![Page 1: Stereotactic Radiosurgery By Angela Powers, RN. Objectives Describe the trend of Stereotactic Radiosurgery. Describe/evaluate hardware/software utilized](https://reader036.vdocument.in/reader036/viewer/2022062421/56649c755503460f9492827a/html5/thumbnails/1.jpg)
Stereotactic Radiosurgery
By Angela Powers, RN
![Page 2: Stereotactic Radiosurgery By Angela Powers, RN. Objectives Describe the trend of Stereotactic Radiosurgery. Describe/evaluate hardware/software utilized](https://reader036.vdocument.in/reader036/viewer/2022062421/56649c755503460f9492827a/html5/thumbnails/2.jpg)
Objectives
•Describe the trend of Stereotactic Radiosurgery.
•Describe/evaluate hardware/software utilized.
•Describe/evaluate information systems used.
•Assess role of the nurse informaticist.•Examine legal and ethical issues involved.•Discuss advantages/disadvantages from
nursing perspective.
![Page 3: Stereotactic Radiosurgery By Angela Powers, RN. Objectives Describe the trend of Stereotactic Radiosurgery. Describe/evaluate hardware/software utilized](https://reader036.vdocument.in/reader036/viewer/2022062421/56649c755503460f9492827a/html5/thumbnails/3.jpg)
Stereotactic Radiosurgery:
•Treats brain disorders with a single, high dose of radiation.
•Works the same as other radiation therapies.•Doesn't remove tumor, but distorts it's DNA.•Causes tumors to lose ability to reproduce.
(International Radiosurgery Association, 2010)
![Page 4: Stereotactic Radiosurgery By Angela Powers, RN. Objectives Describe the trend of Stereotactic Radiosurgery. Describe/evaluate hardware/software utilized](https://reader036.vdocument.in/reader036/viewer/2022062421/56649c755503460f9492827a/html5/thumbnails/4.jpg)
Procedure:
(Mongia, 2009)
![Page 5: Stereotactic Radiosurgery By Angela Powers, RN. Objectives Describe the trend of Stereotactic Radiosurgery. Describe/evaluate hardware/software utilized](https://reader036.vdocument.in/reader036/viewer/2022062421/56649c755503460f9492827a/html5/thumbnails/5.jpg)
Hardware
•MRI•Linear Accelerator•Collimator•Patient Docking Device•Target Verification Device
![Page 6: Stereotactic Radiosurgery By Angela Powers, RN. Objectives Describe the trend of Stereotactic Radiosurgery. Describe/evaluate hardware/software utilized](https://reader036.vdocument.in/reader036/viewer/2022062421/56649c755503460f9492827a/html5/thumbnails/6.jpg)
LINAC• Short for Linear
Accelerator.• Produces radiation needed
in SRT procedures.• Operated by a Radiation
Therapist.• Dosage calculated by a
Radiation Oncologist.• Beam exits through the
rotating Gantry.• Beams are shaped by the
Collimator. (Montagno & Sabbatini, 1997)
![Page 7: Stereotactic Radiosurgery By Angela Powers, RN. Objectives Describe the trend of Stereotactic Radiosurgery. Describe/evaluate hardware/software utilized](https://reader036.vdocument.in/reader036/viewer/2022062421/56649c755503460f9492827a/html5/thumbnails/7.jpg)
Software
•Three dimensional software for treatment planning.
•Dose delivery software.
![Page 8: Stereotactic Radiosurgery By Angela Powers, RN. Objectives Describe the trend of Stereotactic Radiosurgery. Describe/evaluate hardware/software utilized](https://reader036.vdocument.in/reader036/viewer/2022062421/56649c755503460f9492827a/html5/thumbnails/8.jpg)
• NovalisTX:
(Jefferson Radiation Oncology, 2010)
![Page 9: Stereotactic Radiosurgery By Angela Powers, RN. Objectives Describe the trend of Stereotactic Radiosurgery. Describe/evaluate hardware/software utilized](https://reader036.vdocument.in/reader036/viewer/2022062421/56649c755503460f9492827a/html5/thumbnails/9.jpg)
Usability
•Ease of Use•Ease of Learning•Satisfaction with Using•Efficiency of Use•Error Tolerance•Fit of System to the Task
![Page 10: Stereotactic Radiosurgery By Angela Powers, RN. Objectives Describe the trend of Stereotactic Radiosurgery. Describe/evaluate hardware/software utilized](https://reader036.vdocument.in/reader036/viewer/2022062421/56649c755503460f9492827a/html5/thumbnails/10.jpg)
Varian OncoView Picture Archiving and Communication System (PACS)
•Collects, stores and distributes diagnostic images.
