Document:

<PAGE>
                                                                   Exhibit 10.23
    CONFIDENTIAL TREATEMENT REQUESTED: CONFIDENTIAL PORTIONS OF THIS DOCUMENT
     HAVE BEEN REDACTED AND HAVE BEEN FILED SEPARATELY WITH THE COMMISSION.

                              DISTRIBUTOR AGREEMENT

         This Agreement is made June 1, 2000, between NOMOS(R)Corporation (the
"Company") and Unison Company, Ltd. (the "Distributor").

                                    PREAMBLE

         Company manufactures and sells the products listed on Exhibit A (the
"Products"). Distributor desires to purchase the Products from Company for
resale in the market area of Taiwan (the "Territory"). Company desires to
appoint Distributor as its independent exclusive distributor and Distributor
desires such appointment on the terms and conditions set forth in this
Agreement, including any attached Exhibit or Schedule. Therefore, the parties,
intending to be legally bound, agree as follows.

                                    AGREEMENT

1.       Appointment, Acceptance and Scope.

         (a) Exclusive Appointment. Subject to the terms and conditions of this
Agreement, Company hereby appoints Distributor, and Distributor agrees to act,
as the exclusive independent distributor for Company for the sale of the
Products to customers located in the Territory (the "Customers"). Distributor
shall limit its activities with respect to the Products to Customers located
within the Territory and refrain from selling or otherwise transferring the
Products to any person outside the Territory. Company shall not sell or
otherwise supply, directly or indirectly, the Products in the Territory except
by sale through the Distributor. Notwithstanding the exclusive appointment,
sales of the Products to the U.S. Government and any branch, agency, office or
division thereof (collectively "U.S. Government") are expressly excluded from
this appointment. The exclusive nature of this appointment does not apply to
products sold pursuant to those agreements set forth and described on Exhibit B
or sales to the Protected Accounts identified in Exhibit C.

         (b) Territory. The Territory assigned to Distributor under this
Agreement is Taiwan.

         (c) Products. The Products manufactured and sold by Company to
Distributor are described on Exhibit A.

         (d) Relationship of Parties. Distributor is not and shall not be deemed
to be the employee, legal representative, dealer, general agent, joint venture
or partner of Company for any purpose. Distributor acknowledges that Company has
not granted it any authority to make changes to Company's terms and conditions
of sale, grant any warranties in excess of those extended by Company or limit
its liabilities or remedies less than Company or limit its liabilities and
remedies, sign quotations, incur obligations (expressed or implied), or in
general enter into contracts on behalf of Company or bind Company in any
transaction with customers, governmental agencies or third parties. Distributor
shall not misrepresent its authority.
<PAGE>

         (e) Assignment. Distributor has no right to assign this contract to a
third Party without written approval of the Company.

2.       Orders, Price, Terms of Sale and Payment.

         (a) Communications Pursuant to this Agreement and Orders. All orders
from Distributor hereunder shall be subject to, and shall become binding on
Company only upon, written acceptance by an authorized representative of Company
at its corporate office located in Sewickley, PA.

         (b) Prices and Shipment. Company agrees to sell, and Distributor agrees
to purchase, the Products in accordance with Company's then current
Distributor's List Prices and Volume Discounts, a current copy of which is set
forth on Schedule A. Company reserves the right, in its sole discretion, to
raise or lower the Distributor's List Prices and Volume Discounts and/or change
the list of Products set forth on Schedule A upon ninety(90) days' prior written
notice to Distributor; provided, however, that after acceptance by Company of a
purchase order from Distributor, Company shall not raise the Distributor's List
Prices and Volume Discounts for that purchase order. Except as otherwise agreed
to in writing by Company, all prices are quoted FCA (INCOTERMS 1990) Company's
facilities, Sewickley, PA or such other point of shipment as Company may, in its
sole discretion, designate ("FCA"). Risk of loss shall pass to Distributor upon
delivery, FCA, of the Products to the first carrier in Pennsylvania, or such
other location as designated by Company. Notwithstanding such FCA designation,
Company shall assist Distributor in securing transportation facilities without,
however, assuming any responsibility or liability for such assistance and/or
transportation facilities. Unless otherwise agreed to in writing by Company, all
charges for freight, air shipment, loading, handling, packaging, insurance, and
other shipping expenses and costs will be at the sole expense, and for the
account, of Distributor. Claims for any damage to the Products in transit must
be made by Distributor to the carrier directly.

         (c) Terms of Sale. All sales by Company shall be in accordance with the
terms and conditions of this Agreement. Company reserves the right to amend,
modify and change its terms and conditions of sale upon ninety (90) days' prior
written notice to Distributor. The Company's terms and conditions of sale are
applicable only between Distributor and Company and shall not inure to the
benefit of, or be enforced against Company by, Distributor's customers unless
specifically agreed to in writing by Company. Cooperation by Company with
Distributor, including, but not limited to, direct pre- or post-sales contacts
between Company and Distributor's customers, shall not be deemed to vary or
waive this provision.

         (d) All products shall be offered by the distributor to end users
subject to the terms and conditions set forth in Attachment A hereto.

         (e) Payment. All payments from Distributor to Company shall be made, in
Company's sole discretion, in U.S. Dollars. All sales will require payment of
[***]% of the total

-----------------

* * * Confidential material redacted and filed separately with the Commission.

                                      -2-
<PAGE>

order amount upon acceptance of the order, [* * *]% to be due upon notification
of shipment and the final [* * *]% due upon acceptance or first clinical use,
whichever occurs first, unless otherwise agreed.

         (f) Resale of the Products. Distributor shall be free to resell the
Products for such prices and upon such terms and conditions as Distributor may
see fit in its sole discretion (except as provided in Section 1(e)). Company
shall have no control over or any liability in connection with the price at
which Distributor resells the Products.

         (g) Distributor will provide installation, service, warranty and
training for all Products which Distributor shall sell in the Territory.
Distributor will also provide installation, service, warranty and training for
Products sold by Company's OEM partners specified in Exhibit B. As compensation
for providing these services in connection with OEM sales and Protected
Accounts, Distributor will receive the Special Commission and the Installation
and Warranty /Training Allowance specified in Schedule A.

3.   Distributor's Representations. In order to induce Company to enter into
this Agreement, Distributor makes the following representations, warranties
and covenants:

         (a) Distributor is a company duly organized, validly existing and in
good standing in Taiwan, is qualified to do business and in good standing in
each jurisdiction located within the Territory and is and will remain in
compliance with all applicable laws and regulations in the conduct of its
business and, specifically, in its sale of the Products and provision of
services hereunder.

         (b) This Agreement is the binding legal obligation of Distributor and
is enforceable in accordance with its terms.

