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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 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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 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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 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