Joined: 11/14/2009
Posts: 1
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On 20Oct09, my wife was sent to MRI centre to take MRI scanning and based on the result, a brainstem glioma was fouund with the size 2.4cm x 1.9cm x 1.4cm. As I am not a specialist in the medicial field, there are many terms that I can not understand. No matter what, doctor said surgery is total out of option even biopsy will have high risk due to the postion of the glioma. After may search and infomation gathering, CK may be our last hope. As compare with the general RT, IMRT, the side effect produced from CK is much less. I want to know more about CK and any comments are always welcome.
Saan
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Joined: 10/11/2008
Posts: 928
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In most cases, we use conventional approaches (IMRT) as opposed to CK for brainstem gliomas, often in conjunction with a drug such as temozolamide (Temodar). CK can be used depending upon the circumstances. Her films need to be reviewed at a CK facility near you for an expert opinion. You can find the complete list at www.accuray.com. Gliiomas often infiltrate beyond their visible boundaries and conventional RT can use larger fields safely and more gently to cover the volume at risk. CK offers much higher doses to a well defined volume with great accuracy (under 1 mm) but may not encompass the full extent of the involvement by the tumor. It is very common for brainstem glioimas to not be biopsied because of the risk involved.
Jerome J. Spunberg, M.D., FACR, FACRO
CyberKnife Center of Palm Beach
jspunberg@radiationoncologyinstitute.com
(561) 799-2828 Radiation Oncology Institute
10335 N. Military Trail, Suite C
Palm Beach Gardens, FL 33410
(561) 624-1717
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