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We describe a system for stereotactic radiosurgery with a linear accelerator. This technique allows treatment of small (less than 40 mm diameter) intracranial lesions, including vascular malformations, and primary and metastatic tumors that are deep within the brain or in areas not amenable to open surgery. A beam of ionizing radiation (1800 to 2500 cGy) is focused on the center of the lesion, which is determined by stereotactic localization. "Dynamic rotation" of the linac gantry and table continuously about this predetermined point ensures that only the lesion receives the full radiation dose, while the normal structures in the head receive minimal amounts of radiation. The system combines, for the first time in one place, elements of radiosurgical technique developed at various centers. Testing for accuracy compares favorably with results at other centers using linac-based systems as well as comparing favorably with the gamma knife.
C Worthington, and
J M Jenrette, and
J O Fenn, and
G D Frye, and
J D Wise, and
C W Starr, and
S J Nelson, and
R C Schoer, and
R Miller, and
J Curé
July 1992,
Neurologia medico-chirurgica,
C Worthington, and
J M Jenrette, and
J O Fenn, and
G D Frye, and
J D Wise, and
C W Starr, and
S J Nelson, and
R C Schoer, and
R Miller, and
J Curé
January 1985,
Applied neurophysiology,
C Worthington, and
J M Jenrette, and
J O Fenn, and
G D Frye, and
J D Wise, and
C W Starr, and
S J Nelson, and
R C Schoer, and
R Miller, and
J Curé
January 1998,
Rays,
C Worthington, and
J M Jenrette, and
J O Fenn, and
G D Frye, and
J D Wise, and
C W Starr, and
S J Nelson, and
R C Schoer, and
R Miller, and
J Curé
August 1994,
Zhonghua wai ke za zhi [Chinese journal of surgery],
C Worthington, and
J M Jenrette, and
J O Fenn, and
G D Frye, and
J D Wise, and
C W Starr, and
S J Nelson, and
R C Schoer, and
R Miller, and
J Curé
March 1995,
No shinkei geka. Neurological surgery,
C Worthington, and
J M Jenrette, and
J O Fenn, and
G D Frye, and
J D Wise, and
C W Starr, and
S J Nelson, and
R C Schoer, and
R Miller, and
J Curé
August 1991,
International journal of radiation oncology, biology, physics,
C Worthington, and
J M Jenrette, and
J O Fenn, and
G D Frye, and
J D Wise, and
C W Starr, and
S J Nelson, and
R C Schoer, and
R Miller, and
J Curé
January 1996,
Radiation medicine,
C Worthington, and
J M Jenrette, and
J O Fenn, and
G D Frye, and
J D Wise, and
C W Starr, and
S J Nelson, and
R C Schoer, and
R Miller, and
J Curé
September 1989,
International journal of radiation oncology, biology, physics,
C Worthington, and
J M Jenrette, and
J O Fenn, and
G D Frye, and
J D Wise, and
C W Starr, and
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R C Schoer, and
R Miller, and
J Curé
January 2015,
Pain physician,
C Worthington, and
J M Jenrette, and
J O Fenn, and
G D Frye, and
J D Wise, and
C W Starr, and
S J Nelson, and
R C Schoer, and
R Miller, and
J Curé
February 1988,
International journal of radiation oncology, biology, physics,
