sajeel chowdhary, md program director, neuro oncology ...web.brrh.com/msl/practical neuroscience for...

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Sajeel Chowdhary, MD Program Director, Neuro – Oncology / Neurology Lynn Cancer Institute (LCI) Marcus Neuroscience Institute (MNI) Boca Raton Regional Hospital (BRRH) Medical Staff, Delray Medical Center Associate Professor of Neuro – Oncology and Neurology Charles E Schmidt COM Florida Atlantic University (FAU)

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Page 1: Sajeel Chowdhary, MD Program Director, Neuro Oncology ...web.brrh.com/msl/Practical Neuroscience for the Non-Neurologist... · Program Director, Neuro – Oncology / Neurology Lynn

Sajeel Chowdhary, MD

Program Director, Neuro – Oncology / Neurology Lynn Cancer Institute (LCI)

Marcus Neuroscience Institute (MNI) Boca Raton Regional Hospital (BRRH)

Medical Staff, Delray Medical Center

Associate Professor of Neuro – Oncology and Neurology Charles E Schmidt COM

Florida Atlantic University (FAU)

Page 2: Sajeel Chowdhary, MD Program Director, Neuro Oncology ...web.brrh.com/msl/Practical Neuroscience for the Non-Neurologist... · Program Director, Neuro – Oncology / Neurology Lynn

HARVEY CUSHING, MD (1869-1939): FATHER OF MODERN NEURO-SURGERY AND BRAIN TUMOR CLASSIFICATION.

Page 3: Sajeel Chowdhary, MD Program Director, Neuro Oncology ...web.brrh.com/msl/Practical Neuroscience for the Non-Neurologist... · Program Director, Neuro – Oncology / Neurology Lynn
Page 4: Sajeel Chowdhary, MD Program Director, Neuro Oncology ...web.brrh.com/msl/Practical Neuroscience for the Non-Neurologist... · Program Director, Neuro – Oncology / Neurology Lynn

PATIENT “VT” 53 YEAR OLD MAN

NEW ONSET SEIZURE

PRESENTS TO THE EMERGENCY ROOM

MRI BRAIN COMPLETED

Page 5: Sajeel Chowdhary, MD Program Director, Neuro Oncology ...web.brrh.com/msl/Practical Neuroscience for the Non-Neurologist... · Program Director, Neuro – Oncology / Neurology Lynn
Page 6: Sajeel Chowdhary, MD Program Director, Neuro Oncology ...web.brrh.com/msl/Practical Neuroscience for the Non-Neurologist... · Program Director, Neuro – Oncology / Neurology Lynn

ROLE OF SURGERY: MAXIMAL SAFE SURGICAL RESECTION

BULK REDUCTION

SEIZURE CONTROL

PATHOLOGICAL DIAGNOSIS

CLINICAL TRIAL ENROLLMENT

BETTER PATIENT OUTCOME

Page 7: Sajeel Chowdhary, MD Program Director, Neuro Oncology ...web.brrh.com/msl/Practical Neuroscience for the Non-Neurologist... · Program Director, Neuro – Oncology / Neurology Lynn
Page 8: Sajeel Chowdhary, MD Program Director, Neuro Oncology ...web.brrh.com/msl/Practical Neuroscience for the Non-Neurologist... · Program Director, Neuro – Oncology / Neurology Lynn

PATHOLOGY: WHO GRADE IV GLIOBLASTOMA

Page 9: Sajeel Chowdhary, MD Program Director, Neuro Oncology ...web.brrh.com/msl/Practical Neuroscience for the Non-Neurologist... · Program Director, Neuro – Oncology / Neurology Lynn
Page 10: Sajeel Chowdhary, MD Program Director, Neuro Oncology ...web.brrh.com/msl/Practical Neuroscience for the Non-Neurologist... · Program Director, Neuro – Oncology / Neurology Lynn
Page 11: Sajeel Chowdhary, MD Program Director, Neuro Oncology ...web.brrh.com/msl/Practical Neuroscience for the Non-Neurologist... · Program Director, Neuro – Oncology / Neurology Lynn
Page 12: Sajeel Chowdhary, MD Program Director, Neuro Oncology ...web.brrh.com/msl/Practical Neuroscience for the Non-Neurologist... · Program Director, Neuro – Oncology / Neurology Lynn
Page 13: Sajeel Chowdhary, MD Program Director, Neuro Oncology ...web.brrh.com/msl/Practical Neuroscience for the Non-Neurologist... · Program Director, Neuro – Oncology / Neurology Lynn

Lacroix M, et al. J Neurosurg. 2001;95:190-198.

BETTER TUMOR REMOVAL = BETTER OUTCOMES

Page 14: Sajeel Chowdhary, MD Program Director, Neuro Oncology ...web.brrh.com/msl/Practical Neuroscience for the Non-Neurologist... · Program Director, Neuro – Oncology / Neurology Lynn

RADIATION (IMRT, PROTON BEAM, SRS, CYBERKNIFE)

TARGETED THERAPY

MOLECULAR PROFILING OF TUMOR

MATCHING THERAPIES TO MOLECULAR PROFILE

CLINICAL TRIALS

TREATMENT STRATEGY:

Page 15: Sajeel Chowdhary, MD Program Director, Neuro Oncology ...web.brrh.com/msl/Practical Neuroscience for the Non-Neurologist... · Program Director, Neuro – Oncology / Neurology Lynn

MRI brain with contrast:

Page 16: Sajeel Chowdhary, MD Program Director, Neuro Oncology ...web.brrh.com/msl/Practical Neuroscience for the Non-Neurologist... · Program Director, Neuro – Oncology / Neurology Lynn

EXPERIMENTAL THERAPEUTICS AND MOLECULAR PROFILING: NRG / RTOG TRIALS

ALLIANCE TRIALS

PHARMA TRIALS

CONVECTION ENHANCED DELIVERY (CED) TRIALS (MEDICENNA MDNA 55 TRIAL, PVS RIPO POLIO VIRUS TRIAL)

TISSUE REGISTRY TRIALS (FCBTR, SCRIPPS, SE GLIOMA TRIAL, NEMERE TRIAL)

COLLABORATE WITH OTHER ACADEMIC CENTERS AND SUCCEED TOGETHER