FDA-cleared profile

Radiation Planning Assistant (RPA)

University of Texas, MD Anderson Cancer Center

RPA creates initial CT-based contours and photon external-beam treatment plans for head-and-neck, cervical, breast, and whole-brain radiotherapy for export to a treatment-planning system.

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
RPA creates initial CT-based contours and photon external-beam treatment plans for head-and-neck, cervical, breast, and whole-brain radiotherapy for export to a treatment-planning system.
FDA source Exact FDA submission Checked 2026-09-03
Intended users
Qualified radiation oncologists, medical physicists, dosimetrists, and trained radiation-therapy planning staff.
FDA source Exact FDA submission Checked 2026-09-03
Care setting and population
Radiation-oncology departments, including resource-constrained clinics able to support the required CT and treatment-planning workflow.
FDA source Exact FDA submission Checked 2026-09-03
Workflow role
Automated contouring, plan generation, dose optimization, and quality-control support before independent TPS review and calculation.
Public source Exact FDA submission Checked 2026-09-03
Required input
Radiotherapy planning CT images and required clinical planning inputs.
FDA source Exact FDA submission Checked 2026-09-03
Output and human action
Initial contours and external-beam photon plans for import into the user's treatment-planning system.
FDA source Exact FDA submission Checked 2026-09-03
Limitations
RPA is not a primary treatment-planning system. Every contour and plan must be imported into the user's TPS for review, editing, and final dose calculation; unsupported disease sites, techniques, machines, or local protocols must not be inferred.
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
K222728
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
2023-05-17
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
Uses some Eclipse 15.6 functions and exports contours and plans to the user's TPS; validate DICOM transfer, structure naming, beam model, machine configuration, dose recalculation, plan integrity, and failure recovery.
Public source Exact FDA submission Checked 2026-09-03
Deployment and data flow
Web-based planning software with site-specific integration to CT, network, and treatment-planning infrastructure; current no-cost access goals are product-family context, not a guaranteed commercial term.
Public source Exact FDA submission Checked 2026-09-03
Security and privacy
Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-09-03

Public materials reviewed for this batch do not establish the complete security posture for the exact release. Request data-flow, identity, audit, encryption, retention, support-access, vulnerability-management, backup, and incident-response evidence.

Training and support
Only qualified radiation oncologists, medical physicists, dosimetrists, and trained radiation-therapy planning staff. should operate or interpret the system. Local onboarding should cover the exact release, supported population, limitations, failure examples, escalation, downtime, and competency documentation.
FDA source Exact FDA submission Checked 2026-09-03
Monitoring and change control
Monitor by exact hardware, software and model version, patient population, anatomy, protocol, operator, input quality, output edits or overrides, failed studies, repeat acquisition or rework, downstream impact, downtime, incidents, recalls, and updates. Track the limits that matter for this product: RPA is not a primary treatment-planning system. Every contour and plan must be imported into the user's TPS for review, editing, and final dose calculation; unsupported disease sites, techniques, machines, or local protocols must not be inferred.
Public source Exact FDA submission Checked 2026-09-03

Release and scope verification

Map the installed model, build, options, population, anatomy, inputs, and outputs to K222728 before acceptance.

exact submission · checked 2026-09-03

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

Interoperability acceptance

Uses some Eclipse 15.6 functions and exports contours and plans to the user's TPS; validate DICOM transfer, structure naming, beam model, machine configuration, dose recalculation, plan integrity, and failure recovery.

exact submission · checked 2026-09-03

Test representative identifiers, orientation, geometry, measurements, units, routing, failure handling, and round trips locally.

Clinical acceptance

Use a signed local test set for the supported population and workflow. Include common and difficult cases, exclusions, acquisition variation, failed or low-quality inputs, reviewer overrides, and downstream effects. RPA is not a primary treatment-planning system. Every contour and plan must be imported into the user's TPS for review, editing, and final dose calculation; unsupported disease sites, techniques, machines, or local protocols must not be inferred.

exact submission · checked 2026-09-03

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

Economic evaluation

Model capital and recurring cost against net staff time after review, throughput, repeat imaging or rework, room time, consumables, infrastructure, training, service, downtime, upgrade, and replacement costs.

product family · checked 2026-09-03

Vendor productivity claims are scenario inputs, not guaranteed local savings.

