An Evidence-Driven Guide to Thinking Through Radiation and Surgery for Brain Metastasis-AM2018
Improving systemic therapies for metastatic disease have led to an increasing incidence of brain metastasis for patients with solid malignancies. Patients diagnosed with brain metastasis, meanwhile, are benefiting from a rapidly proliferating body of CNS-directed research that, appropriately applied, can lead to improved survival and quality of life. In selected cases of brain metastasis, radiosurgery and hypofractionated stereotactic radiotherapy (SRT) may be used either in lieu of, or in combination with invasive neurosurgery. The appropriate selection of therapy, and in the case of combined therapy, the sequencing - neoadjuvant versus adjuvant radiosurgery - should be predicated upon the risk/benefit ratio of each to the individual. This requires familiarity with novel contemporary observations culled from a large body of recent literature. This session is designed to familiarize the audience with the key considerations necessary to individualize decision-making and to equip them with the necessary skills for competent treatment of patients eligible for neurosurgery and/or radiosurgery for brain metastasis. A case-based approach will be used to contextualize novel concepts and facilitate learning.
This activity is available from January 17, 2019, through 11:59 p.m. Eastern time on January 16, 2022.
This activity was originally recorded at ASTRO’s 2018 Annual Meeting, October 22-24, 2018 in San Antonio, TX.
The meeting is designed to meet the interests of radiation oncologists, medical oncologists, radiation oncologists, radiation physicists, diagnostic radiologists, radiation therapists, radiation dosimetrists, and residents.
- Apply optimal sequencing of dual modality therapy for a given case scenario of brain metastasis.
- Describe optimal treatment planning techniques for patients with intact, pre-operative and post-operative brain metastasis.
- Compare and contrast risks and benefits of radiosurgery versus neurosurgery versus combined therapy for brain metastasis.
Kathryn Beal, MD is employed by Memorial Sloan Kettering Cancer Center and receives compensation/remuneration/funding from Research Grants and MMT.
Lawrence Kleinberg, MD is employed by Johns Hopkins University and receives compensation/remuneration/funding from Accuray, Arbor Pharmaceuticals, and Novocure.
Erin Murphy, MD has nothing to disclose.
Stephen Shiao, MD, PhD is employed by Cedars-Sinai Medical Center, receives compensation/remuneration/funding from DoD, NCI, and UCLA CTSI and holds leadership positions in NCI Immunomodulation, Radiation Working Group, NRG Oncology, and CNS Group.
Scott Soltys, MD is employed by Stanford University and receives compensation/remuneration/funding from Inovio Pharmaceuticals, Inc.
Stephanie Weiss, MD, FASTRO is employed by Fox Chase Cancer Center and holds leadership positions in ACRO and RSNA.
Additionally, the SA-CME Task Force and CME/MOC Committee had control over the content of this activity.
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.
- 1.50 SA-CME
The American Society for Radiation Oncology (ASTRO) is accredited by the Accreditation Council of Continuing Medical Education to provide continuing medical education for physicians.
The American Society for Radiation Oncology (ASTRO) designates this Enduring material for a maximum of 1.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity meets the American Board of Radiology's criteria for a self-assessment activity in the ABR's Maintenance of Certification program. Participation in this course in combination with the successful completion of the corresponding assessment and course evaluation adheres to the guidelines established by the ABR for 1.50 self-assessment credits.
- 1.50 Certificate of AttendanceThis activity was designated for 1.50 AMA PRA Category 1 Credit™.
- No refunds, extensions or substitutions will be made for those registrants who, for any reason, were unable to attend or were tardy for the session.
- No credits will be granted and no refunds, exchanges or transfers will be given to those who do not pass.
- ASTRO staff cannot make modifications to your submitted materials.
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