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What are the most experienced and qualified Cyberknife clinics in Europe?
Zemas
Posted: Saturday, December 12, 2015 11:03 AM
Joined: 12/12/2015
Posts: 1


Dear Doctors and Patients, would you be so kind as to advice "the best place in Europe" for recommended bellow by radiologists from USA stereotactic radiosurgery procedure? We would be very grateful also for other recommendations of the best experienced radiosurgeries of Cyberknife spine applications including USA. Mentioned Recommendations: "Because she has a solitary metastasis that is confined to the bone, our approach at MGH is to include ablative local control to L4. Because gross disease is away from the spinal canal, surgical intervention is not required. We would recommend single-fraction spine radiosurgery in addition to systemic therapy. There are several commercially-available systems to accomplish this, including cyberknife. In general, our typical dose is 18 Gy x 1 to the L4 vertebral body including the bilateral pedicles (but not the posterior elements). Gross disease may be boosted to as high as 22-24 Gy x 1. The cauda equina + 1 mm is defined by a myelogram and is limited to 14 Gy as a point maximum. When a myelogram cannot be obtained, then a conservative approach is to limit the spinal canal + 1 mm to 14 Gy x 1. Spine radiosurgery should be planned with IMRT (intensity modulated radiation therapy) and intrafractional image-guidance such as cone beam CT or cyberknife"" Sincerely, Zemas p.s. We are familiar with treatment prices in general, that is no problem comparing with finding the best available team and clinics for us
Zemas
radsrus
Posted: Saturday, December 12, 2015 5:58 PM
Joined: 10/10/2008
Posts: 4386


Go to Dr. Muacevic in Munich

Clinton A. Medbery, III, M.D. Southwest Radiation Oncology buddy@swrads.org
radsrus
Posted: Saturday, December 12, 2015 5:58 PM
Joined: 10/10/2008
Posts: 4386


Go to Dr. Muacevic in Munich

Clinton A. Medbery, III, M.D. Southwest Radiation Oncology buddy@swrads.org
radsrus
Posted: Saturday, December 12, 2015 5:58 PM
Joined: 10/10/2008
Posts: 4386


Go to Dr. Muacevic in Munich

Clinton A. Medbery, III, M.D. Southwest Radiation Oncology buddy@swrads.org
radsrus
Posted: Saturday, December 12, 2015 5:58 PM
Joined: 10/10/2008
Posts: 4386


Go to Dr. Muacevic in Munich

Clinton A. Medbery, III, M.D. Southwest Radiation Oncology buddy@swrads.org
ckfrance
Posted: Friday, February 17, 2017 11:17 AM
Joined: 2/17/2017
Posts: 4


Good evening, could you tell me if your advice is still valid ? i am seeking for the most experienced place in ependymoma intramedular (in Europe, and in the world) thank you very much
radsrus
Posted: Friday, February 17, 2017 3:30 PM
Joined: 10/10/2008
Posts: 4386


IN Europe, probably Munich. In the world, Stanford

Clinton A. Medbery, III, M.D. Southwest Radiation Oncology buddy@swrads.org
ckfrance
Posted: Saturday, February 18, 2017 12:20 AM
Joined: 2/17/2017
Posts: 4


Thank you for your quick answer. i will contact them both and keep you informed Your help is very usefull in the tough times we, patient, are going through. thank you very much.
ckfrance
Posted: Sunday, February 19, 2017 11:59 AM
Joined: 2/17/2017
Posts: 4


i am very, very sad. Professor Muacevic answered me (on sunday, he is such a man..). he said my reccurent tumor is too big for cyberknife. i don't know what to think anymore because you said Pr Muacevic is the best in Europe. Other doctors, less skilled and experienced are ok to do cyberknife on me... is it a reckless, a rash choice? I am waiting for Stanford answer. Radrus, would you like to see my MRI ? Could you give me another name...another place ? Thank you very, very much.
radsrus
Posted: Sunday, February 19, 2017 12:01 PM
Joined: 10/10/2008
Posts: 4386


I would await the answer from Stanford. If they agree it is too big for CK, then it is too big.

Clinton A. Medbery, III, M.D. Southwest Radiation Oncology buddy@swrads.org
ckfrance
Posted: Sunday, February 19, 2017 12:18 PM
Joined: 2/17/2017
Posts: 4


i hope i will get answer from a doctor of Stanford (because there is a mail for Pr Muacevic on his website but on Stanford website you can only contact a secretary). i will keep you informed. thank you very much Radsrus
 

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