No phantom needed. Verify plan delivery. Analysis & reports are generated automatically. Alerts will be sent out if they are triggered by customizable tolerances.
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.
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.
Cumulative dose delivered and patient geometry information can be used with the treatment plan to provide insights to improve patient treatment.
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.
Adaptivo drastically reduces the amount of time required for pre-treatment QA when compared to using a phantom.
The process of treating a patient allows Adaptivo to automatically gather the information it needs to provide analysis and, if necessary, warnings.
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.View Details »
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.View Details »
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.View Details »
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.View Details »
|Meets Reimbursement Requirements||Yes|
|Supports 3D conformal, IMRT, and VMAT||Yes|
|Access From any Computer on Network||Yes|
|Detects Patient Setup Errors||Yes|
|Detects Patient Anatomy Changes||Yes|
|Detects Output Fluctuations||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|
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.
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.
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.
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.
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.