EBRO 2017

Case 6

• Role of WBRT

• Focal Rx +WBRT ~ OS

Focal Rx alone

• Focal Rx +WBRT > IntraCranProg • Focal Rx +WBRT ~ TimePS2

Focal Rx alone

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 • 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)

SRS alone)