Brainlab - Manage Multiple Brain Metastases

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 to the brain 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.

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 and its volume is automatically generated. For consistent tumor monitoring, auto-generated volumetric reports can be created.

Creating the dose plan with Multiple Brain Mets SRS
With pre-planning complete, you can now move to dose planning with 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 to help you create a high-quality radiosurgery plan in minutes.

Inverse optimized dynamic conformal arc treatments
Inversely calculated DCA apertures enable the best possible 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.

Standardized margins
Automatic GTV to PTV margin generation based on complex rules including the distance to the isocenter and lesion enables you to generate adjusted and optimized PTV margins and reduce toxicity to normal structures.

Simplified plan analysis
Take advantage of dedicated tools for plan analysis, like an intuitive traffic light display and automatically calculated plan qualifiers (Vx, CI, GI) for each target both locally and for the global plan.

Optimizing planning outcome
The DCA complexity slider gives you the power to prioritize between enabling the algorithm to actively close fields to reduce bridging dose or to focus on monitor efficiency.

3D dose visualizations
The dose interface and unique 3D views highlight the most relevant dose coverage metrics and allow comprehensive assessment of dose distribution.

Highly precise beam modelling and dose calculation
By using Brainlab reference beam models, the measurements for the highly accurate Monte Carlo dose calculation algorithm are reduced by 90% for all TrueBeam platforms with HD120 or Millenium MLC with 6MV and 10MV, standard and FFF mode.