Redefining
cancer therapy.
5D Cancer Services brings the most advanced Adaptive Radiotherapy to Southern Utah. Targeted, efficient, safer treatment in as few as 5 days.
of radiation machines\ncan't adapt.
Most radiation equipment delivers the same fixed plan every session, regardless of how your body or tumor has changed. That approach was designed decades ago. Your cancer deserves better.
Tumors move and change shape
Cancer doesn't hold still. Tumors can shift position, shrink, or change shape between sessions. Most machines can't account for this.
Weeks of daily visits
Conventional radiation often requires 20–45 treatments spread over 5–9 weeks. That's a lot of time away from your life.
Unnecessary damage to healthy tissue
When a machine can't see daily changes, it radiates a wider area to compensate. That means more healthy tissue gets exposed.
Akesis Gemini 360
The first and only adaptive radiotherapy system in Utah.
Because cancer doesn't sit still.
Cancers can change shape or shift position daily. 99% of radiation machines can't adapt to this. The Akesis Gemini 360 can. It pairs a high-energy LINAC with onboard CBCT imaging in a single ring gantry — enabling adaptive treatments like dose painting, grid irradiation, and simultaneous multi-target therapy. One device, one team, one workflow. World-class adaptive radiotherapy is now available right here in Southern Utah — no travel required.
- Targets tumors with 0.3mm precision — the width of a few human hairs
- Adapts to changing tumor shape daily with real-time 3D imaging
- Delivers doses up to 1400 cGy/min for faster, more comfortable sessions
- Treats the full range — from small brain tumors to large complex cancers with a 40×40 cm field
- Completes many treatments in as few as 5 sessions instead of 20–45 treatments
"The Gemini 360 delivers adaptive therapy with real-time imaging and automated tracking — more targeted, efficient, and safer treatment with significantly reduced side effects."
Adaptive radiotherapy by the numbers
Three published findings that explain why daily-adapted, image-guided radiation matters.
of online-adapted fractions change the plan
Multi-site CBCT-guided online ART experience: the daily plan is meaningfully different from the original plan in the large majority of fractions.
fewer significant urinary side effects vs non-adaptive
Randomized phase III data of tightly margined, image-guided adaptive prostate SBRT show substantially lower rates of clinically meaningful acute genitourinary symptom flares — with the largest differences seen in patient-reported endpoints — compared to conventionally guided treatment.
sessions can replace 20–35 conventional treatments
Hypofractionated stereotactic regimens (e.g., 5-fraction prostate SBRT) reach cancer-control outcomes comparable to conventional 20–39 fraction courses.
The Philosophy of A.I.M.
Adaptation
Adapting treatment plans daily to account for changes in cancer shape and position.
Imaging
Excellent pre-treatment and real-time imaging that guides every adaptive adjustment.
Margins
Reducing margins to minimize side effects — the most critical factor in patient outcomes.
At 5D Cancer Services, we believe every patient should be given the opportunity to receive ADAPTIVE treatment as this represents the future standard for personalized cancer care! We embrace the acronym of A.I.M. with stands for Adaptation, Imaging and Margins. The ability to successfully ADAPT treatment plans and account for daily changes in cancer shape and position is dependent upon excellent pre-treatment and "real-time" IMAGING. These two features together allow for MARGIN reduction, the most critical factor for avoiding, or at least minimizing, side effects. For a brief video on these features and to see what our Gemini 360 machine can do for you, click on the "Learn More" button below!
Traditional vs. Adaptive Radiotherapy
Here's how the Akesis Gemini 360 compares to conventional radiation treatment.
0
treatments
Traditional max
0
sessions
Adaptive minimum
0x
faster
Time to complete
Safe, proven, and FDA cleared.
We understand that trusting a new treatment approach is a big decision. The Akesis Gemini 360 has received both FDA 510(k) clearance and Premarket Approval, along with FDA Breakthrough Device Designation. It has been thoroughly reviewed and authorized by the U.S. Food and Drug Administration for safety and effectiveness. This isn't experimental. It's the next generation of radiation treatment, and it's here now.