4.   Responsibilities of Distributor. In order to induce Company to enter into
this Agreement, and as a condition of its continuing effectiveness, Distributor
agrees that it will diligently perform the services and obligations detailed in
Schedule B. Distributor acknowledges that the responsibilities of Distributor
set forth in Schedule B were established between the parties after a detailed
analysis of the conditions of the Product industry in the Territory and are
acknowledged to be reasonable by Distributor in light of current and anticipated
market conditions for the Products in the Territory. The detailed operations of
Distributor under this Agreement are under the sole and exclusive control of
Distributor including without limitation supervision of, and liability for
expenses incurred with respect to, employees. Distributor must document and
forward any complaints or product problems directly to Company according to
Company's complaint handling policies and procedures.

5.   Responsibilities of Company. Company will (a) provide Distributor, without
charge, with reasonable quantities of promotional literature, brochures and
commercial and technical information regarding the Products. At Distributor's
option, Distributor may reproduce the

-----------------

* * * Confidential material redacted and filed separately with the Commission.

                                      -3-
<PAGE>

promotional literature and brochures provided by Company, at Distributor's cost
and expense in the Territory, or purchase from Company, FCA Company's facilities
in Sewickley, PA or such other place as Company shall reasonably designate,
additional copies of the promotional literature and brochures, for a price equal
to Company's printing and other costs; (b) inform Distributor of acceptance,
rejection, or non-execution of any order submitted by Distributor within a
reasonable time after its receipt; (c)provide such sales support and technical
training to Distributor and its personnel as deemed appropriate by Company in
its sole discretion; and (d) provide Distributor with a copies of its then
standard terms and conditions of sale, Product list and then current U.S. Dollar
price list for the Products.

6.       Confidentiality and Non-Competition.

         (a) Confidentiality Distributor will not, and shall cause its
employees, agents, and principals not to, without the written consent of Company
during the term of this Agreement or at any time thereafter, disclose to any
other person or organization or use in any way for Distributor's benefit (except
as expressly authorized herein) or the benefit of any other person or entity any
commercial, technical, research and other information in tangible and intangible
form from Company (including but not limited to Product specifications and
processes, Customer lists and information regarding pricing, sales methods,
delivery dates and Customers and potential customers), all of which may include
trade secrets and ideas and other information which is special, valuable and
confidential property of Company ("Confidential Information"). Distributor's
obligation in this respect shall not apply to the extent Distributor
demonstrates to Company's reasonable satisfaction that (i) such information was
known to Distributor prior to the execution of this Agreement, (ii) such
information was acquired by Distributor without breach of this Agreement or
(iii) such information is generally known to the public.

         (b) Non-Competition. During the term of this Agreement, and for a
period of twelve (12) months after termination or expiration of this Agreement,
Distributor shall not (i) endorse, promote, sell, distribute, solicit orders for
or otherwise dispose of, directly or indirectly, any Products within the
Territory which are similar to or competitive with the Products, (ii) consult
with, advise or assist in any way, whether or not for consideration, any person
or entity to endorse, promote, sell, distribute, solicit orders for or otherwise
dispose of, directly or indirectly, any Products within the Territory which are
similar to or competitive with the Products, (iii) induce or attempt to induce
any customer or supplier of Company to reduce the business done by such customer
or supplier with Company and/or (iv) engage in any practice the purpose or
result of which is to circumvent the provisions of this covenant not to compete.

         (c) Injunctive Relief and Reformation. Distributor acknowledges that
Company would be irreparably damaged in the event that any of the provisions of
this Section are not performed by Distributor in accordance with their specific
terms or are otherwise breached. Accordingly, it is agreed that Company shall be
entitled to an injunction or injunctions to prevent breaches of this Section by
Distributor and shall have the right to specifically enforce this Section and
the terms and provisions hereof against Distributor in addition to any other
remedy to which it may be entitled at law or in equity. If any court shall
finally determine that the restraints provided for herein are too broad as to
the geographical area, activity or time covered, that area, activity or time may
be reduced to whatever extent the court deems reasonable and

                                      -4-
<PAGE>

appropriate, and the covenants contained in this Section as well as the
remainder of this Agreement shall be enforced as to such reduced area, activity
and duration.

7.       Duration and Termination.

         (a) Effective Date and Duration. This Agreement shall become effective
on the date written above and shall continue in effect for a period of two (2)
years. Upon expiration, this Agreement may be renewed for such additional period
as the parties may then agree.

         (b) Termination by Company. Company may terminate this Agreement prior
to its expiration upon one (1) year prior registered written notice to
Distributor, or with a thirty (30) days notice in the occurrence of any of the
following events: (i) Distributor becomes insolvent, or institutes (or there is
instituted against it) proceedings in bankruptcy, insolvency, dissolution makes
an assignment for the benefit of creditors or becomes nationalized or has any of
its material assets confiscated or expropriated; (ii) Distributor attempts to
sell, assign, delegate or transfer any of its rights and obligations under this
Agreement or Distributor is dissolved, or substantially changes its line of
business; sells substantially all of its assets or suffers a material change in
ownership; (iii) Distributor fails to perform the service and obligations
detailed in Schedule B; and/or (iv) Distributor commits a material breach of
this Agreement, including without limitation any breach of Section 2(d)
"Payment" and Section 6(b) "Non-competition"

         (c) Termination by Distributor. Distributor may terminate this
Agreement prior to its expiration upon one year's prior registered written
notice to Company. Or with a thirty (30) days notice in the occurrence of any of
the following events: (i) Company commits a substantial breach of this Agreement
and fails to remedy it within a reasonable period of time; and (ii) Company
becomes insolvent, or institutes proceedings in bankruptcy, insolvency,
reorganization, or dissolution which are not dismissed within 60 days, or makes
an assignment for the benefit of creditors.

8.       Rights of Parties on Termination.

         (a) Obligations After Termination. In the event that this Agreement is
terminated or expires on its own terms, Company shall have no further
responsibilities to Distributor except that in the event the Agreement
terminates for any reason other than a breach hereof by Distributor Company
shall be obligated to process orders accepted by Company prior to the effective
date of such termination or expiration or within 30 days thereafter.

         (b) Sole and Exclusive Remedy. Distributor's right to receive
post-termination or expiration compensation under subsection (a) of this Section
shall constitute Distributor's sole and exclusive remedy for or arising out of
termination or expiration of, or failure to renew, this Agreement and shall be
in lieu of any and all other claims Distributor may have against Company as a
result thereof. Under no circumstances shall Company be liable to Distributor by
reason of termination, expiration or non-renewal of this Agreement for
compensation, reimbursement or damages for: (i) loss of prospective compensation
or profits, (ii) goodwill or loss thereof, and/or (iii) expenditures,
investments, leases or any type of commitment made in

                                      -5-
<PAGE>

connection with the business of Distributor or in reliance on the existence or
continuation of this Agreement.

         (c) Return of Materials. Within thirty (30) days after expiration or
termination of this Agreement for any reason, Distributor shall deliver to
Company all tangible Confidential Information, sales literature and any other
information supplied to Distributor by Company.

         (d) Survival. Notwithstanding anything to contrary set forth herein, no
termination of this Agreement shall relieve any party from any obligations
pursuant to Section 9 below or any other obligations hereunder which are
outstanding on, or relate to matters or claims occurring or arising prior to,
the date of such termination or which survive such termination by their own
terms.

