For radiation therapy students and instructors
Practice 2D/2D portal image matching, CBCT and MR registration, and 5DOF or 6DOF couch corrections. Submit each match and review the remaining setup error.
Educational simulator only. Not a medical device or for clinical use. Setup errors, treatment scenarios, and displayed values are simulated.
The soft-tissue anatomy moves together, and the case is graded against the source-annotated lymph nodes rather than the spine alone.
The image-guided radiation therapy (IGRT) cases apply a new simulated setup error on each attempt. Students review the images, select the matching anatomy, apply a correction, and check the residual error.
Review the AP and lateral images together. A correction must account for anatomy shown in both projections.
Use axial, coronal, and sagittal views to assess one three-dimensional registration.
Cases grade bony, soft-tissue, target, fiducial, or postoperative anatomy according to the stated task.
Review vertical, longitudinal, lateral, pitch, roll, and rotation values, then compare the residual with the case tolerance.
The trainer includes standalone registration, connected treatment workflows, and a 3D equipment sandbox.
Planar registration
Most planar cases compare AP and patient-left lateral setup images with planning digitally reconstructed radiographs (DRRs). Fiducial and field-based cases use the reference images stated in the case.
Volumetric registration
Review cone-beam CT (CBCT) or MR images in axial, coronal, and sagittal planes. Each case specifies bony anatomy, a target, fiducials, soft tissue, or a source annotation as the grading reference.
Full Treatment cases connect image acquisition and registration with couch correction, machine preparation, verification steps, and simulated delivery.
Open a Full Treatment case
The sandbox includes a 3D training linear accelerator, movable gantry, couch, kV arms, and MV imager around scanned anatomy. It displays equipment position, beam angle, and clearance in one scene.
Open the Machine RoomThe sequence moves from guided control use to independent registration, case-specific matching, connected workflows, and equipment geometry.
A guided 2D/2D or CBCT tutorial introduces the controls, image orientations, and couch axes.
Independent planar and volumetric cases apply a new simulated offset on each attempt.
Cases use bony, soft-tissue, target, fiducial, postoperative, and off-bone matching tasks.
Full Treatment cases include registration, verification, machine setup, and simulated delivery.
The Machine Room relates gantry angle and couch position to imaging equipment, anatomy, and clearance.
Guided tutorials introduce the controls and couch axes. Independent cases apply new simulated errors and report residuals after submission.
Cases can be used for classroom demonstrations of anatomy selection, matching methods, couch corrections, and residual error review.
The library covers cranial, thoracic, abdominal, pelvic, and extremity anatomy across several matching methods.
Planar cases cover brain, thorax, spine, pelvis, breast, prostate, femur, knee, shoulder, postoperative hip, and pediatric abdomen.
Volumetric cases cover cranial, thoracic, abdominal, pelvic, breast, prostate, sarcoma, adrenal, renal, and esophageal anatomy.
Prostate, lung, acoustic neuroma, liver, instrumented spine, and craniospinal irradiation.
Seven guides cover image-guided radiation therapy (IGRT), 2D/2D portal image matching, CBCT 6DOF registration, couch shifts, prostate fiducials, kV and MV imaging, and DIBH.
The trainer is educational software. It does not accept patient uploads and must not be used for clinical decisions.
Yes. The trainer is free during the public beta. A free account is required, and no card is needed.
No. This is an educational simulator, not a medical device, and it must not be used to plan, verify, or deliver clinical treatment. Setup errors, scenarios, and displayed values are simulated, and the trainer does not accept patient uploads.
Yes. A free account is required to open the trainer, access all public beta cases, and save your progress.
It is designed for radiation therapy students, educators, training programs, and clinical staff. It can be used for IGRT registration practice and classroom demonstration without access to a treatment machine.
You can practice 2D/2D registration and CBCT or MR three-plane matching, with 5DOF and 6DOF couch corrections. Cases include bony, soft-tissue, fiducial, and target-focused matching, plus connected Full Treatment workflows.
A free account is required. No card. No patient uploads.
Open the trainer