Central Nervous System

EDU 27 - (Live SA-CME) Stereotactic Body Radiation Therapy for Solid Tumor Spinal Metastases: A Practical Case Based Discussion

9/18/2019
11:15 AM - 12:30 PM
Location: Room W184

Session Type: Education
1.00 AMA PRA Category 1 Credits™
1.25 CAMPEP Credits
1.5 MDCB Credits

In this practical, case based educational session we will review fundamental elements of spine SBRT by reviewing 3 specific case scenarios: 1) SBRT in a patient with a radio-resistant primary tumor histology and oligo-metastatic disease; 2) SBRT in the re-irradiation setting; and 3) SBRT in the post-operative setting. For each case we will review the relevant NOMS framework for evaluating patients with spine metastases including neurologic, oncologic, mechanical, systemic factors. In addition, for each case a radiologist will review the images and relevant clinical pearls such as differentiating tumor from non-malignant etiologies such as hemangiomas and Schmorl's nodes. Furthermore, we will review consensus contouring guidelines and apply them to each case. Finally, we will review clinical outcomes and toxicity data as they pertain to each case.

The fundamental concepts and controversies to be addressed for each of the 3 cases outlined above include:

1) Evaluation of candidacy for SBRT and surgery using Neurologic, Oncologic, Mechanical, Systemic (NOMS) framework
2) Evaluation of pre-treatment and follow-up MRIs by a board certified neuro-radiologist including both clinical pearls and application of the Bilsky epidural grading system
3) Basic principles of spine SBRT including target/normal tissue delineation and treatment planning
4) Normal tissue tolerances
5) Local control and toxicity following spine SBRT including examples of toxicity that pertain to each of the 3 cases.

Please note that the structure of the proposed session will be unique from historical educational sessions. Each speaker will discuss a specific element of each of the 3 cases outlined above.

Learning Objectives:

Presentations:

ViewAttendees 49 CE Eval

Kristin Redmond, MD, MPH

Johns Hopkins University

Disclosure:
Employment
Johns Hopkins University: Faculty Member: Employee

Compensation
Accuray: Honoraria: Research Grants: Travel Expenses;
AstraZeneca: Honoraria;
Elekta AB: Research Grants: Travel Expenses

Biography:
Kristin J. Redmond, MD, MPH is an Associate Professor in the Department of Radiation Oncology and Molecular Radiation Sciences and the Department of Neurological Surgery at the Johns Hopkins University and the Co-Director of the Spine Multi-Disciplinary Program. She received her undergraduate degree from Princeton University where she graduated magna cum laude with a focus in neuro-psychology. She attended medical school and obtained a Masters in Public Health in heath systems management at Tulane University where she was elected to the Alpha Omega Alpha Honor Medical Society as well as the Gold Humanism in Medicine Honor Society. Dr. Redmond's research interest focuses on the development of novel radiation techniques and therapeutic agents to treat brain and spine tumors in order to increase tumor control and overall survival. In addition, she is working to develop innovative approaches to try to limit long term toxicities and minimize neuro-cognitive dysfunction following treatment for tumors of the central nervous system.

Presentation(s):

ViewAttendees 49 CE Eval

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