The Nebraska Gamma Knife® Center
The most technologically advanced treatment center for brain radiosurgery is located at Bryan West Campus. Gamma Knife® Radiosurgery is a noninvasive procedure that uses focused beams of radiation to treat lesions in the brain without open surgery. This highly successful and safe procedure is used to treat brain tumors, vein malformations and other disorders of the brain.
Because the Gamma Knife® does not require an incision, patients recover more rapidly and have shorter hospital stays - often returning to normal activities in two to four days. In addition, risks associated with surgery and anesthesia are eliminated. Your doctor will tell you if Gamma Knife® treatment is right for you.
The Gamma Knife® is used to treat:
- Brain Tumors
- Metastatic tumors
- Malignant gliomas
- Other primary malignant brain tumors
- Acoustic neuromas
- Pituitary adenomas
- Other cranial nerve schwannomas
- Arteriovenus malformations (AVMs)
- Carvenous malformations
- Movement disorders
- Parkinson's disease
Contact the Nebraska Gamma Knife® Center:
2300 So. 16th St.
Lincoln, NE 68502-3704
The new Medtronic PoleStar iMRI navigation system seamlessly integrates low-field, intraoperative MRI with computer-guided navigation for confirming brain tumor resection (removal). Having the iMRI right in the surgery suite allows the neurosurgery team to take and see real-time, 3-D images before, during and after surgery without ever leaving the operating room. Neurosurgeons use these images to plan the best approach to the tumor and achieve the desired resection while avoiding damage to healthy tissue. The system adjusts for inherent brain shift and by doing so, helps to eliminate complications that traditionally can arise during resection procedures. When the operation is complete, surgeons can verify that they've removed the entire tumor.
This means less invasive surgeries, faster recovery times, improved outcomes and a less likely return to surgery.
Doctors at Bryan Health use this new device approved by the U.S. Food and Drug Administration to remove blood clots from patients experiencing an ischemic stroke. The device is led into the brain via the groin using basic catheterization techniques. When it reaches the targeted area, the Merci Retriever restores blood flow by capturing and removing the blood clot.
Surgeons at Bryan Health are specially trained in a procedure called awake craniotomy. This is similar to a standard craniotomy (brain tumor surgery), except that patients are fully awake during part of the procedure. In surgery, once the brain is accessible, the general anesthetic level is reduced, and the patient returns to consciousness, able to talk as normal, although head movement is restricted. With the patient awake, surgeons can better target the tumor and avoid harming areas that are not affected. The awake part of the surgery generally lasts between 10 and 40 minutes; patients feel no pain.
Stereotactic Radiation Therapy (SRT)
After a brain tumor is surgically removed, doctors need to ensure that they have removed every tumor cell possible. Post-surgery radiation treatments are used to destroy microscopic cells or any part of the tumor that was not accessible through surgery. Traditionally, radiation has been delivered to the whole brain - both to the tumor area and to normal tissue. This technology allows doctors to be precise in where the radiation is focused.
Continuous Video EEG
The Gogela Neuroscience Institute at Bryan Medical Center, with the guidance of neurologist Matthew Kniss, MD, has initiated a program called Continuous Video EEG. By using continuous brain wave monitoring and video recording to study brain waves and patient movements between and during seizures, the specialists are able to more accurately identify the type and severity of the seizure and determine how to best treat it.
This inpatient procedure, usually offered at large teaching institutions, is now offered at Bryan West Campus. Patients are typically in the hospital for three to five days.
Large Bore MAGNETOM Verio 3T MRI
The large bore design accommodates different size patients - and helps reduce anxiety and claustrophobia. The bore is 70cm wide and will accommodate patients up to 550 pounds. Exclusive TimTM (Total imaging matrix) technology helps to make exams faster. The 3 tesla high field strength magnet provides extraordinary images so your doctor can have greater diagnostic confidence.
For more information on any of these tests and procedures, please contact the Gogela Neuroscience Institute at (402) 481-5942.