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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 clinician’s qualifications and the facility’s credentials","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check whether the facility maintains formal medical-record privacy and security policies","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"In some locations, tracking patient outcome data and maintaining formal medical record privacy or security policies are not standard practices.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C3","text":"Check how complications will be addressed with the treating healthcare professional","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should discuss the plan for addressing complications related to the treatment or procedure with both their U.S. healthcare professional and the healthcare professional performing the treatment or procedure outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C4","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The offer does not provide comprehensive details about the facility’s accreditation or the professional’s certification or qualifications","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Make patients aware that medical tourism websites marketing directly to travelers might not include (or make available) comprehensive details on the accreditations, certifications, or qualifications of advertised facilities or healthcare professionals.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"F2","text":"The facility or professional cannot explain how complications will be addressed","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should discuss the plan for addressing complications related to the treatment or procedure with both their U.S. healthcare professional and the healthcare professional performing the treatment or procedure outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Headache, nausea and vomiting from brain swelling","urgency":"contact_clinic","general":false,"source":{"url":"https://www.mayoclinic.org/tests-procedures/stereotactic-radiosurgery/about/pac-20384526","host":"mayoclinic.org","quote":"Swelling in the brain at or near the treatment site can cause signs and symptoms such as headache, nausea and vomiting.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W2","text":"Seizures after stereotactic radiosurgery","urgency":"emergency","general":false,"source":{"url":"https://www.mayoclinic.org/tests-procedures/brain-stereotactic-radiosurgery/about/pac-20384679","host":"mayoclinic.org","quote":"Rarely, seizures may occur due to temporary brain swelling or irritation.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W3","text":"Sudden difficulty breathing or chest pain","urgency":"emergency","general":true,"source":{"url":"https://www.nhs.uk/conditions/pulmonary-embolism/","host":"nhs.uk","quote":"difficulty breathing that comes on suddenly, chest pain that's worse when you breathe in","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"It records discharge medicines, reasons, doses, frequency, and intended duration","document":"medication list","source":{"url":"https://www.cdc.gov/nchs/data/icd/clinicaldocu_infosheet.pdf","host":"cdc.gov","quote":"Details of discharge medications, including reasons for prescribing or altering medications, frequency of dosage and proposed length of use.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","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}},{"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":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer traditional brain surgery over stereotactic radiosurgery","name":"Traditional brain surgery","source":{"url":"https://www.mayoclinic.org/tests-procedures/brain-stereotactic-radiosurgery/about/pac-20384679","host":"mayoclinic.org","quote":"An advantage of brain SRS over some other types of treatment, such as traditional brain surgery, is that recovery is short and major side effects are not common.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"frame-based-stereotactic-biopsy-or","name":"Frame-based stereotactic biopsy or drainage","how_it_works":{"text":"A needle collects tissue from a targeted brain area for examination","source":{"url":"https://www.mayoclinic.org/tests-procedures/brain-biopsy/about/pac-20596644","host":"mayoclinic.org","quote":"A stereotactic brain biopsy usually requires an overnight hospital stay.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"frameless-stereotactic-biopsy","name":"Frameless (image-guided) stereotactic 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