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Cranial vascular workflow

Frameless Registration of
Multiple 2D DSA
and 3D Datasets

Cranial vascular workflow

Frameless Registration of Multiple 2D DSA and 3D Datasets

Treat your cranial vascular patients to less invasive imaging

The Elements Angio workflow offers quick and comprehensive fusion of 2D vessel imaging with 3D volumetric data, all without the need for an additional frame-based angiography procedure. This unique suite of applications helps to create the intracranial structures to prepare for SRS treatments where the correct detection and segmentation of the target object is challenging.

Preparing for cranial vascular planning

The cranial vascular workflow is a modular software suite to create and flexibly process treatment plans for neurovascular procedures. It also eliminates the need for a localizer frame, saving you and the patient time.

Software screenshot demonstrating the unique co-registration of 2D DSA to 3D data for planning cranial vascular radiotherapy treatments.

Unique co-registration of 2D DSA to 3D data

Elements Image Fusion Angio uniquely fuses multiple 3D volumetric imaging data like CTA or MRA. By utilizing multiple DSA acquisitions, it accounts for outlining from different perspectives. The selection of various regions of interest support co-registration.

Advantageous by the usage of diagnostic imaging data

Being able to use diagnostic angiography data is advantageous since it eliminates the need to repeat this time-consuming, invasive procedure with a localizer frame.

Software screenshot of an arteriovenous malformation of the brain as shown through brain scans on Brainlab Elements Angio software.
Software screenshot of Brainlab Elements SmartBrush software which outlines intracranial vascular structures with side-by-side outlining on 2D DSA images and fuse 3D imaging data.

Quick and easy interactive 3D contouring

Elements SmartBrush quickly and comprehensively outlines intracranial vascular structures with side-by-side outlining on 2D DSA images and fused 3D imaging data. Color intensity projections help to better visualize different phases of the contrast flow.

Versatile use cases

Elements SmartBrush also supports the creation of multiple vascular structures with dedicated view layouts selecting various fused 2D DSA pairs. These can be further used for staging and follow-up.

Software screenshot of Brainlab Elements Angio for a variety of use cases in cranial vascular radiotherapy treatment planning.

Planning with dedicated VMAT application

After creating the target volume object, Elements Cranial SRS is the next seamless step in the workflow for intracranial SRS treatment planning. Connectivity with DICOM RT interfaces enables export to other treatment planning solutions.

Explore more about the cranial vascular workflow

Clinical paper

Dabus et al. 2021

Read more about the analysis of potential time-saving in brain arteriovenous malformation stereotactic radiosurgery planning using a new software platform.

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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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Frameless radiosurgery for arteriovenous malformations

Experts from Thomas Jefferson University Hospitals, Wenyin Shi, MD, PhD, Pascal Jabbour, MD and Haisong Liu, PhD, present the unique clinical treatment of arteriovenous malformations using advanced radiation techniques. In addition to the clinical case review, they discuss frameless vs. frame-based SRS and more as they share their experiences from the perspectives of a neurosurgeon, radiation oncologist and medical physicist.

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