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Patient contouring and plan evaluation made easy

A COMPREHENSIVE TOOLBOX FOR THE PHYSICIANS

In RayStation, physicians get a comprehensive toolbox to efficiently represent the patient anatomy and to easily compare and approve plans.

Accurate and efficient contouring

The rayAnatomy module in RayStation contains tools for creating a rich and accurate representation of the patient anatomy used in the treatment planning process.

Advanced manual and semi-automatic contouring

RayStation includes a comprehensive tool set for manual contouring such as polygon, freehand, paintbrush/2D rollerball and local deformations (push-and-pull). It also supports regions-of-interest (ROI) with voxel-based triangulation, 4D visualization and boolean algebra for combining ROIs. Templates can be saved with or without the geometries included which can then be recalled on future patients.

Model-Based Segmentation (MBS)

MBS is a semi-automatic tool for delineation of regions-ofinterest based on biomechanical and statistical information about organs. Volumetric images are segmented semiautomatically, utilizing a combination of grey-scale gradients and models with knowledge of how organs may change shape. It is possible to delineate multiple regions of interest simultaneously which increases throughput, accuracy and reproducibility.

Atlas-Based Segmentation, a versatile auto-segmentation tool

The idea is to take existing data from the clinic database to create templates with multiple image sets – atlases – and use these to segment new image data by locating the best matching atlas through rigid image registration and apply deformable registration to deform the ROI and POI geometries onto the new image set. The geometries contained in each atlas can be manually contoured or generated with MBS. If MBS ROIs are available in the template they may be automatically adapted after atlas-based initialization is completed. Derived ROIs created from a template will automatically be updated after initialization and MBS adaptation.

Image Registration/Fusion

Rigid and deformable registration of multi-modality imaging CT, CBCT, PET or MR is fully supported and integrated with the adaptive radiation therapy functionality. It can be used for showing fused images as reference while contouring, and for mapping regions or points of interest between image sets.

Watch demonstration of rayDeformable

Plan evaluation/ rayEvaluation

With rayEvaluation, physicians can easily evaluate, compare and approve treatment plans.

rayEvaluation is a comprehensive toolbox for evaluation and comparison of treatment plans and plan approval. From a number of predefined layouts, dose distribution, dose statistics, clinical goals and dose volume histograms of up to three different plans can be simultaneously compared. Dose can directly be computed on additional image sets and summed up using the deformable registration provided in rayDeformable. For evaluation of robustness dose can also be computed for a density perturbation or isocenter shift.

Radiobiological optimization and evaluation/ rayBiology

The use of radiobiological response models brings the planning process closer to the intent to create a plan with the highest possible probability of curing the patient while keeping the risk of complications to the surrounding healthy tissue as low as possible. The philosophy is to use the biological models to reveal effects that are difficult to understand from the dose distribution alone.

rayBiology provides tools for both biological optimization and evaluation.

Optimization tools provide the ability to optimize directly on the biological indices in combination with physical dose indices. It makes it possible to configure optimization problems which more closely describe the clinical intentions, such as minimizing normal tissue complication probabilities subject to a guaranteed homogenous target dose within a specified standard deviation.

Evaluation tools includes Tumor Control Probability (TCP) and Normal Tissue Complication Probability (NTCP) models which can be combined with tissue repair and tumor growth models. The biological tools are integrated in the plan evaluation module. That way the physical properties of the existing plan can easily be investigated if unexpected differences in the biological response are observed between different plans. In addition there is a Biological Evaluation module dedicated to the exploration of the biological effects of altering the fractionation schedule of a single treatment plan.

DOWNLOAD BIOLOGICAL OPTIMIZATION AND EVALUATION WHITE PAPER
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