Initial clinical experience with the Peacock intensity modulation of a 3-D conformal radiation therapy system.

Abstract:

:Peacock is a 3-D conformal treatment planning and delivery system for conformal radiation therapy which delivers intensity-modulated fields. A group of 13 patients were treated between March and February, 1995. Patient age ranged from 10 to 74. Six of the patients had previously received radiation therapy. Target volume was from 2.5 to 70 cm3: all treatments were fractionated, using single table angle plan with 270 degrees of rotation. A removable invasive cranial screw fixation device was used in all cases. Treated isodose line averaged 85%; conformality index was better than 2, with 0-5% of critical structure volume exceeding dose limits. Setup time averaged 8 min per fraction: treatment time ranged from 10 to 80 min. There were two equipment failures in 200 fractions/1,000 gantry rotations. Patient position averaged about 1 mm within initial setup. Follow-up has revealed no complications from the radiation.

authors

Carol M,Grant WH 3rd,Pavord D,Eddy P,Targovnik HS,Butler B,Woo S,Figura J,Onufrey V,Grossman R,Selkar R

doi

10.1159/000099664

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

30-4

issue

1-3

eissn

1011-6125

issn

1423-0372

journal_volume

66

pub_type

临床试验,杂志文章
  • Trigeminal Neuralgia Secondary to Meningiomas and Vestibular Schwannoma Is Improved after Stereotactic Radiosurgery: A Systematic Review and Meta-Analysis.

    abstract:INTRODUCTION:Trigeminal neuralgia (TN) secondary to tumors is encountered in up to 6% of patients with facial pain syndromes and is considered to be associated with tumors affecting the trigeminal nerve pathways. The most frequent are meningiomas and vestibular schwannomas (VS). Stereotactic radiosurgery (SRS) has emer...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000509842

    authors: Peciu-Florianu I,Régis J,Levivier M,Dedeciusova M,Reyns N,Tuleasca C

    更新日期:2020-09-09 00:00:00

  • Gamma Knife radiosurgery as a primary surgical treatment for hypersecreting pituitary adenomas.

    abstract:OBJECT:To estimate the efficacy of Gamma Knife radiosurgery (GKR) especially as a primary surgical treatment for hypersecreting pituitary adenomas. METHODS:274 patients were treated with GKR. The mean tumor volume was 1.86 cm(3). The mean peripheral dose was 28.7 Gy. RESULTS:223 patients were followed up for an avera...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000048393

    authors: Zhang N,Pan L,Dai J,Wang B,Wang E,Zhang W,Cai P

    更新日期:2000-01-01 00:00:00

  • Analysis of parameters for epidural spinal cord stimulation. 3. Topographical distribution of paresthesiae--a preliminary analysis of 266 combinations with contacts implanted in the midcervical and midthoracic vertebral levels.

    abstract::As a part of the systematic analysis of parameters involved in electrical epidural spinal cord stimulation therapy, distribution of paresthesiae in accordance with the position of contacts, as related to midline and vertebral level of contacts, was investigated. A preliminary analysis performed for 266 combinations ha...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000100632

    authors: Tulgar M,He J,Barolat G,Ketcik B,Struijk H,Holsheimer J

    更新日期:1993-01-01 00:00:00

  • Neuronavigation using three-dimensional proton magnetic resonance spectroscopy data.

    abstract:BACKGROUND:Applications in clinical medicine can benefit from fusion of spectroscopy data with anatomical imagery. For example, new 3-dimensional (3D) spectroscopy techniques allow for improved correlation of metabolite profiles with specific regions of interest in anatomical tumor images, which can be useful in charac...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000363751

    authors: Kanberoglu B,Moore NZ,Frakes D,Karam LJ,Debbins JP,Preul MC

    更新日期:2014-01-01 00:00:00

  • Release of neurotransmitters in the CNS by spinal cord stimulation: survey of present state of knowledge and recent experimental studies.

    abstract::Electric stimulation applied to the posterior surface of the spinal cord (SCS) is an established treatment in certain chronic pain syndromes resistant to conventional therapeutic procedures. Despite the clinical value of SCS, the mechanisms behind the efficacy of the method are largely unknown. Several neurotransmitte...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000100634

    authors: Linderoth B,Stiller CO,Gunasekera L,O'Connor WT,Franck J,Gazelius B,Brodin E

    更新日期:1993-01-01 00:00:00

  • Leksell Gamma Knife treatment of tic douloureux.

