Designed to simplify and accelerate IMRT & VMAT planning, Pinnacle3

Auto-Planning has smart automation tools that enable the user to

generate high quality plans quickly with limited intervention. These plans

can then be evaluated against clinical goals using intuitive dashboards,

called Scorecards, which provide at-a-glance information on plan quality

facilitating consistency of treatments throughout the department.

Radiation oncology

Treatment Planning

Pinnacle3 Auto-Planning Accelerated IMRT and VMAT planningSpecifications sheet

PB2

Reduce the total time required to create an IMRT or SmartArc plan

Auto-Planning requires only 3 simple steps to generate a deliverable plan.

Only anatomic contours are required to get started.

SelectTreatment Technique

RunAuto-Planning

Evaluatewith Scorecard

A Treatment Technique is

selected from the database

and applied to the dataset to

create a plan.

The Auto-Planning engine runs in

the background, allowing other tasks

to be performed for other plans.

The plan may ultimately be

evaluated by comparing results

against clinical goals set in the

Scorecards.

AcceleratedIMRT & VMAT planning with consistent results

PB3

Treatment Techniques help improve efficiency and standardization by automating

exhaustive, repetitive data entry to reduce the plan preparation time. They also

influence the quality of the result by steering the Auto-Planning engine to deliver an

optimized plan.

A sample set of Treatment Techniques is provided with Auto-Planning and users can

generate their own library of Treatment Techniques. They contain parameters that

are typically entered, or drawn, manually during the IMRT or VMAT planning process.

These include

• ROIsandPOIs-includingthosethatwillbegenerated

automaticallysuchasPTVsandavoidancestructures

• Isocenterandprescriptions

• Machineandbiologicalparameters

• Optimizationtypes(e.g.IMRTorVMAT)

• Clinicalgoals

These parameters can be edited, and new Treatment Techniques can be created, at

any point during the daily planning process. Multiple Treatment Techniques may be

created per disease type, physician and more, providing options to select alternative

protocols when required.

For daily planning the user simply selects and applies a Treatment Technique to

start the Auto-Planning process.

Reduce exhaustive manual data entry to just a few clicks

Select a Treatment Technique

PB4

The Auto-Planning engine helps to reduce planning time by generating

high quality, clinically acceptable plans on the first pass, independent

of the planner, without requiring multiple attempts. Its progressive

optimization algorithm allows the optimizer to continue working after

meeting clinical goals to maximize target coverage and OAR sparing.

It takes the parameters from the selected Treatment Technique and starts

the optimization process. It runs in the background and performs warm

starts automatically without requiring any user interaction. The progress

is displayed with a status bar.

The Auto-Planning engine creates all the required contours, such as

body and avoidance structures, and takes PTV/OAR overlaps into

account during the optimization process, obviating the need to do

these tasks manually. It can also be used to optimize a trial where

beams and prescriptions have been inserted manually.

At the end of the process the user is left with a deliverable plan to

review and approve which doesn’t require further conversions that

could lead to degradation of plan quality. The user has the option to

make small adjustments to the final plan if necessary.

Enhance plan consistency and quality

Run Auto-Planning

Treatment Techniques

Deliverable Plans

Optimize

Fin

e-tune Evalu

ate

MultipleIMRToptimizations

Addtargetobjectives

AddOARobjectives

Addhot/coldobjectives

Createbody/avoidancestructures,etc.

Finetuneeachobjectiveandstructure

PB5

Scorecards simplify and standardize the typically lengthy and inconsistent

plan approval process. They provide at-a-glance information on plan quality

to evaluate against clinical goals. They facilitate the reduction of physician

time required for multiple plan reviews by establishing plan approval criteria

within the planning team at the beginning of the process.

Each Scorecard contains clinical goals typically used to assess plan quality,

including:

• DoseandDVH-basedgoalsfortargetandOAR

• Volumecomparisongoals

The Scorecards can be linked to specific Treatment Techniques, and

loaded automatically, ensuring continuity and simplicity between the

plan generation and plan evaluation processes.

Sample Scorecards, based on RTOG protocols, are provided in the scorecard

library as a starting point to help the user develop their own based on

departmental protocols.

Scorecards are included with Pinnacle,3 and don’t require the Auto-Planning

license. They can be used to evaluate plans of multiple delivery techniques

including 3D conformal, IMRT and SmartArc, and allow reporting in line with

ICRU 83.

