Frequently Asked Questions

Yes. Another benefit of using AlignRT for prostate treatments is the reimbursement options, which can help clinics ease the financial burden for patients & healthcare providers. AlignRT allows you to capture an additional code for everyday treatments, including charging for SGRT with IMRT, IGRT, 3D-CRT, and SRT, in many cases.

Vision RT partners with ReveLution, a revenue cycle company, to provide you with 1:1 consults and audits to help you maximize your SGRT reimbursement opportunity. To request a Proforma AlignRT SGRT Analysis Summary email us at usmarketing@visionrt.com.

AlignRT also allows clinics to differentiate themselves from competitors by highlighting their offer of the option for tattoo and mark-free treatments. The website SaferRadiationTherapy.com connects providers with patients.

The published evidence suggests that while VMAT treatments give good dosimetry, non-coplanar VMAT treatments can yield even better results, for example in lung cancer ^[1],[2],[3], breast cancer ^[4],[5],[6], and head / neck cancer^[7],[8],[9].

[1] Kim ST, An HJ, Kim JI, Yoo JR, Kim HJ, Park JM. Non-coplanar VMAT plans for lung SABR to reduce dose to the heart: a planning study. Br J Radiol. 2020 Jan;93(1105):20190596. doi: 10.1259/bjr.20190596. Epub 2019 Oct 22. PMID: 31625759; PMCID: PMC6948076..

[2] Sheng K, Cao M, Godley A, Lin MH, Henze L, Hammond L, Delombaerde L, Hierholz K, Kouptsidis J. Quantification of Dosimetry Improvement With or Without Patient Surface Guidance. Adv Radiat Oncol. 2024 Jul 14;9(9):101570. doi: 10.1016/j.adro.2024.101570. PMID: 39188998; PMCID: PMC11345286.

[3] Lincoln JD, MacDonald RL, Syme A, Thomas CG. Static couch non-coplanar arc selection optimization for lung SBRT treatment planning. Phys Med Biol. 2023 Jul 21;68(15). doi: 10.1088/1361-6560/ace23f. PMID: 37369237.

[4] J, F., et al. (2023). Locoregional breast radiotherapy including IMN: optimizing the dose distribution using an automated non-coplanar VMAT-technique. Acta oncologica (Stockholm, Sweden), [online] 62(10). doi:https://doi.org/10.1080/0284186X.2023.2264488.

[5] Xu, Y., Ma, P., Hu, Z., Tian, Y., Men, K., Wang, S., Xu, Y. and Dai, J. (2021). Non-coplanar volumetric modulated arc therapy for locoregional radiotherapy of left-sided breast cancer including internal mammary nodes. Radiology and Oncology, 55(4), pp.499–507. doi:https://doi.org/10.2478/raon-2021-0045.

[6] A, B., et al. (2023). Dosimetric Comparision of Coplanar versus Noncoplanar Volumetric Modulated Arc Therapy for Treatment of Bilateral Breast Cancers. Journal of medical physics, [online] 48(3). doi:https://doi.org/10.4103/jmp.jmp_36_23.

[7] Biau J, Lopez L, Thivat E, Casile M, Millardet C, Saroul N, Pham-Dang N, Molnar I, Bourhis J, Lapeyre M. Postoperative SBRT in the treatment of early-stage oropharyngeal and oral cavity cancers with high-risk margins: A dosimetric comparison of volumetric modulated arc therapy with or without non-coplanar arcs and acute toxicity outcomes from the STEREOPOSTOP GORTEC 2017-03 phase 2 trial. Clin Transl Radiat Oncol. 2022 Nov 14;38:169-174. doi: 10.1016/j.ctro.2022.11.007. PMID: 36466746; PMCID: PMC9712819.

[8] Woods KE, Ma TM, Cook KA, Morris ED, Gao Y, Sheng K, Kishan AU, Hegde JV, Felix C, Basehart V, Narahara K, Shen Z, Tenn S, Steinberg ML, Chin RK, Cao M. A Prospective Phase II Study of Automated Non-Coplanar VMAT for Recurrent Head and Neck Cancer: Initial Report of Feasibility, Safety, and Patient-Reported Outcomes. Cancers (Basel). 2022 Feb 14;14(4):939. doi: 10.3390/cancers14040939. PMID: 35205686; PMCID: PMC8870161.

