Clinical and Technical Considerations for Post-Operative SBRT - An Emerging Paradigm Shift
Arjun Sahgal, MD, Professor of Radiation Oncology and Surgery and Deputy Chief of Radiation Oncology at Sunnybrook Health Sciences Odette Cancer Center at the University of Toronto discusses the clinical and technical considerations for post-operative SBRT and demonstrates an emerging paradigm shift. He begins by discussing the outcomes of a study published by his neuro-oncology department in 2013 titled “Surgical resection of epidural disease improves local control following postoperative spine stereotactic body radiotherapy”, in addition to related studies completed by other institutions. He provides case examples in which post-operative SBRT was completed, and discusses how to determine possible fracture rate and the rational to prophylactically stabilize.
About the speaker
Arjun Sahgal, BSc, MD
Sunnybrook Health Sciences Centre, Toronto, Canada
An international clinical and research leader in the field of high precision stereotactic radiation to the brain and spine for both metastases and primary tumors.
After training at the University of Toronto in radiation oncology, he completed a radiosurgery fellowship at the University of California San Francisco. He has published, as lead or contributor, over 250 peer reviewed papers including in high impact journals like the Journal of Clinical Oncology, Lancet Oncology, and New England Journal of Medicine.
He has been the recipient of several distinguished awards and visiting professorships, served as past-meeting chairman and board member of the International Stereotactic Radiosurgery Society (ISRS), and current steering committee member for the AOSpine Tumor Knowledge Forum.He is the principle investigator for a national Phase 3 randomized trial (SC-24) evaluating spine SBRT to conventional radiation.
Currently, he serves as Deputy Chief of the Department of Radiation Oncology at the University of Toronto affiliated Sunnybrook Odette Cancer Centre. In addition, he is the director of the Sunnybrook Cancer Ablation Therapy (CAT) program which involved the installation of a MR Brachytherapy suite, MR Linac and Gamma Knife Icon technology.
His next phase of research is in the development of these CAT technologies, integrating MR in radiation therapy, and the application of MR Guided Focused Ultrasound Technology with radiation.
Professor of Radiation Oncology and Surgery, University of Toronto
Deputy Chief, Department of Radiation Oncology, Odette Cancer Centre
Sunnybrook Health Sciences Centre
2075 Bayview Avenue, T2-158
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