Applied Radiology
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Applied Radiation Oncology
Applied Radiation Oncology (ARO) is pleased to offer you a selection of free SA-CME accredited courses to choose from, as part of your free subscription to ARO.
SA-CME
Accreditation/Designation Statement
These credits qualify as SA-CME credits based on the criteria of the American Board of Radiology.
The Institute for Advanced Medical Education (IAME) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The Institute for Advanced Medical Education (IAME) designates these Journal-based activities for a maximum of 1 AMA PRA Category 1 Credit™ each. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Comprehensive Care For The Child Or Adolescent Diagnosed With A Childhood Malignancy Requiring Palliative Radiation Therapy: A Review
Tamara Vern-Gross, DO, FAAP
Estimated time for completion: 1 hour   •   Date of release and review: June 1, 2018   •   Expiration Date: May 31, 2020
Because of the low incidence of pediatric malignancies, no consensus has been reached on the best practices for the delivery of pediatric palliative radiation therapy. As a result, current practice is extrapolated from adult literature and single institutional series. In addition to the technologies for palliation of pediatric patients are essential components of communication for meeting medical and psychosocial needs of the families and patients; these needs are not always addressed. A multidisciplinary approach with appropriate care and communication addressing patient questions and needs provides meaning and improved quality of life during this phase of treatment.
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Indications, Barriers and Paths To Advancement In Palliative Radiation Oncology
Muhammed M. Fareed, MD; Monica Krishnan, MD; Tracy A. Balboni, MD, MPH; Hsiang-Hsuan Michael Yu, MD
Estimated time for completion: 1 hour   •   Date of release and review: June 1, 2018   •   Expiration Date: May 31, 2020
Palliative radiation oncology is an integral part of radiation oncology practice with practical implications in common clinical scenarios including bone metastases, brain metastases, malignant spinal cord and cauda equina compression, tumor related bleeding, fungation, obstruction and visceral metastases. Further education and research is needed as part of residency training and beyond to enhance the spectrum of care for advanced cancer patients delivered by radiation oncologists. Supportive and palliative care skills must expand beyond the technical aspects of radiation therapy delivery to generalist palliative care competencies, including symptom manage-ment basics, communication and goals of care, advance care planning, psychosocial issues, cultural considerations, spiritual needs and ethical/legal issues.
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Stereotactic Ablative Radiation Therapy In The Treatment of Liver Tumors
Benjamin O. Spieler, MD; Lorraine Portelance, MD; Eric A. Mellon, MD, PhD
Estimated time for completion: 1 hour   •   Date of release and review: March 1, 2018   •   Expiration Date: April 30, 2020
This review article discusses the major indications for stereotactic ablative radiation therapy for liver cancer, as well as the technologies available and/or necessary for safe treatment delivery. Specific areas discussed include hepatocellular carcinoma, intrahepatic cholangiocarcinoma, dose, image guidance and respiratory management, emerging techniques, and radiation induced liver disease.
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Stereotactic Body Radiation Therapy In Early Stage Non-small Cell Lung Cancer: A Brief Primer For The Multidisciplinary Tumor Board
Andrew Kennedy, MD; Susan Garwood, MD; Allison Grow, MD, PhD; Ryan Lipscomb, MS
Estimated time for completion: 1 hour   •   Date of release and review: March 1, 2018   •   Expiration Date: April 30, 2020
Multidisciplinary team members treating lung cancers may not be aware of the complexity and coordination required for delivery of stereotactic body radiation therapy (SBRT) to lung masses. Shifts in practice have occurred in management of early stage non small cell lung cancer (NSCLC), particularly with regard to the role of the specialized pulmonologist (interventional pulmonology), which involves different staging techniques than traditional mediastinoscopy. This review provides key information to foster a deeper understanding and appreciation for patient selection, work up, behind-the-scenes critical quality assurance tasks, and clinical pearls for stereotactic radiation therapy for lung cancer.
