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Therapeutic📖 Free full textPeer-ReviewedPubMedJournal of applied clinical medical physics · 2026

Geometric and dosimetric effects of an automated clustering and plan optimization pipeline for multiple brain metastasis radiosurgery.

Yock AD, Luo G, All S, Kirschner AN et al.

BackgroundTreating multiple brain metastases simultaneously with single-isocenter multi-target (SIMT) stereotactic radiosurgery (SRS) can streamline treatment planning and delivery. However, it can al…

TherapeuticPeer-ReviewedPubMedClinical & experimental metastasis · 2026

THINKERS-X: multisequence MRI radiomics in a mixture-of-experts model for outcome prediction and exploratory dose-scenario evaluation in lung cancer brain metastases treated with radiosurgery.

Reyes JS, Hadjipanayis CG, Niranjan A.

We developed THINKERS-X: Lung, the eXtended multimodal evolution of THINKERS-Lung, to determine whether multisequence MRI radiomics provides incremental value for lesion-specific outcome prediction an…

TherapeuticQA & dosimetryPeer-ReviewedPubMedBiomedical physics & engineering express · 2026

Dosimetric comparison of the anisotropic analytical algorithm and Acuros XB for single-fraction cranial stereotactic radiosurgery with a 6 MV flattening filter-free beam.

Utitsarn K, Watthanasarn T, Chaloemchawalit W, Krongkietlearts K.

Stereotactic radiosurgery delivers an ablative single-fraction dose to small intracranial targets, and the reported dose depends on the calculation algorithm. This exploratory case series quantified t…

QA & dosimetryPeer-ReviewedPubMedRadiological physics and technology · 2026

End to end dosimetric and geometric verification of single isocenter multitarget stereotactic radiosurgery using an anthropomorphic phantom: external audit validation.

Balasubramanian S, Anbalagan D, Thanasekar P, Agrawal R.

Our study aimed to perform a comprehensive end-to-end (E2E) dosimetric and geometric evaluation of the newly commissioned Varian Edge linear accelerator (LINAC) with the HyperArc™ VMAT system for mult…

TherapeuticPeer-ReviewedPubMedNeuroradiology · 2026

Multifocal intracranial epstein-barr virus-associated smooth muscle tumors in an HIV-positive patient: incidental discovery and treatment with staged gamma knife radiosurgery.

Sutanto R, Muljadi R, Hakim AHW, Octavius GS.

IntroductionEpstein-Barr virus-associated smooth muscle tumor (EBV-SMT) is a rare mesenchymal neoplasm occurring predominantly in immunocompromised individuals, with central nervous system involvement…

TherapeuticPeer-ReviewedPubMedJournal of neuro-oncology · 2026

Dose selection and clinical decision-making after Gamma Knife surgery for large brain metastases: implications for early identification of true progression.

Koketsu Y, Hasegawa T, Kato T, Naito T et al.

PurposeTo evaluate dose selection and post-treatment management after Gamma Knife surgery (GKS) for large brain metastases, with a focus on early identification of true progression.MethodsThis retrosp…

TherapeuticPeer-ReviewedPubMedJournal of applied clinical medical physics · 2026

Longitudinal trends in Gamma Knife radiosurgery utilization across multiple technological generations: A Single-Institution Observational Study.

El Basha D, Filiput E, Curcuru A, Ferguson S et al.

BackgroundGamma Knife radiosurgery (GKRS) has been a foundational modality for the treatment of intracranial diseases for several decades, with successive platform generations introducing substantial …

QA & dosimetry📖 Free full textPeer-ReviewedPubMedJournal of applied clinical medical physics · 2026

Assessing the role of plan complexity and target geometry through multi-institutional gel based end-to-end QA in multi-focal single isocenter stereotactic radiosurgery.

Stasinou D, Platoni K, Margaroni V, Zourari K et al.

BackgroundSingle-isocenter stereotactic radiosurgery enables efficient treatment of multiple brain metastases (SI-MBM SRS), but demands high geometric accuracy. Plan complexity metrics are increasingl…

TherapeuticPeer-ReviewedPubMedWorld neurosurgery · 2026

Radiosurgery for Spetzler-Martin Grade III Arteriovenous Malformations of the Brain. Comparison of the Results of a Single Institution in Finland with a Systematic Literature Review.

