syngo.via RT Image SuiteBoosting efficiency
Radiation therapy is a dynamic and fast-changing field. The number of patients receiving this type of therapy is continually rising. Software applications have a key role to play here and can support efficient workflows and deliver precision for advanced therapies, they will drive clinical excellence in RT today and into the future.
syngo.via RT Image Suite was developed for radiation oncology professionals. Designed as a user-friendly work aid to make simulation, image assessment, and contouring easier and better integrated. It simplifies and standardizes daily tasks, and gives you the capabilities you need to go beyond the current standard.
Ease what you do. Seize new opportunities.
Features & Benefits
Ease what you do
Simulation, data preparation or contouring – routine tasks can suffer from workflows across many systems, manual work or unintuitive tools. Work more efficiently and comfortably with an efficient, flexible, and well integrated tool.
Open up new treatment strategies with tumor trajectory and mid-ventilation phase
- Offer new treatments by visualizing tumor trajectory and capturing mid-ventilation phase for CT, PET-CT, and MR
- Semi-automatic calculation of the 4D CT phase where the tumor is closest to mid-ventilation position
- ITV generation with semi-automatic contour propagation over multiple breathing phases1
OneViewer Plugins
- Enables you to combine favorite tools individually based on your daily clinical tasks
- Improves your user experience by having your favorite tools directly accessible in one place
Simplify your clinical workflow with contouring tools
- Deep learning-based OAR contouring automatically provides results to your treatment planning system
- Smart contouring tools for parallel contouring on multiple images enabling "CT-free" contouring on MR or PET images
- Use multimodality images more confidently with Deformable Registration1 and Contouring Propagation1
Speed up your workflow with straightforward patient marking
- Direct Laser with Virtual Laser View displays the laser line on a 3D patient model (VRT) as a virtual reference for marking
- Semi-automated isocenter placement workflow for breast and spine treatments
- Evaluate beam geometry fast, adapted to the tumor's shape with multimodality beam placement support (CT, PET/CT, MRI)
Open up new treatment strategies with tumor trajectory and mid-ventilation phase
- Offer new treatments by visualizing tumor trajectory and capturing mid-ventilation phase for CT, PET-CT, and MR
- Semi-automatic calculation of the 4D CT phase where the tumor is closest to mid-ventilation position
- ITV generation with semi-automatic contour propagation over multiple breathing phases1
OneViewer Plugins
- Enables you to combine favorite tools individually based on your daily clinical tasks
- Improves your user experience by having your favorite tools directly accessible in one place
Simplify your clinical workflow with contouring tools
- Deep learning-based OAR contouring automatically provides results to your treatment planning system
- Smart contouring tools for parallel contouring on multiple images enabling "CT-free" contouring on MR or PET images
- Use multimodality images more confidently with Deformable Registration1 and Contouring Propagation1
Speed up your workflow with straightforward patient marking
- Direct Laser with Virtual Laser View displays the laser line on a 3D patient model (VRT) as a virtual reference for marking
- Semi-automated isocenter placement workflow for breast and spine treatments
- Evaluate beam geometry fast, adapted to the tumor's shape with multimodality beam placement support (CT, PET/CT, MRI)
Open up new treatment strategies with tumor trajectory and mid-ventilation phase
- Offer new treatments by visualizing tumor trajectory and capturing mid-ventilation phase for CT, PET-CT, and MR
- Semi-automatic calculation of the 4D CT phase where the tumor is closest to mid-ventilation position
- ITV generation with semi-automatic contour propagation over multiple breathing phases1
Seize new opportunities
From introducing new treatment techniques to accurately contouring and planning with state of the art imaging or implementing inter-disciplinary cancer care – lacking tool support can make life hard for radiation oncology professionals.
Seize new opportunities and take your practice beyond today's standard with syngo.via RT Image Suite.
