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Centers of ExcellenceMAKING A DECISION

Since 1995, IRSA® has provided educational information on stereotactic radiosurgery for BRAIN TUMORS AND BRAIN DISORDERS to governments, regulatory agencies, insurers and referring physicians. The Association in an independent organization that provides emotional support, education and referrals for treatment to patients worldwide. IRSA® does not support or sponsor any hospital treating site or manufacturer. All information is based on evidenced based research articles.

IRSA® recommends using technology that is made specifically to treat brain tumors and disorders where available. Technology that treats body tumors and was not specifically for the brain, is usually less precise and accurate in treatment. Therefore, our physician advisors recommend that each potential patient be evaluated on technology that was made for the brain.

In some circumstances, technology that was made specifically for the brain, like Gamma Knife may not be appropriate to use for your tumor. This can occur with larger tumors. If the tumor can be 'debulked'in surgery (reduced in size), then possibly technology made for the brain can be used. If not, you may require technology that is usually Linac based which can treat larger tumors. Also, where there is a highly maglignant brain tumor, the treatments may include surgery, radiosurgery with a machine like Gamma Knife to the bed of the tumor, and radiation therapy to the edges of the tumor to prevent spreading of the tumor.

Where metastatic tumors are concerned, radiosurgery can be used for smaller tumors, and when the tumors are not few. It is especially valuable to use radiosurgery for metastatic tumors when a person is on chemotherapy as it means a one-day treatment that will not stop the chemotherapy. If whole brain radiation therapy is later needed it can be done after the chemotherapy is completed.

IRSA® also recommends using a neurosurgeon and a radiation oncologist when treating within the brain. Both physician should plan the target together, and both the neurosurgeon and the radiation oncologist should approve the targeting plan within the brain. The neurosurgeon is educated in the anatomy of the brain and its critical structures and is invaluable to the actual planning of the target within the brain. The radiation oncologist is educated in the amount of radiation that is appropriate, and can assess the amount of previous radiation and provide guidance on the amount of radiation for the current treatment.

Our office staff can NOT provide medical or clinical information. We provide the phone number and the email of Centers of Excellence for your use. To receive valuable clinical information on your condition and whether you can be treated with radiosurgery -- go to the "Centers of Excellence" (click here to go directly to USA centers) and pick a center near you.

Email through our website or call the center directly. You will receive information from a nurse or clinical person that works in a radiosurgery center. We do not collect email addresses through our website -- your privacy is assured.

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