Does size matter? Investigating the optimal planning target volume margin for postoperative stereotactic radiosurgery to resected brain metastases.

Abstract:

OBJECTIVE:The optimal margin size in postoperative stereotactic radiosurgery (SRS) for brain metastases is unknown. Herein, the authors investigated the effect of SRS planning target volume (PTV) margin on local recurrence and symptomatic radiation necrosis postoperatively. METHODS:Records of patients who received postoperative LINAC-based SRS for brain metastases between 2006 and 2016 were reviewed and stratified based on PTV margin size (1.0 or > 1.0 mm). Patients were treated using frameless and framed SRS techniques, and both single-fraction and hypofractionated dosing were used based on lesion size. Kaplan-Meier and cumulative incidence models were used to estimate survival and intracranial outcomes, respectively. Multivariate analyses were also performed. RESULTS:A total of 133 patients with 139 cavities were identified; 36 patients (27.1%) and 35 lesions (25.2%) were in the 1.0-mm group, and 97 patients (72.9%) and 104 lesions (74.8%) were in the > 1.0-mm group. Patient characteristics were balanced, except the 1.0-mm cohort had a better Eastern Cooperative Group Performance Status (grade 0: 36.1% vs 19.6%), higher mean number of brain metastases (1.75 vs 1.31), lower prescription isodose line (80% vs 95%), and lower median single fraction-equivalent dose (15.0 vs 17.5 Gy) (all p < 0.05). The median survival and follow-up for all patients were 15.6 months and 17.7 months, respectively. No significant difference in local recurrence was noted between the cohorts. An increased 1-year rate of symptomatic radionecrosis was seen in the larger margin group (20.9% vs 6.0%, p = 0.028). On multivariate analyses, margin size > 1.0 mm was associated with an increased risk for symptomatic radionecrosis (HR 3.07, 95% CI 1.13-8.34; p = 0.028), while multifraction SRS emerged as a protective factor for symptomatic radionecrosis (HR 0.13, 95% CI 0.02-0.76; p = 0.023). CONCLUSIONS:Expanding the PTV margin beyond 1.0 mm is not associated with improved local recurrence but appears to increase the risk of symptomatic radionecrosis after postoperative SRS.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Jhaveri J,Chowdhary M,Zhang X,Press RH,Switchenko JM,Ferris MJ,Morgan TM,Roper J,Dhabaan A,Elder E,Eaton BR,Olson JJ,Curran WJ,Shu HG,Crocker IR,Patel KR

doi

10.3171/2017.9.JNS171735

subject

Has Abstract

pub_date

2018-04-20 00:00:00

pages

797-803

issue

3

eissn

0022-3085

issn

1933-0693

pii

2017.9.JNS171735

journal_volume

130

pub_type

杂志文章
  • Induction of hypercontractility in human cerebral arteries by rewarming following hypothermia: a possible role for tyrosine kinase.

    abstract::Induction of hypothermia is used routinely in neurosurgical and cardiovascular operations to protect the brain from ischemic insult. However, despite a plethora of experimental evidence supporting the use of hypothermia to protect the brain from ischemia, clinical experience using deliberate hypothermia in humans has ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1997.87.3.0431

    authors: Sagher O,Huang DL,Webb RC

    更新日期:1997-09-01 00:00:00

  • Characterization of functional outcome and quality of life following subarachnoid hemorrhage in patients treated with and without nicardipine prolonged-release implants.

    abstract:OBJECT:The use of nicardipine prolonged-release implants (NPRIs) is associated with a significant improvement in the therapy of patients suffering from aneurysmal subarachnoid hemorrhage (aSAH) regarding the occurrence and severity of cerebral vasospasm, new infarcts, and functional outcome (FO). Because quality of lif...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.3171/2008.2.17670

    authors: Barth M,Thomé C,Schmiedek P,Weiss C,Kasuya H,Vajkoczy P

    更新日期:2009-05-01 00:00:00

  • Carcinoembryonic antigen in patients with intracranial tumors.

