Monaco represents a fundamentally new approach to planning that brings the most innovative concepts to the clinic. These concepts provide sophisticated approaches to make planning easier, more reproducible and clinically reliable.

Monaco features innovative biological cost functions with multi-criterial constrained optimization, a powerful leaf sequence optimizer and a robust Monte Carlo dose calculation algorithm, and represents the most advanced commercial solution. Monaco is fully integrated with the CMS Focal platform, providing seamless connectivity and integration with Focal’s advanced fusion, contouring, simulation and plan review capabilities, providing sophisticated IMRT planning.

With the addition of VMAT (Volumetric Modulated Arc Therapy) functionality, Monaco can optimize single or multiple non-coplanar arcs simultaneously, providing greater flexibility and control. Only Monaco offers the highly accurate XVMC Monte Carlo dose engine for continuous arc calculation as a single beam, rather than dose approximations from multiple and discrete gantry angle delivered beams.

• Constrained optimization ensure the prescribed dose limits on Organs At Risk and target dose are satisfied after optimization.
• Multi-criterial goals results in better normal tissue sparing during the optimization.
• Sensitivity Analysis easily solves the conflicts between target dose objective and dose limiting constraints.
• Smart Sequencing using a sophisticated sequencer optimization minimizes the number of segments and monitor units in order to reduce overall treatment time.
• Biological modeling improves optimization of the dose by providing a wide range of cost functions.