With practical solutions to common concerns, offline adaptive software makes adaptive radiotherapy a realistic and scalable path forward for every clinic.
Every clinic captures daily imaging and delivery data, yet most use only a fraction of that information to guide decision-making. Anatomy shifts. Tumors regress. Organs migrate. Everyone knows this happens, but few teams have a practical, scalable way to quantify these changes and act on them consistently.
Adaptive radiotherapy should feel achievable, not aspirational. This blog tackles the real questions clinicians ask about adaptive workflows and shows how ChartCheck Adaptive turns daily data into confident and actionable insight for every clinic.
Most teams rely on subjective visual checks of CBCTs. These reviews are variable and time consuming, and subtle changes that influence target coverage or OAR dose may be missed until toxicity or underdosage becomes a concern.
ChartCheck Adaptive gives you an objective early warning system.
It transforms each fraction’s imaging and machine delivery data into real, quantitative metrics:
Target coverage
OAR dose sparing
Constraint adherence
DVH and volumetric changes over time
Instead of guessing whether a plan is drifting, your team sees unambiguous signals that guide when action is warranted.
This is one of the most common concerns, and the answer is no. ChartCheck Adaptive operates automatically in the background, using the daily CBCTs and machine log data your clinic already generates. It introduces no new steps at the LINAC, no added review queues, and no additional workflow touchpoints.
You gain expanded oversight and earlier detection of anatomical and dosimetric change without adding workload or creating bottlenecks.
3. Can we rely on automated trend analysis over time?
Trend accuracy depends on the integrity of every component in the workflow. ChartCheck Adaptive is built on the same technologies clinics already depend on for daily quality and consistency. It brings together:
AutoContour for anatomy adaptation
ClearCalc with RadMonteCarlo for high-fidelity dose recalculation
ClearCheck for automated dose guidance evaluation
ChartCheck for accumulation, longitudinal trending, and alerting
By unifying these validated physics engines and automation layers, ChartCheck Adaptive creates a continuous adaptive assessment workflow that maintains accuracy from fraction to fraction. The result is adaptive insight you can trust, backed by consistent and reproducible trends over time.
Clinicians want clarity not complexity.
ChartCheck Adaptive delivers intuitive, consolidated oversight:
A patient-level dashboard showing imaging, dose and constraint trends
Daily dose visualization with DVH metrics
Pass or fail indicators based on your department’s thresholds
Trend plots that reveal drift before it becomes clinically significant
Automated alerts for cases that may need replanning
Yes. Offline Adaptive Assessment is built for scalability. Whether you manage one site or twenty, ChartCheck Adaptive provides:
Consistent, objective criteria for when to adapt
Standardized constraint monitoring across locations connected to that ARIA environment
Fraction-by-fraction oversight without manual effort
A cohesive approach that improves reliability across sites
This is adaptive built for real-world clinical environments with the flexibility to support both single-site clinics and multi-site networks.
6. How do we get started without disrupting existing workflows?
Most clinics begin simply:
Using their current constraint templates
Starting with a small set of cases where anatomical changes have clear clinical impact
Reviewing early results collaboratively across physics and physician teams
Expanding to additional sites as confidence grows
Offline Adaptive does not require a major change initiative. It slots naturally into the workflows you already run.
ChartCheck Adaptive streamlines adaptive oversight for every member of the care team:
Physicians receive clear and data-driven insight to guide timely replanning
Physicists benefit from automated dose calculations and constraint checks
Dosimetrists see exactly which cases require attention
Therapists continue their routine workflow without added burden.
The result is a unified and efficient approach to adaptive assessment that is immediately useful across the department.
Adaptive radiotherapy should not be reserved for select patients or specialised centers. With ChartCheck Adaptive, every clinic can gain deeper insight into treatment fidelity and act with confidence when plans need to change.
More than 2000 clinics worldwide rely on Radformation technology to automate, standardise, and elevate their workflows. Now that same foundation supports scalable, zero-click offline adaptive assessment.
Do you want to discuss how ChartCheck Adaptive could work in your clinic? Book time with your Radformation Account Manager now.
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