Abstract
The first stereotactic radiosurgery (SRS) unit was designed by Swedish neurosurgeon Dr. Lars Leksell in the 1950s [1]. The term stereotactic literally means “spatially fixed.” In general, a SRS procedure involves delivering a single fraction of high-dose radiation, usually with the guidance of a rigid fixation device (i.e., a stereotactic frame). The purpose of the frame is to map out the coordinate system of the target for accurate reference of the radiation beams [2]–[6]. Common types of radiation used for SRS are high-energy gamma rays (e.g., 60Co), high-energy x-rays, and charged particles such as protons.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Leksell L. The stereotaxic method and radiosurgery of the brain, Acta Chir Scand 1951; 102(4):316–9.
Andrews DW, Scott CB, Sperduto PW, et al. Whole brain radiation therapy with or without stereotactic radiosurgery boost for patients with one to three brain metastases: phase III results of the RTOG 9508 randomised trial. Lancet 2004; 363(9422):1665–1672.
Corn BW, Curran WJ Jr, Shrieve DC, et al. Stereotactic radiosurgery and radiotherapy: new developments and new directions. Semin Oncol 1997; 24(6):707–714.
Schell MC, Bova FJ, Larson DA, et al. Stereotactic Radiosurgery, Report of the American Association of Physicists in Medicine Task Group No. 42. College Park: American Institute of Physics, 1995.
Phillips MH, Stelzer KJ, Griffin TW, et al. Stereotactic radiosurgery: a review and comparison of methods. J Clin Oncol 1994; 12(5):1085–1099.
Loeffler JS, Shrieve DC, Wen PY, et al. Radiosurgery for intracranial malignancies. Semin Radiat Oncol 1995; 5(3):225–234.
Harsh GR, Thornton AF, Chapman PH, et al. Proton beam stereotactic radiosurgery of vestibular schwannomas. Int J Radiat Oncol Biol Phys 2002; 54(1):35–44.
Larsson B, Leksell L, Rexed B, et al. The high-energy proton beam as a neurosurgical tool. Nature 1958; 182(4644):1222–1223.
Larsson B, Sarby B. Equipment for radiation surgery using narrow 185 MeV proton beams. Dosimetry and design. Acta Oncol 1987; 26(2):143–158.
Lawrence JH, Tobias CA, Linfoot JA, et al. Heavy particles and the Bragg peak in therapy. Ann Intern Med 1965; 62:400–407.
Levy RP, Fabrikant JI, Frankel KA, et al. Heavy-charged-particle radiosurgery of the pituitary gland: clinical results of 840 patients. Stereotact Funct Neurosurg 1991; 57(1–2):22–35.
Weber DC, Chan AW, Bussiere MR, et al. Proton beam radiosurgery for vestibular schwannoma: tumor control and cranial nerve toxicity. Neurosurgery 2003; 53(3):577–586; discussion 586–588.
McGinley PH, Butker EK, Crocker IR, et al. A patient rotator for stereotactic radiosurgery. Phys Med Biol 1990; 35(5):649–657.
Leksell DG. Stereotactic radiosurgery. Present status and future trends. Neurol Res 1987; 9(2):60–68.
Lindquist C. Gamma Knife radiosurgery. Semin Radiat Oncol 1995; 5:197–202.
Maitz AH, Wu A, Lunsford LD, et al. Quality assurance for gamma knife stereotactic radiosurgery. Int J Radiat Oncol Biol Phys 1995; 32(5):1465–1471.
Wu A, Lindner G, Maitz H, et al. Physics of gamma knife approach on convergent beams in stereotactic radiosurgery. Int J Radiati Oncol Biol Phys 1990; 18:941–949.
Bourland JD, McCollough KP. Static field conformal stereotactic radiosurgery: physical techniques. Int J Radiat Oncol Biol Phys 1994; 28(2):471–479.
Bova FJ, Friedman WA, Mendenhall WM. Stereotactic radiosurgery. Med Prog Technol 1992; 18(4):239–251.
Colombo F, Benedetti A, Pozza F, et al. Stereotactic radiosurgery utilizing a linear accelerator. Appl Neurophysiol 1985; 48(1–6):133–145.
Falco T, Lachaine M, Poffenbarger B, et al. Setup verification in linac-based radiosurgery. Med Phys 1999; 26(9):1972–1978.
