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Whole brain radiotherapy
Specialtyoncology

Whole brain radiotherapy (WBRT) is a treatment option for patients with brain metastases. In WBRT, radiation therapy is administered broadly, to the whole brain, over multiple treatments. [1]

Usage

WBRT has been shown to alleviate symptoms, decrease the use of corticosteroids needed to control tumor-associated edema, and potentially improve overall survival. [2] However, WBRT has been reported to increase the risk of cognitive decline. [3]

WBRT may be administered in combination with stereotactic radiosurgery (SRS), surgery, or systemic therapies. [1] While these can improve survival for some patients with single brain metastasis, a 2021 systematic review of the literature found inconsistent results for overall survival. [1]

References

  1. ^ a b c Garsa, Adam; Jang, Julie K.; Baxi, Sangita; Chen, Christine; Akinniranye, Olamigoke; Hall, Owen; Larkin, Jody; Motala, Aneesa; Newberry, Sydne; Hempel, Susanne (2021). "Radiation Therapy for Brain Metastases | Effective Health Care (EHC) Program". effectivehealthcare.ahrq.gov. doi: 10.23970/ahrqepccer242. PMID  34152714. S2CID  236256085. Retrieved 2022-07-30.
  2. ^ McTyre, E; Scott, J; Chinnaiyan, P (2013). "Whole brain radiotherapy for brain metastasis". Surg Neurol Int. 4 (5): S236–44. doi: 10.4103/2152-7806.111301. PMC  3656558. PMID  23717795.
  3. ^ "Whole-Brain Radiotherapy: Risks Worth Benefit?". Medscape.com. Retrieved August 20, 2015.