SlideShare a Scribd company logo

CNS tumors_MG

•Download as PPT, PDF•
•
Michael Guiou
Michael Guiou
Health & Medicine
1 of 64
CNS Malignancies Michael Guiou, M.D.
Outline ,[object Object],[object Object],[object Object]
Annual Incidence of Brain Tumors (USA) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Primary Brain Tumors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],40 - 50% 15 - 20% 10% 6 - 10% 5% 5% Brain Tumors: Prevelance
Benign tumors ,[object Object],[object Object],[object Object],[object Object]
Meningioma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Histopathology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Meningioma ,[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Meningioma: RT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Meningioma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vestibular schwannoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vestibular schwannoma: Imaging ,[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Craniopharyngioma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Craniopharyngioma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Craniopharyngioma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CT MRI
Glioma ,[object Object],[object Object],[object Object],[object Object],[object Object]
Low Grade Glioma (LGG) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LGG: Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LGG: Radiotherapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Glioblastoma ,[object Object],[object Object],[object Object]
Role of RT in GBM ,[object Object],[object Object],[object Object]
RTOG Target Delineation
[object Object]
RTOG Boost Volume Delineation
[object Object]
 
Anaplastic astrocytoma ,[object Object]
Poor KPS, Elderly GBM ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Ependymomas
Ependymoma Kun, Tarbell ASTRO 2003 Refresher Course
RT for ependymoma ,[object Object],[object Object],[object Object],[object Object],[object Object]
Posterior Fossa Delineation
Adult medulloblastoma ,[object Object],[object Object],[object Object]
Technical pitfalls- Cribiform plate recurrences ,[object Object]
Technical pitfalls- Cribiform plate recurrences ,[object Object]
Cranial field design ,[object Object],[object Object],[object Object]
Spinal field design ,[object Object],[object Object],[object Object]
Conventional PF field design ,[object Object],[object Object],[object Object]
Junctioning fields ,[object Object],[object Object],[object Object]
Exact match ,[object Object]
Divergent match ,[object Object],[object Object]
Divergence into lens ,[object Object],[object Object]
Geometric match ,[object Object],[object Object]
Various junction techniques ,[object Object],[object Object],[object Object],[object Object]
Brain Metastases -Epidemiology -WBRT + SRS
Histology and Frequency ,[object Object],[object Object],[object Object],[object Object]
Histology & Frequency ,[object Object],[object Object],[object Object]
Histology and Frequency ,[object Object],[object Object],[object Object]
Other histologies ,[object Object],[object Object],[object Object]
Role of RT ,[object Object],[object Object],[object Object],[object Object]
Prognostic factors -RPA Class ,[object Object],[object Object],[object Object],[object Object],[object Object]
RTOG Dose-fractionation schemes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RTOG dose fractionation schemes ,[object Object],[object Object],[object Object]
RTOG altered fractionation ,[object Object],[object Object]
Postoperative WBRT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stereotactic Radiosurgery ,[object Object],[object Object]
Radiosurgery data ,[object Object],[object Object]
Patient selection for surgery verus radiosurgery ,[object Object],[object Object],[object Object],[object Object]
Complications of WBRT ,[object Object],[object Object],[object Object],[object Object]
WBRT +/-SRS for KPS > 70 and controlled primary or Surgery (if highly symptomatic, or mass effect) + WBRT or WBRT for KPS <70 or uncontrolled primary Primary Therapy for Metastatic Brain Disease Lesion number Diagnostic uncertainty and asymptomatic Observation If grows, surgery or SRS+/-WBRT Surgery 1 <1cm >1cm Convincing Metastasis Single Solitary 2-3 >3 KPS > 70 and controlled primary KPS < 70 or uncontrolled primary Surgery +/- WBRT or SRS (<3cm) +/- WBRT for non-surgical candidate (if >3cm, WBRT only) WBRT (surgery to lesions causing mass effect) WBRT (Surgery if tumor causes mass effect) *Surgery or SRS (<3cm) +/- WBRT or
RTOG 90-05 ,[object Object],[object Object],[object Object],[object Object],Shaw E, et al Int J Radiat Oncol Biol Phys. 2000 May 1;47(2):291-8.

