Treatment of recurrent glioblastoma is still challenging. Stereotactic radiosurgery has been accepted as a treatment option for recurrent glioblastoma after standard chemotherapy and irradiation. However, the efficacy of stereotactic radiosurgery at recurrence has been limited, mainly due to the highly infiltrative nature of the tumor which makes the lesion difficult to define as the target. To...

Infiltrative cerebral gliomas remain a neurosurgical challenge despite the latest achievements in neuroimaging techniques and microsurgical approaches. In this paper the authors present their experience in 85 cases of stereotactic biopsies performed for infiltrative, multicentric and deep-seated cerebral gliomas. The stereotactic and neuroimagistic tools used for these procedures included the L...

BACKGROUND The purpose of this study was to determine the yield of stereotactic core breast biopsy and its cost-saving potential. METHODS This observational study was conducted at the Department of Radiology at Aga Khan Hospital in Karachi. All female patients (n = 84) undergoing stereotactic core breast biopsy under mammographic guidance from January 2005 to May 2010 were included. Stereotac...

S tereotactic pertains to a precise positioning in space. Stereotactic radiotherapy is a successful noninvasive modality for treating intracranial malignancies. Stereotactic radiosurgery was developed as a noninvasive tool to allow access to areas of the head that were previously treated by traditional surgical methods with a high rate of morbidity. As radiotherapy was refined, different stereo...

Stereotactic surgery planning software has been created for use with the Brown-Roberts-Wells (BRW) stereotactic frame. This software replaces the Hewlett-Packard calculator originally supplied with the BRW frame and provides modern tools for surgery planning to the BRW frame, which facilitate its potential use as a low-cost alternative to the Cosman-Roberts-Wells (CRW) frame in developing count...

Leksell Gamma Knife® IconTM with integrated Cone Beam CT (CBCT) system provides increased workflow flexibility with e.g. planning on frameless images and subsequent frameless dose delivery. The stereotactic reference is given by the CBCT images taken prior to treatment. Co-registration of the planning image volume with the CBCT volume gives the transformation mapping of the planned isocenter po...

The physical principles of radiofrequency (RF) lesion making in stereotactic neurosurgery are summarized. Empirical data are given on the relationship between lesion size and lesioning parameters. Currently accepted ranges of lesioning parameters for selected stereotactic procedures are discussed. Advanced RF lesion electrode designs are described which improve the capabilities to reach and con...

Stereotactic targeting is a commonly used technique for performing injections in the brains of mice and other animals. The most common method for targeting stereoscopic injections uses the skull indentations bregma and lambda as reference points and is limited in its precision by factors such as skull curvature and individual variation, as well as an incomplete correspondence between skull land...

background: stereotactic body radiotherapy (sbrt) has emerged as an effective treatment for localized prostate cancer. however, prostate-specific antigen (psa) kinetics after sbrt has not been well characterized. the objective of the current study is to analyze the rate of psa decline and psa nadir following hypofractonated sbrt in localized prostate cancer. materials and methods: from 2008 to ...

A patient with progressive visual loss was found to have an optic nerve sheath meningioma. The patient was treated with stereotactic radiotherapy, a computer-guided stereotactic technique that minimizes the risk of radiation-induced optic neuropathy. Six months after treatment, the patient was doing well and showed no signs of radiation-induced optic neuropathy.