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Stereotactic Radiosurgery - An Overview

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Brain functioning abnormalities and small tumors can be treated with stereotactic radiosurgery, a non-surgical radiation therapy.

Medically reviewed by

Dr. Muhammed Hassan

Published At May 21, 2024
Reviewed AtMay 21, 2024

Introduction:

Before delving into the specifics of stereotactic radiosurgery, it is imperative to comprehend brain tumors and the range of potential treatments. Benign or malignant brain tumors are aberrant cell growths in one of two categories. Radiation therapy, chemotherapy, and surgery are common treatments for brain tumors. Due to the benefits and drawbacks of each of these treatments, other strategies, such as stereotactic radiosurgery, have been developed.

Recent years have seen tremendous progress in brain tumor treatment because of medical developments. Stereotactic radiosurgery is one innovative method that has drawn interest. Patients with brain tumors now have new hope due to this innovative approach, which offers a precise and non-invasive form of treatment.

What Is Stereotactic Radiosurgery?

Stereotactic radiosurgery is a non-surgical method that accurately targets the tumor while avoiding damage to surrounding healthy tissues by applying high-dose radiation to a specific location in the brain. Despite its name, stereotactic radiosurgery does not involve intrusive operations or the use of a knife. Instead, it precisely aims the radiation beams at the tumor using cutting-edge imaging technologies and computer-guided computations. Radiation is delivered precisely to destroy tumor cells without damaging healthy brain tissue.

How Does Stereotactic Radiosurgery Work?

The key to stereotactic radiosurgery's effectiveness is its capacity to target the tumor with a highly focused radiation dose while exposing the surrounding tissues to as little radiation as possible. This is accomplished by carefully localizing the tumor and determining its size and shape using a mix of imaging techniques, including positron emission tomography (PET), computed tomography (CT), and magnetic resonance imaging (MRI). A group of experts, comprising radiation oncologists, neurosurgeons, and medical physicists, work together to identify the tumor and develop a personalized treatment plan for the patient.

A specialized device called a gamma knife or linear accelerator delivers radiation to treat the tumor. The target area is precisely aligned with the radiation beams due to the patient's comfortable and secure positioning. The actual course of treatment is painless and can take anything from a few minutes to many hours, depending on the tumor's complexity and size. After the treatment, patients can typically return home on the same day and resume regular activities within a few days.

What Are the Benefits of Stereotactic Radiosurgery for Brain Tumors?

Compared to conventional brain tumor treatment techniques, stereotactic radiosurgery has several advantages. First, as it is a noninvasive process, there is no need for open surgery, which lowers risks and shortens recovery times. This makes it an appealing option for individuals who are not good candidates for surgery because of their age, general health, or the location of the tumor.

Furthermore, stereotactic radiosurgery minimizes harm to healthy brain tissue and lowers the possibility of side effects by precisely targeting malignancies. The high success rate of stereotactic radiosurgery is another important benefit.

Studies have shown that stereotactic radiosurgery can adequately control most patients' symptoms and improve their tumor growth. This achievement is credited to the precise administration of radiation, which enables the cellular disintegration of tumor cells while preserving nearby healthy tissues. Moreover, stereotactic radiosurgery can be utilized alone or in conjunction with other therapies like chemotherapy or surgery to maximize a patient's overall result.

What Are the Risks and Side Effects of Stereotactic Radiosurgery for Brain Tumors?

While stereotactic radiosurgery has potential risks and side effects, these are less frequent and less severe than with more traditional surgical procedures. Headaches, fatigue, and transient hair loss are side effects that often go away in a few weeks or months. In rare instances, severe adverse effects, such as radiation necrosis and brain tissue destruction, may manifest.

However, due to improved monitoring and observation of the treated region, imaging technology has drastically decreased the chance of radiation necrosis. Fractionated stereotactic radiosurgery, in which the entire radiation dose is reduced into smaller fractions delivered over numerous sessions, further reduces the risk of problems. Patients should consult their medical team to evaluate their health, tumor features, and treatment plan before selecting a treatment course.

What Is the Role of Imaging in Stereotactic Radiosurgery for Brain Tumors?

Imaging is essential to the entire stereotactic radiosurgery procedure, from the initial diagnosis to treatment planning and post-operative care. Advanced imaging methods such as MRI (magnetic resonance imaging), CT (computed tomography), and PET (positron emission tomography) are used in stereotactic radiosurgery, a surgical process that provides precise information about the tumor's location, size, and features.

These methods are essential for precisely defining targets and designing treatments. Cone-beam CT and MRI are real-time imaging techniques that guarantee accurate radiation beam aiming and enable necessary changes. Imaging tracks the patient's response following treatment and identifies any alterations brought on by radiation or a possible recurrence. Frequent clinical assessments and follow-up scans assist medical professionals in determining the long-term results and modifying patient care as needed.

What Is the Future of Stereotactic Radiosurgery for Brain Tumor Treatment?

Future developments in stereotactic radiosurgery for treating brain tumors are anticipated due to technological breakthroughs. Researchers and medical professionals are enhancing this technique's accuracy, efficacy, and safety. More sophisticated imaging modalities, such as functional MRI and PET, are being developed to improve tumor targeting and treatment planning.

New radiation delivery methods, such as heavy ion treatment and proton therapy, are being investigated to deliver radiation more precisely and lower the risk to nearby healthy tissues. Additionally, efforts are being made to automate treatment planning using machine learning and artificial intelligence. This will lessen the strain on healthcare providers while increasing consistency and efficiency.

Conclusion:

Stereotactic radiosurgery is a non-invasive technique that offers better results and control over tumor growth. Treatment planning and imaging technology improvements have reduced side effects and risks to a minimum. Further advancements in imaging methods, radiation delivery systems, and artificial intelligence will improve the accuracy and efficacy of stereotactic radiosurgery. The potential of stereotactic radiosurgery can be fully realized by accepting these developments and investigating new avenues, leading to even better outcomes for patients with brain tumors.

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Dr. Muhammed Hassan
Dr. Muhammed Hassan

Internal Medicine

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