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supportive care

alone

palliative radiotherapy

& supportive care

randomise

endpoints:

palliative efficacy (QOL, Barthel),

survival free of neurological progression,

survival

Effect of whole brain radiotherapy on survival & QOL

Mulvenna

et al 2016 Lancet Oncology; 388, 2004-2014

brain metastases in NSCLC

& poor prognosis

QUARTZ trial

CR UK & TROG