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Neuroimaging in Radiosurgery Treatment Planning and Follow-up Evaluation

  • Chapter
Principles and Practice of Stereotactic Radiosurgery

Abstract

Radiosurgery refers to the precise delivery of a large, single dose of radiation to a focal target. The focal dose distribution allows for a positive therapeutic gain. Because of the opacity of the cranial vault, target volume definition relies entirely on the anatomic accuracy of the available imaging modalities. The need for accurate anatomic visualization is magnified by the use of higher radiation dose delivered in radiosurgery as compared with radiotherapy. To achieve maximal spatial accuracy in radiosurgical planning, an understanding of the basic principles underlying neuroimaging as well as the limitations associated with each imaging modality is mandatory. Additionally, the optimal management of patients after radiosurgery requires knowledge of the expected neuroimaging changes as they relate to clinical outcome. These issues will be reviewed in this chapter.

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Authors and Affiliations

  1. Radiosurgery, Department of Neurosurgery, Massachusetts General Hospital, Boston, MA, USA

    Clark C. Chen MD, PhD (Fellow) & Paul H. Chapman MD (Professor)

  2. Department of Radiation Oncology, Massachusetts General Hospital, Boston, MA, USA

    Hanne Kooy PhD (Research Associate) & Jay S. Loeffler MD (Chief Radiation Oncology)

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  1. Clark C. Chen MD, PhD
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  2. Paul H. Chapman MD
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  3. Hanne Kooy PhD
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  4. Jay S. Loeffler MD
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Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Boston University School of Medicine, Boston, MA, USA

    Lawrence S. Chin MD (Professor and Chairman) (Professor and Chairman)

  2. Department of Radiation Oncology, University of Maryland Medical School, Baltimore, MD, USA

    William F. Regine MD (Professor and Chairman) (Professor and Chairman)

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Chen, C.C., Chapman, P.H., Kooy, H., Loeffler, J.S. (2008). Neuroimaging in Radiosurgery Treatment Planning and Follow-up Evaluation. In: Chin, L.S., Regine, W.F. (eds) Principles and Practice of Stereotactic Radiosurgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-71070-9_2

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  • DOI: https://doi.org/10.1007/978-0-387-71070-9_2

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