What does FDA clearance mean?
FDA 510(k) clearance means the device has been reviewed by the FDA and determined to be substantially equivalent to other legally marketed devices. It must meet safety standards, performance benchmarks, and quality controls before it can be used to treat patients.
Explore the clinical dataFDA 510(k) Clearance & Premarket Approval
The Akesis Gemini 360 has received both U.S. FDA 510(k) clearance and Premarket Approval, meeting the most rigorous safety and effectiveness standards required for medical devices in the United States.
FDA Breakthrough Device Designation
The Gemini 360 earned FDA Breakthrough Device Designation — a status reserved for technologies that offer significant advantages over existing treatments for life-threatening conditions.
First U.S. patient treated December 2025
The first U.S. patient was treated with the Gemini 360 on December 16, 2025, at Advanced Radiation Centers of New York in Lake Success, NY — marking a new era in integrated radiotherapy.
Board-certified team
Every treatment is planned and supervised by our physicians and staff — board-certified radiation oncology professionals with over 30 years of combined clinical experience.
Yes, insurance covers this.
Adaptive radiotherapy is covered by most major insurance plans, including Medicare and Medicaid. This is FDA-cleared, medically necessary treatment — not an elective procedure. Our billing team handles verification and pre-authorization before your first session so there are no surprises.
We verify your coverage before treatment
Our billing team contacts your insurance directly to confirm benefits and obtain pre-authorization.
No surprise bills
You'll know your estimated out-of-pocket cost before your first session.
Financial assistance available
We can connect qualifying patients with assistance programs to help manage treatment costs.
Have insurance questions?
Our billing team is happy to check your coverage before you commit to anything.
(435) 900-7060Accepted Insurance Plans
Don't see your plan listed?
We work with most insurance providers. Call us and we'll check your coverage.
Meet our physicians and staff
Board-certified radiation oncology team
Our physicians and staff completed their training at leading institutions including UC Irvine and the City of Hope Medical Center, working alongside world-renowned brachytherapists.
For over three decades, our team has been a dominant force in Radiation Oncology in the Western United States, with deep expertise in prostate and gynecologic malignancies.
Staunch proponents for patient education and convenience, our physicians and staff are focused on embracing technological advancements like the Akesis Gemini 360 to deliver superior outcomes, diminished side effects, and significantly shortened treatment times.
Treating Non-Cancerous Conditions
Radiotherapy isn't just for cancer. We use incredibly low doses of radiation to effectively treat various benign conditions, providing relief where other treatments may have failed.
Learn More About Osteoarthritis Treatment
Fast, Low-Dose Treatment
Treatment for these conditions typically involves just 6 one-minute sessions spread over 2-3 weeks, utilizing incredibly low, safe doses of radiation.
Taking Patients Soon
We're preparing to welcome our first patients to 5D Cancer Services. If you or a loved one may benefit from the most advanced adaptive radiotherapy available, contact us to learn more or get on our list.
Frequently Asked Questions
We understand you have questions. Here are answers to the ones we hear most often.
Adaptive radiotherapy is an advanced form of radiation treatment that adjusts to changes in your tumor's size, shape, and position each day. Unlike conventional machines, the Akesis Gemini 360 re-images and recalculates your treatment plan at every session, ensuring maximum precision while protecting healthy tissue.
Request an Appointment
Take the first step toward advanced cancer treatment. Fill out the form and our team will contact you within one business day to schedule your consultation with our physicians and staff.
Prefer to speak with someone now?
(435) 900-7060Visit Us in St. George
World-class cancer treatment in the heart of Southern Utah.
Address
1308 E 900 South, Unit B
St. George, UT 84790
Hours
Monday – Friday: 8:00 AM – 5:00 PM
Saturday – Sunday: Closed
Phone
(435) 900-7060There is no time for cancer.
You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options.
1308 E 900 South, Unit B, St. George, UT 84790
