supports 6MV to 18MV Designed with and for Varian installation engineers Easy, reproducible setup Automatic detection of wedge presence Accurate beam energy checks Reports d10 for photons and R50 for electrons Detector Type: Parallel plate Ion Chamber 251 Total: Detector Quantity: X Axis: 63 / Y Axis: 65 -Diagonal: 63 / +Diagonal: 63 Detector Spacing (mm): 5.0 Array Size (cm): 32.0 x 32.0 Detector Volume (cm 3 ): Detector Sensitivity (pc/cgy): 14.4 Inherent Buildup (g/cm 2 ): 0.9 Inherent Backscatter (g/cm 2 ): 2.3 Phantom Material: PMMA (Acrylic) / PC Weight (kg): 8.8 Detector Type: Ion Chambers Detector Quantity: 251 Detector Width 2.9 mm Field Size: 32x32 cm Detector Axes: X, Y, diagonals Detector Spacing: 5 mm SUN NUCLEAR CORPORATION // sunnuclear.com 21

22 PRODUCT SOLUTIONS // Machine QA PROFILER 2 SRS PROFILER Alternative to a water phantom for many tests - Flatness, symmetry, field size, beam center, penumbra width, light-radiation field coincidence Real-time beam constancy, steering, diagnostics Evaluate collimator and rotational sag Profile comparison, subtraction, and overlay Identify startup/time dependent anomalies 139 SunPoint Diode Detectors Quick and precise beam QA measurement Sets up in minutes versus hours for a typical water tank Multiple real-time parameter calculations No warm-up or pre-irradiation required Import water tank data and compare to PROFILER files SRS cone based radiation therapy - On Accuray Recommended QA Equipment list Daily, monthly, and annual machine QA Array is designed for cone based SRS Accepted and proven for clinical and factory settings Import water tank data and compare to SRS PROFILER files Real-time analysis Fast and efficient setup Identify startup/time dependent anomalies One measurement checks multiple parameters Attaches to the CyberKnife birdcage Real-time beam measurements Fast and efficient setup One measurement checks multiple parameters Interfaces with the IMF Detector Type: SunPoint Diode Detectors Detector Quantity: 139 Total: X Axis: 57 / Y Axis: 83 Detector Spacing (mm): 4 Array Size (cm): 22.4 x 32.8 Inherent Buildup (g/cm 2 ): 1.0 Inherent Backscatter (g/cm 2 ): 2.0 Phantom Material: Weight (kg): 5.0 Virtual Water top plate Detector Type: SunPoint Diode Detectors Detector Quantity: 125 total on four axes Detector Spacing (mm): 4 Radial Field Size (mm): 10, 20, 40, 60, 80, 100, and 120 Axes Length (mm): 143 (X), 127 (Y), 124 (Diagonals) Inherent Buildup (g/cm 2 ): 0.5 Phantom Material: PMMA (Acrylic) Weight (kg): SUN NUCLEAR CORPORATION // sunnuclear.com

23 Use for Machine QA on TomoTherapy Hi-Art Post component replacement verification Daily QA tests Only array designed for TomoTherapy Hi-Art Measure entire Hi-Art beam in a single measurement Accessibility to raw data Import water tank data and compare to TomoDose files Fast and efficient setup TomoDose 53 cm X axis, and nine Y axes ( cm) Measure output, symmetry, flatness, field size, penumbra, beam center Analyze and compare up to 15 profiles at once Instantaneous dose rate plot IC PROFILER Over the past two years, Elekta has significantly improved its internal System Test processes to meet the increasing demands from new treatment delivery technologies Fundamental to this, has been the adoption of Sun Nuclear s IC PROFILER. This allows the manufacturing teams to better optimise the performance of Linear Accelerators for advanced treatment techniques such as IMRT & VMAT, as well as providing manufacturing quality and efficiency improvements. Craig Hunt Services Product Specialist, Oncology Services Development Elekta Ltd. Detector Type: SunPoint Diode Detectors Detector Quantity: 223 total on X and Y Detector Spacing (mm): X: 5.0, Y: 4.0, Y Off-axis: 8. Array Size (cm): 53.0 x 9.8 Array Geometry (cm): X: 53.0 Y: 9.8 (8.0 at ±19.0) Inherent Buildup (g/cm 2 ): 1.0 Inherent Backscatter (g/cm 2 ): 2.8 Phantom Material: PMMA (Acrylic) Weight (kg): 5.0 SUN NUCLEAR CORPORATION // sunnuclear.com 23

