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Adverse effect of WBI on neurocognitive fraction already

after 3 months

Brain metastases

NCCTG N0574 (Alliance): A phase III randomized trial of whole brain radiation

therapy (WBRT) in addition to radiosurgery (SRS) in patients with 1 to 3 brain

metastases

Brown ASCO 2015

Cognitive function

deterioration

@ 3 months

SRS

SRS + WBI

immediate recall

8%

31%

delayed recall

20%

51%

verbal fluency

2%

19%

ESTRO SBRT COURSE 2016 - Matthias Guckenberger

23