[9] Gayen S, Kombathula SH, Manna S, Varshney S, Pareek P. Dosimetric comparison of coplanar and non-coplanar volumetric-modulated arc therapy in head and neck cancer treated with radiotherapy. Radiat Oncol J. 2020 Jun;38(2):138-147. doi: 10.3857/roj.2020.00143. Epub 2020 May 26. PMID: 33012157; PMCID: PMC7533406.

No.  All customer data remains on the customer site on equipment (that Vision RT provides) which the customer maintains.  Vision RT does not house, store or backup this data.  Vision RT does not provide any data processing capability on this data.  It is possible for Vision RT service staff to view the data during customer-initiated service interactions. Vision RT’s policy is for customer data not to be copied under any circumstances.  Inadvertent transmission of ePHI data by customers to Vision RT is treated as a data loss and is reported by Vision RT to the customer (along with immediate deletion of the data on Vision RT’s systems).

The Patient ID module uses advanced infrared facial recognition technology that offers the highest level of patient identification accuracy (i.e. delivering very low False Acceptance Rates [FAR] with clinically acceptable False Rejection Rates [FRR]).

The Patient ID module uses a clinically appropriate authentication threshold which results in a FAR of 0.004%, rendering false recognitions virtually impossible.

Based on this FAR figure, if 1 person came to the department every day to claim they were somebody else, it would take 68 years for the system to falsely accept them once.

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Capturing the entire patient and accessory surface during simulation typically takes 1-2 minutes. Some of the recent MapRT work has shown clinically meaningful plan improvements with a 30 second increase in treatment time ¹⁹. MapRT may help avoid the need for physical clearance checks, and with the new API (not currently for sale in the USA) enables clinics to create scripts within their Treatment Planning Systems which access clearance data.

Yes, AlignRT InBore is compatible with Halcyon and Ethos Radiotherapy System versions 2.0, 3.0, 3.1, and 4.0, as per Varian’s Verification and Validation Process.

MapRT is a very new technology but one paper, showing marked improvements in planning performance, is available here, as well as on our evidence page. Many users around the world are available to consult on the value of MapRT – contact Vision RT if you’d like us to arrange a reference site call.

Varian is currently developing an interface to connect motion management technology with Halcyon and Ethos Radiotherapy Systems. This architecture, similar to MMI on TrueBeam, is expected to be released soon. Once the interface specification is available, Vision RT will have access through Varian’s Interoperability program.

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Morbi fringilla convallis sapien, id pulvinar odio volutpat. Qui ipsorum lingua Celtae, nostra Galli appellantur. Me non paenitet nullum festiviorem excogitasse ad hoc. Vivamus sagittis lacus vel augue laoreet rutrum faucibus. Ullamco laboris nisi ut aliquid ex ea commodi consequat. Sed haec quis possit intrepidus aestimare tellus. Non equidem invideo, miror magis posuere velit aliquet. Sociis natoque penatibus et magnis dis parturient. Qui ipsorum lingua Celtae, nostra Galli appellantur.

The SRS Module consists of a stereotactic calibration cube phantom, leveling plate, and software.

The calibration cube is a single phantom solution that enables direct calibration to radiographic isocentre for daily quality assurance of imaging – including radiographic and surface imaging (CBCT, SGRT, MV, kV).

A 3-degree couch-top head adjuster is available as an optional add-on. The head adjuster allows for easy, precise correction of pitch, yaw and roll for cranial treatments, allowing adjustments to be made to within a tenth of a degree. This means that a 6 degrees of freedom couch is not required.

Open-face masks are less claustrophobic than frames or closed masks, allow continuous surface monitoring in real-time during setup and treatment, and enable easy dialogue with the clinical team during setup.

Click here to see a list of compatible masks that have been evaluated by Vision RT for use with AlignRT. (https://visionrt.com/vision-rt-compatible/)

The module enables a range of quality assurance tests – TG142 (linear accelerator) and TG147 (non-radiographic imaging).

Tests include: End-to-end localisation assessment, hidden target testing, localisation displacement accuracy, imaging coordinate coincidence across modalities, imaging positioning/repositioning, laser alignment, Winston-Lutz, couch rotation isocenter accuracy.

To deliver the accuracy required for SRS, both an open-face mask (supplied by various companies) and the SRS calibration cube (supplied by Vision RT) are required.

The Patient ID module is compatible with AlignRT v6.3 and above.