Preoperative Stereotactic Radiosurgery (SRS) vs. Postoperative SRS

Brain metastasis is one of the most common neurologic complications of cancer. Dr. Tom will discuss the role of surgery in brain metastasis, as well as provide participants with an understanding of the role of adjunctive whole-brain radiotherapy for resected brain metastasis. 

Target Audience

Neurosurgeons, medical physicists, radiation oncologists and neuro-otolaryngologists.

Learning Objectives

  • Discuss the epidemiology of brain metastasis.
  • Assess the role of surgery in brain metastasis.
  • Summarize the role of adjunctive whole-brain radiotherapy (WBRT) for resected brain metastasis.
  • Compare the pros and cons of postoperative stereotactic radiosurgery (SRS).
  • Compare the pros and cons of preoperative SRS for resected brain metastasis.

Sponsor

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

Additional information
Bibliography: 
  • Nguyen, E. K., Nguyen, T. K., Boldt, G., Louie, A. V., & Bauman, G. S. (2019). Hypofractionated stereotactic radiotherapy for intracranial meningioma: a systematic review. Neuro-oncology practice, 6(5), 346-353.
  • Patel, K. R., Burri, S. H., Asher, A. L., Crocker, I. R., Fraser, R. W., Zhang, C., ... & Prabhu, R. S. (2016). Comparing preoperative with postoperative stereotactic radiosurgery for resectable brain metastases: a multi-institutional analysis. Neurosurgery, 79(2), 279-285.
  • Redmond, K. J., Gui, C., Benedict, S., Milano, M. T., Grimm, J., Vargo, J. A., ... & Kleinberg, L. R. (2021). Tumor control probability of radiosurgery and fractionated stereotactic radiosurgery for brain metastases. International Journal of Radiation Oncology* Biology* Physics, 110(1), 53-67.
Course summary
Available credit: 
  • 0.75 AMA PRA Category 1 Credit™
  • 0.75 General certificate of attendance
Course opens: 
07/01/2021
Course expires: 
06/30/2023

Martin C. Tom, M.D. 
Radiation Oncologist
Miami Cancer Institute
Baptist Health South Florida

Martin C. Tom, M.D., faculty for this educational event, receives grant/research support from Blue Earth Diagnostics. He has 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 and Stryker, and has indicated that the presentation or discussion will not include off-label or unapproved product usage. 

Rupesh Kotecha, M.D., conference director for this educational event, has received honoraria from Elekta AB, Accuray Inc., Viewray Inc., Novocure Inc., and Elsevier. 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 and has indicated that the presentation or discussion will not include off-label or unapproved product usage. 

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 .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 0.75 AMA PRA Category 1 Credit™
  • 0.75 General certificate of attendance
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