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Final presentation: Gammaknife vs. Cyberknife Surgery
- 1. Gammaknife vs. Cyberknife Surgery Group 2: Stephanie Arthur and Simren Smith
- 2. Is knife less surgery the way to go? Thanks to modern technology, patients can now have some surgeries without being cut open! There are two types of surgery that can be done without going under the knife: Gammaknife and/or Cyberknife. In order to better understand these, lets take a look at the following topics/ questions: ● What is Gammaknife/Cyberknife? ● Understanding GammaKnife Surgery! ● Who came up with these procedures? (The History) ● What is the difference between GammaKnife and CyberKnife surgery? ● What can be treated with these procedures? ● Are there any side effects? ● What local hospitals perform these surgeries? ● Are there any new developments or technological advances regarding the Gammaknife and Cyberknife. Simren Smith Stephanie Arthur
- 3. Both the GammaKnife and CyberKnife are robotic radiosurgery machines that provide painless, non-surgical treatment for benign or malignant tumors. What is GammaKnife/CyberKnife? Cyberknife Gammaknife Stephanie Arthur
- 4. Who came up with these procedures? The CyberKnife was developed by John Adler, a doctor at Stanford. In 1994, the first patient was treated at Stanford using the CyberKnife. It was approved by the FDA in 2001. Over 5,500 patients at Stanford have been treated using the Cyberknife. The GammaKnife was developed by Swedish neurosurgeon, Dr. Lars Leksell and colleague, Borje Larsson in 1968. It was introduced to the U.S. in 1987. More than 300,000 patients have been treated with the GammaKnife. Stephanie Arthur The first GammaKnife 1968
- 5. What is the difference between the Gammaknife and Cyberknife? The GammaKnife is used to treat brain tumors. The procedure begins with the patient receiving anesthesia and a frame is attached to the head to hold it in place. The patient lays on their back and is moved head first into the machine, where 201 beams of radiation target the diseased tissue, without damaging the surrounding tissue. The CyberKnife is made up of a radiation delivery device (Linac) attached to a robotic arm. This allows the Cyberknife to be able to treat tumors anywhere in the body. There is no need for a patient to be still or head frames to hold them in place because the Cyberknife automatically adjusts to the movement of the patient or tumor. The Cyberknife is pain-free, no anesthesia is required. Stephanie Arthur
- 8. What conditions can be treated by GammaKnife surgery? ● Malignant tumors such as metastases (cancer that has spread to the brain) and malignant gliomas ● Benign tumors such as meningiomas, acoustic neuromas (vestibular schwannomas), pituitary tumors and low grade glioma and skull-based tumors ● Vascular malformations such as arteriovenous malformations (AVMs) and cavernous angiomas (cavernous malformations) ● Parkinson’s disease ● Lesions causing epilepsy
- 9. What conditions can be treated by CyberKnife surgery? ● Many types of tumors or lesions can be treated. In addition, other conditions throughout the body can be treated with CyberKnife. Among these are: ● Cancers in the brain, liver, lung, pancreas, prostate, kidney, head and neck, spine and other soft-tissue sites ● Certain benign tumors ● Malformations of blood vessels within the brain or spine ● Symptomatic functional disorders of the neurological system
- 10. Are there any side effects? CyberKnife patients rarely experience side effects from treatment and can immediately resume daily activities. GammaKnife patients may have a headache or swelling from the head frame after the procedure, but many patients report no problems and can resume daily activities within a day or so. Stephanie Arthur
- 11. Where can one have GammaKnife surgery in Ohio? Gamma Knife Center Kettering Medical Center 3535 Southern Blvd. Kettering, OH 45429 (937) 395-8488 or (800) 834-9815. The James Cancer Hospital and Solove Research Institute 300 West 10th Avenue, Suite 519 Columbus, OH 43210 (614) 293-5066 or (800) 293-5066 Ohio Ear Institute, LLC 387 County Line Road West Suite #115 Westerville, OH 43082 (616) 891-9190
- 12. Where can one have CyberKnife surgery in Ohio? Columbus CyberKnife 495 Cooper Rd., Suite 125 Westerville, OH 43081 614.898.8300 First Dayton CyberKnife 2632 Woodman Center Court Dayton, OH 45420 937.293.2273 Alternative Phone: 855.DAY.TON1 Fax: 937.293.6573 University Hospitals - Seidman Cancer Center 11100 Euclid Avenue Cleveland, OH 44106 Phone: +1.800.641.2422