Järvelin P, Pekonen H, Koivisto T, Frösen J.

BackgroundSpetzler-Martin (SM) grade III arteriovenous malformations of the brain (bAVMs) represent a clinical gray area with no definitive treatment guidelines. It is not well established whether cas…

Therapeutic📖 Free full textPeer-ReviewedPubMedJournal of neuro-oncology · 2026

Reirradiation outcomes following salvage conventionally fractionated Gamma Knife stereotactic radiotherapy (SFGK) to recurrent primary non-glial brain tumors.

Udovicich C, Tseng CL, Detsky J, Chen H et al.

PurposeTo evaluate the efficacy and safety of salvage conventionally fractionated Gamma Knife stereotactic radiotherapy (SFGK) reirradiation for recurrent, previously irradiated primary non-glial brai…

Therapeutic📖 Free full textPeer-ReviewedPubMedJournal of neuroradiology = Journal de neuroradiologie · 2026

Minimal Target Embolization of High-Risk Component in Brain Arteriovenous Malformation Combined with Stereotactic Radiosurgery: a Proof-of-Concept Study.

Koizumi S, Umekawa M, Shinya Y, Hasegawa H et al.

Brain arteriovenous malformations (AVMs) with high-risk angioarchitecture features are associated with the risk of hemorrhage. This study evaluated the safety and effectiveness of a combined approach …

Therapeutic📖 Free full textPeer-ReviewedPubMedOncology letters · 2026

Optimal timing of stereotactic radiosurgery with first-line osimertinib in EGFR-mutant non-small cell lung cancer brain metastases: Immediate, early-consolidation and salvage strategies.

Zhuang X, Lu X, Miao J, Hou G et al.

The optimal timing for integrating stereotactic radiosurgery (SRS) with first-line osimertinib in EGFR-mutant non-small cell lung cancer (NSCLC) with brain metastases (BMs) is undefined. The present s…

Therapeutic📖 Free full textPeer-ReviewedPubMedAdvances in radiation oncology · 2026

Accelerated Volume-Staged Stereotactic Radiosurgery for Large Cerebral Arteriovenous Malformations: A Single Institutional Experience.

Gadam RK, Stepp TE, Jiang H, Bhargav A et al.

PurposeLarge cerebral arteriovenous malformations (AVMs) pose significant management challenges, particularly in achieving complete nidus obliteration without increasing the risk of symptomatic necros…

Therapeutic📖 Free full textPeer-ReviewedOpenAlexFrontiers in Oncology · 2026

Therapeutic hybrid intelligence with neural and knowledge-based expert reasoning for SRS: an AI model for breast cancer brain metastases

Jheremy S. Reyes, Ajay Niranjan, Constantinos G. Hadjipanayis

Background Prescription dose selection for breast cancer brain metastases treated with stereotactic radiosurgery remains largely guided by tumor size, anatomical constraints, and institutional practic…

Therapeutic📖 Free full textPeer-ReviewedPubMedOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2026

Monitoring Hearing Function in Patients With Sporadic Vestibular Schwannoma: A Feasibility Study to Inform a Future Randomized Controlled Trial.

Lewis D, Millman RE, Whiston H, Hannan CJ et al.

There is a need for a definitive RCT comparing upfront stereotactic radiosurgery (SRS) versus watch-and-wait (WW) for long-term hearing preservation in vestibular schwannoma (VS). Specific objectives …

QA & dosimetry📖 Free full textPeer-ReviewedPubMedPhysica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB) · 2026

How robust are secondary dose algorithms for Patient-Specific quality assurance in modulated stereotactic Radiosurgery?

Mastella E, Szilagyi KE, Perrine JS, Ferioli M et al.

Accurate dose verification is essential in stereotactic radiosurgery (SRS), where small fields and steep dose gradients may amplify uncertainties, especially with complex techniques like multitarget s…

QA & dosimetry📖 Free full textPeer-ReviewedPubMedPhysics and imaging in radiation oncology · 2026

Dose accuracy evaluation of multi-leaf collimator modeling in single-isocenter multi-target stereotactic radiosurgery.

