Collaborative Approaches for Challenging CNS Cases: Neurosurgeons and Radiation Oncologists in Practice
This joint session was developed between the American Society for Radiation Oncology (ASTRO) and the American Association of Neurological Surgeons (AANS). While cancer care has evolved into multi-disciplinary teams from a wide array of medical fields, at the foundation of central nervous system tumor treatment remains the dynamic relationship between radiation oncologists and neurosurgeons. This educational activity provides a discussion of common yet complex CNS cases pertinent to the radiation oncology daily practice with perspective from both neurosurgeons and radiation oncologists. The clinical and radiographic details of patients with recurrent meningioma, brain metastases, and spinal metastases are presented and discussed with respect to initial diagnoses/workup, management, and outcomes, integrating the viewpoints of neurosurgeons and radiation oncologists engaged in collaborative practices.
- Brain Metastases: Management of Radiation Necrosis vs. Progression Following Prior SRS
Tim Harris, MD, PhD
- Recurrent Meningioma
Christopher Paul Cifarelli, MD, PhD, MMM and Daniel M. Trifiletti, MD
- Collaborative Approaches for Challenging CNS Cases Focusing on Spine SBRT
Lilyana Angelov, MD
- Building a Multi-Disciplinary Spine Oncology Program
Daniel E. Spratt, MD
This activity is available from June 27, 2023, through 11:59 p.m. Eastern time on June 26, 2025.
This activity was originally recorded at the 2022 ASTRO Annual Meeting.
The activity is designed to meet the interests of radiation oncologists, medical oncologists, surgeons, physicists, nurses, diagnostic radiologists, pathologists, radiation therapists and radiation dosimetrists.
Upon completion of this activity, participants should be able to:
- Recognize the added value of multi-disciplinary approaches to provide CNS patient specific care.
- Describe combined neurosurgical and radiation oncology approaches to CNS tumors.
- Identify opportunities for improvement in care delivery via a collaborative treatment approach.
Christopher Paul Cifarelli, MD, PhD, MMM, is employed by the West Virginia University Hospital Cancer Institute. Dr. Cifarelli serves on the Board of Directors for the TARGIT Collaborative Group.
Tim Harris, MD, PhD, is employed by Virginia Commonwealth University.
Daniel M. Trifiletti, MD, is employed by the Mayo Clinic, Jacksonville.
Lilyana Angelov, MD, is employed by the Rose Ella Burkhardt Brain Tumor & Neuro-oncology Center, Neurological Institute, Cleveland Clinic.
Daniel E. Spratt, MD, is employed by the University Hospitals Seidman Cancer Center and Case Western Reserve University.
The person(s) above served as the developer(s) of this activity. Additionally, the Education Committee had control over the content of this activity. All relevant relationships have been mitigated.
The American Society for Radiation Oncology (ASTRO) is accredited by the Accreditation Council of Continuing Medical Education to provide continuing education to physicians.
ASTRO is awarded Deemed Status by the American Board of Radiology to provide SA-CME as part of Part II Maintenance of Certification.
- 1.25 AMA PRA Category 1 Credit™The American Society for Radiation Oncology (ASTRO) is accredited by the Accreditation Council for Continuing Medical Education for physicians. ASTRO designates this for a maximum of 1.25 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 1.25 Certificate of AttendanceThis activity was designated for 1.25 AMA PRA Category 1 Credit™.
ASTRO members must log in to the ASTRO website to view and receive the member rate.
International Member-in-training: $49
Student/Grad Student/PGY: $49
Postdoctoral Fellow: $49
No refunds, extensions, or substitutions will be made for those participants who, for any reason, have not completed the course by the end of the qualification date. The qualification date for each course is listed in the course catalog on the ASTRO website under availability.
Participants using ASTRO's online courses to satisfy the requirement of a Maintenance of Certification (MOC) program should verify the number, type and availability dates of any course before making a purchase. No refunds, extensions, or substitutions will be made for participants who have purchased courses that do not align with their MOC requirement.
The course and its materials will only be available on the ASTRO website until June 26, 2025, regardless of purchase date. At the expiration of the qualification, participants will no longer have access to the course or its materials. ASTRO reserves the right to remove a course before the end of its qualification period.
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