Key Visual: Elements Multiple Brain Metastases Workflow

Multiple Brain Metastases WorkflowManage multiple
brain metastases
quickly & efficiently
with SRS

Treat your patients to less time per treatment

Reduce your treatment delivery times by irradiating multiple brain metastases simultaneously without treating the whole brain. This pre-planning and planning workflow, comprised of an array of automation-supported software applications, addresses specific clinical challenges at each stage of the planning process. The Multiple Brain Mets Workflow allows you to create single isocenter plans in minutes, guaranteeing target coverage while offering excellent conformity and steep dose gradients.

Demo Elements Multiple Brain Mets SRS in three minutes

Preparing for multiple brain metastases planning

Automation is a part of each step of our pre-planning workflow, which includes image fusion, distortion correction, object outlining and segmentation. Expedite your planning and treatment times with these fast and reliable tools.

Rigid and deformable co-registration

Elements Distortion Correction applies a deformable registration exclusively for the cranium to correct patient-specific distortions by the MR scanner while respecting the anatomical ground truth.

Organ-at-risk segmentation

Elements Anatomical Mapping automates the time-consuming process of contouring organs at risk by efficiently, consistently and accurately registering datasets to a synthetic full-body tissue model including more than 100 cranial structures.

Screenshot of Elements Anatomical Mapping: organ-at-risk segmentation

3D target outlining

Elements SmartBrush defines volumes on just two slices and supports your planning with quick and interactive outlining of tumors and other relevant structures incorporating multiple modalities. Delineate the object on just two slices, the volume is automatically generated and respective reports can be created.

Screenshot: Enhanced Target Definition in Radiosurgery with Elements

Creating the dose plan with Elements Multiple Brain Mets SRS

With pre-planning complete, you can now move to dose planning with Elements Multiple Brain Mets SRS. This software is designed for speed and consistency not only during delivery but also planning. Filled with features to help expedite planning for single isocenter multiple target treatments, the software optimizes and automates several steps of the workflow to help you create a high-quality radiosurgery plan in minutes.

Inverse optimized dynamic conformal arc treatments

Inverse optimized dynamic conformal arc treatments

Inversely calculated DCA apertures enables optimized gradient index and conformity index while fulfilling all constraints and PTV coverage. The optimization of the conformity index (CI) and gradient index (GI) eliminates the need for any optimization structures in planning.

Screenshot: Elements Multiple Brain Mets SRS - Inverse optimized dynamic conformal arc treatment

Standardized margins

Inverse optimized dynamic conformal arc treatments

Inversely calculated DCA apertures enables optimized gradient index and conformity index while fulfilling all constraints and PTV coverage. The optimization of the conformity index (CI) and gradient index (GI) eliminates the need for any optimization structures in planning.

Screenshot: Elements Multiple Brain Mets SRS - Inverse optimized dynamic conformal arc treatment

Simplified plan analysis

Inverse optimized dynamic conformal arc treatments

Inversely calculated DCA apertures enables optimized gradient index and conformity index while fulfilling all constraints and PTV coverage. The optimization of the conformity index (CI) and gradient index (GI) eliminates the need for any optimization structures in planning.

Screenshot: Elements Multiple Brain Mets SRS - Inverse optimized dynamic conformal arc treatment

Optimizing planning outcome

Inverse optimized dynamic conformal arc treatments

Inversely calculated DCA apertures enables optimized gradient index and conformity index while fulfilling all constraints and PTV coverage. The optimization of the conformity index (CI) and gradient index (GI) eliminates the need for any optimization structures in planning.

Screenshot: Elements Multiple Brain Mets SRS - Inverse optimized dynamic conformal arc treatment

3D dose visualizations

Inverse optimized dynamic conformal arc treatments

Inversely calculated DCA apertures enables optimized gradient index and conformity index while fulfilling all constraints and PTV coverage. The optimization of the conformity index (CI) and gradient index (GI) eliminates the need for any optimization structures in planning.

Screenshot: Elements Multiple Brain Mets SRS - Inverse optimized dynamic conformal arc treatment

Highly precise beam modeling and dose calculation

Inverse optimized dynamic conformal arc treatments

Inversely calculated DCA apertures enables optimized gradient index and conformity index while fulfilling all constraints and PTV coverage. The optimization of the conformity index (CI) and gradient index (GI) eliminates the need for any optimization structures in planning.

Screenshot: Elements Multiple Brain Mets SRS - Inverse optimized dynamic conformal arc treatment

Retreatment Review ¹

Comprehensive presentation of all previously delivered treatments in one place

Elements Retreatment Review gives physicians an overview of all treatments as well as the current patient status. This software supports the follow-up and decision-making process for multiple brain metastases patients and easily facilitates retreatment planning.

Overview

Color-coded display of previous and new targets, dose overlay of all previously delivered doses including weighting options for potential cell repair, DVH display and automatic calculation of all Max OAR doses.

Automatic alignment of all previous treatment information created in Elements or third party systems.

Retreatment Review with Elements: Automatic alignment of all previous treatment data

Learn more about our related products

Key Visual: Elements Contrast Clearance Analysis

Contrast Clearance Analysis
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ExacTrac Dynamic
Precision Patient Monitoring for Radiotherapy

Explore more about the multiple brain metastases workflow

Teaser Image - Clinical Literature Library

Clinical paper
Chea et al. 2021

Read more about the dosimetric study between a single isocenter dynamic conformal arc therapy technique and gamma knife radiosurgery for multiple brain metastases treatment: impact of target volume geometrical characteristics.

Clinical literature library
Advancing medical technology through scientific evidence

Brainlab Clinical Affairs conducts advanced research and gathers scientific evidence to help create safe, efficient, cost-effective medical technology.

Brainlab Novalis Circle key visual

Webinar
Paradigm Shift in Management of Intracranial Metastases: A Review of the Kaiser Series Utilizing Elements Multiple Brain Mets SRS

The two experts Michael R. Girvigian, MD and Javad Rahimian, Ph.D. discuss clinical workflows for Elements Multiple Brain Mets SRS and Contrast Clearance Analysis, specific treatment plans, case and quality assurance examples, as well as clinical outcomes and more.

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