Stories
from the Circle

At the University Hospital for Radiation Oncology Innsbruck, prostate cancer treatment is built on precision and teamwork. Treating 15–20 patients each day, the department has refined an implanted marker workflow that gives clinicians full control over imaging and positioning. Under Professor Ute Ganswindt’s leadership, the team has made accuracy a shared focus across every step of care.The challenge: motion that doesn’t wait - Even in treatments lasting only a few minutes, the prostate can shift without warning. In Innsbruck, this unpredictable movement appeared in one third of monitored sessions. Small deviations could accumulate across a VMAT arc with the potential to affect dose coverage

In recognition of Breast Cancer Awareness Month, we celebrate Hanyang University Hospital in Seoul, South Korea, for leading a simple yet meaningful change to enhance patient modesty in breast cancer care.The challenge: Traditionally, patients were asked to change into standard hospital gowns before treatment—a routine step that often left them feeling exposed and uneasy. Beyond comfort, these gowns could also interrupt workflow, requiring therapists to readjust or remove fabric during patient setup.The innovation: Technology meets humanity. Recognizing the emotional impact of this experience, the team introduced a new “clothing-on” protocol. Breast cancer patients are now encouraged to wear

Radiologie München, a private healthcare group, operates three radiotherapy sites across Munich, Germany with a total of five linear accelerators, one with ExacTrac Dynamic and three with ExacTrac Dynamic Surface. Treating approximately 1,500 tumor patients annually, their focus lies on improving treatment quality and the patient experience while also increasing efficiency.Following the installation of Brainlab ExacTrac Dynamic Surface in May 2025 on an Elekta Versa HD linac, the device has been fully integrated into their routine clinical workflows. It is utilized for initial patient setup and intrafraction monitoring for all patients and indications, including deep inspiration breath hold

This month, we are proud to celebrate the radiosurgery team at Prince of Wales Hospital in Randwick, Australia, for transforming the arteriovenous malformation (AVM) care they provide. They’ve done this by adopting frameless radiosurgery with digital subtraction angiography (DSA), enabled by Brainlab Elements Image Fusion Angio and Elements SmartBrush Angio.Having now treated over 100 AVM patients using this dedicated workflow, the team recognizes both the departmental impact and scalability of this innovative approach in routine practice.The challenge: Complex targets, logistical constraints. An AVM is an abnormal tangle of blood vessels for which radiosurgery can be a treatment option for

St. Luke’s Radiation Oncology Network: Leveraging Brainlab advanced stereotactic planning and image-guided patient positioning and monitoring to support brain and spine radiosurgery.As Ireland’s largest public radiation oncology provider, St. Luke’s Radiation Oncology Network operates across three sites in Dublin, Ireland. Two of the centers are located on the campuses of major acute hospitals: St. James and Beaumont. The Beaumont Hospital site serves as the national referral center for craniospinal and skull base radiosurgery treatment, delivering specialized care for complex intracranial and spinal conditions.The challenge: Achieving the seemingly unachievable. With rising demand for both

For more than a decade, Instituto Zunino in Córdoba, Argentina has been recognized as a regional reference center for high-precision radiotherapy. Built on long-standing clinical expertise and a strong culture of quality, the center has developed a mature SRS and SBRT program that continues to evolve through structured processes, external validation and a commitment to shared learning.The team’s journey with Brainlab technology began in 2009 with iPlan RT and expanded in 2011 with ExacTrac X-Ray. Today, RT Elements is clinically adopted across the department of four treatment machines, supported by ExacTrac Dynamic—forming the technical backbone of daily practice.A benchmark for quality: Nov

At TUM University Hospital in Munich, the radiotherapy team faces a growing number of complex cranial cases. From patients with dozens of brain metastases to those requiring retreatment, manual contouring can be time-intensive and variable across operators. As case volumes rise, the team has been exploring new ways to maintain consistency and efficiency without compromising clinical accuracy.The challenge: segmentation at scaleFor radiosurgery teams, delineating multiple metastases or large primary tumors is one of the most demanding steps in planning. Each contour must be precise, consistent and reproducible. As the number of lesions increases, so does the time required for manual work and

The challenge: serving a large region with growing clinical complexityIn northern Poland, Centrum Onkologii im. prof. Franciszka Łukaszczyka w Bydgoszczy caters to a vast geographical region where many patients travel long distances for specialized care. As a center with extensive experience in treating tumors of the central nervous system, the demand for their services expanded, and the team faced a growing number of cases requiring high-quality radiosurgery.Table 1: The number of SRS and SBRT treatments at the Oncology Center in Bydgoszczy has increased by almost 2,000% in less than a decade.In 2024 alone, the team treated 340 patients with brain metastases, 71 with spinal metastases, 134

At the University Hospital for Radiation Oncology Innsbruck, prostate cancer treatment is built on precision and teamwork. Treating 15–20 patients each day, the department has refined an implanted marker workflow that gives clinicians full control over imaging and positioning. Under Professor Ute Ganswindt’s leadership, the team has made accuracy a shared focus across every step of care.The challenge: motion that doesn’t wait - Even in treatments lasting only a few minutes, the prostate can shift without warning. In Innsbruck, this unpredictable movement appeared in one third of monitored sessions. Small deviations could accumulate across a VMAT arc with the potential to affect dose coverage

In recognition of Breast Cancer Awareness Month, we celebrate Hanyang University Hospital in Seoul, South Korea, for leading a simple yet meaningful change to enhance patient modesty in breast cancer care.The challenge: Traditionally, patients were asked to change into standard hospital gowns before treatment—a routine step that often left them feeling exposed and uneasy. Beyond comfort, these gowns could also interrupt workflow, requiring therapists to readjust or remove fabric during patient setup.The innovation: Technology meets humanity. Recognizing the emotional impact of this experience, the team introduced a new “clothing-on” protocol. Breast cancer patients are now encouraged to wear