Brainlab Stereotactic Planning

Excellence In Stereotaxy

STEREOTACTIC PLANNING & SURGERY REFINED

Advance your frame-based neurosurgical procedures with modular Elements software for stereotactic planning and experience a new level of arc and implant integration.

Indications

PARKINSON‘S, DYSTONIA, ESSENTIAL TREMOR

Deep brain stimulation is one treatment possibility for Parkinson’s disease, essential tremor and dystonia, as their causes are located in or near the basal ganglia region. Stimulation electrodes implanted stereotactically, replace brain signals with artificial electric impulses in order to reduce symptoms.

Specific to each patient, Elements Segmentation Basal Ganglia recognizes relevant target regions. This supports detailed planning of trajectories towards those targets using Elements Stereotaxy

Epilepsy

Surgery may be considered for epilepsy patients not responding to other treatments, such as medication. At first, stereotactically placed electrodes monitor different brain areas over time to document an epileptic seizure. In a second surgery, monitoring results are used to remove brain tissue identified as epileptogenic.

Elements Stereotaxy is designed for approach planning and displays multiple trajectories including electrode positions. Areas around contacts identified as epileptogenic can be outlined using Elements Smartbrush – mapping the target for removal guided by Brainlab navigation.

Benefits

Brainlab Elements Compatibility and Integration

HIGH DEGREE OF COMPATIBILITY AND INTEGRATION

Implant and frame-independent, Brainlab Elements planning software is compatible with the majority of existing arc and implant hardware. Brainlab Elements support procedures such as deep brain stimulation (DBS), biopsies or sEEG with state-of-the-art stereotactic planning. With Airo Mobile CT, imaging becomes available in the O.R., redefining stereotaxy workflows.

Exclusive partnerships with industry leaders provide a high degree of software integration.

Elekta, a leader in stereotactic neurosurgery has selected Brainlab as a distribution partner in several regions and promotes Brainlab Elements as its preferred planning software.

Boston Scientific, a leader in DBS implant systems, supplies electrodes represented in Brainlab Elements as three-dimensional templates for greater detail in the planning phase.

Brainlab Elements All Information in one Place

ALL RELEVANT INFORMATION IN ONE PLACE

Brainlab Elements are powerful and scalable software modules for planning of stereotactic surgery. The combination of the following Elements covers all aspects of stereotactic planning:

  • Elements Segmentation Basal Ganglia
  • Elements Fibertracking
  • Elements Stereotaxy
  • Elements Lead Localization

Performing together as one, segmented target structures, fiber tracts, as well as trajectories are conveniently displayed in every Elements software module for increased comfort and precision during stereotactic surgery planning.

Plans can be created, reviewed and adjusted, regardless of location and device.

Brainlab Elements unparalleled mapping of basal ganglia region

UNPARALLELED MAPPING OF BASAL GANGLIA REGION

Unique to Brainlab, patient-specific anatomical mapping automatically creates 3D objects including critical structures of the basal ganglia region.

A synthetic tissue model is applied to classify brain tissues and to detect abnormalities or asymmetries. Overcoming limitations of traditional atlas technology, tissue-based automatic segmentation results in highly individualized patient datasets for reliable extraction of relevant deep brain stimulation target structures.

Brainlab Elements refining postoperative workflow steps

REFINING POSTOPERATIVE WORKFLOW STEPS

Advance quality control right after surgery with a reality check. Based on post-operative CT scans, Elements Lead Localization automatically detects the actual deep brain stimulation implant.

Visualizing detected implants, including their electrode contacts’ orientation in relation to fibertracts and targeted structures, facilitates a more comprehensive and seamless handover of information to neurologists.

With this information, time needed for testing and programming by neurologists may be decreased, also reducing unpleasant procedure time for patients.

Want to learn more or request a demo of Elements Stereotaxy? Contact Us.

