WVU operates two state-of-the-art Varian linear accelerators (1 Trilogy, 1 Truebeam), capable of delivering conventional, IMRT, RapidArc, and stereotactic body radiotherapy treatments. The department has a dedicated wide-bore 16 slice CT scanner for patient simulation. Respiratory gating is available using RPM software. Intracranial stereotactic treatment is delivered using an Elekta Perfexion Gamma Knife unit, and HDR brachytherapy is delivered using a VariSource remote afterloader. WVU also has a Zeiss Intrabeam kilovoltage system used to deliver intra-operative radiotherapy. The software environment is fully integrated using the Varian ARIA system with Eclipse treatment planning and Velocity deformable image registration, and is available remotely via Citrix. WVU also operates a satellite facility about 20 miles from the main campus, which is currently staffed by faculty and is fully integrated into the WVU clinical environment. MRI, CT/PET, and SPECT imaging are all available on the main campus and are routinely integrated into treatment planning.