Stereotactic Radiosurgery   

This has become standard practice at our institution for patients with a good performance status, with whole brain radiotherapy given after the comple...

Can this be done right away or do you wait for the cavity to involute before you plan postop SRS to cavity?

If so - how long?

Does this affect your subsequent imaging surveillance frequency?

Do you decrease total dose, increase the number of fractions, or both? What factors, in addition to size and location, do you consider?

With the publication of the ARUBA trail results, should management of AVMs shift toward medical management?  

If so, how long should the medication be stopped prior to SRS?

Would you offer 3-5 fractions for larger lesions instead or would you favor more traditional standard fractionation regimens?

If you do treat both nerve roots, how long do you wait between fractions?  Do you modify anything because you are treating bilaterally?

How much do you factor in the possibility of radiation-induced second malignancies for the treatment of benign conditions in younger patients?

If so, what dose should be used? 

The retrospective series quote a local control rate of 85-90% at one year and the current NCCN guidelines list this as an option following surgery for...

Our neurosurgeons have been pushing for definitive and postop SRS in patients with a poor performance status. Should I consider this or is it tot...