# Radiation Oncology/Palliation/Brain Metastases/Guidelines

* Front Page: Radiation Oncology | RTOG Trials | Randomized Trials
Brain Metastases Official Guidelines
National Comprehensive Cancer Network (NCCN)
American College of Radiology (ACR)
* Pre-Irradiation Evaluation of Brain Metastases
* Single Brain Metastasis
* Multiple Brain Metastasis
** 2009 PMID 19857783 -- "American College of Radiology appropriateness criteria on multiple brain metastases." (Videtic GM, Int J Radiat Oncol Biol Phys. 2009 Nov 15;75(4):961-5.)
* Follow up and Retreatment of Brain Metastases
American Association of Neurologic Surgeons (AANS) / Congress of Neurologic Surgeons (CNS)
* Steroids; 2010 PMID 19957014 -- "The role of steroids in the management of brain metastases: a systematic review and evidence-based clinical practice guideline." (Ryken TC, J Neurooncol. 2010 Jan;96(1):103-14. Epub 2009 Dec 3.)
* Anticonvulsants; 2010 PMID 19957015 -- "The role of prophylactic anticonvulsants in the management of brain metastases: a systematic review and evidence-based clinical practice guideline." (Mikkelsen T, J Neurooncol. 2010 Jan;96(1):97-102. Epub 2009 Dec 3.)
* Surgery; 2010 PMID 19960230 -- "The role of surgical resection in the management of newly diagnosed brain metastases: a systematic review and evidence-based clinical practice guideline." (Kalkanis SN, J Neurooncol. 2010 Jan;96(1):33-43. Epub 2009 Dec 4.)
* WBRT; 2010 PMID 19960231 -- "The role of whole brain radiation therapy in the management of newly diagnosed brain metastases: a systematic review and evidence-based clinical practice guideline." (Gaspar LE, J Neurooncol. 2010 Jan;96(1):17-32. Epub 2009 Dec 4.)
* SRS; 2010 PMID 19960227 -- "The role of stereotactic radiosurgery in the management of patients with newly diagnosed brain metastases: a systematic review and evidence-based clinical practice guideline." (Linskey ME, J Neurooncol. 2010 Jan;96(1):45-68. Epub 2009 Dec 4.)
* Chemotherapy; 2010 PMID 19960229 -- "The role of chemotherapy in the management of newly diagnosed brain metastases: a systematic review and evidence-based clinical practice guideline." (Mehta MP, J Neurooncol. 2010 Jan;96(1):71-83. Epub 2009 Dec 4. Review.)
* Retreatment; 2010 PMID 19957016 -- "The role of retreatment in the management of recurrent/progressive brain metastases: a systematic review and evidence-based clinical practice guideline." (Ammirati M, J Neurooncol. 2010 Jan;96(1):85-96. Epub 2009 Dec 3.)
* Investigational therapies; 2010 PMID 19957013 -- "The role of emerging and investigational therapies for metastatic brain tumors: a systematic review and evidence-based clinical practice guideline of selected topics." (Olson JJ, J Neurooncol. 2010 Jan;96(1):115-42. Epub 2009 Dec 3.)
American Society for Radiation Oncology (ASTRO)
* 2012 No PMID yet -- "Radiotherapeutic and surgical management for newly diagnosed brain metastasis/es: An American Society for Radiation Oncology evidence-based guideline (2012)" (Tsao M, Practical Radiation Oncology 2012 -- online before print)
* 2005 (Review) - PMID 16111570 — "The American Society for Therapeutic Radiology and Oncology (ASTRO) evidence-based review of the role of radiosurgery for brain metastases." Mehta MP et al. Int J Radiat Oncol Biol Phys. 2005 Sep 1;63(1):37-46.
Cancer Care Ontario
* Single Brain Metastasis
* Management of Brain Metastases
** 2005 PMID 15807895 Full text -- "Clinical practice guideline on the optimal radiotherapeutic management of brain metastases." (Tsao MN, BMC Cancer. 2005 Apr 4;5:34.)
European Federation of Neurological Societies (EFNS)
International RadioSurgery Association (IRSA)
German Society of Radiation Oncology (DEGRO)
Driving Restrictions: