(Elements) Spine SRS
Overview
Brainlab Elements Spine SRS is an advanced software solution designed to optimize the treatment of spinal metastases through stereotactic radiosurgery (SRS) and stereotactic body radiation therapy (SBRT). This treatment planning system (TPS) utilizes automated volumetric modulated arc radiotherapy to provide a highly conformal dose distribution to targets, ensuring superior sparing of the spinal cord. The workflow incorporates automation at every step, including anatomical mapping, spinal curvature correction, and target definition, to ensure submillimetric accuracy and consistency. A unique algorithm compensates for variations in spinal curvature, enhancing image fusion accuracy between MR and CT images. The software employs automatic segmentation of spinal anatomy using a patented synthetic tissue model to identify and label individual spine levels for precise dose calculations. It provides tools for Gross Tumor Volume (GTV) contouring and automatically generates the Clinical Target Volume (CTV) and cropped spinal canal object based on International Spine Consortium Guidelines. Elements Spine SRS also features VMAT optimization, user-defined protocol-based planning, and Monte Carlo-based dose calculation, which is critical for accurate dose delivery, especially in regions with bone inhomogeneity. The system is designed to streamline the treatment planning process, reduce planning time and effort, and achieve superior conformity and cord dose sparing compared to traditional methods.
Reviewed by Pouyan Golshani, MD — Interventional Radiologist
Key Features
- Automated treatment planning for spine SRS/SBRT
- Spinal curvature correction for accurate image fusion (MR/CT)
- Automatic target delineation (GTV, CTV) based on ISRC guidelines
- Spine VMAT optimization for highly conformal dose distribution
- Monte Carlo dose calculation for precision in heterogeneous tissues
- PTV splitting for enhanced spinal cord sparing
- Steep dose gradient optimization at target-spinal cord interface
- AI-driven contouring solutions for over 200 structures
- User-defined protocol-based planning to expedite treatment
- Advanced 3D viewer for treatment envisioning
Use Cases
- Treatment planning for spine metastases
- Spine stereotactic radiosurgery (SRS)
- Spine stereotactic body radiation therapy (SBRT)
- Optimizing dose delivery for complex spine target shapes
- Minimizing radiation dose to the spinal cord and organs at risk
- Streamlining and standardizing radiation oncology workflows
What Physicians Need to Know
Leverage the automated contouring and planning features to significantly reduce planning time and enhance consistency, particularly for complex spine cases. Prioritize the tool's advanced spinal cord sparing capabilities and steep dose gradients, which are crucial for effective spine SRS. Utilize the co-registration of MR and CT images for a comprehensive anatomical understanding. Consider the robust evidence base supporting its dosimetric advantages and accuracy in CTV generation. Explore its integration with other Brainlab platforms for a streamlined workflow from initial planning to treatment delivery.
Brainlab Elements Spine SRS is designed for seamless integration within the broader Brainlab ecosystem, fostering connections across clinical subspecialties such as neurosurgery, spine surgery, orthopedics, and radiation oncology. It integrates with image-guided surgery platforms (e.g., Curveu2122) and digital OR solutions (e.g., Buzzu00ae). The system supports co-registration of MR and CT images for complex anatomical regions and offers vendor-independent workflows for various imaging modalities and instruments, providing operational flexibility.
Details
| Category | Oncology AI, Surgical AI |
| Pricing | Not publicly disclosed — Not publicly disclosed |
| Deployment | On-premise workstation with cloud-based data sharing capabilities (Brainlab Cloud Services). |
| Compliance | |
| BAA Available | Yes AI-estimated |
| HIPAA Compliant | Unknown AI-estimated |
| FDA Status |
Yes AI-estimated Elements Spine SRS 4.5 is part of the 'RT Elements (4.5)' suite, which received FDA 510(k) clearance under K250440 with a decision date of April 13, 2026. Earlier versions of Elements Spine SRS received FDA clearance in September 2017. The device is intended for radiation treatment planning for stereotactic, conformal, computer-planned, Linac-based radiation treatment of cranial, head and neck, and extracranial lesions, including spine metastases. |
| Integrations | |
| EHR | Not specified |
| Specialties | Neurosurgery, Oncology |
What the Web Says
Elements Spine SRS by Brainlab is an advanced software solution designed for stereotactic body radiotherapy (SBRT) treatment of spinal metastases, offering highly automated planning and precise dose delivery. It aims to enhance accuracy, consistency, and efficiency in target volume definition and treatment planning, particularly in complex spinal regions.
Overall: PositiveStrengths
- Highly automated planning process, including anatomical mapping, curvature adjustments, and target identification.
- Achieves superior conformity and spinal cord sparing compared to traditional clinical plans.
- Semiautomatic CTV generation shows good accuracy, comparable to manual contouring by experts.
- Dedicated spine VMAT algorithm designed for steep dose gradients at the target and spinal cord interface.
- Reduces treatment planning time and enhances overall patient outcomes in spinal cancer management.
- Features like PTV splitting can further improve spinal cord sparing.
Limitations
- May result in higher numbers of monitor units and modulation factors in some cases, particularly with PTV splitting.
- Increased calculation time can occur when PTV splitting is utilized.
- Semiautomatic contouring had a Dice similarity coefficient (DSC) less than 0.80 in a few cases, indicating less than 'very good' overlap with expert manual contouring.
Based on reviews from: PMC, PubMed, Frontiers, Slashdot, Novalis Circle, SourceForge, G2
Last updated: 2026-04-18
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