    abstract::Carcinoembryonic antigen (CEA) in plasma, cerebrospinal fluid (CSF), and tumor cyst fluid obtained from patients with a variety of intracranial tumors was determined by radioimmunoassay Slightly elevated levels of plasma CEA, ranging from 2.6 to 3.8 ng/ml, were noted in six (4%) of 161 patients with primary brain tumo...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1980.53.3.0355

    authors: Suzuki Y,Tanaka R

    更新日期:1980-09-01 00:00:00

  • Intradural extramedullary tuberculoma of the cervical spine. Case report.

    abstract::A case is reported of a 45-year-old man who developed quadriplegia following a trivial motor-vehicle accident. Investigation including computerized tomography (CT) of the cervical spine revealed a large calcified lesion displacing the spinal cord and nerve roots, which proved to be a tuberculoma. The case is unusual i...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.60.1.0200

    authors: Compton JS,Dorsch NW

    更新日期:1984-01-01 00:00:00

  • Clinical experience with extra-intracranial arterial anastomosis in 65 cases.

    abstract::Clinical results of an extra-intracranial arterial bypass (EIAB) procedure for cerebral ischemia are assessed in 65 patients. The 5-year-study suggests that the EIAB procedure has a protective effect against further clinically significant cerebrovascular accidents in properly selected patients. Correlation with angiog...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1976.44.3.0313

    authors: Gratzl O,Schmiedek P,Spetzler R,Steinhoff H,Marguth F

    更新日期:1976-03-01 00:00:00

  • Nerve graft immunogenicity as a factor determining axonal regeneration in the rat.

    abstract::Acellular basal lamina grafts have recently been reported to support axonal regeneration and have been used in peripheral nerve repair. The present study was designed to determine the immunogenicity of such basal lamina allografts (grafts that are genetically different) and their potential as bridging material for ner...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1990.72.1.0114

    authors: Gulati AK,Cole GP

    更新日期:1990-01-01 00:00:00

  • The safety and utility of recombinant human bone morphogenetic protein-2 for cranial procedures in a nonhuman primate model.

    abstract:OBJECT:The goal of this study was to evaluate the safety and efficacy of recombinant human bone morphogenetic protein 2 (rhBMP-2) in cranial applications. METHODS:Critical-sized calvarial defects were created bilaterally in four rhesus monkeys, and bilateral rectangular bone flaps were created in six others. Control a...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2003.98.1.0125

    authors: Sheehan JP,Sheehan JM,Seeherman H,Quigg M,Helm GA

    更新日期:2003-01-01 00:00:00

  • Value of gas myelography in early management of acute cervical spinal cord injuries.

    abstract::Gas myelography was carried out in 22 patients with acute cervical spinal cord injuries in whom oily contrast media seemed contraindicated. The authors believe this technique makes a valuable contribution to the basic decision regarding the surgical versus medical treatment of a specific patient with a cervical cord i...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1975.42.3.0330

    authors: Rossier AB,Berney J,Rosenbaum AE,Hachen J

    更新日期:1975-03-01 00:00:00

  • Natural history of intracranial cavernous malformations.

    abstract::The authors have reviewed the clinical records of 110 patients with intracranial cavernous malformations diagnosed by histological examination and/or magnetic resonance imaging over a mean follow-up period of 4.71 years. These cases were divided, based on their presentation, into a hemorrhage group, a seizure group, a...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1995.83.1.0056

    authors: Aiba T,Tanaka R,Koike T,Kameyama S,Takeda N,Komata T

    更新日期:1995-07-01 00:00:00

  • Revascularization of the extracranial vertebral artery at any level without cross-clamping.

