Overview
Better Plans Start with Solving Tumor Motion
Internal Target Volume (ITV) Creation
Create more accurate ITVs efficiently with a single gross tumor volume (GTV) auto-propagated with MIM Maestro’s novel GTV deformation process.
Motion Analysis
Use automatically calculated tumor motion statistics to aid in treatment and delivery decision-making.
Binning and Adjustment
Perform binning of 4D CT data acquired on GE scanners and adjust the slice selection to reduce binning artifacts.
MIP Creation
Create derived images including Max, Mean, and Min IP, regardless of the system used to bin the 4D CT data. Automatically create new MIPs based on delivery decisions.
Interview
Simplify Tumor Motion Management
Hear how physicians, physicists, and support staff at Kaiser Permanente - Northwest save time in their 4D program and improve patient care with MIM Maestro.
Workflow
Simplify Tumor Motion
Automate 4D Binning, ITV Creation, and Motion Analysis with MIM Workflows™
Streamline the preparation and execution of ITV contouring and delivery decision-making while increasing contour accuracy.
Optionally registers PET/CT to aid in tumor identification and contouring of TVs
Automatically calculates tumor motion statistics flagging distances beyond a configured threshold for improved decisino-making
Increase the accuracy of ITVs through comprehensive image visualization and a novel contouring technique
Create phase-specific ITVs and MIP images based on tumor motion statistics and proximity to OARs with a single mouse click
Why MIM?
A Paradigm Shift in 4D Motion Management
Recent studies1,2 have shown contouring an ITV on a Max IP underestimates or overestimates the actual tumor size, yet it is still the most used method with traditional systems.
Those same studies show contouring an ITV on the phases of a 4D CT instead results in a much more accurate target volume.
Efficiently and accurately calculating the tumor’s total motion is equally as important as it affects critical decisions about the treatment.
MIM Maestro ensures clinics do not need to choose between accuracy and efficiency when accounting for tumor motion.
We do a lot of 4D CTs for our thoracic and abdominal patients. I always do those fusions in MIM because I really like how I can see all the different phases and go through the 4D CT for each phase. I can ensure that my target is encompassing the movement of the target through those phases."
Dr. Twisha Verma | Radiation Oncologist
Houston Methodist Clear Lake Hospital
Resources
Download Additional Resources
Get more information on 4D Motion Management using MIM Maestro
Brochure
Innovations for Plan Quality Improvement BrochureProduct Sheet
Overcome the Challenges of Tumor MotionCommon Challenges
Few Things Are More Challenging Than Tumors That MoveReady to Add Maestro for 4D Motion Management to Your Workflow?
Our expert advisors can help find the solution that works best for you.
More MIM
See Our Other MIM Maestro Use Cases
Image Registration
Increase confidence in your clinical decisions. Ensure easy access to all desired imaging through fast, accurate registrations appropriately displayed.
Physician Contouring
Improve the quality of your target volumes through accurate, accessible image registrations and advanced contouring tools.
Reirradiation
Effectively utilize prior treatment information when generating new treatment plans. Combine previous plans in an efficient and standardized process.
Footnotes
- Turner, K et al, “SU-E-J-209: A Simple Method to Minimize Uncertainty in ITV Delineation: Phantom Verification,” Medical physics vol. 39,6Part9 (2012): 3700-3701. doi:10.1118/1.4735049.
- Wang, Yu et al, “Comparison of internal target volumes defined by three-dimensional, four-dimensional, and cone-beam computed tomography images of a motion phantom,” Annals of translational medicine vol. 8,22 (2020): 1488. doi:10.21037/atm-20-6246.