9.       Indemnification, Limitation of Liability and Remedy.

         (a) Indemnification. Distributor shall indemnify, hold harmless and
defend Company and its officers, directors, agents, employees, and affiliates,
at Distributor's expense, from and against any and all claims, demands, actions,
costs, expenses, liabilities, judgments, causes of action, proceedings, suits,
losses and damages of any nature, which are threatened or brought against, or
are suffered or incurred by Company or any such person resulting from any acts
or omissions of Distributor relating to this Agreement, including without
limitation (i) any negligent or tortious conduct, (ii) any acts or omissions of
Distributor in selling the Products and in performing services pursuant to this
Agreement, (iii) any representations or statements not specifically authorized
by Company in writing, including the extension of any warranties on Products or
services provided by Company, (iv) failure or any breach of any of the
representations, warranties, covenants or conditions of Distributor contained in
this Agreement and (v) any violations of applicable laws or regulations.

         (b) Indemnification. Company shall indemnify, hold harmless and defend
Distributor and its officers, directors, agents, employees, and affiliates, at
Companies expense, from and against any and all claims, demands, actions, costs,
expenses, liabilities, judgments, causes of action, proceedings, suits, losses
and damages of any nature, which are threatened or brought against, or are
suffered or incurred by, Distributor or any such person resulting from any acts
or omissions of Company relating to this Agreement, including without limitation
(i) any negligent or tortious conduct, (ii) any acts or omissions of Company in
the supply and performance of the Products and in performing services pursuant
to this Agreement, (iii) failure or any breach of any of the representations,
warranties, covenants or conditions of Supplier contained in this Agreement and
(iv) any violations of applicable laws or regulations, (v) any patents and or
trademark claims.

         (c) Limitation of Liability. Company shall not be liable to
Distributor, or to any customer of Distributor, for any SPECIAL, INDIRECT,
CONTINGENT OR CONSEQUENTIAL DAMAGES, INCLUDING BUT NOT LIMITED TO LOSS OF
PROFITS, LOSS OF BUSINESS OPPORTUNITIES, OR FOR LOSSES OR DAMAGES CAUSED
DIRECTLY OR INDIRECTLY BY THE PRODUCTS OR FAILURE TO DELIVER THE

                                      -6-
<PAGE>

PRODUCTS. In no event shall Company's damages to Distributor exceed
Distributor's actual damages.

         (d) Limitation of Remedy. If Company should be held liable for damages
to Distributor for any cause arising out of this Agreement, or its breach, such
damages, in the aggregate, shall not exceed the lesser of (i) the purchase price
for all Products purchased and paid for by Distributor during the calendar year
during which such claim arose, or (ii) actual damages incurred. Distributor
expressly waives its right to collect any greater amount.

         (e) Survival. Notwithstanding anything to the contrary set forth
herein, the provisions of this Section 9 shall expressly survive the termination
or expiration of this Agreement.

10.   Unavailability of the Products; Delays in Delivery. Distributor expressly
agrees and acknowledges that Company shall in no way be liable to Distributor or
to any Customers for (a) Company's inability to supply any particular quantity
of the Products or (b) Company's delay in delivery of the Products due to any
cause or circumstance beyond the reasonable control of Company, including
without limitation a demand for such Products and other products manufactured by
Company which exceeds Company's ability to supply them, earthquakes, fire,
accidents, floods, storms, other Acts of God, riots, wars, rebellions, strikes,
lockouts or other labor disturbances, national or international emergencies,
failure to secure materials or equipment from usual sources of supply, failure
of carriers to furnish transportation, government rules, regulations, acts,
orders, restrictions or requirements or any other costs or causes of like or
different nature. No such inability to deliver or delay in delivery shall
invalidate the remainder of this Agreement.

11.   Trademarks. Distributor shall not dispute or contest for any reason
whatsoever, directly or indirectly, during the term of this Agreement and
thereafter, the validity, ownership or enforceability of any of the trademarks
of Company, nor directly or indirectly attempt to acquire or damage the value of
the goodwill associated with any of the trademarks of Company, nor counsel,
procure or assist any third party to do any of the foregoing. Distributor will
not institute any proceedings with respect to the trademarks of Company either
in Distributor's own name or on behalf of Company without express written
permission of Company. Distributor shall assign to Company, without charge, any
rights in the trademarks of Company that may inure to the benefit of Distributor
pursuant to this Agreement or otherwise. Distributor shall execute any documents
or do any acts that may be required to accomplish the intent of this Section.
The trademarks, which belong to Distributor, are excluded from this agreement.

12.   U.S. Regulations. Distributor warrants that it is and will remain in
compliance with all export and re-export requirements, including, but not
limited to the Export Administration Act and regulations, the Arms Export
Control Act and regulations, the Trading with the Enemy Act and regulations and
any orders and licenses issued thereunder (collectively the "Export Laws").
Distributor additionally warrants that it has not been, and is not currently,
debarred, suspended, prohibited or impaired from exporting, re-exporting,
receiving, purchasing, procuring, or otherwise obtaining any product, commodity,
or technical data regulated by any agency of the government of the United
States. In particular, Distributor hereby gives assurance that unless

                                      -7-
<PAGE>

notice is given to and prior authorization is obtained as required by the Export
Laws, Distributor will not knowingly re-export, directly or indirectly, any
Products or any technical data transferred by Company to Distributor to any
destination or person or entity in violation of the Export Laws.

13.      General Provisions.

         (a) Amendments. This Agreement may be amended only in writing and
signed by each of the parties, and any such amendment shall be effective only to
the extent specifically set forth in such writing.

         (b) Governing Law. This Agreement shall be construed and the relations
of the parties shall be determined in accordance with the substantive laws of
the Commonwealth of Pennsylvania without regard to its principles of conflicts
of laws, expressly excluding the application of the U.N. Convention for the
International Sale of Goods. Subject to the provisions of Section 7(b)(iv), if
any provision of this Agreement is in violation of any applicable law, such
provision shall to such extent be deemed null and void, and the remainder of the
Agreement shall remain in full force and effect. Both parties expressly waive
and disavow any rights that may accrue under any other body of law. Distributor
consents that lawful and valid service of process may be made in the manner
prescribed in Section 13(i), Notices.

