(Elements) RT Planning Platform

by Brainlab  · Based in Germany → — Precision Radiotherapy Planning: Delivering Capability Without Complexity
Neurosurgery Oncology
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Regulatory Status Disclosed

Overview

The Brainlab Elements RT Planning Platform is a comprehensive suite of software applications designed to streamline and enhance radiation therapy and radiosurgery treatment planning. It provides immediate access to a modular set of solutions that work seamlessly together, offering advanced capabilities for various clinical indications. [9, 12, 27]

The platform is built to facilitate intuitive user environments and indication-specific workflows, promoting best practices in contouring and treatment planning. It supports automated processes and standardized workflows, enabling the generation and adaptation of high-precision radiosurgery treatment plans to meet clinical needs swiftly and effectively. [11, 12, 16, 27]

Elements RT Planning Platform integrates advanced tools for accurate target definition, consistent radiosurgery planning, and fast delivery with reduced toxicity. It bridges disciplines, offering scalable connections between clinical subspecialties such as radiation oncology, neurosurgery, spine surgery, and orthopedics. [9, 12, 27]

With multi-platform flexibility, clinicians can work online on preferred devices like iPads and iPhones, or offline on workstations, fitting into diverse IT setups and supporting clinicians at various points of care, including tumor boards and O.R. suites. [9, 24]

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • AI Tumor Segmentation (cranial, extracranial)
  • Image Fusion (automatic, distortion correction)
  • SmartBrush for manual object creation
  • Fibertracking for white matter tracts visualization
  • Dose Review (isodose lines, DVHs, dose comparison/summation)
  • Retreatment Review (overview of prior treatments, new lesions, dose overlays)
  • Automated workflows and standardized best practices
  • Multi-platform flexibility (workstations, iPad, iPhone)
  • DICOM RT data viewing and output
  • Patient-specific planning

Use Cases

  • Stereotactic Radiosurgery (SRS)
  • Fractionated Stereotactic Radiotherapy (SRT)
  • Stereotactic Ablative Radiotherapy (SABR/SBRT)
  • Cranial, Head & Neck, and Extracranial lesion treatment planning
  • Multiple Brain Metastases treatment planning
  • Functional Neurosurgery Planning (DBS, sEEG, biopsies)

What Physicians Need to Know

Key Capabilities
Modular software suite for radiotherapy planning with indication-specific workflows (e.g., Multiple Brain Mets SRS, Cranial SRS, Spine SRS, Functional SRS). Features automated processes, advanced image fusion, patient-specific segmentation (including AI-powered tumor segmentation for cranial tumors), 2D/3D trajectory planning, and dose optimization with a 4u03c0 algorithm. Includes Retreatment Review for comprehensive assessment of prior treatments and new lesions, and tools for dose review, comparison, and summation. Supports various LINAC-based treatments (SRS, SRT, SABR/SBRT) and SmartBrush for rapid target definition.
Clinical Utility
Enhances precision and control for accurate trajectory planning, enabling personalized decision-making and efficient radiosurgery for cranial and spinal indications. It helps reduce treatment times and minimize side effects. The Retreatment Review module supports the management of recurrent multiple metastases. The platform improves workflow efficiency through automation and a user-focused design, aiding in balancing surgical risk with radiosurgical toxicity and minimizing radiation exposure to healthy tissue.
Integration Options
Designed for seamless integration with other Brainlab platforms (e.g., Curveu2122 Image Guided Surgery, Buzzu00ae Digital O.R., ExacTrac System). It supports interoperability with Elekta's Agility multileaf collimator and Versa HD linear accelerator. The platform facilitates DICOM RT data transfer for dose summation and verification with third-party planning systems like GammaPlan. It can be deployed on Origin Server and Node for web-based access and hospital IT integration, supporting thin-client technology and navigation data flow. Brainlab also partners with TheraPanacea for AI-powered extra-cranial OAR segmentation and is compatible with various imaging modalities (CT, MRI, PET, SPECT, US).
Compliance Status
Multiple modules, including RT Elements, Multiple Brain Mets SRS, Cranial SRS, Spine SRS, Elements Retreatment Review, and Elements AI Tumor Segmentation, have received FDA clearance and CE approval. The system is HIPAA compliant when running on Node. Users in VA settings must ensure compliance with VA policies and NIST standards, including FIPS.
Pricing Model
Offers flexible business models, including 'a la carte' software modules that allow facilities to select and pay for the specific Elements they need. The server-based solution (Node) can potentially lower the total cost of ownership compared to traditional workstation setups.
User Experience
Features an intuitive user environment with indication-specific workflows, designed for both straightforward and complex clinical cases. It supports control via touch or mouse and offers multi-platform flexibility, including access on mobile devices (iPad, iPhone) within the hospital network. The platform boasts a rapid learning curve and streamlined, automated processes that reduce planner involvement and time.
Support Quality
Brainlab provides timely access to technical support for Elements. Additionally, Novalis Knowledge offers expert services to clinicians globally for confident implementation and optimization of their advanced technologies.
Implementation Complexity
The modular architecture allows for dynamic distribution across various workstations. The server-based Node solution simplifies IT management by centralizing software hosting and reducing administrative efforts. Its 'thin client' technology adapts to diverse hospital IT environments, supporting third-party hardware and virtual machines, and offering easy setup and usage.
Evidence Base
Supported by clinical use in numerous international markets and positive reception for modules like Multiple Brain Mets SRS, which has been used for hundreds of patients globally. Studies have evaluated plan quality and efficiency (e.g., Elements 2.0 vs. 3.0) and assessed the accuracy of semiautomatic CTV generation against expert manual contouring. Cross-platform verification studies for dose-summation-guided re-irradiation planning also exist. Clinical validation activities confirm state-of-the-art features, safety, performance, and usability.
Physician Tip

