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PRECISION GEOMETRY FOR PROSTATE SBRT

Sub-Millimetre Tracking.
Added to Your Existing Linac.

The Raypilot® System delivers electromagnetic real-time tracking at 30 Hz without imaging dose, with a P95 radial accuracy. And, it normally installs in just two days with zero clinical downtime.

Core Technology

POSITION UPDATE RATE

30 Hz Continuous

Continuous 3D position data with no imaging dose or beam interruption.

TRACKING ACCURACY

P95 < 2 mm

95th-percentile radial error, verified using an optical reference system.

Tracking method

Electromagnetic, Less Invasive

Electromagnetic transmitter. No implanted markers or external imaging.

  • The Raypilot® System at a Glance
    POSITION UPDATE RATE

    30 Hz Continuous

    Continuous 3D position data with no imaging dose or beam interruption.

    TRACKING ACCURACY

    P95 < 2 mm

    95th-percentile radial error, verified using an optical reference system.

    Tracking method

    Electromagnetic, Less Invasive

    Electromagnetic transmitter. No implanted markers or external imaging.

  • Under the Hood
    ANTENNA ARRAY

    Redundant Position Estimation

    6 independent antenna blocks, each estimating position separately, enabling the system to detect and compensate for individual sensor disturbance.

    SIGNAL MODEL TRAINING

    Large Number of Data Points

    The signal model trains on tens of thousands measurement points collected in each clinical environment, adapting to room-specific electromagnetic conditions without manual calibration.

  • Signal Integrity
    Measurement Quality

    Continuously Verified MQ

    Every position estimate carries a reliability score, computed in real time. The system continuously monitors its own accuracy and adapts to maintain it throughout every treatment session.

    ADAPTIVE SIGNAL CONTROL

    Real-Time Variable Gain

    Transmitter signal parameters are adjusted automatically during treatment to optimise antenna response and maintain measurement accuracy, even during active beam delivery.

    ROTATIONAL TRACKING

    Pitch & Yaw

    Full orientation data is displayed in real time alongside translational position, giving the treatment team a complete picture of prostate motion during each session.

The Five Dimensions of Treatment Precision

The quality of a prostate SBRT delivery depends on how well you control five interrelated parameters. The Raypilot® System directly addresses the dimensions that are typically the weakest in conventional setups.

  •  1. Target margins

    Real-time tracking allows minimized CTV to PTV margins.

  • 2. OAR margins

    In order to ensure that organs at risk are protected, the urethra visualisation enables dose-sparing where it matters most.

  • 3. Delivered dose fidelity

    In order to ensure that the delivered dose matches the planed dose, a continuous position verification ensures the plan executes as intended.

  • 4. Intrafraction motion control

    Continuous tracking ensures that radiation is delivered accurately and according to plan. If the prostate moves outside the predefined margins, the user can stop the beam reposition the patient.

  • 5. Cumulative imaging dose

    Position tracking with Raypilot System is performed without ionizing radiation.

Conventional SBRT without intrafraction motion management compensates primarily through wider margins (1, 2) and accepts geometric uncertainty during delivery (4). The Raypilot® System addresses all five dimensions simultaneously.

How Electromagnetic Tracking Works with the Raypilot® System

From Signal to Position

The Raypilot® Hypocath contains a miniaturised electromagnetic transmitter housed in a dedicated catheter lumen. The transmitter emits a signal detected by the Raypilot® Receiver, an antenna array on the treatment couch, 30 times per second. The signal is processed through a model that resolves the transmitter’s position in 3D with sub-millimetre precision. Unlike image-based tracking (CBCT, MRI), electromagnetic tracking provides continuous position data without radiation exposure to the patient and without pausing the treatment beam for imaging acquisition.

Fewer Fractions, Lower Cumulative Imaging Dose

Every treatment fraction requires pre-treatment verification imaging (CBCT or MRI), which delivers additional radiation dose to surrounding healthy tissue. Over a conventional 20–39 fraction course, this cumulative imaging dose to organs at risk becomes clinically relevant. By enabling confident delivery in 1–5 fractions with continuous electromagnetic real-time tracking, The Raypilot® System substantially reduces the total number of verification exposures and the associated imaging dose to rectum, bladder, and other organs at risk.

