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Frameless Stereotactic Radiosurgery vs Traditional Techniques: What’s the Difference?

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Understanding the Evolution of Radiosurgery

The stereotactic radiosurgery procedure has long been a trusted technique for treating brain and spinal lesions without the need for open surgery. Traditionally, this procedure involved the use of a rigid frame fixed to the patient’s skull to ensure pinpoint accuracy during high-dose radiation delivery. However, with rapid advances in imaging and motion-tracking technologies, frameless stereotactic radiosurgery has emerged as a more patient-friendly and equally precise alternative.

What Is Traditional Stereotactic Radiosurgery?

Traditional SRS uses a stereotactic head frame bolted to the skull to immobilize the patient. This frame-based method, while extremely accurate, can be uncomfortable and often requires local anesthesia. It is commonly used as a single-session treatment for small, well-defined brain lesions such as arteriovenous malformations (AVMs), benign tumors like meningiomas, or metastatic brain lesions.

Frameless Radiosurgery: Innovation Without Restraints

Frameless SRS eliminates the need for a fixed head frame. Instead, it relies on a custom-fitted thermoplastic mask and advanced imaging tools such as cone-beam CT and infrared tracking to deliver radiation with sub-millimeter accuracy. Patients benefit from improved comfort, reduced anxiety, and the option of undergoing fractionated treatments (multiple sessions) when needed. This version of the stereotactic radiosurgery procedure is ideal for those requiring repeat treatments or who are not candidates for a head frame.

Comparing Accuracy and Patient Experience

While both techniques provide exceptional precision, modern frameless systems are now equipped to track real-time motion, making them just as accurate as frame-based methods. For patients, the frameless approach is less invasive, faster in preparation, and often performed as an outpatient procedure. The patient experience is significantly enhanced, with minimal discomfort and more convenience.

Which Option Is Right for You?

Choosing between frameless and traditional SRS depends on several factors such as the lesion’s type, size, and location, along with the patient’s overall health. An experienced Neuro spine surgeon Hyderabad along with a multidisciplinary oncology team will evaluate your case and recommend the most appropriate form of treatment.

Conclusion

Frameless stereotactic radiosurgery procedures represent a major step forward in non-invasive care for brain and spinal conditions. With its combination of precision and patient comfort, it stands as a cutting-edge alternative to traditional methods—making recovery more accessible and less daunting.