: Brain metastases are the most common @entity5 . Many approaches, including radiation therapy, surgery, and cytotoxic chemotherapy, have been used to treat @entity1 with brain metastases depending on the @entity1 's disease burden and symptoms. However, @entity1104 ( @entity1104 ) has revolutionized local treatment of brain metastases. Likewise, targeted therapies, including small-molecule inhibitors and monoclonal antibodies that @entity5 cell metabolism or angiogenesis, have transformed managing @entity262 . Prospective data on combining these treatments for synergistic effect are limited, but early data show favorable safety and efficacy profiles. The combination of @entity1104 and targeted therapy will further individualize treatment, potentially obviating the need for cytotoxic chemotherapy or whole-brain radiation. There is a great need to pursue research into these exciting modalities and novel combinations to further improve the treatment of @entity1 with brain metastases. This article discusses reported and ongoing clinical trials assessing the safety and efficacy of targeted therapy during @entity1104 . IMPLICATIONS FOR PRACTICE: Treatment of @entity1 with brain metastases requires a multidisciplinary approach. Stereotactic radiosurgery is increasingly used in the upfront setting to treat new brain @entity3 . Targeted therapies have revolutionized systemic treatment of many @entity5 and may sometimes be used as initial treatment in metastatic @entity1 . There is sparse literature regarding safety and efficacy of combining these two treatment modalities. This article summarizes the supporting literature and highlights ongoing clinical trials in combining radiosurgery with targeted therapy.

The Rationale for Targeted Therapies and Stereotactic Radiosurgery in the Treatment of Brain XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity5 :: ('MESH:D009369', 'Disease') :: ['intracranial malignancy', 'target cancer', 'malignancies'] @entity262 :: ('MESH:D034721', 'Disease') :: ['systemic disease'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis'] @entity1104 :: ('MESH:D000267', 'Disease') :: ['SRS', 'stereotactic surgery']
@entity3 :: (MESH:D009362,Disease) :: ['Metastases']
