How radiosurgery transformed neurosurgery and the changes that lie ahead
Douglas Kondziolka, MD, of NYU Langone Medical Center discusses how radiosurgery has transformed neurosurgery and the changes that lie ahead in those respective fields, specifically for brain metastases treatment. He begins by describing what has changed in the treatment of brain metastases and uses a few recent studies that are already out of date as examples of how fast the field is changing. From a neurosurgeon’s perspective, he looks at the development of radiosurgery alone as a method to treat brain metastases as opposed to whole brain radiation therapy (WBRT), as well as other methods such as chemotherapy and immunotherapy. Ultimately, he concludes that the entire approach to treating brain metastases is changing so much that clinicians have to keep an open mind about treatments moving forward.
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