Gamma knife surgery:
Saved in:
| Main Author: | |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
Wien u.a.
Springer
1997
|
| Edition: | 2., rev. ed. |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XIX, 205 S. Ill., graph. Darst. |
| ISBN: | 3211828400 0387824766 |
Staff View
MARC
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| 100 | 1 | |a Ganz, Jeremy C. |e Verfasser |4 aut | |
| 245 | 1 | 0 | |a Gamma knife surgery |c Jeremy C. Ganz |
| 250 | |a 2., rev. ed. | ||
| 264 | 1 | |a Wien u.a. |b Springer |c 1997 | |
| 300 | |a XIX, 205 S. |b Ill., graph. Darst. | ||
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| 650 | 4 | |a Brain |x surgery | |
| 650 | 4 | |a Radiosurgery | |
| 650 | 4 | |a Radiosurgery |x instrumentation | |
| 650 | 4 | |a Radiosurgery |x methods | |
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Record in the Search Index
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| adam_text | Table of Contents
I. Introduction and Basic Principles
1. Introduction 3
2. Principles of Stereotaxy 7
Principles 8
The Leksell System 9
Target Identification 10
Newer Localization Methods 12
Modern Indications for Stereotaxy 15
3. Ionising Radiation and its Physical
and Chemical Effects on Living Tissue 19
Radiophysics 19
Basic Concepts 19
Units 21
Electromagnetic Radiation 22
Particle Radiation 24
The Effect of Electromagnetic Radiation on Matter 25
Pair Production 27
The Effect of Charged Particles on Matter 28
Radiochemistry 30
Early Effects 30
Biological Changes 32
4. Biological Effects of Ionising Radiation 35
Cell Survival Studies 35
The Linear Quadratic Equation 36
Different Factors Affecting the Effects of Radiation 40
Biological Factors 40
The Cell Cycle 40
Oxygenation 41
Radiation Factors 42
Fractionation and Fraction Size 42
Time Between Fractions 43
Dose 43
Clinical Radiobiological Correlates 45
XVI Table of Contents
The Fate of the Normal Tissue 45
Hierarchical Tissues (H type) 45
Flexible Tissues (F type) 45
Tissue Architecture 46
Cell Cycle Time (Tc) and Tumour Doubling Time (Td) 46
The Fate of Irradiated Tumour Cells 46
The Radiosensitivity of the Tumour 47
The Volume of the Tumour 47
Accelerated Repopulation 47
The Tumour Bed Effect 47
The Hypoxic Fraction 48
Reoxygenation 48
5. Ionising Radiation and Clinical Practice 50
The Therapeutic Index 50
Time Dose Relationships 51
The Linear Quadratic Equation and Late Complications 52
Early and Late Reactions 52
Early Reactions 52
Late Reactions 53
Radiation Quality 53
6. Development of the Gamma Knife 55
Preparatory Basic Research 55
The First Patients 58
The First Gamma Unit 59
Requirements 59
Early Experience 60
The Second Gamma Unit 61
The Third Gamma Unit 61
Summary of the Current Gamma Knife Method 63
Dose Planning 64
7. Radiophysics, Radiobiology and the Gamma Knife 66
Radiophysics and the Gamma Knife 66
Energy 66
Radiobiology and the Gamma Knife 67
Factors Affecting Cell Survival 67
Dose 67
Dose Rate 69
Dose Volume 69
Dose Homogeneity 70
Delayed Radiation Damage of Nervous Tissue
and the Gamma Knife 70
Radiation Tolerance of the CNS 71
Dose Latency Relationships 71
Table of Contents XVII
CNS Radiation Tolerance and Dose Volume 73
CNS Radiation Tolerance and Fractionation 73
Tumour Tissue and the Gamma Knife 74
II. The Patient s Experience
8. Gamma Knife Radiosurgery: A Patient s Eye View 79
Information at the First Consultation 79
The Nature of the Technique 79
The Safety of the Technique 80
The Degree of Disruption to the Patient s Life 80
The Waiting 80
Information on Admission to Hospital 82
The Brochure 82
The Day Before 82
The Day of Treatment 82
The Day after Treatment 83
III. Clinical Aspects
9. Diverse Clinical Aspects 87
Variations in Intracerebral Radiosensitivity 87
Variations in Extracerebral Radiosensitivity 88
The Effects of Lesion Volume on Dose Planning 89
The Effect of a Peripheral Intracranial Location on
Treatment Planning 90
The Effects of Treatment on Symptoms 95
10. Cerebral Arteriovenous Malformations 97
Nomenclature 97
Arteriovenous Malformation 99
Clinical Presentation 99
Aims of Treatment 99
Changes in Arteries following Radiation 103
The Role of Radiation Treatment 105
Results of Gamma Knife Surgery 105
Patient Assessment for Gamma Knife Surgery 107
Acceptance of Patient for Treatment 108
Follow up 108
Cavernous Haemangiomas 110
11. Acoustic Schwannomas 112
Diagnosis 113
Results of Different Forms of Treatment 113
XVIII Table of Contents
Aims of Treatment 114
Choice of Treatment or Treatment of Choice 114
Changes in Acoustic Neurinomas Following Radiation 116
Patient Assessment for Gamma Knife Surgery 117
Acceptance of Patient for Treatment 117
Dose 118
Patient Follow up 118
Patients with Bilateral Tumours 119
