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To demonstrate that Gamma Knife stereotactic radiotherapy with on-board imaging can be safely utilized for pregnant patients using techniques and resources accessible to medical physicists in non-academic clinical settings.

To quantify the impact of lead aprons on reducing out-of-field fetal dose during external beam photon intracranial treatments.

To report clinical experience in commissioning Valencia surface applicators by applying published guidance and using fully film-based methods to assess source positioning, flatness/symmetry, depth dose, and output verification.