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Judicious and evidence-based use of radiosurgery - recommendations for low-middle income countries.
J Pak Med Assoc
March 2024
Department of Neurosurgery, The Aga Khan University, Karachi, Pakistan.
Article Synopsis
- Surgical removal is usually the main way to treat brain tumours, but radiosurgery is a less invasive option that can also be effective.
- The goal of the study was to understand how radiosurgery can help treat brain tumours, especially in countries that don't have as many medical resources.
- Even though radiosurgery is becoming more popular in these regions, problems like not having clear guidelines and trained doctors make it harder to use widely.
Extensive Intracranial Meningioma With Dehiscences: A Case Report.
Cureus
January 2024
Department of Neurosurgery, "Carol Davila" University of Medicine and Pharmacy, Bucharest, ROU.
This case report elucidates the clinical and surgical journey of a 62-year-old patient with a history of multiple comorbidities including a severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) infection, presenting with temporospatial disorientation, bradypsychia, and bradyphasia, without motor deficits, diagnosed with sarcomatous meningioma and skull lysis. Amidst the complexities of managing primary brain tumors, this report underscores the significance of thorough morphopathological examination, while considering patient demographics and tumor localization in assessing the nature of the neoplasm. It highlights meningiomas as predominantly benign yet stemming from monoclonal proliferation, with their occurrence influenced by genetic predispositions and environmental factors such as ionizing radiation exposure.
View Article and Find Full Text PDFTechnological Improvements in Low- and Middle-Income Countries (LMICs): A Review of the Literature and the "Sociedad de Lucha Contra el Cáncer" (SOLCA) Institutional Experience in Neuro-Radiosurgery During the Coronavirus Disease 2019 (COVID-19) Pandemic.
World Neurosurg
June 2022
NeurALL Research Group, Quito, Ecuador; Universidad Internacional del Ecuador, Medical School, Faculty of Health and Life Sciences, Quito, Ecuador. Electronic address:
Objective: Neurosurgery is a medical field that requires specialized professionals and equipment, 2 important but scarce resources in low- and middle-income countries. Our goal was to report our experience with the replacement and implementation of linear accelerators with radiosurgery capabilities at "Sociedad de Lucha Contra el Cáncer" (SOLCA) Hospital in Quito, Ecuador, and give some recommendations for future technological replacements (TRs).
Methods: Two surveys were performed in SOLCA's radiosurgery department, one before the TR was finalized and one after, consisting of an open and multiple-choice questionnaire.
Concise review of stereotactic irradiation for pediatric glial neoplasms: Current concepts and future directions.
World J Methodol
May 2021
Department of Radiation Oncology, Gulhane Medical Faculty, University of Health Sciences, Ankara 06018, Turkey.
Brain tumors, which are among the most common solid tumors in childhood, remain a leading cause of cancer-related mortality in pediatric population. Gliomas, which may be broadly categorized as low grade glioma and high grade glioma, account for the majority of brain tumors in children. Expectant management, surgery, radiation therapy (RT), chemotherapy, targeted therapy or combinations of these modalities may be used for management of pediatric gliomas.
View Article and Find Full Text PDFA Simple and Practical Scoring System for Radiosurgical Treatment in Patients with Brain Metastases.
Stereotact Funct Neurosurg
May 2021
Gamma Knife Center, Department of Neurosurgery, Ajou University School of Medicine, Suwon, Republic of Korea,
Background: The study aimed to investigate the prognostic factors for patients with brain metastases undergoing radiosurgical treatment and to introduce a simple and practical scoring system for the prediction of survival time.
Methods: We retrospectively analyzed data for 311 patients treated with Gamma Knife radiosurgery at a single institute. The mean age at time of treatment was 60 years (range 23-86 years), and the median Karnofsky performance status (KPS) score was 90 (range 60-100).
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