Recommended

Cns tumors
Cns tumorsCns tumors
Cns tumorstest
 
Brain spinal tumors
Brain spinal tumorsBrain spinal tumors
Brain spinal tumorsMan B Paudyal
 
Adult CNS Tumors Neurology
Adult CNS Tumors NeurologyAdult CNS Tumors Neurology
Adult CNS Tumors NeurologyShannon Laratonda MHS
 
Brain tumors advanced
Brain tumors advancedBrain tumors advanced
Brain tumors advancedranaelsaeedAboelfeto
 
Brain tumor imaginig 3 10th may 02
Brain tumor imaginig 3 10th may 02Brain tumor imaginig 3 10th may 02
Brain tumor imaginig 3 10th may 02PS Deb
 
Brain tumours marsh 2017
Brain tumours marsh 2017Brain tumours marsh 2017
Brain tumours marsh 2017Nabil Khalil
 
Cns tumors bikash
Cns tumors bikashCns tumors bikash
Cns tumors bikashBikash Praharaj
 
Brain tumor
Brain tumorBrain tumor
Brain tumortbilisi state medical university
 

Recommended

Cns tumors
Cns tumorsCns tumors
Cns tumorstest
 
Brain spinal tumors
Brain spinal tumorsBrain spinal tumors
Brain spinal tumorsMan B Paudyal
 
Adult CNS Tumors Neurology
Adult CNS Tumors NeurologyAdult CNS Tumors Neurology
Adult CNS Tumors NeurologyShannon Laratonda MHS
 
Brain tumors advanced
Brain tumors advancedBrain tumors advanced
Brain tumors advancedranaelsaeedAboelfeto
 
Brain tumor imaginig 3 10th may 02
Brain tumor imaginig 3 10th may 02Brain tumor imaginig 3 10th may 02
Brain tumor imaginig 3 10th may 02PS Deb
 
Brain tumours marsh 2017
Brain tumours marsh 2017Brain tumours marsh 2017
Brain tumours marsh 2017Nabil Khalil
 
Cns tumors bikash
Cns tumors bikashCns tumors bikash
Cns tumors bikashBikash Praharaj
 
Brain tumor
Brain tumorBrain tumor
Brain tumortbilisi state medical university
 
Brain Tumours.Dr NG NeuroEdu
Brain Tumours.Dr NG NeuroEduBrain Tumours.Dr NG NeuroEdu
Brain Tumours.Dr NG NeuroEduslneurosurgery
 
Brain Tumors
Brain TumorsBrain Tumors
Brain TumorsDrhardik Patel
 
Cns tumors
Cns tumorsCns tumors
Cns tumorsayeayetun08
 
42925901 brain-tumor
42925901 brain-tumor42925901 brain-tumor
42925901 brain-tumorMuhammad Adi
 
Approach to CNS tumors Dr. Muhammad Bin Zulfiqar
Approach to CNS tumors Dr. Muhammad Bin ZulfiqarApproach to CNS tumors Dr. Muhammad Bin Zulfiqar
Approach to CNS tumors Dr. Muhammad Bin ZulfiqarDr. Muhammad Bin Zulfiqar
 
CNS Tumors
CNS TumorsCNS Tumors
CNS TumorsMiami Dade
 
Brain tumors
Brain tumorsBrain tumors
Brain tumorsMr.Nikhil Govind
 
Brain tumors - of adults -
Brain tumors - of adults -Brain tumors - of adults -
Brain tumors - of adults -LeenaMubiden
 
Brain Tumors
Brain TumorsBrain Tumors
Brain TumorsSakher Alkhaderi
 
Classification of brain tumors AND MANAGEMENT OG LOW GRADE GLIOMA
Classification of brain tumors AND MANAGEMENT OG LOW GRADE GLIOMAClassification of brain tumors AND MANAGEMENT OG LOW GRADE GLIOMA
Classification of brain tumors AND MANAGEMENT OG LOW GRADE GLIOMAradiation oncology
 
