チエルノフ ミハイル
  チエルノフ ミハ
   所属   医学部 医学科(東医療センター)
   職種   助教
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 "Donut's shape"radiosurgical treatment planning for large cystic metastatic brain tumors
掲載誌名 正式名:Minim Invasive Neurosurg
ISSNコード:14392291
出版社 Georg Thieme Verlag KG Stuttgart
巻・号・頁 54(5-6),286-289頁
著者・共著者 HAYASHI Motohiro†, CHERNOV Mikhail, TAMURA Manabu, IZAWA Masahiro, MURAGAKI Yoshihiro, ISEKI Hiroshi, OKADA Yoshikazu
発行年月 2011/10
概要 Radiosurgical management of large cystic metastatic brain tumors represents a significant challenge. Nevertheless, modified dose planning has shown beneficial results in such cases.|"Donut's shape"radiosurgical treatment planning is based on the chain-like application of multiple, small-sized isocenters for selective coverage of the contrast-enhancing tumor capsule and minimal irradiation of the central cystic area. Such an approach was used for the management of large cystic intracranial metastases, which were not accompanied by a significant mass effect and did not require immediate volume reduction. Treatment was done using Leksell Gamma Knife model C with automatic positioning system. The majority of treated lesions showed significant shrinkage after radiosurgery and no major complications were met.|Large cystic metastatic brain tumors may be successfully treated with gamma knife radiosurgery alone using the proposed"donut's shape"dose planning with coverage of the contrast-enhancing tumor capsule by multiple small-sized isocenters.
DOI 10.1055/s-0031-1297987
文献番号 22278800