         (c) Arbitration. Except as provided in Section 6 (c) above, any claim,
controversy or dispute arising between the parties with respect to this
Agreement (a "Dispute"), to the maximum extent allowed by applicable law, shall
be submitted to and finally resolved by, binding arbitration. Either party may
file a written Demand for Arbitration with the American Arbitration
Association's Pittsburgh, Pennsylvania Regional Office, and shall send a copy of
the Demand for Arbitration to the other party. The arbitration shall be
conducted pursuant to the terms of the Federal Arbitration Act and the
Commercial Arbitration Rules of the American Arbitration Association. The venue
for the arbitration shall be the Pittsburgh, Pennsylvania office of the American
Arbitration Association. The arbitration shall be conducted before one
arbitrator selected through the American Arbitration Association's arbitrator
selection procedures. The arbitrator shall promptly meet, fix the time, date and
place of the hearing and notify the parties. The parties shall stipulate that
the arbitration hearing shall last no longer than five Business Days. The
arbitrator shall render a decision within 10 days of the completion of the
hearing, which decision may include an award of legal fees, costs of arbitration
and interest. The arbitrator shall promptly transmit an executed copy of its
decision to the parties. The decision of the arbitrator shall be final, binding
and conclusive upon the parties. Each party shall have the right to have the
decision enforced by any court of competent jurisdiction. Notwithstanding any
other provision of this Section, any Dispute in which a party seeks equitable
relief may be brought in any court having jurisdiction.

         (d) Assignment. A consideration for Company entering into this
Agreement is the reputation, qualifications and abilities of Distributor and
employees of Distributor. Accordingly, Distributor shall not assign, pledge or
otherwise transfer any of its rights, interest or obligations hereunder, whether
by operation of law or otherwise, without the prior consent of Company.

                                      -8-
<PAGE>

         (e) Counterparts; Telefacsimile Execution. This Agreement may be
executed in any number of counterparts, and by each of the parties on separate
counterparts, each of which, when so executed, shall be deemed an original, but
all of which shall constitute but one and the same instrument. Delivery of an
executed counterpart of this Agreement by telefacsimile shall be equally as
effective as delivery of a manually executed counterpart of this Agreement. Any
party delivering an executed counterpart of this Agreement by telefacsimile
shall also deliver a manually executed counterpart of this Agreement, but the
failure to deliver a manually executed counterpart shall not affect the
validity, enforceability or binding effect of this Agreement.

         (f) Cumulative Remedies. The rights and remedies of the parties
hereunder are cumulative and not exclusive of any rights or remedies, which the
parties would otherwise have. No single or partial exercise of any such right or
remedy by a party, and no discontinuance of steps to enforce any such right or
remedy, shall preclude any further exercise thereof or of any other right or
remedy of such party.

         (g) Entire Agreement. This Agreement contains the entire agreement of
the parties with respect to the transactions contemplated hereby and supersedes
all prior written and oral agreements, and all contemporaneous oral agreements,
relating to such transactions.

         (h) Exhibits and Schedules. The Exhibits and Schedules attached hereto
are an integral part hereof and all references herein to this Agreement shall
include such Exhibits and Schedules.

         (i) Notices. Unless otherwise specifically provided herein, all
notices, consents, requests, demands and other communications required or
permitted hereunder:

                  (i)  Shall be in writing;

                  (ii) Shall be sent by messenger, certified or registered mail,
a reliable express delivery service or telecopy (with a copy sent by one of the
foregoing means), charges prepaid as applicable, to the appropriate address(is)
or number(s) set forth below; and

                  (iii) Shall be deemed to have been given on the date of
receipt by the addressee, as evidenced by (A) a receipt executed by the
addressee (or a responsible person in his or her office), the records of the
Person delivering such communication or a notice to the effect that such
addressee refused to claim or accept such communication, if sent by messenger,
mail or express delivery service, or (B) a receipt generated by the sender's
telecopy showing that such communication was sent to the appropriate number on a
specified date, if sent by telecopy. All such communications shall be sent to
the following addresses or numbers, or to such other addresses or numbers as any
party may inform the others by giving five days' prior notice:

                   If to Company:           NOMOS Corporation
                                            2591 Wexford Bayne Rd.
                                            Sewickley, PA 15143
                                            Attn: William W. Wells
                                            Fax No. :+1 (724) 934 2766

                                      -9-
<PAGE>

                   If to Distributor:       Unison Company, Ltd.
                                            14th Floor, No.  17
                                            Tun Hwa S. Road, Sec. 2
                                            Taipei 10G, Taiwan, R.O.C.
                                            Attn: David Wang
                                            Fax No.:  +011886-2-2706-5300

         (j) Severability. Any provision of this Agreement which is prohibited
or unenforceable in any jurisdiction shall, as to such jurisdiction, be
ineffective to the extent of such prohibition or unenforceability without
invalidating the remaining portions hereof or affecting the validity or
enforceability of such provision in any other jurisdiction.

         (k) Successors and Assigns. This Agreement shall be binding upon and
shall inure to the benefit of each of the parties and their respective heirs,
successors and permitted assigns.

         (l) Language. This Agreement has been discussed, is written in and
shall be interpreted in the English language. Any brochures, data or documents
provided by Company pursuant to this Agreement may not be translated into a
foreign language without the prior written consent of Company.

Unison Company, Ltd.                    NOMOS Corporation

By: /s/ C.D. Shih                       By:/s/ John Friede
    -----------------------------          -------------------------------------
    C.D. Shih, President                   John Friede

                                      -10-
<PAGE>

                              EXHIBIT A - PRODUCTS

                                    CORVUS(R)

                                     CORVUS+

                                    MlMiC(R)

                                BASIC PEACOCK(R)

                                    PEACOCK +

                              STEREOTACTIC PEACOCK

                                     BAT(R)

                              RAPTORT(TM) BASIC 2D

                               RAPTOR EXPANDED 2D

                                    RAPTOR3D

                        PACKAGE COMPONENTS
                        ------------------

 CORVUS+              BASIC PK         PK+PKG                STEREO.  PK PKG
 -------              --------         ------                ---------------

 CORVUS               CORVUS           CORVUS                CORVUS

 IMAGE FUSION         MImiC            MImiC                 MImiC

 PHANTOM PLAN         CRANE II         CRANE II              CRANE II

 VERIFICATION                          HEAD FIXATION         HEAD FIXATION
 PHANTOM
                                                             STEREOTACTIC
                                                             PACKAGE

                                      -11-
<PAGE>

                                    EXHIBIT B

                       EXCEPTIONS TO EXCLUSIVE APPOINTMENT

1.       OEM Distribution Agreement with Marconi Medical Systems, which provides
         for the right to sell NOMOS products worldwide, with the exception of
         The People's Republic of China and Hong Kong.

