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Brainlab Functional Neurosurgery

Advanced Solutions for
Deep Brain Stimulation

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Brainlab Functional Neurosurgery

Advanced Solutions for Deep Brain Stimulation

Brainlab deep brain stimulation solutions are designed to help clinical teams throughout the entire patient treatment process. By providing advanced 3D visualization of patient anatomy, these software and hardware solutions support users in planning trajectories, supporting frame localization or third-party lead implantation systems, defining stimulation settings as well as intraoperative lead placement verification.
Patient-specific anatomical segmentation & fibertracking
Every patient is unique, so every surgical plan should be tailored to meet individual patient needs. Brainlab Elements Segmentation uses an advanced, voxel-by-voxel analysis of patient imaging data to generate and display accurate, patient-specific anatomical structures. Elements Fibertracking also offers built-in and user-customizable templates for the quick and easy creation of fiber tracts for each patient.
Customizable planning, automatic lead detection
Regardless of how a planning strategy is developed, Brainlab Elements applications adapt to user workflow preferences to ensure accuracy and precision at every step of the DBS workflow. Customized 3D lead geometry visualization, automated lead detection and directional lead orientation estimation with Boston Scientific Vercise Cartesia™ Directional leads also make it possible to identify the exact placement of DBS leads to support precise targeting and patient programming.
Frame courtesy of Elekta: Leksell® Vantage™ Stereotactic System
Seamless integration of diverse technologies into holistic solutions
The Brainlab functional neurosurgery portfolio is comprised of diverse technologies that, when combined, can seamlessly streamline clinical workflows. These solutions include robotic intraoperative imaging from Loop-X®, enhanced surgical planning review with the Mixed Reality Viewer and premium integration with the Boston Scientific DBS portfolio for the most advanced DBS workflow.
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Brainlab DBS workflow

Preoperative planning

Benefit from one integrated clinical software suite and utilize advanced planning features in a seamless, unified environment. Elements planning can also be brought into third-party DBS lead implantation systems with DICOM burned-in export.

Segment target and avoidance structures including fiber tracts.
Elements Object Management 1 and Elements Fibertracking
Model the chosen DBS lead for enhanced visualization of the planned lead in the context of patient’s anatomy.
Elements Stereotaxy and Elements Trajectory Planning Cranial.
One unified environment supports your DBS lead implantation method, utilizing built in frame-based stereotactic localization and STarFix™ Integration as well as DICOM burned-in transfer to third-party systems.
Elements Stereotaxy, Elements Trajectory Planning Cranial, Elements Import/Export.

Intraoperative guidance

Brainlab is setting a new standard in stereotactic image guided surgery with Loop-X, the first robotic mobile intraoperative 2D/3D imaging system.

When it comes to cone-beam computed tomography (CBCT) solutions, Loop-X has the largest bore size on the market, making it easy to test and monitor patients at any time before, during and after surgery. Due to its non-isocentric imaging, patients are always the focal point and do not need to be positioned at the center of the gantry.
Loop-X can acquire stereotactic frame localizer scans right at the intervention site, eliminating the need for the patient to be transferred to another room during functional neurosurgery procedures. In addition, the image quality and scan volume provided by Loop-X combined with Elements Stereotaxy enable users to perform accurate localization.
The advanced mobile imaging technology from Loop-X enables medical professionals to perform real-time accuracy checks by using 3D spins or 2D shots to view implanted leads and electrodes. The robotic functionality of Loop-X stores each imaging position which facilitates fast and automated re-acquisition of control images.
Frame courtesy of Elekta: Leksell® Vantage™ Stereotactic System
Frame courtesy of Elekta: Leksell® Vantage™ Stereotactic System
Frame courtesy of Elekta: Leksell® Vantage™ Stereotactic System

Postoperative image guided programming

Benefit from a streamlined preoperative and postoperative workflow.

See the DBS lead position in the context of the patient’s anatomy to support your patient programming. Elements Lead Localization automatically detects the DBS lead position and estimates the orientation of directional leads (orientation estimation is only available with Boston Scientific lead models) from postop CT.
Guide™ XT unlocks the full potential of Image Guided Programming by enabling the visualization of stimulation field models (SFMs) in the context of a patient’s anatomy. This can significantly reduce programming time, as stated by Lange et al. (2021) 2 by letting programming clinicians plan stimulation parameters before visiting the patient.
Clinicians can also bring the power of Brainlab Elements patient-specific visualization into the world of patient programming with Image Guided Programming and seamlessly bridge surgical workflows into image guided programming with Vercise Cartesia™ Directional leads.
The Brainlab Mixed Reality Viewer combined with the Magic Leap 2 3 spatial computing device provide 3D visualization of functional neurosurgery clinical plans and postoperative outcomes that include patient-specific anatomical objects and white matter tractography, 3D lead models and stimulation field models.

Learn more in our webinar,
“Image Guided Planning & Referral Network Improvement”

Related products

Planning Solutions

Our functional neurosurgery planning solutions are comprised of advanced, research-grade software applications and networked hardware solutions that offer the precision and control needed for accurate and convenient trajectory planning.

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Our mobile imaging robot, Loop-X®, is designed for intraoperative 2D and 3D imaging. Loop-X can provide stereotactic frame localization, intraoperative scans for lead placement verification, 2D shots for lead depth verification and Automatic Image Registration (AIR) scans for navigation.

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Mixed Reality

Our Mixed Reality Viewer provides an interactive 3D visualization of functional clinical plans that include patient-specific anatomical objects, 3D electrode geometry models and white matter tractography.

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Read clinical papers about Brainlab solutions for deep brain stimulation

Elements Fibertracking

Coenen et al. (2021)

Evaluates the 2-tensor deterministic approach in Elements Fibertracking with two state-of-the-art tracking approaches used in research: a probabilistic method (PT) and a global one (GT).

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Elements Guide™ XT

Lange et al. (2021)

Compares IGP using Guide™ XT with standard CBP in Parkinson’s disease patients with subthalamic nucleus directional DBS. It evaluates programming time, motor symptom control, stimulation side effects and power consumption.

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Clinical Literature Library

Scientific Knowledge and Evidence on DBS Workflows

Read more about the techniques, clinical utility and benefits of DBS planning and programming with Brainlab Elements.

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Not yet commercially available in several countries. Please contact your sales representative. 



Not yet commercially available in several countries. Please contact your sales representative.