Document Detail


Stereotactic interstitial radiosurgery with a miniature X-ray device in the minimally invasive treatment of selected tumors in the thalamus and the basal Ganglia.
MedLine Citation:
PMID:  12890978     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to evaluate the role of interstitial radiosurgery (IR) using the photon radiosurgery system (PRS) in the treatment of selected tumors within the thalamus and the basal ganglia. The PRS is a miniature X-ray generator that was developed for interstitial irradiation. This series included 14 patients (5 with glioblastomas, 4 with low-grade astrocytomas and 5 with metastases) harboring spheroidal lesions with dimensions ranging from 13 to 42 mm (mean 30 mm). After stereotactic biopsy, a radiation dose ranging from 6 to 15.4 Gy (mean 11.3 Gy) was delivered at the target volume margins. Follow-up varied from 3 to 26 months (mean 10.2 months). In the group of glioblastomas, 3 patients died (3-12 months after the procedure) because of tumor progression, while the remaining had tumor control. Two patients with metastases died from systemic disease (4-9 months after the treatment), and 3 were alive and well at the end of the study. Local control was achieved in all metastases. Patients with low-grade astrocytomas were well and imaging studies showed tumor control PRS IR is a minimally invasive procedure for the treatment of selected glial or secondary brain tumors. Compared to conventional radiosurgery (brachytherapy and external radiosurgery), PRS IR presents dose delivery characteristics useful for the treatment of tumors in the thalamus and basal ganglia, without inconveniences such as handling radioisotopes, the need of expensive facilities and radiation protection measures. Although the clinical value needs further investigations, PRS IR seems to be effective in metastases while it provides less benefit in malignant gliomas. PRS IR could have a major role in the treatment of low-grade astrocytomas.
Authors:
Pasquale Gallina; Paolo Francescon; Carlo Cavedon; Franco Casamassima; Raffaello Mungai; Paolo Perrini; Serenella Russo; Nicola Di Lorenzo
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Stereotactic and functional neurosurgery     Volume:  79     ISSN:  1011-6125     ISO Abbreviation:  Stereotact Funct Neurosurg     Publication Date:  2002  
Date Detail:
Created Date:  2003-07-31     Completed Date:  2003-10-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8902881     Medline TA:  Stereotact Funct Neurosurg     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  202-13     Citation Subset:  IM    
Copyright Information:
Copyright 2002 S. Karger AG, Basel
Affiliation:
Department of Neurosurgery, University of Florence, Florence, Italy. pgal@unifi.it
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Astrocytoma / secondary,  surgery
Basal Ganglia Diseases / surgery*
Brain Neoplasms / pathology,  surgery*
Female
Follow-Up Studies
Glioblastoma / secondary,  surgery*
Humans
Male
Middle Aged
Photons
Postoperative Complications
Radiosurgery / methods*
Stereotaxic Techniques
Surgical Procedures, Minimally Invasive
Thalamic Diseases / surgery*

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


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