•Digitalizes CT, MRI and X-ray results.•Enables ease of image sharing.•Enables collaborative approach to treatment.•Reduces data filing and retrieval times.•Saves time and money. •Reduces liability caused by errors and loss.
(Varian Medical Systems, 2010)
![Page 11: Stereotactic Radiosurgery By Angela Powers, RN. Objectives Describe the trend of Stereotactic Radiosurgery. Describe/evaluate hardware/software utilized](https://reader036.vdocument.in/reader036/viewer/2022062421/56649c755503460f9492827a/html5/thumbnails/11.jpg)
Varian OncoView PACS System Review
•Radiology Information System•Used by all members of team.• Enables digitalization of image results.•Generally part of Local Area Network.•HL7 and ANSI Data Standards.•Necessary for use of SRS.
![Page 12: Stereotactic Radiosurgery By Angela Powers, RN. Objectives Describe the trend of Stereotactic Radiosurgery. Describe/evaluate hardware/software utilized](https://reader036.vdocument.in/reader036/viewer/2022062421/56649c755503460f9492827a/html5/thumbnails/12.jpg)
Advantages of SRS• Simpler Process• Shorter surgery times• Shorter patient recovery times• Less invasive • Fewer side effects vs. brain surgery.• Ability to reach deeper brain tissue.
![Page 13: Stereotactic Radiosurgery By Angela Powers, RN. Objectives Describe the trend of Stereotactic Radiosurgery. Describe/evaluate hardware/software utilized](https://reader036.vdocument.in/reader036/viewer/2022062421/56649c755503460f9492827a/html5/thumbnails/13.jpg)
Disadvantages of SRS
•High cost of purchase and use•Risk of neurological injury•Risk of mechanical inaccuracy•Potential necessity of multiple visits
![Page 14: Stereotactic Radiosurgery By Angela Powers, RN. Objectives Describe the trend of Stereotactic Radiosurgery. Describe/evaluate hardware/software utilized](https://reader036.vdocument.in/reader036/viewer/2022062421/56649c755503460f9492827a/html5/thumbnails/14.jpg)
Ethical/Legal Issues
•Not available to everyone•Malpractice suits
![Page 15: Stereotactic Radiosurgery By Angela Powers, RN. Objectives Describe the trend of Stereotactic Radiosurgery. Describe/evaluate hardware/software utilized](https://reader036.vdocument.in/reader036/viewer/2022062421/56649c755503460f9492827a/html5/thumbnails/15.jpg)
Required Informatics Competencies and Role of Nurse Informaticist
•Technical competencies - Modifier level•Utility competencies - Modifier level•Leadership competencies - User level
![Page 16: Stereotactic Radiosurgery By Angela Powers, RN. Objectives Describe the trend of Stereotactic Radiosurgery. Describe/evaluate hardware/software utilized](https://reader036.vdocument.in/reader036/viewer/2022062421/56649c755503460f9492827a/html5/thumbnails/16.jpg)
Functions and Responsibilities of Informatics Nurses in SRS
•Technical capacities•Utility capacities•Leadership capacities
(Kaminski, 2009)
![Page 17: Stereotactic Radiosurgery By Angela Powers, RN. Objectives Describe the trend of Stereotactic Radiosurgery. Describe/evaluate hardware/software utilized](https://reader036.vdocument.in/reader036/viewer/2022062421/56649c755503460f9492827a/html5/thumbnails/17.jpg)
In Summary:
•Often outpatient procedure for brain surgery
•High dose radiation distorts tumor DNA•Improved outcomes for many conditions•Reduced surgery and recovery time •Multidisciplinary team involved in
planning, implementation.
![Page 18: Stereotactic Radiosurgery By Angela Powers, RN. Objectives Describe the trend of Stereotactic Radiosurgery. Describe/evaluate hardware/software utilized](https://reader036.vdocument.in/reader036/viewer/2022062421/56649c755503460f9492827a/html5/thumbnails/18.jpg)
References: • About.com. (nd). PACS – What is PACS? Retrieved
October 25, 2010, from: http://healthcareers.about.com/od/p/f/PACS.htm.