    abstract::Hemodynamic insufficiency resulting from extracranial vertebral artery stenosis or occlusion is believed to be the major cause of vertebrobasilar transient ischemic attacks. The major difficulties in treating this disorder have been exposure of the vertebral artery distal to the stenosis and the risk of vertebral arte...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1985.62.3.0334

    authors: Senter HJ,Bittar SM,Long ET

    更新日期:1985-03-01 00:00:00

  • Neurocutaneous melanosis with extensive intracerebral and spinal cord involvement. Report of two cases.

    abstract::Two unusual cases of neurocutaneous melanosis are presented. Both patients had congenital giant hairy nevi and both developed hydrocephalus, seizures, and myelopathy. The first patient displayed multicentric cerebral and spinal cord melanosis, as opposed to the more commonly described basilar leptomeningeal involvemen...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.61.4.0782

    authors: Faillace WJ,Okawara SH,McDonald JV

    更新日期:1984-10-01 00:00:00

  • Role of EEG monitoring and cross-clamping duration in carotid endarterectomy.

    abstract::The usefulness of electroencephalographic (EEG) monitoring as well as the significance of the period of cross clamping in carotid endarterectomy have not been completely defined. In particular, the clinical importance of major EEG changes has not been fully investigated and some recent studies seem to indicate that th...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1986.65.6.0815

    authors: Collice M,Arena O,Fontana RA,Mola M,Galbiati N

    更新日期:1986-12-01 00:00:00

  • Impact of cerebral blood flow changes due to arterial bypass surgery on cognitive function in adult patients with symptomatic ischemic moyamoya disease.

    abstract:OBJECTIVE:Some adult patients with moyamoya disease (MMD) undergoing revascularization surgery show an improvement or decline in cognition postoperatively. Revascularization surgery for ischemic MMD augments cerebral blood flow (CBF) and improves cerebral oxygen metabolism. However, cerebral hyperperfusion, which is a ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2018.7.JNS18149

    authors: Yanagihara W,Chida K,Kobayashi M,Kubo Y,Yoshida K,Terasaki K,Ogasawara K

    更新日期:2018-12-14 00:00:00

  • Single-beam radiotherapy knife. A practical theoretical model.

    abstract::A feasibility study reveals that a standard linear accelerator, with only slight modification, can function in a manner similar to Leksell's multiple cobalt radiation device. A high radiation dose can be delivered to a 1-cm or 0.5-cm volume target with insignificant radiation effect on the surrounding tissue. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.60.4.0814

    authors: Heifetz MD,Wexler M,Thompson R

    更新日期:1984-04-01 00:00:00

  • Neurostimulation for chronic noncancer pain: an evaluation of the clinical evidence and recommendations for future trial designs.

    abstract:OBJECT:Neurostimulation to treat chronic pain includes approved and investigational therapies directed at the spinal cord, thalamus, periaqueductal or periventricular gray matter, motor cortex, and peripheral nerves. Persistent pain after surgery and work-related or neural injuries are common indications for such treat...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.2006.105.2.175

    authors: Coffey RJ,Lozano AM

    更新日期:2006-08-01 00:00:00

  • Supraophthalmic carotid infusion for brain-tumor chemotherapy. Technical note.

    abstract::The ocular complications of intracarotid infusion of drugs for brain-tumor chemotherapy may be eliminated by infusion of the chemotherapeutic agent into the carotid artery above the origin of the ophthalmic artery. The authors have developed a catheter that can negotiate the carotid siphon. This catheter is not balloo...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1983.58.4.0616

    authors: Kapp JP,Ross RL,Tucker EM

    更新日期:1983-04-01 00:00:00

  • The relationship between ruptured aneurysm location, subarachnoid hemorrhage clot thickness, and incidence of radiographic or symptomatic vasospasm in patients enrolled in a prospective randomized controlled trial.

