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VBH head holder to improve frameless stereotactic brachytherapy of cranial tumors

Identifieur interne : 005C13 ( Istex/Corpus ); précédent : 005C12; suivant : 005C14

VBH head holder to improve frameless stereotactic brachytherapy of cranial tumors

Auteurs : Reto J. Bale ; Michael Vogele ; Arno Martin ; Thomas Auer ; Emil Hensler ; Paul Eichberger ; Wolfgang Freysinger ; Reinhart Sweeney ; Andreas R. Gunkel ; Peter H. Lukas

Source :

RBID : ISTEX:B8F91C94DBD7CA706FEF92D1597DF2968E575370

English descriptors

Abstract

Precise target localization is essential for brachytherapy. We have adapted the VBH (Vogele‐Bale‐Hohner) head holder (Wellhoefer Dosimetry, Schwarzenbruck, Germany), originally developed at the University of Innsbruck, for frameless stereotactic surgery, for use in brachytherapy of cranial tumors. The VBH head holder allows for rigid, noninvasive head fixation by means of an individualized upper dental cast. Registration rods, rigidly attached to the dental cast, provide stable external points of reference. The dental cast is sucked against the upper palate by vacuum, and then the fixated patient is scanned. During simulation, the targeting device can be positioned with respect to the virtual patient using the ISG Viewing Wand. Following simulation, the real patient is repositioned under vacuum control, the targeting device repositioned as well, and the actual brachytherapy initiated. The VBH head holder is well tolerated by patients and simple to use, and various studies have confirmed submillimeter accuracy. The modified head holder in combination with a new targeting device allows for precise and well‐planned insertion of hollow needles into a tumor using frameless stereotactic systems as well as being compatible for uses in other fields. Comp Aid Surg 2:286–291 (1997). © 1998 Wiley‐Liss, Inc.

Url:
DOI: 10.1002/(SICI)1097-0150(1997)2:5<286::AID-IGS4>3.0.CO;2-W

Links to Exploration step

ISTEX:B8F91C94DBD7CA706FEF92D1597DF2968E575370

Le document en format XML

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<div type="abstract" xml:lang="en">Precise target localization is essential for brachytherapy. We have adapted the VBH (Vogele‐Bale‐Hohner) head holder (Wellhoefer Dosimetry, Schwarzenbruck, Germany), originally developed at the University of Innsbruck, for frameless stereotactic surgery, for use in brachytherapy of cranial tumors. The VBH head holder allows for rigid, noninvasive head fixation by means of an individualized upper dental cast. Registration rods, rigidly attached to the dental cast, provide stable external points of reference. The dental cast is sucked against the upper palate by vacuum, and then the fixated patient is scanned. During simulation, the targeting device can be positioned with respect to the virtual patient using the ISG Viewing Wand. Following simulation, the real patient is repositioned under vacuum control, the targeting device repositioned as well, and the actual brachytherapy initiated. The VBH head holder is well tolerated by patients and simple to use, and various studies have confirmed submillimeter accuracy. The modified head holder in combination with a new targeting device allows for precise and well‐planned insertion of hollow needles into a tumor using frameless stereotactic systems as well as being compatible for uses in other fields. Comp Aid Surg 2:286–291 (1997). © 1998 Wiley‐Liss, Inc.</div>
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<namePart type="termsOfAddress">M.D.</namePart>
<affiliation>Departments of Radiology, Therapeutic Radiology and Oncology, and ENT, University of Innsbruck, Austria</affiliation>
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<namePart type="given">Peter H.</namePart>
<namePart type="family">Lukas</namePart>
<namePart type="termsOfAddress">M.D.</namePart>
<affiliation>Departments of Radiology, Therapeutic Radiology and Oncology, and ENT, University of Innsbruck, Austria</affiliation>
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<dateIssued encoding="w3cdtf">1997</dateIssued>
<dateCaptured encoding="w3cdtf">1997-06-05</dateCaptured>
<dateValid encoding="w3cdtf">1997-10-31</dateValid>
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<abstract lang="en">Precise target localization is essential for brachytherapy. We have adapted the VBH (Vogele‐Bale‐Hohner) head holder (Wellhoefer Dosimetry, Schwarzenbruck, Germany), originally developed at the University of Innsbruck, for frameless stereotactic surgery, for use in brachytherapy of cranial tumors. The VBH head holder allows for rigid, noninvasive head fixation by means of an individualized upper dental cast. Registration rods, rigidly attached to the dental cast, provide stable external points of reference. The dental cast is sucked against the upper palate by vacuum, and then the fixated patient is scanned. During simulation, the targeting device can be positioned with respect to the virtual patient using the ISG Viewing Wand. Following simulation, the real patient is repositioned under vacuum control, the targeting device repositioned as well, and the actual brachytherapy initiated. The VBH head holder is well tolerated by patients and simple to use, and various studies have confirmed submillimeter accuracy. The modified head holder in combination with a new targeting device allows for precise and well‐planned insertion of hollow needles into a tumor using frameless stereotactic systems as well as being compatible for uses in other fields. Comp Aid Surg 2:286–291 (1997). © 1998 Wiley‐Liss, Inc.</abstract>
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<topic>stereotactic brachytherapy</topic>
<topic>frameless stereotaxy</topic>
<topic>virtual simulation</topic>
<topic>patient fixation</topic>
<topic>VBH head holder</topic>
<topic>immobilization</topic>
<topic>VBH mouthpiece</topic>
</subject>
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<title>Computer Aided Surgery</title>
<subTitle>Official Journal of the International Society for Computer Aided Surgery (ISCAS)</subTitle>
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<title>Comput. Aided Surg.</title>
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<identifier type="ISSN">1092-9088</identifier>
<identifier type="eISSN">1097-0150</identifier>
<identifier type="DOI">10.1002/(ISSN)1097-0150</identifier>
<identifier type="PublisherID">IGS</identifier>
<part>
<date>1997</date>
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<number>2</number>
</detail>
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<caption>no.</caption>
<number>5</number>
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<start>286</start>
<end>291</end>
<total>6</total>
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</part>
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<titleInfo>
<title>Journal of Image Guided Surgery</title>
</titleInfo>
<identifier type="ISSN">1078-7844</identifier>
<identifier type="ISSN">1522-712X</identifier>
<part>
<date point="end">1996</date>
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<number>6</number>
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<accessCondition type="use and reproduction" contentType="copyright">Copyright © 1998 Wiley‐Liss, Inc.</accessCondition>
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