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Oncology

Brain Metastases: Treating Multiple Targets in One Plan

28 January 2026 · 5 min read
Stereotactic radiosurgery planning visualization

Patients with multiple brain metastases were once among the hardest to treat efficiently with radiosurgery. Each target could mean a separate plan and a long session. Single-isocenter planning has changed that, treating multiple metastases in one optimized radiosurgery plan.

One optimized plan

Automated planning applications such as Brainlab Elements Multiple Brain Mets SRS optimize dose across several targets at once, with steep falloff to spare healthy brain. Automated contouring and image fusion make the plan faster to produce and more consistent between patients.

Automated treatment planning software
Single-isocenter planning treats multiple targets in one optimized session rather than several.

Holding accuracy through treatment

Submillimetric dose only works if the patient stays exactly in position. Surface and X-ray monitoring such as ExacTrac Dynamic tracks the target throughout treatment and corrects for small movements, so the accuracy of the plan is preserved in delivery.

Patient positioning and monitoring system for radiosurgery
Positioning and monitoring preserve submillimetric accuracy from plan to delivery.

Brainz supports oncology and neurosurgery teams bringing advanced cranial radiosurgery into their pathway, where treating more targets in less time, accurately, has clear value for patients and for the service.

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