SRS without the Bunker

SRS without the Bunker

A session from the Radiosurgery Society 2019 Webinar Series presented by:

  • F. David Barranco, MD, Chief Medical Officer, Barrow Neurological Institute, Neurosurgeon, Barrow Brain and Spine, Phoenix, AZ

  • Igor Barani, MD, Chair, Department of Radiation Oncology, Barrow Neurological Institute, Phoenix, AZ

This course, which has been accredited by the American Board of Radiology (ABR) for both physicians and medical physicists, for Self-Assessment Module (SAM) maintenance of certification credit, is available from August 5, 2019, through 11:59 p.m. Eastern time on August 4, 2022.

In order to earn credit for this course, participants must:

    • View the audio/slide presentation
    • Pass the five-question examination with a minimum of 70%, and
    • Complete the course evaluation

The activity is approximately 1-hour in length.

Course Fees

  • Non-Member: $25.00
  • RSS Member: Free
    • Once logged in to, members can find the discount code on the Member Resources page.

Statement of Need

According to the American Brain Tumor Association, when radiation is used to treat brain tumors, the goal is to kill the tumor cells, or at least slow or stop tumor growth, while limiting adverse effects on normal tissue. Radiosurgery (SRS) focuses radiation beams closer to the tumor than conventional external beam radiation and it is used for treating well-defined targets that do not overlap with the normal brain tissue. The technologies used for SRS are the Gamma-Knife which uses gamma rays, Linear accelerators (LINAC and CyberKnife) which use photons and Proton accelerator which uses protons aimed at the target tissue. The problem has been not only the cost of the machines but also, the cost of the radiation treatment vaults that must be built to house them in order to shield the medical team delivering the treatment from the radiation being delivered. ZAP-X Gyroscopic Radiosurgery eliminates the additional cost of these treatment vaults by providing a self-sheilded linac based machine making radiosurgery delivery feasible at satellite facilities, physician offices, ambulatory surgical centers and even remote locations.

Target Audience

This program is designed to meet the needs of radiation oncologists, neurosurgeons, medical physicists, residents-in-training and healthcare professionals with interest in learning about the experience and rationale for the use of SRS in the treatment of malignant and benign brain and spinal tumors in a novel setting.

Activity Objectives

  • Provide an overview of the ZAP-X self-shielded radiosurgery platform
  • Discuss initial clinical experience with ZAP-X including workflow, treatment planning and treatment delivery
  • Review case-based examples of initial treatments

Accreditation Statement

In order to successfully complete this knowledge-based continuing education activity, the participant must register for the activity, view the educational sessions, and complete the online examination and activity evaluation.

Continuing Medical Education (CME)

The Radiosurgery Society Self-Assessment Module (SAM) titled SRS without the Bunker is qualified by the American Board of Radiology in meeting the criteria for self-assessment toward the purpose of fulfilling requirements in the ABR Maintenance of Certification Program and has been qualified for 1.0 SAM credits. The ABR qualified this SAM on August 5, 2019.

Certificate of Participation

A certificate will be issued upon completion of course requirements, including the evaluation, enabling you to register your credit with the appropriate licensing boards or associations.

Technology Requirements

Software Requirements

  • A browser version of Internet Explorer 10.0 and higher or Firefox 3.0 or higher, Google Chrome Version 35 or higher.

A note on browser incompatibility:

  • We have tested IE 6.x in controlled configurations and we can stream successfully, but there are some versions that may not support the RTMP streams we push out - basically new technology that old technology can't handle.
  • Possible remedy: upgrade browser version, try alternate browsers such as Firefox.
  • Flash Player Version 11 or higher. If you have an older version it would be best to upgrade now. It's free and does not require a reboot.

Hardware Requirements

  • Windows Based Computer, Mac based Computers, smart phone, tablets
  • Windows XP SP 3 or Vista Home Premium or better
  • Mac OS x 10.5.3 or better
  • Pentium 4 or better
  • 1meg of System Ram (Memory)
  • True Color 32 bit video card
  • Sound card and speakers
For more help with technical issues please click here.


No refunds, extensions, or substitutions will be made for those participants who, for any reason, have not completed the course by the end of the qualification date. The qualification date for each course is listed on the RSS website under the title of the course.

Participants using RSS online courses to satisfy the requirement of a Maintenance of Certification (MOC) program should verify the number, type and availability dates of any course before making a purchase. No refunds, extensions, or substitutions will be made for participants who have purchased courses that do not align with their MOC requirement.

The course and its materials will only be available on the RSS website for that 3 year period regardless of purchase date. At the expiration of the qualification, participants will no longer have access to the course or its materials. The RSS reserves the right to remove a course before the end of its qualification period.

Please contact if you have questions.

Member login  

Like our Facebook Page   
Join our Facebook Group
Follow us on Twitter 
Follow our Group on LinkedIn
Visit our Journal on Cureus

Journal of Neuro-Oncology
Join our Mailing List