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Goodwill and Intangible Assets - Activity of Goodwill by Reportable Operating Segment (Detail) - USD ($)
$ in Millions
12 Months Ended
Sep. 28, 2018
Sep. 29, 2017
Goodwill [Roll Forward]    
Balance, beginning $ 222.6 $ 220.0
Business combinations 72.1  
Foreign currency translation adjustments (1.1) 2.6
Balance, ending 293.6 222.6
Oncology Systems    
Goodwill [Roll Forward]    
Balance, beginning 170.2 170.2
Business combinations 72.1  
Foreign currency translation adjustments (0.2) 0.0
Balance, ending 242.1 170.2
Proton Solutions    
Goodwill [Roll Forward]    
Balance, beginning 52.4 49.8
Business combinations 0.0  
Foreign currency translation adjustments (0.9) 2.6
Balance, ending $ 51.5 $ 52.4