'Gamma knife' to revolutionize brain surgery

JackBoots

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JUL 31, 2003 WINNIPEG FREE PRESS PAGE: A3

'Gamma knife' to revolutionize brain surgery

Alexandra Paul

A revolutionary form of brain surgery, based on gamma radiation, will be unveiled for the first time in Canada in November at the Health Sciences Centre. The gamma knife, which costs $6.7 million, is now being installed at the hospital.

The device turns inoperable and risky brain surgery into a simple day procedure with no incision, no blood and no pain.

It delivers shots of intense radiation that can zap away a brain tumour in a virtual puff of vapour.

"So far, we're a national centre," said HSC neurosurgeon and University of Manitoba director of cranial nerve disorders Dr. Anthony Kaufmann, one of six doctors gearing up to deliver the procedure to the first of 30 patients on the waiting list.

The centre estimates it can treat 283 patients, including 100 from Manitoba, annually.

Gamma rays are a cutting-edge form of light surgery that allow doctors to operate by computer with far more precision than a scalpel. On their own, gamma rays are weak but by converging a total of 201 beams of gamma radiation, their combined strength can zero in on inoperable benign and malignant brain tumours and tangles of blood vessels known as aneurysms with pin-point accuracy.

"It's like taking all the energy of the sun with a magnifying glass and pointing it down (into the brain)," said Kaufmann.

It takes a team of three doctors to do the job. The surgery is done by computer and the only side effect is if there is a mistake and the beams are trained on healthy tissue -- which is impossible given the fact patients' heads are held rigidly immobile by steel halos and rays are focused in through tiny holes in a giant helmet that is pitted like a golf ball.

Patients lie on beds that are fitted into a machine that looks like a CT scanner. Only their heads are inside the machine. Gamma rays are shot through a helmet with the holes in it to their exact target.

A 10-hour surgery becomes a 20-minute procedure with the technique.

"You go home that day and you go back to work the next day with any one of these gamma knife treatments," Kaufmann said.

Most of the work is done on computer ahead of time.
 
If they can do an operation in 20 minutes it seems that they could treat more than 283 people annually doesn't it?
 
Most of the work is done on computer ahead of time.But yeah I think they could get atleast one person a day :)
 
rc59000000000-rc6200000000? even if cliff tested it and said this blade is worthy,I don't want "" all the energy of the sun with a magnifying glass and pointing it down into my brain""
 
I guess the doctors dont do weekends :( I guess they dont need to with all the money they will be making !!!! So sad :(
 
The best about this quote is that the highly effective Gamma Knife radiation therapy has been available in the US for about ten years and most cities over 250,000 have one available.

Speaks real highly of the often touted Canadian socialized health care system, eh?
 
With 30 million people vs. 300 million, the tax base is a little smaller in Canada, eh! We can only do so much. On a positive note for the Canadian system, I am still a poor starving student, so I still don't have to pay any health care bills! Suck on that free enterprise health care! :)

Brain surgery in 20 minutes sounds awesome, and makes the future seem funny!

John: So Suan, what are you doing tomorrow?

Susan: I'm going to the salon and then to my daughter's soccer game. You?

John: I'm having gamma ray brain surgery, and then I thought I'd catch a matinee of Terminator 3. I like to keep my days pretty relaxed though.

Hehehehe!
 
Wow. I wish this had been around 4 years ago, my girlfriends dad might not have died from brain cancer...he was good man, I knew him since I was small, Captain in the Marines in Vietnam...

Anyways, too bad this wasn't around then.

John.
 
Fellow Forumites,

I've been there, done that. It's actually 20 or so cobalt sources in a hemispherical "hat" that gets placed on a frame which
is screwed onto your skull. The treatment is 20 minutes or less, but the preparation is significantly more, involving one or two brain MRI's and VERY careful calculations. I mean, you wouldn't want the wrong centimeter vaporized, would you?

Compared to invasive surgery, it is a piece of cake. (Been there and done that too.)

Christopher
 
Kennieyk said:

I guess the doctors dont do weekends I guess they dont need to with all the money they will be making !!!! So sad

So, I take it, you DO work weekends? And do so for altruistic reasons? Or just doctors should work weekends?
 
This is one of the most remarkable advancements in the treatment of Cancer. As a student I was allowed to watch the preparation of a patient about to under-go this procedure and the actual treatment. It was the most amazing thing I had ever seen. It was way better than the open-heart surgury I was witness to. The sizes of the holes that the Cobalt goes through changes depending on the stage of the treatment...usually between 4 and 10 different stages during the same visit. Each stage is centering on a different part of the tumor. First they start to irradiate the outer part of the tumor and work their way in. Plus each time they enter a stage they can open or close different holes to direct the radiation in a very direct and precise manner - thus saving vital brain tissue. The hospital I went to school at in Milwaukee, WI was one of the first centers in the state, if not the first to have one of these surgical tools.

Meg Ann, CNMT
(A Nuclear Medicine Technologist by day, Knife nut by night!)
 
Anthony....
Not familiar with that name....As students we were introduced very quickly to the Gamma Knife team, but they were very busy with their calculations and triple checks that we absorbed all we could, and names weren't high on my priority list. I wish I could remember them though. They were all a great team, and very, very, thorough. Definately people I would trust my life, and brain with.
 
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