Peroperative fiducial placement for postoperative stereotactic Cyberknife radiosurgery.
Radiotherapy is often the treatment used for inoperable early-stage lung cancer as well as pulmonary metastases. In the last decade, efforts were done to increase local control with high-dose radiation without excessive collateral damage. Initially used for cranial lesions, stereotactic radiosurgery enlarged extracranial indications; the Cyberknife radiosurgery system needs metal (gold) markers for image guidance. For lung tumours, fiducials are inserted computed tomography (CT)-guided or bronchoscopy-guided. We describe four patients where fiducial placement was done during surgery.
Pop
Daniel
D
Department of Thoracic Surgery, Pasteur Hospital, Nice, France. danielpopch@yahoo.com
Venissac
Nicolas
N
Bondiau
Pierre-Yves
PY
Mouroux
Jérôme
J
D000368:Aged; D001999:Bronchoscopy; D017024:Chemotherapy, Adjuvant; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011877:Radionuclide Imaging; D016634:Radiosurgery / Q000295:instrumentation*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome