XSTRAHL 300 The most powerful system in the medical range, the Xstrahl 300 X-ray therapy system is ideally suited for orthovoltage techniques and offers proven treatment for boney metastases and benign applications in addition to treating superficial conditions.

The only x-ray therapy systems manufactured with inbuilt dose control of delivered fractions for total patient safety.

Xstrahl 300

The Xstrahl 300 is the most powerful and versatile system in the Xstrahl range. The high energy X-ray system enables the ultimate in superficial and orthovoltage techniques. As well as treating non-melanoma skin cancers such as squamous cell carcinoma and basal cell carcinoma along with various dermatological conditions, the higher dose rates mean that many conditions such as Kaposi’s sarcoma or benign conditions can be treated, such as degenerative, inflammatory and hypertrophic disorders. The variable tube output of 40 kV to 300 kV combined with the correct filter option and applicator combinations is highly suited to palliative treatments, such as the treatment of boney metastases and mesothelioma chest drain sites.

Thanks to its leading design, treatment using the Xstrahl 300 provides an all-round positive experience for every patient. The flexibility of the unit means that the treatment is less stressful from the outset and thanks to its unique design the treatment is pain-free, with no surgical scarring. The low energy means pinpoint accuracy, so healthy skin isn’t affected. The fast treatment means a large reduction in time and impact on the patient’s day-to-day life, whilst providing a highly effective treatment for superficial skin conditions.

The Xstrahl 300 can be floor or ceiling mounted, making it easy to install alongside other equipment and adaptable where space is restricted. The intuitive machine controls have been ergonomically designed to provide the operator with smooth, controlled movements at all times allowing the radiation therapist to easily position the unit  and smooth adjustment and easy set up for each treatment field, ensuring patient comfort wherever the treatment site.

The unit’s small footprint enables installation in a compact space, and its mobility makes for better use of space within the treatment room. Its low energy and short exposure times means the treatment room requires less shielding compared to a high energy linear accelerator.

The range of movement in the treatment arm enables smooth adjustment and easy set up for each treatment field. Its flexibility makes it particularly suited for treating lesions that are difficult to access, such as the head and neck; and without compromising patient comfort.


Treatable Conditions

Superficial therapy

  • Basal cell carcinoma
  • Squamous cell carcinoma
  • Keloid scars
  • Dermatological conditions including psoriasis
  • Mycosis fungoides
  • Karposi’s plaques


Benign conditions

  • Gynecomastia
  • Dupuytren’s & Ledderhose
  • Peyronie’s Disease
  • Inflammatory disorders
  • Degenerative disorders
  • Hypertrophic disorder


Palliative care

  • Mesothelioma chest drain sites
  • Boney metastases/Rib pain
  • Secondary lesions

Xstrahl 300 Software

Concerto and Fisica software, provides the user with everything they need to provide best in class treatment for every patient.

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

Fisica, the interface between the physicist and the system hardware, is a highly customizable password controlled user level application that enables configuration of the Xstrahl system.


  • 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.

For more information about Xstrahl 300 download our brochure.

 Case Studies

    Squamous Cell Carcinoma
    The patient, an 83 year old male, was referred by plastic surgeons for consideration of radiotherapy on his nose. This referral took place following surgery for a Squamous Cell Carcinoma  (SCC)
    A 66 year old male with a history of recent weight loss and a cough, was presented for a chest X‐Ray. The results indicated left pleural effusion and pleural thickening .
    Basal Cell Carcinoma
    An 84 year old male patient was referred by Dermatologists after a peripheral biopsy confirmed the diagnosis of a Basal Cell Carcinoma on the gentleman's back.


Accurate application ensures that healthy skin isn’t affected, the treatment is pain-free, and speed of treatment means less impact on the patient’s day-to-day life. And with no surgical scarring, the cosmetic results are excellent.

The Xstrahl 300 is supplied with four 30 cm FSD open and six 50 cm FSD closed clinical applicators.

Xstrahl is devoted to ensuring you have the best applicators for your needs, and so we offer bespoke applicator creation on request, additional standardized applicators, focal spot applicators, and our new range of oval applicators, designed to be used between the boundary of the lip and facial skin.

The applicators are interlocked in the head of the treatment machine, ensuring any exposure may only be delivered with the correct applicator attached. The applicators are manufactured from stainless steel and have clear Perspex® viewing ends, which allow the radiographers to accurately position the applicator to achieve skin apposition prior to treatment.

Technical Specification

kV and mA Range – kV range is 40kV to 300kV. 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 – Concerto software enables simple and easy clinical interfacing.
Physics Calibration Interface – Fisica software allows for configuration, calibration and maintenance.
Support System – Xstrahl 300 can be floor/wall or ceiling mounted.
Optional Planning Software – XBeam treatment planning software is available as an optional extra.
Optional 3rd Party Communication Software – XBridge 3rd party communication software is available as an optional extra.

For full product specifications; including applicators and accessories, download our free online brochure by clicking the button below. Alternatively, if you’re still unsure as to which product suits you give us a call or make an enquiry.

Other Products

Xstrahl 300 is the most powerful and versatile system in the Xstrahl range. Take a look at Xstrahl 100, Xstrahl 150 and Xstrahl 200 for other fast and effective treatments.


  • Here at Valley View, we have been using the Xstrahl 150 model to treat a high proportion of our patients with skin cancers and keloids for over 3 years now. When we were deciding which superficial radiotherapy unit to purchase, we were attracted to the Xstrahl models because they offered higher energies compared to competitor units. We also liked detailed features of the machine such as the water-cooling system and the interlock option on the filter selection. We love using the Xstrahl radiotheraphy system to treat our patients because of its user-friendly technology and variety of energy levels available. The system is very reliable and we have had 100% up time.

    Xstrahl 150 Medical Physicist, Valley View Hospital, Glenwood Springs, USA
  • Xstrahl radiotherapy systems help us to respond to a growing treatment demand, helping us to reduce surgical and hospitalisation costs. The team find the Xstrahl technology easy to use and helps them to deliver safe and effective radiotherapy to our patients.

    Xstrahl 300 MD, Photoradiotherapy Department, Dermatology Unit, Fondazione IRCCS Ca’Granda Ospedale Maggiore Policlinico, Milan, Italy
  • The addition of an Xstrahl X-ray therapy system for treating superficial skin conditions such as non-melanoma skin cancer, will not only allow us to offer treatment to patient more effeciently, but also provide an enhanced patient experience. We are constantly striving to meet patient demand which is ever increasing and we are excited to have this option available to our patients.

    Xstrahl 200 Principle Radiographer, Colney Center, Norfolk & Norwich University Hospitals, Great Britain
  • I am so pleased that I chose SRT over reconstructive surgery. The treatment was very manageable. There was no “down time”. I continued my normal, daily schedule. The SRT was most successful as there is no evidence of treatment or basal cell on my nose now. I am so grateful SRT was an option.

    Xstrahl 100 Patient, The Skin Cancer and Reconstructive Surgery Center (SCARS Center), California, USA
  • We have been using Xstrahl radiotherapy systems for 4 years and have successfully treated over 230 patients with this technology. We currently use the Xstrahl 100 machine and we find the system beneficial for treating basal cell and squamous cell carcinomas, as well as a wide range of other skin lesions and conditions. The Xstrahl system is easily transported between treatment rooms and has the added benefit of enabling us to effortlessly reconfigure our department layout.

    Xstrahl 100 Principle Radiographer, Christie NHS Foundation Trust, Manchester, Great Britain
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