Xstrahl 200

Xstrahl 200 provides both superficial and orthovoltage treatment techniques in one system

The Xstrahl 200’s range of energy levels makes it an ideal addition to any busy radiotherapy department.

Ideal for treating many superficial skin cancers, it can also be used to treat dermatological conditions such as psoriasis, and a range of other benign conditions such as Dupuytren’s Contracture, Peyronie’s Disease and heterotopic ossification. In addition, the Xstrahl 200 provides orthovoltage therapy for palliative care, including treatment of boney metastases and secondary lesions.

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Case Study 1

An 83 year old patient was referred by plastic surgeons for consideration of radiotherapy for a Squamous Cell Carcinoma located on his nose.


Case Study 2

A 66 year old patient with Pleural Epitheliod Mesothelioma was referred for radiotherapy treatment.


Case Study 3

An 84 year old patient referred by the Dermatologists after a peripheral biopsy confirmed the diagnosis of a Basal Cell Carcinoma on the gentleman's back.

Treatable Conditions

Superficial therapy

  • Basal cell carcinoma
  • Squamous cell carcinoma
  • Keloid scars
  • Dermatological conditions including psoriasis
  • Mycosis fungoides and deeper benign plaques

Benign conditions

  • Dupuytren’s
  • Peyronie’s Disease
  • Inflammatory disorders
  • Degenerative disorders
  • Hypertrophic disorders

Palliative care

  • Boney metastases
  • Secondary lesions

Concerto software, provides an intuitive workflow for treatments and creates a unique and detailed clinical record for each patient, including treatment images.


Concerto has been designed to provide a comprehensive yet simple workflow for the creation and treatment of your patients. X-ray therapy is utilised for a wide range of clinical conditions, each with a unique patient prescription and treatment position, the ability to link images to each treatment field provides a clinical record of the delivered exposure. For patients with multiple fields Concerto provides a simple and easy method to recall and create new treatment fields.

Software Features:

  • Concerto will allow users to integrate with 3rd party platforms, enabling the importation of patient lists and treatment plans.
  • Offers advanced levels of user authority
  • Enables the clinician to have patient pictures alongside patient information.
  • Ability to import treatment images.
  • Capable of running multiple languages, including Cyrillic text.
  • Ability to run treatment exposures and a choice of warm ups.
  • Each patient is stored in the system under a unique ID.
  • Each operator uses their unique user name and password to log on. Offering enhanced level of security and tracebility.
  • The Advantage Database is available on Windows and Linux operating systems.
  • Ability to upload onto Client server or Local database.

The Xstrahl 200 is supplied with four 20 cm FSD open and six 50 cm FSD closed clinical applicators which are made of copper with clear Perspex® viewing ends. The 20 cm applicators have open Perspex® viewing ends, and the 50 cm applicators have closed clear viewing ends. Additional applicators and FSD’s are available up to a maximum of 26.

Additional applicators and custom field sizes including oval shaped applicators are available at the customer’s request.

Technical Specifications

kV and mA Range: kV range is 10kV and 200kV. mA range is 2mA to 30mA. mA can be programmed to achieve required output (cGy/min).
Treatment Exposures: Treatment exposures are set in Monitor Units. Integrated real time dosimetry.
Clinical Interface and 3rd Party Connectivity: Concerto, Xstrahl clinical interface is supplied with the Xstrahl 200 system. Third party connectivity (XBridge) is available as an optional extra.
Support System: Xstrahl 200 can be floor/wall or ceiling mounted.
Treatment Planning Software: XBeam treatment planning software is available as an optional extra.