A medical system includes a treatment radiation source configured to deliver treatment radiation during a treatment session, an imaging system configured to obtain image data during the treatment session, and a processor configured to determine a beam break, and automatically operate the imaging system to obtain the image data during the beam break. A medical system includes a treatment radiation source, an imaging system configured to automatically obtain image data in a beam break that occurs during a treatment session, and a processor configured to automatically operate the treatment radiation source to deliver treatment radiation during the treatment session after the beam break ends.