NHS - Gamma Knife

Sheffield Centre History

Treating patients since 1985

The National Centre for Stereotactic Radiosurgery in Sheffield opened for patient treatment in 1985. The work for installation began quite some time before this in 1983. The pictures on the right side show the construction of the treatment suite which houses the unit. Members of the team thoroughly tested the machine in Geneva prior to the delivery to site in 1984.

Mr David Forster was responsible for the campaign to establish a Gamma Knife centre in Britain. He believed that there was a need for stereotactic radiosurgery delivered via the Gamma Knife after working for a number of years with the inventor of the Gamma Knife, Professor Lars Leksell.

The unit was funded by the Department of Health as a five year research project and commenced to treat patients in September 1985 treating only one patient per week.

The unit was the third to go into clinical use in the world and remained the only Gamma Knife in Britain until 1998 when a second was installed at The Cromwell Hospital in London.

From 1985 on, as experience and confidence grew, patient numbers increased to around three patients per week. Vascular malformations account for the majority of the early cases treated with benign tumours making up the remainder.

In 1990 the service was recognised by the Department of Health as a supra-regional speciality, once the efficacy of the treatment had been proven. In 1991 the radioactive cobalt sources in the unit were changed and, along with increases in staffing levels, the number of patients treated rose to two patients per day.

Construction of the treatment suite

Mr Andras Kemeny joined the team at this time making stereotactic radiosurgery using the Gamma Knife one of his specialities.

Early in 1992 a greater number of tumours began to be treated and the centre entered into a clinical trial for the treatment of ocular melanomas, in conjunction with Professor Ian Rennie, head of Ophthalmology at the Royal Hallamshire Hospital.

The trial started with the intent that only 10 patients would be treated, at the present time 246 of these rare tumours have been treated to date.

In 1993, with the introduction of Elekta's sophisticated planning software Leksell GammaPlan, and MRI (Magnetic Resonance Imaging), the production of treatment plans improved both in accuracy and conformality. The physics team have played an active role in the developments and testing of this software.

Along side Computer Aided Tomography (CT) and Angiography the introduction of MRI has vastly improved localisation methods for tumours and combined with angiography assists in the localisation of vascular abnormalities.

The planning system has constantly been upgraded and the centre currently is using the most up to date version of Leksell GammaPlan which allows for very accurate and complex planning methods.

The range of  indications treated by the Gamma Knife has increased see Indications Treated and has moved into the treatment of some functional disorders i.e.  Trigeminal Neuralgia and Epilepsy

  

 

 

 

 

 

 

 

 

 

Mr Matthias Radatz Consultant in Neurosurgery/ Stereotactic Radiosurgery

Present Clinical Director

 

In 1999 Mr Matthias Radatz was appointed as consultant neurosurgeon specialising in stereotactic radiosurgery.

He was appointed Consultant Neurosurgeon and became a Fellow of the Royal College of Surgeons in 1999. He has a  special interest in both Stereotactic Radiosurgery and Stereotactic Functional Neurosurgery, here at the Royal Hallamshire Hospital.

The National Centre for Stereotactic Radiosurgery in Sheffield runs a daily treatment service for the NHS Monday to Friday and also provides a service for private patients on Saturdays.

The Gamma Knife was replaced in 2000, and had a major upgrade in 2005.

Mr Matthias Radatz became Clinical Director in 2012, Taking the role when Mr Andras Kemeny retired

 

Mr Jeremy Rowe Consultant in Neurosurgery/Stereotactic Radiosurgery

 

Mr Jeremy Rowe was appointed as a consultant in neurosurgery/stereotactic radiosurgery in 2002.

Jeremy Rowe qualified in 1988 from Oxford University and subsequently worked both in Oxford and East Anglia becoming a fellow of the Royal College of Surgery of England in 1992.

 

Having completed his neurosurgical training, in 2001 he transferred to the Royal  Hallamshire Hospital, Sheffield specifically to gain clinical experience of and develop research interests in Gamma Knife stereotactic radiosurgery.   

He was appointed as a consultant in neurosurgery/stereotactic radiosurgery in 2002.

 

 

 

Mr John Yianni Consultant in Neurosurgery/Stereotactic Radiosurgery

 

John Yianni qualified in 1996 from University College London and subsequently undertook basic surgical training in Oxford, becoming a Member of the Royal College of Surgery of England in 1992.

Further to this he worked as a Clinical Research Fellow in Neurosurgery with interest in Stereotactic Functional Neurosurgery from 2001-2004, gaining experience in framed and frameless stereotaxy and functional neurosurgery. This was followed by an appointment as Specialist Neurosurgical trainee in Neurosurgery from 2004-2009. In 2008 he became a Fellow of the Royal College of Surgeons.

In 2009 he became a Fellow in Stereotactic Radiosurgery and Functional Neurosurgery until becoming a consultant in 2011. He was appointed Consultant Neurosurgeon with specialist interest in both Stereotactic Radiosurgery and Stereotactic Functional Neurosurgery, here at the Royal Hallamshire Hospital.

 

 

 

 

                                 

 

Mr Dev Bhattacharyya Consultant in Neurosurgery/ Stereotactic Radiosurgery

 

Mr Dev Bhattacharyya was appointed as a consultant in neurosurgery at the STH Royal Hallamshire Hospital here in June 2007 to 2014.

 

During this time he specialised in epilepsy surgery, with significant involvement in trigeminal neuralgia surgery.  

 

Before becoming a consultant, whilst a registrar attached to Consultants M Radatz, AA Kemeny and JG Rowe, he participitated in radiosurgery patient care for two years giving him significant exposure to radiosurgery.

Having gained a serious interest in and having gained much experience in dose planning on the Perfexion Model of Gamma Knife, he joined stereotactic radiosurgery team  in 2014