What are the current guidelines for referring patients with suspected metastatic brain tumours to secondary care?

Refer patients with suspected brain metastases for initial diagnostic imaging with a standard structural MRI, unless contraindicated, to confirm the diagnosis NICE NG99.

All intracranial and extracranial diagnostic imaging, and if appropriate, biopsy of extracranial disease, should be performed before referral to the neuro-oncology multidisciplinary team NICE NG99.

Patients should be referred to secondary care once radiologically suspected brain metastases are identified and appropriate imaging has been completed, to facilitate further management and treatment planning NICE NG99.