Department of Neurosurgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA 90095, USA; Department of Radiation Oncology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA 90095, USA.
Neurosurg Clin N Am. 2013 Oct;24(4):491-8. doi: 10.1016/j.nec.2013.07.001.
Stereotactic radiosurgery was conceptualized to treat functional diseases of the brain. The need for devices capable of molding the radiation dose to the nuances of intracranial lesions and yet preserve brain function became a challenge. Several devices capable of performing radiosurgery of high quality became commercially available, each with advantages and disadvantages. Speed of radiosurgery delivery for cost effectiveness and comfort for the patient are currently the main developments in the field. Nuances of these devices, procedural steps of radiosurgery, and the team approach of radiosurgery are discussed in this article.
立体定向放射外科的理念是治疗脑部功能性疾病。需要能够将辐射剂量精确地适形于颅内病变的设备,同时又能保护脑功能,这成为了一个挑战。几种能够进行高质量放射外科手术的设备已经商业化,每种设备都有其优缺点。为了提高效率和减轻患者的不适,放射外科手术的速度是目前该领域的主要发展方向。本文讨论了这些设备的细微差别、放射外科手术的操作步骤以及放射外科手术的团队方法。