Saxsons Group
Gold Anchor flexible gold-iron fiducial wire emerging from its deployment needle, folding on exit
Gold-Iron
alloy material
Flexible
cut-out wire
kV / MV / MRI
imaging visibility
22G
endoscopic needle
IGRT & SBRT
primary use
Zero migration
instant anchoring

Authorised Indian Distributor

Saxsons Group

New Delhi, India · Since 1997

SX
Radiotherapy RT-006 AERB Importable MRI-Compatible Zero Migration Endoscopic-Ready 45+ Publications

Gold Anchor™ Fiducial Marker Flexible Fold-Anchor Gold Fiducial for IGRT & SBRT

The Gold Anchor is a patented flexible gold-iron fiducial wire pre-loaded in an industry-leading thin needle. Multiple machined cut-outs cause the wire to fold on deployment — anchoring instantly in soft tissue for zero migration throughout the radiotherapy course. Visible on kV, MV, CBCT, CT and MRI, it enables precise image-guided and real-time tracking across the full spectrum of modern linac, particle and robotic radiotherapy platforms.

Key Features

  • Patented gold-iron alloy wire with multiple machined cut-outs — folds on deployment for immediate soft-tissue anchoring
  • Zero marker migration — stable position confirmed across the full radiotherapy course
  • Industry-leading thin needle gauge — minimal invasiveness, no anesthesia typically needed
  • Visible on kV, MV, CBCT, CT and MRI — multi-modality image guidance in a single marker
  • MRI-compatible and MRI-safe — supports MR-only radiotherapy planning workflows
View all features

Features

Zero Migration

Patented cut-outs cause the marker to fold and mechanically lock in soft tissue the instant it exits the needle — confirmed stable across the full RT course.

Multi-Modality Visibility

Gold-iron alloy delivers strong contrast on kV, MV, CBCT, CT and MRI — the only flexible fiducial visible across every imaging modality used in modern radiotherapy.

Thin-Needle Deployment

Pre-loaded in an industry-leading thin needle (including 22G endoscopic) for EUS-guided pancreatic and bronchoscopic lung placements — minimal trauma, no anaesthesia typically required.

Real-Time Tracking

Compatible with SyncTraX, Varian Synchrony, CyberKnife and Elekta intrafraction management — enables continuous tumour tracking during beam delivery for liver, lung and prostate SBRT.

Particle Therapy Validated

Clinically validated in proton and carbon-ion IGRT programmes. The gold-iron alloy provides high contrast imaging with negligible beam perturbation at clinical particle therapy energies.

MRI-Only Workflow

Fully MRI-safe with no susceptibility artefact distortion at 1.5T and 3T. Enables MR-only treatment planning without CT co-registration — reducing workflow steps and imaging dose.

Technical Specifications

Material Gold-iron alloy wire (flexible, with machined cut-outs)
Design Multiple cut-outs — folds and anchors on deployment
Imaging visibility kV, MV, CBCT, CT, MRI (all modalities)
MRI status MRI-compatible and MRI-safe
Delivery system Pre-loaded in thin implantation needle (standard and endoscopic 22G)
Migration Zero migration — patented anchor mechanism
Deployment locations Prostate, liver, lung, pancreas, cervix, endometrium, esophagus, rectum, breast
Contraindications Not for heart, large blood vessels, brain, spinal cord or eyes
Procedure time 5–15 minutes (prostate); image guidance recommended
Permanence Permanent (removable only by surgery)
Airport security Not detected in routine security screening
Clinical evidence 45+ peer-reviewed publications; prostate, liver, lung, pancreas, gynecologic
AERB / import status Import licence required; Saxsons Group manages regulatory documentation

Platform Compatibility

V

Varian

TrueBeam Auto Beam Hold · On-board kV imaging

E

Elekta

XVI Seed Match · Intrafraction Motion Management

A

Accuray

CyberKnife Synchrony · TomoTherapy & Radixact MVCT

B

Brainlab

ExacTrac Dynamic® fiducial tracking

H

Hitachi / IBA / Varian

Proton therapy with real-time gating

H

HIMAC / NIRS

Carbon-ion radiotherapy with fiducial localisation

S

SyncTraX

Real-time tumour-tracking IGRT for liver SBRT

A

All platforms

CT/MRI fusion · MR-only planning workflows

Gold Anchor has been validated on Varian, Elekta, Accuray and Brainlab linacs, as well as proton and carbon-ion systems. It supports both CT-guided and MR-only planning workflows through its dual kV and MRI visibility.

