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. 2023 Jan 30;11(1):1–7. doi: 10.14791/btrt.2022.0028

Table 1. Summary of preoperative work-up for brain metastasis.

Clinical status Brain imaging Others
Evaluation for general medical status CT CSF cytology
- Heart, lung, kidney, liver function and etc. - Bony structure Spine MRI: if positive, reconsider surgery
Discussion with oncologists and radiation-oncologists - Angiography: proximity with important vasculature
Discussion for less invasive treatment Brain MRI
e.g.) stereotactic radiosurgery - Contrast enhancement
DS-GPA - Acquisition of thin sliced image
Age - Functional imaging
KPS - Diffusion tensor imaging
Extracranial metastasis Conventional angiography, if needed
Number of brain metastasis
Genetic alteration of each cancer

DS-GPA, disease-specific graded prognostic assessment; KPS, Karnofsky Performance scale; CSF, cerebrospinal fluid