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Functional Neurosurgery Planning Solutions

Precision & Control
for Accurate
Trajectory Planning

Get in touch

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Functional Neurosurgery Planning Solutions

Precision & Control for Accurate Trajectory Planning

Get in touch

Brainlab Functional Neurosurgery planning solutions are comprised of advanced, research-grade software applications and networked hardware solutions that offer the precision and control needed for highly accurate and convenient trajectory planning.

Precision & user control

From the high accuracy of image fusion to the ability to fully customize lead implant geometry from all major manufacturers, Brainlab Elements allows users to see their surgical plans and benefit from precision and control.

Advanced, flexible software

Supporting stereotaxy use cases, such as DBS, sEEG and biopsies, Brainlab Elements integrates into the surgeon’s delivery platform of choice, offering a fully customizable solution for any suitable O.R. With built-in time-saving automation at every step, Elements provides a user-focused and intuitive experience for both straightforward and complex clinical cases.

Patient-specific planning
Every patient is different, and surgical workflows should reflect that. With advanced segmentation tools and white matter tractography as well as cutting-edge rendering and visualization to aid interpretation, Elements enable users to look into the patient’s unique anatomy to facilitate the most patient-specific planning.

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Accuracy in image fusion

Take full control of co-registration with Elements Image Fusion and Elements Distortion Correction Cranial.

This application returns fast, automatic, accurate co-registration between image modalities. It further enables users to co-register by regions of interest and customized fusion order selection.

In parallel, users can access Elements Distortion Correction Cranial for the correction of MRI distortion with powerful elastic fusion software, which can significantly improve the accuracy of tractography.

Patient anatomy segmentation

Let patient-specific segmentation power the entire workflow with Elements Segmentation Basal Ganglia, Elements Segmentation Cranial and Elements Object Management1.

This application automatically generates accurate and patient-specific anatomy. By factoring in multiple datasets from each individual patient and leveraging the voxel-based tissue classification feature from the Brainlab Universal Atlas, users can account for variability, asymmetry and anomalies in patient anatomy.

Users can also apply fine adjustment to the segmented anatomy through powerful tools like the SmartShaper TM.

After user validation, anatomical objects can be used as input for clinical targeting, DTI fibertracking, image-guided programming and more.


White matter tracts can either be a target region or regions to be avoided during functional neurosurgery procedures.

Elements Fibertracking enables the creation of patient fiber streamlines from DTI studies, which can be visualized in 3D and used to guide trajectory planning.

Utilizing a dual-tensor algorithm and advanced post-processing, this application increases the reliability and reproducibility of white matter tracking. Built-in and user-customizable templates also allow for the automated and consistent creation of fiber tracts across patients.

Trajectory planning

Bring it together – add Elements Trajectory Planning Cranial and Elements Stereotaxy for a customizable planning solution.

Whether you plan targets based on consensus coordinates, direct anatomical observation or patient anatomy segmentation and fibertracking, this application empowers users through advanced 2D and 3D visualization, flexible 3D lead and electrode modeling as well as intuitive measurement tools.

Post-operative accuracy verification

Gain intra- and post-operative feedback on lead and electrode contact positioning through automatic lead detection with Elements Lead Localization.

This application automatically identifies the implant position in a postoperative CT scan and allows the overlay of implants on patient anatomy. For users of Boston Scientific Cartesia TM Directional Leads, it automatically estimates the lead orientation.

Experience more Brainlab solutions

  • Loop-X

    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 Viewer

    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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Data and planning access anywhere, anytime

The server-based software environment ties directly into the hospital PACS and Information Services systems.

Clinical Affairs

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Access our engaging and informative webinars

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Read clinical papers about solutions for trajectory planning with Elements

Elements Fibertracking

Feltrin et al. 2022

The study presents a novel method for DTI-based direct targeting using Brainlab Elements in conjunction with the ExAblate MRgFUS system.

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Elements Object Management

Reinacher et al. 2019

Investigates the feasibility of automatic STN segmentation with Brainlab Elements Segmentation Basal Ganglia for patient-specific planning and visualization in DBS.

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Clinical Literature Library

Scientific validation of Functional Neurosurgery solutions

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

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Additional resources

Functional Neurosurgery Webinar #1

Improving Workflow Efficiency with Modern Technology

Emile Simon, MD, Lyon and Peter Reinacher, MD, Freiburg, share first-hand experiences using Elements Stereotaxy for preoperative, intraoperative and postoperative surgical planning and programming.

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Functional Neurosurgery Webinar #2

Image Guided Planning & Referral Network Improvement

Jibril Farah, MD, and Harith Akram, MD, PhD, share their knowledge and experiences with using Elements Stereotaxy for the targeting and visualization of the basal ganglia region for Deep Brain Stimulation and also MRI-Guided Focused Ultrasound.

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