Brain tumours part 1
Brain tumours part 1Brain tumours part 1
Brain tumours part 1Vrishit Saraswat
 
Pathology of intracranial tumors lecture
Pathology of intracranial tumors lecturePathology of intracranial tumors lecture
Pathology of intracranial tumors lectureEffiong Akang
 
Brain tumors
Brain tumorsBrain tumors
Brain tumorsWael Alzhrani
 
0928 Bt
0928 Bt0928 Bt
0928 Btcalaf0618
 
Brain tumors
Brain tumorsBrain tumors
Brain tumorsRonde Maklago
 
A systematic approach to possible case of brain
A systematic approach to possible case of brainA systematic approach to possible case of brain
A systematic approach to possible case of brainREKHAKHARE
 
Brain Tumor And Its Types
Brain Tumor And Its TypesBrain Tumor And Its Types
Brain Tumor And Its TypesManish Vaish
 
Brain Tumours
Brain TumoursBrain Tumours
Brain Tumoursdocs
 
Tumors of nervous system
Tumors of nervous systemTumors of nervous system
Tumors of nervous systemPuneet Shukla
 
Cns tumors and pns
Cns tumors and pnsCns tumors and pns
Cns tumors and pnsMUBOSScz
 
CNS Tumors
CNS TumorsCNS Tumors
CNS TumorsMed Study
 
Pit Tumors 2009 Part Ii
Pit Tumors 2009 Part IiPit Tumors 2009 Part Ii
Pit Tumors 2009 Part IiMiami Dade
 

More Related Content

What's hot

Brain Tumours.Dr NG NeuroEdu
Brain Tumours.Dr NG NeuroEduBrain Tumours.Dr NG NeuroEdu
Brain Tumours.Dr NG NeuroEduslneurosurgery
 
42925901 brain-tumor
42925901 brain-tumor42925901 brain-tumor
42925901 brain-tumorMuhammad Adi
 
Approach to CNS tumors Dr. Muhammad Bin Zulfiqar
Approach to CNS tumors Dr. Muhammad Bin ZulfiqarApproach to CNS tumors Dr. Muhammad Bin Zulfiqar
Approach to CNS tumors Dr. Muhammad Bin ZulfiqarDr. Muhammad Bin Zulfiqar
 
Brain tumors - of adults -
Brain tumors - of adults -Brain tumors - of adults -
Brain tumors - of adults -LeenaMubiden
 
Classification of brain tumors AND MANAGEMENT OG LOW GRADE GLIOMA
Classification of brain tumors AND MANAGEMENT OG LOW GRADE GLIOMAClassification of brain tumors AND MANAGEMENT OG LOW GRADE GLIOMA
Classification of brain tumors AND MANAGEMENT OG LOW GRADE GLIOMAradiation oncology
 
Pathology of intracranial tumors lecture
Pathology of intracranial tumors lecturePathology of intracranial tumors lecture
Pathology of intracranial tumors lectureEffiong Akang
 
A systematic approach to possible case of brain
A systematic approach to possible case of brainA systematic approach to possible case of brain
A systematic approach to possible case of brainREKHAKHARE
 
Brain Tumor And Its Types
Brain Tumor And Its TypesBrain Tumor And Its Types
Brain Tumor And Its TypesManish Vaish
 
Brain Tumours
Brain TumoursBrain Tumours
Brain Tumoursdocs
 
Tumors of nervous system
Tumors of nervous systemTumors of nervous system
Tumors of nervous systemPuneet Shukla
 
Cns tumors and pns
Cns tumors and pnsCns tumors and pns
Cns tumors and pnsMUBOSScz
 

What's hot (20)