Rahim Li F, Cardan RA, Pogue JA, Viscariello NN et al.

Accurate modeling of multi-leaf collimators is critical for dose calculation in stereotactic radiosurgery (SRS), where steep dose gradients and small target volumes amplify modeling uncertainties. Thi…

Therapeutic📖 Free full textPeer-ReviewedOpenAlexCureus · 2026

Tumor-Related Trigeminal Neuralgia: Clinical Features, Pathophysiology, and the Contemporary Role of Radiosurgery in Tumor Control and Pain Relief

Jesus Antonio Rodriguez Santos, Jennifer De Alas, Eduardo E Lovo

Trigeminal neuralgia arising from an intracranial tumor is uncommon but therapeutically distinctive because the responsible lesion is simultaneously the generator of facial pain and an independent onc…

QA & dosimetry📖 Free full textPeer-ReviewedOpenAlexPhysics in Medicine and Biology · 2026

Cherenkov-excited fluorescence imaging for small-field dosimetry and SRS plan verification: a feasibility study

Mehmet Fazil Enkavi, Hasan Uysal, Kaan Oysul, Sait Şirin et al.

OBJECTIVE: To develop a high-spatial-resolution Cherenkov-excited fluorescence dosimetry system (CEFD) with rapid optical readout using quinine sulfate solution and evaluate its feasibility for small-…

Therapeutic📖 Free full textPeer-ReviewedPubMedChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026

Recurrent C19MC-altered embryonal tumors with multilayered rosettes: outcomes of stereotactic radiosurgery.

Harary PM, Hori YS, Tan SK, Mahaney K et al.

Embryonal tumors with multilayered rosettes (ETMR) are aggressive grade IV brain tumors primarily affecting children under age 3. Despite intensive multimodal therapy, prognosis remains poor, and salv…

Therapeutic📖 Free full textPeer-ReviewedPubMedChinese neurosurgical journal · 2026

LINAC-based stereotactic radiosurgery targeting the hippocampus in mesial temporal lobe epilepsy: a single-center case series.

García-García VA, Ramírez-Sánchez MV, García-Romero RC, Jasso-García I et al.

BackgroundEpilepsy is a neurological disorder affecting over 50 million people worldwide, with a global incidence of 7.6 per 1,000 individuals. Mesial temporal lobe epilepsy (MTLE) is characterized by…

Therapeutic📖 Free full textPeer-ReviewedPubMedNeurosurgical review · 2026

Single-fraction stereotactic radiosurgery vs. hypofractionated stereotactic radiotherapy for resected brain metastases: a systematic review and meta-analysis of comparative studies.

Shariati A, Khezrpour A, Fanihagh T, Fazel AE et al.

Postoperative stereotactic radiotherapy (SRT) is widely used after resection of limited brain metastases, but the optimal fractionation remains uncertain. Single-fraction stereotactic radiosurgery (SF…

Therapeutic📖 Free full textPeer-ReviewedPubMedNeurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026

Brain metastasis: Opportunities for novel therapies.

Sarfraz Z, Kotecha R, Maharaj A, Ahluwalia MS.

Brain metastases (BM) are a common and clinically significant manifestation of advanced cancer that increasingly influences treatment decisions across solid tumors. Management requires a tailored appr…

QA & dosimetryTherapeuticPeer-ReviewedPubMedNeuro-Chirurgie · 2026

MRI distortion correction produces geometrically relevant shifts in cisternal trigeminal nerve localization: implications for gamma knife radiosurgery.

Duzkalir AH, Duzkalir HG, Yildirim DC, Askeroglu MO et al.

ObjectiveGamma Knife radiosurgery (GKRS) for trigeminal neuralgia (TN) requires millimeter-scale accuracy because a single 4-mm collimator targets the cisternal trigeminal nerve (CTN). MRI is essentia…

Therapeutic📖 Free full textPeer-ReviewedPubMedJournal of neuro-oncology · 2026

Therapeutic hybrid intelligence with neural and knowledge-based expert reasoning for SRS (THINKERS): a mixture-of-experts framework for gastrointestinal brain metastases.

