Hidehito Horinouchi, Assistant Chief at National Cancer Center Hospital, shared on X:
“CNS radiotherapy in EGFR-mutant NSCLC with synchronous brain metastasis.
- N=244; upfront SRS-TKI vs WBRT-TKI vs TKI-only: osimertinib without upfront SRS may be reasonable
- Upfront WBRT reduced CNS progression (HR 0.29), esp. L858R (HR 0.17); L858R linked to inferior OS.”
Title: Impact of CNS radiotherapy on outcomes in metastatic EGFR-mutant non-small cell lung cancer with synchronous brain metastasis
Authors: Erjia Zhu, Lingzhi Hong, Ji Z. Lin, Sahana Ramasamy, J. Pierce Reitnauer, Ran An, Kelsey Pan, Kaiwen Wang, Ara A. Vaporciyan, Don L. Gibbons, J. Jack Lee, Hai Tran, Hong Chen, Ximeng Liu, Jianjun Zhang, Monique Nilsson, Jia Wu, Jing Li, John V. Heymach, Thomas H. Beckham, Xiuning Le.
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FLASH SRS With Proton Bragg Peak Tracking Achieves IMPT Equivalent Brain Metastasis Dosimetry