    abstract::Stereotactic radiosurgery under local anesthesia with the Leksell Gamma Knife can effectively treat some patients with recurrent tic douloureux after unsuccessful medical/surgical procedures. Seven of 12 patients have shown complete relief or improvement of their trigeminal neuralgia. No complications have been observ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000100663

    authors: Rand RW,Jacques DB,Melbye RW,Copcutt BG,Levenick MN,Fisher MR

    更新日期:1993-01-01 00:00:00

  • Computer-aided/image-guided and video-endoscopic resection of pituitary tumors.

    abstract::Endoscopic pituitary surgery is a minimally invasive method which allows simple transnasal transphenoidal surgical access without retractors, and has been used by our team in 536 patients from 1993 to 1999. In 326 of these patients, computer-aided image-guided techniques (CAN) were used in conjunction with endoscopy. ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000056481

    authors: Pillay PK,Leo CW,Sethi DS

    更新日期:2000-01-01 00:00:00

  • Chronic intractable epilepsy associated with a tumor located in the central region: functional mapping data and postoperative outcome.

    abstract::Out of 57 patients operated for intractable epilepsy of the central region, 8 harbored an indolent glioma (7 dysembryoplastic neuroepithelial tumors, 1 ganglioglioma). Mapping of the sensorimotor area with depth electrodes implanted for stereoelectroencephalographic exploration demonstrated no or abnormal motor respon...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099880

    authors: Devaux B,Chassoux F,Landré E,Turak B,Daumas-Duport C,Chagot D,Gagnepain JP,Chodkiewicz JP

    更新日期:1997-01-01 00:00:00

  • A tremulous twiddler.

    abstract::Twiddler's syndrome describes the intentional external manipulation or spontaneous rotation of implanted devices such as cardiac pacemakers. Here we report the same phenomenon occurring in a patient with an implanted deep brain stimulator generator. The clinical syndrome is described and potential technical nuances to...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000155231

    authors: Israel Z,Spivak A

    更新日期:2008-01-01 00:00:00

  • Pressure monitoring inside Meckel's cave during percutaneous microcompression of gasserian ganglion.

    abstract::During percutaneous microcompression of the gasserian ganglion for the relief of trigeminal neuralgia, a computerized technique for monitoring the pressure inside Meckel's cave was employed in 22 patients. A dedicated transducer connected to a computer records the balloon inflation pressure. Its variations are discern...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099391

    authors: Zanusso M,Curri D,Landi A,Colombo F,Volpin L,Cervellini P

    更新日期:1991-01-01 00:00:00

  • Efficacy of corticosteroids in hearing preservation after radiosurgery for vestibular schwannoma: a prospective study.

    abstract:OBJECTIVES:We prospectively investigated the efficacy of corticosteroid medication in salvaging acute hearing deterioration after radiosurgery for vestibular schwannoma (VS) and analyzed prognostic factors for hearing preservation. METHODS:Forty-one patients with serviceable hearing treated with gamma knife radiosurge...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1159/000321913

    authors: Kim JW,Kim DG,Paek SH,Chung HT,Kim YH,Han JH,Park CK,Jung HW

    更新日期:2011-01-01 00:00:00

  • Epilepsy: principles of surgical management.

    abstract::In his keynote address, the author reviews early work in the surgical management of the epilepsies and presents a state-of-the-art review of current basic science and clinical indications for and results from corpus callosotomy for the treatment of seizure disorders. ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000098621

    authors: Marino R

    更新日期:1994-01-01 00:00:00

  • A target-specific electrode and lead design for internal globus pallidus deep brain stimulation.

    abstract::In nearly all deep brain stimulation (DBS) applications, the same quadripolar electrode design is used for different anatomical targets even if shape and volume differences exist between nuclei. Taking into account the electrode location within the internal globus pallidus (GPi) and the size of the GPi, 2 electrodes w...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000303524

    authors: Vasques X,Cif L,Mennessier G,Coubes P

    更新日期:2010-01-01 00:00:00

  • Stereotactic radiosurgery as a salvage treatment for recurrent epipharyngeal carcinoma.

    abstract::Fourteen patients with recurrent epipharyngeal carcinoma (EPC) were treated by gamma knife stereotactic radiosurgery. The tumor volume ranged from 0.3 to 80 ml (median 18.9 ml). Treatment was done with a tumor margin dose of 10-27 Gy (median 15 Gy). The median follow-up period was 15 months (range 2-47 months). Ten pa...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000094461

    authors: Oda K,Mori Y,Kobayashi T,Kida Y,Yokoi H,Shibamoto Y,Yoshida J

    更新日期:2006-01-01 00:00:00

  • MRI-guided stereotactic thalamotomy for cerebral palsy patients with mixed dyskinesia.

