November 12, 2014 — Brainlab announced the installation of the 625th ExacTrac X-Ray. ExacTrac X-Ray provides sub-millimetric precison and a unique approach for solving the complexities associated with intra-fractional patient motion by internally verifying the patient’s position with stereoscopic X-ray at the time of treatment, even at non-coplanar couch positions. ExacTrac X-Ray monitoring is especially valuable for cranial stereotactic radiosurgery (SRS) and spinal stereotactic body radiation therapy (SBRT) treatments.
“ExacTrac X-Ray monitoring defines the standard in intra-fractional motion management,” said Josh Yamada, M.D., radiation oncologist, Memorial Sloan Kettering Cancer Center. “We can set up our patients using cone-beam CT [computed tomography] or ExacTrac X-Ray, depending upon the patient’s needs. However, during treatment delivery, the need to manage intra-fractional motion at a high frequency is well met by ExacTrac X-Ray monitoring. The system has helped us overcome the challenges and complexities of spine radiosurgery cases. Overall, ExacTrac X-Ray monitoring provides an improvement to our setup accuracy and safe, efficient treatment delivery.”
Clinicians are able to use ExacTrac X-Ray technology for patient setup as well as patient monitoring throughout treatment delivery. It allows the continuous verification of the patient’s position—at any point during treatment—based on internal anatomy and regardless of technique or couch position.
ExacTrac can be installed on any linear accelerator system complementing the LINAC with the unique ability to detect intra-fractional motion based on the patient’s internal anatomy.
For more information: www.brainlab.com/exactrac
April 10, 2026 
