SELF-ASSESSMENT MODULE

Self-Assessment Module

SRS/SBRT in the Setting of Re-Irradiation: Indications, Safety and Efficacy (RISE)

A session from the Radiosurgery Society SRS/SBRT Scientific Meeting 2016 presented by:

  • Anthony Dragun, MD
  • John C. Flickinger, MD
  • Dwight E. Heron, MD, FACRO, FACR
  • Jun Yang, PhD

This course, which has been accredited by the American Board of Radiology (ABR) for Self-Assessment Module (SAM) maintenance of certification credit for both physicians and medical physicists, is available from June 18, 2016, through 11:59 p.m. Eastern time on June 1, 2022.

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

  • Learners must listen to each self-directed audio recording while following along with the visual slides/read the articles.
  • Pass the post-test with a score of 75% or higher.
  • Complete an evaluation form to receive a certificate of completion.
  • Participate in the entire activity as partial credit is not available.
  • If you are seeking continuing education credit for a specialty not listed below, it is your responsibility to contact your licensing/certification board to determine course eligibility for your licensing/certification requirement.

The activity is approximately 2 hours in length.

Course Fees

  • Non-Member: $25 or JOIN NOW to become a Member
  • RSS Member: Free
  • Already a member? Login for free access information
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Statement of Need

Local tumor recurrences after radiation therapy pose a clinical management dilemma with limited treatment options. The ability to deliver efficacious doses of radiation to the recurrent lesion are limited by the potential toxicities to normal tissues when considering re-irradiation. Stereotactic radiosurgery (SRS) and stereotactic body radiotherapy (SBRT) have been shown to be effective at local control with limited toxicities for CNS and spine lesions, recurrent head and neck tumors and locoregional breast cancer recurrences in the setting of re-irradiation. There is a need to improve therapy for recurrent tumors previously irradiated and SRS/SBRT may be a viable treatment option for select patients. The optimal SRS/SBRT dose, fractionation regimens and integration with chemotherapy and biologic agents needs to be further defined to maximize the therapeutic benefits.

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 SRS/SBRT in the setting of re-irradiation for the treatment of recurrent CNS and spine lesions, recurrent head and neck tumors, and locoregional breast cancer recurrences.

Activity Objectives

  • Explain the clinical challenges of treating tumor recurrences that have been previously irradiated, and the role of SRS/SBRT in the setting of re-irradiation through evidence-based literature.
  • Describe the indications and patient selection for SRS/SBRT in the setting of re-irradiation for the treatment of CNS and spine tumors, recurrent head and neck tumors and loco-regional recurrent breast cancer.
  • Discuss the principles of radiobiology and treatment planning to deliver SRS/SBRT in the setting of re-irradiation for the treatment of CNS and spine tumors, recurrent head and neck tumors and loco-regional recurrent breast cancer.
  • Understand the toxicities associated with SRS/SBRT used in the treatment management of previously irradiated CNS and spine tumors, recurrent head & neck tumors and loco-regional recurrent breast cancer.

Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by Amedco LLC and the Radiosurgery Society. Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Designation Statement

Amedco LLC designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Board of Radiology SA-CME Self-Assessment Credit

The Radiosurgery Society Self-Assessment Module (SAM) titled SRS/SBRT in the Setting of Re-Irradiation: Indications, Safety and Efficacy (RISE) 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 2.0 SAM credits. The ABR qualified this SAM on June 18, 2016.

Disclosure of Conflict of Interest

The following table of disclosure information is provided to learners and contains the relevant financial relationships that each individual in a position to control the content disclosed to Amedco. All of these relationships were treated as a conflict of interest, and have been resolved. (C7 SCS 6.1-­‐6.2, 6.5)

All individuals in a position to control the content of CE are listed below.

  • Anthony Dragun, MD - No disclosures
  • John C. Flickinger, MD - No disclosures
  • Dwight E. Heron, MD, FACRO, FACR - No disclosures
  • Jun Yang, PhD - No disclosures

Acknowledgement of Financial Commercial Support

No financial commercial support was received for this educational activity.

Acknowledgement of In-Kind Commercial Support

No in-kind commercial support was received for this educational activity.

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

Hardware Requirements

  • Windows Based Computer, Mac based Computers, smart phone, tablets
  • 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.

Policies

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 SAMs@therss.org if you have questions.