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Note 2 - Accounting Policies (Details Textual)
12 Months Ended
Jun. 12, 2020
USD ($)
Dec. 31, 2024
USD ($)
shares
Dec. 31, 2023
USD ($)
shares
May 07, 2024
Jan. 01, 2024
USD ($)
Jan. 01, 2023
USD ($)
Dec. 31, 2022
USD ($)
Advertising Expense   $ 98,000 $ 165,000        
Property, Plant, and Equipment, Salvage Value   0          
Property, Plant, and Equipment and Finance Lease Right-of-Use Asset, after Accumulated Depreciation and Amortization   72,854,000          
Gain (Loss) on Sale of Assets and Asset Impairment Charges   (3,084,000) (940,000)        
Asset Impairment Charges   3,084,000 $ 940,000        
Lessee, Operating Lease, Term of Contract (Year)     10 years        
Asset Retirement Obligation   $ 1,200,000 $ 650,000       $ 360,000
Weighted Average Number of Shares Outstanding, Basic, Total (in shares) | shares   6,497,000 6,358,000        
Number of Reportable Segments   2 2        
Goodwill and Intangible Asset Impairment   $ 0 $ 0        
Gamma Knife Center Ecuador S.A. (GKCE) [Member]              
Goodwill, Acquired During Period $ 1,265,000            
Gamma Knife Center Ecuador S.A. (GKCE) [Member] | Trade Names [Member]              
Indefinite-lived Intangible Assets Acquired $ 78,000            
Restricted Stock Units (RSUs) [Member]              
Weighted Average Number of Shares Outstanding, Basic, Total (in shares) | shares   123,000 123,000        
Share-Based Payment Arrangement, Option [Member]              
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount (in shares) | shares   0 144,000        
GKCE [Member]              
Revenue from Contract with Customer, Including Assessed Tax   $ 12,556,000 $ 3,553,000        
Accounts Receivable, after Allowance for Credit Loss   $ 11,229,000 1,626,000   $ 1,626,000 $ 1,118,000  
Gamma Knife Units [Member]              
Number of Customer with Intent to Terminate Contract   2          
Asset Retirement Obligation   $ 1,200,000          
Other Gamma Knife Units [Member]              
Asset Retirement Obligation   0          
RI Companies [Member]              
Business Acquisition, Percentage of Voting Interests Acquired       60.00%      
Rental Income from Medical Services [Member]              
Revenue from Contract with Customer, Including Assessed Tax   15,629,000 17,772,000        
PBRT Services [Member]              
Revenue from Contract with Customer, Including Assessed Tax   $ 9,952,000 $ 10,133,000        
Revenue Sharing Arrangements [Member]              
Percentage of Revenues   70.00% 67.00%        
Equipment Sales [Member]              
Revenue from Contract with Customer, Including Assessed Tax   $ 155,000 $ 200,000        
Minimum [Member]              
Property, Plant, and Equipment, Salvage Value     140,000        
Minimum [Member] | RI Companies [Member]              
Business Combination, Net Payment Terms (Year)       30 years      
Maximum [Member]              
Property, Plant, and Equipment, Salvage Value     300,000        
Maximum [Member] | RI Companies [Member]              
Business Combination, Net Payment Terms (Year)       60 years      
Office Equipment [Member] | Minimum [Member]              
Property, Plant and Equipment, Useful Life (Year)   3 years          
Office Equipment [Member] | Maximum [Member]              
Property, Plant and Equipment, Useful Life (Year)   10 years          
Building [Member]              
Property, Plant and Equipment, Useful Life (Year)   20 years          
Proton Beam Radiation Therapy PBRT [Member]              
Property, Plant and Equipment, Useful Life (Year)   20 years          
Gamma Knife And Radiation Therapy Equipment [Member]              
Property, Plant, and Equipment and Finance Lease Right-of-Use Asset, after Accumulated Depreciation and Amortization   $ 54,266,000 70,635,000        
Property, Plant, and Equipment and Finance Lease Right-of-Use Asset, Accumulated Depreciation and Amortization   $ 37,002,000 51,976,000        
Gamma Knife Units [Member]              
Asset Retirement Obligation Impairment     450,000        
Tangible Asset Impairment Charges     2,634,000        
Other Gamma Knife Units [Member]              
Asset Retirement Obligation Impairment     290,000        
Asset Impairment Charges     $ 650,000        
Customer Concentration Risk [Member] | Revenue Benchmark [Member]              
Number of Locations   17 15        
Number of Major Customers   2 1        
Customer Concentration Risk [Member] | Revenue Benchmark [Member] | One Customer [Member]              
Concentration Risk, Percentage   35.00% 48.00%        
Customer Concentration Risk [Member] | Revenue Benchmark [Member] | Customer Two [Member]              
Concentration Risk, Percentage   27.00%          
Customer Concentration Risk [Member] | Accounts Receivable [Member]              
Number of Locations   1 2        
Customer Concentration Risk [Member] | Accounts Receivable [Member] | Location One [Member]              
Concentration Risk, Percentage   32.00% 30.00%        
Customer Concentration Risk [Member] | Accounts Receivable [Member] | Location Two [Member]              
Concentration Risk, Percentage     31.00%