Pre-irradiation evaluation and management of brain metastases.
Pre-irradiation evaluation and management of brain metastases.
29 October 2008
American College of Radiology - Medical Specialty Society
Summary ,
GUIDELINE OBJECTIVE(S)
To evaluate the appropriateness of radiologic examinations and treatment procedures for pre-irradiation evaluation and management of brain metastases
TARGET POPULATION
Patients with brain metastases
INTERVENTIONS AND PRACTICES CONSIDERED
1. Magnetic resonance imaging (MRI) of brain with standard-dose contrast
2. Computed tomography (CT) of brain with contrast
3. Magnetic resonance imaging of brain with high-dose contrast
4. Resection (craniotomy)
5. Biopsy only of suspicious intracranial lesion
6. Corticosteroids, 4 mg/day
7. Corticosteroids, 16 mg/day
8. Anticonvulsants (prophylactic)
MAJOR OUTCOMES CONSIDERED
Utility of radiologic examinations in differential diagnosis
American College of Radiology - Medical Specialty Society
Summary ,
GUIDELINE OBJECTIVE(S)To evaluate the appropriateness of radiologic examinations and treatment procedures for pre-irradiation evaluation and management of brain metastases
TARGET POPULATION
Patients with brain metastases
INTERVENTIONS AND PRACTICES CONSIDERED
1. Magnetic resonance imaging (MRI) of brain with standard-dose contrast
2. Computed tomography (CT) of brain with contrast
3. Magnetic resonance imaging of brain with high-dose contrast
4. Resection (craniotomy)
5. Biopsy only of suspicious intracranial lesion
6. Corticosteroids, 4 mg/day
7. Corticosteroids, 16 mg/day
8. Anticonvulsants (prophylactic)
MAJOR OUTCOMES CONSIDERED
Utility of radiologic examinations in differential diagnosis
