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Leksell Radiosurgery
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Страница 2
Progress in Neurological Surgery
Leksell Radiosurgery
Страница 5
Contents
Preface
Страница 8
The Origins and Development of Radiosurgery and the Leksell Gamma Knife
Abstract
The Early Years
X-Rays and Protons
The Gamma Knife
Spreading the Gospel against Disbelief
The Turning Point
Gamma Knife Statistics and Education
Personal Reflections
References
Страница 19
The First North American Clinical Gamma Knife Center
Abstract
First Look
A Year in Sweden
The Two-Part Plan The Dedicated Stereotactic Operating Room
A Gamma Knife in Pittsburgh
NMR Centers
Regulatory Authorities
Creation of the Team and the First Patients
The B Unit
The 4C Unit
Perfexion
ICON
Thirty Years, and Where We Are Now
A Word about Reimbursement
References
Страница 36
Frame versus Frameless Leksell Stereotactic Radiosurgery
Abstract
The ICON Technology
Frame-Based Stereotactic Radiosurgery Procedures
Advantages
Disadvantages
Frameless Fixation
Advantages
Disadvantages
Mask to Frame and Frame to Mask Conversion
Future Evolution of the ICON System
References
Страница 49
Imaging Techniques for Leksell Radiosurgery
Abstract
MRI Alone for Radiosurgery Planning
MRI Clinical Protocols
Intravenous Contrast
Stereotactic CT Imaging
Advantages of Stereotactic Cone Beam CT with the LGK Icon
Stereotactic Angiography
Quality Assurance of Images
Role of Additional Physiologic and Metabolic Imaging
MR Spectroscopy
MR Diffusion and Diffusion Tensor Imaging
Metabolic PET Imaging
Magnetoencephalography
Conclusion
References
Страница 66
Quality Improvement Radiosurgery Registry
Abstract
The Task Force
Requirements for the New Database
Rationale for Nomenclature and Regulatory Oversight Requirement
Registry Design
Registry Security
Workflow and Data Entry
QI Registry versus Clinical Trials
The Role of a Patient Registry
Query Functions
The Value of the Registry
Challenges and Limitations
Conclusions
References
Страница 82
Medical Physics for Leksell Radiosurgery
Abstract
Radiation Protection
The Gamma Knife Unit
Acceptance and Commissioning
Radiation Profiles
The Radiologic Focal Point
Absolute Dose Calibration
Relative Output Factors
Stereotactic Cone-Beam Computed Tomography
High-Definition Motion Management
Quality Assurance
Treatment Planning
References
Страница 97
Patient Preparation and Nursing Management for Leksell Radiosurgery
Abstract
Stage 1: Pre-Radiosurgery Nursing Evaluation
Gamma Knife Procedure Instructions
Stage 2: Nursing Care on the Day of Radiosurgery
Frame-Based Radiosurgery
Mask-Based Radiosurgery
Imaging
Stage 3: Patient Care after Stereotactic Radiosurgery
Stage 4: Discharge and Follow-Up Counselling
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