An anthropomorphic phantom study of the accuracy of Cyberknife spinal radiosurgery.

Abstract:

OBJECTIVE:Stereotactic radiosurgery requires the highest degree of accuracy in target identification and localization. When targeting paraspinal lesions, the CyberKnife radiosurgical system (Accuray, Inc., Sunnyvale, CA) uses implanted stainless steel fiducials. The purpose of this study was to evaluate the total system for clinically relevant accuracy of this approach. METHODS:The clinically relevant accuracy of the CyberKnife depends on 1) the accuracy of beam delivery, which in turn represents a compilation of robot and camera image-tracking errors, and 2) the inherent accuracy of target localization that stems from computed tomographic imaging and treatment planning. The clinically relevant accuracy was measured at three different CyberKnife facilities using head and torso phantoms loaded with packs of radiochromic film and expressed as a displacement of the dose contours from the treatment planning. RESULTS:The mean clinically relevant error, as measured at three different CyberKnife facilities, was determined to be 0.7 +/- 0.3 mm, which did not vary with computed tomographic slice thickness in a range of 0.625 to 1.5 mm. The average treatment delivery precision was 0.3 +/- 0.1 mm. Fiducial tracking error was less than 0.3 mm for radial translations up to 14 mm and less than 0.7 mm for rotations up to 4.5 degrees. CONCLUSION:For the treatment of relatively stationary spinal lesions targeted with fiducial tracking, the CyberKnife system is capable of submillimeter accuracy.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Yu C,Main W,Taylor D,Kuduvalli G,Apuzzo ML,Adler JR Jr

doi

10.1227/01.neu.0000141080.54647.11

keywords:

subject

Has Abstract

pub_date

2004-11-01 00:00:00

pages

1138-49

issue

5

eissn

0148-396X

issn

1524-4040

journal_volume

55

pub_type

杂志文章
  • Fate of clots in patients with subarachnoid hemorrhage after different surgical treatment modality: a comparison between surgical clipping and Guglielmi detachable coil embolization.

    abstract:BACKGROUND:Subarachnoid clot is important in the development of delayed vasospasm after subarachnoid hemorrhage (SAH). OBJECTIVE:To compare the clearance of subarachnoid clot and the incidence of symptomatic vasospasm in surgical clipping and embolization with Guglielmi detachable coils for aneurysmal SAH. METHODS:Th...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318208f1ba

    authors: Shirao S,Yoneda H,Ishihara H,Harada K,Ueda K,Sano Y,Kudomi S,Hayashi Y,Shigeeda T,Nakano K,Nomura S,Fujii M,Kato S,Suzuki M

    更新日期:2011-04-01 00:00:00

  • Preoperative embolization of intracranial meningiomas.

    abstract::The operative and histopathological findings in 31 cases of intracranial meningioma after preoperative embolization with Gelfoam and/or lyophilized dura mater are reported. Removal of the tumor after embolization was facilitated in those meningiomas fed exclusively or mainly by branches of the external carotid artery ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198309000-00008

    authors: Richter HP,Schachenmayr W

    更新日期:1983-09-01 00:00:00

  • Theodor Kocher's craniometer.

    abstract::The first half of the 20th century witnessed the rapid emergence of neurological surgery as a surgical subspecialty. Only few surgeons made a name for themselves equally in general surgery and neurological surgery. One of them was the Swiss surgeon Theodor Kocher (1841-1917). He was honored with the Nobel Prize for hi...

    journal_title:Neurosurgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1227/01.NEU.0000344003.72056.7F

    authors: Schültke E

    更新日期:2009-05-01 00:00:00

  • Increases in cardiac output can reverse flow deficits from vasospasm independent of blood pressure: a study using xenon computed tomographic measurement of cerebral blood flow.

    abstract:INTRODUCTION:Vasospasm after subarachnoid hemorrhage remains a management challenge. The accepted treatment involves hypertensive, hypervolemic, hemodilution therapy. However, there is variation in the application of this treatment. Most authors increase mean arterial pressure (MAP), which can be associated with signif...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000088567.59324.78

    authors: Joseph M,Ziadi S,Nates J,Dannenbaum M,Malkoff M

    更新日期:2003-11-01 00:00:00

  • Performance of a new type of suction tip attachment during intramedullary tumor dissection: technical note.

    abstract:OBJECTIVE:We describe an innovative 1.7-mm-diameter, latex-free aspirator tip attachment (Circle Medical B.V., Wijchen, The Netherlands). This tip is designed to be used during tumor resection to avoid surgical trauma to the spinal cord surrounding an intramedullary tumor and the associated blood vessels. PATIENTS AND...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000303975.14430.1f

    authors: Lefranc F,Brotchi J

    更新日期:2007-11-01 00:00:00

  • Surgical resection of intrinsic brain stem lesions: an overview.