Leverage the modularity to tailor the platform to specific clinical needs, focusing on indication-specific workflows for optimal efficiency and patient-specific planning. Utilize the AI-powered segmentation and automated planning features to reduce manual contouring time and standardize workflows, especially for complex cases like multiple brain metastases or re-irradiation. Actively engage with the Retreatment Review module to integrate prior treatment data for informed decision-making. Explore the mobile device support for flexible plan review and collaboration.

The Brainlab Elements RT Planning Platform is designed for a highly integrated ecosystem. It seamlessly connects with other Brainlab solutions (e.g., Curve, Buzz, ExacTrac) and demonstrates interoperability with third-party linear accelerators (e.g., Elekta Versa HD) and planning systems (e.g., GammaPlan via DICOM RT). The Node server solution facilitates hospital IT integration and web-based access, while partnerships like that with TheraPanacea expand its AI-powered segmentation capabilities. This robust integration strategy aims to create a unified and efficient workflow across various clinical disciplines and hardware setups.

Details

Category Oncology AI, Surgical AI
Pricing Contact sales
  • Contact sales for flexible, subscription-based licensing models, ranging from single licenses to multiple departmental offerings
  • [9, 12, 16]
DeploymentCloud-based (via Node/Origin Server) and on-premise workstations, with mobile device support.
Compliance
BAA AvailableUnknown AI-estimated
HIPAA CompliantUnknown AI-estimated
FDA Status 1 AI-estimated

The RT Elements (4.5) and other Elements products, including AI Tumor Segmentation, received FDA clearance (K250440) on June 17, 2025, for radiation therapy treatment planning and dose optimization for cranial, head and neck, and extracranial lesions. [10, 22, 23]
Integrations
EHR Not specified
Specialties Neurosurgery, Oncology

What the Web Says

Brainlab's (Elements) RT Planning Platform is a sophisticated software suite designed to streamline and enhance radiation therapy and radiosurgery treatment planning. It converts 2D medical scans into interactive 3D anatomical maps, providing GPS-level precision for surgeons. The platform offers automated processes and standardized workflows, aiming to improve treatment accuracy, reduce planning time, and minimize radiation exposure to healthy tissue.

Overall: Positive

Strengths

  • Automated and standardized workflows for efficient plan generation.
  • High accuracy in image fusion and patient-specific planning.
  • Reduces treatment times and minimizes side effects for patients.
  • Multi-platform flexibility, allowing use on various devices.
  • Enhances precision and control in stereotactic surgery.
  • Superior conformity and spinal cord sparing in spine SRS/SBRT.

