Bruce J. Gerbi

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PURPOSE To evaluate the efficacy of stereotactic radiotherapy (SRT) in patients with recurrent high-grade gliomas by comparing two different treatment regimens, single dose or fractionated radiotherapy. METHODS AND MATERIALS Between April 1991 and January 1998, 71 patients with recurrent high-grade gliomas were treated with SRT. Forty-six patients (65%)(More)
PURPOSE To evaluate the role of stereotactic radiosurgery in the management of recurrent malignant gliomas. PATIENTS AND METHODS We treated 35 patients with large (median treatment volume, 28 cm3) recurrent tumors that had failed to respond to conventional treatment. Twenty-six patients (74%) had glioblastomas multiforme (GBM) and nine (26%) had(More)
This document is the report of a task group of the Radiation Therapy Committee of the AAPM and has been prepared primarily to advise hospital physicists involved in external beam treatment of patients with pelvic malignancies who have high atomic number (Z) hip prostheses. The purpose of the report is to make the radiation oncology community aware of the(More)
A new plane-parallel ionization chamber has been designed by Attix to overcome the shortcoming of previous commercially available parallel-plate ionization chambers for dosimetry in high-energy photon and electron beams in radiation oncology. This investigation details the performance characteristics of this new, commercially available plane-parallel(More)
Accurate measurement of dose at the surface of a phantom and in the buildup region is a difficult task but one that is important for the proper treatment of patients. The instruments of choice for these measurements are extrapolation chambers but few institutions have these instruments at their disposal. As a result, fixed-separation plane-parallel(More)
OBJECT The authors sought to evaluate and improve the geometrical accuracy of a 3-tesla magnetic resonance (MR) imaging unit used for Gamma Knife surgery (GKS). METHODS To evaluate the geometrical accuracy of a Siemens Magnetom Trio 3-tesla MR imaging unit, two phantoms were used. Both phantoms were imaged with computed tomography (CT), a 1.5-tesla MR(More)
The polarity effect was investigated for three different commercially available plane-parallel ionization chambers: the Memorial Pipe chamber, the Victoreen/Nuclear Associates model 30-329 chamber manufactured by PTW, Frieburg, and the Capintec PS-033 thin-window ionization chamber. The primary study was the polarity effect versus depth below the phantom(More)
Although stereotactic radiosurgery has been studied extensively in adults, the data demonstrating its efficacy in children is limited. Medical records were reviewed to identify the indications for and outcomes of patients treated with this modality. Linear accelerator-based radiosurgery was used to treat 11 recurrent brain tumors and one posterior fossa(More)
The description of the quality of a photon beam has usually been characterized by a single value such as the half-value layer, the effective attenuation coefficient, the percent depth dose, and most recently by the ionization ratio (IR). Although the IR is simple and easy to measure, it lacks sensitivity at photon energies above 10 MV. This paper describes(More)