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Arteriovenous Malformation

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Intracranial and Spinal Radiotherapy

Part of the book series: Practical Guides in Radiation Oncology ((PGRO))

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Abstract

The goal of cerebral arteriovenous malformation (AVM) stereotactic radiosurgery (SRS) is nidus obliteration to eliminate the risk of intracranial hemorrhage. AVM SRS is typically performed in a single fraction using a stereotactic head frame for patient immobilization. Dose planning is based on a combination of stereotactic angiography and magnetic resonance imaging. The prescription dose should cover the entire nidus, but does not need to include the feeding arteries or draining veins. Dose prescription ranges from 20–25 Gy for small-volume AVM (<4 cm3) to 15–16 Gy for large volume AVM (10–14 cm3). Volume-staged SRS can be safely performed for AVM (>14 cm3) that previously were considered too large for SRS.

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Authors and Affiliations

  1. Departments of Neurological Surgery and Radiation Oncology, Mayo Clinic College of Medicine and Science, Rochester, MN, USA

    Bruce E. Pollock

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  1. Bruce E. Pollock
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Correspondence to Bruce E. Pollock .

Editor information

Editors and Affiliations

  1. Department of Radiation Oncology, University of Washington, Seattle, WA, USA

    Lia M. Halasz

  2. Department of Radiation Oncology, University of Washington, Seattle, WA, USA

    Simon S. Lo

  3. Department of Radiation Oncology, University of Southern California, Los Angeles, CA, USA

    Eric L. Chang

  4. Department of Radiation Oncology, Sunnybrook Health Science Centre University of Toronto, Toronto, ON, Canada

    Arjun Sahgal

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Pollock, B.E. (2021). Arteriovenous Malformation. In: Halasz, L.M., Lo, S.S., Chang, E.L., Sahgal, A. (eds) Intracranial and Spinal Radiotherapy . Practical Guides in Radiation Oncology. Springer, Cham. https://doi.org/10.1007/978-3-030-64508-3_1

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  • DOI: https://doi.org/10.1007/978-3-030-64508-3_1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-64507-6

  • Online ISBN: 978-3-030-64508-3

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