Limitations

  • Limited freedom for user intervention in some automated planning processes.
  • Potential for changes in structure volume and dose matrix interpretation when importing plans to other TPS.
  • Some users of a related 'Elements' financial planning tool found it underwhelming for comprehensive planning and noted a lack of forward projections and holdings data.
  • One Capterra review for 'Elements Software' mentioned occasional lagging, though it was unclear if this was due to the software or the user's system.
  • A Reddit thread indicated that a financial planning tool called 'Elements' went out of business, which could cause confusion with the Brainlab product.
  • The learning curve can be complex for non-technical users, and the user interface could be more polished for a related 'Element' communication platform.

Based on reviews from: Brainlab, Capterra, G2, Reddit, Life Healthcare, PubMed Central, Imaging Technology News, AuntMinnie, Telerik.com, Cal.com, Element Technologies Inc, accessdata.fda.gov

Last updated: 2026-07-17

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Press & Coverage

FDA Radiology AI Device
Brainlab Elements Image Fusion, Contouring (4.5);Image Fusion (4.5);Fibertracking (2.0);BOLD MRI Mapping (1.0);Image Fusion Angio (1.0) | FDA Radiology AI Device
Brainlab Elements is a suite of software applications that process and analyze medical image data to assist clinicians in planning surgeries and radiation treatments, offering tools for image registration, segmentation, fibertracking, BOLD MRI mapping, and cerebrovascular image fusion. The platform received FDA approval on July 14, 2023, and incorporates AI for tumor segmentation.
2023-07
FDA Radiology AI Device
Brainlab Elements (7.0); Brainlab Elements Image Fusion (5.0); Brainlab Elements Image Fusion Angio (1.0); Brainlab Elements Contouring (5.0); Brainlab Elements Fibertracking (3.0); Brainlab Elements BOLD MRI Mapping (1.0) | FDA Radiology AI Device
Brainlab Elements (7.0) is a medical imaging software suite that assists clinicians in planning cranial and extracranial surgical and radiotherapy treatments, providing tools for image fusion, angiographic image registration, contouring, fibertracking, and functional MRI mapping. The software supports precise treatment planning by combining and analyzing various imaging data.
unknown
FDA
K250440 - 510(k) Premarket Notification - FDA
This FDA 510(k) Premarket Notification details the clearance for Brainlab AG's (Elements) RT Planning Platform, along with other related Elements modules for dose review, retreatment review, and various segmentation applications in radiotherapy. The notification was issued on June 29, 2026.
2026-06
LA Vascular
rt elements 4 5 elements multiple brain mets srs elements cranial srs elements spine srs elements cranial srs w cones elements rt planning platform elements dose review elements retreatment review elements segmentation cranial basal ganglia head neck pelvic spine thoracic spine extracranial rt elements ai tumor segmentation rt elements smartbrush angio spine rt elements object management rt - LA Vascular
The 'rt elements' by Brainlab AG is an FDA-cleared radiotherapy planning platform for multiple brain and spine SRS applications, utilizing advanced AI for tumor segmentation and precise dose planning. It received FDA clearance on June 17, 2025, and studies report improved tumor control rates and enhanced precision in radiotherapy delivery.
2025-06
FDA.report
System, Planning, Radiation Therapy Treatment MUJ - FDA.report
This report lists Brainlab AG's 'RT Elements (4.5); (Elements) RT Planning Platform' under the product code MUJ for Radiation Therapy Treatment Planning Systems, with an FDA clearance date of June 17, 2025.
2025-06
X-ray Interpreter
Brainlab Elements Trajectory Planning (2.6), Elements Stereotaxy, Elements Lead Localization, Elements Trajectory Planning Cranial | FDA Radiology AI Device - X-ray Interpreter
Brainlab Elements Trajectory Planning (2.6) is a software designed to assist neurosurgeons in planning surgical instrument paths during cranial procedures, using anatomical images to enhance precision. It received FDA approval on April 19, 2023, and supports various planning roles like trajectory creation and stereotaxy.
2023-04
X-ray Interpreter
Mixed Reality Spine Navigation | FDA Radiology AI Device - X-ray Interpreter
Mixed Reality Spine Navigation, an accessory software for Brainlab's Spine & Trauma Navigation platform, uses a mixed reality headset to provide surgeons with 2D and 3D visualizations of spine anatomy and instruments during pedicle screw placement. This device, which enhances intraoperative navigation, received FDA approval on May 16, 2025.
2025-05
X-ray Interpreter
Automatic Registration | FDA Radiology AI Device - X-ray Interpreter
Automatic Registration by Brainlab AG is a software tool for image-guided surgery that automatically registers intraoperatively acquired 3D CT, CBCT, or fluoroscopic images to the surgical environment. Approved on March 20, 2024, it uses AI/ML for vertebra detection in 2D X-ray images to assist registration updates.
2024-03

