Adaptations in Radiosurgery Practice during COVID Crisis
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Updated: Dec 3, 2025

Stereotactic Radiosurgery for Gynecologic Cancer
Published on: April 17, 2012
Manjul Tripathi1, Harsh Deora2, Nishanth Sadashiva2
1Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Background:
The world is in the midst of the COVID crisis, which has forced the neurosurgical community to change its practices.
Objective:
To advocate the necessary adaptations in radio surgical practices to effectively manage the radio surgical patients, resource utilization, and protecting the healthcare provider during the COVID pandemic.
Material And Methods:
In addition to the literature review, pertinent recommendations are made in respect to the gamma knife radiosurgery (GKRS).
Results:
Every patient presenting to GKRS treatment should be considered as a potential asymptomatic COVID carrier. Patients should be categorized based on the priority (urgent, semi-urgent, or elective) on the basis of pathological and clinical status. The only urgent indication is a non-responding or enlarging cerebral metastasis. There is a high risk of aerosol dispersion during gamma radiation delivery in the gamma gantry.
Conclusion:
These recommendations should be used to minimize the chances of pathogenic exposure to the patient and caregivers both.

