Miyamoto International was part of the team that converted this building, previously occupied by the state, into an Imaging and Oncology Cancer Center. Pre-conversion, this one-story building consisted of brick walls, hollow clay tile walls, wood stud walls and wooden beams and columns. To prepare the structure for its new function, the following was done: the teams added two cast-in-place concrete vaults with ground improvement column installation for linear accelerators, which was accomplished with minimum disruption by utilizing the existing structure; and interior wood shear walls that function as a lateral force-resisting system, accommodating the new configuration of the interior walls. Additionally, the medical equipment was anchored to the existing slab, these being MRI, CT, PET CT and X-Ray, and the procedure lights were braced to the structure for support. And as part of Miyamoto’s lean design practice, the design team used three-dimensional Building Information Modeling (BIM) throughout the project to ensure the teams and their members stayed coordinated.