Videos

Product demos, reviews, and walkthroughs for (Elements) RT Planning Platform.

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Frequently Asked Questions

The Brainlab Elements RT Planning Platform is designed to integrate seamlessly into established clinical workflows and hospital IT environments, offering multi-platform flexibility for planning and review. It utilizes AI for automation in steps like image fusion, distortion correction, organ-at-risk segmentation, and target delineation, aiming to streamline pre-planning and increase efficiency.
The Brainlab Elements RT Planning Platform has received FDA 510(k) clearance, indicating its substantial equivalence to legally marketed predicate devices for radiation treatment planning. While specific data privacy certifications like HIPAA or GDPR compliance for the platform itself are not explicitly detailed in the search results, Brainlab generally operates within medical device regulations which typically require adherence to such standards for patient data.
The Brainlab Elements platform is recognized for its modular design and AI-driven automation in radiosurgery and radiotherapy planning, offering specific solutions for various indications like multiple brain metastases and spine SRS. Other prominent systems include Varian's Eclipse (known for comprehensive algorithms and RapidPlan AI), RayStation (innovative multi-modality planning), and Philips' Pinnacleu00b3 (robust planning capabilities). Competitors also include platforms like MIM Symphony, ARIA, MOSAIQ, and various Radformation tools that offer AI-driven auto-contouring and automated planning.
Specific pricing details for the Brainlab Elements RT Planning Platform are not publicly disclosed in the provided search results, as is common for specialized medical software. Brainlab indicates flexible business models, ranging from single licenses to multiple offerings across departments, suggesting a scalable approach. Interested facilities would typically need to contact Brainlab directly for a quote tailored to their specific needs and departmental infrastructure.
General limitations of AI in RT planning can include potential biases if models are trained on data from a limited range of institutions or patient demographics, and tumor contouring may still require physician correction. While the Elements platform aims for consistent, high-quality plans through automation, the system is designed to assist, not replace, the clinician. Physicians maintain the critical role of reviewing and finalizing AI-generated plans to ensure clinical acceptability and mitigate any algorithmic limitations.
The Brainlab Elements RT Planning Platform undergoes non-clinical validation, including usability tests, to ensure workflows and user interfaces are effective. For specific applications like RT Elements, FDA 510(k) clearance is based on substantial equivalence to predicate devices, with verification and validation carried out thoroughly. While the platform aims to produce consistent plans, the ultimate clinical efficacy and accuracy in diverse patient populations are continuously evaluated through clinical use and studies, often with physician review as a critical step.
The Elements RT Planning Platform is explicitly designed as a supportive tool to assist radiation oncologists and their teams, not to replace their expertise. It automates time-consuming tasks like contouring and plan generation, allowing clinicians to focus on refining plans, complex cases, and patient care. The platform enhances efficiency and consistency, but the physician's final review and approval remain essential.

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Suggest an Edit → | Last Verified: 2026-04-17 | First Added: 2026-04-17

Investors who backed (Elements) RT Planning Platform

Funded through the company that built this tool.

Prosus Ventures
VC AI T1
Amsterdam, Netherlands
$25M+
Prosus Ventures is the venture arm of one of the largest global technology investment groups, with deep roots in consumer internet, marketplaces,…
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