This is an unprecedented time. It is the dedication of healthcare workers that will lead us through this crisis. Thank you for everything you do.

      Calc Function

    • Calcs that help predict probability of a diseaseDiagnosis
    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
    • Numerical inputs and outputsFormula
    • Med treatment and moreTreatment
    • Suggested protocolsAlgorithm

    Disease

    Select...

    Specialty

    Select...

    Chief Complaint

    Select...

    Organ System

    Select...

    Patent Pending

    Brain Metastasis Velocity (BMV) Model

    Calculates rate of distant brain failure after stereotactic radiosurgery for brain metastasis.
    Favorite
    When to Use
    Pearls/Pitfalls
    Why Use

    • Use for patients with any primary cancer who have developed a distant brain failure (new brain metastasis) after upfront stereotactic radiosurgery (SRS).

    • Not appropriate for use in patients who have had prior whole brain radiation therapy.

    • Developed to predict outcomes at the time of salvage treatment after upfront SRS.

    • Correlates with overall survival, neurologic death, and time to additional salvage treatments by placing patients into low, intermediate, and high risk groups.

    • Primary cancers with the largest representation in the study were breast, lung, RCC, and melanoma.

    Stratifying patients into high and low BMV categories can allow providers to better counsel patients on their risks of requiring additional treatments in the future, such additional SRS or whole brain radiation therapy.

    metastases
    years

    Result:

    Please fill out required fields.

    Next Steps
    Evidence
    Creator Insights

    Management

    • For patients with low BMV (scores <4), localized therapy (e.g. SRS) might be most appropriate.

    • Counseling patients with high BMV (scores >13) that there is an increased risk of needing additional therapies in the future, should a localized approach be considered, is an important part of management.

    Content Contributors
    • Adrianna Masters, MD, PhD
    About the Creator
    Dr. Michael Farris
    Content Contributors
    • Adrianna Masters, MD, PhD