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

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 relavent 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



Before a patient is treated, their plan is delivered in air to the portal imager.  No phantom and no setup time are required.  The image is converted to dose and compared with predicted dose.  Analysis is performed automatically, and Physicists review the report.

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Adaptivo Pretreatment Howit


Then, every day of treatment, Adaptivo™ will automatically compare the exit portal images to a reference measured EPID image from the first few days of treatment and to a calculated predicted dose map, since the “portal to portal” comparison alone is not sufficient to catch some errors, such as an incorrect treatment couch in the plan.

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Adaptivo Invivo Howitworks


Dose is calculated on the daily CT image, taking into account the couch position for the day’s treatment, and on the plan CT.  Deformable registration is performed to map the structure set to the daily image, so that the delivered dose and DVH can be compared against the plan.

Dose from the daily CT is also mapped back to the plan CT to track the cumulative dose delivered to date.

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Adaptivo Adaptive Howitworks2


Alerts are automatically generated and emailed if there are significant discrepancies between the plan and delivered dose for a single day, if there are deviations of the cumulative dose compared to the plan, if the projected end-of-treatment target dose is outside acceptable parameters, or if the projected organ at risk doses are outside the QUANTEC recommendations.

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Adaptivo Email Alert3

Adaptivo™ software will give you full insight into your patients’ dose at every fraction, so that informed decisions about patient care can be made.

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Adaptivo Howitworks 5


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


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, combined with the use of the daily CBCT images, allow you to capture the effect of those patient-related changes while still 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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