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Disadvantages

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•Imaging with the frame on can have pin-related artifacts, especially if CT alone is used. Location of the pins needs to be as far from the target as possible for CT.

•The frame is more invasive. Pin sites are covered with small steri strips frontally and then band aids. Prior craniotomy defects or shunts must be avoided.

•Patients receiving conscious sedation cannot be discharged until fully awake and alert.

Leksell Radiosurgery

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