1.       OEM Distribution Agreement with Siemens Medical Systems, Inc

2.       OEM Distribution Agreement with Elekta Oncology Systems, Inc. (pending)

                                      -12-
<PAGE>

                                    EXHIBIT C

                               PROTECTED ACCOUNTS

3.       Lo-Tung Po Ai Hospital, Lo-Tung, Taiwan, R.O.C.

                                      -13-
<PAGE>

                                   SCHEDULE A

              INTERNATIONAL DISTRIBUTOR PRICES AND ALLOWANCES (US$)
<TABLE>
<CAPTION>

---------------------- -------------- ----------------------------- --------------------------------------------
                                      FOR SALES BY UNISON           TO UNISON FOR SALES BY OTHERS (OEM)
---------------------- -------------- -------------- -------------- ----------------------- --------------------
SYSTEM                 LIST           GROSS DIST.    NET DIST.      INSTALLATION/SERVICE    COMMISSION
                                      PRICE          PRICE (1)      WARRANTY/ AND TRADING
                                                                    ALLOWANCE
---------------------- -------------- -------------- -------------- ----------------------- --------------------
<S>                          <C>       <C>            <C>                 <C>                   <C>
BASIC PEACOCK(R)(2)          $465,400  $[* * *]       $[* * *]            $[* * *]              $[* * *]

PEACOCK+ (2)                 $493,880  $[* * *]       $[* * *]            $[* * *]              $[* * *]

STEREOTACTIC                 $507,930  $[* * *]       $[* * *]            $[* * *]              $[* * *]
PEACOCK (2)

MImiC(R)                     $227,400  $[* * *]       $[* * *]            $[* * *]              $[* * *]

CORVUS(R)                    $200,000  $[* * *]       $[* * *]            $[* * *]              $[* * *]

CORVUS + (2)                 $225,545  $[* * *]       $[* * *]            $[* * *]              $[* * *]

         BAT(R)              $165,000  $[* * *]       $[* * *]            $[* * *]              $[* * *]

RAPTOR 3D(TM)(3)             $150,000  $[* * *]       $[* * *]            $[* * *]              $[* * *]

RAPTOR EXP. 2D (3)            $95,000  $[* * *]       $[* * *]            $[* * *]              $[* * *]

RAPTOR 2D (32)                $65,000  $[* * *]       $[* * *]            $[* * *]              $[* * *]
</TABLE>

(1)  After deduction of installation/service/warranty and training allowance

(2)  See table below for package components

(3)  No branchytherapy
--------------------------------------------------------------------------------

Footnote: The exception to this pricing is the one time [* * *] discount
previously offered for the Sun Yat Sen site.

                      PACKAGE COMPONENTS
                      ------------------

     CORVUS+             BASIC PK         PK+PKG                 STEREO. PK PKG
     -------             --------         ------                 --------------

     CORVUS              CORVUS           CORVUS                 CORVUS

     IMAGE FUSION        MImiC            MImiC                  MImiC

     PHANTOM PLAN        CRANE II         CRANE II               CRANE II

     VERIFICATION                         HEAD FIXATION          HEAD FIXATION
     PHANTOM
                                                                 STEREOTACTIC
                                                                 PACKAGE

Additional options are offered at a [* * *] discount.

------------------

* * * Confidential material redacted and filed separately with the Commission.

                                      -14-
<PAGE>

                                   SCHEDULE B

1.  Promotion and Solicitation. Distributor shall, actively, faithfully and
diligently use its best efforts to promote, market and sell the Products by
regularly contacting and visiting existing and potential Customers in the
Territory. Distributor shall maintain an adequate and properly trained sales
force to properly carry out its duties under this Agreement; it being
understood, however, that such personnel will be employees of Distributor and
that Distributor, in so employing such personnel, is acting individually and not
as an agent for Company. Distributor shall follow up sales leads supplied by
Company and furnish results of follow-up to Company within a reasonable time.
Distributor shall, at all times, comply with the sales policies established by
Company.

2.  Use of Products. Distributor shall be fully cognizant of the proper uses,
applications and limits of operation of the Products, and shall become and shall
cause its personnel to become familiar with all instructions published by
Company of the use of the Products. In selling the Products, Distributor will
exercise its informed independent judgment as to whether the Products will meet
Customer needs. If Distributor is unable, based on its experience and knowledge,
to exercise such informed judgment, it will contact Company before soliciting
any order for the Products. Distributor hereby acknowledges that it has received
various Company publications containing instructions and cautions concerning the
Products. Distributor shall notify Company of any design or other defects with
respect to the Products and any suggestions for improvements thereto immediately
upon becoming aware thereof.

3.  Installation, Service, Warranty and Training. In reference to Section 2. (g)
of this agreement, Distributor shall provide quick and expedient installation,
service, warranty and training upon request of all Customers within the
Territory and shall promptly attend to all Customers complaints, consulting with
Company as necessary. Distributor shall install, or have installed, in
accordance with all installation instructions, all Products sold in the
Territory. Distributor shall instruct all Customers on proper Product use and
maintenance.

4.  Reports. Distributor shall discuss and show on a regular, semiannual basis,
progress reports, future orders, Product units in use, customer information and
feedback, market information for the Products in the Territory, a summary of
Distributor's activities relating to installation and servicing of the Products
and such other matters as Company may reasonably request.

5.  Facility. Distributor shall maintain an office which shall be open and
staffed by qualified personnel during normal business hours in Taiwan.

6.  Advertising. Distributor shall promote the Products through promotional or
merchandising campaigns, attend trade meetings, shows and conventions and do
such other promotion as, in its considered judgment, will advance the sale of
the Products in the Territory. Notwithstanding the foregoing, Distributor shall
neither distribute nor use any advertising matter relating to the Products,
whether written or oral, without the express written consent of Company.

                                      -15-
<PAGE>

7.  Product Liability Insurance. Supplier shall, at Suppliers sole cost and
expense, obtain product liability insurance, naming Company as an additional
insured, in form and substance satisfactory to Company.

8.  Compliance with Laws. Distributor shall notify Company of the existence and
content of any mandatory provision of unusual or special laws in the Territory
or any other applicable law that conflicts with any provision of this Agreement
at the time of its execution or thereafter. Distributor shall advise Company of
any special or unusual safety standards, specifications, labeling and other
requirements imposed by law or regulation in the Territory applicable to the
Products. In particular, Distributor shall comply with any and all governmental
laws and regulations and orders that may be applicable to Distributor by reason
of the execution and performance of this Agreement, including any and all laws,
regulations or orders that govern or affect the ordering, shipment, sale
(including government procurement), delivery and redelivery of the Products in
the Territory.

9.  Distributor shall comply with all reporting requirements of NOMOS to include
supplying NOMOS with necessary complaints, actions taken to relieve complaints
and any follow up requirements.

                                      -16-
<PAGE>

                                  ATTACHMENT A

                         ADDITIONAL TERMS AND CONDITIONS

Equipment

1.1   Risk of loss and title to the Equipment described in the Proposal shall
vest in Customer upon date of Delivery. Delivery means the date NOMOS delivers
the Equipment to a carrier of its choice. NOMOS will retain a security interest
in the Equipment until the Total Price for the "PRODUCT" is paid in full.
Customer will execute financing statements requested by NOMOS to perfect its
security interest in the Equipment. Customer shall keep the Equipment in good
order and repair until the Total Price for the "PRODUCT" has been paid in full.

Software

2.1   NOMOS grants Customer a nonexclusive, non-transferable, perpetual license
to use the Software described in the Proposal only for Customer's own internal
use and only on the Equipment which is part of the NOMOS 'PRODUCT". Customer
will not modify, reverse assemble, or reverse compile the Software. NOMOS may
immediately terminate Customer's license to use the Software upon written
notice to Customer in the event Customer breaches any provision of Section 2.1
or Section 6.1 of this Attachment.