Simplify and standardize the plan approval process

Evaluate with Scorecards

PB6

How quickly can one

get started with Auto-

Planning?

Immediately. There’s no need to create a database of plans to start using

Auto-Planning. Moreover, it comes with a set of Treatment Techniques

and Scorecards which can be used for the very first plan. Auto-Planning

be used to plan for multiple disease sites and/or multiple targets.

Is it possible to create a

Treatment Technique from

existing protocols?

Yes. This step is simplified with the use of “Create Technique from Current

Trial” feature.

How robust is the

Treatment Technique?

The Treatment Technique is very robust. The same Technique can be

used for IMRT and VMAT deliveries and will also generate high quality

plans irrespective of the differences between patients in target and

OAR geometry.

Is it easy to update a

Treatment Technique?

Yes. New clinical goals can be added easily to take into account

new OARs.

Can Auto-Planning be

used for SBRT and FFF

treatments?

Yes.

How many plans does

Auto-Planning create?

Auto-Planning creates a single plan based on the clinical goals defined

by the user. The user is free to make changes to the auto-generated plan

and compare the results of alternative solutions.

How long does it take

to create a plan?

Typical Auto-Planning planning times are between 10 minutes and 1

hour. The time taken depends on several factors such as plan complexity,

number of CT slices, dose grid selection, hardware and system resources

that are being utilized. During in-house testing a clinically acceptable

9-field Head & Neck DMPO plan was created in approximately 10

minutes as a background task; a complex Pelvic SmartArc plan was

created in 1 hour. Pinnacle3 Professional X3-2 platform with Pinnacle3

9.10 was used for both.

Can Auto-Planning be used

to create plans for multiple

patients simultaneously?

Yes. However, calculation times might be impacted by system capacity.

Does Auto-Planning

require repeated user

interaction?

No. User interaction is not required during the Auto-Planning process as

it runs in the background. To maintain plan integrity the user cannot work

on the same patient dataset while Auto-Planning is running. However

they are free to work on other plans in the meantime.

Frequently asked questions

PB7

Does Auto-Planning

optimize the DVH or

dose distribution?

Auto-Planning optimizes both.

What is Scorecard? Scorecard is designed to simplify and standardize plan evaluation

for multiple delivery techniques, e.g. 3D Conformal, IMRT & SmartArc.

Plan evaluation, like contouring, is considered by many a lengthy and

inconsistent process. The Scorecard feature addresses both of these

issues.

What’s the difference

between a Treatment

Technique and a

Scorecard?

A Treatment Technique is used to generate the plan. The Scorecard is

used to evaluate the plan. Furthermore, Treatment Techniques are used

to generate IMRT/DMPO & SmartArc plans only while the Scorecard

can be used to evaluate multiple plan types – including 3D conformal

(i.e. non IMRT/SmartArc).

Can a Scorecard be linked

to a Treatment Technique?

Yes. It is possible to pre-select a specific Scorecard that will be opened

once Auto-Planning has generated a plan using a particular Treatment

Technique

What versions/licenses

are required for

Auto-Planning?

Pinnacle3 9.10 (or higher) with 3D Dose, IMRT & DMPO are required to

run Auto-Planning. SmartArc & Biology licenses are optional.

Frequently asked questions (continued)

Hardware compatibility

Platform Compatible

810, 810X 4

Blade 8000 4

Professional 4

Expert 4

SmartEnterprise 4

V250, SB2500, and

other SPARC-based

servers and clients

All SPARC-based

workstations must

be removed from the

Pinnacle3 network

Hardware compatibility

Pinnacle3 Auto-Planning will run on Intel-based

platforms (sever and client) as shown in the table

to the right. Pinnacle3 is not compatible with

SPARC-based servers or clients, and should not

be installed on Pinnacle3 servers that support

mixed networks of SPARC-based (i.e. SB2500

and earlier) and Intel-based (i.e. 810 and later)

workstation clients.

© 2018 Koninklijke Philips N.V. All rights are reserved.

Philips Healthcare reserves the right to make changes in specifications and/or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication.

www.philips.com/pinnacle-autoplanning

Printed in The Netherlands.4522 991 07771 * June 2018