Image & data credits

Last updated: September 9, 2026

The patient anatomy in the RT Image Matching Trainer — and in the screenshots and animations of it shown on this site — is derived from medical-imaging datasets that researchers and institutions have published under open Creative Commons Attribution (CC BY) licences. This page records the cited source, licence, processing, and known research-participant conditions; an open release or licence does not by itself establish a dataset's privacy, consent, or re-identification status. The two Classroom screenshots are deterministic fictional UI fixtures: their names, class codes, assignments, adjustments, and results are invented, and they contain no patient image.

Educational use only. Every case has been adapted for training and changes were made to all source data: volumes are cropped, resampled, reconstructed, and re-windowed; radiographs and DRRs may be computer-rendered; and several cases add synthetic training targets (lesions, target volumes, plans, or surgical clips) that do not exist in the source scans. Unless a case explicitly identifies released source plan, acquisition, contour, or motion metadata, setup offsets, tolerances, and readouts are fictional. Source treatment metadata are replayed only as a non-clinical teaching simulation; the trainer does not reproduce or validate clinical dose.

Landing-page simulator tour

The scroll-driven tour records this application's Full Treatment matching, kV verification, and simulated delivery, followed by one continuous Machine Room sequence: imaging-arm deployment, gantry rotation with the arms extended, and an internals reveal. It is not AI-generated clinical footage. Both recordings use the pelvic Prostate Anatomical Edge Cases source (DOI: 10.7937/qstf-st65). The full source citation and research-participant limitations are recorded below. No head or facial anatomy is shown.

Phone versions crop the same approved recordings to emphasize the demonstrated anatomy and machine parts. Both AP and lateral fiducial views remain paired; the delivery view places its original same-frame monitor-unit and gantry readouts above the machine. The room sequence keeps one camera and crop throughout. No images are generated, recolored, or retimed for these crops. The still-image alternative includes the recorded red-guide and green-guide endpoints. The landing page’s residual-report table is a fictional translation example using the trainer’s Femur case tolerance and feedback categories, not an actual learner record.

The room recording issues one coordinated kV/MV deployment request. The simulator’s normal clearance controller sequences their physical travel; every arm reaches its deployed endpoint before gantry rotation begins. Both systems stay extended through the internals reveal. Arm travel is condensed for the recording, and scrolling does not represent real equipment speed. No trainer safety control or physical geometry is changed.

These condensed demonstrations use fictional training states. A visible setup offset is seeded consistently in the isolated local fixture. The actual Full Treatment CBCT registration is checked, the couch correction completes off camera through its held-motion controls, and post-correction kV fiducials verify before field positioning, collision certification, and explicit Beam On/Hold. The draggable marker guides start deliberately offset and move onto the true fiducials in the post-correction images. The trainer’s existing overlap check turns each guide from red to green; the patient and true fiducial positions are not changed for this effect. Acquisition waits and between-stage field preparation are condensed, but imaging completion is not bypassed. Scrolling controls presentation time, not real treatment speed. This is not a complete clinical protocol. Machine internals are representative educational geometry, not manufacturer CAD or a clinical service guide. Recordings are not evidence of treatment safety or learner competency. Trainer and classroom screenshots use fictional progress and records.

The landing-page gallery lists all 37 current case and workflow entries. Thirty still images were captured from the actual trainer in an isolated local fixture with fictional setup values and no learner records. Full Treatment previews show actual CBCT or paired kV matching images with the linac visible in the same interface: CBCT for Prostate, Lung and Liver; kV for Instrumented Spine and Breast; and synthetic five-BB phantom matching for Machine QA. Existing machine controls are expanded, and acquisition timing is condensed for the still. No match approval, couch correction, or beam delivery is shown. Captures are resized and WebP-compressed, with no montage or AI-generated patient imagery. Case descriptions retain their source-versus-synthetic teaching limitations.

The seven head-derived case entries use image-free overviews. Their protected imaging is not published in this gallery. Other screenshots show only their reviewed non-facial anatomy; Machine QA contains a synthetic phantom, not patient anatomy. Each capture is mapped to the collections and full citations below in the project's image-rights register. These are non-clinical training previews, not completed treatments or clinical QA measurements. The gallery does not establish source-specific consent, ethics approval, or de-identification status; the source limitations below still apply.