Warranty

3.1   NOMOS warrants that for one (1) year following completion of Acceptance
Testing (defined as demonstration of Product to meet its specifications), the
Equipment and the Software will substantially conform to the applicable
Documentation. NOMOS does not warrant that the Equipment and/or the Software
will meet Customer's requirements, that the operation of the Equipment or
Software will be uninterrupted, or that the Software win be free of errors.

3.2   NOMOS will make reasonable efforts to correct any breach of warranty
specified in Section 3.1 during the Warranty Period. If NOMOS cannot correct the
breach of warranty, NOMOS shall, at NOMOS' option, (i) replace the Equipment or
Software, or (ii) return the Total Price for the NOMOS "PRODUCT" to Customer,
less a reasonable fee for Customer's use of the NOMOS "PRODUCT". If NOMOS
determines that any alleged breach of warranty is caused by one of the factors
listed in Section 3.3, Customer agrees to pay NOMOS its then current time and
materials rates for investigating and/or correcting the problem.

3.3   The following acts shall void the warranty obligations of NOMOS: (i)
modification or attempted modification of the Equipment and/or the Software;
(ii) failure to implement corrections, improvements, or revisions to the
Equipment and/or the Software provided by NOMOS; (iii) use of any unauthorized
hardware with the Software or any unauthorized software with the Equipment; or
(iv) failure to fulfill Customer's obligations regarding the NOMOS "PRODUCT"

                                     -17-
<PAGE>

3.4   THE WARRANTY CONTAINED IN THIS SECTION IS IN LIEU OF ALL OTHER WARRANTIES,
EXPRESS, IMPLIED OR STATUTORY, INCLUDING WITHOUT LIMITATION THE IMPLIED
WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE AND
WARRANTIES ARISING FROM COURSE OF DEALING OR USAGE OF TRADE.

Limitation of Liability

4.1   IN NO EVENT SHALL NOMOS's LIABILITY TO CUSTOMER EXCEED THE TOTAL PURCHASE
PRICE FOR THE NOMOS "PRODUCT". NO ACTION REGARDLESS OF FORM MAY BE BROUGHT BY
CUSTOMER AGAINST NOMOS MORE THAN ONE (1) YEAR AFTER THE CAUSE OF ACTION HAS
ARISEN.

4.2   NOMOS SHALL NOT BE LIABLE TO CUSTOMER OR TO ANY OTHER PARTY FOR ANY
SPECIAL, INCIDENTAL, INDIRECT OR CONSEQUENTIAL DAMAGES WHATSOEVER EVEN IF NOMOS
HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.

Indemnification

5.1   If promptly notified in writing by Customer of an action, NOMOS agrees to
defend or settle at its option, and hold Customer harmless from, any action at
law or in equity arising from a claim that Customer's use of the NOMOS "PRODUCT"
infringes any United States patent or copyright; provided that Customer gives
NOMOS the right to control and direct the investigation, preparation, defense,
and settlement of each claim and Customer fully cooperates with NOMOS or its
designee in connection with any and all claims. NOMOS shall have no liability
for claims based on Customer's use of the NOMOS "PRODUCT" with other programs or
data, or unauthorized hardware, or any modifications to the NOMOS "PRODUCT".

5.2   Customer shall indemnify, save harmless and defend NOMOS at Customer's
expense from and against any losses, damages, claims, or liabilities of any
nature, including but not limited to costs, expenses and reasonable attorney's
fees, which are threatened, brought against or incurred by NOMOS caused by
Customer's failure to comply with its obligations.

Confidentiality

6.1   Customer acknowledges that the NOMOS "PRODUCT" contains confidential,
proprietary and trade secret information of NOMOS and other third parties
("Confidential Information"). Customer will not disclose, allow to be disclosed
or otherwise make available any Confidential Information to any third party
without the express written consent of NOMOS. Customer agrees to take the same
precautions to protect the confidentiality of the Confidential Information as it
takes to protect Customer's own confidential information.

                                     -18-
<PAGE>

Equal Employment Opportunity/ Affirmative Action Compliance

7.1   Incorporated into this Agreement are the provisions of Section 202 of
Executive Order 11246 as well as its implementing regulations; Section 503 of
the Rehabilitation Act of 1973, as mended; and the Vietnam Era Veterans
Readjustment Act. NOMOS certifies that it does not maintain any racially
segregated facilities; that unless otherwise exempt, it has developed and
maintains an Affirmative Action Program pursuant to 31 CFR 60-2: and that unless
otherwise exempt, it has filed an Annual Report EEO-1 with the Joint Reporting
Committee. The parties to this Agreement represent and warrant that they each
believe in good faith that they are in compliance with all of the Federal,
State, and local laws which govern employment relationships and that neither
party will, during the performance of this Agreement, engage in any
discrimination based upon race, color, sex, religion, national origin,
disability or veteran's status.

Force Majeure

8.1   In the event that either party shall be delayed or hindered in, or
prevented from, the performance of any work, service or other acts required
under this Agreement to be performed by the party and such delay or hindrance
is due to strikes, lockouts, acts of God, governmental. restrictions, enemy
act, civil commotion, unavoidable fire or other casualty, or other causes of a
like nature, service or other act shall be excused for a period of such delay
and the period for the performance of such work, service or other act shall be
extended for a period equivalent to the period of such delay. In no event shall
such delay constitute a termination of this Agreement. The provisions of this
paragraph shall not operate to excuse Customer from promptly remitting any
payments due hereunder. Written notice of any such delays, other than temporary
or emergency interruptions, shall be given to the other party as well as
written notice of the cessation of the same.

Default and Termination

9.1   Events of Default. Any one or more of the following shall constitute an
"Event of Default" under this Agreement:

      Payment Default. Failure by Customer to remit any payment provided for
under this Agreement for a period of seven (7) days after written notice from
NOMOS to Customer that such payment is due and unpaid.

      Non-Performance Default. Failure by Customer to perform or observe any
other covenant or condition contained in this Agreement which failure shall
continue for a period of thirty (30) days after written notice thereof by NOMOS
to Customer.

      Assignment for Benefit of Creditors. An assignment by Customer for the
benefit of creditors or the appointment of a receiver for Customer by legal
proceedings or otherwise.

      Bankruptcy. Institution of bankruptcy proceedings by Customer, or
institution of bankruptcy proceedings against Customer which are not withdrawn
or dismissed within sixty (60) days after the institution of said proceedings.

                                     -19-
<PAGE>

9.2   Termination. In the event that Customer commits or allows an Event of
Default to occur or NOMOS terminates Customer's license to use the Software
pursuant to Section 2.1 herein, an amounts payable hereunder shall, at NOMOS's
option, immediately become due and payable as if by the terms of this Agreement
it were all payable in advance. At such time NOMOS may also serve Customer with
written notice as to the effective date of termination of the Agreement. In such
event, Customer shall have no right to avoid such termination by payment of any
sum due or by the performance of any condition, term or covenant broken.
Notwithstanding any statute, rule or law or decision of any court to the
contrary, Customer shall remain liable even after termination of this Agreement,
for the Total Price or any portion thereof due or to become due hereunder.

