We are pleased to invite you to join our Novalis Circle Lunch Symposium ExacTrac Dynamic: The Gold Standard for IGRT and SGRT Clinical Applications at the European Society for Radiotherapy and Oncology (ESTRO) Annual Congress in Stockholm.
We are honored to welcome the following speakers
Chair: Carmen Rubio Rodríguez, MD, PhD, Hospital HM Sanchinarro, Madrid, Spain
🎙️ Per Munck af Rosenschöld, PhD, Skåne University Hospital, Lund, Sweden : The importance of IGRT for linac-based radiosurgery
🎙️ Nils Temme, MSc, Strahlentherapie Radiologie München, Munich, Germany: Clinical versatility of ExacTrac Dynamic Surface in a tattoo-less department
🎙️Ovidio Hernando Requejo, MD, PhD, HM Sanchinarro University Hospital, Madrid, Spain: The role of motion management with ExacTrac Dynamic for prostate SBRT
🎙️Cihan Gani, MD, University Hospital Tübingen, Tübingen, Germany: Modern lung SBRT treatments with both real-time adaption and intrafraction motion management
We look forward to the valuable insights they will present!
From a clinical workflow and technology standpoint, I was wondering—given the geometric limitations in ring gantry systems, is the likely direction toward surface imaging with AI-based prediction, or are there ongoing developments for internal tracking within closed-bore architectures?
First of all thank you for this platform.
May i know Sir from your experience, what are the most effective strategies for managing intrafraction motion during SBRT, particularly in spine and lung cases?
Join us in Philadelphia for our Mid-Atlantic Regional Symposium with insightful clinical talks by renowned clinical experts and inspirational discussions on SRS and SBRT.
Experience cutting edge of radiotherapy and radiosurgery at our exciting two days symposium focused on precision, personalization, and standardization in Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT).
This event will bring together medical physicists, dosimetrists, radiation oncologists and radiation therapists to share valuable clinical techniques and innovative management strategies, as well as to gain insights into how complex data is reshaping the field of radiosurgery.
Brainlab Mid-Atlantic Regional Symposium
May 8 and 9, 2026
Click here to have the program.
We look forward to welcoming you to Philadelphia for this inspiring event!
To register click here
We’re pleased to host the Advanced Clinical Course "Brain Metastases and Skull-base Tumors" in cooperation with Universitätsklinikum Hamburg-Eppendorf and the clinical team of Prof. Dr. med. Cordula Petersen and Dipl.-Phys. Manuel Todorovic.
This course will provide participants with the opportunity to learn from clinical experts about the clinical implementation and requirements for a successful radiosurgery program for brain metastases and skull-base tumors. During the course, medical physicists will learn about specific quality assurance techniques as well as expert tricks for treatment planning with Brainlab radiosurgery software. Radiation oncologists and neurosurgeons will learn about contouring, clinical prescriptions and planning approaches.
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.
We’re 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.
We’re pleased to host the Brainlab Academy: Essential Course Radiosurgery in Chicago.
This course is a three-day classroom training designed for clinicians pursuing full proficiency with Brainlab radiosurgery treatment planning systems. The session is hosted at the state-of-the-art training center in the Wrigley building.
Please find more information here: Essential Course Radiosurgery | Brainlab
Interested? Contact your local Brainlab Sales representative.
*Please note: This course is for US-customers only. A Brainlab Academy ticket is needed to be able to attend this course.
The challenge: serving a large region with growing clinical complexity
In 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 patients with meningiomas and 56 with vestibular schwannomas (VIII nerve)—plus over 350 extracranial cases.
Over more than 15 years, the center further developed their comprehensive SRS and SBRT program. What began in 2009 with BrainSCAN, the first treatment planning solution from Brainlab, continued through iPlan RT and has since evolved into the broad adoption of RT Elements across eight treatment machines, alongside Brainlab ExacTrac Dynamic. Increasing patient volumes as well as multifocal disease presentations pushed the team to refine workflows capable of handling high case complexity on a day-to-day basis.
As case numbers and complexity continued to rise, the team began to push conventional planning boundaries—not just in theory, but in daily clinical practice. One case treated in May 2025 became a clear example of how their approach could scale even to highly extensive disease presentations.
The case: planning for 34 brain metastases in a single patient
A 67-year-old man presented with headaches, nausea and vomiting. Imaging revealed 34 brain metastases along with an adrenal lesion associated with newly diagnosed lung adenocarcinoma. Despite the high lesion count, the patient’s clinical condition remained good, and systemic therapy offered a meaningful survival outlook. The team elected to pursue SRS for all intracranial lesions—an approach once considered impractical at this scale.
Using Brainlab Elements Multiple Brain Mets SRS, the clinicians were able to treat all lesions using only two isocenters during the same planning session:
- Isocenter 1: 10 targets
- Isocenter 2: 24 targets
- Total GTV: 18.6 cm³
- Total PTV: 26 cm³
- Dose: 25 Gy in 5 fractions
While highly complex, the case aligned with the department’s established planning and treatment workflow.
The impact: a strong clinical response at first follow-up
At the initial follow-up in September, the results were striking:
- 33 lesions demonstrated complete regression
- 1 lesion showed partial regression
- the patient reported no neurological deficits
- no steroid therapy was required
- and he remained asymptomatic
For the Bydgoszcz team, the case underscored a pattern they had observed across growing patient volumes: when planning tools support structured segmentation and a monoisocentric approach, lesion count becomes less of a technical barrier to delivering treatment.
Prof. Maciej Harat, MD, and Maciej Blok, PhD, MD, Centrum Onkologii Im. Prof. Franciszka Łukaszczyka W Bydgoszczy reflect on the experience: “This case showed us that the number of brain metastases is no longer the limiting factor for delivering focal treatments. Alongside these highly complex treatments, we are managing an increasing number of patients each year—and we would not be able to keep pace without Brainlab Elements. The software supports automatic segmentation of targets and organs at risk and helps us generate highly complex plans in a very short time.”
The team behind the progress: 25 radiation oncologists, 26 medical physicists, 38 radiation therapists and more clinical staff at Bydgoszcz have built a radiosurgery program capable of treating some of the region’s most complex cases. Their commitment ensures that patients across a large geographical area can access advanced, high-quality care.
Please join us in celebrating the team at Centrum Onkologii im. prof. Franciszka Łukaszczyka w Bydgoszczy for demonstrating how skills and well-established workflows can expand access to precise radiosurgery—no matter the complexity.
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.
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.
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 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.