Prompt Title: CyberKnife Robotic Technology.

Human: Web search results: [1] "The CyberKnife System is the only radiation delivery system that features a linear accelerator (linac) directly mounted on a robot to deliver the high-energy x-rays or photons used in radiation therapy. The robot moves and bends around the patient, to deliver radiation doses from potentially thousands of unique beam angles, significantly expanding the possible positions to concentrate ..." URL: https://cyberknife.com/cyberknife-how-it-works/ [2] "Technology. The CyberKnife System is an image-guided linear accelerator that was specifically designed to deliver Stereotactic radiosurgery (SRS) and Stereotactic body radiation therapy (SBRT). It is the precision of the system, delivered by its robotic arm, and real-time adaptive delivery of the radiation beam to the tumor throughout treatment ..." URL: https://cyberknife.com/cyberknife-technology/ [3] "Cable management, predominantly to support the operation of the linac and other devices in the treatment head, as well as industrial design are added to the KUKA robot (Fig. 2.3).The conduit for the cable management is 95 mm in diameter and carries dozens of cables including sensors for beam collimation systems, power and signal cables for the monitor chamber and dosimetry electronics, a ..." URL: https://www.sciencedirect.com/science/article/pii/B9780128142455000025 [4] "The CyberKnife ® System offers revolutionary treatment options for a wide range of cancers — but it is not new. The CyberKnife System is supported by two decades of published clinical follow-up, providing real-world evidence that the CyberKnife delivers excellent cancer control with reduced risk of side effects for cancer types throughout the body." URL: https://cyberknife.com/clinical-studies/ [5] "Unlike traditional methods of treating tumors, CyberKnife produces lasting results without the need for surgery, cutting, stitches or an extended recovery time, so you can receive cancer treatment and get back to living your life. For more information about CyberKnife, or to schedule an appointment, call 1-800-537-5142 ext. 5149." URL: https://www.sghs.org/Services/Cancer/CyberKnife.aspx [6] "CyberKnife can be used for tumors of the prostate, lung, brain, spine, pancreas, kidney, breast and other conditions determined by the medical staff. The S7 version of the technology works nearly twice as fast as previous CyberKnife models, building treatment plans in a few minutes, compared to a few hours. The system also offers personalized ..." URL: https://www.geisinger.org/about-geisinger/news-and-media/news-releases/2020/03/09/18/40/gwv-introduces-cyberknife-robotic-radiosurgery-treatment-system [7] "CyberKnife treatment is designed to be delivered on an outpatient basis, mostly consisting of a single treatment session lasting between 60 and 90 min. High quality imaging is of utmost importance ..." URL: https://www.researchgate.net/publication/225326167_CyberKnife_Review_of_first_1000_cases_at_a_dedicated_therapy_center [8] "Volume 2; Issue 6; November-December 2021; Page No. 285-299 Expert opinions on Robotic CyberKnife Technology A Taqaddas Research Medical Physicist, Research Wormhole, Canada Certified International Project Manager, USA Member of American Physics Society, USA Member of ASCO, USA" URL: https://www.allmultidisciplinaryjournal.com/uploads/archives/61C4105AA4CA31640239194.pdf [9] "The CyberKnife ® is a frameless robotic radiosurgery system that has been utilized by clinicians around the world to treat intracranial and extracranial tumors." URL: https://www.researchgate.net/profile/Bhuvan-Jyoti/publication/280080223_CyberKnifeR_The_cutting_edge_technology_in_precision_surgery/links/55a6c56708ae410caa74f6d8/CyberKnifeR-The-cutting-edge-technology-in-precision-surgery.pdf?origin=publication_detail [10] "Request PDF | Expert opinions on Robotic CyberKnife Technology | Robotic Cyber knife (CK) is an advanced robotic Stereotactic Radiosurgery technology that is used in Radiation oncology to treat ..." URL: https://www.researchgate.net/publication/357685560_Expert_opinions_on_Robotic_CyberKnife_Technology Current date: 25/03/2023 Instructions: Using the provided web search results, write a comprehensive reply to the given query. Make sure to cite results using [[number](URL)] notation after the reference. If the provided search results refer to multiple subjects with the same name, write separate answers for each subject. Query: Research, learn, and write one page about CyberKnife Robotic Technology and how the concept of Surgical CAD/CAM is implemented in this robotic system. Also, how it has been used for the treatment of tumors in moving organs such as lung (how the motion of the lung is captured and used in control). Also, explain the benefit of such technology. In addition, discuss what types of tumor treatment besides lung tumors it has been used for and why it could be preferable in comparison to conventional radiotherapy techniques. Discuss what aspects of technology can be improved.

ChatGPT:

CyberKnife Robotic Technology is a cutting-edge system used in radiation oncology for the treatment of various types of tumors. The system employs a linear accelerator (linac) mounted on a robotic arm to deliver high-energy x-rays or photons used in radiation therapy [1]. This robotic radiosurgery system is designed for image-guided Stereotactic radiosurgery (SRS) and Stereotactic body radiation therapy (SBRT) [2]. The robotic arm's precision and real-time adaptive delivery of the radiation beam enable the treatment of tumors with high accuracy and minimal damage to surrounding healthy tissue.

The concept of Surgical CAD/CAM (Computer-Aided Design/Computer-Aided Manufacturing) is implemented in the CyberKnife system through its advanced imaging and planning software. The system uses high-quality imaging to create a three-dimensional model of the tumor, allowing for precise targeting and treatment planning. This information is then used by the robotic arm to deliver radiation doses from potentially thousands of unique beam angles, significantly expanding the possible positions to concentrate radiation on the tumor [1].

One of the main challenges in treating moving organs, such as the lung, is accounting for the motion caused by the patient's breathing. CyberKnife addresses this issue through real-time motion tracking and synchronization of the robotic arm's movement with the patient's respiration. This allows the system to adapt to the lung's movement during treatment, ensuring that the radiation is continuously focused on the tumor, minimizing the dose to surrounding healthy tissue [2].

The benefits of the CyberKnife system include its non-invasive nature, allowing for cancer treatment without the need for surgery, cutting, stitches, or extended recovery time [5]. Furthermore, it is supported by two decades of published clinical follow-up, demonstrating excellent cancer control with reduced risk of side effects for various cancer types throughout the body [4].

CyberKnife has been used to treat tumors in the prostate, lung, brain, spine, pancreas, kidney, and breast, among other conditions determined by medical staff [6]. It is preferable to conventional radiotherapy techniques due to its ability to deliver highly precise radiation doses while minimizing the exposure of healthy tissue to radiation. This results in fewer side effects and a faster treatment process, with the latest S7 version building treatment plans in just a few minutes, compared to a few hours in previous models [6].

Aspects of CyberKnife technology that could be improved include the integration of more advanced imaging techniques for even higher precision and real-time tumor tracking. Additionally, further research and development could be conducted to optimize treatment planning and delivery for various tumor types, sizes, and locations. Furthermore, ongoing research could help identify additional conditions that could benefit from CyberKnife treatment, thus expanding its applications [[8](https://www.allmultidisciplinaryjournal.com/uploads/archives/61C4105AA4CA31640239194