Stereotactic Radiosurgery for Residents-Evidence-Based Radiosurgery

Video Transcription

Video Summary

The speaker discusses evidence-based radiosurgery and the methodology behind it. They emphasize the importance of developing recommendations and guidelines through a thorough review of the literature. The process involves defining a question, pulling relevant literature, and eliminating studies that do not meet certain criteria. Expert committees assign classes to each paper based on quality, and evidentiary tables are created to summarize the outcomes. The speaker acknowledges the limitations of evidence-based medicine, noting that many medical practices are not based on class one data. They argue that evidence-based guidelines can help identify areas for further study and progress, but caution against using them as an excuse to avoid innovation. The speaker also provides examples of evidence-based conclusions for various treatments, such as surgery, radiation therapy, chemotherapy, and radiosurgery, particularly for brain metastases. They highlight the effectiveness of radiosurgery alone for one to three metastases. The speaker concludes by discussing the use of evidence-based guidelines in relation to gliomas and dose-volume relationships. They emphasize the usefulness of evidence-based methodologies in organizing existing literature and identifying areas for future research.

Asset Subtitle

Presented by John Buatti, MD

Keywords

evidence-based radiosurgery

methodology

literature review

evidence-based guidelines

brain metastases