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Radiosurgery

Radiosurgery Vol. 5 Series Editors D. Kondziolka Pittsburgh, Pa. M. McDermott San Francisco, Calif. J. Régis Marseille R. Smee Sydney J.C. Flickinger Pittsburgh, Pa.

6th International Stereotactic Radiosurgery Society Meeting, Kyoto, June 22 26, 2003 Radiosurgery Volume Editor D. Kondziolka Pittsburgh, Pa. 123 figures, 17 in color, and 45 tables, 2004 Basel Freiburg Paris London New York Bangalore Bangkok Singapore Tokyo Sydney

Douglas Kondziolka, MD, MSc, FRCS(C), FACS Departments of Neurological Surgery and Radiation Oncology Center for Image-Guided Neurosurgery UPMC Presbyterian Hospital University of Pittsburgh Pittsburgh, Pa., USA Library of Congress Cataloging-in-Publication Data Bibliographic Indices. This publication is listed in bibliographic services, including Current Contents and Index Medicus. Drug Dosage. The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Copyright 2004 by S. Karger AG, P.O. Box, CH 4009 Basel (Switzerland) www.karger.com Printed in Switzerland on acid-free paper by Reinhardt Druck, Basel ISSN 1024 2651 ISBN 3 8055 7717 6

Contents IX Preface XI The Jacob I. Fabrikant Award The Jacob I. Fabrikant Memorial Address 1 A Strategy for Treating Sellar-Parasellar Tumors Based on Long-Term Results of Microsurgery and Gamma Knife Radiosurgery Kobayashi, T. (Nagoya) Radiobiology 13 What Can We Learn from Pathology? From the Beginnings towards Radiosurgical Pathology Szeifert, G.T. (Budapest); Kondziolka, D.; Lunsford, L.D. (Pittsburgh, Pa.); Hanzély, Z.; Nyáry, I. (Budapest); Salmon, I.; Levivier, M. (Brussels) 22 Radiation Tolerance of the Spinal Cord to Staged Radiosurgery Gibbs, I.C.; Chang, S.D.; Pham, C.; Adler, J.R. (Stanford, Calif.) 29 Construction and Verification of STI Device for Cat Model Hosono, M.N.; Tanaka, K.; Sahara, T.; Nishikawa, M.; Ishii, K.; Kondo, S.; Takada, Y.; Fukuda, H.; Hara, M.; Inoue, Y. (Osaka) Malignant Tumors 38 Acute Sequelae of Stereotactic Radiosurgery Hong, T.S.; Tomé, W.A.; Hayes, L.; Yuan, Z.; Badie, B. (Madison, Wisc.); Rao, R. (Rochester, Minn.); Mehta, M.P. (Madison, Wisc.) V

46 Stereotactic Radiosurgery for Brain Metastases and Cerebral FDG Positron Emission Tomography Golish, S.R.; De Salles, A.A.F.; Yap, C.; Solberg, T.D. (Los Angeles, Calif.) 51 Comparison of MR Spectroscopy and MR Perfusion in Benign and Malignant Infiltrative Brain Tumors Asavaphatiboon, S.; Sinlapawongsa, T.; Laothamatas, J.; Dhanachai, M.; Theerapancharoen, V.; Putthicharoenrat, S. (Bangkok) 66 Tumor Control Probability Predicts the Fate of Multiple Metastatic Brain Tumors Nagano, H.; Nakayama, S.; Asada, H.; Syutou, T.; Tanahata, K.; Inomori, S. (Yokohama) 77 Dose Absorbed by Normal Brainstem and Optic Apparatus in Gamma Knife Surgery for Ten or More Metastases Kamiryo, T.; Yamamoto, M.; Barfod, B.E.; Urakawa, Y. (Ibaraki) 82 Preliminary Novalis Experience in the Treatment of Skull Base Chordomas with Stereotactic Radiosurgery and Stereotactic Radiotherapy Pedroso, A.G.; De Salles, A.A.F.; Frighetto, L.; Torres, R.C.; Solberg, T.D.; Medin, P.; Cabatan-Awang, C.; Selch, M. (Los Angeles, Calif.) 91 Results Following Stereotactic Radiosurgery for Patients with Glioblastoma multiforme Nagai, H.; Kondziolka, D.; Niranjan, A.; Flickinger, J.C.; Lunsford, L.D. (Pittsburgh, Pa.) Benign Tumors 100 Gamma Knife Stereotactic Radiosurgery for Type 2 Neurofibromatosis Acoustic Neuromas Rowe, J.; Radatz, M.; Walton, L.; Kemeny, A. (Sheffield) 107 Hearing Preservation after Radiosurgery Combined With or Without Microsurgery for Large Vestibular Schwannomas: Preliminary Results Inoue, H.K.; Nishi, H.; Shibazaki, T.; Ono, N. (Ohta) 115 Long-Term Follow-Up Using Linac Radiosurgery and Stereotactic Radiotherapy as a Minimally Invasive Treatment for Intracranial Meningiomas Torres, R.C.; De Salles, A.A.F.; Frighetto, L.; Gravori, T.; Pedroso, A.G.; Goss, B.; Medin, P.; Solberg, T.D.; Ford, J.M.; Selch, M. (Los Angeles, Calif.) Contents VI

