Advanced treatment
SRS (intracranial stereotactic radiotherapy)
High-dose, high-precision radiotherapy for lesions in the brain, usually in one or a few sessions.

Not a diagnosis and not final medical advice. Must be reviewed by a doctor.
What is it?
SRS delivers high doses of radiation to small targets in the brain with millimeter accuracy, so that surrounding brain tissue is better protected.
This approach is often discussed in limited brain lesions, including spread of lung, breast, or melanoma cancer.
Planning to use a head frame or other immobilization system as a position reference.
High resolution imaging and an immobilization system are used to map the target, then several radiation beams are directed to meet the target.
How it works
High resolution imaging and an immobilization system are used to map the target, then several radiation beams are directed to meet the target.
Position in the treatment pathway: Discussed in limited brain lesions, both as the main therapy for these lesions and as an adjunct after other therapies. If the lesions are numerous and scattered, other options such as whole brain radiotherapy may be considered.

Which cancers is it usually discussed for?

Lung Cancer
Lung cancer is divided into non-small-cell and small-cell groups, and molecular markers strongly shape which treatment options are discussed.
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Brain Cancer
Brain tumours cover many types with different behaviour, and molecular markers such as MGMT status affect how treatment is discussed.
Open cancer page
Breast Cancer
Breast cancer is classified mainly by hormone-receptor and HER2 status, and that classification determines the direction of systemic treatment.
Open cancer page
Usually considered
- Lesions are limited in size, generally less than three centimeters in diameter.
- The number of lesions that can still be treated in one or more sessions.
- Common conditions that allow undergoing sessions in a fixed position.
Usually not a candidate
- Lesions that are very large or widespread throughout the brain.
- Targets attached to vital structures with no margin of safety.
What is the process like?
Preparation 1
Planning imaging includes brain MRI.
Preparation 2
Installation of immobilization device.
Preparation 3
Medication adjustments if any.
Monitoring
Monitoring neurological symptoms.
All preparation
- Planning imaging includes brain MRI.
- Installation of immobilization device.
- Medication adjustments if any.
All monitoring
- Monitoring neurological symptoms.
- Periodic MRI to assess response and local control.
- Monitoring the side effects of radiation on surrounding tissue.
Risks and points to watch
Side-effect notes, not a complete list
- Fatigue, headache and local complaints may appear temporarily.
- In some cases, temporary swelling can occur in the therapy area that needs to be treated with medication.
- Long-term effects depend on location and dose.
What needs to be checked?
Cost and access
Cost figures depend heavily on location, facility and payer. We do not show estimated figures on this page; what can be prepared first are the questions.
Providers and clinical trials
Access status not yet verified
NO DATA
No studies in the latest registry data mention this treatment category in their description.
Questions for the doctor
- How many lesions will be treated and why were these targets chosen?
- What is the risk to brain tissue around the target?
- What is the plan if new lesions appear in the future?
Sources
- NCI Dictionary of Cancer Terms(lembaga)
Is SRS (intracranial stereotactic radiotherapy) relevant for my case?
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Is SRS (intracranial stereotactic radiotherapy) relevant for my case?
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