Linear accelerator and Greitz-Bergstrom's head fixation system in radiosurgery of single cerebral metastases. A report of 86 cases
Between 1984 and 1991 86 patients with single cerebral metastases underwent linear accelerator radiosurgery using the atraumatic and reproducible Greitz-Bergström head-fixation device. Routine one-month follow-up documented disappearance of the tumour in 16 patients, with resolution of the oedema an...
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| Veröffentlicht in: | Acta neurochirurgica 1993-09, Vol.121 (3-4), p.140-145 |
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| container_title | Acta neurochirurgica |
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| creator | VALENTINO, V MIRRI, M. A SCHINAIA, G ORE, G. D |
| description | Between 1984 and 1991 86 patients with single cerebral metastases underwent linear accelerator radiosurgery using the atraumatic and reproducible Greitz-Bergström head-fixation device. Routine one-month follow-up documented disappearance of the tumour in 16 patients, with resolution of the oedema and ventricular shift. Shrinkage of the metastasis occurred in 51 patients. In 9 patients the tumour remained stable, in 7 there was progression of tumour size. Among the patients showing shrinkage of the tumour or unchanged tumour volume, repeated radiosurgery resulted in disappearance of the metastasis in 5 and further shrinkage in 28. In 14 patients routine stereotactic CT follow-up study led to the detection of a new metastasis, again treated with excellent results. Local recurrence occurred in 2 patients and radiation necrosis in the target area in 5 patients. Radiosurgery thus proves to be an appropriate alternative to surgery. The versatility of our non-invasive and painless method permits CT staging (which we consider essential) without hospitalization of the patient. |
| doi_str_mv | 10.1007/BF01809265 |
| format | Article |
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In 14 patients routine stereotactic CT follow-up study led to the detection of a new metastasis, again treated with excellent results. Local recurrence occurred in 2 patients and radiation necrosis in the target area in 5 patients. Radiosurgery thus proves to be an appropriate alternative to surgery. 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A</creatorcontrib><creatorcontrib>SCHINAIA, G</creatorcontrib><creatorcontrib>ORE, G. D</creatorcontrib><title>Linear accelerator and Greitz-Bergstrom's head fixation system in radiosurgery of single cerebral metastases. A report of 86 cases</title><title>Acta neurochirurgica</title><addtitle>Acta Neurochir (Wien)</addtitle><description>Between 1984 and 1991 86 patients with single cerebral metastases underwent linear accelerator radiosurgery using the atraumatic and reproducible Greitz-Bergström head-fixation device. Routine one-month follow-up documented disappearance of the tumour in 16 patients, with resolution of the oedema and ventricular shift. Shrinkage of the metastasis occurred in 51 patients. In 9 patients the tumour remained stable, in 7 there was progression of tumour size. Among the patients showing shrinkage of the tumour or unchanged tumour volume, repeated radiosurgery resulted in disappearance of the metastasis in 5 and further shrinkage in 28. In 14 patients routine stereotactic CT follow-up study led to the detection of a new metastasis, again treated with excellent results. Local recurrence occurred in 2 patients and radiation necrosis in the target area in 5 patients. Radiosurgery thus proves to be an appropriate alternative to surgery. The versatility of our non-invasive and painless method permits CT staging (which we consider essential) without hospitalization of the patient.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Brain Neoplasms - mortality</subject><subject>Brain Neoplasms - secondary</subject><subject>Brain Neoplasms - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Intracranial Arteriovenous Malformations - mortality</subject><subject>Intracranial Arteriovenous Malformations - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Particle Accelerators</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Postoperative Complications - mortality</subject><subject>Radiosurgery - instrumentation</subject><subject>Survival Rate</subject><subject>Tomography, X-Ray Computed</subject><subject>Tumors of the nervous system. 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D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c226t-215ed6b8b8f5c6373e7620a201313c86dff0d71486bd77d18404917adc5282953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Brain Neoplasms - mortality</topic><topic>Brain Neoplasms - secondary</topic><topic>Brain Neoplasms - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Intracranial Arteriovenous Malformations - mortality</topic><topic>Intracranial Arteriovenous Malformations - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Particle Accelerators</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Postoperative Complications - mortality</topic><topic>Radiosurgery - instrumentation</topic><topic>Survival Rate</topic><topic>Tomography, X-Ray Computed</topic><topic>Tumors of the nervous system. Phacomatoses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>VALENTINO, V</creatorcontrib><creatorcontrib>MIRRI, M. A</creatorcontrib><creatorcontrib>SCHINAIA, G</creatorcontrib><creatorcontrib>ORE, G. D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta neurochirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>VALENTINO, V</au><au>MIRRI, M. A</au><au>SCHINAIA, G</au><au>ORE, G. D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Linear accelerator and Greitz-Bergstrom's head fixation system in radiosurgery of single cerebral metastases. A report of 86 cases</atitle><jtitle>Acta neurochirurgica</jtitle><addtitle>Acta Neurochir (Wien)</addtitle><date>1993-09</date><risdate>1993</risdate><volume>121</volume><issue>3-4</issue><spage>140</spage><epage>145</epage><pages>140-145</pages><issn>0001-6268</issn><eissn>0942-0940</eissn><coden>ACNUA5</coden><abstract>Between 1984 and 1991 86 patients with single cerebral metastases underwent linear accelerator radiosurgery using the atraumatic and reproducible Greitz-Bergström head-fixation device. Routine one-month follow-up documented disappearance of the tumour in 16 patients, with resolution of the oedema and ventricular shift. Shrinkage of the metastasis occurred in 51 patients. In 9 patients the tumour remained stable, in 7 there was progression of tumour size. Among the patients showing shrinkage of the tumour or unchanged tumour volume, repeated radiosurgery resulted in disappearance of the metastasis in 5 and further shrinkage in 28. In 14 patients routine stereotactic CT follow-up study led to the detection of a new metastasis, again treated with excellent results. Local recurrence occurred in 2 patients and radiation necrosis in the target area in 5 patients. Radiosurgery thus proves to be an appropriate alternative to surgery. The versatility of our non-invasive and painless method permits CT staging (which we consider essential) without hospitalization of the patient.</abstract><cop>Wien</cop><cop>New York, NY</cop><pub>Springer</pub><pmid>8512010</pmid><doi>10.1007/BF01809265</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0001-6268 |
| ispartof | Acta neurochirurgica, 1993-09, Vol.121 (3-4), p.140-145 |
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| language | eng |
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| subjects | Adult Aged Biological and medical sciences Brain Neoplasms - mortality Brain Neoplasms - secondary Brain Neoplasms - surgery Female Follow-Up Studies Humans Intracranial Arteriovenous Malformations - mortality Intracranial Arteriovenous Malformations - surgery Male Medical sciences Middle Aged Neurology Particle Accelerators Postoperative Complications - diagnostic imaging Postoperative Complications - mortality Radiosurgery - instrumentation Survival Rate Tomography, X-Ray Computed Tumors of the nervous system. Phacomatoses |
| title | Linear accelerator and Greitz-Bergstrom's head fixation system in radiosurgery of single cerebral metastases. A report of 86 cases |
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