Clinical Applications

Eight organ sites — one fiducial solution

Prostate IGRT & SBRT

The most widely published application. Gold Anchor markers are implanted transperineally or transrectally for daily kV or CBCT-guided prostate radiotherapy. Thin needles and instant anchoring make the procedure fast and well-tolerated.

Liver IGRT & SBRT

Real-time tumour tracking in the liver using SyncTraX and Gold Anchor fiducials. The flexible anchor design maintains marker position despite respiratory motion — critical for liver SBRT dosimetric accuracy.

Lung IGRT & SBRT

Transbronchial, CT-guided or endoscopic placement for peripheral and central lung lesions. Gold Anchor's thin needle minimises pneumothorax risk. Compatible with respiratory gating and real-time tracking.

Pancreas IGRT

Endoscopic ultrasound-guided (EUS) placement via 22G needle directly into the pancreatic tumour. Gold Anchor is a preferred choice for EUS-guided fiducial marking because its flexibility accommodates the endoscope trajectory.

Gynecologic Radiotherapy

Fiducial marking of cervical, endometrial and other gynaecological tumours for IGRT. MRI visibility enables MR-guided adaptive radiotherapy workflows without the need for secondary CT co-registration.

Breast — Biopsy & RT

Post-biopsy clip marking to preserve lumpectomy site geometry. Also used as a radiation boost target marker in whole-breast IGRT, particularly for accelerated partial breast irradiation (APBI).

Surgical Guidance

Pre-surgical marking of lung nodules, pancreatic tumours and other lesions to guide video-assisted thoracoscopic surgery (VATS) and laparoscopic resection. The visible marker eliminates intraoperative localisation uncertainty.

Particle Therapy

Used in proton and carbon-ion facilities for daily image-guided alignment. The gold-iron alloy provides high contrast on both kV imaging and MRI, with negligible particle therapy beam perturbation at clinical energies.

Why Gold Anchor™ Fiducial Marker?

Zero
Marker migration

Conventional coil or cylindrical fiducials migrate because they rely on friction alone. Gold Anchor's patented cut-outs cause it to fold and mechanically lock in soft tissue the moment it exits the needle — confirmed stable in prostate, liver, lung and pancreatic SBRT series with follow-up imaging across the full treatment course.

All
Imaging modalities

Gold-iron alloy gives strong contrast on kV, MV, CBCT and CT while remaining MRI-compatible — rare for metallic implants. Departments running MR-only planning workflows can use the same fiducial without switching products. CT/MRI fusion-based planning is fully supported.

45+
Clinical publications

More peer-reviewed publications than any comparable flexible fiducial. Evidence spans prostate SBRT, liver tracking with SyncTraX, lung IGRT, EUS-guided pancreatic marking, gynecologic IGRT and particle therapy. Developed by the co-inventors of SBRT at Karolinska University Hospital — the clinical evidence base is built into the product's origin.

"The Gold Anchor has the thinnest needle and the best MRI visibility of any flexible fiducial I have used. It simply does not move once placed — which is exactly what you need for daily IGRT."

Radiation Oncologist, Tertiary Cancer Centre, India (Saxsons reference account)

Videos

Implantation technique and customer testimonials from the clinical teams that use Gold Anchor every day. Educational and background videos are on the Knowledge Hub.

Available through Saxsons Group

Bring Gold Anchor to your radiotherapy department

Saxsons Group supplies Gold Anchor fiducial markers across India with full import documentation, clinical in-service training and ongoing application support. Contact us to start a trial order or arrange a demonstration implantation workshop.

Radiation Oncologists

Deep clinical guide: SCQA analysis across 6 organ sites

Published evidence, procedure videos, migration data and platform compatibility — all in one page.

Clinical Guide for Radiation Oncologists →