MODERATOR(S)
Ariel Marciscano, MD - Massachusetts General Hospital
session DESCRIPTION
Management of metastatic spinal disease is complex and multidisciplinary requiring collaboration of spine surgeons (neurosurgery and orthopedic spine oncology) and radiation oncologists as well as key team members in radiology, interventional radiology, medical oncology, among other important team members. Recent innovation and technological advancements in management of metastatic spinal disease paired with improved understanding of disease biology have the potential to improve outcomes for patients. This session will focus on evolving approaches for personalized radiotherapy for spinal metastatic disease including SBRT in the intact/de novo, peri/post-operative and re-treatment settings as well as discussion regarding the surgical considerations and indications for separation surgery and stabilization. In addition, we will focus on technological innovations in radiation oncology with adoption MR-guided RT delivery systems (MR-Linac) and improving treatment response assessment (advanced imaging techniques, radiolucent hardware [e.g., carbon fiber PEEK]). Finally, there will be focus on efforts to understand the underlying biology of metastatic spinal disease with discussion of active research efforts to improve patient and treatment selection and develop biomarkers and novel therapeutics.
learning objectives
- - Determine approaches to response assessment to RT and specifically SBRT and the integration of variation imaging modalities (myelogram, MRI w/ advanced techniques) as well as common pitfalls. - Discuss innovations for treatment planning, treatment delivery/image-guidance and and response assessment afforded by evolving technologies such as carbon-fiber PEEK hardware and MR-Linac technologies - A
Credits
| AMA PRA Category 1 Credits: | 1.00 |
Presentations
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10:45am - 10:47am ETSpeaker: Ariel Marciscano, MD - Massachusetts General Hospital, Boston
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10:47am - 11:07am ET
Primer on Multi-Disciplinary Management and Clinical Decision making for Spinal Metastatic Disease - Refining Hybrid Approaches and Patient Selection
Speaker: Ganesh Shankar, MD, PhD - Massachusetts General Hospital, Winchester -
11:07am - 11:27am ET
Evolving Management of Spine SBRT - Integrating Novel Technologies and Imaging Modalities to Improve Treatment and Response Assessment
Speaker: Kristin Redmond, MD, MPH - Johns Hopkins University, Baltimore -
11:27am - 11:47am ETSpeaker: Ori Barzilai, MD - Memorial Sloan Kettering Cancer Center, New York
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11:47am - 12:00pm ETSpeaker: Ariel Marciscano, MD - Massachusetts General Hospital, Boston