Stereotaktische Radiochirurgie und Radiotherapie bei Akustikusneurinomen
作者： F. Unger , K. Dominikus , K. Haselsberger
DOI: 10.1007/S00106-010-2191-X
关键词:
摘要: Stereotactic radiosurgery (SRS) is a neurosurgical field that has become increasingly important in the treatment of acoustic neuromas. Radiosurgical modalities include Gamma knife, linear accelerator (LINAC), and CyberKnife. knife (GKRS) still unsurpassed terms spatial accuracy radiation delivery been used for decades neuromas (>18000 patients). In contrast to surgical resection, goal SRS long-term prevention tumour growth with preservation neurological function. Radiation-induced neuropathies rarely occur. However, there are essential differences between fractionated stereotactic radiotherapy (FSR) both their radiobiological effects modes application. can be performed an outpatient setting. Neuromas up 3 cm diameter represent potential candidates or FSR. For larger tumours, cystic lesions brain stem compression, microsurgical resection experienced centres preferred option. (and FSR) possible options patients progression after subtotal surgery recurrence, unable unwilling undergo surgery.
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