FDA-cleared profile

Oncospace

Oncospace, Inc.

Oncospace supports protocol configuration, machine-learning dose prediction, treatment-plan objective exchange, and plan review for qualified radiation-therapy professionals. This release updated prostate and head-and-neck models and added thoracic, abdominal, and gynecological regions while keeping algorithms locked before clinical use.

Evidence status: each field shows source quality, applicability, and review date. Research pending, information not established in reviewed sources, and vendor documentation pending are distinct outcomes.

Clinical fit

What this tool is for

Start with the authorized purpose, then verify how it fits your service line and reading workflow.

Exact purpose
Oncospace supports protocol configuration, machine-learning dose prediction, treatment-plan objective exchange, and plan review for qualified radiation-therapy professionals. This release updated prostate and head-and-neck models and added thoracic, abdominal, and gynecological regions while keeping algorithms locked before clinical use.
FDA source Exact FDA submission Checked 2026-09-03
Intended users
Qualified and trained radiation-therapy professionals, including radiation oncologists, medical physicists, and dosimetrists, using the system under a physician prescription.
FDA source Exact FDA submission Checked 2026-09-03
Care setting and population
Radiation-therapy departments in hospitals, clinics, and other qualified treatment-planning facilities.
FDA source Exact FDA submission Checked 2026-09-03
Workflow role
Protocol management, achievable-dose prediction, planning-objective exchange, and plan review
Public source Exact FDA submission Checked 2026-09-03
Required input
DICOM RT planning data, dose prescriptions, target and organ-at-risk geometry, protocol definitions, plan parameters, and user-confirmed structure-name mappings.
FDA source Exact FDA submission Checked 2026-09-03
Output and human action
Predicted achievable organ-at-risk dose-volume information, planning objectives, protocol scorecards, and reviewed plan information for exchange with a treatment-planning system.
FDA source Exact FDA submission Checked 2026-09-03
Limitations
The system does not edit regions of interest, make treatment decisions, or control a radiation-delivery device. Its algorithms are locked before clinical use, but structure-name matching and prediction applicability still require user confirmation. Model support and validation differ by disease site and release.
FDA source Exact FDA submission Checked 2026-09-03

Regulatory identity

FDA record and catalog context

The FDA listing establishes the regulatory identity. It does not by itself establish local workflow fit, pricing, security, or performance in your environment.

FDA submission
K242748
FDA source Exact FDA submission Checked 2026-08-31
Modality
Radiotherapy Planning Imaging
FDA source Exact FDA submission Checked 2026-09-03
Anatomy
Multi-region
FDA source Exact FDA submission Checked 2026-09-03
Clearance type
510(k)
FDA source Exact FDA submission Checked 2026-08-31
Decision date
2025-04-11
FDA source Exact FDA submission Checked 2026-08-31
FDA status
FDA-cleared
FDA source Exact FDA submission Checked 2026-08-31

Implementation

Questions for IT, informatics, and operations

Use these fields to structure a vendor demo, security review, and implementation estimate.

Integration
DICOM-RT compliant browser-based workflow with treatment-planning-system scripts used to transmit DICOM files and plan parameters; exact supported TPS versions and scripting permissions require local verification.
Public source Exact FDA submission Checked 2026-09-03
Deployment and data flow
FDA summaries describe a Windows-server and web-browser architecture, including cloud Windows servers and client machines. The current vendor FAQ describes enterprise identity integration; confirm tenancy, data residency, availability, backups, and interface ownership.
Public source Exact FDA submission Checked 2026-09-03
Security and privacy
The current vendor FAQ states that Oncospace can use an organization's Active Directory or Azure policies for user authentication and invites deployment-specific security review. This is product-family information, not an attestation for a particular installation.
Vendor supplied Product family Checked 2026-09-03

Request the current security package and contract controls for the proposed deployment.

Training and support
Only trained and qualified radiation-therapy professionals should operate the software and review, correct, and approve its outputs. Local onboarding must include release-specific limitations, failure examples, escalation, and competency documentation.
Public source Exact FDA submission Checked 2026-09-03
Monitoring and change control
Monitor prediction and plan-review performance by software and model version, disease site, protocol, target and OAR geometry, structure-name mapping, objective acceptance, optimization iterations, plan quality, overrides, transfer failures, and update. Revalidate when models, protocols, TPS versions, interfaces, or clinical policies change.
Public source Exact FDA submission Checked 2026-09-03

Release and scope verification

This release updated prostate and head-and-neck models and added thoracic, abdominal, and gynecological regions while keeping algorithms locked before clinical use. Procurement should map the installed build, modules, models, anatomies, inputs, and outputs to K242748 before acceptance.

exact submission · checked 2026-09-03

Later product-family features are not evidence that an earlier cleared release includes them.

Interoperability acceptance

DICOM-RT compliant browser-based workflow with treatment-planning-system scripts used to transmit DICOM files and plan parameters; exact supported TPS versions and scripting permissions require local verification.

exact submission · checked 2026-09-03

Test representative imports, exports, identifiers, orientation, geometry, structure names, units, failure handling, and round trips in the local environment.

Clinical acceptance

Use a signed local test set spanning supported anatomies, scanners, protocols, unusual or postsurgical anatomy, and small or complex structures. Measure edit burden, rejection, downstream plan effects, and reviewer agreement rather than relying only on average overlap metrics.

product family · checked 2026-09-03

Define stop-use, escalation, rollback, and revalidation triggers before production use.

Economic evaluation

Model total annual and per-plan cost against hands-on and elapsed time after review, correction, failed transfers, rework, support, upgrades, downtime, and any effect on plan quality or throughput.

product family · checked 2026-09-03

Vendor time-saving results are scenario inputs, not guaranteed local savings.

