Low-Dose Radiosurgery for Brain Metastases in the Era of Modern Systemic Therapy.
Juan Diego AlzateElad MashiachAssaf BergerKenneth BernsteinReed MullenFernando De Nigris VasconcellosTanxia QuJoshua S SilvermanBernadine R DonahueBenjamin T CooperErik P SulmanJohn G GolfinosDouglas KondziolkaPublished in: Neurosurgery (2023)
It is feasible to achieve acceptable LC in BMs with low-dose SRS. Volume, melanoma histology, and margin dose seem to be predictors for LF. The value of a low-dose approach may be in the management of patients with higher numbers of small or adjacent tumors with a history of whole brain radio therapy or multiple SRS sessions and in tumors in critical locations with the aim of LC and preservation of neurological function.