Be the first user to share a patient case with the community.
We look forward to receiving and sharing your anonymized patient cases to be discussed with an extended network of experts in the field of SRS & SBRT.
Yoshiya Yamada, MD, Radiation Oncologist at Memorial Sloan Kettering Cancer Center in New York City discusses radiosurgery (SRS) versus conventional fractionated radiotherapy for spinal and bone metastases. He begins by discussing histologic classification in terms of radiosensitivity and radioresistance and how that applies to spinal metastases before giving an overview of the results of several related studies.
Niko Papanikolaou, PhD, from UT Health San Antonio MD Anderson Cancer Center shares his institution’s experiences with commissioning and clinical implementation of Brainlab Elements Spine SRS software. He begins by giving an overview of the software itself, including spinal curvature correction, spine contouring, VMAT optimization, user defined protocol based planning and Monte Carlo based dose calculation. He then shares a treatment planning study to evaluate the clinical benefit of Spine SRS compared to Pinnacle and Monaco treatment planning systems. Finally, Dr. Papanikolaou discusses commissioning including the phantoms used.
Amol J. Ghia, MD, Radiation Oncologist at the University of Texas M.D. Anderson Cancer Center discusses 6D setup and monitoring for spine radiosurgery (SRS) treatments. He begins by presenting a few illustrative cases before delving into the critical factors of SRS setup, most specifically alignment facilitated by immobilization and image guidance. He then goes through his institution’s workflow for planning, patient immobilization and intrafractional position verification. Dr. Ghia discusses a prospective validation of treatment accuracy using implanted fiducial markers for spinal stereotactic body radiation therapy (SBRT). Finally, he discusses ExacTrac Dynamic in terms of real-time motion monitoring, its new features and compares it to ExacTrac X-Ray.
Pablo Castro Peña, MD, Radiation Oncologist at Instituto Zunino – Fundacion Marie Curie in Cordoba, Argentina, reveals his institution’s first clinical experiences with Elements Spine SRS software. He begins by outlining the types of spine indications they treat before delving directly into an analysis of specific case examples. In terms of these cases, he discusses a range of functionalities of Spine SRS including curvature correction, automatic segmentation of OARS and vertebrae, GTV delineation and automatic CTV creation as well as automatic protocol-based planning.