title: Practice Building: Achieving Growth Through Computed Tomographic Myelography-Based Stereotactic Body Radiation Therapy for Spinal Metastases.
abstract: Stereotactic body radiation therapy (SBRT) is as an effective method to treat spinal metastases. Imaging is a critical component in the workup of patients who undergo stereotactic radiation treatment. Computed tomographic myelography may be more accurate than magnetic resonance imaging in the delineation of neural elements during SBRT. The task we faced was to offer a standardized method to rapidly and safely obtain high-quality computed tomographic myelography as part of a robust spine SBRT program. In detailing our experience, we support the greater, active participation of radiologists in the multidisciplinary care of patients with spinal metastases, while encouraging other radiologists to foster similar collaborations at their own institutions.
authors.affiliation: Department of Diagnostic Radiology, Yale School of Medicine, New Haven, CT. Electronic address: vahe.zohrabian@yale.edu.
authors.forename: Vahe M
authors.initials: VM
authors.lastname: Zohrabian
authors.affiliation: Department of Therapeutic Radiology/Radiation Oncology, Yale School of Medicine, New Haven, CT.
authors.forename: Zain A
authors.initials: ZA
authors.lastname: Husain
authors.affiliation: Department of Neurosurgery, Yale School of Medicine, New Haven, CT.
authors.forename: Maxwell S
authors.initials: MS
authors.lastname: Laurans
authors.affiliation: Department of Therapeutic Radiology/Radiation Oncology, Yale School of Medicine, New Haven, CT; Department of Neurosurgery, Yale School of Medicine, New Haven, CT.
authors.forename: Veronica L
authors.initials: VL
authors.lastname: Chiang
authors.affiliation: Department of Diagnostic Radiology, Yale School of Medicine, New Haven, CT.
authors.forename: Amit
authors.initials: A
authors.lastname: Mahajan
authors.affiliation: Department of Diagnostic Radiology, Yale School of Medicine, New Haven, CT; Department of Neurosurgery, Yale School of Medicine, New Haven, CT.
authors.forename: Michele H
authors.initials: MH
authors.lastname: Johnson
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009192:Myelography; D015641:Radiography, Interventional / Q000379:methods*; D016634:Radiosurgery / Q000379:methods*; D015203:Reproducibility of Results; D013125:Spinal Neoplasms / Q000000981:diagnostic imaging / Q000532:radiotherapy* / Q000556:secondary*; D013131:Spine / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed / Q000379:methods*