WHY PIL

From treatment precision
to hospital value

From treatment precision to hospital value: four business impacts

Markerless tumor tracking (PerfectTracking) is backed by data measured in clinical trials and clinical operation at QST Hospital. Here is how that precision translates into hospital management, in four points.

01

High precision = better treatment outcomes

0.5 mm(95% CI) Tumor position accuracy with markerless tracking; 4.1 mm with surface-based gating

Position error below 1 mm for 97.3% of the beam-on time. Margins can be kept to 2–3 mm, lowering the dose to normal tissue: fewer side effects, earlier discharge, higher turnover.

02

High precision = hypofractionation and shorter takt time

1–4 fractionsAverage number of fractions for lung / liver in carbon-ion therapy (single-fraction treatment also performed)

Because the tumor itself is tracked, hypofractionation becomes feasible. More patients can be treated per room per year, and the burden of hospital visits on patients is reduced.

03

Markerless = zero invasiveness, zero waiting

0Implantation procedures, implantation complications (~3%), waiting days after implantation

Patients who cannot receive markers become eligible. Lead time from referral to the start of treatment is shortened, preventing patients from leaving for other facilities.

04

Same result whoever operates = lower hiring hurdle

AutomatedTracking parameters are optimized automatically

Operation does not depend on experience or skill level, reducing the burden of recruiting and training staff. Even small facilities can run respiratory-gated treatment.

Sources: Mori S, et al. Int J Radiat Oncol Biol Phys 2016;95:258-266 (5 lung and 5 liver cases; internal gating accuracy 0.5 mm vs external gating 4.1 mm; TRE < 1 mm for 97.3%) / Mori S, et al. Phys Med 2018;52:18-26 (number of fractions).

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