Next Generation ExacTrac Broadens Clinical Workflows

Market-leading technology now consolidates multiple spatial tracking

unveils ExacTrac Dynamic® at the American
Society for Radiation Oncology
(ASTRO) meeting in San Antonio,
Texas. This forward-thinking universal concept for radiotherapy patient
positioning and monitoring offers value on multiple fronts, including
expanded clinical indications, broad technological advancements,
enhanced user and patient experience, and technology consolidation.
ExacTrac Dynamic is the next generation of ExacTrac X-Ray, a clinically
proven positioning and monitoring solution for radiotherapy treatments.
Since its release in 1999, ExacTrac systems have been used in more than
one million treatments worldwide.

ExacTrac Dynamic addresses a full range of patient positioning and
monitoring requirements that heretofore have been achieved, in most
cases, by employing multiple systems combined with different internal
tracking and surface scanning technologies. ExacTrac Dynamic is
seamlessly integrated with a wide range of high-end linear accelerators
and designed to deliver high precision tracking and verification while
addressing the challenges associated with treating moving targets, all
of which are critical requirements for delivering extremely effective
and high doses in precision radiotherapy. Developed in close
collaboration with leading experts in radiation oncology, ExacTrac
Dynamic introduces a new dimension in patient positioning and monitoring.

“We had the opportunity to be the first institution to enter into a
strategic partnership for the development of ExacTrac Dynamic, as we
were looking for a technology that could become the new standard for
patient positioning and monitoring in Copenhagen,” commented Lars Dahl
Allerup, New Business Development Manager, Corporate Procurement,
Capital Region of Denmark. “As a long standing partner of Brainlab, we
have always been convinced of the superior performance of ExacTrac X-Ray
for cranial treatments. What is important for us moving forward is to
source technology like ExacTrac Dynamic that allows us to continue
treating cranial indications but also take care of the larger patient
population at the Herlev Hospital and Rigshospitalet, with a platform
re-designed to monitor all external beam treatment indications.”

Thermal tracking adds fourth dimension

New high-speed surface tracking incorporates 300,000 3D surface points
to externally monitor patient position and detect movement during
treatment. Each of the surface points acquired by the ExacTrac Dynamic
structured light system are matched to a heat signal generated by a
thermal camera, creating another dimension in which to track the
patient’s position consistently and with great accuracy. The advanced
surface tracking with ExacTrac Dynamic is not impacted by room lighting,
reflections or skin tone, and has very low latency.

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

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
, 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.


ExacTrac Dynamic® is currently under development and not FDA
approved, nor commercially available. Brainlab is not soliciting or
accepting orders for ExacTrac Dynamic, nor is Brainlab attempting to
market or solicit any orders. The information being provided is for
informational purposes only. Commercial availability is contingent on
the current development schedule, achieving certain performance
according thereto, and approval by the appropriate regulatory agencies.


Irmgard Schlembach, +49 89 99 156 80
Communications Manager


I have been involved with publishing and marketing for the past 32 years. My passion is helping people share their voice. I am able to do this through two important venues: One, with Area-Info.net where people can share everything from opinions to events to news. It is your choice! What do you want to share? Two, through a new program called America's Real Deal I am involved with to help business owners get their voice heard.I schedule speaking engagements with community groups and business groups to share my passion about the importance of "sharing your voice".Contact me directly at lee@leeeverton.com for scheduling information.