Impact of MRI Timing on Tumor Volume and Anatomic Displacement for Brain Metastases Undergoing Stereotactic Radiosurgery

Brain metastases affect up to 30% of all cancer patients and are the most common neurological complication of cancer. Lung cancer, breast cancer, kidney cancer and melanoma are the most common primary tumors that metastasize to the brain. Prognosis with this diagnosis is still considered to be poor; however, subsets of patients can be identified based on prognostic factors who can live well beyond expectations and several years beyond diagnosis with limited brain metastases. During this conference Dr. Tugce Kutuk will discuss the basic principles of stereotactic radiosurgery and explain his clinical experience at Miami Cancer Institute.    

Commercial Supporter

Baptist Health gratefully acknowledges the commercial support provided by Elekta for this activity.

Target Audience

Neurosurgeons, medical physicists, radiation oncologists, neuro-otolaryngologists, nurses and advanced practice registered nurses. 

Learning Objectives

  • Utilize MRI to assess the size of lesions to determine treatment plans.
  • Implement the metrics used in assessing plan quality in Gamma Knife® treatment strategies.
Additional information
Bibliography: 
  • Badam RK, Chowdary S, Kondamari SK, Kotha SK. Gamma knife radiosurgery: Making lives merrier for refractory trigeminal neuralgia. J NTR Univ Health Sci 2016;5:169-72.
  • Lawrence, Y. R., Li, X. A., El Naqa, I., Hahn, C. A., Marks, L. B., Merchant, T. E., & Dicker, A. P. (2010). Radiation dose–volume effects in the brain. International Journal of Radiation Oncology* Biology* Physics, 76(3), S20-S27.
  • Salkeld, A.L., Hau, E.K., Nahar, N., Sykes, J.R., Wang, W., & Thwaites, D.I. (2018). Changes in brain metastasis during radiosurgical planning. International Journal of Radiation Oncology* Biology* Physics, 102(4), 727-733.
  • Seymour, Z. A., Fogh, S. E., Westcott, S. K., Braunstein, S., Larson, D. A., Barani, I. J., ... & Sneed, P. K. (2015). Interval from imaging to treatment delivery in the radiation surgery age: how long is too long?. International Journal of Radiation Oncology* Biology* Physics, 93(1), 126-132.
Course Summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
Course opens: 
11/01/2021
Course expires: 
10/31/2023

Tugce Kutuk, M.D.
Department of Radiation Oncology
Miami Cancer Institute 
Baptist Health South Florida

D. Jay Wieczorek, Ph.D.
Senior Physicist
Department of Radiation Oncology
Miami Cancer Institute
Baptist Health South Florida

Tugce Kutuk, M.D., and D. Jay Wieczorek, Ph.D., faculty for this educational activity, have no relevant financial relationships with ineligible companies* to disclose, and have indicated that the presentation or discussion will not include off-label or unapproved product usage.

Michael McDermott, M.D., conference director for this educational event, is a consultant with Deinde Medical.

Rupesh Kotecha, M.D., conference director for this educational event, has received honoraria from Elekta AB, Accuray, Viewray, Novocure and Elseivier. He has received research support from Medtronic, B. Earth Diagnostics, Novocure, Exelixis, CT Medical, AstraZeneca and Viewray. He is also on the speakers’ bureau with Novocure.

All of the relevant financial relationships listed for these individuals have been mitigated.

Non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*.  

*Ineligible companies - Companies whose primary business is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
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