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Neuro-RadOnc

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biers6

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How much trainning in neuro is involved with neuro-rad-onc? I'm very interested in how the brain works; will neuro-rad-onc satisfy any of my curiosity in that area?
 

allopathic

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Speaking of Neuro-RadOnc,

Who are some of the big name attendings in this area and which residencies will provide one with the best training for someone interested in sub-specializing in neuro-radonc?
 

Htowngsp

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allopathic said:
Speaking of Neuro-RadOnc,

Who are some of the big name attendings in this area and which residencies will provide one with the best training for someone interested in sub-specializing in neuro-radonc?
Off the top of my head...

Minesh Mehta is the first name to come to mind.
Lederman (maybe not as popular right now); Walter Curran;Jeff Michalski at Wash.
 

stephew

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allopathic said:
Speaking of Neuro-RadOnc,

Who are some of the big name attendings in this area and which residencies will provide one with the best training for someone interested in sub-specializing in neuro-radonc?
well not me yet...
but mehta is great, lawrence kleinberg, jay loeffler, lots out there. this is adult only.
 

biers6

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My question has been hijacked ;)

Can someone answer the first question here.
 

Htowngsp

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biers6 said:
My question has been hijacked ;)

Can someone answer the first question here.

Is there a lot of neuro in rad onc?
In a nutshell, not a ton, unless you are our mod. You don't diagnose using your knowledge of tracts, nor do you test and treat neurological deficits or dementia.
These issues matter only insofar as they impact on the pts. cancer, ;so for example, you will monitor neuro function in patients recieving cranial irradiation, or look for focal deficits in a pt w/ GBM.

Neuro-rad onc (and Steph is the expert here) is more about the rad onc than the neuro, and is less interested in "how the brain works" than in eliminating the cancer in it.

This question is like asking " is there a lot of oncology in neurology?"

The answer is, only if the patient has cancer.
 

biers6

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Fair point. But certainly if there were a field of neuro-onc for neurologists then they would deal with a lot of oncology. SO: is there a lot of neurology in neuro-radonc? It might be interesting to corrolate lesions with effects. It might be necessary to know about the function of the surrounding brain tissue as it may impact treatment modality, etc.


Htowngsp said:
Is there a lot of neuro in rad onc?
In a nutshell, not a ton, unless you are our mod. You don't diagnose using your knowledge of tracts, nor do you test and treat neurological deficits or dementia.
These issues matter only insofar as they impact on the pts. cancer, ;so for example, you will monitor neuro function in patients recieving cranial irradiation, or look for focal deficits in a pt w/ GBM.

Neuro-rad onc (and Steph is the expert here) is more about the rad onc than the neuro, and is less interested in "how the brain works" than in eliminating the cancer in it.

This question is like asking " is there a lot of oncology in neurology?"

The answer is, only if the patient has cancer.
 

stephew

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biers6 said:
Fair point. But certainly if there were a field of neuro-onc for neurologists then they would deal with a lot of oncology. SO: is there a lot of neurology in neuro-radonc? It might be interesting to corrolate lesions with effects. It might be necessary to know about the function of the surrounding brain tissue as it may impact treatment modality, etc.
so this is how it is:

if you are a resident, you dont need a lot of neuro. You need basic PE skills. There is a field of neuro-onc actually and they have expertise in neuro and onc at least to the extent of what they treat. We do corrolate lesions with effects (And neurologists and neuro surgeons are very good at this). A radonc who wants to do neuroonc should obviously bone up on it. Its not hard to do. Youre right indeed that modailty may change due to location (ie is it an "eloquent" area or not). Risk of SE and type of SE are dependent upon this as well. In an academic place- where you'd likely be if you wanted to specialize in neuroonc- youd have a very multidisciplanary clinic. So you make management decisions together.
steph
 
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