    abstract::A major limitation to the effective treatment of intrinsic mass lesions of the brain stem has been the inability to clearly define the pathological anatomy radiographically. The improved soft tissue resolution offered by magnetic resonance imaging, as compared with axial computed tomography, now makes it possible not ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199011000-00018

    authors: Heffez DS,Zinreich SJ,Long DM

    更新日期:1990-11-01 00:00:00

  • Rerupture of a Blister Aneurysm After Treatment With a Single Flow-Diverting Stent.

    abstract:BACKGROUND AND IMPORTANCE:As the use of flow-diverting stents (FDSs) for intracranial aneurysms expands, a small number of case reports have described the successful treatment of blister aneurysms of the internal carotid artery with flow diversion. Blister aneurysms are uncommon and fragile lesions that historically ha...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000001412

    authors: Mazur MD,Taussky P,MacDonald JD,Park MS

    更新日期:2016-11-01 00:00:00

  • Long-term tumor control and functional outcome in patients with cavernous sinus meningiomas treated by radiotherapy with or without previous surgery: is there an alternative to aggressive tumor removal?

    abstract:OBJECTIVE:We report the long-term follow-up of 31 patients with cavernous sinus meningiomas who were treated either with surgery and radiotherapy (RT) or with RT alone. This retrospective review was undertaken to compare long-term efficacy and morbidity of RT with or without previous surgery versus complete, aggressive...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200102000-00006

    authors: Dufour H,Muracciole X,Métellus P,Régis J,Chinot O,Grisoli F

    更新日期:2001-02-01 00:00:00

  • Treatment of acute focal cerebral ischemia and recirculation with d-propranolol.

    abstract::The purpose of the investigation was to evaluate the effects of d-propranolol upon temporary cerebral ischemia followed by a period of reperfusion, that is, a situation analogous to major cerebral artery embolization. Twenty adult cats, lightly anesthesized with nitrous oxide, underwent 4 hours of right middle cerebra...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198501000-00005

    authors: Latchaw JP,Little JR,Slugg RM,Lesser RP,Stowe N

    更新日期:1985-01-01 00:00:00

  • Improving targeting in image-guided frame-based deep brain stimulation.

    abstract:BACKGROUND:Deep brain stimulation (DBS) is commonly used in the treatment of movement disorders such as Parkinson disease (PD), dystonia, and other tremors. OBJECTIVE:To examine systematic errors in image-guided DBS electrode placement and to explore a calibration strategy for stereotactic targeting. METHODS:Pre- and...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e3181f7422a

    authors: Holl EM,Petersen EA,Foltynie T,Martinez-Torres I,Limousin P,Hariz MI,Zrinzo L

    更新日期:2010-12-01 00:00:00

  • Spinal cord herniation into associated pseudomeningocele after brachial plexus avulsion injury: case report.

    abstract:OBJECTIVE:Posttraumatic spinal cord herniation is a rare condition. We describe a case of spinal cord herniation into an associated pseudomeningocele after a brachial plexus avulsion injury. CLINICAL PRESENTATION:A 33-year-old man began to develop progressive Horner's syndrome 14 years after a brachial plexus avulsion...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000249195.76527.61

    authors: Yokota H,Yokoyama K,Noguchi H,Uchiyama Y

    更新日期:2007-01-01 00:00:00

  • Predicting survival in patients with brain metastases treated with radiosurgery using artificial neural networks.

    abstract:BACKGROUND:Artificial neural networks (ANNs) excel at analyzing challenging data sets and can be exceptional tools for decision support in clinical environments. The present study pilots the use of ANNs for determining prognosis in neuro-oncology patients. OBJECTIVE:To determine whether ANNs perform better at predicti...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e31828ea04b

    authors: Oermann EK,Kress MA,Collins BT,Collins SP,Morris D,Ahalt SC,Ewend MG

    更新日期:2013-06-01 00:00:00

  • Anterolateral C1-C2 transarticular fixation for atlantoaxial arthrodesis: landmarks, working area, and angles of approach.

    abstract:BACKGROUND:An alternative route must be used for atlantoaxial arthrodesis to avoid the risks of transoral route or when posterior approaches are contraindicated. OBJECTIVE:To assess relevant quantitative anatomic parameters for C1-C2 anterolateral transarticular fixation and to demonstrate the nuances of an anterolate...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000383134.47267.0F

    authors: Cavalcanti DD,Agrawal A,Garcia-Gonzalez U,Crawford NR,Tavares PL,Theodore N,Sonntag VK,Preul MC

    更新日期:2010-09-01 00:00:00

  • Neurosurgical considerations after bull goring during festivities in Spain and Latin America.