12. Gamma Knife Applications
in and around the Pituitary Fossa 122
Hypophysectomy for Cancer Pain 123
Choice of Treatment 123
Radiosensitivity of the Anterior Hypophysis 124
Cushing s Disease 124
Radiosensitivity of Pituitary Adenoma Tissue 124
Diagnosis 124
Aims of Treatment 125
Results of Different Forms of Treatment 125
Choice of Treatment 126
Patient Follow up 127
Prolactinoma 127
Acromegaly 128
Nelson s Syndrome 128
Non Hormone Producing Pituitary Adenomas 128
Craniopharyngiomas 131
13. Meningiomas 133
Types of Meningioma Commonly Referred to the Gamma Knife 134
Regions where Radical Surgery is Commonly Difficult 134
Results of Treatment 135
Tumours Referred for Primary Treatment 137
Tumours which Recur even after Radical Surgery 137
Diagnosis 138
Assessment for Treatment 139
Tumours Related to the Cavernous Sinus 139
Other Locations 142
Dose 142
Patient Follow up 142
14. Miscellaneous Indications for
Gamma Knife Radiosurgery 143
Malignant Tumours Metastases 143
Clinical Presentation 144
Aims of Treatment 144
Patient Assessment for Gamma Knife Surgery 144
Table of Contents XIX
Dose 145
Acceptance of Patient for Treatment 145
Malignant Tumours Gliomas 145
Type of Tumour 145
Clinical Presentation 146
Aims of Treatment 146
Results of GammaKnife Surgery 146
Patient Assessment for Gamma Knife Surgery 146
Follow up 147
Malignant Tumours Optic Melanoma 147
Clinical Presentation 147
Aims of Treatment 147
Patient Assessment for Gamma Knife Surgery 147
Acceptance of Patient for Treatment 148
Follow up 148
Other Benign Tumours 148
Gliomas 148
Non gliomatous Benign Tumours 149
Functional Radiosurgery 150
Parkinsonism 150
Trigeminal Neuralgia 150
Cancer Pain 150
Psychosurgery 151
15. The Future 153
Target Limitations 153
The Reemergence of Functional Indications for
Gamma Knife Radiosurgery 154
Quantification of the Effects of Treatment 154
Radiobiological Variables 155
Appendix 157
References 171
Subject Index 199
|
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| author | Ganz, Jeremy C. |
| author_facet | Ganz, Jeremy C. |
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| dewey-full | 617/.05 |
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| dewey-ones | 617 - Surgery & related medical specialties |
| dewey-raw | 617/.05 |
| dewey-search | 617/.05 |
| dewey-sort | 3617 15 |
| dewey-tens | 610 - Medicine and health |
| discipline | Medizin |
| edition | 2., rev. ed. |
| format | Book |
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| id | DE-604.BV011558111 |
| illustrated | Illustrated |
| indexdate | 2024-07-09T18:11:49Z |
| institution | BVB |
| isbn | 3211828400 0387824766 |
| language | English |
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| physical | XIX, 205 S. Ill., graph. Darst. |
| publishDate | 1997 |
| publishDateSearch | 1997 |
| publishDateSort | 1997 |
| publisher | Springer |
| record_format | marc |
| spelling | Ganz, Jeremy C. Verfasser aut Gamma knife surgery Jeremy C. Ganz 2., rev. ed. Wien u.a. Springer 1997 XIX, 205 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Brain surgery Radiosurgery Radiosurgery instrumentation Radiosurgery methods Stereotaxie (DE-588)4203805-4 gnd rswk-swf Strahlentherapie (DE-588)4057833-1 gnd rswk-swf Neurochirurgie (DE-588)4041874-1 gnd rswk-swf Stereotaxie (DE-588)4203805-4 s Neurochirurgie (DE-588)4041874-1 s Strahlentherapie (DE-588)4057833-1 s 1\p DE-604 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007782554&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis 1\p cgwrk 20201028 DE-101 https://d-nb.info/provenance/plan#cgwrk |
| spellingShingle | Ganz, Jeremy C. Gamma knife surgery Brain surgery Radiosurgery Radiosurgery instrumentation Radiosurgery methods Stereotaxie (DE-588)4203805-4 gnd Strahlentherapie (DE-588)4057833-1 gnd Neurochirurgie (DE-588)4041874-1 gnd |
| subject_GND | (DE-588)4203805-4 (DE-588)4057833-1 (DE-588)4041874-1 |
| title | Gamma knife surgery |
| title_auth | Gamma knife surgery |
| title_exact_search | Gamma knife surgery |
| title_full | Gamma knife surgery Jeremy C. Ganz |
| title_fullStr | Gamma knife surgery Jeremy C. Ganz |
| title_full_unstemmed | Gamma knife surgery Jeremy C. Ganz |
| title_short | Gamma knife surgery |
| title_sort | gamma knife surgery |
| topic | Brain surgery Radiosurgery Radiosurgery instrumentation Radiosurgery methods Stereotaxie (DE-588)4203805-4 gnd Strahlentherapie (DE-588)4057833-1 gnd Neurochirurgie (DE-588)4041874-1 gnd |
| topic_facet | Brain surgery Radiosurgery Radiosurgery instrumentation Radiosurgery methods Stereotaxie Strahlentherapie Neurochirurgie |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007782554&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT ganzjeremyc gammaknifesurgery |