Abstract
Four photon-energy radiosurgery devices have been competitive in the market due to their uniqueness and specific advantages over the other systems (see Chap. 2). In the near future, these systems will compete with the evolution of non-photon delivery systems, such as proton beam systems. Inexpensive proton beam systems have been on the radar for many years. Now, one such device still five times more expensive than the photon delivery systems is making its way into the market and may be successful due to potentially better dose distributions (Kjellberg et al. 1983). However, the intrinsic advantage of the proton beam with its Bragg peak delivery has yet to match the current developments of the photon beam exploitations, such as multiple beams (200+ gamma beams), continuous beam delivery with shaping and modulation (LINACs), 150+ non-isocentric nodes of the Cyberknife® (Accuray Inc, Sunnyvale, CA), or the tomographic capabilities of Tomotherapy® (TomoTherapy, Madison, WI). Systems combining all the predicates of these four systems are also likely to gain market share. An example is the VERO™ (Brainlab AG, Feldkirchen, Germany), already in use in Europe.
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De Salles, A.A.F. (2011). Evolution of Stereotactic Radiosurgery. In: De Salles, A., et al. Shaped Beam Radiosurgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11151-8_1
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