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首页> 外文期刊>Otology and neurotology: official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology >Stereotactic radiosurgery for vestibular schwannomas: a survey of current practice patterns of neurotologists.
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Stereotactic radiosurgery for vestibular schwannomas: a survey of current practice patterns of neurotologists.

机译：前庭造型瘤的立体定向放射外科手术：神经科医生当前实践模式的调查。

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OBJECTIVE: : To evaluate the use of radiation by neurotologists practicing in the United States as a treatment modality for vestibular schwannomas (VSs). STUDY DESIGN: : Cross-sectional survey. METHODS: : We surveyed 302 members of the American Neurotology Society to assess the number of VS seen, the frequency with which radiation is used as a treatment modality, radiation training and experience, the impact of tumor size and patient age on treatment decisions, and radiation dose ultimately used by neurotologists. RESULTS: : Responses were received from 43% (132/302) of surveyed neurotologists; of the respondents, 42% (54/132) perform stereotactic radiation. Approximately 58% (30/54) of those use gamma knife, and 44% (24/54) use Cyberknife; 36.7% of VS patients seen by neurotologists received radiation. On average, 6 additional neurotologists per year begin treating VS with stereotactic radiation. Academic and private neurotologists showed significant differences (p < 0.05) between new VS patients per year, years in practice, and maximum tumor size recommended for radiation. The most common barrier to using radiation was prevention by a neurosurgical or radiation oncology service. Neurotologists use radiation to treat other cranial base tumors as well, most commonly glomus tumors or meningiomas, and 64% of respondents irradiate neurofibromatosis Type 2. Total radiation dose and fractionation were variable. CONCLUSION: : Neurotologists are increasingly choosing to treat VS with stereotactic radiation. There seem to be significant differences between academic and private neurotologists' practice characteristics. Not all neurotologists strictly adhere to the consensus statement by the International RadioSurgery Association with regard to radiation dosing and tumor size limits.
机译：目标：：评估在美国实践神经科医生对辐射的使用，作为前庭schwannomas（VSS）的治疗方式。研究设计：：横断面调查。方法：：我们调查了302名美国神经学协会的成员，以评估所见VS的数量，辐射用作治疗方式的频率，辐射训练和经验，肿瘤大小和患者年龄对治疗决策的影响以及辐射剂量最终由神经病学家使用。结果：：从调查的神经病学家的43％（132/302）收到的回答;在受访者中，有42％（54/132）执行立体定向辐射。大约58％（30/54）使用伽玛刀，而使用Cyber​​knife的44％（24/54）;神经科医生看到的VS患者中有36.7％接受了辐射。平均而言，每年另外6名神经科医生开始使用立体定向辐射治疗VS。学术和私人神经科医生每年与新的VS患者，实践年份和建议放射线建议的最大肿瘤大小之间显示出显着差异（p <0.05）。使用辐射的最常见障碍是通过神经外科或辐射肿瘤科预防。神经科医生也使用辐射来治疗其他颅底肿瘤，最常见的是肾小球肿瘤或脑膜瘤，而64％的受访者则照射神经纤维瘤病。类型2。总辐射剂量和分级是可变的。结论：：神经科医生越来越选择用立体定向辐射治疗VS。学术和私人神经科医生的实践特征之间似乎存在显着差异。并非所有神经科医生都严格遵守国际放射外科协会关于放射剂量和肿瘤大小限制的共识声明。

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