Imaging datasets

Trainer cases are built from the following collections, accessed through The Cancer Imaging Archive (TCIA) / the NCI Imaging Data Commons unless noted. This inventory includes every DOI and CC BY source embedded in still-distributed case-data files or protected DRRs and every source visible in a public trainer capture, including assets whose start-screen card has been retired or that are now used only in challenges.

Research-participant restrictions also apply. For TCIA-derived material, do not attempt to identify or contact participants and do not use facial or comparable representations in a way that makes identity readily ascertainable. Cite the specific dataset and repository. Anyone who receives direct access through this site must follow the same restrictions. See the current TCIA Data Usage Policies and Restrictions.

Full dataset citations
  1. Thompson, Reid F., et al. (2023). Stress-Testing Pelvic Autosegmentation Algorithms Using Anatomical Edge Cases (Prostate-Anatomical-Edge-Cases) (Version 1) [Data set]. The Cancer Imaging Archive. doi:10.7937/QSTF-ST65.
  2. Jordan, Petr, et al. (2021). Pediatric Chest/Abdomen/Pelvic CT Exams with Expert Organ Contours (Pediatric-CT-SEG) (Version 2) [Data set]. The Cancer Imaging Archive. doi:10.7937/TCIA.X0H0-1706.
  3. Armato III, Samuel G., et al. (2015). Data From LIDC-IDRI (Version 4) [Data set]. The Cancer Imaging Archive. doi:10.7937/K9/TCIA.2015.LO9QL9SX.
  4. Fedorov, Andrey, et al. (2018). Standardized representation of the TCIA LIDC-IDRI annotations using DICOM (DICOM-LIDC-IDRI-Nodules) (Version 3) [Data set]. The Cancer Imaging Archive. doi:10.7937/TCIA.2018.H7UMFURQ.
  5. Cancer Moonshot Biobank. (2024). Cancer Moonshot Biobank - Invasive Breast Carcinoma Cancer Collection (CMB-BRCA) (Version 6) [Data set]. The Cancer Imaging Archive. doi:10.7937/DX22-8J71.
  6. Hugo, Geoffrey D., et al. (2016). Data from 4D Lung Imaging of NSCLC Patients (Version 2) [Data set]. The Cancer Imaging Archive. doi:10.7937/K9/TCIA.2016.ELN8YGLE.
  7. Bakr, Shaimaa, et al. (2017). Data for NSCLC Radiogenomics Collection (Version 4) [Data set]. The Cancer Imaging Archive. doi:10.7937/K9/TCIA.2017.7HS46ERV.
  8. Zuley, Margarita L., et al. (2016). The Cancer Genome Atlas Prostate Adenocarcinoma Collection (TCGA-PRAD) (Version 4) [Data set]. The Cancer Imaging Archive. doi:10.7937/K9/TCIA.2016.YXOGLM4Y.
  9. Vallières, Martin, et al. (2015). A radiomics model from joint FDG-PET and MRI texture features for the prediction of lung metastases in soft-tissue sarcomas of the extremities (Version 1) [Data set]. The Cancer Imaging Archive. doi:10.7937/K9/TCIA.2015.7GO2GSKS.
  10. Pieper, Steve, et al. (2024). Spine metastatic bone cancer: pre and post radiotherapy CT (Spine-Mets-CT-SEG) (Version 1) [Data set]. The Cancer Imaging Archive. doi:10.7937/KH36-DS04.
  11. Kirk, Shanah, et al. (2016). The Cancer Genome Atlas Thyroid Cancer Collection (TCGA-THCA) (Version 3) [Data set]. The Cancer Imaging Archive. doi:10.7937/K9/TCIA.2016.9ZFRVF1B.
  12. National Cancer Institute Clinical Proteomic Tumor Analysis Consortium (CPTAC). (2019). The Clinical Proteomic Tumor Analysis Consortium Uterine Corpus Endometrial Carcinoma Collection (CPTAC-UCEC) (Version 13) [Data set]. The Cancer Imaging Archive. doi:10.7937/K9/TCIA.2018.3R3JUISW.
  13. Rozenfeld, Michael, and Jordan, Petr. (2023). Annotations for The Clinical Proteomic Tumor Analysis Consortium Uterine Corpus Endometrial Carcinoma Collection (CPTAC-UCEC-Tumor-Annotations) (Version 1) [Data set]. The Cancer Imaging Archive. doi:10.7937/89M3-KQ43.
