Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/76110
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Type: Journal article
Title: Lessons from a 17-year radiosurgery experience at the Royal Adelaide Hospital
Author: Roos, D.
Brophy, B.
Taylor, J.
Citation: International Journal of Radiation: Oncology - Biology - Physics, 2012; 82(1):102-106
Publisher: Elsevier Science Inc
Issue Date: 2012
ISSN: 0360-3016
1879-355X
Statement of
Responsibility: 
Daniel E. Roos, Brian P. Brophy, James Taylor
Abstract: <h4>Purpose</h4>To illustrate some of the potential pitfalls of cranial stereotactic radiosurgery (SRS) and its planning based on prospectively gathered data from a 17-year experience at the Royal Adelaide Hospital.<h4>Methods and materials</h4>More than 250 treatments have been planned since 1993 using previously described standard SRS techniques for intracranial benign and malignant lesions.<h4>Results</h4>Five case studies are presented (1 meningioma, 1 acoustic neuroma, 2 solitary brain metastasis, 1 arteriovenous malformation), each of which demonstrates at least one salutary lesson.<h4>Conclusions</h4>Because SRS delivers a highly conformal dose distribution, it is unforgiving of any geographic miss due to inaccurate outlining and thus dependent on neuroradiological expertise and collaboration. There are also potentially significant implications of misdiagnosis in SRS cases without histological proof--in particular, presumed brain metastases.
Keywords: Radiosurgery
Planning
Outlining
Pitfalls
Case studies
Rights: Crown copyright © 2012 Published by Elsevier Inc. All rights reserved.
DOI: 10.1016/j.ijrobp.2010.08.054
Appears in Collections:Aurora harvest 4
Surgery publications

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