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First-ever Gamma Knife in Paris Offers New Treatment Options for Patients With Cancer and Other Brain Disorders
Date:5/10/2011

brain tumors, but also had to use this system for tumors in the rest of the body as well. Salpetriere's current high volume of patients with brain tumors – and high potential volume of patients with other serious brain disorders that would benefit from radiosurgery – demanded a solution dedicated to brain and head treatments.

For now, Salpetriere clinicians have many patients with metastases, a majority with more than a single lesion. Before Perfexion arrived, the threshold number of brain metastases above which the patient was scheduled for multiple treatment sessions or referred to whole brain radiation therapy (WBRT) was much lower.

"The linac we used was not dedicated to brain cases," he says. "Prostate cases would start in the morning, and we would get the machine for two or three hours in the late afternoon. We had time to treat three brain mets maximum per patient per session. If the patient had six metastases we had to schedule another treatment session, or if the patient had many more we had to refer for WBRT, which is undesirable due to the possibility of neurocognitive deficits.

"With Perfexion," he continues, "it is more convenient because we can treat any number of metastases with no delay and much less likelihood we'll refer for WBRT. For patients, the treatment day is shorter, which is important because they are wearing a frame."

Dr. Valery reports that in a recent case, they treated a patient with 13 brain metastases in a single session in just over two hours of treatment time.

Gamma Knife has  been a long time in coming to Paris, he adds, noting that a colleague, Prof. Philippe Cornu, began lobbying the public hospital organization in 1993 to enable its purchase.

"We knew it would take a long time," Dr. Valery says. "But, now we are very happy that we'll be able to treat any patient who requires this system. They won't have to travel to Marseilles or Lille, and it will be much easier to e
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SOURCE Elekta
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