Session

Overview: The ESTRO-EANO joint symposium on SRS/SRT for brain metastases highlights cutting-edge techniques and neurocognitive function assessment. Topics include mono-isocentric techniques, precise immobilization systems, and both frame-based and frameless SRS/SRT, emphasizing sub-millimetric alignment and novel IGRT methods. Treatment optimization, technical limitations, and future directions, particularly for treating multiple metastases are discussed from a medical physicist’s perspective. The potential of MR-linac in advancing SRS/SRT is highlighted and expert Neuro-oncologists focus on radiation-induced neurotoxicity, prevention, and treatment strategies, emphasizing the importance of cognitive rehabilitation. This multifaceted session aims to give a comprehensive, multi-disciplinary overview of the state-of-the-art.