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Multi-Session Gamma Knife Radiosurgery Gaining Traction in North America to Treat Patients With Cancers in Brain and Skull Base
Date:9/28/2011

ATLANTA, Sept. 28, 2011 /PRNewswire/ -- By the end of 2011, as many as nine U.S. medical centers will be offering multi-session Gamma Knife® surgery with Extend™ to treat patients with larger tumors or lesions close to critical structures located in the brain and skull base. Extend technology allows clinicians to non-invasively immobilize the patient's head, making repeatable or multi-fraction Gamma Knife surgery feasible for these cases.

Used with Leksell Gamma Knife® Perfexion™, the key components of Extend are patient-friendly fixation devices, such as a vacuum assisted bite block and head support with vacuum pillow. Accurate repeat fixation is ensured with a one-time use of a CT box to obtain precise stereotactic reference points, followed by repeat checks using reposition check instruments for each Gamma Knife session.

Among the first U.S. centers to acquire Extend, University of Virginia (UVA, Charlottesville, Va.) physicians have employed Extend in 15 cases, mostly for benign tumors of the meninges.

"Extend is clinically advantageous for some patients because it combines Gamma Knife technology with a fractionated approach," says Jason Sheehan, M.D., Ph.D., Alumni Professor in radiation oncology and neurosurgery at UVA and co-director of UVA's Gamma Knife Center. "Specifically, you get the accuracy, precision, high dose and steep gradients of Gamma Knife surgery along with the benefits of fractionation. The true advantages of this system will become more evident as institutions begin to publish their results following its use."

Since January, clinicians at Barnes-Jewish Hospital (St. Louis, Mo.) have used Extend in Gamma Knife treatments of nine patients, five of which had recurrences of a fast-growing malignant tumor
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SOURCE Elekta
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