Please select the option that best describes you:

Do you use a comprehensive volumetric, rather than numeric, cutoff in consideration of SRS vs WBRT for brain metastases?

If a patient has a limited number of brain metastases (e.g., <3 total) but the additive volume of these intracranial metastases is high (e.g., each lesion is 100 cc to 125 cc, such that the total volume is ~400 cc), do you selectively employ WBRT versus SRS?

If so, what is the total volume of intracranial metastatic disease that serves as a cutoff between SRS vs. WBRT approaches to palliation?

Answer from: Radiation Oncologist at Academic Institution

I think there is quite a bit to unpack from this question. First, I would contend that there is a whole world between SRS & WBRT. There are even active multi-institutional randomized studies being performed to better define this world. Many institutions, including mine, have largely shifted...

Comments

Radiation Oncologist at The Christie Hospital
Thanks for quoting our dose algorithm from Yale - ...

Radiation Oncologist at Mallory Radiotherapy, PLLC
With the exception of small cell lung cancer, I ag...

Please select the option that best describes you:

Do you use a comprehensive volumetric, rather than numeric, cutoff in consideration of SRS vs WBRT for brain metastases?

Related Questions