Stereotactic Radiosurgery, an extremely precise type of radiosurgery, was invented initially for treating small, non-complex brain tumor and functional abnormalities of nervous system. Unlike its name SRS Stereotactic Radiosurgery is a non-surgical intervention which aims to deliver targeted radiation at higher doses with extreme precision. When compared to conventional radiation therapy this technique provides maximum dose delivery while minimizing the damage to the surrounding tissue in only a single or few sessions. The prime goal of SRS is to destroy the tumor so as to achieve the permanent local control.
The chief technologies that SRS - Stereotactic Radiosurgery depends on, are enlisted below:
Stereotactic radiosurgery is one of the significant alternatives to a conventional and open surgery. This is mainly indicated for the patients who cannot go under the knife and also diagnosed to have tumors and abnormalities that are:
Thus SRS is mainly indicated for the treatment of
Typically, there are two main types of SRS which are classified based on the type of equipment used and the source of radiation. These are:
All the SRS procedure works in an identical manner by treating the targeted area and the abnormal area. In all this procedure the radiation which is passed through the tumor arehighly focused and delivers high dose radiation beams without damaging the surrounding healthy tissues.
The specialized equipment focuses many small beams of radiation on a tumor or other target. Each beam has very little effect on the tissue it passes through, but a targeted dose of radiation is delivered to the site where all the beams intersect. The high dose of radiation delivered to the affected area causes tumors to shrink and blood vessels to close off over time following treatment, robbing the tumor of its blood supply.
The surgery is done either as an open-heart surgery where in the patient is placed on a machine which is called heart lung machine or some times without using the heart machine; that is the surgery is done on beating heart during which the heart beats are usually altered but considered as normal.
During the treatment the patient is not needed to put in sleep as the treatment does not cause any kind of pain. Patient is made comfortable by making him/her lie on a treatment table and then the head frame will be fixed to the machine before beginning treatment. The SRS machine has a robotic arm which is controlled by a computer to move around the patient and once it identifies the targeted area it focuses its radiation on the area which has to be treated. The doctor operates this machine and they can see the patient’s movements through cameras and can also hear them and talk with them.
Each treatment takes about 30 minutes to 2 hours. The number of sessions depends on the condition of the patient and several other factors. Normally the doctor does not advise more than five sessions. Patient gets discharged on day care basis and can resume their daily normal routine after the treatment.
You may be a candidate for radiosurgery, if:
The effect of the Stereotactic Radiosurgery treatment is observed gradually depending on the complaints and condition being treated. In case of benign tumors, the tumor may shrink over a period of 18 months to two years, but the main goal of treatment for benign tumors is to prevent any future tumor growth. In malignant tumors which are cancerous, the tumors may shrink more rapidly within a few months. In case of AVMs the, this treatment causes the abnormal blood vessels of brain to thicken and close off. This process may take two years or more. Whereas in trigeminal neuralgia, the radiations are targeted to the lesion so as to blocks transmission of pain signals along the trigeminal nerve. Many people experience pain relief within several weeks, but it may take several months.
When you return home, you may feel a little tired. Be sure to rest and take it easy to give your body a chance to recover from your treatment. Most patients are able to resume everyday activities within a day or two. You may find that you have minor swelling or irritation at the site of administration or the pin sites, which should resolve on its own within a couple of days.
Some patients will require multiple sessions of SRS and can expect repeat sessions during this period. Should you require more than one session, your doctor will develop a treatment schedule appropriate for your individual condition and treatment needs. Depending upon your condition, you may require additional treatment from other specialists, such as physical therapy or an oncologist. It is important that you adhere to your follow-up visit schedule as recommended by your doctor so he or she can monitor your progress.
India is one of the most affordable places for SRS treatment across the globe. The cost of SRS treatment in India is less than a one sixth of what it costs in other countries to get the same treatment done.
Top neurology hospitals is India are equipped with the most advanced technology – including Cyber-knife, Stereotactic Radiotherapy, Novalis Tx, Rapid Arc Radiation, Proton Beam Therapy, IGRT, IMRT, Linear Accelerator, Immunotherapy.
Here's a look at the approximate costs of SRS treatment in India:
The estimated cost for the treatment is as below:
|SNo||Name of Procedure||Cost in India (USD)|
|1||Cyber Knife Radiosurgery||6800 - 8000|
|2||Gamma Knife Radiosurgery||5800 - 6500|
|3||Linear Accelerator||6500 - 8000|
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