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Cranial functional workflow

Automate Planning for Cases
that Demand Steep Dose Gradients

Cranial functional workflow

Automate Planning for Cases that Demand Steep Dose Gradients

Plan your functional indications with dedicated and effective workflows

Elements Cranial functional workflow is dedicated to treatment planning for indications that require the highest precision, like trigeminal neuralgia and essential tremor. This workflow, which involves several intelligent software applications, utilizes conical collimators to generate plans with steep dose gradients that preserve neurological function.

Preparing for functional planning

We’ve built automation into every step of the pre-planning workflow: distortion correction, object segmentation including the basal ganglia, fibertracking, image fusion and trajectory planning.

Correction of fused images

Elements Distortion Correction corrects patient-specific distortions by applying deformable registration exclusively to the brain, respecting the anatomical ground truth.

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

Software screen showing a brain in black and white and the brain's fiber tracts in color to assist with the planning of radiotherapy treatments.

Enriching images with fibertracking

By processing patient-specific diffusion tensor imaging with Elements Fibertracking, now more than ever, you are able to enrich anatomical images with detailed information about white matter structures to preserve vital functions. This application processes and visualizes Diffusion Tensor Imaging (DTI) data to advance functional treatment planning.

Approach planning with all relevant data

Elements Trajectory Planning supports well-informed approach planning all in one place. This tool enables you to plan multiple trajectories for neurosurgical approaches comprised of relevant data such as target structure, segmented objects and fiber tracts.

Creating the Elements Cranial SRS w/ Cones dose plan

With pre-planning complete, planning can continue with Elements Cranial SRS w/ Cones.

Accurate target placement

With all the information about different datasets, fibertracking, trajectories and critical structures, highly accurate target placement can be facilitated.

Optimized arc placement

After successful target placement, the patented 4Pi algorithm optimizes arc placement, span and table position to best spare the organs at risk.

Software screen showing arc placement optimization during radiotherapy treatment planning which is intended to spare organs at risk from radiation

Display of fiber tracts in planning

Integrated fiber tracking enables optimal target placement and verification in addition to the segmented structures.

Software screen of Fibertracking software showing a brain scan in black and white and fiber tracts in color used to optimize radiotherapy treatment planning.

Arc plane view

Includes a specific arc plane view to optimize gantry angles to further reduce dose to the OARs and shape the dose distribution.

Views of different planes of a brain within a cranial radiotherapy plan showing different angles and elements of treatment.

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Stereotactic Planning & Surgery Refined
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Discover more about the cranial functional workflow

Clinical paper

Khattab et al. 2021

Read more about noninvasive thalamotomy for refractory tremor by frameless radiosurgery.

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Clinical literature library

Advancing medical technology through scientific evidence

Brainlab Clinical Affairs conducts advanced research and gathers scientific evidence to help create safe, efficient, cost-effective medical technology.

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Safe Neuroablation Via Advanced Image Processing Tools

Nader Pouratian, MD, from UCLA Health Neurosurgery and Mohamed Khattab, MD, from Vanderbilt University Medical Center present patient selection criteria, prescription selection and requirements for safe radiosurgical treatments, the value of SRS for essential tremor and much more.

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