How would you approach ES-SCLC presenting with small brain metastases that resolve after chemotherapy?

ES-SCLC may respond to chemotherapy, but save for a select few, it’s a palliative disease with, median survival of about a year for responders. Presenting with microscopic brain disease that responds to chemo does not change that. The Slotman report indicating survival advantage has been questioned ...

Brain mets that resolve with chemo... Follow with surveillance MRI q3 months and treat at progression with SRS preferably or WBRT if necessary. This is not really a PCI question as they have known mets.

MR in 3 months.