Brain Tumours.Dr NG NeuroEdu
Brain Tumours.Dr NG NeuroEduBrain Tumours.Dr NG NeuroEdu
Brain Tumours.Dr NG NeuroEdu
 
Brain Tumors
Brain TumorsBrain Tumors
Brain Tumors
 
Cns tumors
Cns tumorsCns tumors
Cns tumors
 
42925901 brain-tumor
42925901 brain-tumor42925901 brain-tumor
42925901 brain-tumor
 
Approach to CNS tumors Dr. Muhammad Bin Zulfiqar
Approach to CNS tumors Dr. Muhammad Bin ZulfiqarApproach to CNS tumors Dr. Muhammad Bin Zulfiqar
Approach to CNS tumors Dr. Muhammad Bin Zulfiqar
 
CNS Tumors
CNS TumorsCNS Tumors
CNS Tumors
 
Brain tumors
Brain tumorsBrain tumors
Brain tumors
 
Brain tumors - of adults -
Brain tumors - of adults -Brain tumors - of adults -
Brain tumors - of adults -
 
Brain Tumors
Brain TumorsBrain Tumors
Brain Tumors
 
Classification of brain tumors AND MANAGEMENT OG LOW GRADE GLIOMA
Classification of brain tumors AND MANAGEMENT OG LOW GRADE GLIOMAClassification of brain tumors AND MANAGEMENT OG LOW GRADE GLIOMA
Classification of brain tumors AND MANAGEMENT OG LOW GRADE GLIOMA
 
Brain tumours part 1
Brain tumours part 1Brain tumours part 1
Brain tumours part 1
 
Pathology of intracranial tumors lecture
Pathology of intracranial tumors lecturePathology of intracranial tumors lecture
Pathology of intracranial tumors lecture
 
Brain tumors
Brain tumorsBrain tumors
Brain tumors
 
0928 Bt
0928 Bt0928 Bt
0928 Bt
 
Brain tumors
Brain tumorsBrain tumors
Brain tumors
 
A systematic approach to possible case of brain
A systematic approach to possible case of brainA systematic approach to possible case of brain
A systematic approach to possible case of brain
 
Brain Tumor And Its Types
Brain Tumor And Its TypesBrain Tumor And Its Types
Brain Tumor And Its Types
 
Brain Tumours
Brain TumoursBrain Tumours
Brain Tumours
 
Tumors of nervous system
Tumors of nervous systemTumors of nervous system
Tumors of nervous system
 
Cns tumors and pns
Cns tumors and pnsCns tumors and pns
Cns tumors and pns
 

Viewers also liked

Pit Tumors 2009 Part Ii
Pit Tumors 2009 Part IiPit Tumors 2009 Part Ii
Pit Tumors 2009 Part IiMiami Dade
 
Pediatrics Gliomas Radiotherapy 2015
Pediatrics Gliomas Radiotherapy 2015 Pediatrics Gliomas Radiotherapy 2015
Pediatrics Gliomas Radiotherapy 2015 Yan Vargas
 
Chẩn đoán hình ảnh Glioblastoma (GBM)
Chẩn đoán hình ảnh Glioblastoma (GBM)Chẩn đoán hình ảnh Glioblastoma (GBM)
Chẩn đoán hình ảnh Glioblastoma (GBM)Tran Vo Duc Tuan
 
Chemotherapy in gliomas
Chemotherapy in gliomas Chemotherapy in gliomas
Chemotherapy in gliomas Dr Boaz Vincent
 
Common Types of Glioma Tumors
Common Types of Glioma TumorsCommon Types of Glioma Tumors
Common Types of Glioma TumorsIlyas Munshi, MD
 
Amelia glioblastoma
Amelia glioblastomaAmelia glioblastoma
Amelia glioblastomaAmelia Wan
 
Neuroradiology craniopharyngioma
Neuroradiology craniopharyngiomaNeuroradiology craniopharyngioma
Neuroradiology craniopharyngiomaRoopchand Ps
 