24 PRODUCT SOLUTIONS // Machine QA Daily QA 3 / rf-daily QA 3 CHECKMATE 2 Daily linac monitoring and trending - Output, flatness, symmetry, energy, light-radiation field coincidence Rotational delivery supported Utilizes both ion chambers and diodes for optimal results Measure output, flatness, symmetry, field size, energy in a single exposure Trend analysis database software included No warm-up or pre-irradiation required Real-time wireless available (rf-daily QA 3) No buildup or flipping required Automatic temperature and pressure correction Real-time measurements Simple two-step operation - Start and then Record - Interfaces with the IMF Daily central axis output reproducibility Built-in rechargeable batteries Precision alignment template User calibration Stores up to 15 calibration values Automatic memory position advance Cost effective solution Simple to use Automatic temperature and pressure correction Large, easy to read display Detector Type: Sun Point Diode Detectors Vented Ion Chambers Detector Quantity: Diodes: 12 total Chambers: 13 total Detector Spacing (mm): Diodes: 5 Chamber Active Value (cm 3 ): Electron: 0.6; Photon: 0.3 Inherent Buildup (g/cm 2 ): Chambers: 1.0 ± 0.1 Inherent Backscatter (cm): 2.3 Field Size (cm): 20 x 20 Weight (kg): 5.7 Detector Type: Vented Ion Chamber Detector Quantity: 1 - CAX Parallel Plate Separation (mm): 4.0 Field Sizes (cm): 10 x 10 and 20 x 20 Detector Volume (cm 3 ): 0.6 Inherent Buildup (g/cm 2 ): 1.0 ± 0.1 Inherent Backscatter (cm): PMMA, 2.3 Weight (kg): SUN NUCLEAR CORPORATION // sunnuclear.com

25 StereoPHAN StereoPHAN Components SRS/SBRT Headframes Stereotactic (SRS/SRT/SBRT) end-to-end testing Quality assurance of image fusion algorithms for CT and MRI imaging modalities Absolute, relative and point dose dosimetry QA measurements at isocenter with ion chambers; relative dose distribution using film Consistent orientation allows for interference-free dose measurement regardless of measurement plane Target volumes in CT/MRI cube eliminate need for CT/MRI markers Flat surface of ion chamber cube geometry enables easy cross-calibration to water Support for stereotactic frame and frameless systems Phantom stand holds the inserts, making them easily accessible during testing Multi-functional cube inserts increase efficiency No tools required for assembly Stand base can be mounted to a couch that uses the Lok-Bar system All components fit into durable rolling case suitable for storage and travel Brainlab Fraxion GammaKnife CyberKnife Film MRI Signal Generator Standard StereoPHAN Inserts Ion chamber Universal Spacer CT/MRI Optional CyberKnife Inserts Material: PMMA (Acrylic) Weight (Including all Inserts) (kg): 11.1 Measurement Cubes (mm): 85 x 85 x 85 Film CT Ion Chamber StereoPHAN Dimensions (mm): 518 x 276 x 323 SUN NUCLEAR CORPORATION // sunnuclear.com 25