Reyes JS, Hadjipanayis CG, Lunsford LD, Niranjan A.

Brain metastases from gastrointestinal (GI) malignancies are heterogeneous, while stereotactic radiosurgery dose selection remains guided by lesion size, location, prior treatment, and physician judgm…

QA & dosimetry📖 Free full textPeer-ReviewedPubMedJournal of applied clinical medical physics · 2026

Evaluation of the environ SRS immobilization mask system for HyperArc: Dosimetric attenuation, dose calculation accuracy, and clinical setup reproducibility.

Robinson A, Caldwell MR.

BackgroundFrameless thermoplastic masks are standard for intracranial stereotactic radiosurgery (SRS), with the Encompass (CQ Medical) widely used on the Varian HyperArc platform. A candidate mask mus…

Diagnostic📖 Free full textPeer-ReviewedPubMedJournal of neuro-oncology · 2026

Pathology-validated structural and physiologic habitat imaging for differentiating radiation necrosis from tumor recurrence in brain metastases.

Park JE, Shao G, Baisiwala S, Kim N et al.

PurposeDifferentiating tumor recurrence from radiation necrosis (RN) after stereotactic radiosurgery (SRS) remains a major diagnostic challenge in brain metastasis. We aimed to validate established MR…

Therapeutic📖 Free full textPeer-ReviewedPubMedClinical & experimental metastasis · 2026

Contributions of previous whole-brain radiation therapy, cumulative intracranial tumor volume, and repeat radiosurgery to adverse radiation effects following stereotactic radiosurgery for brain metastasis.

Alattar AA, Bartek J, Lin A, Chuck C et al.

FLAIR hyperintensity extending beyond a cerebral quadrant (FEQ+) after stereotactic radiosurgery (SRS) for brain metastases (BM) was a recently established imaging biomarker for steroid-dependent adve…

TherapeuticPeer-ReviewedOpenAlexNeuro-Oncology · 2026

94 Outcome of patients with metastatic lung cancer presenting with synchronous brain metastases – A single centre; 5 year retrospective analysis

Harriet Hebbes, Sara Walters, Patrick Forster, Jillian Maclean et al.

Abstract Introduction Metastatic non-small cell lung cancer (NSCLC) with synchronous brain metastases (BM) impacts prognosis and therapeutic considerations. Up to 20% patients with NSCLC may develop B…

Therapeutic📖 Free full textPeer-ReviewedOpenAlexThe Journal of International Advanced Otology · 2026

Vestibular Schwannoma in the Precision Medicine Era: An Updated Narrative Review of Molecular Insights, Imaging Biomarkers, and Evolving Management Strategies

Flavio Donnini, Giovanni Rubino, Giuseppe Battaglia, Pierpaolo Pastina et al.

Vestibular schwannoma (VS) care is increasingly shaped by molecular and imaging advances that complement conventional size- and symptom-based decision-making. Recent multi-omic studies, including sing…

Therapeutic📖 Free full textPeer-ReviewedPubMedJournal of neuro-oncology · 2026

Therapeutic hybrid intelligence with neural and knowledge-based expert reasoning for SRS (THINKERS): an AI model for lung cancer brain metastases.

Reyes JS, Bouras A, Lunsford LD, Hadjipanayis CG et al.

Prescription dose selection for lung brain metastases treated with stereotactic radiosurgery (SRS) remains largely guided by generalized practice patterns rather than tumor-specific modeling of local …

TherapeuticDiagnostic📖 Free full textPeer-ReviewedPubMedNeurosurgical review · 2026

Neural pathway-guided radiosurgery: A systematic review and meta-analysis of diffusion tensor imaging applications in stereotactic radiosurgery.

Ucar EA, Almas F, Senturk YE, Duzkalir AH et al.

Diffusion tensor imaging (DTI) has increasingly been incorporated into stereotactic radiosurgery (SRS) to improve visualization of eloquent neural pathways and to evaluate treatment-related microstruc…

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