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The Flight Simulator for Radiation Oncology

50 – 60% of cancer cases require radiotherapy

65+ structured tutorials across 6 phases

~2 min AI whole-body segmentation (CT/MRI)

TRAINING BOTTLENECK IN MODERN ONCOLOGY

Radiotherapy is a cornerstone of cancer treatment — yet the clinical systems used to plan it are locked away from trainees by patient safety requirements and intensive workload. StaRT is the dedicated simulation and training platform that removes this barrier: a flight simulator for radiation oncology, built to the standard of a full clinical Treatment Planning System (TPS).

50–60% high demand

Between 50–60% of cancer cases require radiotherapy, creating massive and growing training demand globally.

~3,000 LINACs in Europe

Linear accelerators are fully dedicated to clinical use — essentially unavailable for trainee practice.

High cost barrier

Hardware-dependent simulators block student access and limit training in emerging modalities such as Proton therapy.

THE DUAL-ENGINE PLATFORM

StaRT operates in two complementary modes, each serving a distinct professional need — yet sharing the same clinical-grade treatment planning core:

Education Mode (Training)

65+ tutorials across 6 structured phases
Aligned with official RT technician education guidelines
Phantoms + real clinical cases for the most prevalent cancer types
Step-by-step tutorials with embedded physics and oncology theory
Videos, tooltips, and adaptive learning paths
Modular curriculum adaptable for academic programs

Simulation Mode (Practice / QA)

Unrestricted access to full clinical-grade planning tools
Quality Assurance (QA) workflows and technique validation
Python scripting API — algorithm prototyping and automation
DICOM / DICOM-RT integration with standard imaging systems
Test dose escalation, hypofractionation, other new techniques
Built on the 3D Slicer / SlicerRT open-source ecosystem

KEY FEATURES & CAPABILITIES

AI Segmentation

NVIDIA MONAI & TotalSegmentator — whole-body CT/MRI contoured in ~2 minutes. Manual and semi-automatic tools also available for refinement.

Photon & Proton Support

Full IMRT, VMAT (photons) and IMPT (protons). Forward and inverse planning with multiple dose engines from fast approximation to Monte-Carlo accuracy.

VR & Holographic Display

Immersive 3D visualisation of beam paths and dose distributions via virtual reality and holographic interfaces — unique among training platforms.

Room’s Eye View

Recreates machine movement in 3D, performs collision control, and verifies beam geometry relative to the patient — essential for patient safety training.

Cloud & Desktop Deployment

Runs as a thin client in any browser via Azure Virtual Desktop — no GPU hardware needed. Also available as a local Windows install with full VR/holographic support.

Open Research Ecosystem

Built on 3D Slicer / SlicerRT. Python scripting API for automation and prototyping. Leverages contributions from the international scientific community.

A VERSATILE ECOSYSTEM:

ACADEMY · CLINIC · R&D

ACADEMY

Individual or group training configurations
Specialized lab deployment or remote home use
Regular competency assessments
Unlimited practice without interrupting patient flow
Curriculum-aligned structured progression

CLINIC

Staff competency verification
QA of new techniques before clinical rollout
On-premises data centre option available
Identity & access management (IAM) integrated
DICOM-RT compatible with existing imaging systems

R&D

Algorithm prototyping with Python scripting API
Experimental simulation environments
DICOM integration with medical imaging systems
Test dose escalation & hypofractionation protocols
Built on open SlicerRT ecosystem

WHo USES START?

RT Technicians : Structured tutorials, phantoms, dose & beam training
Medical Physicists: QA workflows, Python API, technique validation
Oncologists: Plan visualization & cross-team collaboration
Educators & Students: Risk-free simulation and case-based learning
Researchers: Algorithm testing, scripting, experimental simulation

FLEXIBLE DEPLOYMENT — DESKTOP & CLOUD

Desktop

Windows 10+ installer
VR & holographic display support (Windows only)
GPU-accelerated AI tools (NVIDIA CUDA)
Explicit login authentication per session
Possible Linux / Mac builds (without VR) on roadmap

Cloud (Azure Virtual Desktop)

Runs in any browser — laptop, tablet, or desktop PC
No expensive GPU hardware required
Microsoft account / IAM integration
Green Software: sustainable cloud resource optimisation
On-premises data centre option for clinical environments