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Ichilov Medical Center
Neurosurgery

Treatment Methods of Radiosurgery in Israel

Modern medicine in Israel utilizes all scientific and technological advancements and high-tech developments in the field of radiation diagnostics and therapy. Cancer treatment in Israel has long relied on these advancements, which are also widely used in neurosurgery and vascular surgery.

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procedures using the modern "Da Vinci" system

Radiosurgery (stereotactic surgery) is a type of radiation therapy, the primary and preferred method of treatment for inoperable brain lesions.

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The procedure involves a single exposure to a high dose of precisely targeted ionizing radiation and is intended for the treatment of tumors of the brain and spinal cord, both benign and malignant, arteriovenous malformations, and other pathological foci to destroy or halt their growth and functioning.

At the Top Ichilov clinic, the most modern diagnostic equipment such as Computed Tomography and Magnetic Resonance Imaging is used for computer planning of radiosurgery procedures, which minimizes radiation exposure to healthy brain tissue by very accurately delineating the irradiated surface.

The therapeutic effect of radiosurgery is equivalent to that of conventional surgical intervention. In some cases, radiosurgical procedures are used to eliminate remnants of pathological processes.

Treatment Methods of Radiosurgery in Israel
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Conditions treated with radiosurgery at Top Ichilov:

  • metastases
  • meningiomas
  • cavernomas
  • neuromas (schwannomas)
  • arteriovenous malformations
  • pituitary adenomas
  • trigeminal neuralgia
  • tumors and vascular pathologies
  • cerebral vascular diseases
  • epilepsy
  • severe pain syndromes and motor function disorders
  • aneurysms

Main types of radiosurgical systems at Top Ichilov

Novalis (NovalisShapedBeamSurgery) — a system based on a linear accelerator that uses a unique technique ensuring continuous matching of the treatment beam to the size and shape of the lesion during the passage of the radiation beam - beam surgery shaped to the tumor.

Fractionated proton therapy (heavy particles) is used for treating most CNS pathologies and skull base conditions, including chondromas, chondrosarcomas, acoustic neuromas, meningiomas, pituitary adenomas.

Clinical effectiveness is approximately the same across all types of devices.

All radiosurgical procedures are completely painless, performed after thorough examination and clear visualization of the pathological focus: the patient's head is specially immobilized and aligned with the device's beams, and the entire process is monitored by doctors using special video cameras.

On the same day after the procedure, the patient is discharged home and can calmly resume their daily activities. The effectiveness of the procedure is monitored over time using computed tomography or MRI.

None of the aforementioned systems destroys the tumor instantly: the effect occurs several months after the procedure, the tumor does not disappear but decreases in size and stops growing.

Rapidly growing tumors and large tumors (over 3.5 cm) without clear boundaries that invade surrounding brain tissue are not suitable for treatment with radiosurgical methods.

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  • Arteriovenous malformations
  • Glioma
  • Bone metastases
  • Myeloma
  • Gastrointestinal tumors
  • Osteoma
  • Esophageal cancer
  • Chemodectoma

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