Dose Delivery Verification And Accuracy Assessment Of Stereotaxy In Patients Treated With X Knife: Indian Experience

Nandwani, P.K.; Vyas, Rakesh Kumar; Mehta, Maitrik; Pelagade, S.

doi:10.1016/j.ijrobp.2011.06.1548

Cited by 1 publication

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“…Some recent articles have reported the use of new kinds of RT such as X-knife and Y-knife for treating acoustic and brain tumors. These ways of administering RT are safe for neurons around the tumor; however, we were unable to find any articles about using these therapies to treat spinal tumors 49,50 . Nonetheless, RT alone seems less satisfactory than a combination of radiation and surgical therapies for spinal cord decompression and tumor management 1 .…”

Section: Introductionmentioning

confidence: 98%

Surgery Combined with Radiotherapy to Treat Spinal Tumors: A Review of Published Reports

Bian

Chen

et al. 2016

Orthopaedic Surgery

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Spinal tumors result in high morbidity and a high rate of lower limb paralysis. Both surgical therapy and radiation therapy (RT) are used to treat spinal tumors; however, how best to combine these two therapies to maximize the benefits and minimize the risks is still being debated. It is also difficult to decide the optimal timing, course and dose of RT, especially in pregnant women and children. The aim of this review is to assist surgeons who are dealing with spinal tumors by providing comprehensive information about advanced techniques for administering RT with greater precision and safety, and about the impact of various ways of combining surgery and RT on therapeutic outcomes. We here review published reports about treating spinal tumors with a combination of these two forms of therapy and attempt to draw appropriate conclusions concerning selection of optimal treatment protocols. Our conclusion is that postoperative radiotherapy, especially with high-precision, low-dose and multiple fractions, and brachytherapy are promising therapies to combined with surgery.

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Section: Introductionmentioning

confidence: 98%