FDA-cleared profile

syngo.via RT Image Suite

Siemens Medical Solutions USA Inc.

syngo.via RT Image Suite supports 3D and 4D multimodality visualization, registration, contouring, and treatment-preparation workflows. VB60 revised the brain and pelvis Synthetic CT algorithm from atlas-based processing to artificial intelligence and enhanced routine contouring.

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
syngo.via RT Image Suite supports 3D and 4D multimodality visualization, registration, contouring, and treatment-preparation workflows. VB60 revised the brain and pelvis Synthetic CT algorithm from atlas-based processing to artificial intelligence and enhanced routine contouring.
FDA source Exact FDA submission Checked 2026-09-03
Intended users
Radiation oncologists, dosimetrists, physicists, technologists, and other trained radiation-oncology professionals preparing or reviewing treatment-planning data.
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
Multimodality simulation, image review, contouring, and treatment-preparation workspace
Public source Exact FDA submission Checked 2026-09-03
Required input
Release-dependent DICOM CT, PET, PET/CT, MR, linac CBCT, 4D CT, RT Structure Set, and RT Dose data used for visualization, registration, contouring, simulation, or plan preparation.
FDA source Exact FDA submission Checked 2026-09-03
Output and human action
Reviewed contours, registered or fused images, simple geometric planning objects, Synthetic CT or ventilation results where enabled, and DICOM objects exported to a treatment-planning system.
FDA source Exact FDA submission Checked 2026-09-03
Limitations
Qualified users must review registration, contours, geometry, density, dose, and exported objects before planning use. Optional features and compatible scanner or software versions vary; confirm the licensed configuration and exact labeling.
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
K211379
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
2021-07-30
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
Client-server radiation-oncology software with DICOM image, RT Structure Set, and RT Dose exchange and export to treatment-planning systems; optional modules and scanner dependencies vary by release.
Public source Exact FDA submission Checked 2026-09-03
Deployment and data flow
A client-server syngo.via environment integrated with imaging and treatment-planning workflows. Determine server sizing, client locations, licenses, DICOM routes, scanner dependencies, support access, and disaster-recovery requirements for the installed release.
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 architecture, data flow, identity, audit, encryption, retention, support-access, vulnerability-management, and incident-response evidence.

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 by exact software and model version, anatomy, structure, scanner and protocol, patient position, contrast, unusual or postsurgical anatomy, reviewer role, edit time, rejected outputs, DICOM-transfer failures, downstream plan effects, incidents, recalls, and updates. Revalidate after material workflow or model changes.
Public source Exact FDA submission Checked 2026-09-03

Release and scope verification

VB60 revised the brain and pelvis Synthetic CT algorithm from atlas-based processing to artificial intelligence and enhanced routine contouring. Procurement should map the installed build, modules, models, anatomies, inputs, and outputs to K211379 before acceptance.

exact submission · checked 2026-09-03

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

Interoperability acceptance

Client-server radiation-oncology software with DICOM image, RT Structure Set, and RT Dose exchange and export to treatment-planning systems; optional modules and scanner dependencies vary by release.

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 by exact software and model version, anatomy, structure, scanner and protocol, patient position, contrast, unusual or postsurgical anatomy, reviewer role, edit time, rejected outputs, DICOM-transfer failures, downstream plan effects, incidents, recalls, and updates. Revalidate after material workflow or model changes.

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
FDA summaries include release-specific software verification and clinical or nonclinical testing for automatic contouring, Synthetic CT, ventilation, and workflow changes. A vendor-collaborative VB40 clinical study reported substantial time savings but also requires exact-version, structure, and local-case-mix validation. Exact FDA recalls add important geometry, configuration, and structure-set completeness controls for VB40 and VB60.
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.

Average body-outline deviation

1 mm

Upper bound described for average Synthetic CT body-outline deviation in syngo.via RT Image Suite testing described in K211379.

Tested version: syngo.via RT Image Suite SOMARIS/8 VB60

VB40 breast time saving

87.6 %

Reported automatic-contouring time reduction for breast cases in VB40 clinical validation.

Tested version: syngo.via RT Image Suite VB40

VB40 thorax time saving

93.5 %

Reported automatic-contouring time reduction for thorax cases in VB40 clinical validation.

Tested version: syngo.via RT Image Suite VB40

VB40 pelvis time saving

82.2 %

Reported automatic-contouring time reduction for male pelvis cases in VB40 clinical validation.

Tested version: syngo.via RT Image Suite VB40

K211379 FDA performance package for syngo.via RT Image Suite

Manufacturer software verification plus release-specific automatic-contouring, Synthetic CT, ventilation, DICOM, or workflow validation · Release-specific multimodality radiotherapy cases and functions described in the FDA summary

exact submission · Tested version: syngo.via RT Image Suite SOMARIS/8 VB60 · Sponsor or vendor study

K211379

Manufacturer evidence submitted for substantial equivalence. VB60 revised the brain and pelvis Synthetic CT algorithm from atlas-based processing to artificial intelligence and enhanced routine contouring.

Clinical validation of Siemens syngo.via automatic contouring

Retrospective clinical validation with three independent contour reviewers · 95 patients with lung, breast, or male pelvic cancer and more than 600 organ-at-risk contours

product family · Tested version: syngo.via RT Image Suite VB40 · n=95 · 1 site · Sponsor or vendor study

PMID 36865668 · PMCID PMC9972393

Three authors were affiliated with Siemens Healthineers. Results for VB40 should not be transferred to another release without local validation.

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
2 reviewed FDA recall records in the 2026-09-02 openFDA snapshot natively identify K211379. Read each event for affected software, failure mode, corrective action, and current status; do not assume an installed build is affected or corrected without vendor confirmation. FDA recall Z-0994-2022 affected syngo.via RT Image Suite VB60 because an upgrade could automatically change markerless-workflow laser configuration settings, potentially displaying incorrect laser-offset coordinates during patient marking. FDA lists the recall as terminated. FDA recall Z-2445-2021 affected syngo.via RT Image Suite VB30 through VB60 because editing a structure set after saving and reopening a study could cause data loss and send an incomplete structure set to the treatment-planning system. FDA lists the recall as open and classified in the reviewed snapshot.
FDA source Exact FDA submission Checked 2026-09-04

Each published event was manually matched to the exact FDA submission and affected product or version; a recall does not establish an AI-algorithm defect or current site exposure unless the event states that scope.

recall: Z-0994-2022

Terminated

2022-03-07

The recall natively identifies K211379 and VB60. Confirm the correction and verify laser configuration after upgrades before relying on patient-marking coordinates.

recall: Z-2445-2021

Open, Classified

2021-09-10

The recall natively identifies K211379 and includes VB60. Confirm corrective-action status and test structure-set completeness across save, reopen, edit, and TPS-transfer workflows.

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
1Unreviewed 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 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 1 PubMed and 0 ClinicalTrials.gov candidate records. Candidates require human product and version matching; zero candidates is not evidence that no studies exist. 2 FDA recall candidates were manually reviewed: 2 published and 0 rejected as a neighboring or otherwise inapplicable version. Native FDA recall identifiers produced 2 postmarket candidate records; 2 have been reviewed (2 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 2026-09-04.

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Modality
Radiotherapy Planning Imaging
Anatomy
Multi-region
Decision
2025-02-24