BASIS OF RADIOSURGERY
  

• SOPHISTICATED TARGET DEFINITION (CECT/MRI/DSA)

• PRECISE STEREOTACTIC LOCALISATION OF THE LESION WITH REFERENCE TO 9 MARKERS ON AN EXTERNALLY FIXED FRAME

• 3D VOLUME RECONSTRUCTION OF TARGET USING POWERFUL COMPUTER WORKSTATION EXACT 3 D DELINEATION OF CRITICAL STRUCTURES WHICH CAN THUS BE AVOID

• SOPHISTICATED COMPUTER ASSISTED TREATMENT PLANNING

SPECIFIC INDICATIONS FOR RADIOSURGERY
  

• OPEN SURGERY RISKY DUE TO MEDICAL CONTRAINDICATIONS

• RECURRENT RESIDUAL TUMOUR FOLLOWING PREVIOUS SURGERY

• OPEN SURGERY HAS ADDED RISK DUE TO LOCATION OF LESION

• PATIENTS WHO REFUSE OPEN SURGERY

• SPECIFIC SITUATIONS WHERE RADIOSURGERY IS THE PRIMARY CHOICE

• SINGLE LARGEST INDICATION

• PROCEDURE RELATED MORTALITY 0 v/s 5.5%

• 1.5% MORBIDITY v/s 7-9% IN SKILLED OPEN MICROSURGERY

• PRELIMINARY EMBOLISATION FOR LARGEST AVM

• DISTINCTLY SUPERIOR TO "CONSERVATIVE MANAGEMENT"
    

Stereotactic Radiosurgery Apollo Hospitals, Chennai - India.
May 30, 1995 - Apr 30th, 2002
  

• AVM
• Meningioma
• ANF
• Secondaries
• Giant AVM