26 PRODUCT SOLUTIONS // Machine QA IMF / GMF Solid Water HE Measure output, symmetry, flatness, field size, penumbra, beam center, and more at any angle. Determine gravity-induced dose constancy, symmetry, flatness, MLC and jaw shift changes Holds cones of 20 x 20 cm or less for performing electron measurements (GMF) Hold device measurement planes at machine isocenter: IMF: MapCHECK, MapCHECK 2, PROFILER 2, Daily QA 3, rf-daily QA3 (no adapter), and SRS PROFILER (with adapter) GMF: IC PROFILER (no adapter), MapCHECK 2, PROFILER 2 and Daily QA 3 (with adapter) Fast, efficient, reproducible setup Measure at 100 cm SDD +/- 1.0 mm Supports electron cone (GMF) Aluminum alloy construction - Adjustable buildup clamps Compatible Linacs: Maximum Buildup (cm): (IMF) Elekta, Siemens, Varian Weight (kg): (IMF-E) 7.9, (IMF-S) 8.1, (IMF-V) 7.4 Dimensions (cm): Compatible Linacs: Maximum Buildup (cm): (IMF) (IMF-E) 39.4 x 28.7 x 48.8 (IMF-S) 39.4 x 31.5 x 48.0 (IMF-V) 39.4 x 31.5 x 39.1 (GMF) Elekta, Varian Weight (kg): (GMF-E) 16.8, (GMF-V) 3.7 Dimensions (cm): (GMF-E, ICP only) 3 (GMF-V, ICP only) 1.5 (GMF-E) 56.5 x 56.5 x 56.0 (GMF-V) 40.0 x 47.1 x 42.2 Next generation solid water for photon and electron measurements Patent-pending technology provides enhanced uniformity and durability Water equivalence within.5% for therapeutic and diagnostic energy ranges Patent-pending process using nanosphere technology for improved uniformity and variation Each manufactured slab is CT scanned for verification of consistency Variety of dimensions and thickness available Unparalleled uniformity through nanosphere technology and manufacturing process Longer lifespan and scratch resistance compared to conventional solid water Enhanced water equivalency Depth Ionization Relative-to-water Photons: / Electrons: / Density Mass Density (g/cm3): / Electron Density (e - /cm 3 N A ): / Solid Water HE / Water Electron Density Ratio / SUN NUCLEAR CORPORATION // sunnuclear.com

27 CT SIM+ Moveable Lasers MICRO Fixed Lasers Moveable patient alignment for radiation therapy and CT Includes the new RapidSim software interface with the Complete Connectivity Suite The Complete Connectivity Suite includes: - Handheld Wireless Pendant for in room control - Touchscreen Control Monitor - DICOM interconnectivity - Text file interconnectivity Sub-millimeter accuracy with zero drift Bright diode lasers available in Red, Green and Blue. Multiple installation configurations including wall / ceiling, full stanchions and, floor mounted posts Available in 1, 3, or 5-arm configurations Fixed patient alignment for Radiation Therapy, CT and MRI imaging Non-ferrous and lightweight design MRI compatible when installed > 3 feet from the center of the MRI bore Bright diode lasers available in Red, Green and Blue Benefits Easy to install and maintain Small footprint reduces opportunities for accidental contact and misalignment Red, Green or Blue colors to allow maximum flexibility Benefits Touchscreen control reduces control area clutter and provides a convenient patient workflow In-room wireless pendant functionality provides complete control and freedom for workflow efficiency Works with all marking workflows Drift: No measurable drift Wavelength Red (nm): 635 Wavelength Green (nm): 515 Wavelength Blue (nm): 450 Beam Adjustment Length of travel:(cm) 70 Beam Adjustment Accuracy of travel: ±0.5 mm at 3.0 m Beam Adjustment Positioning accuracy: ±0.5 mm at 3.0 m Dimensions L/W/D (cm): 112 x 21 x 9 Wifi Connectivity: b/g/n Complies with DICOM radiation oncology standards Supports text file laser coordinate formats Drift: Wavelength Red (nm): 635 Wavelength Green (nm): 515 Wavelength Blue (nm): 450 Beam Adjustment Line Rotation: No measurable drift ±180 Dimensions: L/W/D (mm): 146 x 92 x 76 Weight (g): 725 SUN NUCLEAR CORPORATION // sunnuclear.com 27

