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Five Proton Therapy Treatment Rooms Plus System Upgrade Deployed at Scripps Proton Therapy Center

By MedImaging International staff writers
Posted on 16 Oct 2014

Image: The ProBeam system treatment room (Photo courtesy of Varian Medical Systems).

An upgrade of a proton system will improve workflow at a US proton therapy center, enabling the use of the fixed-beam treatment rooms as well as more diverse patient-positioning devices. Moreover the new technology is designed to enhance the quality of images generated by the system’s integrated imager.

Varian Medical Systems (Palo Alto, CA, US) has completed commissioning of five treatment rooms at the Scripps Proton Therapy Center (San Diego, CA, USA) earlier in 2014, and has upgraded the ProBeam system software. “We anticipate that the upgrade to ProBeam 2.5 will, by improving our treatment workflow and making available our two fixed-beam rooms, substantially increase our ability to provide clinical services to a growing and diverse patient population,” said Carl Rossi, MD, medical director of the Scripps Proton Therapy Center. “We expect it will be a significant improvement in our facility’s capabilities and will be an example of the continued development and flexibility inherent in the ProBeam treatment system.”

“We were very pleased with the response of the Scripps clinical team when we turned over the fifth treatment room after commissioning,” said Dr. Moataz Karmalawy, general manager of Varian’s particle therapy division. “Those who had experience with the commissioning process at other centers using other systems told us that this was the fastest ramp-up they had seen.”

Varian is also pleased to announce that testing conducted recently at Scripps has demonstrated that the cone-beam CT system, currently used on all TrueBeam machines, is compatible with ProBeam technology. High-quality images have been generated using the system at Scripps, and this functionality will be made available to customers in 2015. High quality kV imaging is already in clinical use.

The ProBeam system, which will be on display at the meeting of the American Society for Radiation Oncology (ASTRO) held in San Francisco (CA, USA), in October 2014, incorporates Varian’s unique Dynamic Peak scanning technology for intensity-modulated proton therapy (IMPT), robotic patient positioning tools, and a comprehensive suite of motion management tools. It incorporates an integrated 2-D and 3-D imager for real-time image guidance, as well as the option of planning and managing treatments using Varian’s Eclipse and ARIA software systems.

Varian proton therapy technology is also in place at the Rinecker Proton Therapy Center in Munich (Germany) and the Paul Scherrer Institute in Switzerland. Varian has contracts to install ProBeam systems at seven additional centers at the University of Maryland in Baltimore; Emory University in Atlanta (GA, USA); Cincinnati Children’s Hospital in Ohio (USA); University of Texas Southwestern in Dallas (USA); KFMC-King Fahd Medical City in Saudi Arabia; PTC in St. Petersburg (Russia); and National Taiwan University in Taipei.

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67 (28.133392333984): select jos_linkedin.link from jos_linkedin where cat=10

68 (35.04753112793): SELECT fid FROM jos_deeppockets WHERE id=294755187 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294755187 AND published='1' LIMIT 1

69 (56.982040405273): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=213 ORDER BY `ordering`

70 (243.18695068359): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294755187 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (205.03997802734): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294755187 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (41.007995605469): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (81.062316894531): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (98.943710327148): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294755187 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (42.915344238281): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294755187 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (41.961669921875): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755187 AND published='1' LIMIT 1

105 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755187 AND published='1' LIMIT 1

106 (75.101852416992): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294755187 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (63.896179199219): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294755187 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755187 AND published='1' LIMIT 1

109 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755187 AND published='1' LIMIT 1

110 (56.982040405273): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294755187 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (522.13668823242): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294755187 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (549.0779876709): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (322.10350036621): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755187 AND published='1' LIMIT 1

115 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755187 AND published='1' LIMIT 1

116 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755187 AND published='1' LIMIT 1

117 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755187 AND published='1' LIMIT 1

118 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755187 AND published='1' LIMIT 1

119 (38.14697265625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755187 AND published='1' LIMIT 1

120 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755187 AND published='1' LIMIT 1

121 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755187 AND published='1' LIMIT 1

122 (423.90823364258): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294755187 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294755187 AND type='deeppockets_item' AND published='1' LIMIT 1

123 (!!!!! 974658.96606445): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

124 (!!!!! 752515.07759094): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

125 (478.98292541504): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

126 (42.915344238281): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

127 (246.04797363281): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

128 (37.193298339844): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

129 (202.89421081543): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

130 (35.04753112793): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

131 (530.95817565918): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

132 (447.98851013184): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755187 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

133 (341.89224243164): SELECT name FROM jos_deeppockets WHERE id=213

134 (41.007995605469): SELECT name FROM jos_deeppockets WHERE id=213

135 (499.96376037598): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

136 (359.05838012695): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

137 (!!!!! 1029.0145874023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755187 AND published='1' LIMIT 1

138 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755187 AND published='1' LIMIT 1

139 (329.01763916016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

141 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755187 AND published='1' LIMIT 1

142 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755187 AND published='1' LIMIT 1

143 (!!!!! 1055.9558868408): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

144 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755187 AND published='1' LIMIT 1

145 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755187 AND published='1' LIMIT 1

146 (404.11949157715): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294755187 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294755187 AND type='deeppockets_item' AND published='1' LIMIT 1

147 (40.054321289062): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

148 (33.140182495117): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

149 (35.04753112793): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

150 (137.0906829834): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755187 AND published='1' LIMIT 1

151 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755187 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755187 AND published='1' LIMIT 1

152 (107.0499420166): select jos_twitters.link from jos_twitters where cat=10

153 (26.941299438477): select jos_facebook.link from jos_facebook where cat=10

154 (25.98762512207): select jos_google_plus.link from jos_google_plus where cat=10

155 (25.98762512207): select jos_linkedin.link from jos_linkedin where cat=10

156 (245.09429931641): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

157 (!!!!! 1167.0589447021): insert into jos_banners_delta values (14615,'2025-05-02 10:50:18','52.14.230.29','view'),(14202,'2025-05-02 10:50:18','52.14.230.29','view'),(14203,'2025-05-02 10:50:18','52.14.230.29','view')

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