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