Gamma Knife in Effective Treatment of Cancer | Radiology
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Radiology Gamma Knife in Effective Treatment of Cancer

Gamma Knife in Effective Treatment of Cancer

Radiology News - Radiology

The LI Gamma Knife team of physicists, neurosurgeons, radiation oncologists and nurses have expanded the use of the Gamma Knife to treat intractable cancer pain as well as essential tremors (ET).

Thalamic pain syndrome, also referred to as Intractable cancer pain, is perceived to be irreparable. The pain could be a result of either the disease itself or the treatment. Medications (chemical hypophysectomy) and functional neurosurgery (surgical hypophysectomy) have been used to control intractable cancer pain without much effect untill Gamma Knife Pituitary Radiosurgery (GKPR) or Gamma Knife hypophysectomy appeared in the scene as a positive alternative and is being used regularly for pain relief of cancer patients without any secondary side effects.GKPR renders a singlular high dose of radiation to the pituitary, developing a lesion in the gland, eliminate pain.

The Gamma Knife’s 201 intersecting cobalt beams provide a dose of precise radiation equal to 20-30 traditional radiation treatments, in one 45-minute session.  Because of the very steep fall-off of the radiation field outside the specified target area, the dose to immediately surrounding tissue is minimized. Studies on the effectiveness of GKPR have shown that patients experience significant pain reduction within 48 hours after treatment and that it has long-lasting clinical effect in controlling cancer pain. 

ETs are rhythmic, spasms caused by an involuntary and uncontrollable contraction of muscles. The episodes and duration of ETs may vary. They harm millions of children and adults. The hands are most often affected in ET, but the head and neck, face, jaw, tongue, voice (causing a shaking or quivering sound), and the trunk may also suffer. Approximately 1 in 20 people older than age 40 and 1 in 5 people over 65 have ETs. It's a more disease than Parkinson's.

Gamma Knife Thalamotomy (GKT) is a secure, precise and non-invasive intervention. The treatment has resulted in drastic improvements in otherwise complicated cases of ETs. GKT treats the thalamus, a tiny area of the brain that regulates some involuntary movements.  

After GKT, 90% of patients with ETs have experienced a clinically meaningful improvement in their ET score, with 50-78% of patients reporting either no or very slight intermittent ETs. Reports of prominent improvements are made by patients with multiple sclerosis, have also increased their ability to perform acts of daily routine without help. Since Gamma Knife surgery is minimally invasive, the lengthy hospital stays associated with brain surgery are avoided. Patients may return home the same day of treatment, and can usually resume their normal activities, including working and driving, within days. There is little risk of potential morbidity, such as hemorrhage and infection, that is associated with conventional surgery. 30 years of clinical study documents in multiple publications, peer-reviewed articles have shown that the Gamma Knife has clear benefits compared to traditional neurosurgery. 

“The Gamma Knife incorporates leading-edge technologies that enable us to treat a variety of debilitating and life-threatening conditions,” said Edward Mullen, MD, South Nassau’s chair of radiation oncology 

and co-medical director of Long Island Gamma Knife.  “When we invested in this life-saving technology it was with the knowledge that it would be of great benefit to the communities we serve and that it provided us the capability to effectively and efficiently treat a gamut of disorders including brain tumors,  malformations, and other conditions.” 

Source: South Nassau Communities Hospital

Tags: CANCER - RADIATION
 

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