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Multiple Brain Metastases & Volumetric Modulated Arc Radiosurgery: Refining the Single-Isocenter Technique to Benefit Surgeons & Patients

Webinar Live Date & Time: 11:00am EST, 3 February 2016

Webinar presented by John Fiveash, MD, and Evan Thomas, MD, PhD, from the University of Alabama, Birmingham.

Dr Evan Thomas

Dr Evan Thomas

Dr john fiveash

Dr John Fiveash

Refining the Single-Isocenter Technique to Benefit Surgeons & Patients”.  John Fiveash, MD, and Evan Thomas, MD, PhD, from the University of Alabama, Birmingham, describe a technique of treating brain metastasis using a single isocenter on a modern linac at UAB. Dr. Fiveash will describe the evolution of SRS for treating multiple metastases: its role in 21st century neuro-oncology and how it benefits surgeons and patients.  Dr. Thomas will go into details of their technique, and describe how it compares to conventional radiosurgery.

Goals and Objectives
At the conclusion of the program, participants will be able to:

1) Understand the evolving role of radiosurgery in the treatment of more than four brain metastases.

2) Describe the risks and benefits of whole brain radiation therapy.

3) Compare and contrast various delivery methods of radiosurgery for multiple targets.

4) Describe optimal treatment planning strategies for single isocenter VMAT radiosurgery.

5) List the patient and programmatic benefits of frameless flattening-filter free radiosurgery

Target Audience
Medical Physicists, Radiation Oncologists, Medical Dosimetrists, Oncology professionals


Live Activity and enduring material.

Jointly provided by: IOP Publishing and the Institute for Medical Education.

Supported by an educational grant from: Varian Medical Systems

Disclosure Policy:
The Institute for Medical Education (IME) adheres to all IMQ/CMA/ACCME Essential Areas, Standards and Policies. It is IME’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that IME may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.


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Accreditation Statement:

The Institute for Medical Educationsm is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to provide continuing medical education for physicians.  The Institute for Medical Educationsm takes responsibility for the content, quality and scientific integrity of this CME activity.

CREDIT DESIGNATION STATEMENT: The Institute for Medical EducationSM designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit (s) ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity(s). This credit may also be applied to the CMA Certification in Continuing Medical Education.

In accordance with the ACCME’s revised Standards of Commercial Support, potential conflicts of interest are thoroughly vetted by the Executive Committee of IME. All conflicts are resolved prior to the beginning of the activity by the IME peer review process. The opinion expressed in this activity are those of the faculty and do not necessarily reflect those of IME.

Provider approved by the California Board of Registered Nursing, provider number 10672 for a maximum of 1 contact hour(s).

Cultural and Linguistic Competency:

California Assembly Bill 1195 requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency.  The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area. The Institute for Medical Education, Resources for Physicians also contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws. You are encouraged to visit the portal:

This program has been approved for 1 AMA PRA Category 1 credit for physicians and medical physicists (self-reported) approved for MDCB for 1 credit for medical dosimetrists

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.

This program is approved as a self-assessment module for radiation oncologists and medical physicists.

If there are any questions regarding the content of this webinar please send them to and so they will be forwarded to the presenters Drs Fiveash & Thomas at UAB