Stereotactic Radiosurgery (SRS): An Overview:
Stereotactic radiosurgery delivers high doses of radiation precisely to brain tumors, sparing surrounding healthy tissue. It's a non-surgical procedure commonly used for inoperable lesions and post-operative treatment of arteriovenous malformations.
Types of Stereotactic Radiosurgery:
stereotactic Body Radiation Therapy (SBRT):
- Used for various cancers including pediatric, bladder, lung, head and neck, pancreatic, liver, and kidney cancers.
Stereotactic Radiosurgery (SRS):
- Primarily for spinal and brain cancers.
Equipment Used:
Linear Accelerator (LINAC):
- Delivers high-energy x-ray electrons or photons, suitable for fractionated stereotactic radiotherapy.
Gamma Knife:
- Utilizes 201 highly focused gamma rays for precise treatment of small to medium-sized lesions.
Procedure:
- Stereotactic Radiosurgery Using Linear Accelerator (LINAC):
Imaging:
- Initial imaging to locate the tumor.
- Computerized Dose Planning:
- Treatment plan is created.
Head Frame Placement:
- Stabilizes the head during treatment.
Radiation Delivery:
- Beams delivered from various angles using LINAC gantry, effective for large tumors.
Stereotactic Radiosurgery Using Gamma Knife:
Head Frame Placement:
- Lightweight frame attached to the skull to immobilize the head.
Imaging:
- MRI or CT scan to precisely locate the tumor.
Computerized Dose Planning:
- Treatment plan generated.
Radiation Delivery:
- Gamma rays targeted through holes in the helmet, monitored by the physician.
Conclusion:
Stereotactic radiosurgery, whether delivered via LINAC or Gamma Knife, offers precise and effective treatment for brain tumors, minimizing damage to healthy tissue. The procedure typically takes 2-4 hours and allows for swift recovery post-treatment.