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vestibular schwannoma or pituitary adenoma","evidence_status":"limited"},"techniques":[{"name":"Gamma Knife","suits_whom":"Small to medium intracranial tumors needing very high precision.","recovery":"Same-day discharge; return to light activity in 1-3 days."},{"name":"CyberKnife","suits_whom":"Frame-free treatment, including larger lesions and tumors near sensitive structures.","recovery":"Outpatient; return to light activity in 1-3 days."},{"name":"Linear accelerator (LINAC) radiosurgery","suits_whom":"Wide range of tumors with mask-based immobilization.","recovery":"Outpatient; return to light activity in 1-3 days."}],"treatment_conditions":["day_case","outpatient"],"treatment_duration_hours":{"min":2,"max":6,"unit":"hours","qualifier":"Planning and delivery combined; radiation delivery itself is 20-90 minutes."},"initial_assessment_documents":["Brain MRI images (DICOM) with contrast","Brain MRI report","Biopsy or surgical pathology report (if available)","Previous radiation 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is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-14","next_check_at":"2027-02-12"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the drug list it contains to continue medicines","document":"discharge summary","source":{"url":"https://www.cuh.nhs.uk/patient-information/living-with-a-brain-tumour-discharge-advicefollow-up/","host":"cuh.nhs.uk","quote":"Please ensure you are given a copy of your discharge summary as this contains information about all the drugs you need to 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growths.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":1587},{"id":"A2","text":"Gamma Knife and traditional brain surgery are not options for you","name":"Whole brain radiation therapy","source":{"url":"https://my.clevelandclinic.org/services/metastatic-brain-tumor-treatment","host":"my.clevelandclinic.org","quote":"If Gamma Knife surgery or traditional brain surgery isn’t an option, your specialist might recommend whole brain radiation therapy.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null},{"id":"A3","text":"Your meningioma has recurred after multiple rounds of radiosurgery","name":"Brachytherapy","source":{"url":"https://my.clevelandclinic.org/departments/neurological/depts/brain-tumor-neuro-oncology","host":"my.clevelandclinic.org","quote":"You’re most likely to benefit from this treatment option if you have recurrent meningiomas and have already undergone multiple rounds of radiosurgery, or if you 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