TURKISH JOURNAL OF ONCOLOGY 2009 , Vol 24 , Num 4
A simple fixation and monitoring method for treating choroidal and orbital tumors using the CyberKnife® system
Ayhan KILIÇ, Nadir KÜÇÜK, Cemile CEYLAN, Hande BAŞ, Metin GÜDEN, Kayıhan ENGİN
Anadolu Sağlık Merkezi, Radyasyon Onkolojisi, Kocaeli OBJECTIVES
A simple fixation and monitoring system has been adapted to treat choroidal and orbital tumors using the CyberKnife® robotic radiosurgery system.

METHODS
We adapted and simplified a technique in our clinic to treat orbital tumor in two patients using the CyberKnife® robotic radiosurgery system. This system used computerized tomography and magnetic resonance scanning during the treatment. The system is based on the principle that the affected eye of the patient watches a fixed point. During the treatment, lens movement of the patient was monitored via a closed circuit television camera from the control room.

RESULTS
We treated two patients with right eye orbital tumors using this system. Treatment took 38 minutes per fraction. Both treatments were finished successfully without any problem.

CONCLUSION
This simple fixation and monitoring system in the treatment of choroidal and orbital tumors has shown that treatment is possible without an invasive application. Keywords : CyberKnife® radiosurgery; orbital tumors; fixation and monitoring system