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ExacTrac DynamicPrecision patient monitoring for SRS and SBRT

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Unified efficiency and precision. ExacTrac Dynamic combines signature Brainlab surface and image guidance technologies in one highly integrated system. Deliver highly accurate treatments for a wide range of indications including cranial, spine, breast, prostate and lung. Deep integration with leading linear accelerators enables efficient and safe treatment delivery.  

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Deliver SRS and SBRT with submillimetric accuracy

Leverage the full benefits of both surface guided radiation therapy (SGRT) and image guided radiation therapy (IGRT) in a single, integrated system. By correlating thermal-surface data with internal anatomy information, ExacTrac Dynamic ensures that every treatment is delivered precisely as planned, from start to finish. 

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Position and monitor from head to toe

The system delivers unmatched versatility and workflows for stereotactic radiosurgery (SRS), stereotactic body radiation therapy (SBRT) and conventional radiotherapy, enhancing treatments of cranial, spine, prostate, breast and lung indications. 

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Benefit from deep integration with Varian and Elekta linacs

ExacTrac Dynamic is deeply integrated with both Varian and Elekta linear accelerators. This includes the automatic beam hold function and correction of translations and rotations at any couch angle to enable safe treatment delivery. 

Unlock insights on ExacTrac Dynamic

Check out our latest clinical talk, SBRT Workflow Game Changers with ExacTrac Dynamic.

Keeping treatment on track, from start to finish

Advanced x-ray monitoring

The room-based setup of the x-ray components enables internal anatomy-based positioning and monitoring, independent of the position of the couch. ExacTrac Dynamic imaging hardware has been specifically designed to address the challenges associated with motion management: 

  • The x-ray tubes perform synchronized stereoscopic and low-dose internal anatomy imaging to provide clear visualization of the target area. 

  • With a field of view of 18 x 18 cm at the isocenter, our flat panel detectors capture the anatomy required for automatic fusion and enable simple interpretation of x-ray images. 

Thermal surface tracking 

The 4D Thermal Camera ensures a constant view of the patient that is never occluded by the linac gantry. A hybrid thermal surface image is generated through correlation of the patient’s heat signature to their reconstructed 3D surface anatomy. Pre-position your patients without tattoos and then consistently track both small and large areas throughout treatment. 
 

  1. High definition structured light projector 

  2. Stereoscopic low latency data cameras (20 frames per second) 

  3. Integrated thermal camera  

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Fast track your patient positioning technology with us.

Amplify the impact of your linear accelerators

Deep integration with both Varian and Elekta linacs enables efficient and safe treatment delivery from initial setup to delivery of the final gray. ExacTrac Dynamic monitors patient position with continuous thermal-surface tracking and frequent x-ray imaging. When deviations are detected, an instant automatic beam hold is triggered to avoid irradiation of healthy tissue and allows you to reposition the patient in six degrees of freedom (6 DoF). Based on the indication, protocol or patient, x-rays can be automatically or manually triggered for greater freedom.  

Integration with Varian

ExacTrac Dynamic is strongly integrated with Varian TrueBeam® and Edge® systems using the TrueBeam 4 degrees of freedom (4DoF) couch and Perfect Pitch™ 6 DoF couch. Beam hold is enabled via integration with motion management interface (MMI). 

ExacTrac Dynamic x-ray tubes can be installed as an in-floor or on-floor solution.  

Integration with Elekta

ExacTrac Dynamic is fully integrated with Elekta Versa HD™ and Precise Table™ in 4DoF and Hexapod™ in 6DoF. ExacTrac Dynamic enables beam hold via integration with the response gating interface. Our x-ray tubes are installed as an in-floor solution. 

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ExacTrac Dynamic clinical indications

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  1. The statements made by the clinician represent their personal opinion and experience. These statements may not be supported by scientific evidence or peer-reviewed research. For verified information about the device, please refer to the manufacturer's official documentation.