Background: The aim of this study was to achieve a consensus on the minimum set of outcome measures and predictors to be used in the neurosurgical practice and on the timing of outcome assessment.
Methods: A consensus building approach was employed. All neurosurgical departments in Lombardy (Italy) were invited to participate by the Carlo Besta Neurologic Institute IRCCS Foundation.
To date there is still no agreement in the literature on postoperative active contact coordinate (ACc) acquisition. The aim of the study is to test if the use of three methods commonly adopted in the literature for ACc acquisition (stereotactic X-rays (RXc), postoperative MRI (MRIc) and calculation of the expected ACc) for the same active contact (ACo) lead to significant differences. In our series of 176 ACo, mean euclidean distances were 1.
View Article and Find Full Text PDFPurpose: To assess the utility of the Radiation Therapy Oncology Group Recursive Partitioning Analysis (RPA) and Score Index for Radiosurgery (SIR) stratification systems in predicting survival in patients with brain metastasis treated with Gamma Knife radiosurgery (GKRS).
Methods And Materials: A total of 185 patients were included in the study. Patients were stratified according to RPA and SIR classes.
Object: Treatment options for patients with brain metastasis include tumor resection, whole-brain radiation therapy, and radiosurgery. A single treatment is not useful in cases of multiple tumors, of which at least 1 is a cystic tumor. The purpose of this study was to assess the role of stereotactic drainage and Gamma Knife surgery (GKS) in the treatment of cystic brain metastasis.
View Article and Find Full Text PDFObject: Treatment options for patients with cavernous sinus meningiomas (CSMs) include microsurgical tumor resection, radiotherapy, and radiosurgery. Gamma Knife surgery (GKS) is increasingly being used because it is associated with lower mortality and morbidity rates than microsurgery. The purpose of this study was to assess the role of GKS in the treatment of CSM and to thoroughly analyze the clinical response to GKS.
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