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Role of Radiosurgery in the Management of Intracranial Malignancies

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Gamma Knife Neurosurgery in the Management of Intracranial Disorders

Part of the book series: Acta Neurochirurgica Supplement ((NEUROCHIRURGICA,volume 116))

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Abstract

Stereotactic radiosurgery (SRS) works by applying highly localized, focused radiation to a pathological target. It produces cure by damaging the target with the high dose and sparing adjacent tissues by a rapid dose falloff outside the target. The targets should not be large. It follows that a well-defined lesion with a clear-cut margin is the ideal target. This being so, apart from cerebral metastases, most malignancies would seem to be unsuitable for the method. They have unclear margins as a consequence of invading surrounding normal tissue. Also, they have been seen to be resistant to conventional radiotherapy. Moreover, many of them are larger than ideal for SRS.

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References

  1. McCutcheon IE (2013) Stereotactic radiosurgery for malignant extracerebral intracranial tumors: patient selection, efficacy, and technical nuances. Acta Neurochir Suppl 116:71–83 (present volume)

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  2. Mori Y, Tsugawa T, Hashizume C, Kobayashi T, Shibamoto Y (2013) Gamma knife stereotactic radiosurgery for atypical and malignant meningiomas. Acta Neurochir Suppl 116:85–89 (present volume)

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  3. Takakura K, Hayashi M, Chernov MF, Tamura N, Izawa M, Okada Y, Tamura M, Muragaki Y, Iseki H (2013) Gamma knife treatment strategy for metastatic brain tumors. Acta Neurochir Suppl 116:63–69 (present volume)

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Conflict of Interest

The author works as a consultant for Elekta AB Company, which manufactures the Gamma Knife. He has received no financial support in the preparation of this Editorial and can state that there is no conflict of interest.

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Correspondence to Jeremy C. Ganz .

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© 2013 Springer-Verlag Wien

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Ganz, J.C. (2013). Role of Radiosurgery in the Management of Intracranial Malignancies. In: Chernov, M., Hayashi, M., Ganz, J., Takakura, K. (eds) Gamma Knife Neurosurgery in the Management of Intracranial Disorders. Acta Neurochirurgica Supplement, vol 116. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1376-9_10

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  • DOI: https://doi.org/10.1007/978-3-7091-1376-9_10

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  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-1375-2

  • Online ISBN: 978-3-7091-1376-9

  • eBook Packages: MedicineMedicine (R0)

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