I am a neurosurgical oncologist specializing in the care of patients with primary and metastatic brain tumors, recurrent tumors, and radiation necrosis. I treat patients who are newly diagnosed as well as those facing complex decisions after prior surgery, radiation, or systemic therapy.
My approach to brain tumor care is individualized, multidisciplinary, and grounded in clear communication. Each patient’s treatment plan depends on many factors, including the tumor type, location, prior treatments, overall cancer status, neurologic function, imaging findings, and personal goals. I work closely with colleagues in radiation oncology, medical oncology, neuro-oncology, neuroradiology, pathology, and supportive care to provide coordinated treatment recommendations and comprehensive care.
A major focus of my clinical practice is the management of brain metastases and previously treated or recurrent brain tumors. After radiation or other therapies, changes on MRI can sometimes be difficult to interpret. An enlarging area may represent an active tumor, treatment-related inflammation, radiation necrosis, or a combination of these processes. Distinguishing among these possibilities is essential because the most appropriate treatment may vary significantly. Through detailed imaging review and multidisciplinary discussion, I help patients understand these nuances and determine the next best step, which may include close observation, surgery, radiation, laser ablation, medication, or a combined approach.
I also specialize in minimally invasive treatment strategies, including MRI-guided laser interstitial thermal therapy (LITT) for carefully selected brain tumors and radiation necrosis. For some patients, this approach may provide an option when a lesion is deep, difficult to reach, recurrent after prior treatment, or not ideally suited for traditional open surgery.
In addition to my clinical practice, I lead translational research focused on improving the diagnosis and treatment of brain tumors. My work examines tumor recurrence, radiation necrosis, and the immune environment surrounding brain tumors, with the goal of developing better tools to distinguish tumors from treatment effects and to personalize treatment decisions and therapeutic options.