    abstract::The author has performed 108 stereotactic thalamotomies using MRI (MGSTs) without ventriculography in 77 cerebral palsy (CP) patients with dyskinesia(s) from January 1992 to January 1997. The clinical results were verified in terms of improvement of major preoperative symptom and patient's (or relative's) satisfaction...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099891

    authors: Lee KH

    更新日期:1997-01-01 00:00:00

  • Peri- and postoperative magnetic resonance imaging localization of pallidotomy.

    abstract::Postoperative magnetic resonance imaging (MRI) of basal ganglia functional lesions illustrates the accuracy of preoperative target localization. The technique of perioperative MRI and CT localization for pallidotomy will be discussed and correlated with the center of the lesion on postoperative standard MRI as well as...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000098598

    authors: Lehman RM,Mezrich R,Sage J,Goldbe L

    更新日期:1994-01-01 00:00:00

  • Direct localization of subthalamic nucleus supplemented by single-track electrophysiological guidance in deep brain stimulation lead implantation: techniques and clinical results.

    abstract:BACKGROUND/AIMS:In subthalamic nucleus (STN) deep brain stimulation (DBS) lead implantation, it is still controversial whether it is more appropriate to employ indirect or direct methods in magnetic resonance imaging (MRI)-based tentative targeting and to select single- or multiple-track recording in electrophysiologic...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120430

    authors: Koike Y,Shima F,Nakamizo A,Miyagi Y

    更新日期:2008-01-01 00:00:00

  • Stereotactic management of craniopharyngiomas.

    abstract::The authors present a series of 47 patients with craniopharyngiomas treated by stereotaxy in the past 15 years. There was no mortality nor immediate postoperative morbidity in the treatment of the cystic portion of the neoplasm. Intracavitary colloidal yttrium (90Y) was extremely effective in obtaining long-lasting di...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000098691

    authors: Frank F,Fabrizi AP,Frank G,Fioravanti A

    更新日期:1995-01-01 00:00:00

  • The Effects of Deep Brain Stimulation of the Subthalamic Nucleus on Vascular Endothelial Growth Factor, Brain-Derived Neurotrophic Factor, and Glial Cell Line-Derived Neurotrophic Factor in a Rat Model of Parkinson's Disease.

    abstract:OBJECTIVE:Deep brain stimulation (DBS) of the subthalamic nucleus (STN) has evolved as a powerful therapeutic alternative for the treatment of Parkinson's disease (PD). Despite its clinical efficacy, the mechanisms of action have remained poorly understood. In addition to the immediate symptomatic effects, long-term ne...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000511121

    authors: Faust K,Vajkoczy P,Xi B,Harnack D

    更新日期:2020-11-05 00:00:00

  • On the origin of oscillopsia during pedunculopontine stimulation.

    abstract::We report a case of induced oscillopsia caused by deep brain stimulation (DBS) of the pedunculopontine nucleus (PPN). Recent reports have described involuntary oscillopsia during DBS of the PPN that patients have described as trembling vision. Here we substantiate this observation using infra-red eye tracking. It has ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000335871

    authors: Jenkinson N,Brittain JS,Hicks SL,Kennard C,Aziz TZ

    更新日期:2012-01-01 00:00:00

  • Pathobiology of cerebral gliomas in children and the role of radiosurgery.

    abstract::Twenty-five gliomas of the cerebral hemisphere in children were examined. Most hemispheric gliomas in children have relatively clear margins and less infiltrative potential. Radiosurgery has a role in the treatment of these tumors in addition to reducing the risk of radiation injuries developing later. Fifteen patient...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1159/000099819

    authors: Inoue HK,Kohga H,Zama A,Hirato M,Shibazaki T,Andou Y,Ohye C

    更新日期:1996-01-01 00:00:00

  • Bilateral subthalamic deep brain stimulation for camptocormia associated with Parkinson's disease.

    abstract:BACKGROUND:Few multiple case studies of the effects of deep brain stimulation for camptocormia associated with Parkinson's disease have been reported. Although deep brain stimulation was in some cases not effective against camptocormia, it is unclear in which types of patients it was effective in treating camptocormia....