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Emotional-intelligence-centric Leadership Training for Radiation Oncologists
Sarah E. Hoffe, MD; Joanne Quinn, PhD, MBA; Jessica Frakes, MD; Thomas J. Dilling, MD; Nadia A. Saeed, BA; Louis B. Harrison, MD
Estimated time for completion: 1 hour   •   Date of release and review: December 1, 2017   •   Expiration Date: November 30, 2019
Current residency training in radiation oncology does not incorporate leadership competency skills. Additionally, increasing administrative burdens in healthcare correlate with growing physician burnout and stress, but residency training has no systematic strategy to increase resiliency. Although simulation based medical education (SBME) can incorporate teamwork, communication, and collaboration exercises at the undergraduate medical level, it has not been studied/incorporated at the national graduate level in radiation oncology. This article addresses the role of an emotional-intelligence (EI) based leadership curriculum during such training.
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Augmented and Virtual Reality: Exploring a future role in radiation oncology education and training
William Jin, Brandon Birckhead, MD; Bradford Perez, MD; Sarah Hoffe, MD
Estimated time for completion: 1 hour   •   Date of release and review: December 1, 2017   •   Expiration Date: November 30, 2019
The range of differences on the augmented/virtual reality AR/VR spectrum are mainly attributed to its depth of immersion. AR/VR technology is being used, through all spectrums of their devices, in surgery, imaging, medical student/resident/fellow education. The utility of AR/VR lies in its advantage to be massively scalable, reproducible, and realistic in simulating clinical environments. This article discusses how AR/VR technologies can cost-effectively enhance radiation oncology training.
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Current Controversies In Prostate Brachytherapy For Prostate Cancer
Ibrahim Abu-Gheida, MD; Christopher Fleming, MD; Paul Ramia, MD; Omar Mian, MD PhD; Rahul Tendulkar, MD; and Jay Ciezki, MD
Estimated time for completion: 1 hour   •   Date of release and review: September 1, 2017   •   Expiration Date: August 31, 2019
Indications for low dose rate prostate brachytherapy (LDR-BT) monotherapy for high-risk or unfavorable intermediate-risk prostate cancer are currently not based on level I evidence. Guidelines discussing brachytherapy indications do not highlight the important RTOG 0232 interim analysis regarding the role of LDR monotherapy and toxicity profile advantage, nor do guidelines highlight the dosimetric value of brachytherapy. This article summarizes the role of LDR-BT in managing prostate cancer and examines patient selection.
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High Dose Rate Brachytherapy For Prostate Cancer: Current Techniques and Applications To Varying Disease Presentations
Daniel J. Krauss, MD
Estimated time for completion: 1 hour   •   Date of release and review: September 1, 2017   •   Expiration Date: August 31, 2019
No direct clinical evidence supports the superiority of high-dose rate brachytherapy (HDR-BT) over low dose rate brachytherapy (LDR-BT), or vice versa, in terms of improved tumor control or reduced toxicity in patients with prostate cancer. This review fosters understanding of patient selection and technical description, examining HDR-BT in conjunction with external beam, and HDR-BT as monotherapy.
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A Review Of The Role Of External-Beam Radiation Therapy In Nonmelanomatous Skin Cancer
Bindu V. Manyam, MD; Nikhil Joshi, MD; Shlomo A. Koyfman, MD
Estimated time for completion: 1 hour   •   Date of release and review: June 1, 2017   •   Expiration Date: May 31, 2019
Much of the data supporting safety and efficacy of definitive radiation therapy (RT) in patients with non-melanomatous skin cancer (NMSC) is older, when its use was more common. Improvements are needed to better represent and categorize high risk disease. Treatment should be intensified with multimodality therapy for advanced disease. Clinicians must keep abreast of evolving treatment paradigms and novel systemic therapies NMSC. This article reviews indications, dosing, techniques, and outcomes for external-beam RT for NMSC.
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Mycosis Fungoides Involving Head and Neck Mucosal Sites: Review Of The Literature
Aharon M. Feldman, MD; Parag Sevak, MD; Chauncey McHargue, MD; Henry W. Lim, MD; Farzan Siddiqui, MD, PhD
Estimated time for completion: 1 hour   •   Date of release and review: June 1, 2017   •   Expiration Date: May 31, 2019
Head and neck mycosis fungoides is uncommon, and few publications have been dedicated to this topic. Treatment options vary widely and include several radiation therapy regimens as well as medical management possibilities. Survival and treatment outcomes differ greatly depending on patient co-morbidities, treatment tolerance, and disease progression. This article will aid treatment selection and improve outcome predictions.
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