Internal motion caused by normal respiration must be addressed to ensure safe and effective treatments. In addition to external tracking, integrated X-Ray monitoring with ExacTrac Dynamic verifies the patient’s position internally with real-time imaging, at any treatment position. The system offers ways to monitor clinical indications that are complicated by internal motion with additional workflows, such as deep inspiration breath hold and internal anatomy verification, providing confidence in true dose sparing of critical anatomy. This integrated combination of both internal and external tracking provides a new level of precision in radiotherapy.

Complete package for all workflows


Customers will still take advantage of the benefits they’ve always relied on with ExacTrac X-Ray, including superior performance, non-coplanar capabilities and submillimetric precision. Cranial positioning and monitoring offers streamlined immobilization, non-coplanar imaging, Mu-triggered monitoring and gantry-angle triggered monitoring.

ExacTrac Dynamic simplifies frameless fixation with three moldable thermoplastic mask options designed with patient comfort in mind. Deep integration with linear accelerators from both Elekta and Varian Medical Systems allow positioning and monitoring workflows to function seamlessly, including automatic patient loading, gantry triggered imaging and automated beam-hold.

“We’ve taken a quantum leap forward with ExacTrac Dynamic, delivering a solution that addresses a full range of patient positioning and monitoring beyond what is achievable with linear accelerators alone,” said Stefan Vilsmeier, Brainlab President and CEO. “This positioning technology will be an influential force in moving precision radiotherapy forward, with a well-engineered, user-centric workflow and GUI design. Before, hospitals typically incorporated two to three different systems to meet the positioning and monitoring needs for all clinical indications in radiotherapy. Now they have a one-stop solution in ExacTrac Dynamic, aiming to increase versatility and patient volumes while economizing costs and resources.”

To learn more, visit us at ASTRO Booth #2311 or on brainlab.com/exactrac.


About Brainlab
Brainlab, headquartered in Munich, develops, manufactures and markets software-driven medical technology, enabling access to advanced, less invasive patient treatments. Core products center on information-guided surgery, radiosurgery, precision radiation therapy, digital operating room integration, and information and knowledge exchange. Brainlab technology powers treatments in radiosurgery and radiotherapy as well as numerous surgical fields including neurosurgery, orthopedic, ENT, CMF, spine and trauma.

Privately held since its formation in Munich, Germany in 1989, Brainlab has more than 12,300 systems installed in over 100 countries. Brainlab employs more than 1,350 people in 18 offices worldwide, including more than 420 research & development engineers, who form a crucial part of the product development team.

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