Controversies in Neuro-oncology

Front Cover
T. Wiegel
Karger Medical and Scientific Publishers, Jan 1, 1999 - Medical - 380 pages
This volume brings together an interdisciplinary group of specialists to present and discuss the latest diagnostic and therapeutic concepts and current controversial issues in the management of primary and secondary brain tumors. In the first part, the latest technical developments in neuro-oncology are presented. These include the evaluation of positron-emission tomography for diagnosis, and neuronavigation and operative mapping for operation planning. Innovations in computer-assisted 3-D radiotherapy planning and in image fusioning of CT, MRT, SPECT and PET are also described. A large section of the book is devoted to the diagnosis and interdisciplinary treatment of glioblastoma, one of the most frequently occurring brain tumors. In-depth coverage is given to pathological differential diagnosis, operative standards and the results of radiotherapy. A detailed presentation of the current chemotherapeutic strategies as well as their evaluation within an interdisciplinary therapy concept is also provided. A special chapter focuses on the role of radiotherapy and neurosurgery in the treatment of craniopharyngioma. The final section features discussions on the therapeutic options for brain metastases. Individual indications for both whole-brain irradiation and radiosurgery are given and compared with neurosurgical intervention. New experimental chemotherapies are considered, and finally, the palliative use of chemotherapy is examined. In summary, this book provides an excellent survey of the state of the art in neuro-oncology. It is therefore recommended reading for all clinical neuropathologists, neurologists, neurosurgeons and radiation oncologists.
 

Contents

Recent Advances of PET in the Diagnosis of Brain Tumors
9
A Useful Tool for Preoperative Rolandic Fissure
23
The Value of Iodine123AlphaMethylLTyrosine SinglePhoton
37
Boron Neutron Capture Enhancement of Fast Neutron
43
Commissioning of a MicroMultileaf Collimator
51
Commissioning of a MicroMultileaf Collimator for Conformal
64
Neuronavigation and Magnetic Source Imaging in Brain Tumors
78
The Value of 3D Magnetic Resonance Imaging in the Planning
88
Comparison of Coplanar and NonCoplanar Irradiation Techniques
202
New Perspectives and Experimental Therapy
214
IntraArterial Virus and Nonvirus VectorMediated Gene Transfer
227
Focal Fractionated Conformal Stereotactic Boost following
241
Radiation Tolerance and ReIrradiation of the
253
Pathophysiological Mechanisms Leading to the Development of Late
265
Reirradiation after Radiotherapy of Primary Brain Tumors
276
Effects of HighDose Radiotherapy to Tumors of the Pituitary on
284

Intraoperative Radiotherapy in Brain Tumors
94
Craniopharyngeoma
100
Craniopharyngeomas Results in Children and Adolescents
114
Glioblastoma Clinical Treatment Strategies
123
Current Approaches to Radiation Therapy for Malignant Gliomas
139
Hyperfractionated Reirradiation for Malignant Glioma
150
Outcome and Side Effects in Radiotherapy of Glioblastoma
158
Conventionally Fractionated Radiotherapy of Glioblastoma
166
Chemotherapy in Adult Malignant Glioma
174
Influence of Progress
192
Radiomyelopathy after Conventionally Fractionated
293
DoseVolume Tolerance of the Brainstem after HighDose
305
Debus J Heidelberg Hug E B Liebsch N J OFarrel D Finkelstein D
315
An Overview
327
Chemotherapy of Brain Metastases
343
Chemotherapy followed by Radiotherapy
349
Topotecan as a 21Day Continuous Infusion with Accelerated
364
Subject Index
371
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