• De Araujo Montagno, & E., Sabbatini, R. (1997). Radiosurgery. Retrieved October 15th, 2010 from: http://www.cerebromente.org.br/n02/tecnologia/radiocirurg_i.htm.
• HL7 International. (2010). ANSI Approved Standards. Health Level Seven International. Retrieved October 25, 2010, from: http://www.hl7.org/implement/standards/ansiapproved.cfm
• International Radiosurgery Association. (2010). Stereotactic Radiosurgery Overview. International Radiosurgery Association. Retrieved on September 19, 2010, from: http://www.irsa.org/radiosurgery.html.
![Page 19: Stereotactic Radiosurgery By Angela Powers, RN. Objectives Describe the trend of Stereotactic Radiosurgery. Describe/evaluate hardware/software utilized](https://reader036.vdocument.in/reader036/viewer/2022062421/56649c755503460f9492827a/html5/thumbnails/19.jpg)
References, Continued• Jefferson Radiation Oncology. (2010). Novalis TX.
Retrieved October 9, 2010, from: http://www.jeffradonc.com/page.php?pID=21.
• Johns Hopkins Radiosurgery. (nd). Stereotactic Radiosurgery. Johns Hopkins Medicine. Retrieved October 9, 2010, from: http://www.radonc.jhmi.edu/radiosurgery/treatmentoptions/stereotacticradiosurgery.html#WhatDevicesAreUsed.
• Kaminski, J. (2009). Nursing Informatics Competencies: Self-Assessment. Nursing-Informatics.com. Retrieved November 15, 2010, from: : http://www.nursing-informatics.com/niassess/index.html.
![Page 20: Stereotactic Radiosurgery By Angela Powers, RN. Objectives Describe the trend of Stereotactic Radiosurgery. Describe/evaluate hardware/software utilized](https://reader036.vdocument.in/reader036/viewer/2022062421/56649c755503460f9492827a/html5/thumbnails/20.jpg)
References, Continued• McGonigle, D. & Mastrian, K. (2009). Nursing
Informatics and the Foundation of Knowledge. Sudbury, MA. Jones and Bartlett Publishers.
• Medical News Today. (Sept, 2008). Non-Invasive Radiosurgery With Novalis TX platform Rolling Out Worldwide. Medical News Today. Retrieved on September 19, 2010, from: http://www.medicalnewstoday.com/articles/122391.php
• Mongia, S. (2009). Gamma Knife Surgery. Retrieved on October 1, 2010, from gammaknifeonline: http://www.gammaknifeonline.in/.
![Page 21: Stereotactic Radiosurgery By Angela Powers, RN. Objectives Describe the trend of Stereotactic Radiosurgery. Describe/evaluate hardware/software utilized](https://reader036.vdocument.in/reader036/viewer/2022062421/56649c755503460f9492827a/html5/thumbnails/21.jpg)
References, Continued• Radiologyinfo.org. (2010). Stereotactic Radiosurgery
and Stereotactic Body Radiotherapy (SBRT). Retrieved on October 1, 2010, from radiologyinfo.org: http://www.radiologyinfo.org/en/info.cfm?pg=stereotactic.
• Schnell, M., Bova, F., Larson, D. A., Leavitt. D. D., Lutz, W. R., Podgorsak, E. B., Wu, A. (1995). Stereotactic Radiosurgery: Report of Task Group 42 Radiation Therapy Committee. College Park, MD. American Institute of Physics. Retrieved October 9, 2010, from : http://www.aapm.org/pubs/reports/rpt_54.pdf.
![Page 22: Stereotactic Radiosurgery By Angela Powers, RN. Objectives Describe the trend of Stereotactic Radiosurgery. Describe/evaluate hardware/software utilized](https://reader036.vdocument.in/reader036/viewer/2022062421/56649c755503460f9492827a/html5/thumbnails/22.jpg)
References, Continued.• Varian Medical Systems. (2010). TrueBeam
STx: Frequently Asked Questions. Retrieved October 9, 2010, from: http://www.variantruebeam.com/truebeamstx/faq.html