title: Clinical quality standards for gamma knife radiosurgery--the Munich protocol.
abstract: The clinical quality standards for outpatient gamma knife radiosurgery as developed in the German Gamma Knife Center Munich during the last ten years are described. The following aspects have been taken into account: appropriate patient selection, standardised treatment cycle, acquisition of high-quality stereotactic MR images, the integrated therapeutic concept, dose conformity and dose level, patient follow-up, quality control and scientific data analysis. Particular emphasis has been put on the importance of the interdisciplinary treatment concept by subspecialised experts. The results of the Munich concept in consideration of the described quality standards verifies that gamma knife radiosurgery is a safe and effective treatment option for well selected indications.
authors.affiliation: German Gamma Knife Center Munich, Ludwig-Maximilians University Munich, Munich, Germany. Alexander.Muacevic@med.uni-muenchen.de
authors.forename: A
authors.initials: A
authors.lastname: Muacevic
authors.forename: A
authors.initials: A
authors.lastname: Jess-Hempen
authors.forename: J C
authors.initials: JC
authors.lastname: Tonn
authors.forename: B
authors.initials: B
authors.lastname: Wowra
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000592:standards*; D001932:Brain Neoplasms / Q000556:secondary / Q000601:surgery*; D003299:Cooperative Behavior; D005500:Follow-Up Studies; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000592:standards*; D002538:Intracranial Arteriovenous Malformations / Q000601:surgery*; D008577:Meningeal Neoplasms / Q000601:surgery; D008579:Meningioma / Q000601:surgery; D009464:Neuroma, Acoustic / Q000601:surgery; D017063:Outcome Assessment, Health Care / Q000592:standards; D010348:Patient Care Team; D018579:Patient Selection; D011785:Quality Assurance, Health Care / Q000592:standards*; D011786:Quality Control; D016634:Radiosurgery / Q000592:standards*; D014277:Trigeminal Neuralgia / Q000601:surgery