Inside the adaptive workflow.

A look at how we recalculate your treatment plan in real time, every single day.

Online vs. offline adaptation

Online adaptation: The plan is adapted while you are lying on the treatment table. We scan, identify your exact anatomy, recalculate, and deliver — all in one visit.

Offline adaptation: Clinicians review scans after a session and adjust the plan for a later visit — helpful for slow changes but unable to respond to real-time organ movement.

Step by step: an online session

1. Daily setup & imaging — You are positioned on the treatment table. A high-resolution CT or CBCT scan captures a 3D image of your internal anatomy exactly as it is that day.
2. Assisted contouring — Advanced software compares today's scan with your original plan and redraws the boundaries of the tumor and surrounding healthy organs.
3. Physician review & re-planning — Your radiation oncologist and medical physicist review the new contours and calculate a brand-new delivery plan.
4. Treatment delivery — Once the new plan passes rigorous safety checks, the radiation is delivered. An entire online adaptive session takes roughly 30 to 45 minutes.

What you will feel during a session

Radiation treatment itself is painless. You will not see, hear, or feel the radiation as it is delivered. Your main job is to lie still and breathe normally.

The team behind your treatment

• Radiation Oncologist — The physician who leads your care, sets the treatment goals, and approves the adapted plan.
• Medical Physicist — Ensures the radiation plan is accurate and safe.
• Radiation Therapists — Position you on the table, operate the equipment, and stay in constant communication.
• Dosimetrist — Works with the physicist and physician to shape the dose.

Plan on roughly 30 to 45 minutes per visit. A full course is often completed in as few as five visits.