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A brain tumor requires timely diagnosis and serious treatment, in most cases surgical. Unfortunately, few clinics have the necessary equipment and experienced doctors for these procedures. Therefore, it is difficult to choose a good clinic for treatment. MediGlobus experts figured out where to go for a brain tumor treatment.
Brain tumors are the most effectively treated in: Israeli medical centers Sourasky (Ichilov) and Assuta, Solingen & Nurnberg Hospitals in Germany, Turkish Hospitals Memorial, Liv and Koc. Reason is that the leading neurosurgeons work in these clinics, for example, Professor Zvi Ram or Ralph Buhl, and the operating theaters posses high tech medical equipment.
Read in the article:
Treatment of a brain tumor in Israel
Treatment of a brain tumor in Germany
Treatment of a brain tumor in Turkey
TREATMENT OF BRAIN TUMORS IN ISRAEL
Medicine is developing rapidly in Israel. This country spends more than 8% of the total budget on its development. Therefore, the medical facilities have the top equipment and highly professional medical personals. Therapy provided here is of the highest quality, but expensive.
The average sum of therapy of a brain tumor in Israel:
- Brain surgery for malignant tumors – $ 35,000;
- Radiosurgical cure of tumors – $ 20,000;
- Operation of pituitary adenoma – $ 34,000.
The Neurosurgery unit at the Sourasky Medical Center(Ichilov) and Assuta Medical Center acquire special attention. These medical institutions are packed with modern equipment, which improves the quality of therapy and reduces the risks of operations.
MRI, CT, PET, radioisotope scanning, biopsy are used in the diagnosis. Other innovative methods such as three-dimensional visualization of the brain are also used here which helps to determine the brain activity with high accuracy and changes in the vascular system, where the tumor is located, showing its size and the presence of metastases.
Important feature of the cure of brain neoplasms in Ichilov and Assuta clinics is the use of minimally invasive methods. Surgeons try to avoid open brain surgery. About 97% of operations to remove pituitary tumors are carried out through the nasal cavity. This technique significantly reduces the risk of damage and complications.
The operating theaters are equipped with electronic neurosurgical microscopes and neuronavigators that allow them to follow the progress of the operation and safely change the position of the instruments. For the same purpose, an intraoperative MRI scan (iMRI) is used.
Reduce swelling of the brain and minimize the trauma of adjacent tissues with the use of “cyberknife“. During the procedure, X-ray beam is directed on to the abnormal tissue, while not affecting the healthy tissue.
Integrated approach is adapted in cases of brain tumor treatment. The medical team includes experienced radiologists, chemotherapists and oncologists working together to formulate the most optimal and effective treatment plan.
Neurosurgeons of the highest categories work in Israeli clinics:
- Prof. Zvi Ram, Head of the Neurosurgery Unit, expert in minimally invasive brain surgery (Ichilov).
- Dr. Itzhak Fried, one of the top neurosurgeons in the country. More than 3200 neurosurgical interventions were performed under his leadership, and over 980 brain tumors were removed(Ichilov).
- Dr. Shimon Maimon, Head of the Department of Minimally Invasive Neuroradiology Clinic Assuta.
- Prof. Shlomo Constantini, Head of the Pediatric Neurosurgery Department at Assuta Clinic.
- Dr. Dvora T. Blumenthal, Head of the Department of Neuro-Oncology, Assuta Clinic and others.
TREATMENT OF BRAIN TUMORS IN GERMANY
In Europe, Germany has achieved great success in the treatment of brain diseases. Doctors use in practice effective and modern methods of diagnosis and treatment.
It is noteworthy that the treatment approach is comprehensive. The team of specialists includes neurosurgeons, neurooncologists, neuroradiologists and other supporting doctors.
Special importance is given to diagnosis in hospitals as the final result of treatment depends on the correct diagnosis. Specialists use modern methods: MRI, CT, PET, angiography, electro- and echoencephalography, biopsy.
After determining the diagnosis, the tumor type, location and complexity, the optimal protocol is chosen – surgery, radiation therapy or chemotherapy.
The operating theaters are equipped with special surgical microscopes and neuronavigation devices, which help to operate instruments with great precision and significantly reduce trauma. Operations preferred are sparing and effective methods of intervention. For example, using the “Da Vinci” robot, the accuracy of manipulations on the brain is increased up to 1 mm. The operation is almost painless, and the recovery period after it is minimal.
The method of operation with the help of a laser beam has become very popular in Germany. This is especially true in pediatric neurosurgery. The method is considered to be of low-impact and safe. After surgery, patients quickly return to normal.
Special attention in the cure of brain tumors deserves the University Hospital Solingen. The Department of Neurosurgery here is represented by 8 highly qualified doctors who perform thousands of neurosurgical interventions all year round. About 80 patients with a diagnosis of a brain tumor attend a clinic for treatment.
Feedback from patients about the hospital is positive. Marked by the German accuracy and professionalism of doctors, quality equipment and services at the highest level.
The cost of treatment of brain tumors in Germany is high, but lower than in Israel and U.S. The approximate cost is € 20,000 – € 25,000.
TREATMENT OF BRAIN TUMOR IN TURKEY
Neurosurgery in Turkey is given one of the priority places. Thousands of patients come here every year to receive quality care. Such great confidence is due to the fact that Turkish clinics show high survival rate for patients with brain diseases (91% of successful operations). The most popular are Memorial Medical Center,Liv and Koç hospitals.
As a diagnostic method, functional magnetic resonance spectroscopy (an innovative non-invasive method for examining the brain), stereotactic biopsy, and 3D visualization are mostly in demand in Turkey. Significantly improved is the accuracy of diagnosis by using advanced equipment for studying the activity of the brain and nervous system: Electroencephalograph, SSVP and VEP systems, electroneuromyography, MRI, CT and others.
Based on the diagnostics results, a decision is made for further therapy. The departments of neurosurgery, neuroradiology and neuro oncology are involved in the cure of brain tumors.
Clinics are equipped with state of the art equipment that allows to treat brain tumors with the best results. It is necessary to highlight the following innovative methods of performing operations on the brain:
- The use of fluorescence intraoperative microscopy, which visualize the tumor during surgery because of these special microscopes. This technique allows to perform manipulations with the lowest risk of damage to the tissues adjacent to the tumor.
- During operations intraoperative x-ray system of the type “C-arc” is used to visualize the brain.
Neurosurgeons also use the CUSA method for operations. Pathological tissues are removed without damaging the healthy tissue through ultrasound. This eliminates bleeding and complications after surgery. - In the stereotaxic method, the borders of the tumor in the brain are indicated with the help of special electrodes, which increase the accuracy to 1 mm.
- In practice, radiosurgical methods are used to remove tumors (cyber or gamma knife).
Upon completion of treatment, patients undergo a rehabilitation course under the supervision of experienced physiotherapists and rehabilitologists.
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