European Radiosurgery Center Munich - The Specialists for Cyberknife & ZAP-X Radiosurgery

Welcome to ERCM, the most advanced center for robot-guided radiosurgery in Germany. With us, affected patients receive optimal therapy for their indication. The decisive factor here is that we only carry out treatments in which our technologies enable above-average treatment success. Furthermore, treatments are carried out promptly and gently and benefit from our high-level networking.

As a pioneer in using Cyberknife and ZAP-X technology, we can particularly treat small and well-defined tumors. In addition, cyberknife treatments can be carried out in many parts of the body and are a long-proven alternative to surgery or several weeks of radiation therapy.

ERCM Munich: High-Precision Robot-Guided Tumor Therapy 

The European Radiosurgery Center Munich has successfully treated patients with tumors and metastases since 2005. To date, more than 10,000 patients have been successfully treated in Munich. The systems used in Munich (Cyberknife M6 and ZAP-X) treat benign and malignant tumors with high precision and sub-millimeter accuracy using digital imaging and mobile robotics.

Tumor patients receive treatment of the highest safety and quality. In addition, radiosurgical therapy is available in Munich to patients covered by health insurance and private patients.

Tumors can be treated very well with Cyberknife and ZAP-X technology if the relatively strict indication criteria for radiosurgery are met. For example, tumors must not be too large and have clear borders. If this is the case, Cyberknife or ZAP-X treatment is often a much more convenient alternative to surgery or several weeks of radiation therapy.

State-of-the-Art Radiosurgery in Munich: Specialists in the Treatment of Tumors and Metastases.

Cyberknife technology combines high-performance robotics with digital imaging to track the tumor in the patient continuously. The radiation source is mounted on a robotic model, like those used in the automotive industry. The robot's arm has six degrees of freedom as it moves around the room. In addition, the patient is also positioned movably on a robot-guided couch. Thanks to this flexibility, tumors can be reached in all body parts.

The system can continuously locate the marked tumor during the entire radiation time and compares the data in real-time with the digital imaging data via two additional X-ray units. In this way, the robotic arm can always direct the beam precisely to the tumor, and any patient movements, such as breathing or vibrations, are automatically compensated.

ZAP-X Treatment

While Cyberknife technology can treat the entire body, ZAP-X technology is specifically designed for brain treatments.

This state-of-the-art technology exploits its gyroscopic range of motion to treat tumors in the head and neck region precisely.

This technical finesse means that tumors and metastases in the brain can be treated with particularly low risk. Specifically, acoustic neuromas, brain metastases, or complicated tumors of the meninges (meningiomas) are ideal indications for ZAP-X treatment.

CyberKnife for Prostate Cancer and Recurrences 

As an alternative to surgery or conventional radiation, certain prostate cancers can be treated well using the Cyberknife method.

If a prostate carcinoma has a Gleason score of 6 or 7 (PSA up to 20 ng/ml) without infiltrating growth into the organ capsule, there may be an indication for treatment with CyberKnife.

Using the CyberKnife, the surrounding tissue can be spared to the maximum so that a regular function of the urinary bladder or rectum can be maintained. This can have a significant positive impact on the patient's quality of life after treatment.

Even in tumor recurrence after surgery or conventional radiation, CyberKnife can often be used as an adjuvant treatment.

Radiosurgery & Radiotherapy in Bavaria: Highest Expertise in the Treatment of Lung Cancer and Lung Metastases 

Due to respiratory excursions, the lung tissue is constantly in motion. As a result, a primary tumor or metastasis in the chest also moves up and down, depending on breathing. Therefore, conventional radiation methods rely on tight chest immobilization or even involve anesthetizing the patient for better control of the respiratory cycle.

CyberKnife technology, on the other hand, adapts to the patient by sensing the patient's breathing movements via a three-dimensional camera so that the robotic arm's movements are synchronized with the patient's chest movements. Thanks to this respiratory compensation, targets in the lung tissue can be safely irradiated while sparing the respiratory tract.

Treatment of Liver Cancer and Metastases

Due to its location directly below the diaphragm, the liver is also breath dependent. Thanks to the breathing compensation technique described above, CyberKnife can deliver precisely targeted radiation to tumors or metastatic foci in liver tissue. To enable reliable target tracking, the tumor is marked with a gold probe under computed tomography monitoring before irradiation under local anesthesia. This treatment is also associated with a considerable increase in patient comfort and can be carried out in outpatient settings.

Renal Cell Carcinoma - Therapy of Renal Tumors at the Munich Center

At the European Radiosurgery Center in Munich, kidney tumors are treated using CyberKnife in close interdisciplinary cooperation with the urology department of the University Hospital in Großhadern, especially in patients who are not considered for surgery. Furthermore, since the kidneys are also displaceable due to respiratory movements, correcting this respiratory-dependent tumor movement is indispensable for safe and sufficient irradiation.

Interdisciplinary Expertise in Neurosurgery, Radiotherapy, and Proton Treatment

Our patients can rely on being treated only by internationally recognized radiosurgery experts - with a background of more than 25 years of experience and more than 1000 patients per year. As pioneers of radiosurgery in Germany, we are mainly distinguished by our interdisciplinary expertise in neurosurgery, radiotherapy, and proton treatment.

Please, visit the website of the European Radiosurgery Center Munich for more information.