SunCHECK™ Patient

Comprehensive
Patient QA

With SunCHECK Patient, all phases of Patient QA integrate into a flexible, automated and seamless workflow.

  • Secondary Checks
  • Phantomless Pre-Treatment QA 
  • In-Vivo Monitoring


Automate Your Patient QA

SunCHECK Patient automates all your Patient QA needs – from Secondary Checks to Pre-Treatment QA, to In-Vivo Monitoring.

Infographic4

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.

Prioritize Your Patients

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.* 
     
  • 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.  

* Features included in Advanced Dosimetry Package





“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)

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.

Snc Patient Dashboard B

Integrated Patient QA in Action

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 MLC-equipped linacs, secondary checks of TomoTherapy®, HDR Brachytherapy and treatments using stereotactic cones can be automated within the SunCHECK workflow. 

Phantomless Pre-Treatment QA

SunCHECK Patient supports 3D CRT, IMRT/VMAT AND SRS/SBRT calculation and delivery. Requiring no phantom setup for maximum efficiency, Pre-Treatment QA measurements can be analyzed in 3D using EPID and 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.

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 coverage and limits, and quickly switch criteria as needed.

Custom Metrics: Set Criteria for Structure-Specific Absolute Constraints

For users participating in clinical protocols or studies with 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.

*Features included in Advanced Dosimetry Package

Specifications


General

Dose Calculation Algorithms: Conventional Linacs: Collapsed Cone Convolution Superposition
TomoTherapy Systems: MonteCarlo*
HDR Brachytherapy: TG-43-compliant algorithm*
Hardware Environment: See “SunCHECK Server, Environmental and 3rd Party Pre-Requisites” Documents


Secondary Checks (DoseCHECK Module)

Supported Systems: Varian and Elekta Linacs with MLCs, plus Varian EDW and Elekta Universal Wedges beams, and Varian ICVI or BrainLab Stereotactic Cones
TomoTherapy Hi-Art® and H-Series Systems, including TomoHelical Plans with Fixed or Dynamic Jaws, and TomoDirect Plans with Fixed Jaws
Available Analysis and Pass/Fail Criteria: Composite and Beam Point Doses for Electron Plans: Planned/Calculated Dose (Gy), Dose Difference (Relative/% and Absolute/cGy), Planned/Calculated MUs**
3D Dosimetric Analysis for Photon Plans, including Overall Gamma, Structure-by-Structure Gamma, Target/OAR Dose/Volume Metrics (Planned vs. Calculated), DVH, 3D Interatcitve image viewer (scroll, window/level, pan and zoom) - Planned Dose, Calculated Dose, Gamma, Dose/Image Profiles

Options

HDR Brachytherapy Module Supported Systems: Varian (with Eclipse/BrachyVision TPS)
Elekta HDR Brachytherapy (with Oncentra TPS)
Available Analysis and Pass/Fail Criteria: Composite Point Doses: Planned/Calculated Dose (Gy), Dose Difference (Relative/% and Absolute/cGy)
Source Information: Source Model, Source Exchange Date, Air Kerma Strength (Planned, Calculated, Difference)
3D Dosimetric Analysis for Photon Plans, including Overall Gamma, Structure-by-Structure Gamma, Target/OAR Dose/Volume Metrics (Planned vs. Calculated), DVH, 3D Interactive Image Viewer (scroll, window/level, pan and zoom) - Planned Dose, Calculated Dose, Gamma, Dose/Image Profiles


Phantomless Pre-Treatment QA and In-Vivo Monitoring (PerFRACTION Module)

Supported Systems: Varian and Elekta Linacs with MLCs
Supported Treatment Modalities: 3D CRT, IMRT, VMAT, SRS and SBRT Photon Treatments
Data Sources: EPID Data (Analyses available, dependent on Linac model and imaging type used in delivery); Log Files (If Log File only data is used, only Point Dose and 3D Analyses are available. If EPID imaging used, only supports 2D Analysis; 3D Analysis can still be obtained through log file data.)

Pre-Treatment QA

Available Analysis and Pass/Fail Criteria: Composite and Beam Point Doses: Planned//DeliveredDose (Gy), Dose Difference (Relative/% and Absolute/cGy)
2D Absolute Dose Analysis (Fraction Zero Absolute Dose Option): Expected vs Delivered Dose; Display of Difference, Composite Evaluation, Gamma, Gradient Compensation or Diff-to-DTA; Dose Profiles; Gamma Histogram
3D Dosimetric Analysis for Photon Plans, including Overall Gamma, Structure-by-Structure Gamma, Target/OAR Dose/Volume Metrics (Planned vs. Delivered), DVH, 3D Interactive Image Viewer (scroll, window/level, pan and zoom) - Planned Dose, Delivered Dose, Gamma, Dose/Image Profiles

In-Vivo Monitoring

Available Analysis and Pass/Fail Criteria: Composite and Beam Point Doses: Planned//Delivered Dose (Gy), Dose Difference (Relative/% and Absolute/cGy)
2D Relative Dose Analysis: Baseline vs Delivered Dose; Display of Difference, Composite Evaluation, Gamma, Gradient Compensation or Diff-to-DTA; Dose Profiles; Gamma Histogram
2D Absolute Dose Analysis (Transit Dosimetry Option): Predicted vs Delivered Dose; Choice of Comparison of 2nd and Subsequent fractions to fraction 1, or to predicted dose; Display of Difference, Composite Evaluation, Gamma, Gradient Compensation or Diff-to-DTA; Dose Profiles; Gamma Histogram
3D Dosimetric Analysis for Photon Plans, including Overall Gamma, Structure-by-Structure Gamma, Target/OAR Dose/Volume Metrics (Planned vs. Delivered), DVH, 3D Interactive Image Viewer (scroll, window/level, pan and zoom) - Planned Dose, Delivered Dose, Gamma, Dose/Image Profiles
Dose Calculation Image Set: Planning CT image set, Cone Beam CT image sets (CBCT Recalculation Option)

Options

PerFRACTION DosimetryPackage: Fraction Zero Absolute Dose for Pre-Treatment QA
Transit Dosimetry for In-Vivo Monitoring
CBCT Recalculation for In-Vivo Monitoring

*Only Secondary Dose Calculation supported

**For Varian and Elekta Linac Plans Only - not applicable for TomoTherapy