Tracking Methods Compared

EM tracking (Raypilot) kV imaging MR imaging
Temporal resolution 30 Hz (continuous) Intermittent (pre/post) ~4 Hz (cine MR)
Imaging dose to patient Zero Additional dose Zero
Beam interruption Not required Required for imaging Not required
Implanted markers Not required Typically required Not required
Soft tissue visualisation Urethra (via catheter) Limited Full soft-tissue contrast

Signal Processing and
the Raypilot® Signal Model

The Raypilot® System uses a model-based signal processing architecture to resolve the electromagnetic signal from the Raypilot® Hypocath transmitter into a precise 3D position. The model is trained on a large number of measurement points collected during a ~12-hour calibration cycle, mapping antenna responses to transmitter positions.

Redundant Position Estimation

Position estimated independently across antenna blocks. The most probable position is derived from consensus across elements, providing built-in robustness against individual sensor disturbance.

Measurement Quality (MQ)

A continuously computed measurement quality indicator reports the reliability of each position estimate. If the system is exposed to disturbances the system adapts transmitter signal parameters to optimize quality, at all times.

Data Available After Every Session

Every treatment session generates a complete motion record that is stored automatically and available for review. All data is exportable for retrospective analysis and QA integration.

3D Position Trace

Continuous position data in lateral, longitudinal, and vertical directions.

Pitch & Yaw

Rotational orientation data tracked alongside translational position.

Data Export

Full dataset available for offline analysis and quality assurance review.

Dosimetric Impact of Intrafraction Motion

View all publications

NEJM

2024

De Bari et al.

Electromagnetic transmitter-based prostate gating for dose-escalated SBRT

Evaluates intrafraction motion magnitude and gating frequency using The Raypilot System's EM tracking. Reports the proportion of fractions where gating was triggered and the clinical impact.

Why it matters: Adipiscing massa magna massa pellentesque facilisis elit laoreet. Non in vitae feugiat adipiscing nullam maecenas sit. Quam a aliquam sed leo eu.

Read our summary

Installation and QA Integration

The Raypilot® System installs as an add-on to your existing linear accelerator, with no re-build installation, shielding, or cooling required. The Receiver attaches to the couch with standard index bars.

Day 1

Hardware & Calibration

Receiver, software, acceptance testing. Unpacking and installation.

Day 2

Clinical Integration

Workflow setup, staff training, phantom validation. Commissioning test with user and initial training.

Day 3

Clinical Start

Training in bunker.

Multi-room configuration

  • Scaling to Multiple Rooms

    One Receiver per treatment room, shared software infrastructure. Additional rooms added with minimal incremental cost and no disruption to existing installations.

  • QA Workflow Integration

    Reproducible bladder filling and catheter positioning ensure each treatment session matches the plan.

Downloads

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PDF

The Raypilot® System Flyer

An overview of The Raypilot® System for intrafraction motion management, featuring system components, key clinical benefits, and references from treating clinicians.

Download Raypilot System Flyer

PDF

The Raypilot® System Technical Flyer

Technical specifications for The Raypilot® System, including receiver dimensions, catheter specifications, position update performance, and measurement precision data.

Download Raypilot System Technical Flyer

PDF

The Raypilot® System Folder

An introduction to prostate cancer treatment with The Raypilot® System, including how the system works, the step-by-step treatment process, and patient experience.

Download Raypilot System Folder

Frequently Asked Questions

View all FAQs
  • How does the system integrate with existing QA protocols?

    Raypilot® System has a separate QA assessment that needs to be performed before using the system.

  • Is The Raypilot® System compatible with my linac?

    The Raypilot® System works with most linacs. Feel free to reach out to us if you are wondering about your linac at info@micropos.se.

  • What calibration is needed after installation?

    The only calibration/verification needed is the daily Quality Control.

Want to See the System in Detail?

Request a technical demonstration, review the full specification sheet, or connect with our engineering team to discuss how The Raypilot® System integrates with your linac and clinical workflow.