28 PRODUCT SOLUTIONS // Dosimetry Maximizing Accuracy and Minimizing Subjectivity DOSIMETRY Tools used for dosimetry and commissioning must be carefully selected. Equal care must be taken to setup and use these tools properly, otherwise incorrect information could be used with serious consequences. It is with this understanding that Sun Nuclear designs dosimetry solutions. Our goal for dosimetry is to maximize the accuracy of the measurement while minimizing the possibility of incorrect use. Our 1D SCANNER features an automatic water surface detection sensor which ensures consistent placement of the detector relative to water surface. Sun Nuclear s 3D SCANNER completely redefined what is possible with 3D water tank dosimetry. First the AutoSetup feature automates the leveling and centering of the tank, eliminating most user subjectivity and a major source of undetected errors. Second, the patented cylindrical design and ring drive provides consistent detector scan orientation regardless of scan direction and eliminates the need to change detector setup or perform tank shifts contrary to all other 3D water scanners which are square. Third, the SNC Dosimetry software that controls the 3D SCANNER provides advances such as database storage and scan layers which saves all native data and allows reversal of processing at any time. Fourth, the 3D MiniLift features a unique design that enables the tank to completely straddle the linac couch ring, keeping the setup of the 3D SCANNER stable at all times and not vulnerable to positional changes in the linac couch ring I SUN NUCLEAR CORPORATION // sunnuclear.com

29 3D SCANNER 3D MiniLift TPS commissioning Linac acceptance testing Annual QA Patented cylindrical design scans on any axis Consistent detector orientation for all scans AutoSetup automatically levels and centers tank Ring drive positions detector in any relevant 3D location Scan data saved to searchable database Raw scan data always saved, processing layers are reversible 3D MiniLift holds 3D Scanner without making contact with couch ring for added setup stability and accuracy of data collection AutoSetup removes common error source - setup subjectivity 65 cm scan range; no need for tank shift Maintains ideal orientation of the detector during inline, crossline and diagonal scans Less volume for faster fill and drain time No need to shift the tank and risk setup inconsistencies during shifting Straddles linac couch ring for stability Fits through standard doorways Legs fold for compact storage Quick and easy disassembly or transport 3D Reservoir 187 L (49.5 gal) capacity Less than 6 minute fill time Less than 3 minute drain time Easily maneuverable 3D TPR Vertical (mm): 400 Diameter (mm): 650 Ring (Degrees): 330 Motors: Encoded stepper/servo Scanning Modes: Continuous and step Scanning Speed Range (mm/sec): Variable up to 8 Scanning Accuracy (mm): 0.1 in all dimensions Diameter inner, Height / Width (mm): 676 / 673 / 875 Supports Varian, Elekta, Siemens and CyberKnife delivery systems Less than 5-minute installation with no additional tools 200 mm TPR drain measurement: 1.2 minutes 200 mm TPR fill measurement: 2.7 minutes SUN NUCLEAR CORPORATION // sunnuclear.com 29

30 PRODUCT SOLUTIONS // Dosimetry WaterProof PROFILER 1D SCANNER Scanning Dosimetry - relative dose measurements, acceptance testing and QA Open Fields and Electronic Wedges Single power/data cable connects directly to 3D SCANNER Oversampling feature provides accurate results Best specification detector spacing, count, and array length of any water-proof array SunPoint Diode Detectors provide the sharpest penumbra for the highest accuracy in beam modeling Calibration is fully automated and performed in the 3D SCANNER with no need to go in and out of bunker Speed capture complete beam profiles instantly, and with a fraction of the MU s needed when using a single detector Accuracy data is comparable to data collected when using a single ion chamber Ease of use attaches directly to 3D SCANNER in seconds with no tools, warm-up, or external electrometer needed Detector positioning in water Output factors and dose calibrations Annual and routine QA Suitable for TG-51 Automatic water level detection - Places the detector at the water surface Pendant and PC software control 30 cm scan depth Advanced scanning software option available Fast and efficient detector positioning Accommodates all common electron cones Multi-function pendant Horizontal ruler for off-axis detector positioning Farmer type, universal, and reference detector holders included Leveling platform available Inner Dimensions (cm): 35 x 39 x 36 Inner Volume (cm): 48 liters at 34.5 Detector Type: SunPoint Diode Detectors Quantity: 127 Spacing: (cm): 4 Overall Active Length (mm) 504 Active Volume (mm 3 ): Inherent Buildup Depth (mm): 8.1 Physical Buildup Depth (mm): 5.8 Sensitivity (nc/gy): 32 Arm positioning Increments (cm): 0.01, 0.1, 1.0 & 10 Arm positioning Accuracy (cm): ± 0.01 Scan Depth Maximum (cm): 30 Tank Material: PMMA (Acrylic) Weight Empty with Arm (kg): SUN NUCLEAR CORPORATION // sunnuclear.com

