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Debt - Additional Information (Detail) - USD ($)
1 Months Ended 6 Months Ended 9 Months Ended 12 Months Ended
Jun. 26, 2015
Nov. 30, 2014
Jul. 31, 2010
Dec. 15, 2008
Dec. 31, 2014
Aug. 31, 2014
Jun. 30, 2015
Sep. 30, 2014
Dec. 31, 2014
Dec. 31, 2013
Sep. 30, 2015
Jul. 23, 2015
Debt Instrument [Line Items]                        
Convertible preferred stock warrant liability         $ 138,000       $ 138,000 $ 158,000 $ 93,000 $ 93,000
Proceeds from issuance of convertible promissory notes, net               $ 3,904,000 9,941,000      
Conversion of convertible notes into new Series C convertible preferred stock                 $ 10,129,000      
Notes Payable                        
Debt Instrument [Line Items]                        
Maximum borrowing capacity under the agreement       $ 800,000                
Stated interest rate       6.00%                
Debt maturity date       Dec. 31, 2009                
Debt descpition                 Under the terms of the loan agreement, the lender may forgive $240 thousand if the Company meets certain permanent job creation requirements within the State of Ohio. In July 2010, $560 thousand of principal and accrued interest through the loan maturity date were repaid. At December 31, 2013 and 2014, the Company had not met the permanent job creation requirements and as such the $240 thousand was not forgiven and remains a current liability. The notes payable of $240 thousand are due and demandable at any time and do not bear interest.      
Repayment of debt     $ 560,000                  
Series C Convertible Preferred Stock                        
Debt Instrument [Line Items]                        
Exercise price         $ 5.08       $ 5.08      
Term Loan [Member]                        
Debt Instrument [Line Items]                        
Amount outstanding under the agreement         $ 15,000,000       $ 15,000,000 $ 15,000,000    
Stated Percentage Rate Range, Maximum                 10.25% 10.25%    
Beginning period for interest payments                 Jan. 01, 2015      
Maturity Date Range, End                 Jun. 01, 2017      
Frequency of Periodic Payment                 Monthly principal and interest payments      
Unamortized debt discount         466,000       $ 466,000      
Exercisable from Issuance                 10 years      
Exercisable after an IPO                 5 years      
Warrant exercisable description                 The warrant will be automatically exercised immediately prior to expiration if the fair market value of one share of Series C convertible preferred stock is greater than the exercise price at the time of expiration.      
Convertible preferred stock warrant liability         $ 158,000       $ 158,000      
Fair value of warrant assumption, expected term                 2 years      
Fair value of warrant assumption, expected volatility                 30.00%      
Fair value of warrant assumption, risk-free interest rate                 0.40%      
Fair value of warrant assumption, expected dividend yield                 0.00%      
Facility fee 5.00%                      
Term Loan [Member] | Deferred Payment In-Kind Interest                        
Debt Instrument [Line Items]                        
Stated interest rate         1.50%       1.50%      
Term Loan [Member] | Interest Only Payments                        
Debt Instrument [Line Items]                        
Beginning period for interest payments                 Jan. 31, 2014      
Term Loan [Member] | First 12 months [Member]                        
Debt Instrument [Line Items]                        
Prepayment penalty 3.00%       5.00%       5.00%      
Term Loan [Member] | Thereafter Until Maturity [Member]                        
Debt Instrument [Line Items]                        
Prepayment penalty         1.00%       1.00%      
Term Loan [Member] | After year 1 but on or before year 2 [Member]                        
Debt Instrument [Line Items]                        
Prepayment penalty 2.00%                      
Term Loan [Member] | After year 1 but on or before year 3 [Member]                        
Debt Instrument [Line Items]                        
Prepayment penalty 1.00%                      
Term Loan [Member] | Year 4 [Member]                        
Debt Instrument [Line Items]                        
Prepayment penalty 0.00%                      
Term Loan [Member] | Year 5 [Member]                        
Debt Instrument [Line Items]                        
Prepayment penalty 0.00%                      
Term Loan [Member] | Prime Rate                        
Debt Instrument [Line Items]                        
Spread on interest rate                 7.00% 7.00%    
Term Loan [Member] | Series C Convertible Preferred Stock                        
Debt Instrument [Line Items]                        
Vested and exercisable warrant to purchase         128,231       128,231      
Exercise price         $ 5.84       $ 5.84      
2015 Term Loan [Member]                        
Debt Instrument [Line Items]                        
Debt maturity date             Jun. 26, 2020          
Frequency of Periodic Payment Quarterly                      
Maximum borrowing capacity $ 50,000,000                      
Current borrowing capacity 30,000,000                      
Remaining borrowing capacity 20,000,000                      
Required minimum proceeds from IPO 40,000,000                      
Required minimum post money valuation after IPO 120,000,000                      
Debt drawn $ 30,000,000                      
2015 Term Loan [Member] | First 12 months [Member]                        
Debt Instrument [Line Items]                        
Debt instrument cash interest rate percentage 12.50%                      
2015 Term Loan [Member] | After year 1 but on or before year 2 [Member]                        
Debt Instrument [Line Items]                        
Debt instrument cash interest rate percentage 12.50%                      
2015 Term Loan [Member] | After year 1 but on or before year 3 [Member]                        
Debt Instrument [Line Items]                        
Debt instrument cash interest rate percentage 12.50%                      
2015 Term Loan [Member] | After first 3 years [Member]                        
Debt Instrument [Line Items]                        
Debt instrument cash interest rate percentage 8.00%                      
Deferred payment in-kind interest rate 4.50%                      
2015 Term Loan [Member] | MRIdian System                        
Debt Instrument [Line Items]                        
Required minimum gross revenue from MRIdian system sales $ 25,000,000                      
2014 Convertible Promissory Notes                        
Debt Instrument [Line Items]                        
Aggregate principal amount           $ 10,000,000            
Additional borrowing capacity           1,500,000            
Proceeds from issuance of convertible promissory notes, net   $ 6,100,000       $ 3,900,000            
Interest rate                 8.00%      
Maturity date                 2015-11      
Conversion of convertible notes into new Series C convertible preferred stock                 $ 10,200,000      
Longer outstanding         $ 0       0      
Debt instrument available for issuance         0       0      
2014 Convertible Promissory Notes | Series C Convertible Preferred Stock                        
Debt Instrument [Line Items]                        
Unamortized debt discount         $ 44,000       $ 44,000      
Exercise price         $ 5.84       $ 5.84      
Stock issued convertible debt         1,739,405       1,739,405