Spine metastases workflow
Spare the Spinal Cord
with Steep Dose Falloff
Spine metastases workflow
Spare the Spinal Cord with Steep Dose Falloff
Opt for automation to support spinal cord sparing
This fully automated workflow is optimized for the treatment of spinal metastases and produces very steep dose falloff between the target and the spinal cord. The workflow ensures enhanced spinal cord sparing and offers automatic contouring in-line with the International Spine Consortium Guidelines.
Demo Spine SRS in three minutes
Preparing for spine metastases 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 spine curvature variations
Variations in the position of the patient in different scans can prevent accurate image fusion. The unique algorithm of Elements Spine Curvature Correction combines information from Brainlab anatomical atlas to account for rigidity and deformability of different tissue types which is then used to highlight and correct deviations in spinal curvatures.
Accurately segmenting spinal anatomy
Curvature corrected, fused images are essential to establishing a solid foundation for segmentation. Automatic segmentation of spinal anatomy with Elements Anatomical Mapping uses our patented synthetic tissue model to identify and label the individual levels of the spine. This software fundamentally streamlines extracranial treatment planning and serves standardization.
Delineating spine metastases
The fused and segmented image can now be used as the basis of spine metastases delineation. Elements SmartBrush generates GTV and CTV expansion and creates the cropped spinal canal object, all based on International Spine Consensus Guidelines.
Creating the dose plan with Spine SRS
Spine SRS software is fully automated and optimized for the creation of high quality spine metastases dose plans.
High-quality VMAT planning designed for spine radiosurgery
This automatic spinal VMAT algorithm can achieve superior plans in terms of gradient index for better dose fall-off, conformity index and spinal cord sparing.
Highly precise beam modelling 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.
Dose evaluation in 3D
Customized views enable the evaluation of steep dose gradients for the spinal cord interface and decreased dose to the spinal cord.
Learn more about our related products
Explore more about the spine metastases workflow
Clinical paper
Trager et al. 2020
Read more about the evaluation of elements spine SRS plan quality for SRS and SBRT treatment of spine metastases.
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Clinical literature library
Advancing medical technology through scientific evidence
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Webinar
Separation Surgery + Radiosurgery for Spine Metastasis Patient
Luke Macyszyn, MD, MA, Tania B. Kaprealian, MD, MBA, and Nzhde Agazaryan, PhD, DABR, FAAPM from UCLA Medical Center, Los Angeles, California present their experiences of clinical treatment of metastatic spine disease using a novel surgical approach and radiation techniques. They discuss the unique perspectives from the Surgeon, Radiation Oncologist and Medical Physicist and review the options of multidisciplinary treatment planning and more.
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