Please provide your contact information and site details below.

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* 1. Contact Information

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* 2. Which devices are used at your center for cranial SRS treatment?

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* 3. Which treatment planning systems are used by your center for planning cranial SRS cases?

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* 4. Which treatment techniques are employed by your center when planning cranial SRS cases?

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* 5. What is the number of unique patients receiving cranial SRS treatments in the past year? Please specify the number of new patients versus re-treatments for these CPT codes: Neurosurgery 61781, 61782, 61796, 61797, 61798, 61799, 61800 and Radiation Oncology 77432, 77371, 77372, 77432.

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* 6. Indicate which personnel are available at your site:

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* 7. Which assessment tools (scales) are routinely used at your site as part of the regular standard of care, either before or after SRS treatments?

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* 8. Indicate which imaging studies are routinely performed at your site on SRS patients.

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* 9. Are patients primarily seen for follow-up at your location or at affiliated institutions?

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* 10. What percentage of cranial SRS patients are seen for follow-up exams at your location/institution?

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* 11. If patients are not seen at your location, do you have access to follow-up records and imaging from follow-ups at other locations/institutions?

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* 12. Does your facility currently maintain a database of SRS patients and/or outcomes measures?

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* 13. Successful registry participation includes the ability to collect additional data, sometimes beyond current practices, which may include the following. Please check the types of data to which you have, or can establish, access.

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* 14. Which challenges, if any, do you foresee for participation by your site?

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* 15. Please indicate the type of contracting entity that would be entering into an agreement with the NPA and Brainlab.

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* 16. Does your center currently participate in SRS quality certification programs, such as the Novalis program, or other certification or accreditation programs?

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* 17. Is your center interested in SRS quality certification programs?

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* 18. What are some of your goals for registry participation?

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