Offering

Brainlab Elements Stereotaxy

BASIC MODULE – ELEMENTS STEREOTAXY

Elements Stereotaxy consolidates fibers and atlas objects for more detailed trajectory planning and frame coordinates. Localization of MR or CT images and arc coordinate calculation is available for a variety of stereotactic frame systems.

  • Case-specific 3D trajectory visualization for deep brain stimulation, sEEG or biopsy
  • Intuitive AC/PC definition supports traditional target planning
  • Personalized trajectory templates can be saved
  • Compatible with new Leksell® VantageTM Stereotactic System from Elekta

ADVANCED MODULE – ELEMENTS SEGMENTATION BASAL GANGLIA

Elements Segmentation automatically contours 16 anatomical structures of the basal ganglia region, including Subthalamic Nucleus (STN), Globus Pallidus Internal (GPI), Ventral Intermediate (VIM) Nucleus. Based on MR data, this patient-specific atlas provides a detailed map for planning of stereotactic surgery procedures such as deep brain stimulation.

  • Patented Synthetic Tissue Model enables thorough anatomical mapping
  • Efficient and consistent automation of time-consuming contouring process
  • Intuitive review and editing tools
  • Individual segmentation possible in abnormal and asymmetric brains
Brainlab Elements Fibertracking

ADVANCED MODULE – ELEMENTS FIBERTRACKING

Elements Fibertracking processes and visualizes DTI data to enable preservation of vital functions in eloquent white matter structures. Incorporated into the Elements for Stereotaxy workflow, segmented atlas objects like the VIM can be used as a seed point.

  • Region-of-interest tracking based on automatically segmented or manually contoured objects
  • Dynamic live tracking in 2D, 3D and Brain Projection views
  • Possibility to adjust Fractional Anisotropy value, maximum fiber angulation and length
  • Ideal in combination with Elements Cranial Distortion Correction, providing more accurate datasets through deformable co-registrations
Brainlab Elements Lead Localization

ADVANCED MODULE – ELEMENTS LEAD LOCALIZATION

Elements Lead Localization extends software support in functional neurosurgery beyond preoperative planning. Deep brain stimulation leads from any manufacturer are automatically detected in postoperative CT scans with their contacts visualized in relation to the patient’s anatomy.

  • Advance quality control right after stereotactic surgery with a reality check
  • Easy comparison of planned lead templates in 3D with actual lead positions
  • Unique orientation adjustment and full 3D lead model of directional Boston Scientific DBS leads
  • Facilitates seamless handover to neurologists and programming time reduction
Brainlab Deep Brain Stimulation System

PARTNERSHIP WITH BOSTON SCIENTIFIC

In place since 2015, a strategic collaboration with Boston Scientific Corporation provides patients and physicians with a comprehensive portfolio for deep brain stimulation therapy – a therapy intended to treat a variety of disorders, including Parkinson’s disease.

Boston Scientific distributes the Brainlab Elements planning portfolio with the Boston Scientific Vercise™ Deep Brain Stimulation family of systems in selected countries, offering physicians advanced device technology with sophisticated software capabilities.

Elekta Stereotactic Solutions

DISTRIBUTION OF ELEKTA PRODUCTS

Together Elekta and Brainlab ensure the continuous evolution of interoperability and safety of Leksell Stereotactic Systems and Elements Stereotaxy software. The integrated use of established hardware with powerful software is designed to assure safety in stereotactic neurosurgical procedures.

In 2017, Brainlab became the authorized distributor of Elekta’s stereotactic solutions for neurosurgery, including Vantage, in selected markets in Europe (Belgium, France, Italy, Liechtenstein, Luxembourg, Poland, Portugal, Spain, Switzerland) and exclusively in the United States.

This partnership with the leading manufacturer of stereotactic frames and accessories enables Brainlab to offer solutions for all stages of stereotactic procedures, from planning to surgery. For more information please visit: www.brainlab.com/elekta

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