The path to radiosurgery begins with a diagnosis of a brain tumor or lesion.
When referred to the Cancer Center, the patient then sees the neurosurgeon for evaluation. Iif the patient qualifies for XKnife treatment, a radiation oncologist performs an evaluation.
An MRI (magnetic resonance imaging) scan may be necessary. It is usually done at North Shore a few days before treatment. Patients usually come to North Shore two or three days before radiosurgery for preoperative lab testing, pre-registration and to be fitted for a customized frame that will position their head during the procedure.
On the day of treatment, the patient checks in at the Cancer Center. The first step is a CT scan of the head. The patient then relaxes in the Cancer Center lounge while the XKnife team merges CT and MRI scans and plans radiosurgery. This process may take up to two hours. Patients may read, watch TV or videos, talk with family and friends or eat a light meal.
When treatment plans are compete, the patient then is escorted to the XKnife room for treatment, which usually lasts 30 to 90 minutes. The staff removes the head frame and observes the patient for a period of time before the patient leaves the hospital. Some patients may remain overnight to take medications.
The next day, the clinical nurse calls the patient and thoroughly checks on his or her condition before the patient is cleared to leave town. Patients will need to see physicians for routine checks after treatment, and some patients may need further external beam radiation therapy.
XKnife And Insurance
Insurance may cover the cost for properly selected patients and conditions. North Shore will do the insurance authorization work for patients referred for treatment. We offer payment options for patients without insurance coverage or patients from outside the U.S.