At TUM Klinikum Rechts der Isar 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 scale
For 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 risk of inter-operator variability. The team at TUM Klinikum Rechts der Isar needed a way to standardize segmentation while keeping pace with growing treatment demands.
The innovation: AI-powered segmentation integrated into routine workflows
TUM Klinikum Rechts der Isar became one of the first clinical centers to implement Brainlab Elements AI Tumor Segmentation in daily practice. Utilizing contrast-enhanced T1-weighted MRI scans, the software automatically identifies enhancing tumor tissue using a neural-network-based model trained on more than 4,000 scans and 11,000 expert annotations.
The workflow supports:
- Semi-automatic segmentation of multiple brain metastases for SRS
- Semi-automatic segmentation of other cranial tumors, including meningiomas, cranial nerve tumors, gliomas, glioneuronal and neuronal tumors
- Fast processing with a segmentation duration of under one minute per contrast-enhanced T1-weighted MR image set*
Within just one month, the team incorporated the AI tool into all cranial planning workflows, including Gamma Knife (Elekta AB, Sweden) and retreatment reviews.
The shift: efficiency that reinforces precision
Early observations at TUM Klinikum Rechts der Isar show strong performance for brain metastases larger than 3 mm and primary tumors over 10 mm. By automating the most time-consuming parts of segmentation, the team can focus more attention on clinical decision-making and the nuances of each case. As one clinician noted, the practical impact becomes clear when treating patients with numerous lesions. Elements AI Tumor Segmentation helps standardize the foundation of the plan, allowing experts to build on it with confidence.
In their words: “Using Elements AI Tumor Segmentation enhances our multiple brain metastases and retreatment review workflows. We are very happy with the results after implementing this innovative AI method in our clinic.” — Jan Peeken, MD, PhD, Senior Managing Radiation Oncologist at TUM University Hospital.
The impact: AI as a meaningful part of clinical routine
For a center treating complex cranial cases at high volume, automated segmentation is becoming an important tool that supports consistency and efficiency across the radiosurgery workflow. By integrating Elements AI Tumor Segmentation directly into daily practice, the team is shaping a future where technology strengthens—not replaces—clinical expertise.
Please join us in recognizing TUM Klinikum Rechts der Isar for helping pave the way for practical, clinically grounded AI adoption in cranial radiosurgery.
* Valid in a widely available platform like Brainlab Planning Station 9.0.1 or higher.
The statements made by the clinician represent their personal opinion and experience. These statements may not be supported by scientific evidence or peer-reviewed research. For verified information about the device, please refer to the manufacturer's official documentation.
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 "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.
You're invited to a Brainlab Novalis Circle webinar on Wednesday, September 24, taking place just ahead of the ASTRO Annual Meeting.
Improved decision making with longitudinal brain metastases management
Join us for two expert presentations highlighting the latest advancements in radiosurgery for brain metastases. The session will conclude with an interactive Q&A.
Agenda:
Early retreatment based on Elements Contrast Clearance Analysis leads to improved outcomes in patients with brain metastases
@Dheerendra Prasad, MD, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA
Clinical workflow optimization via new AI solutions
@Wenyin Shi, MD, PhD, Thomas Jefferson University Hospital, Philadelphia, PA, USA
Date: Wednesday, September 24, 2025
Time: 1:00 PM PT | 4:00 PM ET | 10:00 PM CET
Don't miss this opportunity to hear from leading researchers and clinicians shaping the future of radiosurgical treatment.
We look forward to seeing you there!
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?
You're invited to a Brainlab Novalis Circle webinar on Thursday, July 24, taking place just ahead of the AAPM Annual Meeting.
Advancing longitudinal radiosurgical management of multiple brain metastases with dedicated, indication-specific Elements.
Join us for two expert presentations highlighting the latest advancements in radiosurgery for multiple brain metastases. The session will conclude with an interactive Q&A.
Agenda:
Normal tissue sparing by an integrated VMAT planning in single isocenter dynamic conformal arc SRS plan for multiple brain metastases
@Haisong Liu, PhD, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, USA
Advancements in small field dosimetry for radiosurgery: Precision and challenges in treatment planning
@Paul Rétif, PhD, CHR Metz-Thionville, Metz, France
Date: Thursday, July 24
Time: 8:00 AM PT | 11:00 AM ET | 5:00 PM CET
Don't miss this opportunity to hear from leading researchers and clinicians shaping the future of radiosurgical treatment.
We look forward to seeing you there!
Participation is only possible for Novalis Circle Members. If you are not yet a member, please click here.
Brainlab Novalis Circle le invita a unirse a el proximo webinar en directo Avances en el tratamiento de las metástasis cerebrales múltiples: Análisis y experiencia institucional.
En este webinar abordaremos el tratamiento de las metástasis cerebrales múltiples, con especial atención a los enfoques terapéuticos innovadores y la experiencia institucional. Descubre cómo las tecnologías innovadoras pueden ofrecer resultados prometedores para los pacientes con metástasis cerebrales múltiples.
- Tratamiento de Metástasis Múltiples Cerebrales
Sergio Moreno-Jiménez, MD, Instituto Nacional de Neurología y Neurocirugia (INNN), Mexico City, México
- Tratamiento de metástasis cerebrales múltiples con isocentro único: Experiencia Institucional
@Raquel Ciervide, MD PhD, HM Hospital Universitario Sanchinarro, Madrid, España
¡Esperamos encontrarnos con usted en línea!
La participación sólo es posible para los miembros del Novalis Circle. Si aún no es miembro, haga clic aquí.
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
Join us in Brussels for a vibrant evening with insightful clinical talks by renowned clinical experts and inspirational discussions on SRS & SBRT.
Experience cutting edge of radiotherapy and radiosurgery at our exciting sunset symposium focused on precision, personalization, and standardization in Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT). This event will bring together clinicians, medical physicists, and radiation oncologists to share valuable clinical techniques and innovative management strategies, as well as insights into the transformative impact of big data in the field of SRS & SBRT.
We look forward to welcoming you to Brussels for this inspiring event! Click here to learn more: Welcome | Brainlab