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 Introduction

What is Radiosurgery?

Radiosurgery is a method for treating certain  brain tumors and arteriovenous malformations. It is used to replace or complement microsurgery or other treatment modalities. Radiosurgery is a noninvasive procedure. Although the entire process takes several hours the actual treatment with gamma rays takes only from a few minutes up to one hour. The risk of complications is  low if the treatment is delivered (carefully) by an experienced radiosurgeon. Radiosurgery is done by using  focused beams of gamma rays. All beams are focused on a single target. The tissue to be treated is positioned in this focus point. This ensures that only the lesion receives a high dose of irradiation while the surrounding tissue remains unharmed.

What is a Gamma Knife ?

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The Gamma Knife is the technically most advanced instrument in radiosurgery.  it is a prcision tool for medical iiadietion making it possible to eliminate lesiona in the brain. Since its therapeutic effect can be compared to that of a surgeon´s knife, the name Gamma Knife was established. In 1968 the Gamma Knife was first used for patient treatment and the Gamma Knife method has now been used for more than three decades during which a lot of clinical experience has been gathered. Subsequent and continuous improvements have turned the Gamma Knife into the technologically advanced precision tool in neurosurgery it is today.

The Leksell Gamma Knife uses 201 finely focused beams of Co-60 gamma rays. They are semi spherically positioned around the head of a patient. These beams simultaneously intersect at a precise location (see figure to the right).It is only in the very center of this intersection that the delivered dose will be biologically effective. Therefore, the patient is positioned in such a way that the lesion is moved exactly in this focus point. Depending on the shape of the lesion several positions (isocenters) may have to be chosen to completely cover the lesion with the necessary dose.

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