Stereotactic radiosurgery - CyberKnife
Stereotactic radiosurgery (SRS) is a form of radiation therapy that focuses high-power energy on a small area of the body. Despite its name, radiosurgery is a treatment, not a surgical procedure. Incisions (cuts) are not made on your body.
More than one system is used to perform radiosurgery. This article is about radiosurgery using CyberKnife.
Stereotactic radiotherapy; SRT; Stereotactic body radiotherapy; SBRT; Fractionated stereotactic radiotherapy; SRS; CyberKnife; CyberKnife radiosurgery; Non-invasive neurosurgery; Brain tumor - CyberKnife; Brain cancer - CyberKnife; Brain metastases - CyberKnife; Parkinson - CyberKnife; Epilepsy - CyberKnife; Tremor - CyberKnife
Each treatment takes about 30 minutes to 2 hours. You may receive more than one treatment session, but usually no more than 5 sessions.
Why the Procedure Is Performed
SRS targets and treats an abnormal area. This minimizes damage to nearby healthy tissue. SRS is more likely to be recommended for people who are too high risk for conventional surgery. This may be due to age or other health problems. SRS may be recommended because the area to be treated is too close to vital structures inside the body.
CyberKnife is often used to slow the growth of small, deep brain tumors that are hard to remove during conventional surgery.
Tumors of the brain and nervous system that can be treated using CyberKnife include:
Other cancers that can be treated include:
Other medical problems treated with CyberKnife are:
SRS may damage tissue around the area being treated. As compared to other types of radiation therapy, CyberKnife treatment is much less likely to damage nearby healthy tissue.
Brain swelling may occur in people who receive treatment to the brain. Swelling usually goes away without treatment. But some people may need medicines to control this swelling. In rare cases, surgery with incisions (open surgery) is needed to treat the brain swelling caused by the radiation.
Before the Procedure
Before the treatment, you will have MRI or CT scans. These images help your doctor determine the specific treatment area.
The day before your procedure:
The day of your procedure:
After the Procedure
Often, you can go home about 1 hour after the treatment. Arrange ahead of time for someone to drive you home. You can go back to your regular activities the next day if there are no complications, such as swelling. If you have complications, you may need to stay in the hospital overnight for monitoring.
Follow instructions for how to care for yourself at home.
The effects of CyberKnife treatment may take weeks or months to be seen. Prognosis depends on the condition being treated. Your health care provider will likely monitor your progress using imaging tests such as MRI and CT scans.
Accuray Incorporated. CyberKnife Accuray general information, treatment overview. cyberknife.com/treatment/overview/general. Accessed March 3, 2017.
Romanelli P, Morris DE, Adler JR Jr, Ewend MG. Image-guided robotic radiosurgery. In: Winn RH, ed. Youmans Neurological Surgery. 6th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 257.
Welling DB, Spear SA, Packer MD. Stereotactic radiation treatment of benign tumors of the cranial base. In: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Head & Neck Surgery. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 179.
Review Date: 5/4/2015
Reviewed By: Yi-Bin Chen, MD, Leukemia/Bone Marrow Transplant Program, Massachusetts General Hospital, Boston, MA. Internal review and update on 08/05/2016 by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team. Editorial update 03/03/2017.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.