Acta Neurochirurgica Supplements Editor: H.-J. Steiger
Gamma Knife Neurosurgery in the Management of Intracranial Disorders Edited by Mikhail F. Chernov, Motohiro Hayashi, Jeremy C. Ganz, Kintomo Takakura Acta Neurochirurgica Supplement 116
Mikhail F. Chernov Faculty of Advanced Techno-Surgery and Department of Neurosurgery Tokyo Women s Medical University Tokyo, Japan Motohiro Hayashi Department of Neurosurgery and Faculty of Advanced Techno-Surgery Tokyo Women s Medical University Tokyo, Japan Jeremy C. Ganz Department of Neurosurgery Haukeland University Hospital Bergen, Norway Kintomo Takakura Institute of Advanced Biomedical Engineering and Science Tokyo Women s Medical University Tokyo, Japan This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, speci fi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on micro fi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied speci fi cally for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a speci fi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. 2013 Springer-Verlag Wien SpringerWienNewYork is part of Springer Science+Business Media springer.at Typesetting: SPI, Pondichery, India Printed on acid-free and chlorine-free bleached paper Library of Congress Control Number: 2012954885 With 77 (partly coloured) Figures ISSN 0065-1419 ISBN 978-3-7091-1375-2 ISBN 978-3-7091-1376-9 (ebook) DOI 10.1007/978-3-7091-1376-9 SpringerWienNewYork
Sponsors of the Fifth Annual Meeting of the Asian Gamma Knife Academy (September 29 October 1, 2011; Saint Petersburg, Russia) and Publication of Its Proceedings A Product of Bracco v
To my parents. M.F. Chernov To colleagues in the field of the Gamma Knife who manage various diseases while caring deeply about the lives of their patients. M. Hayashi To all those colleagues around the world whose ceaseless efforts continue to improve and refine the use of the Gamma Knife. J.C. Ganz To my patients. K. Takakura
Preface The present volume of Acta Neurochirurgica Supplement contains the Proceedings of the Fifth Annual Meeting of the Asian Gamma Knife Academy held on September 29 to October 1, 2011 in Saint Petersburg, Russia. This event was organized by the International Institute of the Biological Systems (St. Petersburg, Russia) and was supported by Elekta Instruments AB (Stockholm, Sweden). It was joined by 70 participants from 19 countries on fi ve continents. The scienti fi c program covered various options for optimal management of brain tumors, vascular lesions, and functional disorders. There are at least three factors that make this meeting unique. First, it is unusual that a conference of an Asian professional society was organized in a European country. This issue raised multiple questions, but the reason for the decision was, in fact, rather simple. At the time of preparation for the meeting, there was no functioning Gamma Knife facility in the Asian part of the Russian Federation. Thus, it was decided to organize the conference in St. Petersburg, where a young, but already well-established radiosurgical program was in place at the Diagnostic and Treatment Center of the International Institute of the Biological Systems. Second, the meeting was de fi nitely multidisciplinary, involving not only Gamma Knife users but microneurosurgeons and neuroradiologists, which maintained a good balance between microneurosurgery and radiosurgery, in keeping with the intended design of the conference. The presentation and discussion of information from multiple treatment methods will help provide better service to patients. These objectives were realized through the scienti fi c sessions with the presentation of alternative surgical and radiosurgical treatment options, with open discussions on their advantages and disadvantages. Moreover, an overview