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ExacTrac Dynamic

Precision Patient Monitoring for Radiotherapy

Precision Patient Monitoring for Radiotherapy

Precision Patient Monitoring for Radiotherapy

Discover more

Achieve submillimetric radiotherapy positioning & monitoring accuracy

Achieve submillimetric radiotherapy positioning & monitoring accuracy

ExacTrac Dynamic unifies the power and precision of cutting-edge tracking technologies. Deliver high-precision treatments for a wide range of patient positioning and monitoring workflows including cranial and prostate. This all-in-one system’s revolutionary new thermal-surface camera technology works in tandem with real-time X-Ray tracking for extraordinary accuracy.

Merging surface & X-Ray tracking

Surface tracking with ExacTrac 4D Thermal Camera
Thermal surface tracking

The 4D Thermal Camera creates a highly accurate and reliable hybrid thermal surface by correlating the patient’s heat signature to their reconstructed 3D surface structure. To achieve this, 300,000 3D surface points are acquired and matched to the heat signal generated by the thermal camera, creating another dimension to track their position.

Advanced X-Ray monitoring*

Larger panels show more anatomy for easier orientation and interpretation of X-Ray images. At the same time, improved soft tissue contrast and enhanced read-out speed prevent motion blurring effects. Thanks to higher heat capacity, ExacTrac Dynamic X-Ray tubes support more automated, high frequency imaging.

Advanced X-Ray monitoring with ExacTrac Dynamic

Integration for greater automation*

Deep integration with Elekta Versa HD™ in combination with Hexapod™ and Varian Edge™ or TrueBeam™ with Perfect Pitch™ enable automated beam hold—repositioning and restarting treatment—from the linac console. Based on the indication, protocol or patient, X-Rays can be automatically or manually triggered for greater freedom.


Cranial 4Pi Immobilization

Completely revamped, ExacTrac Dynamic immobilization is now a straightforward, all-in-one solution. The new dose optimized and user-friendly design is compatible with several available couch tops.


Function-focused user interface

The customizable, user-centric user interface brings function to the forefront. Automated workflows with preset indication-specific templates drive standardization of treatments throughout the department or even across multiple locations.

Advanced image fusion*

Larger and higher quality X-Rays are matched on the software side with extended DRRs for better visualization of and easier orientation within the patient anatomy. Convenient fusion tools such as the rubber band snap back fusion functionality further simplify the verification process.

Deep linac integration

Deep integration with high-end linear accelerators enables not only automated patient loading but also automated beam-hold based on preset surface and X-Ray tolerances. The same deep level of integration allows for the automated triggering of X-Rays based on predefined gantry angles or MU intervals.

Non-coplanar monitoring

ExacTrac Dynamic continuously verifies the patient’s initial position with X-Ray imaging throughout treatment delivery. Even at non-coplanar couch angles and during beam-on, the system can detect potential patient misalignment helping to mitigate treatment errors.


Multiple indications — one ExacTrac Dynamic

ExacTrac Dynamic addresses a wide range of clinical challenges and treats indications that previously required multiple systems. Submillimetric surface-thermal and X-Ray tracking enable PTV margin reduction, providing true dose sparing for critical structures.

Contact Brainlab

Contact Brainlab

Additional information

*Compared to ExacTrac 6.5 or 6.2
**Commercial availability pending