Accurate and automated SPR calculation with Dual Energy DirectSPR3
- syngo.CT DE Monoenergetic Plus4 optimizes image contrast for enhanced contouring and gives you greater confidence in delineating tumors
- Interactively choose the preferred contrast for the clinical task when using spectral CT images5
MR-only workflow with MR-based Synthetic CT6
- Use a straightforward MR-only workflow with MR-based Synthetic CT for brain and pelvic cancer patients
- Eliminate the problem of registration errors between CT and MR in radiation therapy
- Easy assessment of the alignment between the Synthetic CT and MR images by using the checkerboard
Optimize lung cancer treatment with lobe-based ventilation7
- Anatomical lobe wise quantification of ventilation in relative metrics
- Enables you to get more information from a 4DCT by evaluating inhale and exhale breathing phases
Get the full picture for treatment with RT Dose Display2
- Display dose volumes overlaid on any supported image type and side-by-side
- Warp dose between current and prior dose volumes and images
- Accumulate dose volumes for adaptive or treatment of recurrences
Accurate and automated SPR calculation with Dual Energy DirectSPR3
- syngo.CT DE Monoenergetic Plus4 optimizes image contrast for enhanced contouring and gives you greater confidence in delineating tumors
- Interactively choose the preferred contrast for the clinical task when using spectral CT images5
MR-only workflow with MR-based Synthetic CT6
- Use a straightforward MR-only workflow with MR-based Synthetic CT for brain and pelvic cancer patients
- Eliminate the problem of registration errors between CT and MR in radiation therapy
- Easy assessment of the alignment between the Synthetic CT and MR images by using the checkerboard
Optimize lung cancer treatment with lobe-based ventilation7
- Anatomical lobe wise quantification of ventilation in relative metrics
- Enables you to get more information from a 4DCT by evaluating inhale and exhale breathing phases
Get the full picture for treatment with RT Dose Display2
- Display dose volumes overlaid on any supported image type and side-by-side
- Warp dose between current and prior dose volumes and images
- Accumulate dose volumes for adaptive or treatment of recurrences
Accurate and automated SPR calculation with Dual Energy DirectSPR3
- syngo.CT DE Monoenergetic Plus4 optimizes image contrast for enhanced contouring and gives you greater confidence in delineating tumors
- Interactively choose the preferred contrast for the clinical task when using spectral CT images5
Learn more about the features of syngo.via RT Image Suite
MR-based Synthetic CT6
01Deep-learning based autocontouring supporting the most relevant cancer sites
Machine learning-trained algorithms for increased efficiency and consistency in radiation therapy planning
Thorax
01Abdomen
01Pelvic area
01Contoured organs in the pelvic area, e.g.10
- Abdominalpelvic cavity
- Bladder
- Body
- Prostate
- Penile bulb
- Sigmoid
- Proximal femurs
- Rectum
- Seminal vesicles
Contoured organs in the head & neck area, e.g.10
- Body
- Eye globes
- Lenses
- Lips
- Mandible
- Optic chiasm
- Optic nerves
- Oral cavity
- Parotid glands
Contoured organs in the thorax area, e.g.10
- Body
- Female breasts
- Heart
- Lungs
- Individual ribs
- Chest wall
- Bronchial tree
- Trachea
Contoured organs in the abdomen area, e.g.10
- Abdominalpelvic cavity
- Aorta
- Body
- Liver
- Duodenum
- Spinal cord
- Spleen
- Bowel large
- Bowel small
Contoured organs in the pelvic area, e.g.10
- Abdominalpelvic cavity
- Bladder
- Body
- Prostate
- Penile bulb
- Sigmoid
- Proximal femurs
- Rectum
- Seminal vesicles
Contoured organs in the head & neck area, e.g.10
- Body
- Eye globes
- Lenses
- Lips
- Mandible
- Optic chiasm
- Optic nerves
- Oral cavity
- Parotid glands
Contoured organs in the thorax area, e.g.10
- Body
- Female breasts
- Heart
- Lungs
- Individual ribs
- Chest wall
- Bronchial tree
- Trachea
Contoured organs in the abdomen area, e.g.10
- Abdominalpelvic cavity
- Aorta
- Body
- Liver
- Duodenum
- Spinal cord
- Spleen
- Bowel large
- Bowel small
Contoured organs in the pelvic area, e.g.10
- Abdominalpelvic cavity
- Bladder
- Body
- Prostate
- Penile bulb
- Sigmoid
- Proximal femurs
- Rectum
- Seminal vesicles
Deep-learning based autocontouring for lymph nodes may support defining target volumes for radiation therapy
Contoured lymph nodes in the pelvic area, e.g.10
- LN common iliac (L/R)
- LN internal iliac (L/R)
- LN external iliac (L/R)
- LN obturator (L/R)
- LN presacral
Contoured lymph nodes in the head & neck area, e.g.10
- LN level Ia: Submandibular triangle (L/R)
- LN level II: Upper jugular nodes (L/R)
- LN level III: Middle jugular nodes (L/R)
- LN level IVa: Lower jugular group (L/R)
Contoured lymph nodes in the breast area, e.g.10
- LN axilla level I (L/R)
- LN axilla level II (L/R)
- LN axilla level III (L/R)
- LN internal mammary (L/R)
Contoured lymph nodes in the pelvic area, e.g.10
- LN common iliac (L/R)
- LN internal iliac (L/R)
- LN external iliac (L/R)
- LN obturator (L/R)
- LN presacral
Contoured lymph nodes in the head & neck area, e.g.10
