Platform Module 03
Daily Re-Planning for Anatomy-Adaptive Workflows
Airato's Adaptive RT module supports deformation-based re-planning for departments adopting online or offline adaptive treatment delivery — compatible with standard CBCT-guided linac schedules.
Daily Re-Planning Sequence
Each step in the adaptive cycle corresponds to a physicist-verified action. No automated delivery without explicit approval at each gate.
Daily CBCT Acquisition
CBCT image acquired at treatment position. DICOM CT received from linac on-board imager.
Deformable Registration
Daily CT registered to reference CT using deformable image registration (DIR). Deformation vector field generated per structure.
Auto Re-Segmentation Review
Deformed contours propagated to daily image. Physicist reviews and corrects any deformation errors before proceeding.
Dose Re-Optimization
New plan generated from deformed anatomy using the same DVH constraints as the reference plan. Fast re-optimization using warm start from reference plan fluence.
Physicist Approval
Physicist reviews updated DVH, checks constraint satisfaction, approves or rejects the adapted plan before export to linac.
Linac and Imaging Compatibility
| System Class | Compatibility Mode | Notes |
|---|---|---|
| Varian TrueBeam / Clinac class | DICOM RT Plan export + CBCT import | Via ARIA or direct DICOM node |
| Elekta Versa HD / Synergy class | DICOM RT Plan export + CBCT import | Via MOSAIQ or direct DICOM node |
| Hitachi Proton / Photon class | DICOM RT Plan export | CBCT integration depends on OBI version |
| MR-Linac (MR-guided) | In evaluation | MRI-specific DIR under investigation |
Discuss adaptive workflow integration.
Our clinical team can assess compatibility with your existing linac and TPS infrastructure.