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)
HARVEY CUSHING, MD (1869-1939): FATHER OF MODERN NEURO-SURGERY AND BRAIN TUMOR CLASSIFICATION.
PATIENT “VT” 53 YEAR OLD MAN
NEW ONSET SEIZURE
PRESENTS TO THE EMERGENCY ROOM
MRI BRAIN COMPLETED
ROLE OF SURGERY: MAXIMAL SAFE SURGICAL RESECTION
BULK REDUCTION
SEIZURE CONTROL
PATHOLOGICAL DIAGNOSIS
CLINICAL TRIAL ENROLLMENT
BETTER PATIENT OUTCOME
PATHOLOGY: WHO GRADE IV GLIOBLASTOMA
Lacroix M, et al. J Neurosurg. 2001;95:190-198.
BETTER TUMOR REMOVAL = BETTER OUTCOMES
RADIATION (IMRT, PROTON BEAM, SRS, CYBERKNIFE)
TARGETED THERAPY
MOLECULAR PROFILING OF TUMOR
MATCHING THERAPIES TO MOLECULAR PROFILE
CLINICAL TRIALS
TREATMENT STRATEGY:
MRI brain with contrast:
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