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after surgery"],"main_risks":["Transient headache, nausea, fatigue","Pin-site soreness or bleeding with frame-based systems","Radiation-related brain edema, sometimes needing steroids","Delayed radionecrosis","Seizure","New or worse neurological deficit, e.g., hearing loss, facial numbness","Hair loss at beam entry sites (usually minor)","Pituitary hormone deficiency after sellar treatment"],"pain":"Radiation delivery is painless; discomfort mainly comes from local-anesthetic injection and frame pins, with mild headache afterwards.","preparation":["Recent MRI (and sometimes CT or angiography) for target definition","Multidisciplinary review of indication and dose plan","Review of medical history, implants and pregnancy status","Fasting or medication guidance per center protocol","Arrange an accompanying adult for the day of treatment"],"recovery_timeline":[{"phase":"Day of treatment","description":"Frame removal after beam delivery, observation for a short period, then discharge 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Trigeminal neuralgia relief may recur over years; metastases need ongoing surveillance for new lesions.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Repeat radiosurgery, surgery or other salvage treatment for local progression or incomplete response within several years."},"scars":"No incision; tiny temporary pin-site marks may occur with a head frame.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single-fraction frame-based radiosurgery; multi-fraction stereotactic radiotherapy is a separate protocol."},"stages":[{"code":"radiosurgery_session","label":"Frame or mask fixation, planning imaging, dose planning and radiation delivery in one day","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day as the first treatment visit."}}],"qualifier":"Follow-up imaging visits are not counted as treatment sessions."},"success":{"metric":"Local tumor control after radiosurgery","value":90,"unit":"percent","horizon":"1-5 years","population":"Adults with small brain metastases, schwannoma or meningioma treated with single-session radiosurgery","evidence_status":"limited"},"techniques":[{"name":"Gamma Knife (cobalt-60) frame-based radiosurgery","suits_whom":"Small to moderate intracranial targets, e.g., metastases, schwannoma, AVM, trigeminal neuralgia.","recovery":"Same-day discharge; light activity within days."},{"name":"Linear accelerator (LINAC)-based radiosurgery (e.g., CyberKnife, Novalis)","suits_whom":"Patients preferring frameless or mask fixation for intracranial targets.","recovery":"Outpatient with a short recovery; frameless setups avoid pin-site discomfort."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":2,"max":5,"unit":"hours","qualifier":"Whole treatment day for single-session frame-based radiosurgery: fixation, imaging, planning, delivery; beam time is shorter."},"initial_assessment_documents":["Brain MRI with contrast, DICOM files","Radiology reports of recent imaging","Biopsy or pathology report (if available)","Previous radiotherapy or radiosurgery records (if available)","Recent neurosurgery or oncology consultation letter"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-day outpatient treatment; stay 2-4 days including pre-treatment checks. 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