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000324907

    authors: Asahi T,Taguchi Y,Hayashi N,Hamada H,Dougu N,Takashima S,Tanaka K,Endo S

    更新日期:2011-01-01 00:00:00

  • Effect of chronic deep brain stimulation of the subthalamic nucleus for frontal lobe epilepsy: subtraction SPECT analysis.

    abstract:OBJECTIVES:Experimental data and case reports of patients with intractable epilepsy treated with deep brain stimulation (DBS) of the subthalamic nucleus (STN) suggest a considerable anticonvulsant effect. However, no satisfactory mechanisms of action have yet been elucidated. We investigated the putative therapeutic me...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000086867

    authors: Shon YM,Lee KJ,Kim HJ,Chung YA,Ahn KJ,Kim YI,Yang DW,Kim BS

    更新日期:2005-01-01 00:00:00

  • Ultrasound-Guided DREZotomy: Technical Note.

    abstract::Dorsal root entry zone (DREZ) lesioning is still used as a choice of treatment for some painful conditions as well as spasticity in selected patients. The most commonly used techniques to perform DREZotomy are the microsurgical one and DREZ radiofrequency (RF) coagulation. The technical difficulties using punctures to...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000500491

    authors: Monaco BA,Lopes AJM,Teixeira MJ

    更新日期:2019-01-01 00:00:00

  • Gamma Knife radiosurgery of primary and metastatic malignant brain tumors, a preliminary report.

    abstract::Between February 1993 and March 1994, 75 metastases, 16 gliomas and 2 AIDS-related malignant lymphomas were treated with Gamma Knife radiosurgery. Metastatic brain tumors (54% lung cancer, 14% breast cancer, 13.5% melanoma) were the most frequent and clinically rewarding cases. So-called local control was achieved in ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000098764

    authors: Gerosa MA,Nicolato A,Berlucchi S,Piovan E,Zampieri PG,Pasoli A,Foroni R,Giri MG,Marchini G,Babighian S

    更新日期:1995-01-01 00:00:00

  • Comparison of MRI and ventriculographic target acquisition for posteroventral pallidotomy.

    abstract::The true accuracy of MRI scanners utilized for target acquisition in functional stereotaxis remains undefined. We have performed pallidotomies at the Loma Linda University Medical Center using both MRI and MRI concomitant with positive contrast ventriculography. A retrospective study of 33 cases revealed significant d...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000098897

    authors: Mandybur G,Morenski J,Kuniyoshi S,Iacono RP

    更新日期:1995-01-01 00:00:00

  • Rapid method for determination of isocenter of radiation gantry and alignment of laser beams for stereotactic radiosurgery.

    abstract::A simple technique has been designed which identifies the gantry isocenter and aligns the laser beams to the isocenter of the gantry within 3-5 min with an error of less than 0.75 mm, depending upon the accuracy of gantry rotation. ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099516

    authors: Heifetz MD,Rosemark PJ,Wexler MC,Greenberg SH,Thompson RW

    更新日期:1989-01-01 00:00:00

  • Development of a Standardized Cranial Phantom for Training and Optimization of Functional Stereotactic Operations.

    abstract:BACKGROUND:In recent years, simulations based on phantom models have become increasingly popular in the medical field. In the field of functional and stereotactic neurosurgery, a cranial phantom would be useful to train operative techniques, such as stereo-electroencephalography (SEEG), to establish new methods as well...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000489581

    authors: Krüger MT,Coenen VA,Egger K,Shah M,Reinacher PC

    更新日期:2018-01-01 00:00:00

  • Multiple target deep brain stimulation for multiple sclerosis related and poststroke Holmes' tremor.

    abstract:BACKGROUND:The results from thalamic deep brain stimulation (DBS) for atypical tremor syndromes including tremor from multiple sclerosis (MS) and stroke are often disappointing. Three recent case reports have suggested that simultaneous stimulation of multiple thalamic targets can result in sustained improvement in suc...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099072

    authors: Lim DA,Khandhar SM,Heath S,Ostrem JL,Ringel N,Starr P

    更新日期:2007-01-01 00:00:00

  • Subthalamic Nucleus Deep Brain Stimulation in Parkinson's Disease: Valuable Programming Insights from Anecdotal Observations.

    abstract::In this article, we use a case to illustrate and discuss some practically important learning points about programming subthalamic nucleus deep brain stimulation for Parkinson's disease patients and highlight clinically relevant issues resulting from anatomical and device-related anomalies. These include the phenomenon...

    journal_title:Stereotactic and functional neurosurgery

    pub_type:

    doi:10.1159/000505701

    authors: Dayal V,Akram H,Zrinzo L,Limousin P,Foltynie T

    更新日期:2020-01-01 00:00:00