    abstract:OBJECT:Cerebral vasospasm following subarachnoid hemorrhage (SAH) causes significant morbidity in a delayed fashion. The authors recently published a new scale that grades the maximum thickness of SAH on axial CT and is predictive of vasospasm incidence. In this study, the authors further investigate whether different ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.3171/2013.10.JNS13419

    authors: Abla AA,Wilson DA,Williamson RW,Nakaji P,McDougall CG,Zabramski JM,Albuquerque FC,Spetzler RF

    更新日期:2014-02-01 00:00:00

  • Dotlike hemosiderin spots on T2*-weighted magnetic resonance imaging as a predictor of stroke recurrence: a prospective study.

    abstract:OBJECT:Microangiopathy associated with hypertension is a notable cause of cerebral small vessel disease (SVD), including deep intracerebral hemorrhage (ICH) and lacunar infarct. Dotlike low-intensity spots (dotlike hemosiderin spots: dotHSs) on T2*-weighted magnetic resonance (MR) images have been histologically diagno...

    journal_title:Journal of neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.3171/jns.2004.101.6.0915

    authors: Imaizumi T,Horita Y,Hashimoto Y,Niwa J

    更新日期:2004-12-01 00:00:00

  • A prospective randomized trial of perioperative seizure prophylaxis in patients with intraparenchymal brain tumors.

    abstract:OBJECT:Seizures are a potentially devastating complication of resection of brain tumors. Consequently, many neurosurgeons administer prophylactic antiepileptic drugs (AEDs) in the perioperative period. However, it is currently unclear whether perioperative AEDs should be routinely administered to patients with brain tu...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.3171/2012.12.JNS111970

    authors: Wu AS,Trinh VT,Suki D,Graham S,Forman A,Weinberg JS,McCutcheon IE,Prabhu SS,Heimberger AB,Sawaya R,Wang X,Qiao W,Hess K,Lang FF

    更新日期:2013-04-01 00:00:00

  • True anatomical compartmentalization of the cavernous sinus in a patient with bilateral cavernous dural arteriovenous fistulae. Case report.

    abstract::An unusual case of complete anatomical compartmentalization of the cavernous sinus in a patient with bilateral Type D cavernous dural arteriovenous fistulae is described. This anatomical anomaly isolated the anterior cavernous sinus and orbital venous system, which was primarily responsible for the patient's clinical ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1993.79.4.0592

    authors: Chaloupka JC,Goller D,Goldberg RA,Duckwiler GR,Martin NA,Viñuela F

    更新日期:1993-10-01 00:00:00

  • Combined interventional and surgical treatment of tandem middle cerebral artery embolus and internal carotid artery occlusion: case report.

    abstract::Tandem internal carotid artery (ICA) origin occlusion and middle cerebral artery (MCA) thromboembolism is a life-threatening condition with poor neurological outcome. The authors report on a patient presenting with acute ischemic stroke from a tandem ICA and MCA occlusion with penumbra. Emergency MCA mechanical thromb...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2017.6.JNS162368

    authors: Frenkel MB,Renfrow JJ,Singh J,Garg N,Wolfe SQ

    更新日期:2018-09-01 00:00:00

  • Visceral and vascular complications resulting from anterior lumbar interbody fusion.

    abstract:OBJECT:The literature on abdominal and general surgery-related complications following anterior lumbar interbody fusion (ALIF) is scant. In this retrospective review of 60 patients in whom ALIF was performed at their institutions between 1996 and 1998, the authors detail the associated complications and their correlati...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.1999.91.1.0060

    authors: Rajaraman V,Vingan R,Roth P,Heary RF,Conklin L,Jacobs GB

    更新日期:1999-07-01 00:00:00

  • Experimental model for induction of cerebral aneurysms in rats.

    abstract::Two groups of rats with induced arterial hypertension were studied. One group underwent section of the left common carotid artery with an end-to-side anastomosis of the proximal segment to the right common carotid artery. The second group was subjected to ligation of the left common carotid artery. The number of aneur...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1986.65.3.0398

    authors: Alvarez F,Roda JM

    更新日期:1986-09-01 00:00:00

  • Choroid plexus carcinoma presenting as an intraparenchymal mass.

