Nottingham University Hospital is First U.K. User of Elekta's Electronic Medical Record Workspace for Image Guided Radiation Therapy

By Elekta, PRNE
Monday, March 14, 2011

From single workstation, U.K. center coordinates advanced IGRT therapy for patients with cancer

NOTTINGHAM, England, March 15, 2011 - Delivering Image Guided Radiation Therapy (IGRT) effectively and safely
involves careful coordination of sophisticated systems, such as the therapy
machine and its imaging subsystems, as well as the electronic medical record
(EMR) used to schedule and record patient treatments. Clinicians at
Nottingham University Hospital are piloting their new IGRT program with
SYNERGISTIQ(TM), Elekta's workflow management system for Elekta Synergy(R)
linear accelerators. Nottingham's Radiotherapy Services Manager, Russell
, reports that SYNERGISTIQ is streamlining IGRT by orchestrating
MOSAIQ(R) EMR and Elekta Synergy activities from a single workstation.

"The cone beam CT capabilities provided by the two Synergy systems we
acquired are new to this department," Hart says. "Given that, and looking at
the high potential workflow for these systems - as many as 40 patients per
day per system - we wanted the IGRT be as efficient as possible. We were
impressed with how SYNERGISTIQ provided a very streamlined workflow for the
radiographer, who operates the linac.

The fact that Nottingham already operated four Elekta Precise Treatment
System(TM) linacs did not confer an advantage to the company during equipment
evaluations, as National Health Service (NHS) guidelines for major
procurements require that centers evaluate the solutions of all relevant
providers, Hart notes.

"Only Elekta was able to offer that single workstation for the operator,
which the others claimed to have but, in reality, did not," he says. "That
meant that Elekta presented a total solution that included workflow and
oncology information management, as well as the Elekta Synergy treatment
systems and treatment planning with Monaco(R)."

MOSAIQ oncology information system went clinical at Nottingham in June
, followed by the Elekta Synergy systems with SYNERGISTIQ in October and

Implementing a streamlined IGRT workflow

"The systems' cone beam CT is currently undergoing commissioning for
regular clinical use, but we have seen the impact of SYNERGISTIQ on IGRT
workflow involving individual patients, and it's great," he says. "It's going
to allow the operator to perform all IGRT functions at the SYNERGISTIQ
workstation, rather than having to move to different workspaces, monitors and
keyboards. That includes basic treatment readiness, imaging, image analysis
interacting with MOSAIQ, interacting with the cone beam CT - all from one

According to Hart, another advantage, enabled by Auto DICOM push, is that
all patient images will be available via the patient's electronic medical
record - without having to go into the separate imaging database.

"This means you can distribute those images across your department via
MOSAIQ, so doctors can access MOSAIQ and review images at a location outside
of the radiation oncology department," Hart says. "SYNERGISTIQ unites patient
records, scheduling, treatment coordination and images all in one tool. This
will completely streamline the whole IGRT process."

To learn more about SYNERGISTIQ, visit

About Elekta

Elekta is a human care company pioneering significant innovations and
clinical solutions for treating cancer and brain disorders. The company
develops sophisticated, state-of-the-art tools and treatment planning systems
for radiation therapy and radiosurgery, as well as workflow enhancing
software systems across the spectrum of cancer care.

Stretching the boundaries of science and technology, providing
intelligent and resource-efficient solutions that offer confidence to both
healthcare providers and patients, Elekta aims to improve, prolong and even
save patient lives, making the future possible.

Today, Elekta solutions in oncology and neurosurgery are used in over
5,000 hospitals globally, and every day more than 100,000 patients receive
diagnosis, treatment or follow-up with the help of a solution from the Elekta

Elekta employs around 2,500 employees globally. The corporate headquarter
is located in Stockholm, Sweden, and the company is listed on the Nordic
Exchange under the ticker EKTAb. For more information about Elekta, please

Stina Thorman, Vice President Corporate Communications, Elekta AB, +46-8-587-254-37, stina.thorman at; Time zone: CET: Central European; or Michelle Lee, Director, Global Public Relations and Brand Management, Elekta, +1-770-670-2447, michelle.lee at, Time zone: EDT: Eastern Daylight

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