Brain Metastases 2.0: Expert Management Strategies and Challenging Cases-Andrew J. Fabiano, MD, FAANS Video

Video Transcription

Video Summary

The video features Dr. Andrew Fabiano, a neurosurgeon at Roswell Park Comprehensive Cancer Center in Buffalo, New York, discussing the topic of brain metastases, specifically focusing on stereotactic radiosurgery (SR). Dr. Fabiano emphasizes the importance of properly managing and treating brain metastases as it greatly impacts patients' overall survival and ability to function. He starts by reviewing a case of a 36-year-old patient with two large brain metastases, explaining the treatment options and the decision to use fractionated radiosurgery on this patient. Dr. Fabiano then discusses the basics of stereotactic radiosurgery, including the NCCN guidelines, the ability to treat surgical cavities, and its success in treating various solid tumor types. He emphasizes a volumetric approach when determining treatment strategies, rather than focusing solely on the size or number of tumors. Dr. Fabiano also explains other techniques such as adaptive stereotactic radiosurgery and the treatment of adverse radiation effect. He concludes by extending his gratitude to all healthcare professionals during the COVID-19 pandemic.

Keywords

brain metastases

stereotactic radiosurgery

treatment options

NCCN guidelines

volumetric approach

COVID-19 pandemic