Elements Solutions for Cranial Functional SRSTarget and plan functional cases with confidence

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Elements Solutions for Cranial Functional SRS is specifically designed for cases where achieving the utmost precision is essential, such as trigeminal neuralgia and essential tremor.

This workflow incorporates intelligent software applications that enrich anatomical images for precise target definition, and Cranial SRS w/ Cones is used to generate plans with steep dose gradients that preserve neurological function.

Increase target placement accuracy

Our signature combination of state-of-the-art stereotactic coordinates, basal ganglia segmentation and fiber tracking enables precise target definition for complex cranial functional treatment. This offers an accurate and effective solution for functional SRS cases.

Verify target placement with Elements Fibertracking

Integrate Elements Fibertracking seamlessly into your functional radiosurgery workflow for individual patient target confirmation. The software features customizable templates that streamline the consistent creation of fiber tracts across diverse patient cases, utilizing both deterministic and probabilistic tracking methods¹.

Treat functional indications safely with SRS

High precision in treatment planning, patient positioning and monitoring is essential for high-dose functional SRS treatments. ExacTrac Dynamic plays a critical role in achieving submillimetric accuracy—ensuring precise dose delivery to the planned target while minimizing exposure to healthy tissue.

“The distortion correction algorithms in the Brainlab Elements appear to be superior to anything we have used in the past. DTI sequences are highly susceptible to artifacts and distortion, but the Brainlab software allows us to resolve this, and to really clean up the fiber tracts […]. We have validated that this is a unique and highly useful tool for improving targeting in stereotactic thalamotomy.”

Christopher Loiselle², MD, Swedish Radiosurgery Center, Seattle, WA

Elements Solutions for Cranial Functional SRS in action

Interested in how our intelligent software apps can increase your targeting accuracy?

Preparing for functional planning

We’ve built automation into every step of the pre-planning workflow: image fusion, distortion correction, organ at risk and basal ganglia region segmentation, fiber tracking and trajectory planning.

Correction of fused images

Elements Distortion Correction Cranial, developed exclusively for cranial cases, mitigates patient-specific distortions by applying a deformable registration that respects the anatomical ground truth. This is essential in Diffusion Tensor Imaging (DTI) or Diffusion Weighted Imaging (DWI) scans used for fiber tracking, as these are highly susceptible to patient-specific geometric distortions.

3D outlining of basal ganglia region

Unique to Brainlab, patient-specific anatomical mapping automatically creates 3D objects including critical structures of the basal ganglia region. Elements Segmentation overcomes the limitations of traditional atlas technology using a synthetic tissue model to classify brain tissues. This tissue-based automatic segmentation results in a highly individualized approach for reliable definition of target structures and organs at risk (OARs).

Individual patient target confirmation with fiber tracking

Elements Fibertracking processes patient-specific DTI/DWI data to enrich anatomical images with detailed information about patient fibers. Defining white matter tracts enables verification of atlas-generated structures of the basal ganglia region for individual patient target confirmation.

Approach planning with all relevant data

Elements Trajectory Planning supports a well-informed, single-step approach to planning—enabling you to verify the congruency of all targeting methods using AC-PC coordinates for target confirmation.

Master accurate target placement in functional indications

Creating the dose plan with Elements Cranial SRS w/Cones

Elements Cranial SRS w/Cones allows you to move on to planning once pre-planning is complete.

Accurate target placement

Elements Cranial SRS w/Cones facilitates accurate target placement by leveraging anatomical images with detailed information about fiber tracking, trajectories and critical structures.

Optimized arc placement

Once the target is placed, our patented 4Pi algorithm optimizes arc placement, arc span, and table position to maximize organ-at-risk sparing.

Display of fiber tracts in planning

Integrated fiber tracking supports optimal target placement and verification alongside segmented anatomical structures.

Arc plane view

With our specific arc plane view, you’re able to optimize gantry angles to further reduce dose to the OARs and shape the dose distribution.

Related Information

Demand the best for cases that require the utmost precision

Not yet commercially available in all countries. Please contact your sales representative for further information.
Source: Methods to Improve Target Delineation and Reduce Intra and Inter User Variability for Essential Tremor Treatments