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27 Jul 2025 - 30 Jul 2025

AAPM 2025 - 67th Annual Meeting & Exhibition of the American Association of Physicists in Medicine

Advanced Treatments Begin Using New Radiosurgery System

By MedImaging International staff writers
Posted on 26 Jul 2017

Image: The Edge radiosurgery system being used for non-invasive treatment of a patient (Photo courtesy of Varian Medical Systems).

Georgia has started using a new radiosurgery system, installed in the capital Tbilisi, to treat a female breast cancer patient.

The system is a non-invasive alternative to conventional surgery and can be used to treat patients with metastatic tumors using Stereotactic Body Radiotherapy (SBRT), together with enhanced motion management and respiratory gating to take account of breathing patterns.

The Varian Medical Systems (Palo Alto, CA, USA) Edge system was installed at the Tbilisi-based Research Institute of Clinical Medicine (Tbilisi, Georgia), and has now been put to clinical use for the first time.

The Edge system features real-time tracking, high definition collimator leaves, and a high dose rate that together allow clinicians to deliver precise and fast radiosurgical treatments. The system reduces the treatment time compared to other approaches, and uses shaped high-energy X-Rays without surgical incisions. The system also features a treatment couch with six axes of motion that allows tumors to be targeted from more angles than was possible before.

The Edge system allows a shorter healing time, and results in less pain, and a shorter recovery time for the patient compared with conventional surgery. The Edge radiosurgery system has also been used to deliver bone, lung, brain, and adrenal radiosurgery.

Dr. Natalia Jankarashvili, head of Research Institute of Clinical Medicine, radiation oncology department, said, "We are pleased to be the first center in this region to begin clinical treatments using Edge radiosurgery. Radiosurgery with Edge is very fast and it enables us to carry out radiosurgery on small tumors, which we couldn't do before. We think it will make a big difference for cancer patients throughout Georgia, Armenia and Azerbaijan."

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68 (35.04753112793): SELECT fid FROM jos_deeppockets WHERE id=294770153 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294770153 AND published='1' LIMIT 1

69 (32.186508178711): 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=211 ORDER BY `ordering`

70 (252.00843811035): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294770153 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (257.01522827148): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294770153 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (36.954879760742): 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 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (41.961669921875): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294770153 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (30.040740966797): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294770153 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (34.093856811523): 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 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294770153 AND published='1' LIMIT 1

105 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294770153 AND published='1' LIMIT 1

106 (49.114227294922): 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=294770153 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (46.014785766602): 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=294770153 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294770153 AND published='1' LIMIT 1

109 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294770153 AND published='1' LIMIT 1

110 (46.014785766602): 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=294770153 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (469.92301940918): 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=294770153 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (529.05082702637): 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 (338.79280090332): 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 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294770153 AND published='1' LIMIT 1

115 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294770153 AND published='1' LIMIT 1

116 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294770153 AND published='1' LIMIT 1

117 (45.7763671875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294770153 AND published='1' LIMIT 1

118 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294770153 AND published='1' LIMIT 1

119 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294770153 AND published='1' LIMIT 1

120 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294770153 AND published='1' LIMIT 1

121 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294770153 AND published='1' LIMIT 1

122 (369.07196044922): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294770153 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294770153 AND type='deeppockets_item' AND published='1' LIMIT 1

123 (!!!!! 7283.9260101318): ( 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 (63.180923461914): ( 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 (36.954879760742): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

126 (29.087066650391): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

127 (36.954879760742): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

128 (29.087066650391): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

129 (272.03559875488): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

130 (34.809112548828): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

131 (36.001205444336): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

132 (38.14697265625): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

133 (503.0632019043): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (389.09912109375): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294770153 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (216.96090698242): SELECT name FROM jos_deeppockets WHERE id=211

136 (31.948089599609): SELECT name FROM jos_deeppockets WHERE id=211

137 (710.96420288086): 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (722.88513183594): 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294770153 AND published='1' LIMIT 1

140 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294770153 AND published='1' LIMIT 1

141 (400.06637573242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

142 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

143 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294770153 AND published='1' LIMIT 1

144 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294770153 AND published='1' LIMIT 1

145 (!!!!! 1085.9966278076): 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

146 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294770153 AND published='1' LIMIT 1

147 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294770153 AND published='1' LIMIT 1

148 (36.954879760742): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294770153 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294770153 AND type='deeppockets_item' AND published='1' LIMIT 1

149 (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=211 or channel_id is null)

150 (28.848648071289): 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=211 or channel_id is null)

151 (30.994415283203): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

152 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294770153 AND published='1' LIMIT 1

153 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294770153 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294770153 AND published='1' LIMIT 1

154 (42.915344238281): select jos_twitters.link from jos_twitters where cat=10

155 (32.901763916016): select jos_facebook.link from jos_facebook where cat=10

156 (29.087066650391): select jos_google_plus.link from jos_google_plus where cat=10

157 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

158 (295.87745666504): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

159 (!!!!! 1142.0249938965): insert into jos_banners_delta values (14615,'2025-06-20 23:14:36','216.73.216.120','view'),(14202,'2025-06-20 23:14:36','216.73.216.120','view'),(14203,'2025-06-20 23:14:36','216.73.216.120','view')

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