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. VB50 expanded automatic contouring structures and converted head-and-neck contouring from atlas-based to deep-learning methods; its segmentation evaluation used 112 subjects.

Evidence status: each field states its source quality, applicability, and review date. Research pending, information not established, and vendor documentation pending remain distinct outcomes.

Clinical details

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. VB50 expanded automatic contouring structures and converted head-and-neck contouring from atlas-based to deep-learning methods; its segmentation evaluation used 112 subjects.
  • 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
K201444
  • 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
2020-08-13
  • 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

VB50 expanded automatic contouring structures and converted head-and-neck contouring from atlas-based to deep-learning methods; its segmentation evaluation used 112 subjects. Procurement should map the installed build, modules, models, anatomies, inputs, and outputs to K201444 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. Candidate literature without exact product and version linkage is not shown as product evidence.

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.

Segmentation evaluation cohort

112 subjects

  • EndpointSubjects in the automatic-segmentation test set
  • PopulationSyngo.via RT Image Suite testing described in K201444
  • Tested versionsyngo.via RT Image Suite SOMARIS/8 VB50

Detection rate for newly added organs

100 %

  • EndpointDetection rate reported for newly added organs
  • PopulationSyngo.via RT Image Suite testing described in K201444
  • Tested versionsyngo.via RT Image Suite SOMARIS/8 VB50

VB40 breast time saving

87.6 %

  • EndpointReported automatic-contouring time reduction for breast cases
  • PopulationVB40 clinical validation
  • Tested versionsyngo.via RT Image Suite VB40

VB40 thorax time saving

93.5 %

  • EndpointReported automatic-contouring time reduction for thorax cases
  • PopulationVB40 clinical validation
  • Tested versionsyngo.via RT Image Suite VB40

VB40 pelvis time saving

82.2 %

  • EndpointReported automatic-contouring time reduction for male pelvis cases
  • PopulationVB40 clinical validation
  • Tested versionsyngo.via RT Image Suite VB40

K201444 FDA performance package for Syngo.via RT Image Suite

  • DesignManufacturer software verification plus release-specific automatic-contouring, Synthetic CT, ventilation, DICOM, or workflow validation
  • PopulationRelease-specific multimodality radiotherapy cases and functions described in the FDA summary
  • Scopeexact submission
  • Tested versionsyngo.via RT Image Suite SOMARIS/8 VB50
  • IndependenceSponsor or vendor study

K201444

Manufacturer evidence submitted for substantial equivalence. VB50 expanded automatic contouring structures and converted head-and-neck contouring from atlas-based to deep-learning methods; its segmentation evaluation used 112 subjects.

Clinical validation of Siemens syngo.via automatic contouring

  • DesignRetrospective clinical validation with three independent contour reviewers
  • Population95 patients with lung, breast, or male pelvic cancer and more than 600 organ-at-risk contours
  • Scopeproduct family
  • Tested versionsyngo.via RT Image Suite VB40
  • Samplen=95
  • Sites1
  • IndependenceSponsor 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.

Costs and setup

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 K201444 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
1Awaiting review PubMed leads
0Awaiting review 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. 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 & history

How this profile was documented

Open the ledger for source dates, scope, and research-record updates.

View source ledger and history

Source ledger

  1. K201444 FDA decision source

    U.S. Food and Drug Administration - Accessed 2026-08-31

    Scope: regulatoryIdentity, purpose, modality, anatomy

  2. Artificial Intelligence-Enabled Medical Devices

    U.S. Food and Drug Administration - Accessed 2026-08-31

    Scope: regulatoryIdentity, modalityContext

  3. PubMed biomedical literature index

    U.S. National Library of Medicine - Accessed 2026-09-01

    Scope: evidenceDiscovery

  4. ClinicalTrials.gov study registry

    U.S. National Library of Medicine - Accessed 2026-09-01

    Scope: evidenceDiscovery, studyStatus

  5. openFDA Device Recall API

    U.S. Food and Drug Administration - Accessed 2026-09-02

    Scope: recallDiscovery, nativeSubmissionMatching

  6. Radiation Oncology Model

    Centers for Medicare & Medicaid Services - Accessed 2026-09-02

    Scope: reimbursement, radiationTherapyPaymentContext

  7. Artificial intelligence technologies to aid contouring for radiotherapy treatment planning

    National Institute for Health and Care Excellence - Published 2023-09-27 - Accessed 2026-09-02

    Scope: limitations, training, pricing, evidenceSummary, economics, monitoring, implementationCapabilities

  8. syngo.via RT Image Suite product page

    Siemens Healthineers - Accessed 2026-09-03

    Scope: productFamily, workflowRole, integration, deployment, evidenceSummary, evidenceMetrics, currentCommercialContext, implementationCapabilities

  9. Clinical validation of Siemens syngo.via automatic contouring

    Advances in Radiation Oncology - Published 2023-01-16 - Accessed 2026-09-03

    Scope: limitations, evidenceSummary, evidenceStudy, evidenceMetrics, economics, monitoring, implementationCapabilities

Research history

  1. K201444 FDA decision

    Regulatory record

    510(k)

  2. Source-review record updated

    Research record

    human reviewed

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