Friedman WA, Bova FJ, Spiegelmann R. Linear accelerator radiosurgery at the University of Florida. Neurosurg Clin N Am 1992; 3(1):141–166.
Leavitt DD, Watson G, Tobler M, et al. Intensity-modulated radiosurgery/radiotherapy using a micromultileaf collimator. Med Dosim 2001; 26(2):143–150.
Lutz W, Winston KR, Maleki N. A system for stereotactic radiosurgery with a linear accelerator. Int J Radiat Oncol Biol Phys 1988; 14(2):373–381.
Nedzi LA, Kooy HM, Alexander E 3rd, et al. Dynamic field shaping for stereotactic radiosurgery: a modeling study. Int J Radiat Oncol Biol Phys 1993; 25(5):859–869.
Podgorsak EB, Olivier A, Pla M, J. Hazel, et al. Physical aspects of dynamic stereotactic radiosurgery. Appl Neurophysiol 1987; 50(1–6):263–268.
Podgorsak EB, Olivier A, Pla M, et al. Dynamic stereotactic radiosurgery. Int J Radiat Oncol Biol Phys 1988; 14(1):115–126.
Solberg TD, Boedeker KL, Fogg R, et al. Dynamic arc radiosurgery field shaping: a comparison with static field conformal and noncoplanar circular arcs. Int J Radiat Oncol Biol Phys 2001; 49(5):1481–1491.
Winston KR, Lutz W. Linear accelerator as a neurosurgical tool for stereotactic radiosurgery. Neurosurgery 1988; 22(3):454–464.
Colombo F, Francescon P, Cora S, et al. A simple method to verify in vivo the accuracy of target coordinates in linear accelerator radiosurgery. Int J Radiat Oncol Biol Phys 1998; 41(4):951–954.
Gibbs FA Jr, Buechler D, Leavitt DD, et al. Measurement of mechanical accuracy of isocenter in conventional linear-accelerator-based radiosurgery. Int J Radiat Oncol Biol Phys 1993; 25(1):117–122.
Boyer AL, Antonuk L, Fenster A, et al. A review of electronic portal imaging devices (EPIDs). Med Phys 1992; 19(1):1–16.
Leavitt DD, Gibbs FA Jr, Heilbrun MP. Dynamic field shaping to optimize stereotactic radiosurgery. Int J Radiat Oncol Biol Phys 1991; 21(5):1247–1255.
Pedroso AG, De Salles AA, Tajik K. Novalis shaped beam radiosurgery of arteriovenous malformations. J Neurosurg 2004; 101(Suppl 3):425–434.
Smith ZA, De Salles AA, Frighetto L. Dedicated linear accelerator radiosurgery for the treatment of trigeminal neuralgia. J Neurosurg 2003; 99(3):511–516.
Rahimian J, Chen JC, Rao AA. Geometrical accuracy of the Novalis stereotactic radiosurgery system for trigeminal neuralgia. J Neurosurg 2004; 101(Suppl 3):351–355.
Adler JR, Murphy MJ, Chang SD, et al. Image-guided robotic radiosurgery. Neurosurgery 1999; 44:299–306.
Murphy MJ, Cox RS. Dose localization accuracy for an image-guided frameless radiosurgery system. Med Phys 1996; 23(12):2043–2049.
Chang SD, Main W, Martin DP, et al. An analysis of the accuracy of the CyberKnife: a robotic frameless stereotactic radiosurgery system. Neurosurgery 2003; 52:140–147.
Mackie TR, Balog J, Ruchala K, et al. Tomotherapy. Semin Radiat Oncol 1999; 9(1):108–117.
Mackie TR, Holmes T, Swerdloff S, et al. Tomotherapy: a new concept for the delivery of dynamic conformal radiotherapy. Med Phys 1993; 20(6):1709–1719.
Berk HW, Larner JM, Spaulding C, et al. Extracranial absorbed doses with Gamma Knife radiosurgery. Stereotact Funct Neurosurg 1993; 61(Suppl 1):164–172.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2008 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Ma, L., Murphy, M. (2008). Designing, Building and Installing a Stereotactic Radiosurgery Unit. In: Chin, L.S., Regine, W.F. (eds) Principles and Practice of Stereotactic Radiosurgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-71070-9_8
Download citation
DOI: https://doi.org/10.1007/978-0-387-71070-9_8
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-71069-3
Online ISBN: 978-0-387-71070-9
eBook Packages: MedicineMedicine (R0)