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首页> 外文期刊>Neurosurgical focus >Staged-volume radiosurgery for large arteriovenous malformations: a review
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Staged-volume radiosurgery for large arteriovenous malformations: a review

机译：大型动静脉畸形的分阶段批量放射外科：综述

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摘要

Stereotactic radiosurgery is an effective management strategy for properly selected patients with arteriovenous malformations (AVMs). However, the risk of postradiosurgical radiation-related injury is higher in patients with large AVMs. Multistaged volumetric management of large AVMs was undertaken to limit the radiation exposure to the surrounding normal brain. This strategy offers a promising method for obtaining high AVM obliteration rates with minimal normal tissue damage. The use of embolization as an adjunctive method in the treatment of large AVMs remains controversial. Unfortunately, staged-volume radiosurgery (SVR) has a number of potential pitfalls that affect the outcome. The aim of this article is to highlight the role of SVR in the treatment of large AVMs, to discuss the outcome comparing it to other treatment modalities, and to discuss the potential improvement that could be introduced to this method of treatment.
机译：立体定向放射外科手术是正确选择动静脉畸形（AVM）患者的有效治疗策略。但是，对于具有大AVM的患者，放射外科手术后与辐射相关的伤害风险更高。进行大型AVM的多阶段容积管理，以限制对周围正常大脑的辐射暴露。该策略为获得高的AVM清除率和最小的正常组织损伤提供了一种有前途的方法。在大型AVM的治疗中使用栓塞作为辅助方法仍然存在争议。不幸的是，分期放疗（SVR）有许多可能影响结果的潜在陷阱。本文的目的是强调SVR在大型AVM的治疗中的作用，讨论将其与其他治疗方式进行比较的结果，并讨论可以引入这种治疗方法的潜在改善。

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