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Cyber knife is an advanced robotic Stereotactic Radiosurgery technology that is used in Radiation oncology to treat brain and body tumours in cancer patients. The aim of this study was to find out how Cyber knife Image guided technology is being used in two cyber knife centres to provide treatment to patients with brain and other cancers. The views of a medical physicist and a Medical radiation therapist with clinical experience of using Cyber knife in two separate institutions based in Australia and USA were captured using an E-questionnaire. This study assessed clinical, technical, organizational and Educational strategies and resources employed to provide Cyber Knife treatment. This study showed current status of the state of the art Cyber knife technology.