Spinal SBRT SAM - for Physicians

Strategies to Guide Safe Delivery of Spinal SBRT

A session from the 2016 RSS Webinar Series as presented by:

  • Simon S. Lo, MD, Professor of Radiation Oncology at Case Western Reserve University
  • Kristin J. Redmond, MD, Assistant Professor of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins Medicine

This course is available from February 4, 2016 through 11:59 p.m. Eastern time on February 4, 2019. 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 percent, and
    • Complete the course evaluation.

The activity is approximately 1 hour in length.


Stereotactic body radiotherapy (SBRT) has been increasingly used as a therapeutic option for spinal metastases.  Prospective and retrospective studies have demonstrated promising outcomes. However, given the close proximity of the neural structures, including the spinal cord, to the target volume, the therapeutic window is very narrow. As a result, the technical requirements are very stringent. Proper target delineation and contouring of organs-at risk are of paramount importance. Serious toxicities have been reported after SBRT for spinal metastases and strategies to avoid them have been formulated.


This program is designed to meet the needs of radiation oncologists with interests in consensus guidelines for delineation of clinical target volume (CTV), postoperative spinal metastasis settings and organ-at-risk (OAR) contouring practice for the safe delivery of spinal SBRT.


  1. Ability to describe the technical requirements for spinal SBR
  2. Ability to describe the proper methods for CTV delineation for intact spinal metastases.
  3. Discuss the proper methods for CTV delineation for postoperative spinal metastases.
  4. Discuss the proper methods for OAR contouring



This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of AMEDCO and the Radiosurgery Society (RSS). AMEDCO is accredited by the ACCME to provide continuing medical education for physicians.


AMEDCO designates this live activity for a maximum of 1 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 


  • Non-Member: $10.00
  • RSS Member: Free (login to find the discount code)


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. http://get.adobe.com/flashplayer/

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
  • Soundcard 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 admin@therss.org if you have questions.

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