    abstract::Bullfighting is a highly popular activity during festivities in Spain and Latin America. A scientific society for bullfight injuries, Congreso Internacional de Cirugía Taurina, was founded on November 24, 1974, in recognition of the distinctive pattern of injury that results from bull goring, and a subspecialty of gen...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/NEU.0b013e3182191fb1

    authors: Spiotta AM,Matoses SM

    更新日期:2011-08-01 00:00:00

  • Cerebellar liponeurocytoma with an unusually aggressive clinical course: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Liponeurocytomas are rare cerebellar neoplasms in adults, with benign histological features and a favorable clinical prognosis. Current clinical opinion is based on a total of less than 20 published cases and suggests that gross total resection and long-term follow-up monitoring, with possible ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000093430.61239.7e

    authors: Jenkinson MD,Bosma JJ,Du Plessis D,Ohgaki H,Kleihues P,Warnke P,Rainov NG

    更新日期:2003-12-01 00:00:00

  • The relationship between cerebral blood flow autoregulation and cerebrovascular pressure reactivity after traumatic brain injury.

    abstract:BACKGROUND:Cerebrovascular pressure reactivity is the principal mechanism of cerebral autoregulation. Assessment of cerebral autoregulation can be performed by using the mean flow index (Mx) based on transcranial Doppler ultrasonography. Cerebrovascular pressure reactivity can be monitored by using the pressure reactiv...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318260feb1

    authors: Budohoski KP,Czosnyka M,de Riva N,Smielewski P,Pickard JD,Menon DK,Kirkpatrick PJ,Lavinio A

    更新日期:2012-09-01 00:00:00

  • Duplication of the abducens nerve at the petroclival region: an anatomic study.

    abstract:OBJECTIVE:During its course between the brainstem and the lateral rectus muscle, the abducens nerve usually travels forward as a single trunk, but it is not uncommon for the nerve to split into two branches. The objective of this study was to establish the incidence and the clinical importance of the duplication of the...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000048186.18741.3c

    authors: Ozveren MF,Sam B,Akdemir I,Alkan A,Tekdemir I,Deda H

    更新日期:2003-03-01 00:00:00

  • Cerebral salt wasting after pituitary exploration and biopsy: case report.

    abstract::We report a case of hyponatremia associated with volume depletion after pituitary exploration and biopsy. The presence of clinical dehydration precluded diagnosis of the syndrome of inappropriate secretion of antidiuretic hormone. The absence of a hypoadrenal state and the patient's response to volume reexpansion were...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198604000-00015

    authors: Andrews BT,Fitzgerald PA,Tyrell JB,Wilson CB

    更新日期:1986-04-01 00:00:00

  • Femoral ring allograft for anterior cervical interbody fusion: technical note.

    abstract:OBJECTIVE:Cadaveric fibula with locking plate internal fixation has been reported to be associated with fewer complications and better long-term results, compared with autologous iliac crest. With the knowledge that cortically dense allografts collapse less with time, new machined femoral ring allografts were developed...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Shapiro S,Bindal R

    更新日期:2000-12-01 00:00:00

  • Feasibility of radiosurgery for malignant brain tumors in infants by use of image-guided robotic radiosurgery: preliminary report.

    abstract:OBJECTIVE:The benefits of radiation therapy are generally denied to infants with malignant brain tumors because of the risk of devastating cognitive decline. Efforts to limit this morbidity with radiosurgical techniques have not been feasible for infants because of the dual requirements of rigid head fixation and high ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/01.neu.0000137332.03970.57

    authors: Giller CA,Berger BD,Gilio JP,Delp JL,Gall KP,Weprin B,Bowers D

    更新日期:2004-10-01 00:00:00

  • Intraparenchymal and intratumoral interstitial infusion of anti-glioma monoclonal antibody 8H9.

    abstract:OBJECTIVE:Interstitial infusion, a form of local delivery that bypasses the blood-brain barrier, has been shown to afford high regional concentrations of a therapeutic molecule while avoiding systemic exposure. The distribution of monoclonal antibodies administered via interstitial infusion has not been characterized, ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000334052.60634.84

    authors: Luther N,Cheung NK,Dunkel IJ,Fraser JF,Edgar MA,Gutin PH,Souweidane MM

    更新日期:2008-12-01 00:00:00

  • Comparison of the mini-open versus laparoscopic approach for anterior lumbar interbody fusion: a retrospective review.

    abstract:OBJECTIVE:The anterior lumbar interbody fusion (ALIF) procedure has become an accepted fusion technique for treating patients with degenerative disorders of the lumbar spine. Many consider laparoscopic ALIF to be the least invasive approach. A modification of the open laparotomy--the "mini-open" approach--is an attract...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200207000-00015

    authors: Kaiser MG,Haid RW Jr,Subach BR,Miller JS,Smith CD,Rodts GE Jr

    更新日期:2002-07-01 00:00:00

  • Extended subtemporal transtentorial approach to the anterior incisural space and upper clival region: experience with posterior circulation aneurysms.

