Tratamento de metástases cerebrais com IORT: a experiência de West Virginia e Augsburgo
![Henning Kahl, MD Henning Kahl, MD]({"xsmall":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/iort/1074-brain-metastases-treatment-with-iort-the-west-virginia-augsburg-experience/henning_kahl.jpg/_jcr_content/renditions/original.image_file.100.100.126,0,1413,1287.file/henning_kahl.jpg","small":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/iort/1074-brain-metastases-treatment-with-iort-the-west-virginia-augsburg-experience/henning_kahl.jpg/_jcr_content/renditions/original.image_file.360.360.126,0,1413,1287.file/henning_kahl.jpg","medium":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/iort/1074-brain-metastases-treatment-with-iort-the-west-virginia-augsburg-experience/henning_kahl.jpg/_jcr_content/renditions/original.image_file.768.768.126,0,1413,1287.file/henning_kahl.jpg","large":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/iort/1074-brain-metastases-treatment-with-iort-the-west-virginia-augsburg-experience/henning_kahl.jpg/_jcr_content/renditions/original.image_file.1024.1024.126,0,1413,1287.file/henning_kahl.jpg","xlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/iort/1074-brain-metastases-treatment-with-iort-the-west-virginia-augsburg-experience/henning_kahl.jpg/_jcr_content/renditions/original.image_file.1280.1280.126,0,1413,1287.file/henning_kahl.jpg","xxlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/iort/1074-brain-metastases-treatment-with-iort-the-west-virginia-augsburg-experience/henning_kahl.jpg/_jcr_content/renditions/original.image_file.1287.1287.126,0,1413,1287.file/henning_kahl.jpg","max":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/iort/1074-brain-metastases-treatment-with-iort-the-west-virginia-augsburg-experience/henning_kahl.jpg/_jcr_content/renditions/original.image_file.1287.1287.126,0,1413,1287.file/henning_kahl.jpg"})
![Christopher P. Cifarelli, MD Christopher P. Cifarelli, MD]({"xsmall":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/iort/1074-brain-metastases-treatment-with-iort-the-west-virginia-augsburg-experience/christopher-cifarelli.jpg/_jcr_content/renditions/original.image_file.100.100.0,2,248,250.file/christopher-cifarelli.jpg","small":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/iort/1074-brain-metastases-treatment-with-iort-the-west-virginia-augsburg-experience/christopher-cifarelli.jpg/_jcr_content/renditions/original.image_file.248.248.0,2,248,250.file/christopher-cifarelli.jpg","medium":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/iort/1074-brain-metastases-treatment-with-iort-the-west-virginia-augsburg-experience/christopher-cifarelli.jpg/_jcr_content/renditions/original.image_file.248.248.0,2,248,250.file/christopher-cifarelli.jpg","large":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/iort/1074-brain-metastases-treatment-with-iort-the-west-virginia-augsburg-experience/christopher-cifarelli.jpg/_jcr_content/renditions/original.image_file.248.248.0,2,248,250.file/christopher-cifarelli.jpg","xlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/iort/1074-brain-metastases-treatment-with-iort-the-west-virginia-augsburg-experience/christopher-cifarelli.jpg/_jcr_content/renditions/original.image_file.248.248.0,2,248,250.file/christopher-cifarelli.jpg","xxlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/iort/1074-brain-metastases-treatment-with-iort-the-west-virginia-augsburg-experience/christopher-cifarelli.jpg/_jcr_content/renditions/original.image_file.248.248.0,2,248,250.file/christopher-cifarelli.jpg","max":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/iort/1074-brain-metastases-treatment-with-iort-the-west-virginia-augsburg-experience/christopher-cifarelli.jpg/_jcr_content/renditions/original.image_file.248.248.0,2,248,250.file/christopher-cifarelli.jpg"})
Desempenho de um tratamento de metástases cerebrais com IORT do ponto de vista cirúrgico e de radioncologia.
Nesta palestra clínica, Christopher P. Cifarelli, MD e Henning Kahl, MD partilham as suas experiências com a radioterapia intraoperatória (IORT) durante o tratamento de metástases cerebrais e ilustram o aspeto do fluxo de trabalho do tratamento quando a radioterapia convencional é complementada com IORT.
Na primeira parte, Christopher P. Cifarelli, MD, apresenta a abordagem do tratamento de radioterapia intraoperatória e explica, em pormenor, os fatores do fluxo de trabalho pré e intraoperatório para um tratamento de metástases cerebrais utilizando a IORT – desde a seleção do paciente, passando pelas técnicas de ressecção, até às etapas específicas do procedimento de IORT, como o dimensionamento do aplicador, o revestimento, a colocação do aplicador e o tratamento. A seguir, Henning Kahl, MD, partilha as suas experiências com a IORT em metástases cerebrais do ponto de vista da radioncologia. Apresenta o conceito de IORT de Augsburgo para os pacientes com metástases cerebrais, com base em exemplos ilustrativos. Finalmente, são discutidos os dados clínicos mais recentes sobre a IORT em metástases cerebrais e são resumidas as principais vantagens desta abordagem de tratamento. A palestra é seguida de uma sessão de perguntas e respostas.
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![]({"xsmall":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/iort/1074-brain-metastases-treatment-with-iort-the-west-virginia-augsburg-experience/1074_iort_treatment_video.jpg/_jcr_content/renditions/original.image_file.100.56.file/1074_iort_treatment_video.jpg","small":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/iort/1074-brain-metastases-treatment-with-iort-the-west-virginia-augsburg-experience/1074_iort_treatment_video.jpg/_jcr_content/renditions/original.image_file.360.203.file/1074_iort_treatment_video.jpg","medium":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/iort/1074-brain-metastases-treatment-with-iort-the-west-virginia-augsburg-experience/1074_iort_treatment_video.jpg/_jcr_content/renditions/original.image_file.768.432.file/1074_iort_treatment_video.jpg","large":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/iort/1074-brain-metastases-treatment-with-iort-the-west-virginia-augsburg-experience/1074_iort_treatment_video.jpg/_jcr_content/renditions/original.image_file.1024.576.file/1074_iort_treatment_video.jpg","xlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/iort/1074-brain-metastases-treatment-with-iort-the-west-virginia-augsburg-experience/1074_iort_treatment_video.jpg/_jcr_content/renditions/original./1074_iort_treatment_video.jpg","xxlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/iort/1074-brain-metastases-treatment-with-iort-the-west-virginia-augsburg-experience/1074_iort_treatment_video.jpg/_jcr_content/renditions/original./1074_iort_treatment_video.jpg","max":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/iort/1074-brain-metastases-treatment-with-iort-the-west-virginia-augsburg-experience/1074_iort_treatment_video.jpg/_jcr_content/renditions/original./1074_iort_treatment_video.jpg"})