31 PC Electrometer EDGE Detector Reference class dosimetry for absolute dose calibration Mobility intensive assignments Lightweight and portable; weighs only 0.4 kg USB powered no batteries or power cord Intuitive user interface Fully configurable software interface Pocket size, lightweight design Two independent measurement channels Interfaces with the 1D SCANNER Less than 1-minute warm-up time Single USB cable connection Fast sampling interval of 500 ms Detector library SRS and IMRT beam modeling TPS commissioning Accurate penumbra characterization for fields 10 cm Ideal for steep dose gradients and small fields On Accuray Recommended QA Equipment list 842 times smaller in volume than micro ion chambers 100 times more signal than micro ion chambers No dose volume averaging Accuracy for critical penumbra measurements Works with all common water phantoms Detector type: SunPoint Diode Detector Charge (mca): 2 pc 10 Current Range Continuous (na): 2 pa 50 Current Range Pulsed (pc/pulse): Leakage (fa): < 10 A/D Converter: 16 bit Non-Linearity: < +/- 0.1% of full scale Long Term Stability: < +/- 0.5% Measured Repeatability: < +/- 0.25% of full scale Connector: TNC or BNC Weight (kg): 0.4 Current Range Pulsed (pc/pulse): from top 4.72 from end Diode Die Location (mm): 2.7 from side Indicated by cross hairs on top of housing Water Depth Equivalent (mm): 0.5 Housing Wall Thickness (mm): 0.13, brass External Dimensions (mm): 3.8 x 5.5 x 38 Impedance: Output Polarity: Cable: Connector: >200 Mohm at 10 mv reverse bias Negative 3.4 mm dia. x 1.8 m long, triax TNC or BNC SUN NUCLEAR CORPORATION // sunnuclear.com 31

32 PRODUCT SOLUTIONS // Dosimetry SNC350p SNC125c Reference, field, and scanning dosimetry of electron beams TDD/TPS Commissioning and QA Conforms to the design principles as stated by Dr. M. Roos Meets AAPM TG-51 and IAEA TRS-398 requirements for low-energy beams Reference dosimeter can be used to cross calibrate field dosimeters Meets highest standards of performance (IEC 60731) Well-guarded to reduce in-scattering perturbation effects Vented to provide air-density correction and eliminate need for radioactive stability check device White chamber body allows easy visualization of the setup relative to the crosshairs and lasers Reference, field, scanning dosimetry of electron and photon beams IMRT/VMAT Quality Assurance Unique design provides enhanced penumbra without loss of signal strength Waterproof and fully guarded Vented to provide air-density correction and eliminate the need for radioactive stability check device White chamber body gives a clear line of sight to the crosshairs and lasers during set up and set up verification Sensitive Volume (cm 3 ): Reference Point (mm): 1.07 Below Window Surface Collection Volume Height (mm): 2.0 Collector Diameter (mm): 15.6 Guard Ring Width (mm): 4.1 Polarity Effect: Within (±) 0.01 Max Dose Rate for (Gy/s): 99.5 % Saturation 99.0 % Saturation Max Dose Per Pulse for (mgy): 99.5 % Saturation 99.0 % Saturation Radiation Quality: Photons: 60 Co to 25 MV Electrons: 5 MeV to 25 MeV Connector: TNC or BNC Active Volume (cm 3 ): Active Length (mm): 7.05 Active Diameter (mm): 4.75 Sensitivity (nc/gy): 3.4 Paint 0.05 Wall Material (mm): PMMA 0.30 Graphite 0.25 Electrode (mm): 0.8 diameter aluminum Vented: To atmosphere through waterproof tubing Waterproofing: Viton Tubing Polarizing Voltage: Cable Length (m): 1.5 Cable Connector: ±400V Max TNC or BNC 32 SUN NUCLEAR CORPORATION // sunnuclear.com