124 Preservation of Olfaction in Olfactory Groove Meningiomas with Stereotactic Radiosurgery. Report of Three Cases and Review of the Literature Azmi-Ghadimi, H.; Jacobs, A.; Cathcart, C.; Schulder, M. (Newark, N.J.) 134 Gamma Knife Radiosurgery for Pituitary Adenoma Gaur, M.S.; Misra, J.; Banerji, A.K.; Bajaj, N.; Pathak, V.K. (New Delhi) 143 Metabolic Course of Low-Grade Gliomas after Gamma Knife Radiosurgery Evaluated by PET Scan with Methionine Massager, N.; Tang, T.; Goldman, S.; Wikler, D.; Gonzalez, S.R.; Devriendt, D.; Lorenzoni, J.; David, P.; Van Houtte, P.; Brotchi, J.; Levivier, M. (Brussels) Vascular Malformations 153 Radiosurgery for Cavernous Malformations: Results of Long-Term Follow-Up Kida, Y.; Hasegawa, T. (Aichi) Functional Disorders 161 Role of Pituitary Radiosurgery for Management of Intractable Pain and Potential for Future Work Hayashi, M.; Taira, T.; Chernov, M.; Izawa, M. (Tokyo); Lis c ák, R. (Prague); Yu, C.P.; Ho, R.T.K. (Hong Kong); Tomita, M.; Katayama, Y.; Kouyama, N.; Kawakami, Y.; Hori, T.; Takakura, K. (Tokyo) 171 Treatment of Trigeminal Neuralgia Using Linear Accelerator-Based Radiosurgery Bradley, K.A.; Tomé, W.A.; Resnick, D.K.; Mehta, M.P. (Madison, Wisc.) 181 Temporal Pattern of Pain Relief Using CyberKnife Radiosurgery for Trigeminal Neuralgia:A Preliminary Report Romanelli, P.; Chang, S.; Gibbs, I.C.; Heit, G.; Adler, J.R. (Stanford, Calif.) 190 Trigeminal Nerve Radiosurgical Treatment in Intractable Chronic Cluster Headache: Preliminary Results Donnet, A. (Marseille); Valade, D. (Paris); Régis, J. (Marseille) Physics and Imaging 197 Measurements of Extracranial Doses in Patients Treated with Leksell Gamma Knife C De Smedt, F.; Vanderlinden, B.; Simon, S.; Paesmans, M.; Devriendt, D.; Massager, N.; Ruiz, S.; Lorenzoni, J.; Van Houtte, P.; Brotchi, J.; Levivier, M. (Brussels) Contents VII

213 MAGIC Normoxic Polymer Gel Dosimetry in Radiosurgery Scheib, S.G. (Zürich); Vogelsanger, W. (Schaffhausen) 225 Measurement of Relative Dose Distributions in Stereotactic Radiosurgery by the Polymer-Gel Dosimeter Novotný, J., Jr.; Spe vác ek, V.; Hrbác ek, J.; Judas, L.; Novotný, J.;.Dvor ák, P; Tlachác ová, D.; Schmitt, M.; Tinte ra, J.; Vymazal, J.; C echák, T.; Michálek, J.; Pr ádný, M.; Lišc ák, R. (Prague) 236 A System for Quality Assurance in Radiosurgery Mack, A. (Frankfurt); Scheib, S.G. (Zürich); Rieker, M.; Weltz, D.; Mack, G. (Tübingen); Czempiel, H.; Kreiner, H.J. (München); Boettcher, H.D.; Seifert, V. (Frankfurt) 247 Clinical Validation Methodology for the Use of Frameless PET in Leksell Gamma Knife Radiosurgery Wikler, D.; Sadeghi, N.; Goldman, S.; Massager, N.; Levivier, M. (Brussels) 255 Quality Assurance of the Cyberknife Fiducial and Skull Tracking Systems Ho, A.; Cotrutz, C.; Chang, S.D.; Adler, J.R.; Gibbs, I.C. (Stanford, Calif.) 260 Clinical Evaluation of a Gamma Knife Inverse Planning System Wu, Q.J.; Jitprapaikulsarn, S.; Mathayomchan, B.; Einstein, D.; Maciunas, R.J.; Pillai, K.; Wessels, B.W.; Kinsella, T.J.; Chankong, V. (Cleveland, Ohio) 267 MR Spectroscopy and MR Perfusion of Brain Tumors Before and After Radiation Therapy: Preliminary Results Laothamatas, J.; Asavaphatiboon, S.; Sinlapawongsa, T.; Dhanachai, M.; Yongvithisatid, P.; Theerapancharoen, V. (Bangkok) 278 Author Index 280 Subject Index Contents VIII

Preface The International Stereotactic Radiosurgery Society represents a community of colleagues across the world. The 6th meeting of the society was held in Kyoto, Japan, under the stewardship of Prof. Kintomo Takakura and Dr. Masaaki Yamamoto. Dr. David Larson ended his two-year term as ISRS President. The meeting included attendees from all over the world and represented the disciplines of neurosurgery, radiation oncology, medical physics, radiology, oncology, and neurology. The tranquil setting of the Kyoto Conference Center provided a forum for collegiality, discussion, and debate. The 2005 meeting will be held in Brussels, Belgium. This fifth volume includes evaluations of skull base tumor radiosurgery, evaluation of new imaging techniques for radiosurgery, complication management and avoidance, new device evaluations, and extracranial approaches. The multidisciplinary nature of the field remains strong as society members continue to evaluate and share their results. The ISRS remains the only society to embrace all of the different aspects of clinical and research radiosurgery. We remain indebted to our publisher, S. Karger AG, and in particular Angela Weber, for their work on this volume. Douglas Kondziolka IX

The Jacob I. Fabrikant Award a b Dr. David Larson, President of the International Stereotactic Radiosurgery Society, presents the Jacob I. Fabrikant Awards to Dr. John Flickinger (a) and Dr. Tatsuya Kobayashi (b). XI