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High-Precision Lasers Aids RT Patient Positioning

By MedImaging International staff writers
Posted on 16 Sep 2019

A novel room laser helps position patients during magnetic resonance imaging (MRI) and in MR-guided radiation therapy (RT).

The LAP (Hamburg, Germany) Apollo MR3T positioning lasers (available in red, green, and blue beams) are used in classical RT in order to aid patient positioning during imaging with a magnetic resonance tomograph (MRT), and in MRI-guided radiation therapy with a linear accelerator (LINAC). The system uses three fixed crosshair lasers to project the LINAC isocenter coordinates onto the patient’s skin, allowing for precise alignment to millimeter accuracy with the computerized tomography (CT) or MRI imaging-based planning.

The lasers project coronal, sagittal and transversal body planes, with options including laser color, line and/or cross laser, and mounting option, all adapted to individual room situation. An optional fourth laser prevents possible shadowing from the LINAC gantry. A high-quality aluminum housing protects the fine mechanics and optical components inside the device, with break-resistant glass that withstands all the stresses and strains of everyday clinical life. In addition, all components have minimal ferromagnetic properties, and have no influence on the imaging.

The fast, stepless adjustment of laser position is conveniently controlled via remote control. Even at a distance of four meters, the maximum width of the laser line is just one mm, with line straightness (i.e., within the line) showing only submillimeter deviations, even at a distance of three meters. The Apollo MR3T positioning lasers are magnetically safe, and optimally adapted to magnetic field strengths up to 3 Tesla. During quality assurance (QA) procedures, test phantoms can be placed quickly and easily with the help of the lasers to achieve measurement accuracy.

“APOLLO room lasers are the most frequently used positioning lasers for radiation therapy worldwide,” said Michael Uhr, product manager at LAP. “APOLLO MR3T is available as a single laser or as a customized laser bridge to meet the requirements of any room situation. This offers maximum flexibility even in confined spaces.”

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68 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

69 (30.040740966797): SELECT fid FROM jos_deeppockets WHERE id=294779328 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294779328 AND published='1' LIMIT 1

70 (35.04753112793): 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`

71 (193.11904907227): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294779328 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (184.77439880371): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294779328 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (40.054321289062): 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`

74 (324.96452331543): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (977.99301147461): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (60.796737670898): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (41.961669921875): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294779328 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (26.941299438477): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294779328 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (46.014785766602): 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`

91 (68.902969360352): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (504.0168762207): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (69.856643676758): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (149.96528625488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779328 AND published='1' LIMIT 1

106 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779328 AND published='1' LIMIT 1

107 (86.784362792969): 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=294779328 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (643.96858215332): 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=294779328 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (257.96890258789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779328 AND published='1' LIMIT 1

110 (!!!!! 2781.867980957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779328 AND published='1' LIMIT 1

111 (73.909759521484): 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=294779328 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (601.05323791504): 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=294779328 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (760.07843017578): 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 (!!!!! 3309.0114593506): 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

115 (!!!!! 1102.9243469238): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779328 AND published='1' LIMIT 1

116 (!!!!! 6564.1403198242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779328 AND published='1' LIMIT 1

117 (!!!!! 11299.133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779328 AND published='1' LIMIT 1

118 (!!!!! 7991.0755157471): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779328 AND published='1' LIMIT 1

119 (!!!!! 1738.7866973877): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779328 AND published='1' LIMIT 1

120 (504.97055053711): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779328 AND published='1' LIMIT 1

121 (245.09429931641): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

122 (!!!!! 146595.95489502): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

123 (!!!!! 1901.8650054932): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779328 AND published='1' LIMIT 1

124 (589.84756469727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779328 AND published='1' LIMIT 1

125 (!!!!! 1028.0609130859): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294779328 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294779328 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 1202975.9883881): ( 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

127 (!!!!! 1044517.993927): ( 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

128 (67.949295043945): 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

129 (30.994415283203): 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

130 (41.961669921875): 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

131 (29.087066650391): 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

132 (29.087066650391): 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

133 (58.889389038086): 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

134 (470.87669372559): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (293.01643371582): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779328 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (120.87821960449): SELECT name FROM jos_deeppockets WHERE id=213

137 (38.14697265625): SELECT name FROM jos_deeppockets WHERE id=213

138 (422.00088500977): 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

139 (395.05958557129): 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

140 (!!!!! 12835.97946167): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779328 AND published='1' LIMIT 1

141 (!!!!! 2744.9131011963): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779328 AND published='1' LIMIT 1

142 (!!!!! 17387.866973877): TRUNCATE TABLE jos_trademed_module

143 (!!!!! 4218.1015014648): 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=294779328 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (!!!!! 6083.9653015137): 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=294779328 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 14915.943145752): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (!!!!! 7982.0156097412): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (!!!!! 1772.8805541992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779328 AND published='1' LIMIT 1

148 (!!!!! 4339.9333953857): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779328 AND published='1' LIMIT 1

149 (!!!!! 4137.9928588867): 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

150 (!!!!! 6139.9936676025): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779328 AND published='1' LIMIT 1

151 (!!!!! 15676.021575928): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779328 AND published='1' LIMIT 1

152 (!!!!! 7798.9101409912): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294779328 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294779328 AND type='deeppockets_item' AND published='1' LIMIT 1

153 (!!!!! 8152.0080566406): 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)

154 (!!!!! 8629.7988891602): 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)

155 (!!!!! 6995.9163665771): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

156 (!!!!! 7481.0981750488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779328 AND published='1' LIMIT 1

157 (!!!!! 7987.9760742188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779328 AND published='1' LIMIT 1

158 (!!!!! 6956.8157196045): select jos_twitters.link from jos_twitters where cat=10

159 (!!!!! 8779.0489196777): select jos_facebook.link from jos_facebook where cat=10

160 (!!!!! 7948.8754272461): select jos_google_plus.link from jos_google_plus where cat=10

161 (!!!!! 7937.1929168701): select jos_linkedin.link from jos_linkedin where cat=10

162 (!!!!! 3710.0315093994): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

163 (!!!!! 6567.0013427734): insert into jos_banners_delta values (14615,'2025-04-30 03:56:37','13.58.117.102','view'),(14202,'2025-04-30 03:56:37','13.58.117.102','view'),(14203,'2025-04-30 03:56:37','13.58.117.102','view')

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