Lifecycle monitoring

Monitor by exact hardware, software and model version, patient population, anatomy, protocol, operator, input quality, output edits or overrides, failed studies, repeat acquisition or rework, downstream impact, downtime, incidents, recalls, and updates. Track the limits that matter for this product: RPA is not a primary treatment-planning system. Every contour and plan must be imported into the user's TPS for review, editing, and final dose calculation; unsupported disease sites, techniques, machines, or local protocols must not be inferred.

exact submission · checked 2026-09-03

Revalidate after material software, hardware, model, protocol, interface, or clinical-policy changes.

Evidence

Performance evidence

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

Evidence summary
K222728 describes large training sets and multicenter performance testing at five sites using Philips, Siemens, and GE CT data. Site-specific tests covered cervical, chest-wall, head-and-neck, and whole-brain planning, with explicit contour, dosimetry, isocenter, and plan-review criteria plus documented cervical VMAT exceptions requiring careful local acceptance.
Public source Exact FDA submission Checked 2026-09-03
Reported sensitivity
Not applicable
Not applicable Not applicable Checked 2026-09-03

Sensitivity is not the primary applicable endpoint for this acquisition, reconstruction, segmentation, planning, guidance, or quantitative-biomarker function. Use the task-specific endpoints and tested population reported below.

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

Specificity is not the primary applicable endpoint for this acquisition, reconstruction, segmentation, planning, guidance, or quantitative-biomarker function. Use the task-specific endpoints and tested population reported below.

Clinical evaluation sites

5 sites

Multicenter planning evaluation in Radiation Planning Assistant (RPA).

Tested version: Radiation Planning Assistant release cleared in K222728

Head-and-neck evaluation patients

86 patients

RPA head-and-neck plan evaluation in Radiation Planning Assistant (RPA).

Tested version: Radiation Planning Assistant release cleared in K222728

Cervix VMAT evaluation patients

50 patients

RPA cervical VMAT plan evaluation in Radiation Planning Assistant (RPA).

Tested version: Radiation Planning Assistant release cleared in K222728

Cervix surface Dice criterion

0.8 DSC

Body contours within 2 mm for 95% of CT scans in Radiation Planning Assistant (RPA).

Tested version: Radiation Planning Assistant release cleared in K222728

Cervix isocenter criterion

3 mm

Agreement in all orthogonal directions for 95% of cases in Radiation Planning Assistant (RPA).

Tested version: Radiation Planning Assistant release cleared in K222728

K222728 FDA performance package for Radiation Planning Assistant (RPA)

Manufacturer multicenter external evaluation of automated contours and treatment plans against clinical contours, plans, and dosimetric criteria · Cervical, post-mastectomy chest-wall, head-and-neck, and whole-brain radiotherapy cases from five clinical sites

exact submission · Tested version: Radiation Planning Assistant release cleared in K222728 · 5 sites · Sponsor or vendor study

K222728

Manufacturer evidence submitted for substantial equivalence; local clinical, technical, and workflow acceptance remains necessary.

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 configuration was found. Obtain a written quote separating hardware or license basis, enabled features, implementation, interfaces, infrastructure, training, service, upgrades, renewal, consumables, and exit costs.

Reimbursement and coding
No separate named-product Medicare payment was identified in the reviewed CMS radiation-oncology material. Evaluate net planning or delivery value within the radiotherapy service line.
Public source Not applicable Checked 2026-09-03

No product-specific code

No separate named-product payment identified in reviewed public 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 K222728 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.

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
8Source classes checked
20Unreviewed PubMed leads
0Unreviewed trial leads
0Unreviewed FDA recall leads

Recovered from the prior exact-submission extraction and normalized under the current provenance rules. Exact FDA materials, current product-family sources, selected clinical literature, reimbursement context, and exact-identifier recall candidates were reviewed. Pricing, contracted services, enabled options, final security architecture, and local interoperability remain organization-specific evidence. Automated exact-name discovery found 20 PubMed and 0 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, reimbursement policy, fda device recall, pubmed, clinical trials, openfda device recall

Sources

Source ledger

Sources accessed through 2026-09-03.

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