Reirradiation Challenges

Reirradiation Cases Are Increasing. What’s Your Plan?

Treatment planning systems (TPS) can't handle the variety of data required for confident reirradiation.

Incompatible RT Data Undermines Confidence

Prior treatments must be carefully considered when planning reirradiation. But prior RT data is difficult to access because of challenges with TPS compatibility, treatment modality (EBRT, SRS, RPT, Brachytherapy, etc.), and fractionation.

How can you make safe and confident decisions when key historical treatment information is missing?

Patient-Specific Challenges Risk Inaccuracy and Harm

Patient anatomy and positioning changes present challenges across treatment imaging. This makes it impossible to know the cumulative impact.

Without the right registration tools or Biological Effective Dose (BED) calculations, patients are at risk for increased toxicity to healthy tissue.

Tedious Manual Work Leads to Burnout or Errors

Significant time is wasted performing error-prone manual BED and equivalent totals doses in 2-Gy fraction (EQD2) calculations in spreadsheets, calculators, and ad-hoc software tools.

Leading Radiation Oncology Departments Choose MIM®

Thousands of Clinics Use MIM Maestro to Simplify Complex Treatments

3,330+

Global Healthcare Organizations Trust MIM Software

20+

Years of Innovation

Higher Confidence for Personalized Treatments

Patient-Specific Planning in an Easy-to-Use Workflow

Visualize All Prior Plan Data

Sum All Prior Plans from Any TPS

Make more informed clinical decisions with MIM Maestro. Combine any prior treatment data, in any modality, from any TPS. Import, load, and visualize prior doses in a 3D patient space.

MIM Maestro seamlessly integrates with Eclipse, RayStation®, Monaco®, and Pinnacle.

Interpret, Analyze, and Act on Historical Patient Data

A guided workflow takes you step-by-step through a standardized planning process, making it easy to analyze and interpret prior patient data.

Auto-Scale Doses

Better understand the biological effect on your patients with BED and EQD2 tools built right into the guided workflow.

Register each dose, perform registration QA, or apply BED or EQD2 as needed.

Ensure Repeatable Precision

Bridge the Skill Gap between Clinicians

An easy-to-use workflow reduces the learning curve, allowing more clinicians to process cases for physician review.

Register Dose with Confidence

Simplify your imaging registration process with state-of-the-art QA tools and effective deformable image registration (DIR) algorithms. Safely treat patients with greater confidence.

Reduce Calculation Time

Prepare for the future with auto-compiled report summaries of prior treatment plans, reviews performed (algorithms, models, discount factors), and planning decisions.

Workflow

Sum All Plans and Account for Fractionation with One Workflow

Reirradiation in MIM Maestro

Use a single workflow to quickly guide you through evaluation.

Simplifies the image registration process and prompts the user to check registrations with state-of-the art QA tools

Includes a variety of deformable algorithms, specifically designed for accurate registrations of selected modalities

Transfers and sums any number of plans from any number of images

Calculates BED/EQD2 when appropriate

Automatically creates a standardized TG-132 report with registration information and relevant screenshots

Santa Cruz Radiation Oncology

Dose Summation in MIM Maestro

Physicist Jacqueline Moga, PhD, DABR, shares how MIM Maestro has transformed the reirradiation process at Santa Cruz Radiation Oncology.

Learn how Jackie’s staff handles retreatments—including dose summation, stereotactic body radiation therapy (SBRT), and hypofractionation—using MIM Maestro. Jackie also shares how the team quickly and confidently collaborates to determine the best course of patient treatment.