Michael Milano
@MichaelTMilano
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Husband&Dad | Radiation Oncologist @WilmotCancer @UR_Med Professor | Residency Program Director @NotreDame→@UR_Med (MD PhD)→@UChicagoRadonc→@UR_Med Tweets=mine
Rochester, NY
Joined October 2018
🧠 Brain Tumor physicians (Neuro Onc, Med Onc, Rad Onc, Nsgy): Help us assess IDHm glioma practice patterns by completing a 5–7 min anonymous survey. Enter to win one of two $50 Amazon gift cards. 👉 [Survey link]
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@jryckman3 @JimmGrimm1 @LarryMa44302005 This complicated figure suggests that when the brachial plexus is within the target volume, more stringent dosimetric constraints are needed.
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@jryckman3 @JimmGrimm1 @LarryMa44302005 Risks of brachial plexopathy with lung SBRT seem much lower compared to the expected risks for when the brachial plexus is within the field (i.e. historic non-SBRT data)- and 2D/3D/IMRT for breast and head and neck cancer
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@jryckman3 @JimmGrimm1 @LarryMa44302005 NTCP model was based on treatment for apical lung tumors- for which brachial plexus is within dose gradient and outside of target.
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Our post-HyTEC NTCP modelling paper of radiation-induced brachial plexopathy is in press in the Green J ! https://t.co/SHcCQH9JaT NTCP models: ≈10% risks associated with brachial plexus Dmax of ∼32-34 Gy in 3 Fx and ∼40-43 Gy in 5 Fx. @jryckman3 @JimmGrimm1 @LarryMa44302005
pubmed.ncbi.nlm.nih.gov
A dose-response for risk of RIBP after SBRT is observed relative to brachial plexus Dmax. Comparisons to data from less conformal radiotherapy suggests potential dose-volume dependences of RIBP...
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Amazing work by Dr. Oliver who began this multi-institutional project as a resident. The largest series of primary lung carcinoid tumors tx w/ SBRT w/ excellent local control & outcomes. @MoffittRadOnc @ClevelandClinic @YaleRadOnc @MayoRadOnc @RU_RadOnc
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It is critical to recognize that radionecrosis is an accepted and often unavoidable consequence of effective treatment of brain metastases #radonc
lnkd.in
This link will take you to a page that’s not on LinkedIn
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Incredibly thoughtful editorial balancing tumor control and risks The Art of Radiation Therapy: The Necessary Risk of Radiation Necrosis for Durable Control of Brain Metastases https://t.co/CTRjAnSOp8
#roedu #brainmet #radiosurgery
redjournal.org
One of the greatest challenges in radiation oncology is selecting the “optimal” radiation dose and weighing the benefits and risks of our choices. Higher doses generally increase both tumor control...
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Jack Frost arrived before Santa. Happy Holidays all !!
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Novel Applications of Stereotactic Radiosurgery Beyond Oncology: Prospective Trials in Functional Radiosurgery Via @DanTrifMD @MichaelTMilano @JHGLab et al #radmed
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@sgsoltys @alinamihai2000 @JimmGrimm1 @BobTimmermanMD @BK_radiation @KristinRedmond2 @sueyom @ASTRO_org Thank you @QuadShotNews for highlighting this!!
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@sgsoltys @alinamihai2000 @JimmGrimm1 @BobTimmermanMD @BK_radiation @KristinRedmond2 @sueyom @ASTRO_org Two HYTEC papers offered some insight into tumor control probability and necrosis risks after SRS for brain metastases, but were never intended to suggest strict brain dosimetric constraints at the expense of tumor control. https://t.co/89S6FjEylY
https://t.co/89S6FjEylY
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Our editorial emphasizes the need to accept risks of brain necrosis to adequately treat our patients with brain metastases with SRS. @sgsoltys @alinamihai2000 @JimmGrimm1 @BobTimmermanMD @BK_radiation @KristinRedmond2
https://t.co/at1qPmCC5q
@sueyom @ASTRO_org
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#PENTEC Risk of Cerebrovascular events after cranial RT to #CircleofWillis 📌 Risk of stroke remains fairly low until significant f/u is achieved (i.e., attained age 45y). 📌 NF1 patients were not included in modeling. 🔁 #RadOncCalc ⚖️ @JonathanWaxerMD
https://t.co/PQ8MESDZ08
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@achoud72 @henry_amhenry Thanks so much for sharing, excited to see it published, thank you for accepting our work. And many thanks to @MichaelTMilano & Alina Mihai for collaborating! #radonc
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A reirradiation calculator is also available and was programmed by Jean Pierre Obeid of @StanfordRO_Res, now @ClevelandClinic Vero Beach (not on the bird). JP also built several other fantastic features in the "Tools" section.🙏 2/3 🦾🤓🎯 #RadOnc #Reirradiation #TreatSafely
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Executive summary of american radium society’s appropriate use criteria for the postoperative management of lower grade gliomas - Radiotherapy and Oncology
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This #WeWhoCurie Wednesday, we continue introducing our new board with @misskatwinmd who will be taking over the resident side of our #Mentorship team! Dr. Nguyen brings a passion for encouraging girls to pursue careers in STEM fields! #RadOnc #WomenInSTEM
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