Craniopharyngioma-full lecture
Craniopharyngioma-full lectureCraniopharyngioma-full lecture
Craniopharyngioma-full lecturelayth922
 
Games For Upper-limb Stroke Rehabilitation (Seminar)
Games For Upper-limb Stroke Rehabilitation (Seminar)Games For Upper-limb Stroke Rehabilitation (Seminar)
Games For Upper-limb Stroke Rehabilitation (Seminar)James Burke
 
rehabilitation of neurological patients
rehabilitation of neurological patients rehabilitation of neurological patients
rehabilitation of neurological patients abhilasha chaudhary
 
Radiotherapy in benign disease.
Radiotherapy in benign disease.Radiotherapy in benign disease.
Radiotherapy in benign disease.Parag Roy
 
MANAGEMENT OF GLIOMAS
MANAGEMENT OF GLIOMASMANAGEMENT OF GLIOMAS
MANAGEMENT OF GLIOMASIsha Jaiswal
 
Cns tumor, gliomas
Cns tumor, gliomasCns tumor, gliomas
Cns tumor, gliomasNailaawal
 
craniopharyngioma
craniopharyngioma craniopharyngioma
craniopharyngiomaMd Roohia
 
Principles of rehabilitation of orthopedic patients
Principles of rehabilitation of orthopedic patientsPrinciples of rehabilitation of orthopedic patients
Principles of rehabilitation of orthopedic patientsMD Specialclass
 
Craniopharyngioma - What is the best approach
Craniopharyngioma - What is the best approach Craniopharyngioma - What is the best approach
Craniopharyngioma - What is the best approach Murali Chand Nallamothu
 

Viewers also liked (20)

CNS Tumors
CNS TumorsCNS Tumors
CNS Tumors
 
Pit Tumors 2009 Part Ii
Pit Tumors 2009 Part IiPit Tumors 2009 Part Ii
Pit Tumors 2009 Part Ii
 
Pediatrics Gliomas Radiotherapy 2015
Pediatrics Gliomas Radiotherapy 2015 Pediatrics Gliomas Radiotherapy 2015
Pediatrics Gliomas Radiotherapy 2015
 
Chẩn đoán hình ảnh Glioblastoma (GBM)
Chẩn đoán hình ảnh Glioblastoma (GBM)Chẩn đoán hình ảnh Glioblastoma (GBM)
Chẩn đoán hình ảnh Glioblastoma (GBM)
 
Chemotherapy in gliomas
Chemotherapy in gliomas Chemotherapy in gliomas
Chemotherapy in gliomas
 
Common Types of Glioma Tumors
Common Types of Glioma TumorsCommon Types of Glioma Tumors
Common Types of Glioma Tumors
 
Amelia glioblastoma
Amelia glioblastomaAmelia glioblastoma
Amelia glioblastoma
 
Neuroradiology craniopharyngioma
Neuroradiology craniopharyngiomaNeuroradiology craniopharyngioma
Neuroradiology craniopharyngioma
 
Craniopharyngioma-full lecture
Craniopharyngioma-full lectureCraniopharyngioma-full lecture
Craniopharyngioma-full lecture
 
Games For Upper-limb Stroke Rehabilitation (Seminar)
Games For Upper-limb Stroke Rehabilitation (Seminar)Games For Upper-limb Stroke Rehabilitation (Seminar)
Games For Upper-limb Stroke Rehabilitation (Seminar)
 
rehabilitation of neurological patients
rehabilitation of neurological patients rehabilitation of neurological patients
rehabilitation of neurological patients
 
Radiotherapy in benign disease.
Radiotherapy in benign disease.Radiotherapy in benign disease.
Radiotherapy in benign disease.
 
