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Elements Solutions for Spine SRSTransforming management of spinal lesions

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Elements Solutions for Spine SRS is optimized for the treatment of spinal metastases, enabling precision at every level. Automatically generate CTV and OAR proposals aligned with International Spine Consortium Guidelines¹, and enhance spinal cord sparing with steep dose falloff between the target and the cord.

Correct curvature with accuracy using tissue-specific mapping

Outline the target on all available datasets—despite differences in patient positioning during scanning—by using a deformable co-registration built on anatomical mapping that distinguishes between deformable and non-deformable tissues. The algorithm automatically identifies and corrects spinal curvatures while preserving vertebral integrity, ensuring accurate and personalized image co-registration.

Enhance consistency in target volume definition

Reduce intra-user variability with automation-supported delineation of target volumes and organs at risk (OARs). This streamlined process, aligned with International Spine Consortium Guidelines¹, promotes consistent, high-quality plans and saves time during contouring.

Treat your spine patients with confidence

Generate high-quality VMAT plans with respect to gradient index, conformity index and spinal cord sparing with Elements Spine SRS. Benefit from ExacTrac Dynamic to support high-precision patient positioning and continuous monitoring for safe and effective treatments.

Take spine radiosurgery to the next level

Elements Solutions for Spine SRS

Preparing for spine planning

We’ve built automation into every step of the pre-planning workflow, including anatomical mapping, curvature correction and target definition. Save time with fast and easy-to-use tools, add consistency and gain confidence from the submillimetric accuracy you’ll achieve along the way.

Compensating for spinal curvature variations

Variations in the position of the patient in different scans can prevent accurate image fusion. Elements Curvature Correction Spine uses a unique algorithm that combines information from Brainlab internal tissue classification. The software accounts for rigidity and deformability of different tissue types which is then used to highlight and correct deviations in spinal curvatures.

Screenshot: Elements Spine Curvature Correction - Compensating for spine curvature variations

Accurately segmenting spinal anatomy

Elements Anatomical Mapping is used to segment the spinal anatomy using our patented synthetic tissue model to identify and label the individual levels of the spine. Easy metal implant contouring and the use of material-specific electron density enable highly accurate dose calculation. This software fundamentally streamlines spinal treatment planning and supports standardization.

Delineating spinal metastases

The fused and segmented images can be used as the basis for target volume delineation. Elements SmartBrush Spine SRS provides spinal tumor outlining tools for gross tumor volume (GTV) definition, and automatically proposes the corresponding clinical target volume (CTV) and the cropped spinal canal object based on International Spine Consortium Guidelines¹.

Screenshot: Elements SmartBrush Spine SRS - Delineating spine metastases

AI-powered extra-cranial segmentation

Extracranial organs at risk can be easily segmented based on the seamless integration of AI contouring solutions powered by Therapanacea. This software offers automatic, reliable and fast delineation of more than 200 structures, including the lymph nodes. Following consensus guidelines for standardized and consistent contouring, these solutions enhance time management and inter-clinician variability, improving treatment plan efficiency.

Explore our advanced tools for spine radiosurgery planning

Creating a dose plan with Elements Spine SRS

Elements Spine SRS, our automation-supported treatment planning software, optimizes the creation of high-quality spine metastases dose plans.

High-quality VMAT plans designed for spine radiosurgery

Our automatic spine VMAT algorithm can achieve high-quality plans in terms of gradient index resulting in better dose fall-off, conformity index and spinal cord sparing.

Screenshot: Elements Spine SRS - High-quality VMAT planning designed for spine radiosurgery

Evaluating dose in 3D

Brainlab customized views enable you to evaluate steep dose gradients for spinal cord interface and dose to the spinal cord.

Highly precise beam modeling and dose calculation

By using Brainlab reference beam models, the measurements for the highly accurate Monte Carlo dose calculation algorithm are reduced by 90% for all TrueBeam® platforms with HD120™ or Millenium MLC with 6MV and 10MV, standard and FFF mode, as well as Elekta Versa HD™ (Agility™ MLC) with 6 MV and 10MV, standard and FFF mode.

Click on the link below to learn more about how the Brainlab reference beam models were developed and validated.

Get to know Elements Solutions for Spine SRS

Treat your spine patients with confidence using Elements and ExacTrac Dynamic®

Brainlab provides a complete end-to-end solution for spine SRS treatments. With our Elements software applications, you’ll generate high-quality plans in minutes, and perform highly accurate positioning and monitoring of patient anatomy during treatment with ExacTrac Dynamic.

Watch the video below to learn more.

Related Information

Your spine radiosurgery plan starts here

Cox BW et al. International Journal of Radiation Oncology Biology Physics. 2012;83(5):e597-e605