伽玛刀放射治疗脑膜瘤。

Q2 Medicine
Progress in neurological surgery Pub Date : 2019-01-01 Epub Date: 2019-05-16 DOI:10.1159/000493054
Tom Flannery, Jonathan Poots
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引用次数: 6

摘要

自从1976年在瑞典首次报道使用伽玛刀(GK)放射手术以来,它已经成为颅内脑膜瘤的一种公认的治疗选择,无论是预先,结合计划的次全切除术,还是作为辅助/挽救治疗。最初,GK用于不适合大手术的患者或靠近关键神经血管结构的高危脑膜瘤。然而,随着更大规模和更长期的随访研究的开展,GK在脑膜瘤治疗中被证实的持久性意味着它已成为希望避免开放手术风险的年轻患者的一种治疗选择。在这里,我们回顾了GK治疗颅内脑膜瘤50年来的适应症、放射生物学和患者预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Gamma Knife Radiosurgery for Meningioma.

Since its first reported use in 1976 in Sweden, Gamma Knife (GK) radiosurgery has become an accepted treatment option for intracranial meningioma, either upfront, in combination with planned subtotal resection, or as adjuvant/salvage treatment. Initially, GK was used in patients unfit for a major surgical procedure or for high-risk meningiomas adjacent to critical neurovascular structures. However, with the availability of larger and increasingly long-term follow-up studies, the proven durability of GK in the treatment of meningiomas means that it has become a treatment option for younger patients who want to avoid the risks of open surgery. Here we review the current indications, radiobiology, and patient outcomes following GK for intracranial meningioma 50 years on from its inception.

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来源期刊
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期刊介绍: Published since 1966, this series has become universally recognized as the most significant group of books serving neurological surgeons. Volumes feature contributions from distinguished international surgeons, who brilliantly review the literature from the perspective of their own personal experience. The result is a series of works providing critical distillations of developments of central importance to the theory and practice of neurological surgery.
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