MANAGEMENT OF GLIOMAS
MANAGEMENT OF GLIOMASMANAGEMENT OF GLIOMAS
MANAGEMENT OF GLIOMAS
 
Cns tumor, gliomas
Cns tumor, gliomasCns tumor, gliomas
Cns tumor, gliomas
 
craniopharyngioma
craniopharyngioma craniopharyngioma
craniopharyngioma
 
Brain tumors 2
Brain tumors 2Brain tumors 2
Brain tumors 2
 
Principles of rehabilitation of orthopedic patients
Principles of rehabilitation of orthopedic patientsPrinciples of rehabilitation of orthopedic patients
Principles of rehabilitation of orthopedic patients
 
Dialysis
DialysisDialysis
Dialysis
 
Craniopharyngioma - What is the best approach
Craniopharyngioma - What is the best approach Craniopharyngioma - What is the best approach
Craniopharyngioma - What is the best approach
 
Hyperthyroidism
HyperthyroidismHyperthyroidism
Hyperthyroidism
 

Similar to CNS tumors_MG

Soft tissue sarcoma
Soft tissue sarcomaSoft tissue sarcoma
Soft tissue sarcomaSilah Aysha
 
Soft tissue sarcomas, treatment (surgical, radiation, chemotherapy)
Soft tissue sarcomas, treatment (surgical, radiation, chemotherapy)Soft tissue sarcomas, treatment (surgical, radiation, chemotherapy)
Soft tissue sarcomas, treatment (surgical, radiation, chemotherapy)Joseph A. Di Como MD
 
Management of Brain Tumors in Pediatric Age Group.pptx
Management of Brain Tumors in Pediatric Age Group.pptxManagement of Brain Tumors in Pediatric Age Group.pptx
Management of Brain Tumors in Pediatric Age Group.pptxssuser903c9d
 
dr talal anaplastic cancer 2
dr talal anaplastic cancer 2dr talal anaplastic cancer 2
dr talal anaplastic cancer 2talal mohamed
 
2.4 dr aleksandar celebic masterclass - dubrovnik 2011.
2.4 dr aleksandar celebic masterclass - dubrovnik 2011.2.4 dr aleksandar celebic masterclass - dubrovnik 2011.
2.4 dr aleksandar celebic masterclass - dubrovnik 2011.European School of Oncology
 
Acoustic neuroma,schwannoma.neurinoma
Acoustic neuroma,schwannoma.neurinomaAcoustic neuroma,schwannoma.neurinoma
Acoustic neuroma,schwannoma.neurinomaKhairallah Aoucar
 
Role of radiation in pediatric brain tumors16 5-2014
Role of radiation in pediatric brain tumors16 5-2014Role of radiation in pediatric brain tumors16 5-2014
Role of radiation in pediatric brain tumors16 5-2014Dr.Ram Madhavan
 
pranaya ppt Management of nsgct
pranaya ppt Management of nsgctpranaya ppt Management of nsgct
pranaya ppt Management of nsgctPRANAYA PANIGRAHI
 
Lung cancer overview-JTL
Lung cancer overview-JTLLung cancer overview-JTL
Lung cancer overview-JTLJohn Lucas
 
CT Scan: Glioblastoma Multiforme
CT Scan: Glioblastoma MultiformeCT Scan: Glioblastoma Multiforme
CT Scan: Glioblastoma Multiformegueste19bfb0
 

Similar to CNS tumors_MG (20)

Soft tissue sarcoma
Soft tissue sarcomaSoft tissue sarcoma
Soft tissue sarcoma
 
Radiation for Glioblastoma
Radiation for GlioblastomaRadiation for Glioblastoma
Radiation for Glioblastoma
 
Pituitary
PituitaryPituitary
Pituitary
 
Plasmacytoma
PlasmacytomaPlasmacytoma
Plasmacytoma
 
Soft tissue sarcomas, treatment (surgical, radiation, chemotherapy)
Soft tissue sarcomas, treatment (surgical, radiation, chemotherapy)Soft tissue sarcomas, treatment (surgical, radiation, chemotherapy)
Soft tissue sarcomas, treatment (surgical, radiation, chemotherapy)
 
