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CMS

CMS

XiO

Comprehensive 3D and IMRT Treatment Planning

XiO is a comprehensive 3D IMRT treatment planning platform that combines the latest tools and most robust dose calculation algorithms with an intuitive, user-friendly interface, allowing users to generate plans quickly and accurately to optimize the delivery of radiation therapy.

Overview

Overview at a glance

Automated Planning Tools

fusion Reduce planning time and increase clinical efficiency with the most advanced suite of planning functionality. XiO’s automated image fusion delivers rapid and reliable registration of multiple data sets. Automated contouring tools, including patented auto-segmentation functionality and powerful drawing and editing features, allow quick and easy identification and delineation of target volumes and critical structures. Flexible plan review features powerful dose visualization and analysis tools in a customizable user layout.

Dose Accuracy and Flexibility

algorithms XiO provides planning accuracy and precision with a choice of multiple robust dose calculation algorithms. With the option of Clarkson, FFT Convolution, MultiGrid Superposition and Fast Superposition, clinicians can select the algorithm most appropriate for each individual plan. CMS’s commitment to calculation reliability and accuracy is reflected in its MultiGrid Superposition algorithm, which represents the start-of-the-art for 3-D planning, and its future support for Monte Carlo calculations.

Intuitive IMRT Planning

IMRT CMS’s easy-to-use prescription-based IMRT solution represents the industry standard for IMRT planning. XiO features an intuitive graphical interface for rapid modification of DVH prescriptions, and performs optimization and dose calculations quickly and accurately for both dynamic and step-and-shoot delivery.

Comprehensive Planning Capabilities

MLC XiO delivers comprehensive planning functionality that addresses all your clinical needs. CMS’s integrated planning capabilities support a range of treatment modalities including 2-D, 3D, MLC-based IMRT, solid compensator-based IMRT, brachytherapy and proton planning. CMS also offers support for a broad range of beam modifiers as well as dynamic conformal arc therapy and stereotactic delivery.

Increase System Productivity with the Latest Technology

convolution XiO leverages the speed and performance capabilities of the Linux operating system and the processing power of dual Intel processors to deliver superior 3-D rendering, real-time image manipulation, and the industry’s fastest calculation times. XiO operates in a client-server architecture and is specifically designed for multi-workstation/multi-site configurations, delivering robust network performance in the most demanding clinical environments.

Features

Features at a glance

Contouring

Fast creation and/or expansion of structures can be accomplished with CMS comprehensive array of drawing, editing and automated tools.
  • Manual draw utilizing the mouse or digitizer
  • Auto-segmentation of soft tissue
  • Multi-structure/Multi-slice autocontouring
  • Slice-to-slice duplication
  • Slice-to-slice interpolation
  • Variable 3D auto-margin generation with structure combination and variable inclusion/exclusion margins
  • Bifurcated structure recognition
  • Contour on secondary image set
  • Unlimited structure overlap
  • Density assignment with CT override
  • Standard shapes
  • Pre-defined user preferences

Planning

XiO is a complete system featuring both real-time 3D graphics and fast, accurate 3D dose calculations. XiO’s planning tools are easy to use and access, providing increased time-savings and efficient throughput.
  • Irregular field calculations
  • Time/MU calculations
  • Inverse planning for conventional treatment beam optimization
  • Dynamic Conformal Arc Therapy
  • Asymmetric Arc
  • Bulk heterogeneity, pixel-by-pixel, and pixel-by-pixel with bulk heterogeneity override dose calculation options
  • Absolute Dose, Relative Dose and MU weighting modes
  • TCP/NTCP
  • Plan and calculate multiple plans simultaneously
  • Plan Addition
  • Plan Subtraction
  • User definable calculation matrix
  • Real-time display of doses on transverse, sagittal, coronal, and arbitrary planes
  • Multiple normalization modes: Absolute, global maximum, and selected point
  • Weight beam to any point in the patient or beam coordinate location
  • Templates with block, MLC and IMRT prescriptions
  • Graphical beam manipulation
  • Full CT simulation support
  • Dose Volume Histograms: Differential, Cumulative, Structure combinations, Multi-plan comparison

Integrated IMRT

XiO IMRT is an accurate, easy-to-use prescription-based IMRT solution. A graphical interface allows quick and easy modifications to DVH prescriptions, quick optimization and accurate dose calculations.
  • Conjugate gradient descent algorithm
  • DVH prescription with graphical manipulation
  • User-adjustable and exportable intensity maps
  • MLC and solid compensator support
  • Step-and-shoot or dynamic delivery options
  • Quick calculations for both optimization and final dose calculations
  • Minimum segment size specification
  • Integrated QA
  • MLC segment and compensating filter review

DICOM

  • CT, MR, PET and NM Images
  • RT Structure Set
  • RT Plan
  • RT Dose
  • RT Image

Multiple Calculation Algorithms

Advanced algorithms provide fast and accurate dose calculations.
  • Photon: Clarkson, Fast Fourier Transform Convolution, Multigrid Superposition
  • Electron: Monte Carlo*, 3-D Pencil Beam

Treatment Modifiers

CMS accommodates treatment planning with multifaceted support of treatment modifiers.
  • Physical wedges
  • Virtual Wedge
  • Enhanced Dynamic Wedge
  • Motorized Wedge
  • Multiple vendor MLC
  • Multiple compensating filter support
  • Bolus – auto entry, slice to slice copy, interpolation, treatment fractionation, beam weight with/without bolus
  • Individual or Simultaneous Block and MLC

Display Options

XiO displays are customizable, including window formatting, structure color, structure rendering, dose color and dose rendering.
  • Interactive Beam’s Eye View with variable content including DRR
  • Multiple filter selection DRR with optional anatomy outline display
  • Dose in BEV, 2D and 3D
  • Dose display on primary, secondary, and Electron Density image sets
  • Patient orientation icon and orientation spheres
  • Movie capability
  • 3D Room’s-Eye-View with real-time rotation of wireframe, solid and transparent structures, and dose clouds
  • Transverse, sagittal, coronal, oblique, and 3D views

Accompanying Features

Additional features create an easy-to-use, user-friendly planning environment.
  • User-definable display and output preferences
  • Quick selection icon-based toolbars
  • Multiple keyboard shortcuts
* works-in-progress