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Oncology

Stereotactic Radiosurgery: Treating Without an Incision

1 April 2026 · 6 min read
Stereotactic radiosurgery planning visualization for cranial treatment

Not all surgical precision involves a scalpel. Stereotactic radiosurgery treats targets in the brain and spine with focused radiation delivered to submillimetric accuracy, often sparing the patient an open operation entirely. It sits at the meeting point of surgery, oncology and imaging, and it is expanding what hospitals can offer patients who are not candidates for open surgery.

Planning is everything

The accuracy of radiosurgery depends on the plan and on positioning. Automated planning applications such as Brainlab Elements handle single cranial targets, multiple brain metastases in one optimized plan, and spinal radiosurgery with steep dose falloff to spare the spinal cord. Automated contouring and image fusion make the plan both faster to produce and more consistent between cases.

Automated treatment planning software
Automated planning produces consistent, optimized radiosurgery plans, including for multiple targets at once.

Holding the target still

A perfect plan still needs the patient in exactly the right place. Positioning systems such as ExacTrac Dynamic combine surface tracking and X-ray imaging to monitor the target throughout treatment, correcting for the small movements that would otherwise blur a submillimetric dose. Planning and positioning are two halves of the same accuracy.

Patient positioning and monitoring system for radiosurgery
Surface and X-ray monitoring keeps the target exactly where the plan expects it during treatment.

Why it matters regionally

As cancer care in the GCC continues to advance, radiosurgery expands the options hospitals can offer, especially for patients who cannot undergo open surgery or who need treatment conventional approaches cannot deliver safely. The technology rewards investment in planning and positioning, because that is where accuracy is won or lost. Brainz supports oncology and neurosurgery teams bringing this capability into their pathway with the planning tools and positioning technology that make submillimetric treatment realistic in daily practice.

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