Challenging Cases in Palliative Care

With this activity, ASTRO continues its series of challenging case panel sessions related to palliative radiotherapy for patients with advanced cancer. This activity focuses on the use of whole/near-whole liver radiotherapy for diffuse primary and secondary liver disease, and the use of a variety of radiotherapy treatments for leptomeningeal disease. Common practice patterns for these challenging scenarios are discussed along with available treatment options and strategies for implementing them into practice. The unique challenges associated with treating geriatric patients with advanced cancer are also discussed. 

Topics:

  1. Whole/Near-Whole Liver Radiotherapy for Diffuse Primary and Secondary Liver Disease
    Said Al Saifi, MD
  2. Management Options for Leptomeningeal Disease
    Subha Perni, MD
  3. The Challenges of Managing Geriatric Patients with Advanced Cancer
    Kavita V. Dharmarajan, MD, MSc. 
  4. Q and A

This activity is available from January 9, 2024, through 11:59 p.m. Eastern time on January 8, 2026. 

This activity was originally recorded at the 2023 ASTRO Annual Meeting.

Target Audience

The activity is designed to meet the interests of medical oncologists, radiation oncologists, surgeons, physicists, nurses, radiation therapists, radiation dosimetrists, residents, and palliative medicine specialists. 

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Prescribe whole/near-whole liver radiotherapy for patients with diffuse primary and secondary liver disease.
  • Understand the nuanced decision-making processes underlying the treatment of leptomeningeal disease. 
  • Be more confident creating treatment plans for geriatric patients with advanced cancer.  
Course summary
Available credit: 
  • 1.00 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 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • 1.00 Certificate of Attendance
    This activity was designated for 1.00 AMA PRA Category 1 Credit™.
Course opens: 
01/09/2024
Course expires: 
01/08/2026
Cost:
$0.00
Rating: 
0
  • Kavita Vyas Dharmarajan, MD, MS, is employed by Icahn School of Medicine at Mount Sinai. Dr. Dharmarajan receives research funding from the NIH.    
  • Said Al Saifi, MD, is employed by The Ottawa Hospital and the University of Ottawa.  
  • Subha Perni, MD, is employed by The University of Texas MD Anderson Cancer Center.  


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 financial relationships have been mitigated.

Disclosure link: 
ASTRO Education Committee

The American Society for Radiation Oncology (ASTRO) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Available Credit

  • 1.00 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 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • 1.00 Certificate of Attendance
    This activity was designated for 1.00 AMA PRA Category 1 Credit™.

Price

Cost:
$0.00
Please login or register to take this course.

Course Fees:
ASTRO members must log in to the ASTRO website to view and receive the member rate.

Nonmember: $149
Member: $99
Member-in-training: $49
Student/Grad Student/PGY: $49
Postdoctoral Fellow: $49

If you are an ASTRO member from a low or lower-middle income country, as identified by the World Bank, you can receive a 50% discount off your corresponding registration for this activity. Please email [email protected] to inquire about the discount.

Policies:
No refunds, extensions, or substitutions will be made for those participants who, for any reason, have not completed the activity by the expiration date.

Participants using ASTRO Academy activities to satisfy the requirement of a Continuing Certification (MOC) program should verify the credit number and type and availability dates of any activity before making a purchase. No refunds, extensions, or substitutions will be made for participants who have purchased activities that do not align with their MOC requirement.

The activity and its materials will only be available on the ASTRO website until January 8, 2026, regardless of purchase date. At the expiration of the activity, participants will no longer have access to the activity or its materials. ASTRO reserves the right to remove an activity before its expiration date.

Required Hardware/software

One of the two latest versions of Google Chrome, Mozilla Firefox, Internet Explorer or Safari.