Medical College of Wisconsin Radiation Oncology Technology

Mevion S250i Proton Therapy system is a state-of-the-art radiation treatment system coming soon to our department. The proton therapy system is superior to traditional linacs because it provides minimal dose to critical structures while providing superior dose delivery to the tumor volume.

Learn more about Mevion S250i Proton Therapy with Siemens Edge+ CT-on-rails

Elekta Unity MR-Linac with comprehensive motion management (CMM) is an adaptive radiation therapy platform from Elekta. This technology allows us to customize each treatment delivery based on the patient’s anatomy along with customized tumor tracking followed by automatic gating to deliver dose accurately to the tumor, while sparing the normal tissue.

Learn more about Elekta Unity MR-Linac with comprehensive motion management

The Accuray Radixact system with Synchrony and ClearRT makes up a comprehensive radiation therapy linac equipped with superior kV imaging, real-time motion tracking and correction of tumor motion, as well as adaptive therapy capabilities, thus reducing radiation dose to critical structures and delivering highly accurate dose to the tumor itself.

Learn more about Accuray Radixact with Synchrony, Clear RT and Cenos

Elekta Esprit Gamma Knife is used to treat lesions and tumor of the brain. Without making an incision, intense high dose is delivered to the tumor area with high energy focused gamma radiation.

Learn more about Elekta Esprit Gamma Knife

Elekta Flexitron high dose rate (HDR) brachytherapy system is used to deliver precise, localized dose of radiation to gynecological cancers using Ir192 radiation isotope.

Learn more about Elekta Flexitron HDR brachytherapy system

The Elekta Versa linac with a robotic Hexapod treatment table capability allows for six degrees of freedom for patient positioning. This setup enhances the ability to deliver highly precise, conformal, high dose rate treatments like stereotactic radiosurgery (SRS) and stereotactic body radiation therapy (SBRT).

Learn more about Elekta Versa Linacs with robotic Hexapod couches

Elekta Versa HD is a newer generation linear accelerator (linac) used to deliver precise, high dose radiation therapy in radiation oncology.

Learn more about Elekta Versa Linacs

Elekta Infinity is a linear accelerator (linac) used to deliver precise, high dose radiation therapy in radiation oncology.

Learn more about Elekta Infinity Linacs

Sensus SRT-100 superficial radiotherapy system allows superficial non-invasive radiation treatments for various skin cancers.

Learn more about Sensus SRT-100 superficial radiotherapy system

Unity is a MR-Linac adaptive radiation therapy platform from Elekta. This technology allows us to customize each treatment delivery based on the patient’s anatomy and tumor motion of the day.

Learn more about Elekta Unity

RayStation is an adaptive radiation therapy platform. This technology allows us to customize each treatment delivery based on the patient’s anatomy and tumor position of the day.

Learn more about RayStation

Elekta One is an augmented planning platform from Elekta that enhances and accelerates conventional radiation treatment planning and delivery of cancer.

Learn more about Elekta One

HDR Brachytherapy is an adaptive solution for internal radiation of cervical cancers. The radiation planning goals are customized to account for patient’s organ location with respect to the defined tumor, to enhance tumor dose and to spare the normal tissue.

Learn more about Elekta Flexitron afterloader

Siemens 3T MRI simulator allows for fast, high quality diagnostic magnetic resonance images, with state-of-the-art reconstruction AI algorithms, ready to overcome complicated anatomical challenges.

Learn more about the MAGNETOM Vida

Siemens Aera 1.5T MRI is a patient-centric imaging platform. This technology aims to produce high quality diagnostic imaging with patient personalized workflows.

Learn more about the Siemens Aera 1.5 T MRI

Siemens Dual Energy CT Simulator is the latest model designed to provide enhanced quality CT imaging for treatment planning. The system comes with improved interface for planning, tumor contrast and intelligent real-time breathing adaptation. Other CT simulators available across the department network include Siemens Confidence, Definition CT and Drive CT simulators.

Siemens Confidence CT simulators

Siemens Definition CT simulators

Siemens Open.Go Pro CT simulator 

Learn more about Siemens Drive CT simulator (dual energy)

Coming soon

Learn more about GE PET/CT

Synchrony real-time motion synchronization on Radixact is a revolutionary real time correction and adaption technology based on tumor motion and detection without interruption of treatment.

Learn more about the Synchrony real-time motion synchronization on Radixact

VisionRT is a surface-guided radiotherapy (SGRT) system that allows for precise targeting of tumors during treatment by tracking the patient’s surface in real-time. This includes an automatic pause of treatment if the patient moves or shifts position.

