Spine Metastases WorkflowSpare the spinal cord
with steep dose falloff

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 the Brainlab internal tissue classification to account for rigidity and deformability of different tissue types which is then used to highlight and correct deviations in spinal curvatures.

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. Easy metal implant contouring and the use of material-specific electron density enable highly accurate Pencil Beam and Monte Carlo dose calculation¹. This software fundamentally streamlines extracranial treatment planning and supports standardization.

The fused and segmented image can now be used as the basis of spine metastases delineation. Elements SmartBrush Spine SRS provides spinal tumor outlining tools for GTV contouring and automatically proposes the corresponding CTV and the cropped spinal canal object based on International Consortium Guidelines.

Extracranial organs at risk can be easily segmented based on the seamless integration of AI contouring solutions powered by Therapanacea, that offer 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.