Brain metastases treatment with IORT – the West Virginia & Augsburg experience
Henning Kahl, MD
Associate Director, Department of Radiation Oncology, University Hospital Augsburg, Germany
Christopher P. Cifarelli, MD
Director, Gamma Knife Radiosurgery, Associate Professor of Neurosurgery & Radiation Oncology, West Virginia University Morgantown, USA
The performance of a brain metastases treatment with IORT from a surgical and radiation oncology point of view.
In this clinical talk, Christopher P. Cifarelli, MD and Henning Kahl, MD share their experiences with intraoperative radiotherapy (IORT) during brain metastases treatments and illustrate how the treatment workflow looks like when conventional radiotherapy is complemented by IORT.
In the first part, Christopher P. Cifarelli, MD introduces the intraoperative radiotherapy treatment approach and explains in detail the pre- and intraoperative workflow factors for a brain metastases treatment using IORT – from patient selection over resection techniques to IORT specific procedure steps, like applicator sizing, draping, applicator placement and treatment. Following, Henning Kahl, MD shares his experiences with IORT in brain metastases from a radiation oncology point of view. He presents the Augsburg IORT concept for patients with brain metastases fostered by illustrative examples. Finally, the latest clinical data about IORT in brain metastases is discussed and the main advantages of this treatment approach are summarized. The talk is followed by a Q&A session.