33 SNC600c 3D SCANNER Photon and electron dosimetry Reference dosimetry - treatment delivery device calibration, cross calibration of other ionization chambers Field dosimetry - output stability checks for QA Scanning dosimetry - relative dose measurements, acceptance testing, treatment planning system commissioning Reference class ionization chamber (IEC 60731) Follows industry classic Farmer chamber design Fully guarded Vented Waterproof White thimble provides cross hair contrast Rotational orientation indicator mark Included Co-60 cap allows for air KERMA calibration The tank setup is by far the easiest setup of a scanning tank I have ever used and a testament to the ground up approach to the engineering of this scanning system. From my experience with 3D SCANNER, I ll be a Sun Nuclear tank user for all of my future sites. Mike Tallhamer, M.Sc Chief of Physics Centura Health, Colorado, USA Compatiability for existing Farmer chamber phantoms due to classic Farmer chamber design Highest performance for reference dosimetry Improved setup and accuracy from white chamber body gives a clear line of sight to the crosshairs and lasers during set up and set up verification Active Volume (cm 3 ): 0.6 Active Length (mm): 22.7 Active Diameter (mm): 6.1 Sensitivity (nc/gy): 20 Wall Material (mm): Paint 0.05, Graphite 0.43 Electrode (mm): 1.1 diameter aluminum Vented: To atmosphere through waterproof tubing Buildup Cap (mm): 4.5 Polarizing Voltage: Cable Length (m): 1.5 Cable Connector: ±400V Max TNC or BNC SUN NUCLEAR CORPORATION // sunnuclear.com 33

34 PRODUCT SOLUTIONS // Diagnostic Innovators in Advanced ULTRASOUND QA The only ultrasound QA solutions manufacturer with expertise in medical physics since We collaborated with clinical and academic thought leaders to develop our patented HE Gel and the first portable Doppler Flow phantoms in the world. HE (High Equivalency) Gel is what sets Gammex ultrasound products apart; it helps ensure all your transducers and system settings are fully tested across the entire frequency range from 2 to 18 MHz. Our HE Gel combined with our medical physics and quality control expertise gives you confidence with consistent diagnostic image quality in clinical applications. 34 SUN NUCLEAR CORPORATION // sunnuclear.com

35 Doppler Flow Phantoms Sono Family Mimic blood flow in human vessels and test system velocities Verify ultrasound system and transducer performance Completely self-contained battery operated units Represents pulsed or constant flow rates Represents laminar and parabolic flows (velocity-dependent) New blood mimicking fluid formulation with Increased viscosity and decreased Reynolds number Exceeds ACR, ECR, AIUM and other requirements Portable and lightweight Contains patented multi-frequency HE Gel No need to ever purchase or store blood mimicking fluid Flow Rates: Targets: Vessels (2): Blood Mimicking Fluid: Dimensions (Case): Doppler 403 Flow Customizable, constant and pulsatile Mini-Doppler 404 Flow Strings, cysts, grey scale, resolution groups 5mm inner diameter; 1 horizontal at 2 cm depth, 1 diagonal at 40º from 2 to 16 cm deep Speed of Sound /- 10 m/s, total volume approx. 300 ml 28 H x 30.5 W x 22 cm D (11 x 12 x 8.65 in.) 4mm inner diameter; 1 horizontal at 2 cm depth, 1 diagonal at 35º from 2 cm deep Speed of Sound /- 10 m/s, total volume approx. 100 ml 20 H x 23 W x 15.2 cm D (7.87 x 9.06 x 5.94 in) Weight: 8.34 kg (18 lbs. 4 oz.) 4.6 kg (9 lbs. 15oz.) Training and Quality Assurance testing of Ultrasound systems and transducers in General Radiology, Musculoskeletal, Cardiology, Emergency, Pediatrics, Radiotherapy and Surgical applications ACR compliance (Sono410, 404, 403) Verify system settings and depth of penetration for small to very large patients (Sono403) Two scanning surfaces conform to most convex & linear arrays (Sono410) Test axial, lateral & elevational resolution simultaneously (Sono408) Test high frequency transducers to ensure highest image quality for difficult cases (Sono404) Near-linear response of attenuation-to frequencies between 2 to 18 MHz, due to our HE Gel The only phantom with a curved scanning surface (Sono410) Exceeds ACR, ECR, AIUM and other requirements (Sono410, 404, 403) Select from any model based on your specific QA needs Full Contact scanning surface maximizes coupling for curved array transducer testing (Sono410) Feature Model ACR Compliant: 404, 403 Speed of Sound 1540 m/s: All Frequency Range 2-18 MHz: All Patented composite film scanning surface: All Full Contact Curved Scanning surface: Sono410 Anechoic Spherical Lesions: Sono408 SUN NUCLEAR CORPORATION // sunnuclear.com 35