    abstract:BACKGROUND:Although most posterior circulation aneurysms are currently treated by endovascular means, some are not amenable to this treatment modality. The narrow working window afforded by the anterolateral and lateral surgical approaches often translates into suboptimal visualization and limited maneuverability. OBJ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000175

    authors: McLaughlin N,Martin NA

    更新日期:2014-03-01 00:00:00

  • Thermal damage assessment of novel bipolar forceps in a sheep model of spinal surgery.

    abstract:BACKGROUND:Heat transfer from bipolar tips to adjacent tissue presents a risk of thermal injury during spine surgery. OBJECTIVE:The present study was designed to determine wither bipolar forceps using a novel heat pipe thermal regulation technology resulted in decreased collateral thermal injury of adjacent tissue com...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000370246.82005.6f

    authors: Elliott-Lewis EW,Jolette J,Ramos J,Benzel EC

    更新日期:2010-07-01 00:00:00

  • Protection of the cortical mantle in premature infants with posthemorrhagic hydrocephalus.

    abstract::Premature infants weighing under 1500 g are now surviving because of technical and medical advances in the field of neonatology. Up to 70% of these babies will have intracranial hemorrhages. The management of posthemorrhagic hydrocephalus in these children with multiple other medical problems has thus become quite sig...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198011000-00007

    authors: Marlin AE

    更新日期:1980-11-01 00:00:00

  • The new generation polestar n20 for conventional neurosurgical operating rooms: a preliminary report.

    abstract:OBJECTIVE:The objective of this work is to present the preliminary clinical experience we acquired in using the new PoleStar generation, N20 (Medtronic Navigation, Louisville, CO), in a modified conventional operating room. METHODS:PoleStar N20 is a 0.15-T, intraoperative scanner combined with both an integrated optic...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1227/01.neu.0000317376.38067.8e

    authors: Ntoukas V,Krishnan R,Seifert V

    更新日期:2008-03-01 00:00:00

  • Craniotomy and clipping of intracranial aneurysm in a stereoscopic virtual reality environment.

    abstract:OBJECTIVE:The release of results of International Subarachnoid Aneurysm Trial in 2003 caused a shift in the paradigm of management of ruptured intracranial aneurysms. The cases selected for microsurgical clipping nowadays are usually those patients with aneurysms that are not suitable for embolization, and are often co...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000290904.46061.0D

    authors: Wong GK,Zhu CX,Ahuja AT,Poon WS

    更新日期:2007-09-01 00:00:00

  • The current role of microsurgery for posterior circulation aneurysms: a selective approach in the endovascular era.

    abstract:OBJECTIVE:During the past decade, management of posterior circulation aneurysms has shifted away from microsurgery. Currently, microsurgical clipping is considered a primary, competitive alternative to endovascular coiling, or more commonly, a secondary alternative when endovascular therapy is unfavorable. We present a...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000333295.59738.de

    authors: Sanai N,Tarapore P,Lee AC,Lawton MT

    更新日期:2008-06-01 00:00:00

  • Giant Fusiform and Dolichoectatic Aneurysms of the Basilar Trunk and Vertebrobasilar Junction-Clinicopathological and Surgical Outcome.

    abstract:BACKGROUND:Giant fusiform and dolichoectatic aneurysms of the basilar trunk and vertebrobasilar junction (BTVBJ-GFDA) are extremely difficult to treat. OBJECTIVE:To evaluate factors influencing survival and outcome of BTVBJ-GFDA by performing a retrospective multicenter cohort study. METHODS:A total of 32 patients wi...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyaa317

    authors: Nakatomi H,Kiyofuji S,Ono H,Tanaka M,Kamiyama H,Takizawa K,Imai H,Saito N,Shiokawa Y,Morita A,Flemming KD,Link MJ

    更新日期:2020-12-15 00:00:00

  • Combination of functional magnetic resonance imaging-guided neuronavigation and intraoperative cortical brain mapping improves targeting of motor cortex stimulation in neuropathic pain.

    abstract:OBJECTIVE:To evaluate, regardless of the clinical results, the contribution of combining functional magnetic resonance imaging (fMRI) with intraoperative cortical brain mapping (iCM) as functional targeting methods for epidural chronic motor cortex stimulation (MCS) in refractory neuropathic pain. METHODS:Eighteen neu...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000333762.38500.ac

    authors: Pirotte B,Voordecker P,Neugroschl C,Baleriaux D,Wikler D,Metens T,Denolin V,Joffroy A,Massager N,Brotchi J,Levivier M

    更新日期:2008-06-01 00:00:00