Do you routinely recommend SRS to the surgical bed after resection of a single brain metastasis?

At our institution it is routinely done although local control reported in literature varies from 60 to 85 percent. One problem with this approach is defining the surgical cavity target accurately. To overcome this, retrospective data suggests giving 2mm margin around the cavity to improve local con...

As @Dr. First Last mentioned, the randomized trial is nearly complete and we try to put these patients on protocol if at all possible to generate the level I evidence we need to make this decision. Off protocol, I prefer observation over SRS to the cavity and treating recurrent disease with SRS. Thi...