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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
11
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pubmed:dateCreated |
1997-2-4
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pubmed:abstractText |
A stereotactic irradiation (STI) system using a linear accelerator was developed and its effectiveness for brain metastasis was investigated. The system consisted of a conventional linear accelerator, invasive fixation head frame (RADFRAME, Mizuho Ika Kogyo), and a tungsten collimator. The RADFRAME was developed to be used with any linear accelerators and with any dose planning systems. The accuracy of the irradiation was assured to be within +/-1.5mm. Fifty-one patients with metastatic brain tumors were treated using the system. The overall median survival time was 10 months. No difference in survival was observed between patients with a single lesion and patients with two or three lesions. Complete, partial, and minimal responses were obtained in 16 (39%), 18 (41%), and 7 (16%) lesions. These were comparable to the reported results of gamma knife treatment. A maximum dose of 25 Gy was suggested to be more effective than lower doses. Local control rate was higher in tumors with a diameter of less than 2.0cm (87.5%) than in larger tumors (60%). No difference in tumor response was observed among various histopathologic types. In a patient with a 25mm cerebellar metastasis from an adenocarcinoma of the lung, autopsy at 5 months after STI showed fibrinoid degeneration and hyaline deposition without residual tumor at the Gd-enhanced region on MRI. The efficacy of linac stereotactic irradiation was equal to that of gamma knife radiotherapy for metastatic brain tumors.
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pubmed:language |
jpn
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0301-2603
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
24
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
1003-9
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8934468-Adenocarcinoma,
pubmed-meshheading:8934468-Adult,
pubmed-meshheading:8934468-Aged,
pubmed-meshheading:8934468-Brain Neoplasms,
pubmed-meshheading:8934468-Female,
pubmed-meshheading:8934468-Humans,
pubmed-meshheading:8934468-Lung Neoplasms,
pubmed-meshheading:8934468-Male,
pubmed-meshheading:8934468-Middle Aged,
pubmed-meshheading:8934468-Particle Accelerators,
pubmed-meshheading:8934468-Radiosurgery
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pubmed:year |
1996
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pubmed:articleTitle |
[Stereotactic irradiation for brain metastases using linear accelerator].
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pubmed:affiliation |
Department of Neurosurgery, Hokkaido University School of Medicine, Sapporo, Japan.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
English Abstract
|