Case 6
•
Role of WBRT
•
Focal Rx +WBRT ~
OS
Focal Rx alone
•
Focal Rx +WBRT >
IntraCranProg
Focal Rx alone
•
Focal Rx +WBRT ~
TimePS2
Focal Rx alone
•
SRS + WBRT <
CogFunc
SRS Alone
•
Is WBRT better in a small subset of patients ?
•
Andrews Lancet 2004 (Single met; SRS + WBRT >
OS
SRS alone)
•
Sperduto RedJ 2014 (GPA 3.5 – 4; SRS + WBRT >
OS
SRS alone)
•
Ayoma JAMA 2015 (NSCLC; GPA 2.5 – 4; SRS + WBRT >
OS
SRS alone)