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Table 6 Treatment recommendations by risk level

From: Risk factors of distant brain failure for patients with newly diagnosed brain metastases treated with stereotactic radiotherapy alone

Risk factor score summation

Crude DBF rate

Treatment recommendations

0~1

14.8%,

SRT as initial treatment and WBRT ± SRT as salvage treatment for DBF

2~3

50.0%,

SRT + close clinical monitoring as initial treatment;

if close clinical monitoring is impossible, then WBRT+SRT as initial treatment

4

76.9%

WBRT+SRT as initial treatmentt

  1. Risk factors include number of BMs > 1, total target volume > 6 cc, uncontrolled extracranial disease and interval time between the diagnosis of the primary tumor and BM < 60 months, and each risk factor was assigned a score of 1