Document Detail


Computer aided robotic radiosurgery.
MedLine Citation:
PMID:  17060075     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Radiosurgery involves the precise delivery of sharply collimated high-energy beams of radiation to a distinct target volume along selected trajectories. Historically, accurate targeting required the application of a stereotactic frame, thus limiting the use of this procedure to single treatments of selected intracranial lesions. However, the scope of radiosurgery has undergone a remarkable broadening since the introduction of image-guided robotic radiosurgery. Recent developments in real-time image guidance provide an effective frameless alternative to conventional radiosurgery and allow both the treatment of lesions outside the skull and the possibility of performing hypofractionation. As a consequence, targets in the spine, chest and abdomen can now also be radiosurgically ablated with submillimetric precision. Meanwhile, the combination of image guidance, robotic beam delivery, and non-isocentric inverse planning can greatly enhance the conformality and homogeneity of radiosurgery. The aim of this article is to describe the technological basis of image-guided radiosurgery and provide a perspective on future developments. The current clinical usage of robotic radiosurgery will be reviewed with an emphasis on those applications that may represent a major shift in the therapeutic paradigm.
Authors:
Pantaleo Romanelli; Achim Schweikard; Alexander Schlaefer; John Adler
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Computer aided surgery : official journal of the International Society for Computer Aided Surgery     Volume:  11     ISSN:  1092-9088     ISO Abbreviation:  Comput. Aided Surg.     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-10-24     Completed Date:  2007-03-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9708375     Medline TA:  Comput Aided Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  161-74     Citation Subset:  IM    
Affiliation:
Functional Neurosurgery, Neuromed IRCCS, Pozzilli, Italy.
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MeSH Terms
Descriptor/Qualifier:
Brain Neoplasms / surgery
Forecasting
Humans
Radiosurgery / methods*
Robotics / methods*
Surgery, Computer-Assisted / methods*
Trigeminal Neuralgia / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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