Is Whole Brain Radiation Still Best For Brain Metastases From Small

Is Whole Brain Radiation Still Best For Brain Metastases From Small Whole brain radiation therapy (wbrt) has been a mainstay in the treatment of multiple cerebral metastases for many decades. however, evidence of its negative effects on cognitive functions and quality of life has rendered conventional wbrt unwanted. This guideline replacement focuses on radiotherapeutic management of intact (i.e., unresected) and resected brain metastases from non hematologic solid tumors.

Is Whole Brain Radiation Still Best For Brain Metastases From Small A recent study from investigators at the university of colorado cancer center challenges the use of whole brain radiation for all small cell lung cancer patients with brain metastases. Whole brain radiotherapy for brain metastases from non small lung cancer: quality of life (qol) and overall survival (os) results from the uk medical research council quartz randomised clinical trial (isrctn 3826061). Whole brain radiation therapy (wbrt) has commonly been prescribed to palliate symptoms from brain metastases, to reduce the risk of local relapse after surgical resection, and to improve distant brain control after resection or radiosurgery. In particular, hippocampus avoidance wbrt, wbrt with dose escalation to the metastases, and their combination have shown promising results and offer valid alternatives to local stereotactic radiotherapy.

Radiation For Brain Metastases Radiology Key Whole brain radiation therapy (wbrt) has commonly been prescribed to palliate symptoms from brain metastases, to reduce the risk of local relapse after surgical resection, and to improve distant brain control after resection or radiosurgery. In particular, hippocampus avoidance wbrt, wbrt with dose escalation to the metastases, and their combination have shown promising results and offer valid alternatives to local stereotactic radiotherapy. For patients with resected brain metastases, srs is strongly recommended to improve local control. for patients with favorable prognosis and brain metastases receiving whole brain radiation therapy, hippocampal avoidance and memantine are strongly recommended. Stereotactic radiosurgery (srs) has become an established treatment strategy for brain metastases after the results of multiple randomized trials comparing srs alone with strategies incorporating whole brain radiotherapy (wbrt).

Radiation For Brain Metastases Radiology Key For patients with resected brain metastases, srs is strongly recommended to improve local control. for patients with favorable prognosis and brain metastases receiving whole brain radiation therapy, hippocampal avoidance and memantine are strongly recommended. Stereotactic radiosurgery (srs) has become an established treatment strategy for brain metastases after the results of multiple randomized trials comparing srs alone with strategies incorporating whole brain radiotherapy (wbrt).
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