of current radiological modalities and their possible application for Gamma Knife treatment planning and subsequent follow-up was offered during the special symposium dedicated to advanced neuroimaging for radiosurgery. Third, following the traditions of the Asian Gamma Knife Academy meetings, a special workshop was organized on the last day of the conference at the Radiosurgical Center of the International Institute of the Biological Systems. Leading professionals demonstrated realtime dose planning for various brain diseases and shared their opinions on possible solutions to speci fi c practical problems. The materials included in this volume re fl ect the scienti fi c program of the meeting. Some articles, speci fi cally highlighting alternative treatment options, are accompanied by editorials prepared by recognized experts in the fi eld. We hope that all of our colleagues worldwide, who are looking for the best possible treatment for their patients, fi nd the presented material scienti fi cally interesting and practically useful. The Editors ix
Contents Asian Gamma Knife Academy: Its Goals and Activities..................... 1 Motohiro Hayashi Practice of Gamma Knife Neurosurgery Concept of Robotic Gamma Knife Microradiosurgery and Results of Its Clinical Application in Benign Skull Base Tumors..................... 5 Motohiro Hayashi, Mikhail F. Chernov, Noriko Tamura, Masahiro Izawa, Yoshihiro Muragaki, Hiroshi Iseki, Yoshikazu Okada, Pavel Ivanov, Jean Régis, and Kintomo Takakura Contemporary Role of Microsurgery, Radiosurgery, and Stereotactic Radiotherapy in the Management of Vestibular Schwannomas................ 17 Chung Ping Yu Whether Gamma Knife Radiosurgery Is Really Necessary for Treatment of Patients with Vestibular Schwannomas..................... 19 Tomokatsu Hori and Takashi Maruyama Do We Really Still Need an Open Surgery for Treatment of Patients with Vestibular Schwannomas?................................ 25 Motohiro Hayashi, Mikhail F. Chernov, Samuel M. Lipski, Noriko Tamura, Shoji Yomo, Ayako Horiba, Shyunsuke Tsuzuki, Masahiro Izawa, Yoshikazu Okada, Yoshihiro Muragaki, Hiroshi Iseki, Pavel Ivanov, Jean Régis, and Kintomo Takakura Stereotactic Radiosurgery and Hypofractionated Stereotactic Radiotherapy for Management of Vestibular Schwannomas: Initial Experience with 17 Cases............................................... 37 Evgeniy S. Polovnikov, Olga Y. Anikeeva, Petr V. Filatov, Aleksey L. Krivoshapkin, Evstafiy G. Melidi, Oksana A. Gavronina, Aleksey S. Gaitan, and Igor V. Bedny What Is the Role of Radiosurgery in the Management of Sellar Tumors?....... 45 Tomokatsu Hori Role of Gamma Knife Radiosurgery in the Management of Pituitary Adenomas and Craniopharyngiomas............................................... 49 Abdeslam El Khamlichi, Adyl Melhaoui, Yasser Arkha, Mohamed Jiddane, and Brahim Khalil El Gueddari Role of Gamma Knife Radiosurgery in Multimodality Management of Craniopharyngioma................................................. 55 M. Abid Saleem, A. Sattar M. Hashim, Azher Rashid, and Muhammed Ali xi
xii Contents Role of Radiosurgery in the Management of Intracranial Malignancies........ 61 Jeremy C. Ganz Gamma Knife Treatment Strategy for Metastatic Brain Tumors.............. 63 Kintomo Takakura, Motohiro Hayashi, Mikhail F. Chernov, Noriko Tamura, Masahiro Izawa, Yoshikazu Okada, Manabu Tamura, Yoshihiro Muragaki, and Hiroshi Iseki Stereotactic Radiosurgery for Malignant Extracerebral Intracranial Tumors: Patient Selection, Efficacy, and Technical Nuances.................. 71 Ian E. McCutcheon Gamma Knife Stereotactic Radiosurgery for Atypical and Malignant Meningiomas............................................ 