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Radiosurgery is painless apart from frame placement.","preparation":["Neurosurgical assessment and planning with MRI and/or CT imaging.","Bleeding-risk, medicine and fitness review with surgical team instructions.","Fasting and arrangements according to the anaesthesia plan."],"recovery_timeline":[{"phase":"First 24 hours","description":"Observation with neurological checks and CT to exclude bleeding. Mild headache and pin-site soreness are managed with analgesia.","restrictions":["Bed rest initially","No driving","Avoid blood thinners unless advised"]},{"phase":"Days 2-14","description":"Discharge and return home; wound care and gradual return to light daily activity. Sutures removed around day 7-14; desk work possible from about day 7-14.","restrictions":["Keep wound dry","No heavy lifting","No driving until cleared"]},{"phase":"Weeks 2-4","description":"Return to normal routine once wound is healed; pathology guides further treatment.","restrictions":["Avoid strenuous or contact sport until cleared"]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Return to ordinary daily activity; depends on underlying lesion and any neurological deficit."},"result_longevity":"The tissue diagnosis is permanent; long-term outcome depends on the underlying lesion and subsequent treatment.","revision_rate_pct":{"min":3,"max":8,"unit":"percent","qualifier":"Repeat biopsy for non-diagnostic sampling or early reoperation for haemorrhage or infection."},"scars":"Frame and radiosurgery leave small pin marks. Biopsy needs a small incision or burr hole; DBS needs hidden scalp incisions plus a chest incision.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single biopsy procedure; repeat only if sample is non-diagnostic."},"stages":[{"code":"planning_imaging","label":"Frame placement and planning imaging","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day as biopsy."}},{"code":"biopsy","label":"Stereotactic biopsy sampling","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day after planning."}},{"code":"post_procedure_ct","label":"Post-procedure CT and observation","after":{"min":0,"max":1,"unit":"days","qualifier":"Immediately and next morning."}}],"qualifier":"Frame-based biopsy completed in one procedure day."},"success":{"metric":"Diagnostic yield of frame-based stereotactic brain biopsy","value":92,"unit":"percent of patients with conclusive diagnosis","horizon":"Pathology result within 1-2 weeks","population":"Adults with deep or eloquent brain lesions needing tissue diagnosis","evidence_status":"proven"},"techniques":[{"name":"Frame-based stereotactic biopsy or drainage","suits_whom":"Adults with deep or small lesions needing tissue diagnosis or abscess/cyst aspiration.","recovery":"Often a short hospital stay with observation after the procedure; varies with the condition."},{"name":"Frameless (image-guided) stereotactic biopsy","suits_whom":"Selected patients with accessible lesions where neuronavigation accuracy is adequate.","recovery":"Similar to frame-based biopsy."},{"name":"Stereotactic deep brain stimulation or lesioning","suits_whom":"Selected patients with medication-refractory movement disorders or other approved indications.","recovery":"Staged care with programming over following weeks to months; varies."},{"name":"Stereotactic radiosurgery","suits_whom":"Selected patients with small or deep tumours, metastases, vascular malformations or functional targets.","recovery":"Generally non-invasive and usually same-day; effects develop over weeks to years."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Includes frame placement, imaging, planning and sampling; longer with multiple targets."},"initial_assessment_documents":["Brain MRI with contrast, DICOM files","Head CT scan, DICOM files","Neurologist or neurosurgeon report","Biopsy or pathology report (if available)","List of blood thinners"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Biopsy or radiosurgery is usually single-visit, stay 2-5 days; deep brain stimulation adds a return trip for programming."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the 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treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask for a written contract from the clinic or hospital","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"A written contract from the clinic or hospital should be provided.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Confirm who will treat you and what facilities are available","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/going-abroad-for-medical-treatment/","host":"nhs.uk","quote":"whether you know enough about the people who'll treat you and the facilities available","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to make a quick decision about treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Medical advice comes from a sales team member instead of the clinician","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Medical advice from an administrator, a travel agent, or member of a sales team is not acceptable.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"No written contract from the clinic or hospital is offered","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"A written contract from the clinic or hospital should be provided.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"The professional performing the procedure is unavailable for a consultation before 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[4].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Home clinicians may need discharge information for continuing care","document":"discharge documents","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/apply-for-a-free-uk-global-health-insurance-card-ghic/","host":"nhs.uk","quote":"receipts or invoices relating to treatment confirmation that the treatment was state-provided confirmation of payments made to healthcare institutions documents relating to insurance cover if your insurer paid for treatment discharge documents","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"technique_details":{"status":"ok","items":[{"id":"frame-based-stereotactic","name":"Frame-based stereotactic biopsy or drainage","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"frameless-stereotactic","name":"Frameless (image-guided) stereotactic biopsy","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"stereotactic-deep-brain","name":"Stereotactic deep brain stimulation or 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