A
system automatically compares radiotherapy 3D X-
Ray images and subsequent images for update and re-planning of treatment and for
verification of correct patient and image association. A
medical radiation therapy
system and
workflow includes a task processor for providing
task management data for initiating image comparison tasks prior to performing a session of radiotherapy. An image
comparator, coupled to the task processor, in response to the
task management data, compares a first image of an anatomical portion of a particular patient used for planning radiotherapy for the particular patient, with a second image of the anatomical portion of the particular patient obtained on a subsequent date, by
image alignment and comparison of image element representative data of aligned first and second images to determine an image difference representative remainder value and determines whether the image difference representative remainder value exceeds a first predetermined threshold. An output processor, coupled to the image
comparator, initiates generation of an alert message indicating a need to review planned
radiotherapy treatment for communication to a user in response to a determination the image difference representative remainder value exceeds a predetermined threshold.