The Trilogy radiation machine offers state of the art image guidance capability with real time CT capability. Trilogy® also offers the capability of performing non-IMRT treatments especially for certain cancer types where IMRT is not the best way to treat the patient. In addition, trilogy allows a radiation oncologist to deliver the most precise delivery of radiation to small tumors within the brain or other parts of the body. This treatment is known as stereotactic radiosurgery or SRS. Among the technological innovations that come with the system is “respiratory gating,” which tracks the position of a tumor in sync with a patient’s breathing, turning the radiation off and on to compensate for motions of inhalation and exhalation. The technology enables a physician to choose exactly the right moment to target a tumor, allowing increases to radiation doses while protecting healthy tissues. Of equal importance, the Trilogy system can target with high specificity a tumor that lies problematically close to the spinal cord, optic nerves, brainstem, skull base and other critical organs. This unparalleled accuracy can lead not just to better outcomes but also to greater efficiencies, shorter hospital stays and reduced risk of complications.