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Radiotherapy treatment planning and QA software

The software that calculates exactly how radiation beams should be shaped and checks the machine delivered it.

Treatment planning systems (Varian Eclipse, Elekta Monaco, RaySearch RayStation, Philips Pinnacle, Brainlab Elements) compute dose from CT/MR images, optimise beam arrangements for IMRT/VMAT/protons, and export plans; independent QA vendors (Sun Nuclear, IBA Dosimetry, PTW, RadCalc) verify delivered dose. RayStation's multi-vendor support and machine-learning planning are notable; cloud and automated planning are the direction.

Generic schematic · not to scale · placeholder for the radiation front
Linac head + MLC · Target (PTV) · Gantry arc · Cone-beam CT guidance

How it works

Monte Carlo or convolution dose engines plus inverse optimisation of fluence subject to organ-at-risk constraints; deliverable plans checked by phantom measurement or log-file analysis.

Strengths
  • Mature, regulated software
  • Automation reduces planning time from days to hours
Limitations
  • Vendor lock-in
  • Plan quality depends on planner and protocol
  • QA burden grows with adaptive RT

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