A small tabletop stationary five-degree of freedom device such as a
"robot" is used to define the treatment region by tracing the region
under direct visualization and then to precisely deliver the treatment
plan created by an automatic planning system by positioning a single low
energy radiation source, or a plurality of low energy sources connected
to each other in a predetermined parallel or similar geometry, each
source equipped with blocking and attenuation mechanisms, at a plurality
of positions in a planar fashion across or through a selected treatment
field, thereby delivering a plurality of parallel overlapping beams
indexed on a millimeter or submillimeter grid such that a concentration
of dose is achieved at a variable depth in tissue relative to the dose
where the radiation first enters the tissue and can be used to treat
regions on or below the surface of tissue, in a cavity and underlying
region created following a surgical resection, on or below the surface of
an internal cavity, hollow viscus, or lumen, or deep in tissue adjacent
to an inserted probe or conduit or catheter. By generating a plurality of
overlapping beams indexed on a millimeter or submillimeter grid that
converge on a target volume loaded with gold nanoparticles, a tumorcidal
dose of radiation can be delivered in as little as a single session to
tumor cells but not to normal cells within or outside the treatment
volume. This approach also makes it possible to deliver serial
radiosurgical treatments.