SunCHECK Patient Comprehensive Patient QA

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The SunCHECK Platform SunCHECK Patient Comprehensive Patient QA

SunCHECK Patient // Comprehensive Patient QA Automate Your Patient QA SunCHECK Patient automates all your Patient QA needs from Secondary Checks to Pre-Treatment QA, to In-Vivo Monitoring. Through a single web-based software application, all data and results are stored in the central SunCHECK database. With SunCHECK Patient, all phases of Patient QA integrate into a flexible, automated and seamless workflow. Rather than spending time searching for data, you will spend more time enhancing treatment quality. Because this system is fully automated and no physics time is required for data acquisition and evaluation, daily patient treatment QA is feasible. Zhuang AH, Olch AJ., J Appl Clin Med Phys (2018) Automated Record Creation on DICOM Transfer Automated Data Capture Automated Processing Secondary Checks Pre-Treatment QA In-Vivo Monitoring Flexible Analysis Options Point, 2D and 3D Analysis Absolute and Relative Dose EPID and Log-File Calculations CT and CBCT Dose Reconstruction Automated Results and Alerts 1 I www.lightages.com 2 SUN NUCLEAR CORPORATION // sunnuclear.com

THREE CRITICAL PHASES. ONE WORKFLOW. COMMON ANALYSIS TOOLS. Secondary Checks DoseCHECK Perform 3D secondary dose calculations for the systems your clinic uses 3D, IMRT, VMAT, SRS, SBRT, TomoTherapy and HDR Brachytherapy treatment plans. Having an integrated system enables efficient planned vs. calculated dose comparison. Phantomless Pre-Treatment QA PerFRACTION Fraction 0 Choose from flexible options for pre-treatment QA using either EPID and/or Log File data, or with EPID data alone for independent 2D planar analysis.* * Features included in Advanced Dosimetry Package In-Vivo Monitoring PerFRACTION Fraction n Verify and track dose throughout the treatment course to catch the most common types of errors those associated with the patient, as well as machine errors. Proven ability to capture setup errors, patient weight change, tumor and other anatomical changes Zhuang AH, Olch AJ, J Appl Clin Med Phys (2018) SUN NUCLEAR CORPORATION // sunnuclear.com 3

SunCHECK Patient // Comprehensive Patient QA Secondary Checks Automated, independent secondary checks create efficiencies, allowing you to focus on results and investigate point doses, calculated vs. planned MUs, and 3D dose displays. In addition to support for conventional MLCequipped linacs, secondary checks of TomoTherapy, HDR Brachytherapy and treatments using stereotactic cones can be automated within the SunCHECK workflow. The SunCHECK Dashboard: Focus on What s Next A single view presents all Patient and Machine-focused QA. Select an entry to see all results and analysis for a specific event. Use the same analyses for each phase. Failed Passed 1 I www.lightages.com 4 SUN NUCLEAR CORPORATION // sunnuclear.com

Phantomless Pre-Treatment QA SunCHECK Patient supports 3D CRT, IMRT/VMAT and SRS/SBRT calculation and delivery. Requiring no phantom setup for maximum efficiency, measurements can be analyzed in 3D using EPID and/or Log File data, or by using the EPID for independent 2D planar analysis*. In-Vivo Monitoring Verify patient set up, first fraction, and intra-fraction motion against the treatment plan and each delivered fraction, either on the planning CT or daily CBCT * images. Results can be analyzed in 3D using EPID and/ or Log File data, or in 2D through the Transit Dosimetry * feature, with no additional time or effort required. Using calibrated EPID data, true dosimetric In-Vivo Monitoring is clinically feasible, creating a fully independent absolute dosimetric QA of patient treatments. 74% of errors occur in first fraction Bojechko et al, Med Phys * Features included in Advanced Dosimetry Package SUN NUCLEAR CORPORATION // sunnuclear.com 5

SunCHECK Patient // Comprehensive Patient QA SunCHECK it: Meaningful Metrics Faster Universal Metrics: Set Criteria Relative to Approved Treatment Plans Pre-set, yet customizable dose tolerances for each phase of Patient QA allow you to obtain meaningful results, with minimal customization. Instantly analyze the impact of different metric criteria sets, including dose deviations from the treatment plan, and quickly switch criteria as needed. Custom Metrics: Set Criteria for Structure-Specific Absolute Constraints For users interested in setting absolute limits for specific clinical dosimetric goals, Custom Metrics allows scoring of results relative to specific dose/volume constraints established by RTOG, QUANTEC, Emami or your own protocols. 1 I www.lightages.com 6 SUN NUCLEAR CORPORATION // sunnuclear.com

INDEPENDENT QA. YOUR WAY. The SunCHECK Platform provides flexible workflow automation for integrated and independent QA. Combine SunCHECK Patient with SunCHECK Machine to realize the full power of the platform. One Solution for Radiation Therapy QA Speed and Efficiency through Automation Access from Anywhere Seamless Clinical Integration Learn more: sunnuclear.com/suncheck SunCHECK Patient Specifications Dose Calculation Algorithms: Hardware Environment: Conventional Linacs: Collapsed Cone Convolution Superposition; TomoTherapy Systems: Monte Carlo*; HDR Brachytherapy: TG-43-compliant algorithm* See SunCHECK Server, Environmental and 3rd Party Pre-Requisites Documents Secondary Checks (DoseCHECK Module) Supported Systems: Available Analysis and Pass/Fail Criteria: Supported Systems for HDR Brachytherapy Option : Available Analysis and Pass/Fail Criteria for Option: Varian and Elekta Linacs; TomoTherapy Hi-Art and H-Series Systems Composite and Beam Point Doses and MUs**; 3D Dosimetric Analysis for Photon plans; Beam Point Doses for Electron plans Varian and Elekta HDR Brachytherapy Systems Composite Point Doses, Source Information, 3D Dosimetric Analysis Phantomless Pre-Treatment QA and In-Vivo Monitoring (PerFRACTION Module) Supported Systems: Supported Treatment Modalities: Data Sources: Varian and Elekta Linacs with MLCs 3D CRT, IMRT, VMAT, SRS and SBRT Photon Treatments EPID and/or Log Files (dependent on Linac model and imaging type used in delivery) Pre-Treatment QA Available Analysis and Pass/Fail Criteria: Composite and Beam Point Doses, 2D Absolute Dose Analysis (Fraction Zero Absolute Dose Option), 3D Dosimetric Analysis In-Vivo Monitoring Available Analysis and Pass/Fail Criteria: Dose Calculation Image Set: PerFRACTION Dosimetry Package Option: Composite and Beam Point Doses, 2D Relative Dose Analysis, 2D Absolute Dose Analysis (Transit Dosimetry Option), 3D Dosimetric Analysis Planning CT image set, Cone Beam CT image sets (CBCT Recalculation Option) Includes: Fraction Zero Absolute Dose, Transit Dosimetry, CBCT Recalculation * Only Secondary Dose Calculation supported ** For Varian and Elekta Linac Plans Only not applicable for TomoTherapy SUN NUCLEAR CORPORATION // sunnuclear.com 7

SunCHECK Used by 300+ Clinical Sites Worldwide sunnuclear.com 2018 Sun Nuclear Corporation. All Rights Reserved. All data used is best available at time of publication. Data is subject to change without notice. SNC_Patient_D053018