Lifecycle monitoring

Monitor prediction and plan-review performance by software and model version, disease site, protocol, target and OAR geometry, structure-name mapping, objective acceptance, optimization iterations, plan quality, overrides, transfer failures, and update. Revalidate when models, protocols, TPS versions, interfaces, or clinical policies change.

product family · checked 2026-09-03

Trend failures and edits by exact software version, model, anatomy, scanner, protocol, and site.

Evidence

Performance evidence

Metrics are shown only when they are tied to a source, endpoint, population, and tested product version.

Evidence summary
Exact FDA summaries describe retrospective model development, internal and external testing, and clinical validation intended to preserve plan quality while reducing planning effort. A 2026 vendor-authored publication reports a larger two-institution development and validation program; its financial-support disclosure and release mapping should be considered before generalizing results.
Public source Exact FDA submission Checked 2026-09-03
Reported sensitivity
Not applicable
Not applicable Not applicable Checked 2026-09-03

Sensitivity is not an applicable primary endpoint for this radiation-planning software. Review structure-, model-, workflow-, and release-specific geometric, clinical-review, dosimetric, and edit-burden evidence instead.

Reported specificity
Not applicable
Not applicable Not applicable Checked 2026-09-03

Specificity is not an applicable primary endpoint for this radiation-planning software. Review structure-, model-, workflow-, and release-specific geometric, clinical-review, dosimetric, and edit-burden evidence instead.

Retrospective development and validation plans

5334 plans

Photon-beam plans used across model development and validation in Two-institution multi-region cohort.

Tested version: Oncospace Predictive Planning product family

Development institutions

2 institutions

Institutions contributing retrospective plans in Multi-region photon treatment plans.

Tested version: Oncospace Predictive Planning product family

K242748 FDA performance package for Oncospace

Manufacturer retrospective model development, internal or external performance testing, and clinical plan-quality validation · Release-specific retrospective radiation plans and supported disease-site models described in the FDA summary

exact submission · Tested version: Oncospace release cleared in K242748 · Sponsor or vendor study

K242748

Manufacturer evidence submitted for substantial equivalence. This release updated prostate and head-and-neck models and added thoracic, abdominal, and gynecological regions while keeping algorithms locked before clinical use.

Development and clinical validation of Oncospace Predictive Planning

Retrospective development, internal testing, and clinical validation of protocol-agnostic dose-volume prediction models · 5,334 photon-beam plans across head and neck, thoracic, abdominal, and pelvic regions

product family · Tested version: Oncospace Predictive Planning product family; exact release mapping was not established for every submission · n=5334 · 2 sites · Sponsor or vendor study

PMID 42382856

Authors were affiliated with Oncospace and the publication reports company and grant support; treat it as vendor-involved product-family evidence.

Economics and lifecycle

Budget and ongoing governance

These are common procurement questions; unknown values remain visible until a source supports them.

Pricing and total cost
Not established in reviewed sources
Reviewed sources checked Exact FDA submission Checked 2026-09-03

No public list price for the exact cleared release was found. Obtain a written quote separating license basis, sites or users, enabled modules or models, implementation, interfaces, compute, storage, training, support, upgrades, renewal, and exit costs.

Reimbursement and coding
No separate named-product Medicare payment was identified in the reviewed CMS Radiation Oncology Model material. Evaluate the product within the radiation-therapy planning service line using net staff time after review, plan quality, rework, throughput, implementation cost, and recurring cost.
Public source Not applicable Checked 2026-09-03

No product-specific code

No separate named-product payment identified in reviewed CMS material

Centers for Medicare & Medicaid Services · United States

Build a local total-cost and value model; do not infer reimbursement from FDA clearance.

Safety and lifecycle

Postmarket record

Recall and adverse-event records are shown only after product matching. Adverse-event reports do not establish incidence or causality.

Postmarket safety review
The 2026-09-02 openFDA device-recall snapshot contained no record matched to K242748 by exact submission identifier.
Public source Exact FDA submission Checked 2026-09-03

A zero-result exact-identifier search does not prove that no recall, correction, adverse-event report, or product-family safety signal exists. Maintain ongoing FDA and vendor surveillance.

Buyer worksheet

Open questions to take to the vendor

Open evaluation checklist

Research record

What has been checked

This audit distinguishes completed source review from fields that have not yet been researched.

Human reviewedStatus
2026-09-04Last searched
24Fields reviewed
10Source classes checked
4Unreviewed PubMed leads
1Unreviewed trial leads
0Unreviewed FDA recall leads

Recovered from the prior exact-submission extraction and normalized under the current provenance rules. Exact FDA decision materials, current product-family materials, directly relevant clinical literature, reimbursement context, and exact-identifier recall candidates were reviewed. Pricing, final security architecture, contracted services, enabled modules or models, interoperability, and local acceptance remain organization-specific evidence. Automated exact-name discovery found 4 PubMed and 1 ClinicalTrials.gov candidate records. Candidates require human product and version matching; zero candidates is not evidence that no studies exist. Native FDA recall identifiers produced 0 postmarket candidate records; 0 have been reviewed (0 published, 0 rejected) and 0 remain unreviewed.

Candidate leads remain unpublished until a human confirms the exact product and tested version.

Source classes: fda ai list, fda decision summary, vendor product page, peer reviewed publication, health technology guidance, reimbursement policy, fda device recall, pubmed, clinical trials, openfda device recall

Sources

Source ledger

Sources accessed through 2026-09-03.

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