Clinical Experience with Image-guided Robotic Radiosurgery (the Cyberknife) in the Treatment of Brain and Spinal Cord Tumors

• Published in: Neurologia medico-chirurgica Vol. 38; no. 11; pp. 780 - 783
• Main Authors: CHANG, Steven D., MURPHY, Martin, GEIS, Paul, MARTIN, David P., HANCOCK, Steven L., DOTY, James R., ADLER, John R., Jr
• Format: Journal Article
• Language: English
• Published: Japan The Japan Neurosurgical Society 1998
• Subjects: Arteriovenous Malformations - surgery; Brain Neoplasms - diagnostic imaging; Brain Neoplasms - pathology; Brain Neoplasms - secondary; Brain Neoplasms - surgery; brain tumors; Carcinoma, Non-Small-Cell Lung - secondary; Carcinoma, Non-Small-Cell Lung - surgery; Cyberknife; Evaluation Studies as Topic; Hemangioblastoma - surgery; Humans; Lung Neoplasms - pathology; Magnetic Resonance Imaging; Particle Accelerators; radiosurgery; Radiosurgery - instrumentation; Radiotherapy Dosage; Spinal Cord Diseases - surgery; Spinal Cord Neoplasms - diagnostic imaging; Spinal Cord Neoplasms - pathology; Spinal Cord Neoplasms - surgery; stereotactic; Tomography, X-Ray Computed; Treatment Outcome
• ISSN: 0470-8105; 1349-8029
• DOI: 10.2176/nmc.38.780

The Cyberknife is an image-guided “frameless” dedicated radiosurgical device. This instrument has several distinct advantages over frame-based systems, including improved patient comfort, increased treatment degrees of freedom, and the potential to target extracranial lesions. Clinical results thus far with respect to the treatment of malignant intracranial tumors has been promising. Additionally, the Cyberknife will likely revolutionize the application of radiosurgery to extracranial sites. A description of the components, treatment planning, and clinical results of the Cyberknife will be reviewed.