Chained lightning

Part III - Emerging technology, novel therapeutic strategies, and new energy modalities for radiosurgery

Daniel J. Hoh, Charles Y. Liu, Joseph C T Chen, Paul G. Pagnini, Cheng Yu, Michael Y. Wang, Michael L J Apuzzo

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

RADIOSURGERY IS FUNDAMENTALLY the harnessing of energy and delivering it to a focal target for a therapeutic effect. The evolution of radiosurgical technology and practice has served toward refining methodologies for better conformal energy delivery. In the past, this has resulted in developing strategies for improved beam generation and delivery. Ultimately, however, our current instrumentation and treatment modalities may be approaching a practical limit with regard to further optimizing energy containment.In looking forward, several strategies are emerging to circumvent these limitations and improve conformal radiosurgery. Refinement of imaging techniques through functional imaging and nanoprobes for cancer detection may benefit lesion localization and targeting. Methods for enhancing the biological effect while reducing radiation-induced changes are being examined through dose fractionation schedules. Radiosensitizers and photosensitizers are being investigated as agents for modulating the biological response of tissues to radiation and alternative energy forms. Discovery of new energy modalities is being pursued through development of microplanar beams, free electron lasers, and high-intensity focused ultrasound. The exploration of these future possibilities will provide the tools for radiosurgical treatment of a broader spectrum of diseases for the next generation.

Original languageEnglish
Pages (from-to)1111-1129
Number of pages19
JournalNeurosurgery
Volume61
Issue number6
DOIs
StatePublished - Dec 1 2007
Externally publishedYes

Fingerprint

Lightning
Radiosurgery
Radiation
Dose Fractionation
Technology
Photosensitizing Agents
Therapeutic Uses
Appointments and Schedules
Lasers
Electrons
Therapeutics
Neoplasms

Keywords

  • Medical technology
  • Minimally invasive surgery
  • Radiation oncology
  • Radiation physics
  • Radiosurgery
  • Radiotherapy
  • Stereotactic neurosurgery

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Hoh, D. J., Liu, C. Y., Chen, J. C. T., Pagnini, P. G., Yu, C., Wang, M. Y., & Apuzzo, M. L. J. (2007). Chained lightning: Part III - Emerging technology, novel therapeutic strategies, and new energy modalities for radiosurgery. Neurosurgery, 61(6), 1111-1129. https://doi.org/10.1227/01.neu.0000306089.22894.4e

Chained lightning : Part III - Emerging technology, novel therapeutic strategies, and new energy modalities for radiosurgery. / Hoh, Daniel J.; Liu, Charles Y.; Chen, Joseph C T; Pagnini, Paul G.; Yu, Cheng; Wang, Michael Y.; Apuzzo, Michael L J.

In: Neurosurgery, Vol. 61, No. 6, 01.12.2007, p. 1111-1129.

Research output: Contribution to journalArticle

Hoh, Daniel J. ; Liu, Charles Y. ; Chen, Joseph C T ; Pagnini, Paul G. ; Yu, Cheng ; Wang, Michael Y. ; Apuzzo, Michael L J. / Chained lightning : Part III - Emerging technology, novel therapeutic strategies, and new energy modalities for radiosurgery. In: Neurosurgery. 2007 ; Vol. 61, No. 6. pp. 1111-1129.
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