The Outcomes of Radiosurgery for Arteriovenous Malformations—Experience of a Tertiary Cancer Center from India

Objectives This article assesses the treatment outcomes in the patients diagnosed with arteriovenous malformations (AVMs) treated with stereotactic radiosurgery. Materials and Methods We retrospectively analyzed 30 patients diagnosed with AVM treated between 2010 and 2018.The median age a...

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Main Authors: Sanjay M. Hunugundmath, Sumit Basu, Bhooshan Zade, Vikram Maiya, Rahul Sharma, Ashok Bhanage, Sathiyanarayanan Vatyam
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2023-03-01
Series:Indian Journal of Neurosurgery
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1724464
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author Sanjay M. Hunugundmath
Sumit Basu
Bhooshan Zade
Vikram Maiya
Rahul Sharma
Ashok Bhanage
Sathiyanarayanan Vatyam
author_facet Sanjay M. Hunugundmath
Sumit Basu
Bhooshan Zade
Vikram Maiya
Rahul Sharma
Ashok Bhanage
Sathiyanarayanan Vatyam
author_sort Sanjay M. Hunugundmath
collection DOAJ
description Objectives This article assesses the treatment outcomes in the patients diagnosed with arteriovenous malformations (AVMs) treated with stereotactic radiosurgery. Materials and Methods We retrospectively analyzed 30 patients diagnosed with AVM treated between 2010 and 2018.The median age at presentation was 30 years (range: 14–60 years). The median planning target volume (PTV) was 6.8 mL (range: 0.9–54 mL). The median dose prescribed was 18 Gy (range: 16–24 Gy). Modified radiosurgery-based AVM grading score was calculated for all the patients. Results The median follow-up of the entire cohort was 60 months (range: 24–96 months). The obliteration rates for patients followed up for 3 and 5 years were 75 and 86.1%, respectively. Age (< 35 years; p = 0.007) and PTV (< 7 mL; p = 0.04), had better obliteration rates. Three patients had hemorrhage, from the AVM after irradiation. None of them were fatal. Conclusion Stereotactic radiosurgery is a preferred noninvasive treatment modality with acceptable morbidity.
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institution Kabale University
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language English
publishDate 2023-03-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
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series Indian Journal of Neurosurgery
spelling doaj-art-e265dae91fbe46ae86fe0e9d6e7c96272025-08-20T03:25:15ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672023-03-01120101502110.1055/s-0041-1724464The Outcomes of Radiosurgery for Arteriovenous Malformations—Experience of a Tertiary Cancer Center from IndiaSanjay M. Hunugundmath0Sumit Basu1Bhooshan Zade2Vikram Maiya3Rahul Sharma4Ashok Bhanage5Sathiyanarayanan Vatyam6Ruby Hall Clinic, Pune, Maharashtra, IndiaRuby Hall Clinic, Pune, Maharashtra, IndiaRuby Hall Clinic, Pune, Maharashtra, IndiaRuby Hall Clinic, Pune, Maharashtra, IndiaRuby Hall Clinic, Pune, Maharashtra, IndiaRuby Hall Clinic, Pune, Maharashtra, IndiaRuby Hall Clinic, Pune, Maharashtra, IndiaObjectives This article assesses the treatment outcomes in the patients diagnosed with arteriovenous malformations (AVMs) treated with stereotactic radiosurgery. Materials and Methods We retrospectively analyzed 30 patients diagnosed with AVM treated between 2010 and 2018.The median age at presentation was 30 years (range: 14–60 years). The median planning target volume (PTV) was 6.8 mL (range: 0.9–54 mL). The median dose prescribed was 18 Gy (range: 16–24 Gy). Modified radiosurgery-based AVM grading score was calculated for all the patients. Results The median follow-up of the entire cohort was 60 months (range: 24–96 months). The obliteration rates for patients followed up for 3 and 5 years were 75 and 86.1%, respectively. Age (< 35 years; p = 0.007) and PTV (< 7 mL; p = 0.04), had better obliteration rates. Three patients had hemorrhage, from the AVM after irradiation. None of them were fatal. Conclusion Stereotactic radiosurgery is a preferred noninvasive treatment modality with acceptable morbidity.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1724464avmsrsobliteration rates
spellingShingle Sanjay M. Hunugundmath
Sumit Basu
Bhooshan Zade
Vikram Maiya
Rahul Sharma
Ashok Bhanage
Sathiyanarayanan Vatyam
The Outcomes of Radiosurgery for Arteriovenous Malformations—Experience of a Tertiary Cancer Center from India
Indian Journal of Neurosurgery
avm
srs
obliteration rates
title The Outcomes of Radiosurgery for Arteriovenous Malformations—Experience of a Tertiary Cancer Center from India
title_full The Outcomes of Radiosurgery for Arteriovenous Malformations—Experience of a Tertiary Cancer Center from India
title_fullStr The Outcomes of Radiosurgery for Arteriovenous Malformations—Experience of a Tertiary Cancer Center from India
title_full_unstemmed The Outcomes of Radiosurgery for Arteriovenous Malformations—Experience of a Tertiary Cancer Center from India
title_short The Outcomes of Radiosurgery for Arteriovenous Malformations—Experience of a Tertiary Cancer Center from India
title_sort outcomes of radiosurgery for arteriovenous malformations experience of a tertiary cancer center from india
topic avm
srs
obliteration rates
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1724464
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