Learn more about 3 VisionRT Surface-Guided Radiotherapy (SGRT) Systems

Comprehensive Motion Management (CMM) technology integrated with MR Unity is an innovative motion management technology that provides customized tumor tracking followed by automatic gating to deliver dose accurately to the tumor while sparing the normal tissue.

Learn more about the Comprehensive motion management (CMM) on MR Linac

Anzai gating system is a respiratory motion detection device used during 4D imaging. The system minimizes the region of the treatment tumor that moves during patient respiration, especially in regions of lung and abdomen.

Learn more about 6 Anzai gating systems

Symmetry is a 4D kV imaging solution available on C-arm linacs to monitor organ motion due to respiratory motion. Tracking of sensitive organs can allow for aggressive targeting of the tumors while minimizing dose to organs at risk.

Learn more about MIM with Contour Protégé AI and SciMoca SureCalc

Monaco is an external beam treatment planning system from Elekta. Treatment planning systems are used to design how the high energy radiation will be delivered to the tumor. Monaco uses two dose algorithms, Monte Carlo and collapsed cone for effective calculations. With Monaco, a variety of treatment plans can be created and optimized including 3D conformal, intensity and volumetric modulated radiation therapy, stereotactic body radiation therapy (SBRT), and many more.

Learn more about Elekta Monaco

Accuray Precision is an external beam treatment planning system used for the Radixact linacs from Accuray. Treatment planning systems are used to design how the high energy radiation will be delivered to the tumor. It supports various radiation therapy techniques, including 3D conformal and intensity modulated radiation therapy (IMRT).

Learn more about Accuray Precision

RayStation is a comprehensive treatment planning system from RaySearch. This system is capable of plan optimization for HDR brachytherapy, external beam therapy with photons, electrons, protons as well as helium and carbon ions. RayStation uses Monte Carlo for dose calculations.

Learn more about RaySearch RayStation

Oncentra Brachy is an internal beam treatment planning system from Elekta. The internal radiation therapy this treatment planning system is used primarily to design high dose rate radiation delivered directly into the tumor, using computerized guidance and 3D imaging dataset.

Learn more about Oncentra Brachytherapy

MIM is a multi-purpose platform that is integrated in various aspects of patient planning and treatment, from simulation to completion in radiation oncology. The platform allows for standardization of clinical workflows, including multi-modality image fusions, automatic segmentation (Protégé AI), dose evaluations, secondary dose calculations (SciMoca SureCalc).

Learn more about MIM with Contour Protégé AI and SciMoca SureCalc

Commercial and in-house developed artificial intelligence segmentation tools allow us to automatically and accurately identify and outline structures on multi-modality therapeutic images, such as organs at risks or tumors.

Learn more about Contour ProtégéAI+

For MR and CBCT based planning and treatment, Synthetic CT (sCT) generated from MRI and CBCT is used for dose calculation, and to deliver accurate and patient-specific treatments. For clinical workflows including MR only planning, and scan-plan-treat, sCT will also allow for reduced reliance on CT scanning.

In our department we use state-of-the-art deep learning-based image reconstruction algorithms to generate enhanced, clearer diagnostic quality images. Consequently, improved quality of radiation planning, tumor positioning, and potentially reduced image dose to our patients can be achieved.

Deep Resolve (Siemens MRI reconstruction)

Learn more about Deep Resolve

Iris (Elekta polyquant CT reconstruction)

Learn more about Novel AI Enhanced Imaging 

In 2024 we introduced augmented reality (AR) driven MR guided brachytherapy for interstitial brachytherapy to treat gynecologic (GYN) malignancies in our clinic. The AR platform provides real-time information to physicians performing interstitial free-hand or applicator-based catheter insertions.

Visual Biofeedback provides real-time motion information, thus allowing our patients to regulate their motion patterns for improved treatment delivery. In some instances, it is also used for infotainment to keep the patients calm and engaged during treatment delivery.

We are enhancing radiation therapy by incorporating patient-specific customized tools, including bolus (for improved dose), brachytherapy applicators (improved anatomical coincidence) and immobilization (improved patient positioning).

Radiotherapy solutions

TAZ Workhorse+

Invivo dosimetry is a verification of accurate planned dose delivery to the patient tumor and, in selective cases, it is used as a quality assurance tool to verify dose to patient’s implanted devices (like pacemakers). The technology is used to catch potential errors and ensure patient safety during radiation delivery.

MobileMOSFET On-line Wireless Dosimetry

Harshaw TLD™ Model 3500 Manual Readers

To deliver high quality care in radiation oncology, a comprehensive quality assurance system is employed. The system utilizes state-of-art equipment to maximize machine performance and optimize a large range of processes, including patient planning, delivery and monitoring.

Daily QA™ 3

IC PROFILER™

SunSCAN™ 3D

SuperMAX™ Electrometer

ArcCHECK