Document Detail

Successful conversion from a linear accelerator-based program to a Gamma Knife radiosurgery program: the Cleveland Clinic experience.
MedLine Citation:
PMID:  10681704     Owner:  NLM     Status:  MEDLINE    
From August 1989 to January 1997, 307 treatments in 293 patients were performed with a linear accelerator-based (LINAC) stereotactic radiosurgery system. Because of the program s success, the need for a dedicated radiosurgery unit in Ohio and the desire to treat functional disorders, the Cleveland Clinic Health System (CCHS) obtained the first Gamma Knife in the state of Ohio. Based on the previous volume of patients for radiosurgery, it was estimated that 75-100 patients would be treated during the first year of operation. However, during the first calendar year, 214 treatments were performed on 205 patients, which far exceeded expectations. The success of the CCHS Gamma Knife Center can be attributed to an increase in a number of factors. These included marketing efforts, patient awareness, increased use for functional disorders, physician understanding of radiosurgery, use by qualified nonaffiliated radiation oncologists and neurosurgeons, and outpatient delivery (95% with the Gamma Knife vs <5% with the LINAC). With proper planning, education, and awareness, the opening of a Gamma Knife Center can greatly increase the volume of radiosurgery performed when compared with a LINAC-based program.
J H Suh; G H Barnett; D W Miller; R L Crownover; T R Willoughby; M S Weinhous; P A Barrett; J G Walsh; R M Macklis
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Stereotactic and functional neurosurgery     Volume:  72 Suppl 1     ISSN:  1011-6125     ISO Abbreviation:  Stereotact Funct Neurosurg     Publication Date:  1999  
Date Detail:
Created Date:  2000-03-16     Completed Date:  2000-03-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8902881     Medline TA:  Stereotact Funct Neurosurg     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  159-67     Citation Subset:  IM    
Department of Radiation Oncology, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
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MeSH Terms
Brain Neoplasms / classification,  secondary,  surgery*
Meningeal Neoplasms / surgery
Meningioma / surgery
Oncology Service, Hospital / organization & administration
Particle Accelerators*
Radiation Oncology / organization & administration
Radiosurgery / instrumentation*,  methods*
Retrospective Studies
Surgery Department, Hospital / organization & administration

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

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