    abstract::A 6-year-old girl with a history of a nondisplaced skull fracture diagnosed with computerized tomography (CT) scanning 3 years previously presented with a 6-week history of headaches and decreased use of her right side. On admission CT scans, a large cystic mass was identified in the left frontal lobe region of the br...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.2001.95.6.1040

    authors: Carter AB,Price DL Jr,Tucci KA,Lewis GK,Mewborne J,Singh HK

    更新日期:2001-12-01 00:00:00

  • Factors associated with survival in patients with meningioma.

    abstract:OBJECT:To explore factors affecting the survival rate in patients with meningiomas, the authors used the National Cancer Data Base (NCDB), which includes tumors from approximately 1000 hospitals participating in the American College of Surgeons tumor registry program. METHODS:Analysis included over 9000 cases diagnose...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.3171/jns.1998.88.5.0831

    authors: McCarthy BJ,Davis FG,Freels S,Surawicz TS,Damek DM,Grutsch J,Menck HR,Laws ER Jr

    更新日期:1998-05-01 00:00:00

  • Management of glioblastoma multiforme in pregnancy.

    abstract::Glioblastoma multiforme presenting during pregnancy presents unique challenges to the clinician. In planning treatment, potential benefits to the mother must be balanced against the risks to the fetus. In addition, evidence relating to timing of surgery and the use of radiotherapy and chemotherapy in pregnancy is limi...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/2012.2.JNS112077

    authors: Jayasekera BA,Bacon AD,Whitfield PC

    更新日期:2012-06-01 00:00:00

  • Intracerebral microdialysis in severe brain trauma: the importance of catheter location.

    abstract:OBJECT:Intracerebral microdialysis has attracted increasing interest as a monitoring technique during neurological/neurosurgical intensive care. The purpose of this study was to compare cerebral energy metabolism, an indicator of secondary excitotoxic injury and cell membrane degradation close to focal traumatic lesion...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2005.102.3.0460

    authors: Engström M,Polito A,Reinstrup P,Romner B,Ryding E,Ungerstedt U,Nordström CH

    更新日期:2005-03-01 00:00:00

  • Bow hunter stroke caused by cervical disc herniation. Case report.

    abstract::Bow hunter stroke, which is characterized by transient vertebrobasilar ischemia brought on by head turning, is an unusual condition usually caused by structural abnormalities at the craniocervical junction. The authors present a case in which compression of the left vertebral artery (VA) at the C4-5 level was caused b...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.2002.96.1.0090

    authors: Vates GE,Wang KC,Bonovich D,Dowd CF,Lawton MT

    更新日期:2002-01-01 00:00:00

  • Sphenopalatine ganglion stimulation for vasospasm after experimental subarachnoid hemorrhage.

    abstract:OBJECT:Sphenopalatine ganglion stimulation activates perivascular vasodilatory nerves in the ipsilateral anterior circle of Willis. This experiment tested whether stimulation of the ganglion could reverse vasospasm and improve cerebral perfusion after subarachnoid hemorrhage (SAH) in monkeys. METHODS:Thirteen cynomolg...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2010.6.JNS091525

    authors: Takahashi M,Zhang ZD,Macdonald RL

    更新日期:2011-04-01 00:00:00

  • CSF rhinorrhea from a transclival meningocele demonstrated with metrizamide CT cisternography. Case report.

    abstract::A 63-year-old woman with a 10-year history of intermittent cerebrospinal fluid (CSF) rhinorrhea was found to have a transclival meningocele. After pluridirectional tomography demonstrated a bone defect in the clivus, the diagnosis was established by means of computerized tomography (CT) by comparing the absorption coe...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1980.53.4.0553

    authors: Lockwood AH,Quencer RM,Page LK

    更新日期:1980-10-01 00:00:00