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Trigeminal neuralgia relief may recur over years; metastases need ongoing surveillance for new lesions.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Repeat radiosurgery, surgery or other salvage treatment for local progression or incomplete response within several years."},"scars":"No incision; tiny temporary pin-site marks may occur with a head frame.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single-fraction frame-based radiosurgery; multi-fraction stereotactic radiotherapy is a separate protocol."},"stages":[{"code":"radiosurgery_session","label":"Frame or mask fixation, planning imaging, dose planning and radiation delivery in one day","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day as the first treatment visit."}}],"qualifier":"Follow-up imaging visits are not counted as treatment sessions."},"success":{"metric":"Local tumor control after radiosurgery","value":90,"unit":"percent","horizon":"1-5 years","population":"Adults with small brain metastases, schwannoma or meningioma treated with single-session radiosurgery","evidence_status":"limited"},"techniques":[{"name":"Gamma Knife (cobalt-60) frame-based radiosurgery","suits_whom":"Small to moderate intracranial targets, e.g., metastases, schwannoma, AVM, trigeminal neuralgia.","recovery":"Same-day discharge; light activity within days."},{"name":"Linear accelerator (LINAC)-based radiosurgery (e.g., CyberKnife, Novalis)","suits_whom":"Patients preferring frameless or mask fixation for intracranial targets.","recovery":"Outpatient with a short recovery; frameless setups avoid pin-site discomfort."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":2,"max":5,"unit":"hours","qualifier":"Whole treatment day for single-session frame-based radiosurgery: fixation, imaging, planning, delivery; beam time is shorter."},"initial_assessment_documents":["Brain MRI with contrast, DICOM files","Radiology reports of recent imaging","Biopsy or pathology report (if available)","Previous radiotherapy or radiosurgery records (if available)","Recent neurosurgery or oncology consultation letter"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-day outpatient treatment; stay 2-4 days including pre-treatment checks. Follow-up MRI at 3-6 months is usually done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","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":"C2","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}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","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}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably 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 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