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 and increase toxicity. To move toward shorter, more efficient treatment schedules, the team needed a way to quantify and correct that motion reliably in real time.
The innovation: an implanted marker workflow built for precision - Using the Brainlab ExacTrac Dynamic implanted marker workflow, the Innsbruck team was able to detect and correct for prostate motion. Continuous X-ray monitoring of fiducial markers helped clinicians maintain target alignment throughout treatment and prevent deviations from building over time. With marker implantation performed directly within the radiation oncology department, the workflow also allowed seamless integration with imaging and planning protocols and ensured strong ownership of each step.
The shift: confidence to move toward ultra-hypofractionation - With precise, reliable motion management in place, the team began transitioning from conventional and moderately hypofractionated regimens to ultra-hypofractionated protocols. Their goal was clear: shorten the overall treatment pathway while maintaining the accuracy necessary to protecting nearby healthy structures and minimizing toxicity. The established collaboration across teams and the efficiency and precision of the implanted marker workflow provided the necessary foundation to make that shift safely.
In their words: “Progress like this only happens when everyone is aligned around the same goal: delivering precise, reliable care for every patient, every day. The collaboration across teams and the efficiency of the implanted marker workflow provided the foundation we needed to make that shift safely.” – Dr. Angela Ginestet, Radiation Oncologist, University Hospital for Radiation Oncology Innsbruck.
The impact: precision that supports patient-centered treatments - A recent evaluation from the University Hospital for Radiation Oncology Innsbruck confirmed that the implanted marker workflow with ExacTrac Dynamic accurately identified and corrected clinically relevant motion during prostate treatments. For a department committed to delivering precise care at high daily volumes, this capability is helping shape a future where shorter treatment schedules can coexist with uncompromised accuracy.
Please join us in celebrating the Innsbruck team for leading the way toward ultra-hypofractionated prostate cancer care. If you want to learn more about their work, read the study here: https://pubmed.ncbi.nlm.nih.gov/37523057/
Picture: ©Tirol Kliniken Innsbruck, Dr. Julian Mangesius, Dr. Angela Ginestet, University Hospital for Radiation Oncology, Innsbruck, Austria
Brainlab Novalis Circle will host a webinar, "Commissioning and clinical Implementation – From distortion correction and small field dosimetry to breath-hold treatments" on December 17th at 8:00 AM Pacific Time (5:00 PM Central European Time).
We are honored to welcome the following speakers as they present their latest insights and experiences:
🎙️ Thierry Gevaert, PhD, UZ Brussel, Belgium: Distortion correction commissioning
🎙️ Lauren X. Weinstein, MSc, Kaiser Permanente Cancer Treatment Center, South San Francisco, CA, United States: How small is too small?
🎙️ Garrett C. Baltz, MS, Scripps Cancer Center, San Diego, CA, United States: Commissioning ExacTrac Dynamic for breath-hold treatments
Participation is only possible for Novalis Circle Members. If you are not yet a member, please click here.
Nouvelles technologies au service du soin, quels défis pour les manipulateurs ?
C’est avec enthousiasme que nous vous convions, en collaboration avec l'Institut de Radiothérapie du Sud de l’Oise - Amethyst, à notre première journée dédiée aux manipulateurs en radiothérapie, le 18 mars 2026 à Paris.
Cette journée sera l’occasion d’échanger sur les enjeux et défis de votre profession, vous qui êtes au cœur du positionnement des patients et jouez un rôle essentiel dans le fonctionnement quotidien des services de radiothérapie.
Entièrement dédiée aux manipulateurs, cette rencontre proposera des présentations cliniques et pratiques animées par vos pairs, et sera un véritable espace d’échange autour des différentes pathologies traitées avec ExacTrac Dynamic et ExacTrac Dynamic Surface.
Des visites du Centre de Radiothérapie de l’Oise à Creil seront proposées le 18 mars entre 9:00 et 11:00, avec la possibilité d’observer des traitements en temps réel utilisant ExacTrac Dynamic Surface. Le nombre de places pour ces visites étant limité, pensez à vous inscrire rapidement.
Nous vous attendons nombreux pour une journée d’apprentissage, de discussion et de valorisation de votre expertise!
Pour s'inscrire: Journée manipulateurs 2026 | Brainlab
L'équipe Brainlab
Big News! 🎉 We are excited to announce that the Brainlab Novalis Circle 10th International Conference is happening on September 17-19, 2026, in the vibrant city of Munich, Germany!
