Type of publication: | Artikel |
Zeitschrift: | Computer Aided Surgery |
Band: | 11 |
Nummer: | 4 |
Jahr: | 2006 |
Monat: | July |
Seiten: | 161--174 |
Notiz: | Motion Compensation in Radiosurgery |
DOI: | 10.1080/10929080600886393 |
Abriss: | Radiosurgery involves the precise delivery of sharply collimated high-energy beams of radiation to a distinct target volume along selected trajectories. Historically, accurate targeting required the application of a stereotactic frame, thus limiting the use of this procedure to single treatments of selected intracranial lesions. However, the scope of radiosurgery has undergone a remarkable broadening since the introduction of image-guided robotic radiosurgery. Recent developments in real-time image guidance provide an effective frameless alternative to conventional radiosurgery and allow both the treatment of lesions outside the skull and the possibility of performing hypofractionation. As a consequence, targets in the spine, chest and abdomen can now also be radiosurgically ablated with submillimetric precision. Meanwhile, the combination of image guidance, robotic beam delivery, and non-isocentric inverse planning can greatly enhance the conformality and homogeneity of radiosurgery. The aim of this article is to describe the technological basis of image-guided radiosurgery and provide a perspective on future developments. The current clinical usage of robotic radiosurgery will be reviewed with an emphasis on those applications that may represent a major shift in the therapeutic paradigm. |
Nutzerfelder: | owner={ernst}, timestamp={2008.04.16}, file={rssa_06.pdf:rssa_06.pdf:PDF} |
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