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Note 6 - Leases (Details Textual)
1 Months Ended 12 Months Ended
Nov. 03, 2021
USD ($)
ft²
Dec. 01, 2021
USD ($)
Dec. 31, 2022
USD ($)
ft²
Dec. 31, 2021
USD ($)
Operating Lease, Right-of-Use Asset     $ 317,000 $ 654,000
Operating Lease, Liability, Total     351,000 351,000
Operating Lease, Expense     $ 290,000 377,000
Condominium Space for Gamma Knife Facility in Guayaquil, Ecuador [Member]        
Area of Real Estate Property (Square Foot) | ft²     864  
Land and Parking Spaces for Gamma Knife Facility in Guayaquil, Ecuador [Member]        
Area of Real Estate Property (Square Foot) | ft²     10,135  
Minimum [Member]        
Lessee, Operating Lease, Discount Rate     4.00%  
Lessee, Operating Lease, Remaining Lease Term (Year)     1 year  
Maximum [Member]        
Lessee, Operating Lease, Discount Rate     6.00%  
Lessee, Operating Lease, Remaining Lease Term (Year)     2 years  
Sublease Office in San Francisco, California [Member]        
Area of Real Estate Property (Square Foot) | ft² 3,253   3,253  
Operating Lease, Monthly Expense $ 22,011   $ 22,011  
Lessee, Operating Sublease, Monthly Income $ 16,195   $ 16,195  
Operating Lease, Impairment Loss   $ 77,000    
Lease Agreement for New Corporate Office [Member]        
Area of Real Estate Property (Square Foot) | ft² 900      
Operating Lease, Monthly Expense $ 4,500      
Operating Lease, Right-of-Use Asset   $ 151,000    
Corporate Office in San Francisco [Member]        
Area of Real Estate Property (Square Foot) | ft²     900  
Operating Lease, Monthly Expense     $ 4,500  
Stand-alone Facility in Lima, Peru [Member]        
Area of Real Estate Property (Square Foot) | ft²     1,600  
Operating Lease, Monthly Expense     $ 8,850  
Operating Lease, Impairment Loss       $ 77,000