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Development of treatment couch with computer controlled 5-axis movements 16 th ICNCT Helsinki, Finland 2014.06.19 Yoshihisa Abe 1, Masashi Ito 1, Ryo Fujii 2, Masaru Nakamura 2, Yoshio Imahori 2, Jun Itami 1 1 Department of Radiation Oncology, National Cancer Center, 2 Department of R&D, Cancer Intelligence Care Systems, Inc. - For clinical use in the accelerator - based BNCT -

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NCC New Building

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B1F ; Accelerator room B2F ; Treatment room Vertical Beam Line

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NCC New Building Fix type Vertical Beam Line

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NCC New Building

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The automatic-reproduction and self-repair system Fix type Vertical Beam Line

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Treatment couch with computer controlled 5-axis movements

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System relation

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System Block N FUJI denolo AdIn Research, Inc. ( Advanced Intelligence ) Creation Supervision Treatment couch Optimization system TAKENNAKA OPTONIC CO.LTD Movable laser system

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System Block Positioning laser system 5-axis movements couch x - axis y - axis z - axis Positio n data file CT image data tumor contour Optimization system Treatmen t room CT room

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Tumor area / Treatment angle

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System Block Positioning laser system 5-axis movements couch x - axis y - axis z - axis Positio n data file CT image data tumor contour Optimization system Treatmen t room CT room

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Pretreatment marks

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System Block Positioning laser system 5-axis movements couch x - axis y - axis z - axis Positio n data file CT image data tumor contour Optimization system Treatmen t room CT room

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BNCT Head Laser marks tumor Table top CT room Treatment room Conclusion Development of clinically applicable treatment couch for BNCT was successfully accomplished.