Document Detail


Dose-volume considerations in radiosurgery.
MedLine Citation:
PMID:  1667045     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Dose-volume effects are very important in radiosurgery. Functional radiosurgery illustrates brain tolerance at the extremes of small volumes and high radiation doses. The risks of radiation necrosis from radiosurgery of arteriovenous malformations (AVMs) and tumors appear to be reasonably well predicted by the integrated logistic formula and the 1% dose-volume isoeffect line for proton beam irradiation. The two main exceptions to this rule are cranial nerves, which appear to be more sensitive than the rest of the brain, and angiographically occult vascular malformations, where complications appear to occur at lower doses/volumes than in the treatment of tumors or AVMs. Further investigation is needed to better predict complications throughout the entire range of volumes, radiation doses, treatment locations and techniques presently used in stereotactic radiosurgery.
Authors:
J C Flickinger; L D Lunsford; D Kondziolka
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Stereotactic and functional neurosurgery     Volume:  57     ISSN:  1011-6125     ISO Abbreviation:  Stereotact Funct Neurosurg     Publication Date:  1991  
Date Detail:
Created Date:  1992-05-21     Completed Date:  1992-05-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8902881     Medline TA:  Stereotact Funct Neurosurg     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  99-105     Citation Subset:  IM    
Affiliation:
Department of Radiation Oncology, University of Pittsburgh School of Medicine, Pa.
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MeSH Terms
Descriptor/Qualifier:
Brain / pathology,  radiation effects
Cerebral Angiography
Cranial Nerves / radiation effects
Dose-Response Relationship, Radiation
Humans
Intracranial Arteriovenous Malformations / radiography,  surgery
Models, Neurological
Necrosis
Probability
Protons
Radiosurgery*
Chemical
Reg. No./Substance:
0/Protons

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


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