Brainlab Elements offer interactive and semi-automated planning modules designed for and tailored to your patient’s needs, ensuring state-of-the-art planning for image guided cranial surgery.
Discover our comprehensive suite of planning tools designed for precision in neurosurgical procedures.
Elevate surgical precision before surgery even begins. Brainlab Elements for Cranial Planning provide you with state-of-the-art tools to potentially help you achieve safer tumor resections and increased accuracy. Infuse precision into each step of planning, from image fusion, distortion correction and segmentation to target outlining, fiber tracking and trajectory planning.
Access unparalleled flexibility and sophistication with this advanced, all-in-one planning suite. These seamlessly designed applications take the complexity out of planning in even the most complex cases. Through intelligent data selection, semi-automated processes and user-centric and intuitive workflows, you can experience time-saving automation at every stage.
Learn more about our technology from industry leaders
The significance of preoperative planning in cranial surgery
Francesco Latini, MD, PhD, University Hospital Uppsala, Sweden
Science that is making waves in the industry
Tailor-made for all your planning needs
Matter
that matters
Brainlab Elements Fibertracking brings research-grade probabilistic tractography1 into clinical practice
Learn moreState-of-the-art planning in one suite
Elements Viewer
Increase clinical workflow efficiency with Elements Viewer, providing 3D visualizations of patient datasets to support the clinical decision-making process.
- Fast and easy access to medical image data
- Quick and direct interaction with DICOM images
- Simplified user interface supporting multi-touch gestures
- Rapid learning curve with intuitive usability
- Advanced 3D Viewer supports procedures that require a high level of spatial anatomic orientation
Elements Image Fusion
Consider every angle with Elements Image Fusion. Dataset correlation brings the plan together for indispensable definition and contouring.
- Fully automated and highly accurate image fusion
- Mutual information algorithm for dataset correlation within seconds
- Region-of-interest definition for dataset correlation in areas with similar anatomy
- Multi-modal outlining side-by-side or as overlay
- Flexibility to contour on any dataset
Elements Distortion Correction Cranial
Compensate for distortions in MR datasets with deformable co-registration. Elements Distortion Correction Cranial creates datasets with more accurate co-registrations enabling high-precision contouring and tractography across modalities.
- Multi-modal deformable co-registration (MR–MR, MR–CT)
- Creation of an additional, deformed dataset while keeping original data
- Correction of diffusion tensor imaging (DTI) sequences to increase fiber tracking precision
- Visualization of location and magnitude of MR distortions
- Interactive comparison of rigid and distortion-corrected fusion results
Elements SmartBrush
Elevate surgical planning with Elements SmartBrush, a semi-automatic tool for fast and easy multi-modal outlining of cranial tumors. Intelligent computer-assisted object outlining deeply expands target definition, incorporating multiple modalities and exploiting multi-planar volume definition.
- Immediate and interactive target delineation
- Streamlined, multi-planar volume definition
- Smart contour expansion with a click of the mouse or touch of the finger
- Multi-modal outlining side-by-side or as overlay
- Performant machine learning technology potentially speeds-up planning1
- Potential reduction of inter-observer variability1
Elements Segmentation Cranial
Define the case from the start with fully automated, knowledge-based anatomical segmentation. Elemental to treatment planning, Elements Segmentation Cranial flexibly adapts to various anatomies and modalities and generates anatomical structures.
- Unique technology based on a patented synthetic tissue model
- Automatic segmentation of all relevant anatomical brain structures
- Efficient and consistent automation of time-consuming contouring process
- Intuitive, easy-to-use review and editing tools
Elements Fibertracking
Enrich anatomical images with detailed visualization about eloquent white matter structures to preserve vital functions. Elements Fibertracking revolutionizes the visualization and analysis of brain white matter pathways by means of constrained spherical deconvolution (CSD)-based1 analysis, potentially enhancing patient care. Switch between deterministic DTI- and probabilistic CSD-based tractography to see what’s critical for your specific case with Elements Fibertracking.