85 Yoshimasa Mori, Takahiko Tsugawa, Chisa Hashizume, Tatsuya Kobayashi, and Yuta Shibamoto Management of Non-benign Meningiomas with Gamma Knife Radiosurgery............................................ 91 Manabu Tamura, Kenji Kubo, Ryuji Okita, Mitsuhiro Ogura, Naoyuki Nakao, Yuji Uematsu, Toru Itakura, Motohiro Hayashi, Yoshihiro Muragaki, and Hiroshi Iseki Treatment of Cavernoma: An Evidence-Based Dilemma?.................... 99 Bodo Lippitz Microsurgical or Radiosurgical Management of Intracranial Cavernomas......................................................... 103 Helmut Bertalanffy and Venelin M. Gerganov Gamma Knife Radiosurgery of Brain Cavernomas......................... 107 Roman Liscak, Dusan Urgosik, Gabriela Simonova, Josef Vymazal, and Jitka Semnicka Gamma Knife Radiosurgery for the Management of Intracranial Dural Arteriovenous Fistulas............................................ 113 David Hung-Chi Pan, Cheng-Chia Lee, Hsiu-Mei Wu, Wen-Yuh Chung, Huai-Che Yang, and Chung-Jung Lin Radiosurgery as Neuromodulation Therapy!............................... 121 Jean Régis Long-Term Outcome of Gamma Knife Surgery Using a Retrogasserian Petrous Bone Target for Classic Trigeminal Neuralgia....................... 127 Jung Kyo Lee, Deok Ryeong Kim, Yeon Hee Huh, Jin Kyung Kim, Won Chul Namgung, and Seok Ho Hong Complications of Gamma Knife Neurosurgery and Their Appropriate Management.............................................. 137 Jeremy C. Ganz How to Control Propofol Infusion in Pediatric Patients Undergoing Gamma Knife Radiosurgery............................................ 147 Kotoe Kamata, Motohiro Hayashi, Yoshihiro Muragaki, Hiroshi Iseki, Yoshikazu Okada, and Makoto Ozaki Blood DNA Radiosensitivity May Be Predictive for Efficacy of Experimental Glioma Irradiation: An Animal Study...................... 151 Sergey D. Ivanov, Alexander L. Semenov, Elena G. Kovan ko, and Vladimir A. Yamshanov
Contents xiii Advanced Neuroimaging for Gamma Knife Neurosugery Importance of Neuroimaging Accuracy in Radiosurgery..................... 155 Julio C. Antico Optimal Visualization of Multiple Brain Metastases for Gamma Knife Radiosurgery.................................................... 159 Yuko Ono, Kayoko Abe, Motohiro Hayashi, Mikhail F. Chernov, Yoshikazu Okada, Shuji Sakai, and Kintomo Takakura Usefulness of the Advanced Neuroimaging Protocol Based on Plain and Gadolinium-Enhanced Constructive Interference in Steady State Images for Gamma Knife Radiosurgery and Planning Microsurgical Procedures for Skull Base Tumors....................................... 167 Motohiro Hayashi, Mikhail F. Chernov, Noriko Tamura, Shoji Yomo, Manabu Tamura, Ayako Horiba, Masahiro Izawa, Yoshihiro Muragaki, Hiroshi Iseki, Yoshikazu Okada, Pavel Ivanov, Jean Régis, and Kintomo Takakura Usefulness of Leksell GammaPlan for Preoperative Planning of Brain Tumor Resection: Delineation of the Cranial Nerves and Fusion of the Neuroimaging Data, Including Diffusion Tensor Imaging.................... 179 Manabu Tamura, Yoshiyuki Konishi, Noriko Tamura, Motohiro Hayashi, Naoyuki Nakao, Yuji Uematsu, Toru Itakura, Jean Régis, Jean François Mangin, Yoshihiro Muragaki, and Hiroshi Iseki Perspectives of 3 T Magnetic Resonance Imaging in Radiosurgical Treatment Planning................................................... 187 Patrik Zamecnik and Marco Essig Differentiation of Tumor Progression and Radiation-Induced Effects After Intracranial Radiosurgery.................................. 193 Mikhail F. Chernov, Yuko Ono, Kayoko Abe, Masao Usukura, Motohiro Hayashi, Masahiro Izawa, Sergey V. Diment, Pavel I. Ivanov, Yoshihiro Muragaki, Hiroshi Iseki, Tomokatsu Hori, Yoshikazu Okada, and Kintomo Takakura Author Index......................................................... 211 Subject Index......................................................... 213