Monaco® HD High precision
radiotherapy treatment planning

Gold Standard accuracy to unlock unique HD treatment capabilities

Monaco® HD Treatment Planning is the key to Elekta’s Precision Radiation Medicine. With Monte Carlo accuracy and simplified daily planning, featuring a new user friendly interface, Monaco® HD lets you achieve true precision radiation medicine, personalized for your patients.

What's new in Monaco?

 

Unique Monaco features

  • Biological constraint optimization
  • Voxel based smart tools
  • IntelliBeam & segment shape optimization
  • Dynamic conformal arc therapy (DCAT)
  • MCO to minimize OAR dose and maintain target objectives
  • Creates radiotherapy treatment plans on Elekta’s Unity MRL
  • Enables HDRS with virtual 1mm leaf width technology
 

Essential planning features

  • Monte Carlo for photons & electrons
  • 3D — VMAT — Stereotaxy planning capabilities
  • No help structures required
  • Forward and inverse planning capabilities
  • Fast and easy adaptive, personalized re-planning
  • Automated planning with 5 clicks

Biological intelligence

Utilize patient biology to maximize the clinicians intent


“Monaco has consistently provided excellent tumor coverage while meeting our physicians’ very strict OAR tolerances. The Target Penalty cost function and segment shape optimizer allow us to treat more patients with VMAT than ever before, and even our most complex SBRT cases have extremely quick treatment times.”
Christopher Wennerstrom, Kettering Medical Center, USA
 

Accuracy without the compromise

Monte Carlo Gold Standard XVMC photon algorithm achieves a high level of precision even at tissue interfaces with different densities at speeds suitable for everyday use.

Understand patient biology

Defining the different organ response rates, with constrained biological optimization, delivers a clinical solution without the need for help structures.

Enable high standards for quality of life

Ensure doses to normal tissues are as low as possible to limit the side effects that may occur. Multicriterial optimization with sensitivity analysis removes the trial and error allowing the clinician to understand the intricate relationship between tumor and normal tissue.

Personalized radiation therapy for every patient

Integrated planning capabilities for a streamlined user experience


“The faster calculation speed for IMRT planning with Monaco version 5.11 has been invaluable for increasing our planning throughput ”
Cassey Pyle, Dosimetry Supervisor, Canterbury Christchurch Hospital
 

Demand efficiency with expertise

Standardize plan creation, from contouring to optimization with anatomical, plan and isodose templates. Further increase expertise using template manager to share knowledge and implement best practices.

Deliver what you plan

Monaco uses the Monte Carlo algorithm–the most accurate dose calculation available on the market.

The Monaco treatment planning system unlocks:

  • 1,024 dynamic control points for superior and efficient treatment
  • Performance of highly modulated deliveries with faster arc treatments
  • Increased patient comfort with less on-table time

Automatically respond to change

Automate the contouring process with deformable image registration for accelerated intrapatient adaptive therapy and retreatments. Predictive insight tools such as the variation tool, relax response and point sensitivity provide intelligent guidance to improve plan quality. Rapidly improve overall planning efficiency by up to 70% without the need of help structures.

Deliver what you plan

Workflow doesn’t end when the plan leaves the TPS


“The excellent dose modulation available with Monaco, combined with the advanced physics design of Agility, removed any limitations due to leaf width and also offered greater brain sparing, which is important for minimising cognitive impairment.”
Odette Cancer Center, Ontario, Canada
 

Elekta’s High Definition dynamic RadioSurgery (HDRS) solution

Single, multifunctional, high definition dynamic stereotactic AND conventional RT solution that removes traditional constraints of linac-based treatments

Optimize plan deliverability

Enhance throughput by optimizing the deliverability of the plan without losing plan quality with IntelliBeam and Segment Shape Optimization (SSO)

Adapt into the future

Deliver plan adaptation while ensuring OAR tolerances are never exceeded with bias dose planning.

See the evidence

Tips & tricks - Playlist

Tips & tricks - Playlist

Planning

Planning

Import, contour and perform fusion

Import, contour and perform fusion

Optimization

Optimization

Multicriterial Optimization

Multicriterial Optimization

Tools to help you get the best plan 1

Tools to help you get the best plan 1


Planning Efficiency 1

Planning Efficiency 1

Planning Efficiency 2

Planning Efficiency 2

Plan Review

Plan Review

Planning Technique

Planning Technique

Plan Comparison

Plan Comparison

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