2017_SBRT_Course Book

Conclusion: WBRT or Local treatment

• No significant difference in Local control in patients who get WBRT or local treatment ~80% within the first year

• Increased number of distant failures in Patients without WBRT (statistically not significant)

• Minimal neurotoxicity in patients with local treatment.

Surgery followed by LBRT for single metastasis is not inferior to WBRT , because survival and necessity of salvage treatment after LBRT were equivalent to those after WBRT