CMS’ next-generation Monaco IMRT planning system 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 IMRT solution on the market. 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, and represents the state-of-the-art for IMRT
planning.
Monaco overview at a glance

Reduce planning time and increase clinical throughput for the most complex cases with Monaco’s enhanced
voxel definitions and advanced sensitivity analysis. Enhanced voxel definition reduces contouring time by
automatically taking into account the effects of buildup and heterogeneity. Rapid feedback from
sensitivity analysis and decision-support tools quantify the conflicts and trade-offs between dose
objectives and OAR constraints, eliminating the trial and error of traditional prescription-based
IMRT planning.

Increase dose accuracy and plan quality with the latest IMRT tools. Monaco’s advanced biologically-based
optimization with optional dose-volume constraints deliver the best possible patient plans, while a robust
Monte Carlo dose engine ensures calculation reliability and integrity. Smart Sequencing using a
sophisticated sequencer optimization minimizes the number of segments and monitor units in order to
reduce overall treatment time.

CMS’ powerful biological IMRT planning capabilities include a number of flexible tools and workflow
enhancements designed to streamline the overall planning process. Customizable plan templates with
user-defined model parameters and dose constraints make IMRT planning fast and easy, while sensitivity
analysis helps guide prescription adjustments.

Expand your clinical capabilities with a novel IMRT solution that complements your existing planning
capabilities. CMS’ biologically-based IMRT planning tools with integrated fusion, contouring, simulation
and plan review modules can be implemented in any clinical environment and communicate openly with your
existing planning system. Multi-vendor plan review capabilities also enable biologically based IMRT plans
to be compared with conformal and IMRT plans from other third-party vendors to ensure the best course of
treatment for each patient.
Improve connectivity and departmental efficiency with seamless integration across all major imaging
modalities, treatment delivery devices and equipment vendors. CMS supports the DICOM standard which
provides timely and efficient access to the data required patient data and easy export of treatment plans
to all major delivery devices.