Patterns of Failure and SRS Planning Volume Considerations for Patients with Metastatic Sarcoma
Amol Ghia, MD, Director of Spine Stereotactic Radiosurgery at the University of Texas M.D. Anderson Cancer Center discusses patterns of failure and stereotactic radiosurgery (SRS) planning volume considerations for patients with metastatic sarcoma. He begins by giving an overview of spine stereotactic radiosurgery and his center’s prospective clinical trials to demonstrate 1 year local control. He then delves into patterns of failure for spine SRS, including adjacent at risk bone marrow within the vertebrae, and outlines planning considerations. To highlight, he includes case examples from his own practice, and concludes by providing strategies for optimizing local control in spine SRS, emphasizing that sarcoma metastases are at risk for marginal as well as distant spinal failure.
About the speaker
Amol Ghia, MD
University of Texas MD Anderson Cancer Center, Houston, USA
Associate Professor and Director of Spine Stereotactic Radiosurgery (SSRS) in the Central Nervous System (CNS) Service of the Department of Radiation Oncology at The University of Texas M.D. Anderson Cancer Center (MDACC).
Dr. Ghia treats patients with primary as well as metastatic disease of the brain and spine using advanced radiation tools such as Gamma Knife, proton radiation and image-guided stereotactic radiation personalized to an individual patient’s clinical case. Spine stereotactic radiosurgery is an emerging non-invasive ablative treatment option alternative to surgery for patients with disease in the spine.
As Director of the Spine Stereotactic Radiosurgery program, he oversees the clinical and academic operations of the SSRS program which includes serving as the Principle Investigator of two randomized institutional trials.
He is also the CNS Section Director for MDACC Network Sites providing quality management for CNS radiation treatments at our International and Partner Sites.
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Management News for Patients with Spinal Metastases
Intensity-Modulated Stereotactic Radiotherapy for Intramedullary Cervical Spinal Metastases: Report of 2 Cases
Review of 6D Setup and Monitoring for Spine SRS Treatment
First Clinical Applications of ExacTrac Dynamic
Value of SRS Over Conventional Fractionation for Bone Metastases
Commissioning and Clinical Implementation of Elements Spine SRS
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