- LN level Ia: Submandibular triangle (L/R)
- LN level II: Upper jugular nodes (L/R)
- LN level III: Middle jugular nodes (L/R)
- LN level IVa: Lower jugular group (L/R)
Contoured lymph nodes in the breast area, e.g.10
- LN axilla level I (L/R)
- LN axilla level II (L/R)
- LN axilla level III (L/R)
- LN internal mammary (L/R)
Contoured lymph nodes in the pelvic area, e.g.10
- LN common iliac (L/R)
- LN internal iliac (L/R)
- LN external iliac (L/R)
- LN obturator (L/R)
- LN presacral
MR-based Synthetic CT6
AI-powered algorithm for MR-only workflow in pelvis and brain
Enabling a straightforward MR-only workflow for RT planning
- High geometric fidelity
- Continuous HU values: HU values comparable to CT for different tissue types from bones to soft tissue and air
- Keeping additional measurement time to a minimum, requiring only one scan (Dixon-VIBE)
Challenges of combined MRI and CT workflow
- Accurate image registration
- Patient scheduling
- Resource utilization & reimbursement
Enabling a straightforward MR-only workflow for RT planning
- High geometric fidelity
- Continuous HU values: HU values comparable to CT for different tissue types from bones to soft tissue and air
- Keeping additional measurement time to a minimum, requiring only one scan (Dixon-VIBE)
Challenges of combined MRI and CT workflow
- Accurate image registration
- Patient scheduling
- Resource utilization & reimbursement
Enabling a straightforward MR-only workflow for RT planning
- High geometric fidelity
- Continuous HU values: HU values comparable to CT for different tissue types from bones to soft tissue and air
- Keeping additional measurement time to a minimum, requiring only one scan (Dixon-VIBE)
MR-based Synthetic CT results for pelvis and brain
Clinical Use
Blinded evaluation of autocontouring at Universitätsklinikum Erlangen
70% time saving per OAR9
- Autocontoured Ø 0.5 min per OAR
- Manual Ø 1.8 min per OAR
Study details:
Clinical evaluation of clinical images from 50 patients with a total number of 2,040 organs-at-risk structures. Each resulting OAR was then evaluated by 3 physicians in a blinded study (manually vs. auto-contoured clinical images).8
70% time saving per OAR9
- Autocontoured Ø 0.5 min per OAR
- Manual Ø 1.8 min per OAR
Study details:
Clinical evaluation of clinical images from 50 patients with a total number of 2,040 organs-at-risk structures. Each resulting OAR was then evaluated by 3 physicians in a blinded study (manually vs. auto-contoured clinical images).8
70% time saving per OAR9
- Autocontoured Ø 0.5 min per OAR
- Manual Ø 1.8 min per OAR
Dose distribution on MR-based Synthetic CT and CT with corresponding DVHs
- <19 mean dose difference in PTV, GTV, evaluated OAR
- <0.5% and 1.4% mean dose difference for the brainstem and chiasma respectively
An internal validation of geometric fidelity and HU unit accuracy
The geometric fidelity test was passed with an average symmetric surface distance (ASSD) <1mm for brain and pelvis. For HU accuracy, line profiles from CT and MR-based Synthetic CT of the same patient were compared as shown in the image.
Testimonials
“Current state of the art enables OAR autosegmentations that are on par with human experts.”11
Dr. Florian Putz
Universitätsklinikum Erlangen, Strahlenklinik, Germany
“We shortened virtual simulation step to an estimated 20 minutes and thereby have saved significant time for the whole radiation therapy department.”11
Stéphane Muraro
Centre de Cancérologie du Grand Montpellier (CCGM), France
“The standardized algorithms [for organs-at-risk contouring] always return consistent results. Manual contouring can vary from user to user, which affects treatment. This is not the case with the software.”11
Manuel Algara López, MD
Hospital del Mar, Barcelona, Spain
Reduce contouring time in complex cases?
Consistent, high-quality contoured images are key for precise radiation therapy planning. The automation of organs-at-risk contouring could help increase consistency while achieving better efficiency. Gain first-hand user experience from the Department of Radiation Oncology at Universitätsklinikum Erlangen.
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The products/features (mentioned herein) are not commercially available in all countries. Their future availability cannot be guaranteed.
Optional. Deformable Registration license recommended.
Optional. DirectSPR is available only for Dual Spiral DE, Twin Spiral DE or Dual Source DE (not for TwinBeam DE and photon-counting CT).
Monoenergetic reconstructions at 55 keV of DECT imaging of head and neck SCC result in a significantly superior overall image quality and tumor delineation.
Interactive Spectral Imaging support will only work with a CT Dual Energy license.
Optional. MR-based Synthetic CT is an optional feature available in syngo.via RT Image Suite starting from software version VB60.
Ventilation results produced by syngo.via RT Image Suite should not be used as the sole diagnostic tool.
The case evaluation was conducted with Organs RT on syngo.via RT Image Suite.
The depicted organs are based on the selected organ template.
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