Initial experience with using frameless image-guided radiosurgery for the treatment of brain metastases

Aim : Recent technologic advances have led to the development of frameless radiosurgery. We report our initial results using frameless image-guided radiosurgery for the management of brain metastases. Methods: Over a 2-year period, 16 patients harboring 28 lesions were treated in our institution. 12...

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Бібліографічні деталі
Дата:2012
Автори: Liepa, Z., Auslands, K., Apskalne, D., Ozols, R.
Формат: Стаття
Мова:English
Опубліковано: Інститут експериментальної патології, онкології і радіобіології ім. Р.Є. Кавецького НАН України 2012
Назва видання:Experimental Oncology
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Онлайн доступ:http://dspace.nbuv.gov.ua/handle/123456789/138689
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Назва журналу:Digital Library of Periodicals of National Academy of Sciences of Ukraine
Цитувати:Initial experience with using frameless image-guided radiosurgery for the treatment of brain metastases / Z. Liepa, K. Auslands, D. Apskalne, R. Ozols // Experimental Oncology. — 2012. — Т. 34, № 2. — С. 125-128. — Бібліогр.: 18 назв. — англ.

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Digital Library of Periodicals of National Academy of Sciences of Ukraine
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spelling irk-123456789-1386892018-06-20T03:07:26Z Initial experience with using frameless image-guided radiosurgery for the treatment of brain metastases Liepa, Z. Auslands, K. Apskalne, D. Ozols, R. Original contributions Aim : Recent technologic advances have led to the development of frameless radiosurgery. We report our initial results using frameless image-guided radiosurgery for the management of brain metastases. Methods: Over a 2-year period, 16 patients harboring 28 lesions were treated in our institution. 12 of 16 patients were treated in a single fraction, but 4 patients were treated using fractioned stereotactic radiotherapy in 3–5 fractions. The maximum target diameter, as determined by T1 — weighted contrast — enhanced magnetic resonance imaging were < 4 cm in all patients. 8 patients (50%) received WBRT (3 Gy in 10 fractions to a total dose of 30 Gy) prior to stereotactic radiosurgery, and were treated with SRS for either lesion progression or new lesions. The total treatment volume for each patient was the sum of the treatment volumes for all treated metastases. The median total treatment volume was 18.63 cm3 (range 1,85–47.03 cm3). Results: Median overall survival time of entire group were 10 months (95% confidence interval 7.470–12.530 months). Of the 3 (11.11%) lesions that showed complete response, all were associated with breast cancer. Partial response was seen in 8 (29.62%) cases. Stable disease was seen in 13 (48.14%) cases, but 3 (11.11%) cases showed progression of disease. Conclusion: Further studies are needed to to match the treatment results with other available modalities to optimize and individualize care of patients with brain metastases. 2012 Article Initial experience with using frameless image-guided radiosurgery for the treatment of brain metastases / Z. Liepa, K. Auslands, D. Apskalne, R. Ozols // Experimental Oncology. — 2012. — Т. 34, № 2. — С. 125-128. — Бібліогр.: 18 назв. — англ. 1812-9269 http://dspace.nbuv.gov.ua/handle/123456789/138689 en Experimental Oncology Інститут експериментальної патології, онкології і радіобіології ім. Р.Є. Кавецького НАН України
institution Digital Library of Periodicals of National Academy of Sciences of Ukraine
collection DSpace DC
language English
topic Original contributions
Original contributions
spellingShingle Original contributions
Original contributions
Liepa, Z.
Auslands, K.
Apskalne, D.
Ozols, R.
Initial experience with using frameless image-guided radiosurgery for the treatment of brain metastases
Experimental Oncology
description Aim : Recent technologic advances have led to the development of frameless radiosurgery. We report our initial results using frameless image-guided radiosurgery for the management of brain metastases. Methods: Over a 2-year period, 16 patients harboring 28 lesions were treated in our institution. 12 of 16 patients were treated in a single fraction, but 4 patients were treated using fractioned stereotactic radiotherapy in 3–5 fractions. The maximum target diameter, as determined by T1 — weighted contrast — enhanced magnetic resonance imaging were < 4 cm in all patients. 8 patients (50%) received WBRT (3 Gy in 10 fractions to a total dose of 30 Gy) prior to stereotactic radiosurgery, and were treated with SRS for either lesion progression or new lesions. The total treatment volume for each patient was the sum of the treatment volumes for all treated metastases. The median total treatment volume was 18.63 cm3 (range 1,85–47.03 cm3). Results: Median overall survival time of entire group were 10 months (95% confidence interval 7.470–12.530 months). Of the 3 (11.11%) lesions that showed complete response, all were associated with breast cancer. Partial response was seen in 8 (29.62%) cases. Stable disease was seen in 13 (48.14%) cases, but 3 (11.11%) cases showed progression of disease. Conclusion: Further studies are needed to to match the treatment results with other available modalities to optimize and individualize care of patients with brain metastases.
format Article
author Liepa, Z.
Auslands, K.
Apskalne, D.
Ozols, R.
author_facet Liepa, Z.
Auslands, K.
Apskalne, D.
Ozols, R.
author_sort Liepa, Z.
title Initial experience with using frameless image-guided radiosurgery for the treatment of brain metastases
title_short Initial experience with using frameless image-guided radiosurgery for the treatment of brain metastases
title_full Initial experience with using frameless image-guided radiosurgery for the treatment of brain metastases
title_fullStr Initial experience with using frameless image-guided radiosurgery for the treatment of brain metastases
title_full_unstemmed Initial experience with using frameless image-guided radiosurgery for the treatment of brain metastases
title_sort initial experience with using frameless image-guided radiosurgery for the treatment of brain metastases
publisher Інститут експериментальної патології, онкології і радіобіології ім. Р.Є. Кавецького НАН України
publishDate 2012
topic_facet Original contributions
url http://dspace.nbuv.gov.ua/handle/123456789/138689
citation_txt Initial experience with using frameless image-guided radiosurgery for the treatment of brain metastases / Z. Liepa, K. Auslands, D. Apskalne, R. Ozols // Experimental Oncology. — 2012. — Т. 34, № 2. — С. 125-128. — Бібліогр.: 18 назв. — англ.
series Experimental Oncology
work_keys_str_mv AT liepaz initialexperiencewithusingframelessimageguidedradiosurgeryforthetreatmentofbrainmetastases
AT auslandsk initialexperiencewithusingframelessimageguidedradiosurgeryforthetreatmentofbrainmetastases
AT apskalned initialexperiencewithusingframelessimageguidedradiosurgeryforthetreatmentofbrainmetastases
AT ozolsr initialexperiencewithusingframelessimageguidedradiosurgeryforthetreatmentofbrainmetastases
first_indexed 2023-10-18T21:19:15Z
last_indexed 2023-10-18T21:19:15Z
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