Neuroblastoma
NeuroblastomaNeuroblastoma
Neuroblastoma
 
Management of Brain Tumors in Pediatric Age Group.pptx
Management of Brain Tumors in Pediatric Age Group.pptxManagement of Brain Tumors in Pediatric Age Group.pptx
Management of Brain Tumors in Pediatric Age Group.pptx
 
dr talal anaplastic cancer 2
dr talal anaplastic cancer 2dr talal anaplastic cancer 2
dr talal anaplastic cancer 2
 
BALKAN MCO 2011 - A. Celebic - Thyroid cancer
BALKAN MCO 2011 - A. Celebic - Thyroid cancer BALKAN MCO 2011 - A. Celebic - Thyroid cancer
BALKAN MCO 2011 - A. Celebic - Thyroid cancer
 
2.4 dr aleksandar celebic masterclass - dubrovnik 2011.
2.4 dr aleksandar celebic masterclass - dubrovnik 2011.2.4 dr aleksandar celebic masterclass - dubrovnik 2011.
2.4 dr aleksandar celebic masterclass - dubrovnik 2011.
 
Acoustic neuroma,schwannoma.neurinoma
Acoustic neuroma,schwannoma.neurinomaAcoustic neuroma,schwannoma.neurinoma
Acoustic neuroma,schwannoma.neurinoma
 
Role of radiation in pediatric brain tumors16 5-2014
Role of radiation in pediatric brain tumors16 5-2014Role of radiation in pediatric brain tumors16 5-2014
Role of radiation in pediatric brain tumors16 5-2014
 
Medulloblastoma
Medulloblastoma Medulloblastoma
Medulloblastoma
 
pranaya ppt Management of nsgct
pranaya ppt Management of nsgctpranaya ppt Management of nsgct
pranaya ppt Management of nsgct
 
Brain metastasis ppt by DR. AFIA.pptx
Brain metastasis ppt by DR. AFIA.pptxBrain metastasis ppt by DR. AFIA.pptx
Brain metastasis ppt by DR. AFIA.pptx
 
Radiosurgery For Brain Metastases !
Radiosurgery For Brain Metastases !Radiosurgery For Brain Metastases !
Radiosurgery For Brain Metastases !
 
Lung cancer overview-JTL
Lung cancer overview-JTLLung cancer overview-JTL
Lung cancer overview-JTL
 
Low grade Glioma
Low grade Glioma Low grade Glioma
Low grade Glioma
 
Thyroid presentation
Thyroid presentationThyroid presentation
Thyroid presentation
 
CT Scan: Glioblastoma Multiforme
CT Scan: Glioblastoma MultiformeCT Scan: Glioblastoma Multiforme
CT Scan: Glioblastoma Multiforme
 

Recently uploaded

Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableDipal Arora
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...narwatsonia7
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...chandars293
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...Garima Khatri
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 

Recently uploaded (20)

Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD available
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 

CNS tumors_MG

  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 25.
  • 26. RTOG Boost Volume Delineation
  • 27.
  • 28.  
  • 29.
  • 30.
  • 31.  
  • 33. Ependymoma Kun, Tarbell ASTRO 2003 Refresher Course
  • 34.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.
  • 58.
  • 59.
  • 60.
  • 61.
  • 62.
  • 63. WBRT +/-SRS for KPS > 70 and controlled primary or Surgery (if highly symptomatic, or mass effect) + WBRT or WBRT for KPS <70 or uncontrolled primary Primary Therapy for Metastatic Brain Disease Lesion number Diagnostic uncertainty and asymptomatic Observation If grows, surgery or SRS+/-WBRT Surgery 1 <1cm >1cm Convincing Metastasis Single Solitary 2-3 >3 KPS > 70 and controlled primary KPS < 70 or uncontrolled primary Surgery +/- WBRT or SRS (<3cm) +/- WBRT for non-surgical candidate (if >3cm, WBRT only) WBRT (surgery to lesions causing mass effect) WBRT (Surgery if tumor causes mass effect) *Surgery or SRS (<3cm) +/- WBRT or
  • 64.