Mark your calendars and get ready for two full days of cutting-edge scientific talks and thought-provoking discussions, featuring some of the most brilliant minds in the world of stereotactic radiosurgery and stereotactic body radiation therapy.
It’s going to be an unforgettable event, and we can’t wait to see you there!
You can find more information here: Novalis Circle Conference 2026 | Brainlab
The Brainlab Academy is pleased to host the "Clinical Fundamentals of ExacTrac Dynamic" course in cooperation with Klinikum der Universität München LMU.
This course is a comprehensive training program designed to demonstrate the versatility of ExacTrac Dynamic for different indications. During the course, you will learn general positioning and monitoring strategies for cranial and extracranial indications. The course will also cover dedicated breath-hold techniques and implanted marker tracking. During the hands-on session, you will receive tips and tricks from experienced Brainlab trainers and clinical users. More information here.
Interested? Contact your local Brainlab Sales representative.
*Please note: A Brainlab Academy ticket is needed to be able to attend this course.
The Brainlab Academy is pleased to host the Advanced Clinical Course “ExacTrac Dynamic for Breast Cancer” in cooperation with the Universitair Ziekenhuis Brussel and the clinical team of Thierry Gevaert, PhD.
This course is a comprehensive training program aimed at supporting the use of ExacTrac Dynamic for breast cancer treatments. Attendees will learn about specific imaging, CT simulation, breath-hold techniques, and general strategies for treating breast cancer and will familiarize themselves with using the ExacTrac Dynamic Breath-Hold modules.
More information here.
Interested? Contact your local Brainlab Sales representative.
*Please note: A Brainlab Academy ticket is needed to be able to attend this course.
The Brainlab Academy is pleased to host the "Clinical Fundamentals of ExacTrac Dynamic" course in cooperation with Klinikum der Universität München LMU.
This course is a comprehensive training program designed to demonstrate the versatility of ExacTrac Dynamic for different indications. During the course, you will learn general positioning and monitoring strategies for cranial and extracranial indications. The course will also cover dedicated breath-hold techniques and implanted marker tracking. During the hands-on session, you will receive tips and tricks from experienced Brainlab trainers and clinical users. More information here.
Interested? Contact your local Brainlab Sales representative.
*Please note: A Brainlab Academy ticket is needed to be able to attend this course.
Exciting News!
Join us in Nashville, Tennessee for the Brainlab Regional Symposium happening November 14 and 15, 2025!
This 2 day symposium will bring together clinicians, physicists, and innovators from across the region to explore the latest breakthroughs in radiation oncology, featuring Brainlab’s cutting-edge SRS and SBRT solutions. From cranial SRS to extracranial treatments like DIBH breast, prostate, and lung applications — there's something for every aspect of clinical practice.
Agenda is coming soon
Click here to register
Looking forward to seeing you there!
Hi, We lost access to Exactrac and added CRAD surface imaging on our Edge linac. We have adapted CRAD for targets in the abdomen, peripherals, and DIBH of breasts. Wonder if anyone has been able to use CRAD for cranial SRS treatments using an open-face mask?
Exciting News!
Join us in Columbus, Ohio for the Brainlab Regional Symposium — our first U.S. event of the year — happening June 13–14, 2025!
This 1½-day symposium will bring together clinicians, physicists, and innovators from across the region to explore the latest breakthroughs in radiation oncology, featuring Brainlab’s cutting-edge SRS and SBRT solutions. From cranial SRS to extracranial treatments like DIBH breast, prostate, and lung applications — there's something for every aspect of clinical practice.
Pleas find the agenda attached
Click https://lnkd.in/e3e7czKn to register or scan the QR code in the attached flyer.
Looking forward to seeing you there!
Join us in Warsaw on June 24th, 2025, for the Brainlab Central Europe SRS & SBRT Symposium 2025. Experience an inspiring lineup of expert talks and engaging discussions on cutting-edge developments in radiotherapy and radiosurgery.
Highlights of the symposium:
- Discover advancements: Attend scientific talks and explore the latest techniques in precision, personalization, and standardization of SRS & SBRT.
- Join interactive sessions: Take part in live demonstrations and dynamic discussions that will shape the future of patient care.
- Network with experts: Engage with leading professionals in the field and connect with peers from across Central Europe.
We look forward to welcoming you to Warsaw this June! Click here to learn more: Welcome | Brainlab