- 13. Gamma Knife Society- New Developments The Gamma Knife Society is a society of individuals who get together to discuss new developments of the GammaKnife. Gamma Knife Society Meeting
- 14. About The Society: The Leksell Gamma Knife® Society was founded in 1989 as a forum for Gamma Knife clinicians, physicists and researchers to exchange information, experiences and clinical techniques, as well as clinical data on the use of Leksell Gamma Knife. Mission statement: The mission of the Leksell Gamma Knife Society is to further define and expand the role of Gamma Knife Surgery in the treatment of intracranial disorders. The development of best practices in order to improve patient outcomes is an important objective of the Society. Membership is open to practitioners at all Gamma Knife sites. Objectives: ● Improve results achieved in the field of radiosurgery by promoting support of basic and clinical research, with a focus on expanding the role of Leksell Gamma Knife ● Increase the visibility and acceptance of Leksell Gamma Knife technique in the worldwide medical community and among healthcare providers and patients ● Maintain leadership in the field of radiosurgery by continued commitment to the highest standards of research and technical achievement ● Stimulate multi-center trials and cross-site collaboration
- 15. How many different machines are there? The GammaKnife currently has five different versions; U, B, C, 4C, and Perfexion. The M6 is the newest CyberKnife series, with three models, FIM, FM, and FI. There are also the Cyberknife VSI and G4 versions. Stephanie Arthur
- 16. Summary The GammaKnife and CyberKnife are Robotic radiosurgery devices that deliver high doses of radiation to treat tumors and abnormalities of blood vessels and arteries in the brain and spinal cord. Both procedures involve no cutting, are painless, and have minimal side effects if any at all. The CyberKnife was developed at Stanford and it’s flexible arm allows it to adjust to movement from patient or tumor, and can treat anywhere in the body. The GammaKnife was invented by a Swedish neurosurgeon, and introduced to the U.S. in 1987. The patient lays down and their head is attached to a head frame to hold it in place then they are moved into the machine, the GammaKnife is used to treat tumors and abnormalities in the brain and spinal cord. Stephanie Arthur
- 18. Picture Websites: “News & Events." Oklahoma CyberKnife. N.p., n.d. Web. 06 Aug. 2013. http://www.oklahomack.com/our- center/news-events/ “Gammaknife Then and Now: 3,000 Patients and Counting.” | Columbia Neurosurgery."Columbia Neurosurgery. N. p., n.d. Web. 06 Aug. 2013 http://www.columbianeurosurgery.org/2012/02/gamma-knife-then-and-now-3000-patients-and-counting/ “How the Gammaknife Works-Gamma knife surgery.” Tufts Medical Center. N.p., N.d. Web. 06 Aug. 2013 http://www.tuftsmedicalcenter. org/OurServices/SpecialServicesandCenters/BostonGammaKnifeCenter/HowGammaKnifeWorksGammaKnifeHist ory “Premier Cancer Centers Dallas.” Merchant Circle. N.p., 2013. Web. 06 Aug. 2013 http://www.merchantcircle.com/business/Premier.Cancer.Centers.2149547734/picture/view/4487567 “A Radical Treatment for Obsessive Compulsive Disorder Patients.” The Gaurdian. Lucy Atkins. 14 Dec. 2009. Web. 06 Aug. 2013 http://www.theguardian.com/lifeandstyle/2009/dec/15/obsessive-complusive-disorder-gamma- knife Stephanie Arthur
- 19. Content Websites: "What Is the CyberKnife® System?" CyberKnife::What Is CyberKnife? N.p., n.d. Web. 06 Aug. 2013. http://www. cyberknife.com/cyberknife-overview/what-cyberknife.aspx?linkidentifier=id Cyberknife Robotic Radiosurgery System N.p., 2012. Web 06 Aug. 2013. http://www.cyberknife. com/uploadedFiles/CyberKnife_Overview/500929.A_CyberKnife_Patient_Brochure_FINAL.pdf "CyberKnife M6 Series." Accuray. N.p., n.d. Web. 06 Aug. 2013. http://www.accuray.com/solutions/treatment- delivery/cyberknife-treatment-delivery/m6-series “Stanford Cyberknife Stereotactic Radiosurgery.” Stanford Hospital and Clinics. N.p., 2013. Web 06 Aug. 2013. http://stanfordhospital.org/clinicsmedServices/COE/cyberknife/ “Who We Are-Fact Sheet. Tufts Medical Center. N.p., 2013. Web 06 Aug. 2013 http://www.tuftsmedicalcenter. org/OurServices/SpecialServicesandCenters/BostonGammaKnifeCenter/WhoWeAreFactSheet “Overview: History and Technical.”-- School of Medicine at the University of Virginia N.p., 2013. Web. 06 Aug. 2013http://www.medicine.virginia.edu/clinical/departments/neurosurgery/gammaknife/overview-page “Vascular Malformations.” Cavernous Malformations. N.p., N.d. Web 06 Aug. 2013. http://www.pennstatehershey.org/web/stroke/patientcare/services/cavernous I Stephanie Arthur