  14. Mayr, Nina, et al. (2023). Cervical Cancer - Tumor Heterogeneity: Serial Functional and Molecular Imaging Across the Radiation Therapy Course in Advanced Cervical Cancer (CC-Tumor-Heterogeneity) (Version 1) [Data set]. The Cancer Imaging Archive. doi:10.7937/ERZ5-QZ59.
  15. Idris, Tagwa, et al. (2024). Mediastinal Lymph Node Quantification (LNQ): Segmentation of Heterogeneous CT Data (Version 1) [Data set]. The Cancer Imaging Archive. doi:10.7937/QVAZ-JA09.
  16. National Cancer Institute Clinical Proteomic Tumor Analysis Consortium (CPTAC). (2019). The Clinical Proteomic Tumor Analysis Consortium Sarcomas Collection (CPTAC-SAR) (Version 10) [Data set]. The Cancer Imaging Archive. doi:10.7937/TCIA.2019.9BT23R95.
  17. National Cancer Institute Clinical Proteomic Tumor Analysis Consortium (CPTAC). (2018). The Clinical Proteomic Tumor Analysis Consortium Cutaneous Melanoma Collection (CPTAC-CM) (Version 11) [Data set]. The Cancer Imaging Archive. doi:10.7937/K9/TCIA.2018.ODU24GZE.
  18. Hong, Jun, et al. (2021). Breath-hold CT and cone-beam CT images with expert manual organ-at-risk segmentations from radiation treatments of locally advanced pancreatic cancer (Pancreatic-CT-CBCT-SEG) (Version 2) [Data set]. The Cancer Imaging Archive. doi:10.7937/TCIA.ESHQ-4D90.
  19. Simpson, Amber L., et al. (2023). Preoperative CT and Survival Data for Patients Undergoing Resection of Colorectal Liver Metastases (Colorectal-Liver-Metastases) (Version 2) [Data set]. The Cancer Imaging Archive. doi:10.7937/QXK2-QG03.
  20. Bakas, Spyridon, et al. (2021). Multi-parametric magnetic resonance imaging (mpMRI) scans for de novo Glioblastoma (GBM) patients from the University of Pennsylvania Health System (UPENN-GBM) (Version 2) [Data set]. The Cancer Imaging Archive. doi:10.7937/TCIA.709X-DN49.
  21. Van Oss, Jeff, Murugesan, Gowtham Krishnan, McCrumb, Diana, and Soni, Rahul. (2024). Image segmentations produced by BAMF under the AIMI Annotations initiative (v2.0.2) [Data set]. Zenodo. doi:10.5281/zenodo.8345959.
  22. Moawad, Ahmed W., et al. (2023). Voxel-level segmentation of pathologically-proven Adrenocortical carcinoma with Ki-67 expression (Adrenal-ACC-Ki67-Seg) (Version 1) [Data set]. The Cancer Imaging Archive. doi:10.7937/1FPG-VM46.
  23. National Cancer Institute Clinical Proteomic Tumor Analysis Consortium (CPTAC). (2018). The Clinical Proteomic Tumor Analysis Consortium Clear Cell Renal Cell Carcinoma Collection (CPTAC-CCRCC) (Version 14) [Data set]. The Cancer Imaging Archive. doi:10.7937/K9/TCIA.2018.OBLAMN27.
  24. Rozenfeld, Michael, and Jordan, Petr. (2023). Annotations for The Clinical Proteomic Tumor Analysis Consortium Clear Cell Renal Cell Carcinoma Collection (CPTAC-CCRCC-Tumor-Annotations) (Version 1) [Data set]. The Cancer Imaging Archive. doi:10.7937/SKQ4-QX48.
  25. The ECOG-ACRIN Cancer Research Group. (2026). The MATCH Screening Trial: Targeted Therapy Directed by Genetic Testing in Treating Patients With Advanced Refractory Solid Tumors, Lymphomas, or Multiple Myeloma (EAY131) (Version 1) [Data set]. The Cancer Imaging Archive. doi:10.7937/C5KE-YX42.
  26. Jordan, Petr, and Rozenfeld, Michael. (2026). Annotations for The MATCH Screening Trial: Targeted Therapy Directed by Genetic Testing in Treating Patients With Advanced Refractory Solid Tumors, Lymphomas, or Multiple Myeloma (EAY131-Tumor-Annotations) (Version 2) [Data set]. The Cancer Imaging Archive. doi:10.7937/Q9RN-M510.
  27. Yao, Shun, Tan, Wenjun, and Wang, Bo. (2025). A Paired Head CT-MRI Dateset for Cross-Modality Image Synthesis (v1) [Data set]. Zenodo. doi:10.5281/zenodo.17486320.

