Oncology → CyberKnife / SRS

Stereotactic radiotherapy

CyberKnife and Stereotactic Radiosurgery in Germany for International Patients

Understand stereotactic radiosurgery and CyberKnife treatment in Germany, including specialist selection, imaging, fractionation and questions international patients should ask before travel.

By Treat in Germany Editorial TeamSources reviewed: 2026-09-07Independent clinician review: not yet claimed
Short answer: Stereotactic radiosurgery (SRS) and stereotactic body radiotherapy use highly focused radiation to treat selected small or well-defined targets. CyberKnife is one delivery platform. Despite the word 'surgery', no incision is made. The method is not automatically preferable to surgery, conventional radiotherapy or systemic treatment; the correct option depends on tumor type, size, location, prior treatment and the clinical goal.

CyberKnife is a technology, not a diagnosis

Heidelberg uses stereotactic and CyberKnife techniques for selected targets such as brain metastases, spinal tumors, early lung tumors, liver tumors and oligometastatic disease. Whether a lesion is suitable requires radiation-oncology review and precise imaging.

Planning quality is as important as the machine name

Heidelberg describes CT and advanced MRI integration for target definition and the use of PET information in selected cases. International patients should send original imaging, not only written reports, when the center requests it.

Records useful for review

A concise request should define the treatment question and prior radiation exposure.

  • Exact diagnosis and pathology
  • Recent MRI/CT/PET images and reports
  • Previous radiotherapy plan and dose records
  • Operative reports
  • Systemic-treatment history
  • Current neurologic or other symptoms
  • Performance status and major comorbidities

One session is not guaranteed

Some stereotactic treatments are delivered in one session while others use several fractions. The number depends on lesion size, location, nearby critical structures and the treatment plan. Do not book travel based on a generic 'one-day radiosurgery' claim.

Ask what the clinical alternative is

A useful consultation should explain why stereotactic radiation is being considered instead of observation, surgery, conventional radiotherapy or another systemic/local treatment, and how response will be assessed afterward.

Official sources

Sources last checked 2026-09-07.

Medical information notice: General educational information only; not an individual diagnosis or treatment recommendation. CyberKnife/SRS suitability requires specialist radiation-oncology review of the diagnosis, target and previous treatment.
Verified centers

German centers documenting this service

These are not rankings or paid recommendations. Centers are displayed alphabetically by city and are included because their official websites document the relevant treatment, diagnostic test or specialist program. Availability for an individual patient still requires clinical review.

Heidelberg University Hospital CyberKnife Program

Heidelberg · Heidelberg Radiation Oncology publishes a dedicated CyberKnife stereotactic treatment service for selected intracranial and extracranial indications.

Department of Radiation Oncology and Radiotherapy, University Medical Center Mainz

Mainz · Mainz publishes intracranial and extracranial stereotactic radiotherapy, including single-session stereotactic radiosurgery, and uses HyperArc for highly precise treatment of multiple brain targets in selected patients.

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