Contrast Clearance Analysis for Differentiating Tumor from Treatment Effects

Event: ASTRO 2019 Novalis Circle Symposium
Topics: Intracranial metastasis, Outcome measures
Year: 2019

Dheerendra Prasad, MD, Medical Director, Radiation Medicine at Roswell Park Comprehensive Cancer Center in Buffalo, New York, discusses the role of Elements Contrast Clearance Analysis in a high volume brain radiosurgery (SRS) practice. He begins by presenting the modern challenges in the multimodality management of brain metastases including the underutilization of SRS. He then introduces Contrast Clearance Analysis, how it works with examples, and how his institution uses the software for serial imaging for follow-up.

Video Transcript

Good evening. I'm the only stupid guy in this room who's spent 15 years of trainings, 11 years in residency, and 3 in fellowship. But, anyway, what it gave me is a unique perspective on treating lesions in the brain with radiosurgery, because that's all I've been doing for 25 years now. If Shakespeare was a radiosurgeon, Hamlet would have said, "To treat or not to treat," and Lexell, in Swedish, would have said [foreign language 00:00:29]. But that's really the biggest question, and somebody earlier told me when they sat through tumor boards, the number one question always is,...

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