Required acknowledgments

Cancer Moonshot Biobank: Data used in this publication were generated by the National Cancer Institute's Cancer Moonshot Biobank.

CPTAC: Data used in this publication were generated by the National Cancer Institute Clinical Proteomic Tumor Analysis Consortium (CPTAC).

TCGA: The results shown here are in whole or part based upon data generated by the TCGA Research Network: http://cancergenome.nih.gov/.

The Cancer Imaging Archive

TCIA-hosted collections above are made available thanks to the archive itself: Clark K, Vendt B, Smith K, et al. The Cancer Imaging Archive (TCIA): Maintaining and Operating a Public Information Repository. Journal of Digital Imaging. 2013;26(6):1045–1057. doi:10.1007/s10278-013-9622-7. Data were accessed via the NCI Imaging Data Commons.

Tools

Some organ contours (e.g. heart, ribs, and vertebral structures) were generated only with TotalSegmentator's open Apache-2.0 total and breasts tasks. The Breast CBCT heart used Dataset293, a component of the open total task; this site does not distribute output from the separately licensed heartchambers_highres task (Dataset301). Wasserthal J, et al. TotalSegmentator: Robust Segmentation of 104 Anatomic Structures in CT Images. Radiology: Artificial Intelligence. 2023. doi:10.1148/ryai.230024. TotalSegmentator is based on nnU-Net: Isensee F, et al. nnU-Net: a self-configuring method for deep learning-based biomedical image segmentation. Nature Methods. 2021. doi:10.1038/s41592-020-01008-z.

The simulator's optional patient figure was built from a MakeHuman base mesh via the MPFB Blender extension. MakeHuman's generated mesh output is released under CC0 1.0; it was re-posed, re-topologised at the eyes, split into bands, and calibrated onto the trainer's landmark anchors — changes were made. The patient gown uses the "Fabric Pattern 07" normal map from Poly Haven (CC0 1.0), downscaled and converted to WebP. Neither CC0 source requires attribution; both are credited here for completeness.

The site is set in Inter (© The Inter Project Authors) and JetBrains Mono (© The JetBrains Mono Project Authors), both self-hosted under the SIL Open Font License 1.1; the licence text is served alongside the font files at /assets/fonts/LICENSE.txt.

Machine simulation & trademarks

The interactive treatment-machine model, console graphics, and animations were reconstructed for this educational simulator from publicly available dimensional literature and measurements taken from a commercially licensed visual reference. The distributed model is generated by this project without importing the reference model’s mesh, materials, textures, logos, wordmarks, or product decals. Rights in the reference remain governed by its separate commercial licence; the project’s own licence does not expand or sublicense them.

CT Simulation and Machine Room patient exteriors are generated from each credited scan’s CT/MR BODY-derived shape. For a head-containing scan, the complete source head exterior cranial to the reviewed neck locator—including face, chin, temples, ears, and occipital relief—is overwritten before meshing with smooth deterministic non-patient whole-head cross-sections. No source head-surface sample survives; only smoothed and quantized gross head measurements position and size the replacement, while the CT-derived body below the neck blend remains. The whole exterior is rendered with a matte natural skin-tone synthetic material and no source texture. The same modified surface is used for rendering, board and table contact, lasers, collision and clearance, SSD, and tattoo placement so the visual and physical models do not diverge. Same-scan internal anatomy remains available only in the explicit cutaway and does not change the feature-suppressed outer surface. This replacement reduces direct recognition risk but does not guarantee anonymity or de-identification. The finite Breast and arms-up CT Simulation exteriors include only their acquired CT interval, end in hard caps, and have no synthetic continuation.

This independent project is not affiliated with, sponsored by, or endorsed by any equipment manufacturer. Product names and trademarks belong to their respective owners and are referenced only where needed for factual attribution.

Licence notes

The CC BY licences above apply to the source imaging datasets, which remain available from their publishers at the links given. Attribution here does not imply that the dataset authors, TCIA, the NCI, Zenodo, or any equipment manufacturer endorses this site. The trainer's original software, design, and content are © Craig Utter; licensed and third-party materials remain subject to their respective terms — see our Terms of Service, the served third-party software and asset notices, the production dependency notices, and the vendored browser dependency notices.

Contact

Questions about a credit or a source: support@rtimagematch.com.