SRS for Brain Metastases

Pre-Resection vs. Post-Resection SRS for Brain Metastases

Presented at the SRS/SBRT Scientific Meeting 2016 by:

  • Scott Soltys, MD, Department of Radiation Oncology, Stanford Cancer Institute, Stanford University, Stanford, CA
  • John C. Flickinger, MD, Department of Radiation Oncology Neurological Surgery, University of Pittsburgh School of Medicine, UPMC-Presbyterian Shadyside Hospitals and the Pittsburgh Cancer Institute, Pittsburgh, PA

This course is available from June 13, 2016 through 11:59 p.m. Eastern time on June 13, 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 1.25 hours in length. 


Stereotactic radiosurgery (SRS) is an increasingly common treatment modality used in both the pre-surgical and post-surgical setting for the treatment of brain metastases. Some studies indicate that pre-operative SRS may have potential benefits compared to post-operative SRS for select patients with brain metastases. Other studies have not shown a benefit of pre-operative SRS compared to post-operative SRS for brain metastases. There is a need to review the current state of the literature on pre-operative SRS vs post-operative SRS, to understand the benefits and risks of each SRS in the pre vs post-operative setting, and discuss future studies needed to maximize the therapeutic benefits of SRS for the treatment of brain metastases.


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 benefits and risks of pre-operative resection SRS vs post-operative resection SRS to treat brain metastases.


  • Explain the rationale for using SRS prior to surgical resection and the rationale for using SRS post-surgical resection for the treatment of brain metastases.
  • Compare the benefits and risks of delivering SRS prior to surgical resection vs post surgical resection for the treatment of brain metastases from evidence-based literature.
  • Discuss the clinical outcomes and toxicities associated with SRS treatment of brain metastases in the context of the pre-operative vs the post-operative setting.


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.


The Radiosurgery Society Self-Assessment Module (SAM) titled Pre-resection vs. Post-resection SRS for Brain Metastases 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 1.25 SAM credits. The ABR qualified this SAM on June 13, 2016.


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.


  • Non-Member: $10
  • RSS Member: Free (your discount code has been emailed to you)


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
  • 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 if you have questions.

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