36 PRODUCT SOLUTIONS // Diagnostic Gold Standard Solution for MAMMOGRAPHY QA When the USA mandated Mammography QA requirements via the Mammography Quality Standards Act (MQSA), medical physicists, the ACR and the FDA worked with Gammex to complete the phantom design known today as the Mammo 156 Phantom. The Gammex 156 phantom helped establish the mammography repeatability and reproducibility standard: any mammography technologist (radiographer) at any time, on any machine, can provide the same image set to help detect breast cancer. Today, the mammography industry continues to move toward standardized techniques for imaging heterogeneous, dense breast tissue, using Tomosynthesis and Contrast-Enhanced Digital Mammography (CEDM) to isolate tumors close to the chest wall with greater sensitivity and specificity. These technologies can detect lesions that are masked by dense tissue with greater accuracy than standard mammography systems. And Gammex continues to innovate with advanced materials, and collaboratively develop products that meet your QA, clinical and research needs. 36 SUN NUCLEAR CORPORATION // sunnuclear.com

37 Mammo Family of Phantoms Stereotactic Breast Biopsy Phantom (164A) Needle Insertion training for Stereotactic Breast Biopsy Procedures Mammo 156 Mammo 156 Stereo Solid gel lesions 2 to 5 mm for practicing core biopsies Skin-like resistance to needle insertion Compressible within a biopsy instrument Benefits Become proficient and confident in performing stereotactic breast biopsy procedures Ideal for physicians and technologists Measure and monitor signal to noise (contrast to noise), resolution and image quality Maintain system quality and compliance with stereotactic biopsy systems Wax and acrylic equivalent to 4.2 cm thick compressed breast tissue (50% adipose & 50% glandular) First MQSA-approved mammography phantom (156) Monitors mammography systems used for biopsy & localization (156D) Designed to hang on the biopsy system detector during rotation (156D) Benefits Simulates radiographic characteristics of compressed breast tissue Complies with MQSA (FDA), ACR, IAEA & ACPSEM requirements Provides quick detection of objects from 0.16 mm to 2.0 mm 156 Phantom Mammography Nylon Fibers (Fibrils): 6 Micro-calcifications: 5 Groups Masses: 5 Dimensions: (L/W/H) 10.2 x 10.8 x 4.5 cm 156D Phantom Stereotactic Nylon Fibers (Fibrils): 4 Micro-calcifications: 4 Groups Masses: 4 Dimensions: (L/W/H) 6.7 x 6.8 x 6.1 cm Construction: Gel with attenuation properties similar to breast tissue Outer casing: Vinyl Multiple Radiopaque Lesions: (mm) 2 to 5 Lesion Material: Solid Gel for core biopsy Liquid dye for fine needle aspiration Ultrasound Breast Biopsy Training Tool Use ultrasound to dynamically locate lesions and practice needle placement Practice identification, aspiration and biopsy procedures Benefits Simulates ultrasonic characteristics of breast tissue Skin-like resistance to needle insertion Fluid-filled Cysts: 3 High Contrast Lesions: 4 Low Contrast Lesions: 4 Diameter: 12.7 cm Height: 7.6 cm Weight: g (1 lb. 6 oz) SUN NUCLEAR CORPORATION // sunnuclear.com 37

38 PRODUCT SOLUTIONS // CT QA Ensure Accurate Screening, Diagnosis and Monitoring COMPLETE CT QA SOLUTIONS Over 40 years of experience helping our customers with CT compliance and patient safety. From CT Perfusion verification, to Dual Energy Characterization, to daily, monthly and annual CT QC, Gammex is your trusted CT QA and compliance partner. 38 SUN NUCLEAR CORPORATION // sunnuclear.com