Miscellaneous

10.1  This Agreement is not transferable or assignable by Customer and any
attempted transfer or assignment will be void and of no force and effect. This
Agreement constitutes the complete and exclusive statement of the agreement
between the parties and supersedes all other contemporaneous or prior written or
oral agreements, representations or communications relating to the subject
matter of this Agreement. All notices under this Agreement shall be effective
when sent by overnight courier or certified mail, postage prepaid, to the other
party at the other party's last known address. Any failure of either party to
enforce any of the provisions of this Agreement will not be construed as a
waiver of such provisions or the right thereafter to enforce each and every such
provision. This Agreement may only be amended by a written amendment signed by
both parties.<PAGE>
                                                                 Exhibit 10.24
                 IMRT OPENSUITE(TM) INTEROPERABILITY AGREEMENT

This IMRT OpenSuite(TM) Interoperability Agreement (Agreement) is entered into
between IMPAC Medical Systems, Inc., with its principal place of business at
100 West Evelyn Avenue, Mountain View, California 94041 (IMPAC), and NOMOS
Corporation, with its principal place of business at 2591 Wexford Bayne Road,
Sewickley, Pennsylvania, 15143 (NOMOS).

                                  BACKGROUND

NOMOS provides systems to radiation oncology centers used to plan radiation
therapy treatments. IMPAC provides information systems to oncology centers
(including radiation oncology centers) that are utilized for the
administrative and clinical information management of oncology patients
including, but not limited to, interfacing with radiation therapy treatment
planning systems and linear accelerators. NOMOS and IMPAC recognize that each
has a leading position in their respective market segments and that by
cooperating to support and enhance the interfaces between their respective
systems, they will enhance the prospects of their respective products. In
pursuit of this enhanced position, the parties agree as follows.

1. CONFORMANCE STATEMENTS
(a) Each of the parties hereto agrees to publish conformance statements for
both the DICOM-RT and RTPConnect interfaces as these interfaces relate to its
products. As soon as the conformance statements have been finalized, and
whenever the statements are revised, each party further agrees to use
commercially reasonable efforts to provide these conformance statements to the
other party no later than one month prior to releasing them to its customers.

(b) In an effort to afford customers the optimum solution, each of the parties
agree to work together to establish minimum conformance and performance level
standards for the interfaces as these interfaces relate to its products. The
minimum standards will be established in conjunction with the creation of the
conformance statements.

(c) The conformance statements and the minimum standards developed by each
party pursuant to subsections 1 (a) and (b), shall be owned by the developing
party.

2. VERIFICATION AND VALIDATION OF INTERFACES
The parties agree to use commercially reasonable efforts to conduct joint
testing of interface enhancements before they are released for commerce. Both
parties agree that this testing may not always be possible due to resource,
regulatory, safety, and other considerations.

3. INTERFACE VALIDATION PROCEDURE
In an effort to reduce the difficulty of deploying interfaces between the
respective parties and in establishing their proper interoperability, the
parties agree to jointly develop an Interface Validation Procedure (IVP) that
can be utilized by either party to "commission"

IMPAC--NOMOS IMRT OpenSuite Agreement 9-10-01
<PAGE>
                                                                 Exhibit 10.24

the interfaces between the respective systems. The master IVP document and
revision control shall be the responsibility of IMPAC. The IVP shall be
jointly owned by NOMOS and IMPAC with no duty to account.

4. INSTALLATIONS
(a) Each party agrees to provide notice to the other party when it becomes
aware of an impending installation of its product at a customer site that
utilizes the other party's system and for which an interface between the two
systems will be installed. This notification shall be made via e-mail as soon
as is practicable, but in no event later than five (5) business days after the
notifying party becomes aware of the installation.

(b) For the purposes of the installation notice requirement of this section 4,
each party shall designate a primary and secondary contact within fifteen (15)
business days of the signing of this Agreement.

5. COMBINED USER'S GUIDE
The parties agree to create a joint User's Guide for the use of the interface
between the systems. This guide shall be limited to the sequencing required to
operate the bi-directional transfer of data between the respective systems.
Each company shall have full rights to reproduce and use this document as it
sees fit, but in no way to the other party's detriment. The master document
and revision control shall be the responsibility of IMPAC. The joint User's
Guide shall be jointly owned by NOMOS and IMPAC with no duty to account.

6. CUSTOMER SUPPORT CALL TRIAGING
(a) The parties agree to establish a customer call triaging procedure to route
support calls to the appropriate organization. Furthermore, the parties agree
to expedite the availability of technical support whenever it is not readily
apparent which system is malfunctioning and system level trouble-shooting must
be initiated.

(b) The parties further agree to make support personnel available via
telephone to assist in the installation and commissioning of interfaces
between their respective systems whenever an installation of either or both
systems is occurring.

7. "IMRT OPENSUITE(TM)  COMPLIANT" BRANDING
(a) GRANT OF LICENSE
Upon the successful completion of the duties and obligations set out in
sections 1 through 6 above, and in IMPAC's sole discretion, IMPAC may grant
NOMOS a worldwide, non-exclusive, non-transferable, revocable right to use and
display IMPAC's trademarked phrase "IMRT OpenSuite(TM)" for the express sole
purpose of public notification of the conformance of the RTP System and its
internal process to the requirements set out in this Agreement. Any such use
shall be consistent with the IMPAC guidelines on use of the IMRT OpenSuite(TM)
mark.

IMPAC--NOMOS IMRT OpenSuite Agreement 9-10-01                              2
<PAGE>
                                                                 Exhibit 10.24

(b) RESTRICTIONS
Except as otherwise expressly provided herein, NOMOS is granted no other
right, title, or license to the OpenSuite(TM) logo or any other IMPAC
trademark, and is specifically granted no right or license to sublicense the
OpenSuite(TM) Logo or any other IMPAC trademarks; provided, that a License
shall be provided by IMPAC to NOMOS' distributors who distribute NOMOS'
products as transferred by NOMOS (i.e., without any modifications to the
product, product packaging, documentation or other materials). NOMOS shall
enforce the terms of any such sublicense with its distributors. IMPAC shall be
entitled to enforce the terms of this license directly against any NOMOS
distributor in the event NOMOS fails to do so.

(c) CERTIFICATION
The license rights granted under subsection 7 (a) apply only in connection
with versions of products that have successfully complied with the
requirements of this Agreement.

8. CROSS-SALE OF INTERFACES
(a) In order to simplify the sales process with the end-user by allowing
either party to fulfill the end-user's needs when selling into the other
party's installed base, the parties agree to negotiate in good faith to
establish a sales agreement and transfer pricing for their respective RTP
interface products. Any such cross-sale arrangement shall be governed by a
separate signed written agreement between the parties.