- Research-grade probabilistic tractography for clinical practice to identify multiple fiber directions and address crossing and fanning fibers, as well as fibers in edema region with ease1
- Intuitive user interface and instant updates assist with a seamless functional tumor workflow for patient-specific planning with combined MRI and DWI data
- Selection of tracking templates (e.g., corticospinal tract, arcuate fasciculus, inferior fronto-occipital fasciculus1) enable efficient, standardized and reproducible tracking of important white matter tracts with unique parameter combinations for each template
Elements BOLD MRI Mapping2
Enhance anatomical images to visualize eloquent areas in cortical structures in the brain.
- Resting-state (correlation map) and task-based (activation map) analysis options2
- May help identify the shortest and safest path to the pathology of interest
- Detection of BOLD responses from activity due to tasks performed by the patient during MR scanning or stimuli
- Creation of correlation maps to identify which plausible brain areas might be functionally connected to the seed region of interest (ROI)
- Combination of BOLD analysis and fiber tractography creates potential for more precision in functional pre-planning
Elements Trajectory Planning
Plan multiple trajectories for neurosurgical approaches with preconfigured view modes. Comprising all relevant data such as target structure, segmented objects and fiber tracts in one place, Elements Trajectory Planning Cranial allows for well-informed approach planning.
- Interactive target and entry point positioning
- Flexible definition of trajectories based on AC/PC-relative or DICOM coordinates
- Adjustable 3D trajectory shapes for case-specific visualization
- Axial, coronal, sagittal, inline and probe’s eye views for trajectory verification
Elements Virtual iMRI Cranial
Bridge the gap between preoperative plans and intraoperative scans. With intraoperative MR or CT images available, Elements Virtual iMRI Cranial simulates the status quo of surgical plans.
- Facilitates continued use of preoperative treatment plans
- Deforms a preoperative plan based on an intraoperative scan (MR or CT)
- Simulates anatomical changes caused by the intervention
- Potentially eliminates the need to repeat planning steps like fiber tractography or segmentation
- Helps to estimate tissue deformation due to brain shift and supports surgical decision making with regards to extent of resection
Elements Image Fusion Angio
Merge image data, previously considered incompatible, as a starting point for effective neurovascular treatment planning. Elements Image Fusion Angio co-registers 2D DSA and 3D CTA/MRA data with no need for a frame.
- Use of diagnostic images saves extra scan with localizer frame, reducing radiation exposure and complexity
- Supports frontal, lateral and oblique 2D DSA data
- Supports 3D CT-Angio and 3D MR-Angio (with contrast or TOF) data
- Direct visualization of vessels as Maximum Intensity Projection instead of vessel segmentation
- Colored visualization of blood flow for clear recognition of early and late contrast phases
- User-defined best DSA frame and region-of-interest contribute to robust fusion results
Elements SmartBrush Angio
Go with the flow and create a nidus object interactively under consideration of dynamic contrast flow. Elements SmartBrush Angio is a contouring tool that generates a cranial vascular 3D object based on a user-defined region of interest.
- Color Intensity Projection for easy DSA frame selection and region-of-interest definition
- Side-by-side outlining on 2D DSA and fused 3D images helps differentiate feeding and draining vessels
- 3D nidus object refinement possibilities include SmartBrush, 2D Brush and 3D Brush
- Seamless export of Nidus object to Cranial Navigation or RT planning applications
- Enables consistent contouring and report generation over time
Explore clinical papers about Cranial Planning with Brainlab Elements
Elements Fibertracking
Sollmann et al. 2020
Evaluates the utility of nTMS based functional mapping combined with Elements Fibertracking for the risk assessment of surgery-related decline of motor or language function.
Read more
Elements BOLD MRI Mapping
Wang et al. 2016
Assesses the validity of Elements BOLD MRI Mapping by comparison to gold standard ECS results and investigates the impact and predictive value of lesion-to-activation distance on functional motor outcome.
Read more
Literature Library
Scientific validation of Cranial Planning with Elements
Read more about the techniques, clinical utility and benefits of cranial planning with Brainlab Elements.
Explore more1
2
Not yet commercially available. Please contact your sales representative.
Elements BOLD MRI Mapping resting state feature not yet commercially available in the US.