Patient Dosimetry

The only software that provides a true picture of patient and dose at each stage of treatment

Pre-Treatment QA

No phantom needed. Verify plan delivery. Analysis & reports are generated automatically. Alerts will be sent out if they are triggered by customizable tolerances.

Daily Exit Dose Monitoring

Compare with predicted images to ensure both accuracy and consistency of treatment. View per beam metrics, per fraction metrics, and gamma metrics. Review daily patient position and daily patient geometry. Account for daily couch shifts and detect patient setup errors.

Account for Delivered Dose

Review daily and cumulative DVH as well as dose delivered to targets and ROIs in any slice of axial, sagittal, or coronal axis. View dose distribution on complete CT image sets. Compare daily and cumulative delivered dose to planned dose.

Adapt with Projected Dose

Cumulative dose delivered and patient geometry information can be used with the treatment plan to provide insights to improve patient treatment.

Features & Benefits

Familiar Tools

Adaptivo displays relevant information without overloading the user. Succinct metrics and graphs communicate analysis and warnings, and user editable tolerances direct attention only when needed.

No Hardware

Adaptivo drastically reduces the amount of time required for pre-treatment QA when compared to using a phantom.

Automatic Patient Dosimetry

The process of treating a patient allows Adaptivo to automatically gather the information it needs to provide analysis and, if necessary, warnings.

How It Works


Automated & Easy to Use

No phantom required for pre-treatment QA measurement. Patient data are downloaded from your R&V system automatically. Customized notifications and alert levels show you only those things YOU want to know about, so the important information isn't buried in noise.

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Adaptivo Hiw 05 Dash V1

Info On Demand

An informative, customizable, and easy to read dashboard allows each user to quickly navigate to meaningful overview screens. The 3D viewer can display any slice, any orientation, and there are detail charts for all ROIs in the Adaptive module.

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Adaptivo Hiw 04 Dvh V1

Applicable Results

Chart checks become more meaningful, as you can see whether every beam is delivered properly for each patient's treatment. All changes in settings, comments, acknowledgment of flags, etc. are tracked, so sharing physics duties, performing a peer-review audit, or keeping track of a large clinical group becomes easier.

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Adaptivo Hiw 01 Gamma V1


Adaptivo™ Software
Meets Reimbursement Requirements Yes
Supports 3D conformal, IMRT, and VMAT Yes
Independent Check Yes
Access From any Computer on Network Yes
Detects Patient Setup Errors Yes
Detects Patient Anatomy Changes Yes
Detects Output Fluctuations Yes
Database Management Yes
Plan and Cumulative Dose Comparison Yes
Daily and Cumulative Dose Alerts Yes
Calculate daily DVH and patient dose using the daily CT Yes
Interactive view of dose distribution on complete CT image set Yes

Toyota Motor Corporation's vehicle production system is a way of making things that is sometimes referred to as a lean manufacturing system or a Just-in-Time (JIT) system, and has come to be well known and studied worldwide.

The Toyota Production System (TPS) was established based on two concepts: The first is called jidoka which means that when a problem occurs, the equipment stops immediately, preventing defective products from being produced.

The second is the concept of Just-in-Time, in which each process produces only what is needed by the next process in a continuous flow.

Adaptivo is very conforming to the Toyota Production System. Therefore, we can carry out safe radiation therapy.

Junji Suzuki, Ph.D. Medical Physicist Toyota Memorial Hospital


How the Beijing Cancer Center Benefits from Adaptivo Software

0.72 min


Product Resources

Publications, tech notes, testimonials, and other resources to support Adaptivo.

Looking for a user manual?

Available on request. Contact your Account Manager


View publications related to this product from experts in the fields of medical physics and oncology.

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Tech Notes

Find detailed instructions on how to setup and execute common processes from our experienced technicians.

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Frequently Asked Questions

Why is using the EPID a superior option?

Log files are excellent tools for machine QA and for monitoring machine performance, but they tell you absolutely nothing about the patient. EPID exit dose measurements, especially when combined with the use of daily CBCT images, allow you to capture the effect of patient-related changes while also monitoring the accuracy of the treatment delivery.

How will this impact my clinical workflow if I am currently using EPID or log file-based software for pre-treatment QA?

If you are currently using EPID or log file-based software, your pre-treatment workflow might be relatively unchanged.  However, it is likely that you’ll be able to automate more of it.  As a physicist or physician, you’ll soon find yourself referring to Adaptivo™ as you follow your patients’ progress through treatment and discuss complex cases with your colleagues.  

How will this impact my clinical workflow if I am currently using a phantom for pre-treatment QA?

Adaptivo™ drastically reduces the amount of time required for pre-treatment QA when compared to using a phantom.  With Adaptivo™, you only need as much time as it takes to deliver the treatment to your portal imager.  Automatically generated reports can be reviewed at your convenience during your current daily routine.  Automatic daily treatment monitoring allow you to demonstrate the real clinical impact of deviations that occur during the full course of treatment – no more guessing from the pre-treatment snapshot.  

Adaptivo™ will quickly become your first reference for staying current on all your patients, your first warning that weight loss or tumor shape changes are starting to compromise treatments, and your preferred tool for discussing a patient at chart rounds.

How will this impact my clinical revenue?

Adaptivo™ satisfies the requirements for both Pre-Treatment QA and InVivo or Transit Dosimetry.  It also helps to easily determine which patients require re-planning.  This allows clinicians to spend more time on patients who need adjustments to their plans, while providing the justification necessary for billable re-planning.

Will this save me time? How?

Yes, Adaptivo™ will save you time.  Your pre-treatment QA will be faster, and you’ll have the tools needed to diagnose the cause of a treatment disruption/error both quickly and easily.  With so much information provided right at your fingertips, you won’t waste time digging for answers.

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