(b) In an effort to facilitate cross-sale of interfaces, the parties will work
together to create a products requirement matrix that will list those products
necessary for the provision of a complete Intensity Modulated Radiation
Therapy (IMRT) solution for the customer. The matrix will be distributed to
each party's sales force. The matrix and matrix revision control shall be the
responsibility of IMPAC. The product requirements matrix shall be jointly
owned by NOMOS and IMPAC with no duty to account.

9. MUTUAL REFERRAL LIST
The parties agree to create and maintain a joint customer reference list of
those customers utilizing IMRT OpenSuite(TM) solutions. Each party may utilize
this list for sales and marketing activities as it sees fit. The master list
and revision control shall be the responsibility of IMPAC. The joint customer
reference list shall be jointly owned by NOMOS and IMPAC with no duty to
account.

10. DEVELOPMENT COLLABORATION
(a) Within three (3) months of signing this Agreement, the parties agree to
conduct a functional evaluation of the combined systems (RTP and IS) to
determine if there are opportunities for enhancing the interfaces or workflow
of the combined systems.

(b) Each of the parties agrees to use its commercially reasonable efforts to
develop a system specification for those enhancements and to implement those
enhancements in their respective systems based on their own internal
development priorities and timeframes.

IMPAC--NOMOS IMRT OpenSuite Agreement 9-10-01                              3
<PAGE>
                                                                 Exhibit 10.24

11. QUALITY SYSTEM REGULATIONS
Nothing in this Agreement shall be construed to hinder either party hereto
from abiding by the Quality System Regulations of the U.S. Food and Drug
Administration or the equivalent medical device regulations promulgated by
foreign governments in non-US markets.

12. TERM AND TERMINATION
(a) TERM
The initial term of this Agreement shall be two years from the date upon which
the last party to sign this agreement does so (Effective Date). Thereafter,
this Agreement shall automatically renew for successive one-year terms unless
either party provides the other party notice of its intent not to renew within
thirty (30) days of the end of the then current term.

(b) TERMINATION
Notwithstanding any provision in this Agreement to the contrary, either party
may terminate this Agreement upon thirty- (30) days notice by providing
written notification of termination via registered mail to the other party.

(c) EFFECT OF TERMINATION
         (i) Immediately upon termination of this Agreement, the Interface
         Validation Procedure identified in Section 3 shall cease to be
         utilized for any new system revision not specifically enumerated in
         the document (i.e., it can be used post termination but only for
         system revisions for which it was expressly written).

         (ii) Immediately upon termination of this Agreement, the User's Guide
         identified in Section 5.6 shall cease to be utilized for any new
         system revision not specifically enumerated in the document (i.e., it
         can be used post termination but only for system revisions for which
         it was expressly written).

          (iii) All jointly owned assets shall be provided to each of the
         parties hereto and each of the parties hereto may use such jointly
         owned assets subject to the restrictions set out in this Agreement.

13. CONFIDENTIALITY
This Agreement shall be governed by that Mutual Nondisclosure Agreement (NDA)
entered into by the parties on June 1, 2001. The parties hereby agree to
extend the three-year term of the NDA to run concurrent with the term of this
Agreement.

14. GOVERNING LAW, JURISDICTION AND VENUE
This Agreement shall be governed by and construed under applicable U.S.
federal law and the laws of the State of California, without regard to
conflicts of laws principles and without regard to the United Nations
Convention on Contracts for the International Sale of Goods.

IMPAC--NOMOS IMRT OpenSuite Agreement 9-10-01                              4
<PAGE>
                                                                 Exhibit 10.24

15. GENERAL PROVISIONS
(a) ASSIGNMENT
Neither party may assign or subcontract its rights or obligations under this
agreement, either in whole or in part, without the prior written consent of
the other party, which consent shall be in the sole discretion of the other
party. Any attempt to do so shall be void and of no effect. However, either
party may assign without prior written consent its rights and obligations
under this agreement to a successor in interest due to that party's
acquisition, merger, or reorganization.

(b) ENTIRE AGREEMENT
This Agreement together with all exhibits, appendices or other attachments,
which are incorporated herein by reference, is the sole and entire agreement
between the parties relating to the subject matter hereof. This Agreement
supersedes all prior understandings, agreements and documentation relating to
such subject matter.

(c) MODIFICATIONS TO AGREEMENT
Modifications and amendments to this Agreement, including any exhibit or
appendix hereto, shall be enforceable only if they are in writing and are
signed by authorized representatives of both parties.

(d) WAIVER
No term or provision of this Agreement shall be deemed waived and no breach
excused unless the waiver or consent is in writing and signed by the party
claimed to have waived or consented.

(e) NOTICES
All notices and other communications required or permitted under this
Agreement shall be in writing and shall be deemed given when delivered
personally, or by facsimile, or overnight mail, or confirmed email, or five
days after being deposited in the United States mail, postage prepaid and
addressed as each party may designate in writing:

(f) FEES AND EXPENSES
Each party shall be responsible for the payment of its own costs and expenses,
including attorneys' fees and expenses, in connection with the negotiation and
execution of this Agreement and the consummation of the transactions
contemplated pursuant to this Agreement.

(g) COUNTERPARTS
This Agreement may be executed in counterparts, each of which shall be deemed
an original, and all of which together shall constitute one in the same
instrument. The execution of this Agreement may be evidenced by facsimile
transmission of signatures, in which case the parties agree to exchange
originally executed versions of this Agreement promptly thereafter.

IMPAC--NOMOS IMRT OpenSuite Agreement 9-10-01                              5
<PAGE>

(h) INDEPENDENT CONTRACTORS
The parties acknowledge and agree that they are dealing with each other
hereunder as independent contractors. Nothing contained in this Agreement
shall be interpreted as constituting either party the joint venturer, employee
or partner of the other party or as conferring upon either party the power of
authority to bind the other party in any transaction with third parties.

(i) SEVERABILITY
If any provision of this Agreement is held invalid, void or unenforceable
under any applicable statute or rule of law, it shall to that extent be deemed
omitted, and the balance of this Agreement shall be enforceable in accordance
with its terms.

(j) SURVIVAL
The following provisions shall survive the expiration or termination of this
Agreement for any reason: Section 7. In addition, provisions of this Agreement
that, by their nature, are intended to remain in effect beyond the termination
or expiration of this Agreement, shall survive the termination or expiration
of this Agreement.

(k) HEADINGS NOT CONTROLLING
The headings in this Agreement are for reference purposes only and shall not
be construed as a part of this Agreement.

16. SIGNATURES
Each party represents and warrants that on this date they are duly authorized
to bind their respective principals by their signatures below.

------------------------------------- ---------------------------------------
IMPAC MEDICAL SYSTEMS, INC.            NOMOS CORPORATION

By:   /s/ Joseph K. Jachinowski        By:   /s/ John W. Manzetti
   ---------------------------------      -----------------------------------

Title:   CEO                           Title:  President & CEO
      ------------------------------         --------------------------------

Date:   9/23/01                        Date:   Sept. 11, 2001
     -------------------------------        ---------------------------------

------------------------------------- ---------------------------------------

IMPAC--NOMOS IMRT OpenSuite Agreement 9-10-01                              6

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