Medicine:Whole brain radiotherapy

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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. 1.0 1.1 1.2 Garsa, Adam; Jang, Julie K.; Baxi, Sangita; Chen, Christine; Akinniranye, Olamigoke; Hall, Owen; Larkin, Jody; Motala, Aneesa et al. (2021). Radiation Therapy for Brain Metastases | Effective Health Care (EHC) Program. doi:10.23970/ahrqepccer242. PMID 34152714. https://effectivehealthcare.ahrq.gov/products/radiation-therapy-brain-metastases/research. 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. PMID 23717795. 
  3. "Whole-Brain Radiotherapy: Risks Worth Benefit?". http://www.medscape.com/viewarticle/845758. Retrieved August 20, 2015.