Abstract
The Synchrony® (Accuray Incorporated, Sunnyvale, CA) Respiratory Tracking System allows the CyberKnife®(Accuray Incorporated, Sunnyvale, CA) to deliver precisely high-dose radiation to targets that move with respiration. Tracking of moving tumors currently requires the use of implanted radiographic markers (or fiducials) as reference points [1, 7]. Several reports describe the placement of fiducials through surgical or percutaneous methods under image guidance (ultrasonography or computed tomography) in the prostate, spine, and lungs [2, 3, 6–8]. Fiducial implantation surgery can be invasive, and the percutaneous approach carries risks and limitations, especially when the lesions are in a deep location such as the posterior mediastinum or the abdomen. Innovations in the fiducial implantation procedure may improve its accuracy and reduce its risks, ultimately enhancing comfort for the patient. We recently described a new approach to placing fiducials in these deep structures using endoscopic ultrasound (EUS) [9].
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References
Adler JR, Jr., Chang SD, Murphy MJ, et al. The Cyberknife: a frameless robotic system for radiosurgery. Stereotact Funct Neurosurg 1997;69:124–128.
Gerszten PC, Ozhasoglu C, Burton SA, et al. CyberKnife frameless single-fraction stereotactic radiosurgery for benign tumors of the spine. Neurosurg Focus 2003;14:e16.
King CR, Lehmann J, Adler JR, et al. CyberKnife radiotherapy for localized prostate cancer: rationale and technical feasibility. Technol Cancer Res Treat 2003;2:25–30.
Kuo JS, Yu C, Petrovich Z, et al. The CyberKnife stereotactic radiosurgery system: description, installation, and an initial evaluation of use and functionality. Neurosurgery 2003;53:1235–1239; discussion 1239.
Lax I, Blomgren H, Naslund I, et al. Stereotactic radiotherapy of malignancies in the abdomen. Methodological aspects. Acta Oncol 1994;33:677–683.
Welsh JS, Berta C, Borzillary S, et al. Fiducial markers implanted during prostate brachytherapy for guiding conformal external beam radiation therapy. Technol Cancer Res Treat 2004;3:359–364.
Whyte RI, Crownover R, Murphy MJ, et al. Stereotactic radiosurgery for lung tumors: preliminary report of a phase I trial. Ann Thorac Surg 2003;75:1097–1101.
Shirato H, Harada T, Harabayashi T, et al. Feasibility of insertion/implantation of 2.0-mm-diameter gold internal fiducial markers for precise setup and real-time tumor tracking in radiotherapy. Int J Radiat Oncol Biol Phys 2003;56:240–247.
Pishvaian AC, Collins B, Gagnon G, et al. EUS-guided fiducial placement for CyberKnife radiotherapy of mediastinal and abdominal malignancies. Gastrointest Endosc 2006;64:412–417.
Erickson RA. EUS-guided FNA. Gastrointest Endosc 2004;60:267–279.
Fusaroli P, Caletti G. Endoscopic ultrasonography. Endoscopy 2005;37:1–7.
Chang KJ, Nguyen PT, Thompson JA, et al. Phase I clinical trial of allogeneic mixed lymphocyte culture (cytoimplant) delivered by endoscopic ultrasound-guided fineneedle injection in patients with advanced pancreatic carcinoma. Cancer 2000;88:1325–1335.
Gan SI, Thompson cc, Lauwers Gy, et al. Ethanol lavage of pancreatic cystic lesions: initial pilot study. Gastrointest Endosc 2005;61:746–752.
Gunaratnam NT, Sarma AV, Norton ID, et al. A prospective study of EUS-guided celiac plexus neurolysis for pancreatic cancer pain. Gastrointest Endosc 2001;54:316–324.
Olender D. Fiducials for target localization. In: Heilbrun MP, editor. CyberKnife radiosurgery: a practical guide. Sunnyvale, CA: CyberKnife Society; 2003. pp. 80–94.
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Charabaty-Pishvaian, A., Desi, R., Haddad, N. (2007). Endoscopic Ultrasound-Guided Fiducial Placement for CyberKnife Radiosurgery. In: Urschel, H.C., Kresl, J.J., Luketich, J.D., Papiez, L., Timmerman, R.D., Schulz, R.A. (eds) Treating Tumors that Move with Respiration. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-69886-9_12
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DOI: https://doi.org/10.1007/978-3-540-69886-9_12
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